Dr. Estela Lorenzo, gynecologist specialized in endometriosis and chronic pelvic pain, presents the case of Belén Gómez, a patient with adenomyosis and a long-evolution chronic visceral pain picture that, over time, had begun to generalize and significantly affect her quality of life. As the patient relates, the first symptoms appeared years ago coinciding especially with menstruation, in a context in which for a long time it was not possible to clearly identify whether the origin of the problem was digestive or gynecological. Finally, after a long and difficult process, she received the diagnosis and began a more targeted approach.
When she came to consultation, Belén was awaiting surgery, an intervention that meant significant improvement, although relevant symptoms persisted such as chronic pain, fatigue, poor rest and urinary alterations compatible with overactive bladder. It was in this context that a neuromodulation treatment with NESA was incorporated, combined with manual therapy, with the aim of addressing both the neurological dimension of pain and the associated functional alterations.
As the patient explains, the most evident improvements appeared in nighttime rest and in the reduction of urinary urgency, no longer constantly getting up to go to the bathroom. In addition, the combined work also favored a better evolution of the intestinal component. Overall, Belén describes the treatment as an experience that gave her back hope and allowed her to understand that it is not necessary to resign herself to living with chronic pain.
