PART 1 – INTRODUCTION: PELVIC PAIN IS A PSYCHO-PHYSICAL EVENT
During the writing of the fourth edition of our book, a physical therapy colleague of ours reported an important story that occurred with one of her patients. The patient was a woman with pelvic pain who had experienced an intense flare-up
In this article we use the modern metaphor of “airplane mode” to explain what we believe is the necessity of putting the nervous system of the pelvic pain sufferer into an ongoing healing mode to allow for the pelvic muscles to return to their relaxed, supple and un-symptomatic state.
Appl Psychophysiol Biofeedback DOI 10.1007/s10484-015-9273-1
Chronic Pelvic Pain Syndrome: Reduction of Medication Use After Pelvic Floor Physical Therapy with an Internal Myofascial Trigger Point Wand
R. U. Anderson Stanford University School of Medicine, Stanford, CA 94305, USA e-mail: firstname.lastname@example.org: R. H. Harvey Department of Health Education, San Francisco State University,
Growing number of scientific articles on stress and prostatitis and pelvic pain related disorders.
Over the past number of years there have been a growing number of articles appearing in the major journals like the Journal of Urology and World Urology that point out the significant association between stress and prostatitis
Symptoms of prostatitis that are muscle based have typically not responded to conventional medical treatment.
When the men we have seen have complained to their doctor of pain in the anus or genitals, urinary frequency and urgency, post ejaculatory discomfort, sitting pain or the sensation of a ‘golf ball’ in the
Chronic prostatitis and chronic pelvic pain and their relationship to mind and body.
We are often asked whether the physical or behavioral parts of the Wise-Anderson Protocol treatment for chronic prostatitis and chronic pelvic pain is more important. This is a major issue for patients, researchers and doctors alike because it
In an article in 2000 in Physical Therapy investigators found that teaching patients to do ischemic compression (pressure on trigger points) in the neck and upper back was effective in reducing pain and trigger point sensitivity. We are gratified to see some studies showing the efficacy of physical therapy self
Paradoxical Relaxation and the Treatment of Chronic Pelvic Pain Syndrome
In a recent New York Times article (see excerpt below), the usefulness of concentration as an integral part of a discussion of mindfulness is discussed. The ability to concentrate is not a subject that is often discussed in the psychological literature
The Invisible Patient: The Symptoms of Chronic Prostatitis and Chronic Pelvic Pain Patients
A recent article in the Korean Journal of Urology (see below) documented that men diagnosed with chronic prostatitis/chronic pelvic pain syndrome (chronic prostatitis, chronic pelvic pain syndrome) were significantly more stressed than control groups. The report showed that
New Findings About Emotional Brain Changes in Prostatitis: What to do About it
Swiss researchers looking into brain activity in men with prostatitis, chronic pelvic pain syndrome report that in a small group of men there is a reduction in relative gray matter volume in a part of the cortex.
Reflections on Prostatitis and Chronic Pelvic Pain Treatment
By David Wise, PhD
This paper is about sharing my observations about healing my own pelvic pain.
Millions of men suffer from urinary frequency, urgency, pain with sitting, pain after sex, genital pain and pelvic pain and other symptoms called prostatitis/chronic pelvic pain syndrome. I suffered
Effective Prostatitis Treatment and its Impact on the Quality of Life
Assessing a New Study
First, it should be noted that it is not the symptoms of chronic prostatitis that can destroy one’s quality of life, but the thought that the symptoms will never go away. A group of European urologists reported in
Is There a Cure for Chronic Prostatitis?
The question as to whether there is a cure for chronic prostatitis does not offer a simple answer. When prostatitis is bacterial, antibiotics can cure the problem and eradicate the bacteria. However, in most cases of men diagnosed with prostatitis, the prostate is not the source
What to Know About Antibiotics and Alpha Blockers for Prostatitis
Despite the almost universal use of antibiotics for symptoms diagnosed as chronic prostatitis, credible and highly regarded studies over the past years have shown that antibiotics, alpha blockers, and anti-inflammatory drugs are usually no better than placebos.
Traditionally, those suffering from prostatitis experience
About Chronic Prostatitis and Surgery
To begin, there is no credible evidence to show that surgery helps prostatitis. While there is sporadic experimentation with surgery for prostatitis and pelvic pain, it has been our clinical experience that surgery typically complicates or worsens someone’s situation. We never recommend surgery for prostatitis or chronic
About Chronic Prostatitis and Diet
Many men we have seen diagnosed with symptoms of chronic prostatitis report no benefit from diet modification. In fact, some men report that their symptoms temporarily improve with alcohol.
When it comes to pelvic pain syndromes and chronic prostatitis, when the pain or discomfort does not go away, there
About Ejaculation Discomfort in Chronic Prostatitis
Many men who see a urologist for chronic prostatitis will be given the advice to increase ejaculation. In fact, it is very common for men with prostatitis/ chronic pelvic pain syndrome to experience discomfort during and/ or after ejaculation.
There is often an increase in discomfort
What to Know About Prostatodynia
Read below to discover facts about Prostatodynia:
Prostatodynia is a chronic and painful disease in which patients experience prostate pain.
Prostatodynia is synonymous with chronic nonbacterial prostatitis, chronic abacterial prostatitis, chronic pelvic pain syndrome, and pelvic floor dysfunction.
When left untreated, this disorder is likely to lead to pain in
What to Know About Levator Ani Syndrome
Levator Ani Syndrome is a condition of chronic muscle based pelvic pain up inside the muscles of the pelvic floor. It is felt as chronic rectal and/or anal pain.
It was named by George Thiele, a colorectal surgeon in the 1930s who discovered that patients
What You Should Know About Pelvic Floor Dysfunction
People suffering from the pelvic pain are often given a variety of diagnoses and treatments depending on the specialist they see. This can be confusing both to patients and to doctors.
Pelvic Floor Dysfunction is used to describe the inability of the pelvic muscles
Quick Facts About Chronic Prostatitis
While prostatitis* means an inflammation or infection of the prostate gland, most men diagnosed with prostatitis do not have a prostate infection or inflammation.
Prostatitis is a condition that can confuse both doctors and patients.
Approximately ninety-five percent (95%) of what is called prostatitis is not related to a
In this essay I want to address the issue of the validity of many speculative theories on the internet about prostatitis and CPPS and our view of the issue of the healing of the pelvic floor and the resolution of symptoms of prostatitis and chronic pelvic pain syndromes.
What causes the symptoms
(AN EARLY DISCUSSION OF THE WISE ANDERSON PROTOCOL)
1999 Selected Abstracts from American Urological Association annual meeting
Anyone with prostatitis should be aware of the disagreement among professionals about the cause of prostatitis.
This is especially true if he currently has pain or discomfort:
in the penis
in the testicles
above the pubic bone
in the low
Are you experiencing the symptoms of rectal pain, anal fissures, hemorrhoids, or constipation?
At some time or another, many people find a little blood in their stool usually after a particularly hard bowel movement and can become confused and upset at such an event. At other times, alarmed individuals go to
Many men diagnosed with prostatitis and CPPS are confused about what the doctor is saying is wrong with them. As we have written about extensively on our website, in our book, A Headache in the Pelvis and in our published research, most men diagnosed with prostatitis and CPPS have no
Most of the symptoms of pelvic pain or discomfort, urinary frequency and urgency, and pain related to sitting or sexual activity in cases diagnosed as prostatitis are not related to infection. They can be caused by chronically tightened muscles in and around the pelvis. Our natural protective instincts can tighten
Essays on Pelvic Pain
WHY INTRAPELVIC BIOFEEDBACK MEASUREMENT IS NOT A RELIABLE INDICATOR OF THE USEFULNESS OF THE STANFORD PROTOCOL AND THE ISSUE OF THE THERAPEUTIC USEFULNESS OF PELVIC FLOOR BIOFEEDBACK
David Wise, PhD
I am responding to a request for a comment about the usefulness of INTRAPELVIC biofeedback measurements in determining
The following is an address by Dr. Wise to the National Institutes of Health
(NOTE: Portions of this transcript have been edited for clarification.)
The goal of the Wise-Anderson Protocol is to enable the patients to reduce and/or resolve symptoms without dependency on drugs or others to do so for them.
Paradoxical Relaxation relaxes the tensed and shortened muscles within a painful pelvic floor.
This involves a daily practice of the cultivation of effortlessness in the presence of pain, anxiety, and tension.
Paradoxical Relaxation has two components: The first is a breathing technique used at the beginning of relaxation, a coordination of heart rate
The History of the Wise-Anderson Protocol
The Wise-Anderson Protocol began with David Wise, PhD, a psychologist in California who had suffered from Chronic Pelvic Pain Syndrome for many years. He contacted several urologists, including Dr. Rodney Anderson, a professor of Urology at Stanford University School of Medicine and leading practitioner and expert in
The following is an excerpt from “A Headache in the Pelvis”
We have identified a group of chronic pelvic pain syndromes that we believe is caused by the overuse of the human instinct to protect the genitals, rectum, and contents of the pelvis from injury or pain by contracting the pelvic
Even slight amounts of stress can trigger pelvic pain symptoms.
Studies have shown that myofascial trigger points that are found in sore and painful muscles inside the pelvic floor are strongly affected by stress. Gevirtz and Hubbard did electromyographic monitored studies of the electrical activity of trigger points and their relationship
Why is there Confusion about Prostatitis Symptoms?
Most cases diagnosed as prostatitis are actually problems of chronically tightened muscles of the pelvis – not problems of the prostate gland.
While Pelvic Pain Help treats both men and women with pelvic pain, a large majority of men are diagnosed with prostatitis. Unfortunately, most