Wise-Anderson Protocol and the Role of Chronic Nervous System Arousal in Pelvic Floor Dysfunction

One of the major insights of the Wise-Anderson Protocol for the treatment of pelvic pain in pelvic floor dysfunction is that chronic autonomic nervous system arousal triggers a ongoing painful contraction of the muscles in and around the pelvis. This insight is reflected in the Wise-Anderson Protocol’s strong focus on training patients with pelvic pain in Extended Paradoxical Relaxation (EPR), a method that can help loosen a chronically tightened pelvis.

David Wise, Ph.D., one of the developers of the Wise-Anderson Protocol, uses the metaphor of water dripping from a leaky faucet to describe the conventional approach to treating pelvic floor dysfunction. Wise says that simply focusing on releasing the trigger points and spasm in the pelvic floor without reducing the nervous arousal that triggers pelvic floor tightening is like mopping up the water on the floor from a leaking faucet rather than fixing the leaky faucet. This physical approach of loosening the pelvic muscles, is necessary in the treatment of pelvic floor dysfunction. However, it misses the central role of nervous system arousal that keeps the core of the body tightly wound and, if un-addressed, will continue to chronically tighten the pelvis.

According to Dr. Wise, those who suffer from pelvic floor dysfunction and are able to sleep well, tend to wake up feeling better in the morning because restful sleep allows their nervous systems to calm down and momentarily loosen its grip on the pelvic floor. The same experience occurs to some pelvic pain patients who go on holiday and experience a reduction of pain.   This phenomenon also explains why benzodiazepines Valium or Clonazepam, while offering no solution to pelvic floor dysfunction, can temporarily alleviate the symptoms of chronic pelvic pain. Hot baths similarly temporarily reduce symptoms While many pelvic pain patients only sporadically experience the cause and effect relationship between nervous system arousal and pelvic pain, when one directly encounters the lessening of symptoms due to a reduction in arousal, it can be life changing. Tim Parks, a well-known British author, recounted such an experience in his best-selling book, Teach Us to Sit Still.

The aroused nervous system that can tighten the core of the body as a protective response, can similarly affect other parts of the body as well – TMJ, irritable bowel syndrome, low back pain, and non-cardiac chest pain are among other maladies described as functional somatic disorders. From the vantage point of the Wise-Anderson Protocol, nervous system arousal causes the core to protectively clench. Loosening the nervous system’s grip on a sore and guarded pelvic floor is essential to the long-term abatement of pelvic pain.

Developed by Dr. David Wise, PhD, and Dr. Rodney Anderson, MD, The Wise-Anderson Protocol uses a new modality of relaxation therapy, called Extended Paradoxical Relaxation to address the problem of chronic nervous system arousal. Throughout two to four hours of daily Extended Paradoxical Relaxation, the patient has the opportunity to release the nervous system’s habit of tightening the pelvic floor musculature. When a pelvic pain patient has the experience of actually being able to release pelvic floor clenching through the slow and demanding process of Extended Paradoxical Relaxation, and witness the ensuing reduction of pain and symptoms, a new habit develops in which the pelvic floor is not tightened in relationship to stress. As a result of this positive upward spiral, the patient’s physical and emotional symptoms can reduce. Witnessing one’s ability to reduce anxiety and pelvic floor tightening is a seminal event for pelvic pain patients. The innovative self-treatment method of the Wise-Anderson Protocol treats both the local and systemic components of the pelvic floor disorders and is presented in 6-day clinics in California. To learn more about the Wise-Anderson Protocol, visit www.pelvicpainhelp.com



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

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