Common Symptoms

• Lower abdominal cramps and pelvic pain

• Lower back pain and muscle tension

• Fatigue and lethargy

• Mood swings, irritability, and bloating

Goals of Physiotherapy

• Reduce pain and discomfort

• Relax muscles and release tension

• Improve posture and core strength

• Maintain daily activities and functional independence

Physiotherapy Treatments

1. Pain Relief Techniques

• Heat Therapy: To relax lower abdominal and back muscles

• Transcutaneous Electrical Nerve Stimulation (TENS): For pain modulation

• Soft tissue massage and gentle myofascial release

2. Stretching Exercises

• Stretch lower back, hip, and pelvic muscles

• Gentle yoga and flexibility exercises

3. Strengthening Exercises

• Strengthen core and pelvic floor muscles

• Strengthen postural and back muscles

4. Relaxation & Breathing Techniques

• Deep diaphragmatic breathing and guided relaxation

• Reduce stress and release muscle tension

5. Lifestyle & Postural Advice

• Maintain regular physical activity and ergonomics

• Follow a daily stretching and core strengthening routine

Frequency and Duration

• Physiotherapy sessions 2–3 times per week, especially during the premenstrual phase

• Daily home exercises and relaxation techniques are essential

• Symptom relief usually occurs within 1–2 cycles, depending on severity