Physiotherapy Rehabilitation as a Treatment Approach to Improve Quality of Life Post Lower Segment Cesarean Section (LSCS) with Endometriosis: A Case Report

Reema Joshi, Chetana Tetgure, Yashi Shah, Sayali Sakpal, Sujit Vijay Sakpal, Mansi Bhatt, Mohit Bhatt
In: International Journal of Health Sciences and Research · 2025 · vol. 15(4) , pp. 136–140 · doi:10.52403/ijhsr.20250421 · W4409308032
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This case report demonstrates that early postpartum physiotherapy rehabilitation alleviated low back pain and disability while improving quality of life in a 31-year-old woman with endometriosis following lower segment cesarean section.

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This case report examines the role of physiotherapy rehabilitation in enhancing quality of life for a patient undergoing lower segment cesarean section who also has endometriosis. The authors describe the clinical course and outcomes of implementing a targeted rehabilitation program following the surgical procedure. The findings indicate that structured physiotherapy interventions can effectively support recovery and improve patient well-being in this specific postoperative context. This paper is centrally about endometriosis — specifically its management during pregnancy and delivery via cesarean section, alongside postoperative rehabilitation strategies.

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Abstract

Cystic lesions known as endometriomas occur due to the endometriosis disease process. The primary site of endometriosis is the ovaries. According to research, adnexal cysts may be visible on an ultrasound screening in 4.1% to 24.9% of pregnant women. Physiotherapy intervention plays a crucial role in postpartum care, primarily focusing on the mother's physical, mental, and social well-being. Pain management, posture guidance, pelvic floor muscle strengthening, and core muscle strengthening are all part of postpartum care. Early postpartum ambulation has proven to alleviate postnatal depression. A 31-year-old female who underwent a lower segmental cesarean section (LSCS) experienced low back pain after giving birth. The patient's strength, quality of life, pelvic floor distress, pain, and disability were evaluated. Post-treatment, the patient reported decreased pain intensity on the NPRS, enhanced strength and quality of life, and reduction in disability. This study concluded that following LSCS, lower back pain and functional disability can be alleviated with early postpartum rehabilitation. Therefore, early postpartum rehabilitation can improve mothers' quality of life by reducing postoperative complications and encouraging an early recovery. Key words: endometriosis, low back pain, lower segment cesarean section, physiotherapy, quality of life
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