The Founders of Clear Passage provide video answers to some of the most common questions we receive. Click here to view these videos.
- 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 know whether this therapy may help me?
- 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. About 35% of our patients are health care professionals, or their spouses. While completely natural, our therapy has shown positive results in numerous peer-reviewed, PubMed indexed studies, housed in the US National Library of Medicine.
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 and seperate 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, infection or inflammation. 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. We regularly present our findings and results at medical conferences; studies on the effectiveness of 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, Fertility and Sterility, Gastroenterology, Healthcare, Contemporary Ob-Gyn, Alternative Therapies in Health and Medicine, and the Journal of Endometriosis, among others.
- 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 pass tests that demonstrate a thorough understanding of the material in our 550-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, your therapist may work to improve motility – subtle organ movements. During therapy, we may ask you 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 can be 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.
While most of our therapy is external, your evaluating therapist may suggest some 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, tenderness will generally 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:
- surgery in the abdomen, pelvis, back, hip or neck
- a fall, trauma, accident, repetitive injury, physical or sexual abuse
- infection or inflammatory process (e.g. endometriosis, appendicitis, PID)
We want you to do well; we don’t want to injure you. Thus, you must report accurately about your body and medical history. Some applicants with the conditions below may need to obtain physician clearance prior to scheduling therapy; some may not be appropriate for therapy.
- Active infection
- Autoimmune disorders must be under control. We may need to delay, or to spread therapy over two weeks if applicant has elevated inflammatory markers for these conditions:
- Celiac Disease
- Grave’s disease
- Rheumatoid Arthritis
- Systemic Lupus Erythematosus
- Ulcerative Colitis
- Bipolar disorder patients often do not do well with this therapy
- Blood clotting disorder, abnormal bleeding or blood thinning medication
- Both fallopian tubes have been removed or surgically closed; you may qualify for our pre-IVF therapy, but not natural infertility reversal. Call for more information.
- Cancer in the last 18 months (we just need some details)
- Cardiac conditions, including DVT, PE, or CVA in the last 12 months
- Congestive heart failure (need your details)
- Connective tissue disorder (EDS, Marfan)
- Deep Vein Thrombosis, PE or CVA within 12 weeks of scheduled therapy
- Endometrioma; other non-follicular cyst(s)
- Fistula present within 6 weeks of therapy of scheduled therapy
- Gall stones or kidney stones (we just need some details)
- Heart, liver or kidney dysfunction (we just need some details)
- Hernia (we need to know the location and approximate size)
- IUD or Essure must be removed before receiving therapyLymphedema (wear compression garments during therapy and traveling)
- Seizures – may require MD clearance letter and/or be accompanied by a caregiver
- SIBO – we have suggested protocols to share with you and your physician
- Sickle cell disease
- Some cardiac or kidney dysfunctions
- Stents (note location, approx. date inserted) Surgery (no surgery within 90 days before therapy)
- 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
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 ‘time since surgery’ rule, e.g. if you had hand surgery and we will be treating your abdomen. Please contact us if you have any questions.
You should either complete our online Request Consultation form, or call our Headquarters at 1-352-336-1433.
We will review your medical history questionnaire. After thorough review, we can provide information that is specific to your situation.
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 for over 25 years, with results published in peer reviewed medical journals.
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 who 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;
- Physical Therapy for Intra-Abdominal Adhesions video on YouTube;
- 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;
- After we review your medical records, we may be able to have you 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:
- View reviews of Clear Passage at Google, or the Better Business Bureau
- 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.
Roughly 35% of our patients are healthcare providers (doctors, nurses, therapists, etc.) or their spouses. 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 should be screened by their physician for conditions that would prevent treatment, such as active infection, active 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. This document can also help you get insurance reimbursement. If you are coming for the five-day program, s/he can add “20 hours of manual physical therapy over five days.” Your doctor should sign, date and give you the referral slip.
Twenty hours of physical therapy per year falls within the parameters of most insurers but some limit therapy to one hour per day. If you speak with your insurer, explain that you have to travel for therapy for services they do not provide; 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 have seen and have published very good results treating infertility due to endometriosis, PCOS, blocked fallopian tubes. In addition, our therapy has been shown to statistically increase pregnancy rates for IVF when performed within 15 months before embryo transfer.
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 typically does not last 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 great many of our patients come to us with chronic pain. Many have written reviews stating that we have given them back their lives.
A small bowel obstruction is a life-threatening event which 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) from prior surgery are most common cause of small bowel. 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)