TENS machines are an alternative to pain killers. The pain messages travel through the body’s central nervous system, but these drugs can help to stop those messages from reaching the brain. Tricyclic anti-depressants (example – Amitriptyline) are drugs that are mainly used to treat depression but have been found to have an effect on the nervous system and the way the body manages pain. These drugs work by altering the body’s perception of pain. After surgery, rehabilitation in the form of gentle exercises, yoga, or Pilates can help the body get back into shape by strengthening compromised abdominal and back muscles. Physiotherapists can develop a programme of exercise and relaxation techniques designed to help strengthen pelvic floor muscles, reduce pain, and manage stress and anxiety.
Simple analgesics such as paracetamol can be used to treat mild pain. These side effects can be reduced by taking the drugs with food or milk.Ĭodeine-based painkillers are effective painkillers but can cause constipation and gastro-intestinal upset, which may aggravate symptoms in women with endometriosis. Common side effects of NSAIDs include nausea, vomiting, diarrhoea, stomach upsets and stomach ulcers. It is best to start taking NSAIDs the day before, or several days before, a period or pain is expected. Many people take NSAIDs as they would other painkillers such as paracetamol. NSAIDs only work effectively if they are taken before the body produces prostaglandins. It is thought that women with endometriosis may produce more prostaglandins than women without the condition. They have a number of functions including making the womb contract during a period (which helps with the shedding of the womb lining). Prostaglandins occur naturally, in response to injury or disease, and cause pain and inflammation. NSAIDs such as Ibuprofen, Voltarol and Ponstan (mefanemic acid) block the production of prostaglandins in the body. Being comfortable and reducing stress will also be beneficial.
Some women also find heated wheat bags to be effective.
Transcutaneous Electrical Nerve Stimulator (TENS) machinesĪ simple hot water bottle or hot bath may help to reduce pain. See our list of pain relief and pain management options below. The main symptom of endometriosis is pelvic pain - there are various pain relief and pain management options available.
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