Evidence map›Paper›PMID 40705433›Full record

SynthesisPain medicine (Malden, Mass.)2026

Physiotherapy for endometriosis-associated pelvic pain: a systematic review and meta-analysis.

Gökçe Can, Isabel Pinto Amorim das Virgens, Boglárka Fehér, Enikő Pálma Orbán, Péter Fehérvári, Ferenc Bánhidy, Péter Hegyi, Ágnes Andrea Mayer, Nándor Ács

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Pain medicine (Malden, Mass.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Management of bowel dysfunction after pelvic surgery for endometriosis.International journal of colorectal disease · 2026
    Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Gökçe CanCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.ORCID 0009-0004-3922-0403
Isabel Pinto Amorim das VirgensCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Boglárka FehérCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Enikő Pálma OrbánCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Péter FehérváriCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Ferenc BánhidyCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Péter HegyiCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Ágnes Andrea MayerCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.
Nándor ÁcsCentre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary.

Funding

Ministry for Culture and InnovationNational Research, Development and Innovation Office EKÖP-2024-234Stipendium Hungaricum Program to Gökçe Can EKÖP-2024 -Stipendium Hungaricum Program to Gökçe Can SHE-15934-004/2023
6 · The paper itself

Abstract

importanceEndometriosis is a disease often associated with chronic pelvic pain. It affects around 190 million females of reproductive age globally.

objectiveTo investigate the effect of physiotherapy techniques (PTs) in relieving endometriosis-associated pain.

designThis systematic review and meta-analysis followed the PRISMA 2020 and Cochrane Handbook guidelines. The study protocol was followed and registered on PROSPERO (CRD42023474231).

settingA systematic search was conducted in 3 databases: PubMed, Embase, and Cochrane.

participantsWe used the following PICO strategy: population, women with endometriosis-associated pelvic pain; intervention, PTs; comparator, non-PTs; outcome, pelvic pain changes. The article selection was conducted by 2 independent reviewers. MAIN OUTCOME(S) AND MEASURE(S): Two authors extracted data independently from the eligible articles. For continuous outcomes, the mean difference (MD) in change scores between intervention and control groups was used as an effect size with a 95% confidence interval (CI). Within-group correlation of before- and after-treatment was assumed to be equal across groups and studies.

resultsOut of 8 eligible studies identified in our selection, 7 were included in the quantitative analysis. PTs were effective in reducing pain compared to non-PTs (MD -1.97, CI -2.99 to -0.95), and physiotherapy modalities (electrotherapy and laser devices) had the greatest reduction in pain levels (MD -2.03, CI -3.9 to -0.14) among all studies. Additionally, locally applied techniques resulted in greater pain reduction than the generally applied techniques. CONCLUSION AND RELEVANCE: Physiotherapy techniques are effective in reducing pain in women with endometriosis, especially when applied locally.

Indexed as

EndometriosisPelvic PainPhysical Therapy ModalitiesFemaleHumansPain Managementchronic pelvic painelectrotherapyendometriosisexercisemanual therapyphysiotherapyphysiotherapy modalities

Identifiers

PMID40705433
PMCPMC12773736

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.