Caroline Arbour, PT, DPT
Caroline Arbour, PT, DPT
City: Montreal, Quebec, Canada
Visit types: Office/Hospital; Virtual
Spoken languages: French and English
Interpreting services for other languages: No
I have been a PT for 18 years and have specialized in women’s pelvic health for the past 14 years. I have a holistic approach with all my patients. When treating endo patients (or any pain condition typical to women at any stage of life), I am always sensitive to the multi-dimensional aspects of their pain. Women have often been invalidated (often multiple times) when trying to seek care and/or diagnosis for their pain and validation that their pain is real, no matter what the diagnosis, is always one of my priorities.
More specifically, I spend a lot of time talking with my patients to help me understand their journey and identify their needs, beliefs, goals, etc.
I evaluate and treat using breathwork, mindfulness approaches, gentle and progressive exercises, visceral and myofascial release techniques, and yoga therapy. I have also done a lot of courses on pain system sensitization and centralization. A lot of education is always offered to my patients; resources are shared, and explanations of the pain system, the condition, and the role of the multiple dimensions of pain (bio, psycho, social, cultural, etc.)
I have also written a book (an essay)—published in 2023—called “Habiter nos corps / Pour en finir avec la banalisation de la douleur des femmes. In this book I research, explore, and share about the multiple dimensions of pain, the history of women’s health, sociology, language, and other cultural aspects contributing to pain (by invalidating it, for example).
Adriana Patricia Ramon Figueroa, PT
Adriana Patricia Ramon Figueroa, PT
City: Montreal, Quebec, Canada
Visit types: Office/Hospital
Spoken languages: English, Spanish, and French
Interpreting services for other languages: No
Holistic Approach Treating endometriosis considers the emotional, psychological, and social aspects of the patient’s life. This comprehensive approach ensures that all factors contributing to the patient’s condition are managed.
Patient-Centered Care: Focusing on the individual needs and goals of the patient is crucial. Treatment plans should be personalized, taking into account the patient’s unique symptoms, lifestyle, and preferences. Open communication and active patient involvement in decision-making are essential.
Evidence-Based Practice: Utilizing treatment methods and interventions that are supported by scientific research and clinical evidence ensures the highest standard of care.
Empowerment Through Education: Educating patients about their condition, treatment options, and self-management strategies empowers them to take an active role in their care. Knowledge about endometriosis and its management can help patients make informed decisions and improve their quality of life. ### Focus on Function and Quality of Life The ultimate goal is to improve the patient’s overall function and quality of life. This involves not only reducing pain but also enhancing physical abilities, emotional well-being, and social participation
Preventative and Maintenance Strategies: Develop long-term strategies to prevent symptom flare-ups and maintain improvements gained during treatment. This may include lifestyle modifications, ongoing exercise programs, and regular follow-up appointments.
Compassionate and Supportive Care: Providing care with empathy, understanding, and support, recognizing the challenges and frustrations that come with living with a chronic condition like endometriosis. Creating a supportive environment can significantly impact the patient’s treatment experience and outcomes.
Introducing different ways to manage endometriosis pain, such as mindfulness, meditation, exercise, and repetitive movement strategies (Mckenzie).
Dr. Ramiro Cabrera Carranco
Ramiro Cabrera Carranco, M.D.,
Doctor Cabrera – Endometriosis Specialist, Gynecologist, and Laparoscopic Surgeon.
Summary: Doctor Cabrera, is a compassionate endometriosis specialist and gynecologic surgeon based in Tijuana, Baja California. Patients seeking expert care in dr Cabrera Mexico turn to him for his advanced training in laparoscopic excision surgery and deep commitment to personalized treatment. Dr Cabrera OBGYN approaches endometriosis through the lens of the mesodermal origin theory—understanding it as a condition rooted in fetal development. This unique perspective informs the holistic, long-term care that defines Ramiro Cabrera endometriosis treatment, making him a trusted choice for those seeking real answers.
Doctor Cabrera combines surgical excellence with supportive therapies, including pelvic floor physiotherapy, an anti-inflammatory lifestyle, and supplements. Dr Cabrera OBGYN only recommends hormonal treatment when necessary, prioritizing conservative yet effective care. Patients experiencing persistent or complex pain are thoughtfully evaluated, often with referrals to neuropelviology. With a growing reputation across borders, Cabrera Mexico remains a leading destination for Ramiro Cabrera endometriosis expertise and whole-person healing.
City: Tijuana, Baja California, Mexico
Philosophy: Our approach to the treatment of endometriosis is based on the mesodermal origin theory, which suggests that individuals are born with endometriotic-like cells due to embryological misdifferentiation of the mesoderm. This theory posits that endometriosis is not solely a retrograde menstruation phenomenon but rather a condition that originates during fetal development, where misplaced Müllerian or mesothelial cells retain their potential to differentiate into endometrial-like tissue later in life.
What type of surgery do you perform for endometriosis: Excision
Medication: Hormonal treatment, primarily progestins, only when necessary; anti-inflammatory diet; pelvic floor physiotherapy; anti-
Approach to Persistent Pain: If the symptoms indicate neurological alterations, evaluation by neuropelviology or pain management treatment is recommended.
Dr. William Kondo
William Kondo M.D.
William Kondo M.D.- Endometriosis Specialist, Gynecologist, and Laparoscopic Surgeon.
Summary: Dr William Kondo M.D. is a trusted endometriosis specialist and urogynecologist based in Tijuana, Baja California, Mexico, with more than 30 years of experience helping patients find relief through advanced endometriosis treatment. He is known for his compassionate approach and deep understanding of how complex and life-disrupting this condition can be.
Dr Kondo sees endometriosis as a multifactorial disease influenced by genetics, hormones, and immune function. His treatment plans are tailored to each patient, often combining hormonal therapy with lifestyle support. For those dealing with ongoing pain after surgery, he integrates physical therapy, pain management, and holistic options like nutrition and acupuncture.
As a VideoVetted surgeon on iCareBetter, Dr Kondo is especially skilled in excision surgery for complex cases, including pelvic, bowel, bladder, and urinary endometriosis.
City: Tijuana, Baja California, Mexico
Philosophy: Endometriosis is a multifactorial disease. Hereditary predisposition (immune dysfunction apoptosis suppression), genetics, and epigenetics associated with hormones, menstruation, ovulation, dioxines, oxidative stress and inflammation are important factors that contribute to the pathophysiology and pathogenesis of endometriosis.
Medication: Usually I use combined oral contraceptives and progestins for the treatment of most women with endometriosis not desiring pregnancy. In some specific cases, we may use GnRH analogues or gestrinone, especially for those women who are not responsive to conventional treatment.
Approach to Persistent Pain: For persistent pain after surgery, if the surgery was complete we try to start clinical treatment for those women not desiring pregnancy (oral contraceptives or progestins in order to try do induce amenorrhea and ovulation suppression). In those cases of persistent pain, it is very important to have physical therapy to treat myofascial pain, and also some other treatments may play an important role (pain medications, physical activity, acupuncture, nutrition, etc).
Dr. Andrea Vidali MD
Dr. Andrea Vidali, M.D
Endometriosis Specialist, Obstetrics & Gynecology / General Obstetrics & Gynecology, Reproductive Endocrinology
Summary: Dr Andrea Vidali MD is a highly regarded endometriosis specialist and reproductive endocrinologist based in New York, NY, USA. Known for his expertise and compassionate approach, Dr Vidali offers comprehensive care for patients dealing with complex endometriosis cases. His practice attracts individuals from both the New York City area and beyond, especially those searching for a trusted expert like Andrea Vidali NYC. What makes Dr Andrea Vidali endometriosis treatment unique is his focus on combining excision surgery with targeted medical therapies, such as progestins and IUDs. This approach not only helps control bleeding but also addresses related conditions that often go untreated. His methods are especially effective for patients who haven’t responded well to hormonal therapy alone.
In addition to his surgical skill, Dr Vidali emphasizes the importance of personalized, long-term care. Every patient receives a tailored recovery plan that may include physical therapy and collaboration with physiatrists to help manage persistent pelvic pain. This ongoing support is a key part of the experience with Dr Andrea Vidali MD, who believes that successful treatment doesn’t end in the operating room.
Many patients turn to Dr Andrea Vidali MD not just for his medical knowledge, but for his commitment to improving their overall quality of life. Whether you’re local to New York or researching providers like Andrea Vidali NYC from across the country, his integrative approach to endometriosis makes him a leading choice in the field. It’s no surprise that Dr Andrea Vidali endometriosis care is so highly sought after by those navigating this challenging condition.
City: New York, NY, USA
Philosophy: Current scientific evidence points to the coelomic theory of endometriosis
Medication: The approach to endometriosis has to be holistic and address not only the disease itself but also potentially associated conditions. At this time, since we do not have medical candidates for curing endometriosis, the first essential step in the treatment of endometriosis is excision surgery. Additionally, Dr. Vidali rely on hormonal contraception, preferably progestins either orally or in the form of IUD to control bleeding or adenomyosis-related factors, if present. He does not rely on GnRH agonists or antagonists as in my experience the risk profile and efficacy profile not better than progestins make them undesirable.
Approach to Persistent Pain: I would like to affirm that I follow all the patients I operate on until they are well. I see the patients periodically as long as necessary. I always have a plan post-operatively especially if history, lab work, and initial examination have highlighted the possibility of the coexistence of additional pain generators. I do recommend physical therapy to most if not all patients and rely on a network of physiatrists.
