Gmail What Is The Sacral Plexus
There are several nerve plexuses in your body where nerves come together and then branch out to serve different regions of your body.
One of these is the sacral plexus, located inside your pelvis near the bottom sacrum part of your spine.
The sacral plexus contains nerves that serve the lower half of your body, including parts of your pelvis, the backs of your thighs, calves, ankles and feet.
End Endometriosis Back Pain With This Information
Endometriosis is a serious condition affecting a large number of women around the world. In fact, there are around 5 million cases of the disease reported as of date.
The common condition causes many different problems for an individual, with pain being one that most will tell you is nothing too pleasant.
Lets take a look at endometriosis and severe back pain, one of the many consequences of this condition.
Back pain is one of the most common complaints of women suffering from endometriosis, a condition characterized by pelvic pain, painful sexual intercourse, and infertility.
The condition occurs when abnormal cell growth occurs outside of the uterus. The condition affects women of child-bearing age who are still fertile and capable of becoming pregnant.
All women are at risk for the condition. There isnt a particular race that is more vulnerable than the next.
Many women have no symptoms alerting them to the presence of endometriosis, but many others have a variety of symptoms.
More often than not, women with endometriosis suffer from extreme pain in their abdomen. Since each woman is different it is important to pay attention to your body, as well as make regular visits to your OBGYN.
Early detection is key, and the best way to get this is to see the doctor on a regular basis.
Left untreated, endometriosis can cause infertility as well as a host of other health concerns and problems.
What Else Can I Do
To help relieve period pain, you can try:
- Heat. Put a heating pad or heat patch on your lower belly or take or a warm bath.
- Exercise. Exercising during your period may help ease menstrual cramps.
- Massage. Massaging your belly and lower back may decrease pain.
- Getting more sleep. Extra sleep in the week you’re expecting your period helps with period mood changes.
- Eating a balanced diet. More fruits, vegetables, and lean protein help ease period bloating and pain.
- Drinking water. Drinking enough water can help lessen period bloating.
- Meditation and mindful movement, like yoga or tai chi, can help you relax.
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Turmeric Helps Control Free Radicals
In vitro studies have shown that curcumin can slow endometrial cell growth by keeping the body from making estradiol. This is the strongest of the three types of human estrogen.
Further research may be able to pinpoint whether oral intake of turmeric can produce the same health outcomes in women with this health issue.
While generally regarded as safe, the FDA warns that some imported turmeric supplements were found to contain high levels of lead. To ensure safety, only buy supplements certified by the U.S. Pharmacopeia , NSF International, or ConsumerLab.
How Women Bipoc Lgbtqia+ Peoples Pain Is Downplayed By Healthcare Providers
Downplaying the concerns of women is a broadly recognized problem within the realm of healthcare. Compared to men, both doctors and nurses prescribe less pain medication to women post-surgery. This occurs, despite reports of pain being both higher and more frequent among women.
According to a study from the University of Pennsylvania, women wait an average of 16 more minutes compared to men to receive pain medication in the emergency room. They are also more likely to have their pain dismissed as emotional distress. Pain dismissal is no stranger to people with chronic illness. A large survey was conducted for women who experience chronic pain. The results show that 84% of women with chronic pain feel discriminated against based on their sex when seeking care.
It is not just women who are at risk of receiving less than optimal healthcare. In the United States, in particular, disparities in health and healthcare take a toll on non-white and non-CIS populations as well.
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In the United States, healthcare does not look the same for all races and ethnicities. Minorities are less likely to receive optimal treatment compared to whites. The diversity of the workforce within healthcare is not representative of the diversity in the population.
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How Can I Prevent Endometriosis
You can’t prevent endometriosis. But you can reduce your chances of developing it by lowering the levels of the hormone estrogen in your body. Estrogen helps to thicken the lining of your uterus during your menstrual cycle.
To keep lower estrogen levels in your body, you can:
- Talk to your doctor about hormonal birth control methods, such as pills, patches or rings with lower doses of estrogen.
- Exercise regularly .2 This will also help you keep a low percentage of body fat. Regular exercise and a lower amount of body fat help decrease the amount of estrogen circulating through the body.
- Avoid large amounts of alcohol. Alcohol raises estrogen levels.3 No more than one drink per day is recommended for women who choose to drink alcohol.
- Avoid large amount of drinks with caffeine. Studies show that drinking more than one caffeinated drink a day, especially sodas and green tea, can raise estrogen levels.4
Endometriosis & Lower Back Pain
Im definitely no stranger to lower back pain. I injured my lower back early in my twenties and an MRI revealed herniated discs at L4, L5. This fed into issues in my sacral plexus.
I was able to get most of the pain from this under control when I started consistently practicing yoga. I felt my lower back getting stronger and more supported.
But I got distracted. Long hours on the computer and multiple passions in different areas meant that my time on the mat slipped away.
And as a result I pulled my weakened back out earlier this year.
I forgot how painful that experience is. Not to mention the fact that it happened when my period started at the height of the pain coming from my uterus.
Enter pure hell.
I was rendered completely useless for a couple of days as every small move I made sent violent spasms of pain to my lower back. You forget how much you use your lower back until its no longer an option.
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What Are The Symptoms Of Endometriosis
Symptoms of endometriosis can include:
- Pain. This is the most common symptom. Women with endometriosis may have many different kinds of pain. These include:
- Very painful menstrual cramps. The pain may get worse over time.
- Chronic pain in the lower back and pelvis
- Pain during or after sex. This is usually described as a “deep” pain and is different from pain felt at the entrance to the vagina when penetration begins.
- Intestinal pain
- Painful bowel movements or pain when urinating during menstrual periods. In rare cases, you may also find blood in your stool or urine.
What Are The Treatments For Endometriosis
There is currently no cure for endometriosis, but there are treatment options for related pain and infertility.
Healthcare providers consider several factors when determining the best treatment for endometriosis symptoms, including:
- Your age
- How severe your symptoms are
- How severe the disease is
- Whether you want children
Not all treatments work well for all women with endometriosis. Also, endometriosis symptoms may return after the treatment is stopped or, in the case of surgery, as more time passes after the procedure.
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Identifying The Signs Of Endometriosis
Endometriosis is a common cause of pelvic pain, but Its important to note that not every woman with endometriosis experiences pain. In fact, pain isnt indicative of the severity of your condition. You may have a mild case of endometriosis with severe pelvic pain, or a severe case of endometriosis with no pain at all.
The only way to identify the cause of your pain is a comprehensive wellness exam. Dr. McDonald and Dr. Wilson specialize in diagnosing and treating endometriosis, and were here to help you recognize other signs and symptoms to watch for.
Along with pelvic pain, endometriosis can cause:
- Bleeding between menstrual periods
Why Does Endometriosis Cause Pain And Health Problems
Endometriosis growths are benign . But they can still cause problems.
Endometriosis happens when tissue similar to the lining on the inside of your uterus or womb grows outside of your uterus or womb where it doesn’t belong. Endometriosis growths may swell and bleed in the same way the lining inside of your uterus does every month during your menstrual period. This can cause swelling and pain because the tissue grows and bleeds in an area where it cannot easily get out of your body.
The growths may also continue to expand and cause problems, such as:
- Blocking your fallopian tubes when growths cover or grow into your ovaries. Trapped blood in the ovaries can form cysts.
- Forming scar tissue and adhesions . This scar tissue may cause pelvic pain and make it hard for you to get pregnant.
- Problems in your intestines and bladder
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Chamomile Helps Calm Cramps
Chamomile has long been used as an herbal aid to calm the body and mind.
These same effects may help ease premenstrual syndrome and endometrial pain and cramps.
Chamomile contains an isoflavone known as chrysin. A 2019 in vitro study found that chrysin prompts apoptosis in uterine tissues that have grown out of control.
The study notes that chrysin found in chamomile and other substances may one day lead to novel drugs for endometriosis.
It remains to be seen whether stronger studies can replicate or improve upon these results in humans.
Alternative And Complementary Therapies
There are various treatments available that can either complement your medical treatment or are an alternative to medical treatment. The most popular is traditional Chinese medicine and herbal preparations. Some women experience improvement of their symptoms with these but there is no scientific evidence to support the effectiveness of Chinese medicines in reducing symptoms or improving fertility.
If you use complementary treatments it is wise to discuss their use with your doctor as they may interfere with other prescribed medications. The Pharmaceutical Benefits Scheme does not cover the costs of alternative or complementary therapies.
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Treatments For Infertility Related To Endometriosis
In most cases, healthcare providers will recommend laparoscopy to remove or vaporize the growths to also improve fertility in women who have mild or minimal endometriosis.8 Although studies show improved pregnancy rates following this type of surgery, the success rate is not clear.
If pregnancy does not occur after laparoscopic treatment, in vitro fertilization may be the best option to improve fertility. Taking any other hormonal therapy usually used for endometriosis-associated pain will suppress ovulation and delay pregnancy. Performing another laparoscopy is not the preferred approach to improving fertility unless pain symptoms prevent undergoing IVF. Multiple surgeries, especially those that remove cysts from the ovaries, may reduce ovarian function and hamper the success of IVF.8
IVF makes it possible to combine sperm and eggs in a laboratory to make an embryo. The resulting embryos are placed into the womans uterus. IVF is one type of assisted reproductive technology that may be an option for women and families affected by infertility related to endometriosis.
Even though the use of hormones in IVF is successful in treating infertility related to endometriosis, other forms of hormone therapy are not as successful. For instance, ACOG does not recommend using oral contraceptive pills or GnRH agonists to treat endometriosis-related infertility. Using these hormonal agents prevents ovulation and delays pregnancy.1,11
Use Two Heating Pads Instead Of One
This humble and inexpensive at-home remedy is popular for a reason. Heat can help relax pelvic muscles and reduce cramping, according to the Mayo Clinic. Since a lot of this pain has a muscular component, heat is definitely good, Dr. Dassel says. To avoid burns, Dr. Dassel generally recommends going for 20 minutes on/20 minutes off when you use a heating pad, but be sure to follow your specific device’s instructions.
A 2018 review of six randomized controlled trials in Scientific Reports noted that some small studies have suggested that heat therapy may be comparable to nonsteroidal anti-inflammatories in treating period pain for some people. With that said, the review didnt specifically study people with endometriosis, and more research is necessary to definitively say that heat therapy is just as good as pain meds at treating period pain in anyone.
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See A Physical Therapist To Strengthen Your Pelvic Floor
If you think of physical therapy as a place that only treats athletes with knee and shoulder injuries, it may seem strange at first that pelvic floor physical therapy can be hugely effective. Sara Till, MD, an obstetrician-gynecologist who specializes in minimally invasive gynecological surgery at the University of Michigan in Ann Arbor, says that that’s because pelvic floor dysfunction, when the pelvic floor muscles dont coordinate well, can be a factor in many types of pain women with endometriosis experience: pain in the back and hips, pain during urination, painful bowel movements, painful sex, and even pain while wearing tampons.
When To See Your Doctor
If youre experiencing pelvic pain, pain during sex, or heavy or abnormal periods, make an appointment to see your doctor. Your doctor will likely conduct a pelvic exam and may order an ultrasound. They can help you come up with the right treatment plan for you. Since endometriosis can cause infertility, you should also see your doctor if you have endometriosis and are planning on getting pregnant.
Treatments recommend by your doctor may include:
- pain medications, to be taken during your period
- hormone therapy, which may slow endometrial growth and reduce symptoms
- surgery, where the endometrial-like tissue is removed
- hysterectomy, which is a surgery to remove the uterus and cervix
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What Other Health Conditions Are Linked To Endometriosis
Research shows a link between endometriosis and other health problems in women and their families. Some of these include:
- Allergies, asthma, and chemical sensitivities8
- Autoimmune diseases, in which the body’s system that fights illness attacks itself instead. These can include multiple sclerosis, lupus, and some types of hypothyroidism.9
- Certain cancers, such as ovarian10 and breast cancer11
How To Be Taken Seriously By Healthcare Providers
It can be challenging to put your experience with pain into words during a short visit with a physician. Patients want to be able to explain the intricacies of their pain, and a number scale does not paint the whole picture for their healthcare provider to understand their experience.
Research about pain has found that there are at least five aspects to describing pain that are important to capture a patients experience. These areas are pain intensity, pain quality, pain location, pain interference, and pain temporality. Even though many people experience pain, there continues to be a gap when it comes to communicating about pain between patients and healthcare providers. Even though they want to gain as much insight as possible, patients have reported sharing their concerns during less than a quarter of visits with a healthcare provider.
Making physicians understand their pain is even more difficult for people with disabilities. The complexity of interaction between their disability and pain makes it harder for people with disabilities to explain their experiences. On top of this burden, practitioners have expressed feeling less comfortable communicating with patients who have physical disabilities.
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Resveratrol May Quell Pelvic Pain
Resveratrol is a nutrient mainly found in berries, nuts, and grape skins.
It may help quell symptoms by blocking aromatase and the COX-2 enzymes that cause swelling and pain.
Studies have shown that this nutrient may greatly reduce pelvic pain and menstrual cramps.
Adding resveratrol to the care plan seemed to improve pain better than just using hormone treatment alone.
But these were in vitro and animal studies along with a few smaller human studies.
Larger scale randomized controlled trials supporting the merits of this phytoestrogen are still needed.
Relationship Of Endometriosis To Infertility
Endometriosis is considered one of the three major causes of female infertility. According to the American Society for Reproductive Medicine, endometriosis can be found in 24 to 50 percent of women who experience infertility. In mild to moderate cases, the infertility may be temporary. In these cases, surgery to remove adhesions, cysts and scar tissue can restore fertility. In other cases a very small percentage women may remain infertile.
How endometriosis affects fertility is not clearly understood. It is thought that scar tissue from endometriosis can impair the release of the egg from the ovary and subsequent pickup by the fallopian tube. Other mechanisms thought to affect fertility include changes in the pelvic environment that results in impaired implantation of the fertilized egg.
3 Key Infertility Facts
Johns Hopkins fertility and gynecology experts share the top three things they want women to be aware of regarding reproductive health.
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