What to do if you have back pain and leg pain due to adenomyosis

The back pain and leg pain caused by adenomyosis can be relieved through medication control, lifestyle adjustments and surgical treatment when necessary. The specific treatment plan needs to be selected according to the severity of the disease and the individual situation of the patient.

1. Medication to relieve pain

Adenomyosis often causes back pain and leg pain due to abnormal growth of endometrial tissue. Drug treatment is the first choice for pain relief.

-Hormonal medications: Oral contraceptives or progestins (such as dienogest) can inhibit endometrial hyperplasia and reduce dysmenorrhea and related pain.

- Nonsteroidal anti-inflammatory drugs (NSAIDs): such as ibuprofen or celecoxib, are used to temporarily relieve pain symptoms, especially if menstrual pain is severe.

-GnRH agonists: They reduce endometrial activity by inducing a "pseudo-menopause" state, but long-term use may cause side effects such as osteoporosis or hot flashes, so they need to be used with caution.

2. Improve your lifestyle

Lifestyle modifications can further reduce discomfort, especially when symptoms are mild.

-Hot compress and massage: Regularly apply hot water bottles to the waist and legs, combined with gentle massage, can promote blood circulation and relieve muscle tension and pain.

-Regular exercise: Moderate exercise, such as yoga, brisk walking or swimming, can help improve blood flow to the pelvic area and regulate hormone levels. But avoid strenuous exercise to avoid aggravating discomfort.

-Dietary adjustments: Increasing the intake of fish rich in omega-3 fatty acids (such as salmon) and anti-inflammatory foods (such as vegetables, fruits, and flax seeds), and reducing the intake of high-fat and high-sugar foods can help reduce inflammatory responses.

3. Surgery to solve severe cases

If medication and lifestyle adjustments are not effective, surgery can be chosen to cure the cause.

-Adenomyosis lesion resection: For focal lesions such as adenomyoma, surgical resection can effectively relieve pain and is suitable for patients with fertility needs.

-Endometrial ablation: This minimally invasive procedure reduces menstrual pain by destroying endometrial tissue, but is not suitable for women who wish to preserve their fertility.

-Hysterectomy: In severe cases that have not responded to other treatments, or when there is no desire to have children, total hysterectomy may be the ultimate solution.

Back pain and leg pain caused by adenomyosis require comprehensive treatment and management. Medication, lifestyle and surgery are key interventions. Those with severe symptoms should go to the hospital as soon as possible, and professional doctors will develop personalized treatment plans to ensure recovery. Paying attention to regular work and rest and maintaining a healthy diet can also help improve the quality of life.