Chronic Lower Back Pain- The Endometriosis and Adenomyosis Connection

Mar 9, 2026

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Chronic lower back pain in women is frequently misdiagnosed as a muscle strain or a spinal issue. However, for millions of women, the pain is actually coming from two of the most common gynecological conditions—Endometriosis and Adenomyosis.

What Exactly are These Conditions?

  • Endometriosis: This occurs when tissue similar to the uterine lining grows outside the uterus—on the ovaries, fallopian tubes, or the ligaments supporting the pelvic organs.
  • Adenomyosis: This is often called the "sister" to endometriosis. It occurs when that same lining grows into the muscular wall of the uterus itself, making the uterus thick, heavy, and enlarged.

Both conditions are incredibly common, affecting roughly 1 in 10 women. Because they both involve tissue that reacts to hormonal cycles, they cause significant internal inflammation every single month.

Why Your Uterus Affects Your Back

  • Endometriosis: If endometrial-like tissue grows on ligaments, it causes scarring and inflammation. Every time your body goes through a hormonal shift, these areas become inflamed, pulling on the lower spine.
  • Adenomyosis: This occurs when the uterine lining grows into the muscular wall of the uterus, causing it to become enlarged and heavy. This extra "pelvic weight" can put constant pressure on the lower back muscles.

Wellflow app can help you navigate the symptoms in real-time:

  • Quick Answers with AI Well-chan: Well-chan can help you know about accompanying signs—like deep pelvic pain or heavy flow—that indicate a gynecological cause, quick fixes for instant relief during flare ups and educational support.
  • Tracking the Correlation: Use the Period Tracker to see if your "back-ache days" match up with your heaviest flow or mid-cycle flares.
  • In-App Mall for Relief: From weighted heating pads to magnesium-rich supplements that help muscle relaxation, the Mall is curated with tools to help manage chronic inflammation.

If your back pain is rooted in a gynecological disorder, physical therapy alone won't solve it. Get professional diagnosis and help from specialists at Kangaroo Care Clinic to get checked for the source of the pain and treatment accordingly.

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