Menstrual pain affects millions of people worldwide. For some, painkillers or hormonal contraceptives provide relief, but not everyone finds these solutions effective or sustainable. That’s why some are turning to complementary therapies that address the body more holistically. Once considered alternative, practices like visceral osteopathy, acupuncture, and pelvic floor physical therapy are gaining scientific support for their effectiveness in relieving menstrual cramps.
👩🏼💻 Why look for alternatives? Dysmenorrhea (The pain associated with menstruation) should not be normalized when it disrupts your quality of life. According to a study published in Human Reproduction Update, between 10% and 25% of menstruating people experience severe pain that interferes with daily activities. Yet, many still feel their symptoms are dismissed. Complementary therapies don’t replace medical care, but they can offer meaningful support.
🧬 Visceral Osteopathy
Visceral osteopathy is based on the idea that internal organs — like the uterus, bladder, and intestines — have natural mobility. Restrictions in these movements can create tension, dysfunction, and pain. In the case of menstruation, fascial adhesions or pelvic imbalances may amplify cramping.
📚 According to a 2024 review in Cureus, manual therapies like visceral manipulation have shown promising results in alleviating symptoms of primary dysmenorrhea by enhancing blood flow, reducing uterine congestion, and modulating the autonomic nervous system — mechanisms thought to influence menstrual cramping and discomfort.
🧪 Additional research by Pirritano at Victoria University supports this approach, noting that manipulative treatments targeting pelvic viscera may improve not only menstrual pain but also related digestive and postural symptoms, offering a holistic pathway to relief.
🪡 Acupuncture
This ancient Chinese medicine technique has been widely studied for menstrual pain. Acupuncture stimulates the nervous system and modulates neurotransmitter release, helping to reduce pain.
📚 A clinical study published in Atrium Health (2022) found that adding acupuncture to standard care for patients with dysmenorrhea significantly improved pain levels and overall quality of life, while also proving cost-effective within standard healthcare thresholds.
🌿 Treatments often involve several sessions across the menstrual cycle and should be administered by certified professionals.
🧘 Pelvic Floor Physical Therapy & Myofascial Release
When it comes to menstrual pain, tight muscles and fascial tension in the pelvic region are often overlooked contributors. Myofascial release therapy (MFR) — a gentle, hands-on technique used by pelvic floor physiotherapists — aims to restore mobility in soft tissues, improve blood flow, and reduce cramping.
📚 A clinical study published in the Pakistan BioMedical Journal compared the effects of MFR and pelvic floor muscle exercises in people with primary dysmenorrhea. Both approaches were effective in reducing symptoms — but MFR showed greater improvements in pain relief after treatment sessions.
🧪 These findings were reinforced by a 2025 study in the European Journal of Obstetrics & Gynecology and Reproductive Biology, which found that participants receiving MFR had better outcomes than those using TENS (transcutaneous electrical nerve stimulation) or exercise training. The MFR group experienced higher pain thresholds, reduced abdominal tension, and fewer dysmenorrhea symptoms, with benefits that persisted even four weeks after treatment.
🌿 This growing evidence supports MFR as a promising, body-based strategy to address menstrual pain — not just symptomatically, but by treating the underlying tension patterns that often go unnoticed.
💡 What do these therapies have in common? Though their techniques differ all presented solutions offer a holistic, individualized approach to menstrual cramps. Rather than simply masking discomfort, these practices work with the body’s natural rhythms and target key areas like the pelvic muscles, hormonal regulation, and the nervous system.
If you're wondering how to reduce period pain beyond conventional treatments, options like visceral osteopathy, acupuncture, and pelvic physiotherapy are increasingly supported by science. Whether it's stomach massage during periods, targeted pelvic care, or restoring mobility through gentle touch, these methods can ease both physical and emotional strain.
Everyone’s cycle is different, and so is their path to period pain relief. The key is finding therapies that support your unique body — with the help of qualified professionals, self-awareness, and a bit of patience, relief is possible.
Related: Best Yoga Poses for Menstrual Cycle Relief
References
[1] Atrium Health. (2022). Acupuncture for the Treatment of Primary Dysmenorrhea: Clinical and Cost-Effectiveness Findings
[2] Bukhari, S. S. R., Siddiqui, A. A., & Faraz, A. (2024). The Effectiveness of Manual Therapies in Primary Dysmenorrhea: A Systematic Review. Cureus
[3] Iacovides, S., Avidon, I., & Baker, F. C. (2015). What we know about primary dysmenorrhea today: a critical review. Human Reproduction Update
[4] Liang, H., Liu, L., & Hu, X. (2025). Comparison of Myofascial Release, TENS, and Training for Primary Dysmenorrhea. European Journal of Obstetrics & Gynecology and Reproductive Biology
[5] Pirritano, D., Malattia, C., & Risio, L. D. (2004). Visceral Osteopathy and the Pelvic Organs: A Review of the Literature
[6] Younas, M., Jameel, T., Sohail, M., & Hussain, S. (2022). Effectiveness of Myofascial Release Technique Versus Pelvic Floor Muscle Exercises in Primary Dysmenorrhea. Pakistan BioMedical Journal