Patients who take medication for chronic pain rarely voluntarily stop taking their medications. However, a new study was published in the February 2015 issue of Applied Psychophysiology and Biofeedback that shows a third of patients using the Wise-Anderson Protocol voluntarily were able to stop taking their medications for their pelvic pain symptoms after six months. For sufferers, this indicates a reduction in pain, a decrease in the cost of treatment, and a reduced risk of drug related side effects.
The study, ‘Chronic Pelvic Pain Syndrome: Reduction of Medication Use After Pelvic Floor Physical Therapy with an Internal Myofascial Trigger Point Wand’, by Anderson and colleagues examined the treatment of 374 patients, 79% of whom were men, with a median age of 43 and median symptom duration of five years. The percentage of people using medications at the start was 63.6%. After six months of treatment with the new protocol, the percentage was reduced to 40.1% and the results showed a significant association with the cessation of medication at six months and a reduction in total symptoms.
The Wise-Anderson Protocol was developed between 1995 and 2003 by David Wise, PhD and Rodney Anderson, MD, now emeritus professor of Urology at Stanford University Department of Urology. The Wise-Anderson Protocol treats the local and systemic components of pelvic floor pain disorders. In pelvic pain in men, the research suggests that what is sometimes known as abacterial / non-bacterial prostatitis, or chronic pelvic pain syndrome, is often a dysfunction of the pelvic floor caused by chronic tightening of these muscles associated commonly associated with anxiety. This diagnosis can be confirmed by the manual evaluation of the muscles of the pelvic floor by a physician experienced in locating and palpating internal pelvic floor trigger points. Muscle based pelvic pain can continue for years. Trigger points and painful muscle restriction in the pelvis typically participate in a cycle of anxiety, tension, and protective guarding. Conventional drug therapies like alpha blockers, anti-inflammatories, and antibiotics or other options like nerve blockades and surgery tend to be ineffective for this condition.
The Wise-Anderson Protocol is presented in a 6-day clinic in California throughout the year. Patients learn to treat both the local and systemic aspects of chronic pelvic pain syndromes, incorporating the use of Paradoxical Relaxation, a technique taught to patients to reduce nervous system arousal, and a protocol for internal and external myofascial trigger point release. Patients are trained to use what is called an Internal Trigger Point Wand, an FDA-approved device for patient self-treatment to release internal trigger points. The physical therapy method trains patients to physically release areas of spasm and painful muscle contraction themselves, while the behavioral program of Paradoxical Relaxation is used to help regularly reduce anxiety and nervous arousal.
Rodney Anderson, MD and David Wise, PhD co-authored the book A Headache in the Pelvis, now in its 6th edition, which details the Wise-Anderson Protocol. Anderson and Wise have published their findings and have presented their results at medical conferences, including those sponsored by the American Urological Association and the National Institutes of Health workshop on prostatitis.
Wise-Anderson Protocol — The Trigger Point Wand Proven to Help Pelvic Pain: http://www.msn.com/en-us/health/wellness/wise-anderson-protocol-the-trigger-point-wand-proven-to-help-pelvic-pain/ar-BBrNVx6
Wise-Anderson Protocol — The Necessity of Reducing Anxiety in Successful Treatment of Pelvic Pain: http://finance.yahoo.com/news/wise-anderson-protocol-necessity-reducing-005003594.html