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Pelvic Pain

We Treat Pelvic Pain Without Drugs or Surgery

Pelvic pain can be debilitating. Many women are frustrated to find that their physician doesn’t always know the cause of their pain.

Pelvic pain can be debilitating. Many women are frustrated to find that their physician doesn’t always know the cause of their pain.

Clear Passage is a world leader in the non-surgical treatment of chronic pelvic pain, with over two decades of research and development. Studies that examine our results treating pelvic pain have been published in peer-reviewed U.S. and international medical journals. Complete our online Request Consultation form to receive a free phone consultation with an expert therapist and learn whether our manual physio/physical therapy can help you.

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Pelvic Pain Overview

Causes can be medical (e.g. disease), hormonal (e.g. ovarian cyst) or mechanical (e.g. adhesions) in nature. Medical and hormonal problems are often easier to detect than adhesions, which are not viewable by diagnostic tests (MRI, sonogram, X-ray, etc.).

Causes can be medical (e.g. disease), hormonal (e.g. ovarian cyst) or mechanical (e.g. adhesions) in nature. Medical and hormonal problems are often easier to detect than adhesions, which are often not viewable by diagnostic tests (MRI, sonogram, X-ray, etc.).

Chronic pelvic pain is defined as pain that lasts longer than six months. When pain is undiagnosed, we often find it is associated with the adhesive process that occurs after the body heals from a surgery, trauma, infection or inflammation (such as endometriosis).

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)

Thus, unexplained pelvic pain is often due to adhesions. These commonly form after a surgery, infection, endometriosis or trauma. Pelvic adhesions join structures with strong glue-like bonds that can last a lifetime and can cause chronic pelvic pain.

Thus, unexplained pelvic pain is often due to adhesions. These commonly form after a surgery, infection, endometriosis or trauma. Pelvic adhesions join structures with strong glue-like bonds that can last a lifetime and can cause chronic pelvic pain.

Studies have also shown that women who have experienced the trauma of physical or sexual abuse are at increased risk of developing chronic pelvic pain. (Black et al., 2010; Paras et al., 2009) In addition, many people experience falls onto their tailbone, back or hips at some point in their lives. Any of these events can cause adhesions to form, which may later cause chronic pelvic pain.

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.

 

Adhesions can bind structures within the pelvis, causing pain and infertility.

Adhesions can bind structures within the pelvis, causing pain and infertility.

Small but powerful adhesions can form between the muscular cell walls of the uterus, and elsewhere in the pelvis.

Small but powerful adhesions can form between the muscular cell walls of the uterus, and elsewhere in the pelvis.

Treatment for Pelvic Pain (Wurn Technique)

Some women undergo laparoscopic surgery to diagnose and treat their pelvic pain but no matter how skilled the surgeon, new adhesions form in most women when healing after surgery, according to medical literature.

Some women undergo laparoscopic surgery to diagnose and treat their pelvic pain but no matter how skilled the surgeon, new adhesions form in most women when healing after surgery, according to medical literature.

We know pelvic adhesions well. We faced this situation 20 years ago when the physical therapist director of Clear Passage, Belinda Wurn, developed severe adhesions after pelvic surgery and radiation therapy. Unable to work due to chronic pelvic pain, and having seen the devastating and debilitating effects of pelvic adhesions in her own patients, she was determined to find a non-surgical way to eliminate chronic pelvic pain due to adhesions.

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 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.

Many women report pain relief after surgery. Some report a recurrence of pain, or worse pain after surgery. No matter how skilled the surgeon, most pelvic surgeries cause new adhesions as the body heals from the surgery, according to medical studies. (Liakakos et al., 2001)

Many women report pain relief after surgery. Some report a recurrence of pain, or worse pain after surgery. No matter how skilled the surgeon, most pelvic surgeries cause new adhesions as the body heals from the surgery, according to medical studies. (Liakakos et al., 2001)

Other Treatments for Pelvic Pain

Women who prefer a non-surgical approach often turn to our therapy, which has been shown to decrease adhesion-related pain without surgery.

Women who prefer a non-surgical approach often turn to our therapy, which has been shown to decrease adhesion-related pain without surgery.

Many physicians treat chronic pelvic pain symptoms with medications that mask pain or stop menstruation.If the patient does not respond to these methods, the physician may suggest surgery to view the interior environment, remove adhesions, cysts or endometrial implants.

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.

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