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    Pelvic Pain Podcast|The Real Story About Chronic Pelvic Pain

    This podcast is about muscle-related pelvic pain in men and women. Dr. David Wise, co-author of the groundbreaking book “A Headache in the Pelvic,” discusses the frequent misunderstanding and mistreatment of chronic pelvic syndromes, and the relationship between anxiety and pelvic pain. Dr. Wise, who also co-developed “Wise-Anderson Protocol,” a revolutionary treatment developed at Stanford University, explains how this Protocol focuses on the importance of self-treatment. Hear stories of men and women who have suffered muscle-related pelvic pain and dysfunction, and have gone through this treatment program.The National Center for Pelvic Pain Research (NCPPR) is a center devoted to research and treatment of pelvic pain syndromes in men and women using the Wise-Anderson Protocol. Pelvic pain syndromes treated at NCPPR include prostatitis, pelvic floor dysfunction, levator ani syndrome, chronic pelvic pain syndrome, interstitial cystitis, coccygodynia, chronic proctalgia, among other diagnoses.
    en36 Episodes

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    Episodes (36)

    How Pelvic Floor Dysfunction Heals

    How Pelvic Floor Dysfunction Heals

    Dr. Wise spent 8 years in the Department of Urology at Stanford University Medical Center as a Visiting Research Scholar working with Dr. Rodney Anderson in the development of a new treatment for prostatitis and chronic pelvic pain syndromes. He suffered from chronic prostatitis/CPPS for over 20 years until he recovered from it. Dr. Wise is a licensed psychologist in California and his research interests are in behavioral medicine and autonomic self-regulation. He is a musician, painter and carpenter.

    Surgery Is Not a Good Idea for Treating Muscle Based Pelvic Floor Pain

    Surgery Is Not a Good Idea for Treating Muscle Based Pelvic Floor Pain

    After consulting with my physician colleagues in our program about our experience with many patients who have undergone some surgery or invasive procedure for their pelvic floor related pain, it has been our conclusion that there is no convincing basis for a surgical approach to treating chronic pelvic pain syndromes. While there are obviously circumstances in which surgery is called for related to cancer or pelvic related repair, we have never seen a positive surgical outcome in the 25 years we have treated many patients for idiopathic pelvic floor pain in which no pathology is found. Although ours may not be a representative sample, in our experience the overwhelming majority of patients we have seen have expressed regret about their particular surgical intervention and often found it hurt them.

    Pelvic Pain And Plato

    Pelvic Pain And Plato

    Plato reportedly said, “Be kind, for everyone is fighting a hard battle.” What he meant is that for many people, underneath the surface is a struggle that isn’t visible. Inside each of us is a daily fight to deal with survival and the many obstacles in life, and the unseen interior efforts to overcome them.


    My experience with pelvic pain – both professionally and personally – has made clear to me that the battle Plato refers to is more than just psychological, but also physical. It is intuitively obvious that stress can kill you or make you sick. We’re not surprised when an especially stressful event occurs and someone gets sick or even dies from it. There is an indisputable physiological component to stress: major blood vessels constrict, blood pressure elevates, the immune response is weakened or postponed, and adrenaline pumps into the bloodstream. This inward “fight, flight, or freeze” response to stress can take a huge toll on our health.

    Airplane Mode & Pelvic Pain

    Airplane Mode & Pelvic Pain

    PELVIC PAIN SYMPTOMS AND TREATMENTS: USING MODERN TERMS TO EXPLAIN NERVOUS SYSTEM AROUSAL

    Airplane mode, in fact, is an excellent metaphor in terms of describing the pelvic pain symptoms and treatments of the pelvic pain sufferer.

    USING THE TERM “AIRPLANE MODE” TO EXPLAIN THE NERVOUS SYSTEM OF THE PELVIC PAIN SUFFERER.

    “AIRPLANE MODE” CONSISTS OF TWO ELEMENTS:

    1. Setting aside enough sacrosanct, uninterrupted time and space for Paradoxical Relaxation sessions (which we discuss as carving out 2-3 hours a day);
    2. Doing the mental practice of Paradoxical Relaxation during this uninterrupted time and space that allows the nervous system to “down regulate”, reduce its frenetic activity, and cease prompting the squirting of adrenaline into the bloodstream with every thought that worsens the chronic pelvic floor contraction and the feeding of the tension-anxiety-pain-protective guarding cycle.

     

    THE MEANING OF AIRPLANE MODE

    To be sure, the technological revolution of the past 20 years has given us not only the ability to be electronically connected at all times but has also provided a new vocabulary to describe our new behavioral world of texting, instant messaging, emailing, and twittering. For example, the term airplane mode is a new concept that has come about to address the idea of temporarily disabling our communication devices from the information and connectivity superhighway. As we know, airplane mode is used when someone is on an airplane or other situation where sending or receiving communications and data are disallowed. In airplane mode, our phone or tablet assumes an unresponsive state where it is not vulnerable to the dings and rings of incoming calls, texts, emails, and other data.

    Indeed, when your phone is on airplane mode, you essentially resume the situation humankind was in before the advent of cellular communication systems. You are alone, and unless someone actually engages you in person, you are not vulnerable to being disturbed or prompted. The situation is not unlike the old context of placing a “do not disturb” sign on your hotel room door – you are creating an environment where you cannot be disturbed by the world nor it by you.


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