What is Endometriosis?
Endometriosis (EM) is a chronic, estrogen-dependent disorder and therefore generally occurs when endometrial tissue grows abnormally and adheres outside of the uterus. EM has a high prevalence rate in women of reproductive age and is divided into ovarian EM, peritoneal EM, and deep infiltrating EM according to the sites of implantation. The most common site is the ovary and the most common symptom is chronic pelvic pain, notably dysmenorrhoea, dyspareunia, and infertility, which all may lead to a reduction in the patient’s quality of life. EM rarely undergoes malignant transformation, but with it there is a rising risk of ovarian, breast, and other cancers as well as autoimmune and atopic disorders. The exact pathogenic mechanisms of EM remain unknown since Von Rokitonsky proposed the term “EM” in 1860; though recently, researchers propose several theories, including implantation theory, coelomic epithelium metaplasia theory, and induction theory. Research continues to examine other risk factors which may be potentially involved in the formation of EM, including genetics, immune factors, inflammatory factors, eutopic endometrium specificity, and environmental toxins.
What is the Wave therapy for endometriosis?
The Wave therapy for endometriosis is a combination of non-invasive and minimally invasive (if needed) bioelectric and biologics treatments which may include:
1. Non-invasive electromagnetic waves.
2. Non-invasive electro-acupuncture.
3. Endoscope catheter base minimally invasive bioelectric therapy.
4. Minimally invasive or infusion biologics/stem cell therapy.
5. Nervous system and neuro modulation based bioelectric therapy.
6. Natural herbs and vitamins in some cases delivered by enema.
Wave therapy always starts with non-invasive treatments and the move to more invasive treatments is made only if the non-invasive therapy has not succeeded in moving the endometriosis into remission.
What is Pulsed Electromagentic Field or Wave Therapy?
Pulsed electromagnetic field (PEMF) is an efficient modality used in physical therapy field for treatment of many pathological cases; PEMF has strong analgesic effect, anti-inflammatory effect, and has vasodilatation effect, as well as decreasing edema. PEMF has an electric energy and generates series of magnetic pulses through the tissues, and each magnetic pulse induces a tiny electrical signal that stimulates cellular repair, suppressing inflammatory responses, alleviates pain, and increases range of motion. PEMF helps in the reduction of pain perception and resolution of inflammation of musculoskeletal system. It also enhances wound and bone healing, and stimulates neural tissue regeneration.
Stages or Grades of Endometriosis
Endometriosis is often classified as mild, moderate or severe or recorded in surgical notes as stage or grade I – IV.
1. Mild or stage / grade I endometriosis appears as small patches or surface lesions scattered around the pelvic cavity.
2. Moderate or stage / grade I or II endometriosis appears as larger widespread disease starting to infiltrate tissue and often found on the ovaries, uterosacral ligaments and Pouch of Douglas. Sometimes there is also significant scarring and adhesions.
3. Severe or stage / grade IV endometriosis affects most of the pelvic organs, often with distortion of the anatomy and adhesions.
These stages of endometriosis are accepted worldwide and described by the American Society of Reproductive Medicine. They provide a useful tool but have limitations as well. For instance the extent of endometriosis is not generally related to the symptoms experienced.