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Understanding J-Pouches and K-Pouches: What Life Really Looks Like After Surgery
Nobody wakes up excited to talk about bowel surgery. Usually, people land here after years of pain, steroids, emergency bathroom runs, hospital stays, or hearing the phrase “we may need to remove the colon.” For some patients with Ulcerative Colitis or Familial Adenomatous Polyposis, surgeons may recommend a J-pouch or K-pouch instead of a permanent…
Clearing Bowel Obstruction and Decreasing Painin a Terminally Ill Patient via Manual Physical Therapy
Amanda D. Rice, PhD, Evette D’Avy Reed, PT, Kimberly Patterson, PTA, LMT, Belinda F. Wurn, PT, and Lawrence J. Wurn, LMT Decreasing pain and improving function and quality of life are important topics for patients who refuse, or are not candidates for, traditional medical interventions, and those at the end stages of disease. Patients with…
Manual Physical Therapy for Non-Surgical Treatment of Adhesion-Related Small Bowel Obstructions: Two Case Reports
by Amanda D. Rice, Richard King, Evette D’Avy Reed, Kimberley Patterson, Belinda F. Wurn, and Lawrence J. Wurn * Clear Passage Physical Therapy, 4421 NW 39th Ave, Ste 2-2, Gainesville, FL 32606, USA* Author to whom correspondence should be addressed. J. Clin. Med. 2013, 2(1), 1-12; https://doi.org/10.3390/jcm2010001 Submission received: 28 December 2012 / Revised: 14 January 2013 / Accepted: 22 January 2013 / Published: 4 February 2013…
Decreasing Adhesions and Avoiding Further Surgery in a Pediatric Patient Involved in a Severe Pedestrian Versus Motor Vehicle Accident
Amanda D Rice 1, Leslie B Wakefield 1, Kimberley Patterson 1, Evette D’Avy Reed 1, Belinda F Wurn 1, C Richard King III 1, Lawrence J Wurn 1 PMCID: PMC3977160 PMID: 24711912 Abstract In this case study, we report the use of manual physical therapy in a pediatric patient experiencing complications from a life-threatening motor vehicle accident that necessitated 19 surgeries over the course of 12 months. Post-surgical adhesions decreased…
Development and Validation of a Questionnaire to Measure Serious and Common Quality of Life Issues for Patients Experiencing Small Bowel Obstructions
Amanda D Rice 1, Leslie B Wakefield 1, Kimberley Patterson 1, Evette D’Avy Reed 1, Belinda F Wurn 1, Bernhard Klingenberg 2, C Richard King III, Lawrence J Wurn 1,* PMCID: PMC4934500 PMID: 27429266 Abstract A validated questionnaire to assess the impact of small bowel obstructions (SBO) on patients’ quality of life was developed and validated. The questionnaire included measurements for the impact on the patients’ quality of life with respect…
Manual physical therapy clears adhesive bowel obstruction andstrictures in a patient with Crohn’s disease
1 Leonard B Weinstock, 2 Janey S. A. Pratt, 3 Lawrence Wurn, 4 Sharon Hepburn 1 Associate Professor of Clinical Medicine and Surgery, Washington University School of Medicine; Specialists in Gastroenterology, LLC, St. Louis, MO 63141, United States; 2 Clinical Associate Professor of Surgery, Stanford University School of Medicine, Palo Alto, CA 94035, United States;…
Increasing Orgasm and Decreasing Dyspareunia by a Manual Physical Therapy Technique
Lawrence J Wurn 1, Belinda F Wurn 1, Amanda S Roscow 1, C Richard King 2, Eugenia S Scharf 3, Jonathan J Shuster 4 PMCID: PMC1480593 PMID: 15775874 Abstract Context Female sexual pain and dysfunction Objective To evaluate the effectiveness of a new site-specific, manual soft-tissue therapy in increasing orgasm and reducing dyspareunia (painful intercourse) in women with histories indicating abdominopelvic adhesion formation. Design and Intervention A total…
Decreasing Dyspareunia and Dysmenorrhea in Women with Endometriosis via a Manual Physical Therapy*: Results from Two Independent Studies
Belinda F Wurn 1, Lawrence J Wurn 1,✉, Kimberley Patterson 1, C Richard King 2, Eugenia S Scharf 3 PMCID: PMC6154826 Purpose To assess the efficacy of a non-invasive, site-specific manual physiotherapeutic technique in ameliorating dyspareunia and dysmenorrhea, commonly associated with endometriosis, by performing a retrospective and prospective analysis, respectively. Methods Human female subjects, all surgically diagnosed with endometriosis, were enrolled in each of…
Update on “Decreasing dyspareunia and dysmenorrhea in women with endometriosis via a manual physical therapy: results from 2 independent studies”
In a previous publication, our group presented 2 small cohort studies that assessed the improvements in endometriosis-associated pain, specifically dyspareunia and dysmenorrhea (1). These patients were treated with manual physiotherapy (Wurn technique) at a private physical therapy clinic. Following the publication of the study in 2011, we conducted additional follow-up on the patients presented in…