- What is Clear Passage?
- What is the Clear Passage Approach?
- Why is this therapy unique?
- What does therapy feel like?
- What is internal treatment like?
- Does therapy hurt?
- Who may benefit from this therapy?
- Who is not a candidate for this therapy?
- Can I receive treatment while I am in the hospital?
- How do I apply for treatment or arrange a personal consultation?
- Who can perform this treatment?
- What causes bowel obstruction?
- Where and how can I get this treatment?
- How can I or my doctor learn more about your work?
- How do I know that Clear Passage is legitimate and that your data is credible?
- Does the medical community accept this work?
- Will my health insurance cover treatment? (U.S. Patients)
- What is an adhesion?
- What is infertility?
- What causes adhesions?
- What causes infertility?
- What is chronic pain?
- What is a small bowel obstruction?
We are a network of physio/physical therapy clinics. We use a unique manual therapy (the Wurn Technique®) and protocol (the Clear Passage Approach®) to treat chronic pain and dysfunction, including post-surgical pain, small bowel obstruction and female infertility. Our therapists receive exclusive training, certification and licensing to provide the Wurn Technique. None of our treatments involve drugs or surgery.
Patients come to Clear Passage locations from around the world and from all walks of life. Many have conditions that have not resolved after traditional therapy, medications or surgery; some want to avoid future surgery. A number of our patients are health care professionals. Our therapy has shown positive results in published studies and is completely natural.
The Clear Passage Approach is a unique hands-on therapy, developed over 25+ years of study and clinical research by Belinda Wurn, PT and Larry Wurn, LMT. Our focus is to deform the bonds that attach collagenous cross-links, the building blocks of adhesions. The protocol includes over 200 individual techniques, including the Wurn Technique, designed to reduce and eliminate the adhesions that form wherever the body heals. As a manual therapy, it works without the risks or side effects of surgery or drugs. Studies on the effectiveness of this work, published in peer-reviewed medical journals, show success treating conditions previously treated only by surgery or drugs.
Every body heals differently after injury, surgery or trauma. Physical therapists certified in the Wurn Technique are trained to evaluate and treat the entire body. This holistic view, coupled with extensive patient history and feedback, helps us understand the physical forces preventing patients from leading the life they envision. Our focus is to decrease the powerful adhesive pulls that cause pain or dysfunction – no matter where they occur in the body.
Our therapy is different from other manual therapies for several reasons:
- We have lived the experience. Our work was born in 1986 from the need to find a non-surgical answer to treat debilitating pain in our founder, Belinda Wurn, PT.
- Our background is broad; our focus is logical and methodical. We studied rigorously with top manual physicians and physical therapists in the U.S. and abroad. From that strong foundation, we worked hard to develop a therapy to effectively treat the adhesions causing Belinda’s pain and dysfunction. After Belinda was able to return to work, we continued to refine our work to treat others with pain and dysfunction.
- We test our work and publish our results. Independent physicians and scientists measure the results of our therapy. Positive results of the Wurn Technique and Clear Passage Approach have been published in peer-reviewed medical journals and accepted into the U.S. National Library of Medicine. Citations about this work appear in WebMD’s Medscape General Medicine, Contemporary Ob-Gyn, Alternative Therapies in Health and Medicine, and the Journal of Endometriosis.
- We rigorously test and train our therapists for knowledge and clinical skills. We base their certification on strong manual and palpatory skills, and on test results after several weeks of study and training. Each must demonstrate a thorough understanding of the material in our 600-page Therapist Training Manual written by Belinda Wurn, PT and her training staff.
Sometimes, therapy can feel like a deep stretch; other times, the work can be very light, as it follows the subtle rhythm within the connective tissue sheath that surrounds the spinal cord and brain. Depending on the diagnosis and treatment area, the therapist may work to improve motility – subtle organ movements. During therapy, we may ask the patient to flex large muscles or move in certain ways to improve the body’s symmetry and function. We continuously communicate with patients throughout treatment to ensure they understand our intent and findings, and maintain their comfort level. We educate our patients in self-help techniques to prevent reinjury and to maximize the results of therapy.
We have found that combining internal and external assessment and treatment is much more effective than external assessment and treatment alone in order to resolve abdominal and pelvic pain and dysfunction. In the U.S., physical therapists have been treating patients internally for urinary incontinence and pelvic pain since 1975. The Women’s Health section of the American Physical Therapy Association (APTA) regularly teaches and endorses courses in internal assessment and treatment of pelvic floor dysfunctions.
Depending on your medical history, your evaluating therapist may suggest vaginal or rectal assessment to locate tissues that are tender, tight, inflamed, irritated or restricted. As with any part of your evaluation or therapy, we will communicate the basis for suggesting this option and you may accept or decline this component of your care.
With your approval, using non-latex gloves and “environment-friendly” lubricant, we treat any adhered or restricted tissues and structures within the vagina or rectum, as indicated. You can expect to feel some pressure with internal treatment, and sometimes tenderness which will improve as we restore mobility to these tissues. Your therapist will always remain within your tolerance level during therapy and, upon your request, will stop at any point in the treatment.
We work within each patient’s comfort level, or tolerance level, depending on the patient’s request. At all times, the patient is in total control of the depth at which we work. Some invite us to work quite deeply and describe what they call a “good hurt”; others say “you are exactly on the area I have been telling my doctor about for years but that he cannot find.”
Our therapists’ touch can be very light when they treat delicate or painful areas, such as on the vaginal wall of a woman suffering from intercourse pain. At other times (and within the patient’s tolerance), we may use deeper pressure to slowly pull through thick muscles in areas such as the back, buttock or leg.
We maintain communication with patients at all times to ensure their comfort level and understanding of our findings. We educate many of our patients in techniques to maximize results and prevent reinjury. Learn more about what to expect during therapy.
The best candidates have any of the conditions listed on our website or histories indicating possible adhesion formation. These histories include:
- radiation therapy
- a fall, trauma, accident, physical or sexual abuse
- surgery in the abdomen, pelvis, back, hip or neck
- infection or inflammatory process (e.g. endometriosis, appendicitis, PID)
Applicants with the following conditions may need to obtain physician clearance prior to scheduling therapy or may not be appropriate for therapy.
- IUD or Essure
- Active infection
- Endometrioma or other non-follicular cyst(s)
- Cancer in the last 5 years
- Surgery in the last 90 days
- Cardiac or kidney dysfunction
- Blood clotting disorder, abnormal bleeding or blood thinning medication
- Immune disorder (e.g. lupus, rheumatoid arthritis)
- Active inflammatory process (e.g. Crohn’s, celiac, colitis flare)
Women whose fallopian tubes have been closed surgically and never reopened or whose tubes have been removed may qualify for our pre-IVF therapy – but not for natural infertility reversal. Please call for more information.
We regret that we cannot treat you at the hospital. We can treat patients in our clinics at any time, provided they have not had surgery within the prior 12 weeks. We can sometimes make exceptions to the timeframe since surgery, e.g. if you had hand surgery and we will be treating your abdomen. Please contact us if you have any questions.
We are glad to review medical history questionnaires from applicants interested in our therapy and provide telephone consultations at no charge. After we thoroughly review your reported medical history, we can provide information that is specific to your situation. Our therapists will gladly answer your specific questions by phone or e-mail. This will give us both a realistic sense of whether our therapy may help you meet your goals
The Wurn Technique is unique. It is only performed by staff trained and licensed by Clear Passage to perform our work. These designations ensure you receive the specialized therapy that has been developed and researched, with published results, for over two decades.
We have locations in North American and the United Kingdom. While local patients may choose to spread therapy over several weeks, most patients visit Clear Passage locations from out of town or other countries, and receive our full 20-hour therapy program over five days (e.g. Monday-Friday). Patients with extensive history of surgery or adhesions may benefit from additional therapy. We try to save a few hours the following week to accommodate patients need to book additional hours.
From the initial evaluation through therapy, discharge and follow-up, every aspect of treatment is thorough, private, respectful, and focused on each patient’s individual needs and goals. Please call our Headquarters in the U.S. at 1 (352) 336-1433 to learn about our clinic locations.
Information about our work is readily available in public settings, both on- and offline. These include:
- Published studies in mainstream medical journals;
- TV and published news stories;
- Citations and recommendations from physicians, scientists and healthcare leaders in mainstream books, magazines and websites;
- Written and video testimonials from patients about the care and results they received at Clear Passage clinics;
- The opportunity for any applicant to speak with a former Clear Passage patient with a similar history.
We suggest taking the following factors into account when considering our legitimacy and credibility:
- We conduct and publish scientific research to quantify our results. View published studies about us in peer-reviewed medical journals, and in the U.S. National Library of Medicine by doing a PubMed search for “Wurn.” On our website, please visit the Published Studies section for links to all published studies of our work.
- We work with respected independent physicians and scientists. Learn about the physicians and scientists who work with us by visiting our “Advisors and Researchers” page. This group includes doctors from Harvard, Columbia, Northwestern and the University of Florida Medical School. They also include the former Chief of Staff of North Florida Regional Medical Center and the Founder/Director of the Endometriosis Association.
- Physio/physical therapy (PT) is a highly-respected form of mainstream medicine. It is a licensed and highly-regulated profession, requiring a five (plus) year university degree. In order to be accepted into a physical therapy program, a candidate must have an academic history and background similar to that required for medical school.
Due to published studies on our therapy, physician acceptance of our work is growing steadily. At this writing, our Advisory Council consists of doctors from Harvard, Columbia, UCLA and Northwestern Medical Schools, as well as the Founder of the Endometriosis Association.
Physicians recognize that physical therapy is a conservative approach. Since there is such a low risk of complications, most physicians encourage patients to attend or to make their own decisions regarding therapy. Patients with recent onset of pain should be screened by their physician for the few conditions that would prevent treatment, such as active infection, cancer or abnormal cysts. We are glad to consult with your physician to explain our work or discuss your case.
While you will pay us directly for our services, your insurer may reimburse you for part or all of your therapy. Please note that Medicare and Medicaid do not cover our level of service.
You may wish to contact your insurer to clarify your benefits before you schedule treatment. Ask them about your “out-of-network, outpatient physical therapy benefits for adhesions and/or pain.” We provide you with copies of your initial evaluation, daily notes, progress report and a statement noting all charges, payments, provider information, diagnosis and procedure codes to support your claim for reimbursement.
Our procedure codes are defined and approved by the American Medical Association and include the following common PT codes:
- 97161 – Initial Evaluation (Low Complexity)
- 97162 – Initial Evaluation (Moderate Complexity)
- 97163 – Initial Evaluation (High Complexity)
- 97164 – Re-Evaluation
- 97110 – therapeutic procedure
- 97112 – neuromuscular reeducation
- 97140 – manual therapy
- 97530 – therapeutic activities to increase function
- 97535 – self care instruction
Ask your insurer if you need pre-authorization and a physician’s written referral. If so, have your physician write on his prescription pad “physical therapy for treatment of abdominal and pelvic adhesions (or pain).” If you are coming for the five-day program, it should specify “20 hours of manual physical therapy over five days.” S/he should sign, date and give you the referral slip.
Twenty hours of physical therapy per year falls within the parameters of most insurers in the U.S., but some limit therapy to one hour per day. Explain that this is a special case and that this is one of the only clinics in the country that treats adhesions non-surgically. Ask to speak with a supervisor, if necessary. Record the name, time and date of every person with whom you speak and what they tell you.
Upon request, we are happy to provide you with a letter that you may forward to your insurance company. This document provides advice regarding our specialized therapy program and notes your pre-treatment diagnosis codes, based on your reported medical history. Learn more about insurance and reimbursement.
Adhesions are the internal scars that form in all of us as our bodies heal. Adhesions may occur on the surface of our bodily structures or deep within them. They can join any structure in the body to its neighbor or to distant structures, causing confusing symptoms of pain or dysfunction.
Adhesions may be filmy or coarse, thick or thin. They may be small enough to join individual muscle cells, deep within a structure. They may grow so large that they stretch down the torso from neck to waist, bending a person forward so that s/he literally cannot stand erect.
Adhesions form as part of the body’s natural healing process after an infection, inflammation, surgery or trauma.
This depends on who you ask. The U.S. Centers for Disease Control and Prevention defines infertility as the inability to “get pregnant (conceive) after one year of unprotected sex.” In women over the age of 35, it is defined as inability to conceive after sixth months of unprotected intercourse. The World Health Organization defines infertility as the inability to become pregnant after two years of unprotected sex.
A number of factors can cause female infertility. Some women have hormonal causes (e.g. high FSH, PCOS, ovulation problems), while others have mechanical causes such as scarring and adhesions.
Adhesions can block fallopian tubes, decrease function of the fimbriae or ovaries and restrict the cervix, making a difficult passage for sperm. In addition, tiny adhesions within the walls of the uterine body may cause spasm, inflammation or otherwise decrease the chance for implantation, or cause a miscarriage after fertilization. Ovarian adhesions can decrease hormonal function or block eggs from leaving the ovary.
We continue to have positive results treating the above conditions in our patients.
According to the American Academy of Family Physicians, pain is categorized into two types – acute and chronic. Acute pain tells you that your body is injured and does not last very long. It tends to resolve as your body heals from injury. Chronic pain can last for months or even years, interfere with your daily activities and significantly impact quality of life. It can lead to low self-esteem, depression and anger. We find that unexplained chronic pain is often caused by adhesions that form after a surgery, injury or infection.
A small bowel obstruction occurs when the small intestine becomes partially or fully blocked, preventing food, liquids and gas from moving through the intestines.
Symptoms include pain around or just below the belly button, nausea or vomiting, swelling or bloating of the stomach (distention), constipation and the inability to pass gas with a complete obstruction. Patients with a partial blockage may have diarrhea. If you experience severe abdominal pain or other bowel obstruction symptoms, you should seek immediate medical attention.
Adhesions (internal scar tissue) are most often the cause of a small bowel obstruction. Other causes include hernias and Crohn’s disease, which can twist or narrow the intestine, and tumors that block the intestine.
In the large intestine, cancer is most often the cause of a blockage. Other causes may include severe constipation from a hard mass of stool and narrowing of the intestine. Adhesions can also occur as a result of:
- diverticulitis (pouches called diverticula form in the wall of the large intestine and become inflamed or infected)
- inflammatory bowel disease (ongoing inflammation of the intestines that may recur many times in a person’s life)