Endometriosis
If you’ve been told to just push through, or to stop exercising altogether, there’s a better way. Our team uses graded exercise, contemporary pain science, and longer consults to help you move with confidence.
Endometriosis affects roughly 1 in 9 Australians with a uterus. It can take an average of 6.5 years to receive a diagnosis. In that time, many people are told their pain is normal, that they’re overreacting, or that nothing can be done.
If you've been bounced between practitioners, had surgery that didn't resolve your symptoms, or stopped exercising because you didn't know what was safe, you're not alone. And you're not out of options.
At The Biomechanics, we take the time to listen. We start with where you are right now and build from there. No assumptions, no one-size-fits-all protocols.
Research shows that regular, appropriately dosed exercise can play a meaningful role in managing endometriosis symptoms. The evidence points to benefits including reduced pain perception, improved mood, better sleep, and reduced inflammation.
Exercise stimulates the release of endorphins and activates pain-modulating pathways. Over time, graded movement can help reduce pain sensitivity and improve your body’s ability to manage flare-ups.
Fatigue and low mood are common with endo. Regular movement has strong evidence for improving both, even at low intensities like walking or gentle resistance work.
Moderate exercise has anti-inflammatory effects that may help manage the systemic inflammation associated with endometriosis.
Physical activity can influence oestrogen metabolism. While exercise alone isn’t a treatment for endo, it forms an important part of a broader management strategy.
We don't treat endometriosis in isolation. We look at the whole picture: your pain, your movement history, your goals, and what's going on in your life. This is called a biopsychosocial approach, and it's what the evidence supports.
We start with a thorough assessment. Not just your symptoms, but your history, your concerns, and what matters most to you. We take the time to explain what's happening and why.
Your exercise program is built around your current capacity, not a generic template. We factor in your menstrual cycle, flare-up patterns, energy levels, and personal goals.
We use graded exercise to progressively rebuild your strength, fitness, and trust in your body. Sessions are adapted in real-time based on how you’re feeling.
Endo is a long-term condition. We help you build sustainable habits and self-management strategies so you’re not dependent on us forever.
Physiotherapist | S&C Coach
Jess works from our Footscray clinic and has a particular focus on endometriosis and chronic pelvic pain. She blends physiotherapy, strength and conditioning, and pain education to deliver care that's grounded in research but always practical.
With experience across acute trauma, emergency departments, elite sport, and complex conditions, Jess knows how to adapt rehab to suit real-life demands. Her sessions are collaborative, movement-rich, and person-centred.
Qualifications: Bachelor of Physiotherapy (Honours), APA and AHPRA Registered, ASCA Level 1 S&C Coach, NOI Explain Pain, APA Dry Needling, APPI Clinical Pilates
View Jess’s full profileThere’s no single best exercise for endo. What matters is finding movement that you enjoy, that’s appropriately dosed for where you’re at, and that can be adjusted around your cycle and flare-ups.
The goal isn’t to push through. It’s to find your baseline, build from there, and learn how to adjust when things flare up. That’s what we help you do.
You don't need a formal diagnosis to see us, and you don't need a referral. Our team works with people at every stage of their endo journey.
Diagnosed endometriosis (any stage)
Suspected endo with chronic pelvic pain
Post-surgery rehab (laparoscopy recovery)
Wanting to return to exercise safely
Managing endo alongside other conditions (PCOS, adenomyosis, IBS)
Looking for a practitioner who actually understands endo
Yes. Research shows that regular, appropriately dosed exercise can reduce pain perception, improve mood, and reduce inflammation. The key is finding the right type and intensity for you, which is what we help with.
There are no exercises that are universally off-limits. However, during flare-ups it often helps to reduce intensity and avoid heavy abdominal loading. We teach you how to modify and adapt rather than just stop.
It depends on the severity. Gentle movement like walking can sometimes help. We build flare-up management strategies into your program so you have a plan for those days, rather than defaulting to complete rest.
Exercise physiologists focus on exercise prescription and long-term programming. Physiotherapists can provide hands-on treatment, pelvic floor assessment, and manual therapy. At The Biomechanics, Jess combines both physiotherapy and strength and conditioning expertise.
No referral is needed to see us. You can book directly online. If you have a GP or gynaecologist managing your care, we are happy to work alongside them.
Yes. We accept private health insurance for both physiotherapy and exercise physiology appointments. Medicare rebates may also be available with a GP referral and chronic disease management plan.
Jess works from our Footscray clinic, which has a fully equipped gym for exercise-based sessions. Our other clinics in Glen Iris and Port Melbourne also offer physiotherapy and exercise physiology appointments.
Part of our persistent pain approach
Our team also helps people living with chronic fatigue, hypermobility, complex regional pain, post-surgical pain, and other conditions where pain has persisted beyond expected healing times.
Learn about our persistent pain approachReady to take the next step? Book an initial appointment and tell us your story. No referral needed.
Book Your First Appointment
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