ACCUPUNCTURE

Can endometriosis cause leg pain?

Can endometriosis cause leg pain?

By I.Soussis MD

Experts have only recently begun to recognize how widespread leg pain may be in women with endometriosis. Usually endometriosis patients experience extremely painful, heavy periods, pain after or during sexual activity (called dyspareunia) and pelvic pain. When endometriosis growths though impact the nerves surrounding the pelvis, they can cause pain in the legs, hips and buttocks.

As many as 50 percent of women with endometriosis may experience some form of leg pain, according to a 2016 study. 

Diagnosing endometriosis-related leg pain can be tricky because of a wide range of other medical conditions that are better understood and easier to diagnose can also cause leg pain.

During regular menstruation, the uterus lining sheds and leaves the body through the vagina. This happens in response to changing hormone levels. When endometrial tissue grows outside the uterus, the cells still shed, but they cannot leave the body, causing painful symptoms.

In some cases, endometrial tissues grow in and around the many nerves that travel through the pelvis and hip. Abnormal growths can put pressure on the pelvic nerves. This may cause pain and numbness in the hips, buttock, and legs. 

Nearly all of the documented cases of leg pain associated with endometriosis involve abnormal growths on the sciatic nerve or one of its branches.The sciatic nerve is considered the largest and longest nerve in the human body. It begins in the lower back, runs through the pelvis, and down the leg into the foot, branching into several smaller nerves along the way. Pressure on this nerve can cause pain in the lower body.

The sciatic nerve provides sensation to most of the lower portion of the body. Pressure on the sciatic nerve can, therefore, cause a lot of different symptoms, most commonly pain, numbness, and tingling that radiates into the following areas: 

  • outside of the leg
  • back of the thighs and calf
  • knee
  • sole, heel, and top of the foot 
  • hips 
  • buttock

Everyday tips for finding relief include:

  • gentle stretching focusing on the buttocks, thighs, calf, and feet muscles
  • gentle exercise, such as yoga, swimming, or walking can often help ease inflammation. 
  • counter pain medications and pain-relieving topical treatments on painful areas can ease inflammation and pain. 

Patients have seen good results when they eat:

  • fruits and vegetables rich in fiber and antioxidants (such as leafy green vegetables, berries, and citrus fruits).
  • lean meats and nuts that contain anti-inflammatory compounds, such as omega-3 (such as fish, walnuts, almonds, sesame seeds)

Also, when they avoid:

  • foods linked with inflammation (such as red meat, alcohol, heavily refined or preserved foods)

Drinking a lot of water also helps. Dehydration can intensify inflammation and pain throughout the whole body. Alternative therapies, such as acupuncture and massage therapy have proven to be effective for some endometriosis patients who experience leg pain.

Source: https://www.medicalnewstoday.com/articles/321457.php 

 

Acupuncture found to be effective adjunctive treatment for endometriosis-related pain

Acupuncture found to be effective adjunctive treatment for endometriosis-related pain

By I.Soussis MD, Fertility Specialist

Endometriosis, Pain Management Meta-analysis of 3 studies of acupuncture for relief of endometriosis-related pain found positive results for reduction in pain intensity, according to research published in the Journal of Pain Research. This alternative and complementary therapy has been proven to be safe, with a low side-effect profile.

Swedish researchers performed a literature search for clinical trials, case reports, and observational studies with abstracts written in English using the keywords “acupuncture and endometriosis.” 

They retrieved 3 articles involving a total of 99 women with diagnosed endometriosis (stages I-IV) aged 13 to 40. All of the studies entailed acupuncture sessions during which 7 to 12 needles were inserted per subject and left in for 15 to 25 minutes. 

The needles were placed in the lower back,/pelvic area, lower abdominal area, feet, and/or hands. Depth of stimulation with the needles ranged from intracutaneous to subcutaneous to intramuscular, and the stimulation was primarily manual in nature. 

The number of treatments varied from 9 to 16 and occurred once or twice a week, and treatments were given in a hospital, acupuncturist’s office, or patient’s home. All of the studies reported a decrease in rated pain intensity, but differed in terms of research design, needle stimulation techniques, and the instruments used to evaluate the outcomes.

Two of the studies were prospective, randomized, single-blind, placebo/sham trials and the other was a retrospective observational case series study (n=2). The Visual Analog Scale, Numeric Rating Scale, and Verbal Rating Scale were used to measure patient-rated pain intensity. Subjects were permitted to continue using their standard analgesic in 2 studies.

The results indicated that no matter the specific technique used, acupuncture effectively and safely reduced pain intensity compared to baseline. One study found that acupuncture also reduced pain-related disability, and 2 studies found reduced analgesic intake and perceived stress. Likewise, 2 studies found that the therapy improved health-related quality of life, and social activity and attendance in school were increased after acupuncture treatment in the observational study.

 

Although acupuncture has been used for many years to relieve pain and has been noted to have few serious side effects, its use remains controversial due to a lack of understanding of its mechanism of action. 

The authors reported that “the pain-alleviating effects induced by acupuncture have been attributed to different physiological and psychological processes such as activation of endogenous descending pain inhibitory systems, deactivation of brain areas transmitting sensations of pain-related unpleasantness, interaction between nocioceptive impulses and somato-visceral reflexes, and as a method that induces the expectation of symptom relief.” 

They noted that currently available therapies for pain management in endometriosis patients are often ineffective or accompanied by adverse effects, and there is need for nonpharmacological interventions such as acupuncture. 

Source: http://www.contemporaryobgyn.net/endometriosis/acupuncture-found-be-effective-adjunctive-treatment-endometriosis-related-pain?rememberme=1&elq_mid=2570&elq_cid=607376

 

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