Should You Use Heat for Endometriosis Pain Relief?


As with most complementary therapies and treatments, using heat to help relieve the pain associated with endometriosis has divided opinion.

Many women have found that a well-placed hot water bottle or heat pad can ease them through some of their worst endometriosis pain, but recently, some experts are advising patients to steer clear of using hot water bottles and heat pads for a variety of reasons.

MORESix complementary therapies to ease endometriosis symptoms

On the Endometriosis UK website, one reader wrote to say that her doctor had told her to stop using her hot water bottle to manage endometriosis pain because it was leaving red marks on her stomach and suggested she use an electric heating pad instead. Other readers posted that they too had small red scars on their stomachs from using hot water bottles.

Melissa M. Turner from EndoEmpowered suggests that women shouldn’t use any source of heat to manage their endometriosis pain. In a video with Chris Toal, who specializes in deep fascial release massage, the two discuss how heat can soften and change the form of the fascia (the interconnective tissue which lies under the skin surrounding the muscles and internal organs). Once the heat is removed, the fascia will then reharden and potentially become more rigid and painful.

Another endometriosis blogger Aubree Deimler explains that scar tissue and adhesions from endometriosis act in the same way as the fascia, so deep penetrating heat could also soften them offering temporary relief but the adhesions would re-harden and stiffen when the heat source is taken away, causing more aggravated pain.

Deimler decided to experiment and hid her heat pad away to try and manage her abdominal pain without it. However, a few weeks later she was suffering from unrelated back pain so she dug out her heat pad to see if it would help and she noticed something different. The heat pad definitely offered relief while she was using it but once she removed the pad and her back had cooled down, the pain was even stronger. She tried this again the next day with the same result — heating and cooling down increased the pain.

Have you tried using heating pads or hot water bottles for endometriosis pain? Do you think they help or aggravate the problem?

MORE: Five natural treatment options for endometriosis

Endometriosis News is strictly a news and information website about the disease. It does not provide medical advice, diagnosis or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

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  1. Tina says:

    my heated rice pack is one thing that helps me get through my days and has for decades…I don’t have burn marks because I am careful to not burn my skin for that long. As for the therapies such as myofascia massage, acupuncture they definitely help but who could afford this ongoing? Pain medications have become impossible to get for chronic pain so what is a girl to do to be able to function? I also do not agree that it makes the pain worse or changes the fascia, heat is great for relaxing muscles…heat has helped me for a very long time without complications.

  2. Sharon says:

    Is there any more scientific evidence to the effect of cooling than anecdotal accounts (Deimler’s anecdote raises a good question about the effect of cooling after treating pain with heat, but it’s only about back pain).

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