Chiropractic Adjustments Help Low Back Pain Among the University Students

Updated Sept 2, 2026

Endometriosis is a chronic inflammatory condition in which tissue similar to the uterine lining grows outside the uterus. It can cause severe menstrual cramps, chronic pelvic pain, pain during intercourse, heavy bleeding, fatigue, digestive problems, and difficulty becoming pregnant.

The World Health Organization estimates that endometriosis affects approximately 10 percent, or 190 million, of reproductive-age women and girls worldwide. Diagnosis can be delayed because symptoms vary and may be dismissed as ordinary menstrual discomfort.

Endometriosis requires medical evaluation and management. Treatment may include pain medication, hormonal therapy, surgery, fertility care, pelvic rehabilitation, and other individualized support. Chiropractic care cannot remove endometriosis lesions or cure the condition. However, it may be considered as complementary care when a patient also experiences back pain, neck tension, restricted movement, or other musculoskeletal concerns.

A 2026 case report in the Asia-Pacific Chiropractic Journal described a patient who reported improvements in menstrual discomfort, spinal pain, posture, sleep, and daily functioning during 12 weeks of chiropractic care. The findings are interesting, but they represent one patient and should be interpreted cautiously.

How Endometriosis Can Affect Daily Life

Endometriosis is more than uncomfortable menstrual cramps. Symptoms can affect physical health, emotional well-being, and quality of life. Common concerns include severe menstrual pain, pelvic or lower-back pain, painful bowel movements or urination, heavy bleeding, bloating, fatigue, and fertility difficulties.

Pain severity does not always reflect the extent of the disease. A person with limited endometriosis lesions may experience considerable pain, while someone with more extensive disease may have fewer noticeable symptoms.

Persistent pain may occur alongside musculoskeletal problems. Guarded movement, inactivity, postural changes, and pain sensitivity may contribute to back discomfort, muscle tension, and limited mobility. These concerns may require support alongside treatment from an OB-GYN.

What Happened in the Published Case?

The case report followed a 24-year-old woman with endometriosis, migraines, chronic spinal tension, and a previous shoulder injury. She experienced persistent neck and upper-back tension, shoulder discomfort, recurring migraines, and severe menstrual pain that radiated into her back and knees.

The symptoms had a major effect on her life. During parts of her cycle, she reported being confined to bed for approximately two weeks each month. She stopped going to the gym, struggled at work, and participated less in social activities.

Her assessment documented postural changes, spinal tenderness, and sensitivity. She received Advanced Biostructural Correction, or the ABC Technique, over 12 weeks. Her visit schedule changed during care, and daily movement and joint mobility exercises were recommended.

At reassessment, she reported less neck and upper-back pain, better posture and sleep, lower stress, and less menstrual pain and cramping. She also reported fewer symptomatic days and greater participation in physical, work, and social activities.

These improvements occurred during the care period. The report does not establish that chiropractic care directly caused them.

Understanding the Limitations

A case report documents one patient's experience. It can identify research questions but cannot establish effectiveness for a larger population.

This report had no control group. Natural symptom changes, mobility exercises, lifestyle changes, treatment expectations, or other health factors may have influenced the outcome.

The report does not prove that chiropractic care treats endometriosis, removes lesions, prevents progression, improves fertility, or reliably reduces menstrual pain. It cannot predict another patient's results.

The authors acknowledged that research involving chiropractic care, endometriosis, and dysmenorrhea remains limited and inconsistent. The findings support further investigation, not a general treatment recommendation or promised recovery timeline.

What Role Could Chiropractic Care Have?

Chiropractors do not medically diagnose or treat endometriosis. They may evaluate accompanying musculoskeletal complaints such as back pain, neck pain, muscle tension, postural strain, restricted joints, or difficulty moving comfortably.

Depending on the examination and health history, care may include individualized adjustments, soft-tissue techniques, mobility work, exercise guidance, and postural recommendations. Coordination with medical providers may also be appropriate.

The published case used the ABC Technique. It did not study the Gonstead Method, Activator Method, or establish a standard visit frequency for patients with endometriosis.

Chiropractic care should not delay an OB-GYN appointment, testing, or prescribed treatment. Patients should not change medication or a medical plan without consulting the responsible healthcare professional.

When to Seek Medical Attention

Consult an OB-GYN if menstrual or pelvic pain repeatedly interferes with work, school, sleep, exercise, or ordinary activities. Prompt medical attention is particularly important for sudden or severe pelvic pain, fainting, fever, unusually heavy bleeding, persistent vomiting, rapidly worsening symptoms, or pain during a known or possible pregnancy.

These symptoms should not automatically be attributed to endometriosis or a spinal problem. Proper evaluation can identify conditions requiring urgent treatment.

Frequently Asked Questions

Can chiropractic care cure endometriosis?

No. Chiropractic care does not remove endometriosis lesions or cure the disease. It may be considered for associated musculoskeletal complaints, such as back pain, muscle tension, or reduced mobility.

Can chiropractic care relieve endometriosis pain?

There is insufficient evidence to conclude that chiropractic care reliably reduces endometriosis pain. One case report documented improvement during care, but one patient's experience cannot predict results for others.

How long does it take to notice improvement?

There is no established chiropractic recovery timeline for endometriosis-related symptoms. Progress depends on the condition being addressed, the patient's overall health, examination findings, and individual response to care.

Is chiropractic care safe for someone with endometriosis?

It may be appropriate for some patients following an individualized assessment. Patients should disclose their diagnosis, medications, surgeries, pregnancy status, bleeding concerns, and other medical conditions. Coordination with an OB-GYN may be advisable.

Should medical treatment continue during chiropractic care?

Yes. Chiropractic care should complement, not replace, appropriate medical care. Medication or treatment changes should be discussed with the prescribing or treating healthcare professional.

A Coordinated Approach at Cucci Chiropractic

At Cucci Chiropractic, we evaluate each patient's musculoskeletal concerns before recommending care. For someone with endometriosis, this may mean addressing accompanying back pain, neck tension, postural discomfort, or movement restrictions alongside existing medical treatment.

The 2026 case report presents an interesting clinical observation, but it does not establish chiropractic care as a treatment for endometriosis. More controlled, high-quality research is necessary.

If you have diagnosed endometriosis and associated musculoskeletal discomfort, contact Cucci Chiropractic for an individualized consultation. Chiropractic care may be considered as one part of a broader, medically coordinated care plan.

Sources

1. Hawkes D, Postlethwaite R, McIvor C. “Improvements in Endometriosis, Dysmenorrhea and Broad Impacts on Quality of Life in a 24-Year-Old Female: A Case Report.” Asia-Pacific Chiropractic Journal. 2026;6.4. View the original case-report PDF.

2. World Health Organization. “Endometriosis.” Read the WHO fact sheet.

3. American College of Obstetricians and Gynecologists. “Endometriosis.” Read the ACOG patient guidance.

   
   

Medical disclaimer: This article is for educational purposes and does not provide medical advice, diagnosis, or treatment. Chiropractic care does not treat or cure endometriosis. Consult an OB-GYN or another qualified healthcare professional regarding pelvic pain, abnormal bleeding, fertility concerns, or suspected endometriosis.