We Treat Pelvic Pain Without Drugs or Surgery
Surgery is a major cause of pelvic pain, as the internal bonds which form after surgery bind delicate internal structures in powerful adhesive straight-jackets. Repeat surgery can help clear the adhesions, but the near-inevitable result is more adhesion formation as the body heals from the new surgery. A large study in Digestive Surgery showed that more than 90%
of patients develop adhesions following open abdominal surgery and 55% to 100% of women develop adhesions following pelvic surgery. (Liakakos et al., 2001)
Infection and Inflammation
Bladder, vaginal and yeast infections, and inflammations from chlamydia, pelvic inflammatory disease (PID) or endometriosis may also cause chronic pelvic pain. The body’s healing response to all of these conditions is to create adhesions. Once an area has become adhered, the adhesions often remain in the body as a permanent scar, binding nearby structures together. We find that adhesions within and between the highly enervated structures of the pelvis are a frequent cause of chronic pelvic pain.
With her husband, massage therapist Larry Wurn, Belinda took a much deeper look at the etiology and biomechanics of adhesion formation. They found that the chemical bonds that attached each of the tiny collagen fibers to its neighbor appeared to dissipate or dissolve when placed under sustained pressure over time. With this knowledge, they developed the Wurn Technique® to detach the bonds that create pelvic adhesions.
Like the tiny fibers of a nylon rope, adhesions are made up of individual strands that attach to each other to create powerful bonds. The “hands-on” work practiced at Clear Passage Physical Therapy®clinics is designed to reduce or eliminate adhesions by detaching the bond between the fibers. It has been shown in peer-reviewed medical journals to reduce adhesions, decrease pain, and improve soft tissue mobility, without the risks of surgery or drugs.
Before the Wurn Technique®, surgical lysis (destruction) of adhesions was the only choice to treat adhesions that cause chronic pelvic pain. This involves cutting or burning the pelvic adhesions under general anesthesia, via laparoscopy or laparotomy (open surgery).
While lysis of adhesions can be effective, the surgery has some major drawbacks:
- It carries risks associated with anesthesia or infection;
- Because adhesions can prevent the ability to see underlying structures, surgeons can mistakenly cut or burn unintended areas;
- The body tends to create more adhesions as it heals from the very surgery designed to remove them.
As noted earlier, more than 90% of patients develop adhesions following open abdominal surgery and 55% to 100% of women develop adhesions following pelvic surgery. Small-bowel obstruction, infertility, chronic abdominal and pelvic pain, and difficult reoperative surgery are the most common consequences. (Liakakos et al., 2001)
Another study reported that 35% of all open abdominal or pelvic surgery patients were readmitted to the hospital more than twice to treat post-surgical adhesions during the 10 years after their original surgery. (Ellis et al., 1999) Thus, pelvic surgery itself has been implicated as a major cause of adhesion formation and many patients become trapped in a cycle of surgery-adhesions-surgery – with no end in sight.
By Belinda Wurn, PT, National Director of Services, Physical Therapist at Clear Passage Physical Therapy - Gainesville, Florida Area