With expert input from Sandra Sandhu-Restaino, Endometriosis and Pelvic Pain Specialist at PRM in West Palm Beach
Endometriosis is a chronic, systemic inflammatory disease that extends beyond the reproductive organs, often leading to debilitating pain and a variety of symptoms depending on the location of the lesions. For many, endometriosis affects the pelvic region, causing pain during intercourse, bowel movements, and urination. One key factor contributing to this pain is the effect endometriosis has on the pelvic floor muscles and nerves.
At PRM, we recognize that endometriosis pain is not just about the lesions themselves but also about the secondary impact it has on the pelvic floor. The PRM Protocol™ directly targets this pain by addressing the inflammation of the nerves and the chronic muscle spasms within the pelvic floor that result from endometriosis.
The PRM Protocol™ is a comprehensive treatment plan designed to relieve pelvic pain and improve function by focusing on the underlying contributors to discomfort. Our whole-body approach includes:
Hydrodissection, Peripheral Nerve Blocks, and Trigger Point Injections
These minimally invasive treatments help reduce nerve inflammation and relieve muscle tension, breaking the cycle of pain and dysfunction. Treatment is exclusively available to PRM patients through the patented PRM Protocol™.
Pelvic Floor Physical Therapy
By working with specialized therapists, patients can retrain and relax their pelvic floor muscles, reducing spasms and improving mobility.
Cognitive Behavioral Therapy (CBT)
Pain is not just physical—it affects mental health too. CBT helps patients manage the psychological aspects of chronic pain, such as stress and anxiety.
Nutritional Support
Certain foods can exacerbate inflammation. Our in-house specialist helps patients adopt an anti-inflammatory diet to support overall healing.
Medications
When necessary, medications are used to help manage chronic pain and inflammation, providing additional relief.
The PRM Protocol™ is an excellent option for patients preparing for endometriosis excision surgery. By calming the nervous system and relaxing the pelvic floor muscles beforehand, patients may experience an easier recovery and better post-surgical outcomes. Additionally, if pain persists after surgery, our treatment can continue to address lingering symptoms and help patients regain function and comfort.

At PRM, we are committed to helping endometriosis patients reclaim their quality of life. Whether you are seeking pain relief before surgery or still experiencing discomfort afterward, our specialized approach directly targets the nerve inflammation and muscle spasms caused by endometriosis. We are here to support you every step of the way on your journey to healing.
If you’re struggling with endometriosis-related pelvic pain, contact us to learn more about how the PRM Protocol™ can help you find relief.