Carissa Francisco

Carissa Francisco, PT, DPT

Endometriosis Physical Therapist


Northern Nevada Medical Center-outpatient rehabilitation
1091 Steamboat Parkway, suite 240, Reno, Nevada, USA

  • Physical Therapy
Profile Description

Visit types: Office/Hospital

Spoken languages: English

Interpreting services for other languages: No

What you should know about me: With patients who have endometriosis I approach the plan of care with a biopsychosocial approach. Thus, I am assessing and treating the musculoskeletal impairments of endometriosis including visceral mobilization to address abdominal and pelvic viscera fascial adhesions, myofascial release, and soft tissue mobilization of pelvic floor muscles and surrounding pelvic muscles as well as address bowel and bladder habits. I also usually refer the patient to CBT or some form of therapy to address possible previous trauma, trauma from being gas light by medical providers regarding their pain/symptoms, for any anxiety/depression related to the disease from being in constant and chronic pain, and to receive education in pain science in order to prevent or treat central sensitization or sympathetic up-regulation. I will also educate the patient myself in the role of the sympathetic nervous system in regard to chronic pain and ways to manage the sympathetic response through activities that help them regulate whether that be meditation, yoga, acupuncture, journaling, etc. I address or refer to a nutritionist regarding diet in order to prevent increased systemic inflammation from food. Lastly, I address the relationship between sleep and pain management and discuss the avoidance of estrogen disruptors in their environment to prevent excess systemic estrogen.

Additional Info


Hospital Affiliations:



Blue Cross, Anthem BCBS, Cigna, Medicare, Medicaid, Nevada Medicaid, Silver Summit Medicaid, Ambetter, Allwell/Wellcare, Humana, Smart Choice, Tricare, Triwest, VA Community Care, Work Comp Sedgwick, Molina Medicaid, Prominence Medicare.

Waiting Time:

One Month

In Practice Since Year:


Fellowship & Certificates:

Pelvic Rehabilitation Certified Practitioner (PRPC)





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Knowledge of endometriosis
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Bedside manner
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Pre procedure explanation
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