- Taschenbuch: 532 Seiten
- Verlag: Natl Ctr for Pain Res; Auflage: Revised. (April 2010)
- Sprache: Englisch
- ISBN-10: 0972775552
- ISBN-13: 978-0972775557
- Größe und/oder Gewicht: 15,2 x 3,5 x 22,9 cm
- Durchschnittliche Kundenbewertung: Schreiben Sie die erste Bewertung
- Amazon Bestseller-Rang: Nr. 17.616 in Fremdsprachige Bücher (Siehe Top 100 in Fremdsprachige Bücher)
A Headache in the Pelvis: A New Understanding and Treatment for Chronic Pelvic Pain Syndromes (Popular Medicine Health) (Englisch) Taschenbuch – April 2010
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Über den Autor und weitere Mitwirkende
David Wise, Ph.D., is a psychologist who spent eight years in the Department of Urology at Stanford University Medical Center as a research scholar in the development of a new treatment for prostatitis and chronic pelvic pain syndromes. His research interest is in behavioral medicine and autonomic self-regulation. Rodney Anderson, M.D. is a professor of Urology at Stanford University Medical School. His specialty is neurourology. His interest and expertise focuses on chronic pelvic pain syndromes, pelvic floor dysfunction, interstitial cystitis, benign prostatic hyperplasia, urinary incontinence, urinary retention, spinal cord injuries, spina bifida, multiple sclerosis, Parkinsonism, and stroke. He was the chief of the pelvic pain clinic at Stanford. He has also directed a clinic devoted to the problem of female sexual dysfunction. He is actively engaged in clinical research at Stanford for a variety of disorders.
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From this moment on until I attended the September Clinic 2009 in Santa Rosa, San Fransisco I was in constant pain 24/7. My pain level was 9.5-10/10 at all times, no exceptions! During the first months I began to experience all kinds of symptoms and over this time I had every single symptom described in this book, except the urinary ones. I was terrified. For the first time in my life I began to isolate myself socially and could not see why I should continue participating in life. I quit my job and only attended important classes at school. I experienced a dark depression every single day because of the immense constant pain which didn`t go away, despite everything I tried. I attempted to exercise, but the pain was so great I just broke into tears.
Discovering this book was a huge relief for me. When I read that chronic pelvic pain was, in most cases, because of tension in the muscular system around the pelvis my eyes filled with tears because from this moment on I knew I could gain my health back! I knew this because I believe that almost every muscle in the body can be trained, massaged and stretched to a desired state. I read this book in a way I have never read a book before. I felt like this was a godsend to me, like the book spoke to me. It took me less than 2 days to finish the book and only after reading a couple of pages I immediately contacted Wise and enrolled in next available seminar.
Soon after I arrived at the clinic I began to realize that I was not alone, other people from around the world had exactly the same problem! This was a wonderful seminar and I learned to do both internal- and external trigger point release on myself to relieve the pain. Then, Wise trained us in relaxation and WOW! I cannot describe how good it felt to finally calm my mind and body down. David Wise also inspired me with so much faith and belief that I could finally see the light at the end of the tunnel.
During the next 3 months I spent many hours doing the protocol every single day. I did external trigger point release every day and the internal trigger point release 5 days a week besides stretching a couple of times each day. The relaxation was harder to study, but I tried to do at least one session daily. My pain level did not lower during this time, but I continued to do the protocol 100% because I knew this would work, I just had to be patient.
Then 4-5 months after the seminar I began so see some real success. My pain level had lowered to let`s say 5-6/10 and my other symptoms were gone! I was able to exercise again and was filled with joy. I still did trigger point release and relaxation every day, but it took less time because my muscles were adapting to the lengthened state and my trigger points were quicker to release.
During months 6-8 I began to see steady improvement with almost no flare ups. I did trigger point release 3-4 times a week with each session lasting 45 minutes. During months 9-11 my pain diminished and only showed up very subtle maybe once every two weeks. From this moment on this didn`t have any affect on my life. I could do anything I desired.
From month 11+ I have absolutely no pain or symptoms, but I continue to do the trigger point release once a month to prevent my body from returning to the old state. This only takes me 40 minutes so it is really not affecting my life anymore. I have also recently begun practicing Hot Yoga once a week and I think that is a great way to maintain the flexibility I have acquired over the last year.
To this day I have been absolutely pain free for a year and counting. In my mind though I have been pain free for one and a half year because only 5 months after the seminar the pain was so mild it didn`t interfere with my life. I began to attend school 100% and graduated as a A+ student. Then, I resumed my job and maintained 130% work during the summer. I began to exercise daily and I have never been in such a great shape.
Besides from solving my pain and symptoms this protocol has helped me in a lot of other ways. I got my life back and actually a much better life. People say that my personality has taken dramatic changes in a good way. I am more tender and I have so much understanding when talking to people. Since I came back home from the seminar I have made friends with so many people I hadn`t even talked to before, I can talk to anyone about anything.
I believe that being healthy is the natural state of all human beings. I think that when health is lost it can most often be regained. It is my firm belief that this treatment can dissolve ALL CPPS cases that conventional medicine cannot heal. It just requires committment to the protocol and you have to be willing to give your body the time it needs to heal.
David Wise, if you see this; I really hope you will publish this little article of mine in your next edition of A headache in the pelvis". I would really appreciate that because I want people to see what is possible when you put your most sincere effort in it. David Wise is like Jesus of Nazareth to me, he saved my life. THANK YOU so much WISE for everything. I wouldn`t be alive today if it wasn`t for you...
I was also interested in the chapter called paradoxical relaxation. It is something that I have incorporated into my life even after my pain was gone. After practicing the relaxation techniques I have become more aware of the tension I carry throughout the day and am otherwise unaware of. It has helped me identify the areas in my body that are the most vulnerable to stress. It is one of the kind things I try to do for myself each day. It is simple, effective and I highly recommend it.
Sadly, not everyone in this country who has pelvic-floor pain has the material resources, family support, and patience in the face of extreme pain, to undergo the huge amount of medical screening involved to solve the riddle of pelvic pain, whose true origins are often extremely hard for physicians to determine. The initial diagnostic process is extensive, time consuming and, even with an excellent health-insurance policy, the out-of-pocket portion the patient is required to pay can be quite expensive. This screening process can involve some or all of the following: lab tests of the genitourinary system to check for possible infections; ultrasound, abdominal x-rays, computerized tomography (CT) scans, and/or magnetic resonance imaging (MRI) to look for abnormal body structures or abnormal tissue growth; colonoscopy to check for diverticulitis or other inflammatory bowel disease; laparoscopy (a thin tube attached to a small camera inserted through a small incision in the abdomen) to closely examine abdominal organs to check for abnormal tissue growth or infections in the abdominal cavity; specialized nerve blocks to figure out which nerves in the pelvic region are being compressed. Many patients also undergo surgeries which often are not truly warranted because the surgeon's approach is a classic case of, "When you only own a hammer, everything looks like a nail." Surgeons are trained to cut, and each specializes in particular surgeries. If you go to a given surgeon, chances are high they will offer you the surgeries they know how to do, whether or not that particular surgery is what you need. On top of that, all surgeries, even those offered to remove scar tissue, lead to the body creating new scar tissue which can, in and of itself, become a new source of pain.
If all of these tests listed above turn out to be normal, and/or the surgeries the patient has been put through by well-meaning doctors are a failure at eliminating pelvic pain--or create additional pelvic pain--then at that point, and out of sheer desperation, many pelvic-pain sufferers come to the idea of muscle tension as a last resort. It is important to know, though, that it is highly doubtful if insurance will cover a trip to Dr. Wise's clinic, and this book is *not* an offer by the doctor of a do-it-yourself, home-treatment program. Instead, it is a sales pitch for Dr. Wise's clinic.
The only at-home care that Dr. Wise does offer in book form is in another book he has written, not this one. It is called Paradoxical Relaxation: The Theory and Practice of Dissolving Anxiety by Accepting It. Some people may find that book sufficient in and off itself to learn and practice on their own the particular type of relaxation technique that Dr. Wise prefers above all others of the countless relaxation techniques available today.
The only other at-home-care opportunity on offer by Dr. Wise are those that he and the physical therapists on his staff train patients to do. These include specific stretches and his recommended method for using a special, rectal/vaginal probe that Dr. Wise invented to release deep, internal, trigger points in pelvic-floor muscles.
For those who have gone through substantial testing to discover the cause of their pelvic pain and are mostly, but not 100%, sure that their pain is caused by a "headache in the pelvis," or are simply desperate and looking for something, anything, that might possibly help their excruciating pelvic pain, one possible way to be sure before racing off to Dr. Wise's expensive clinic in California that you are a candidate for his treatment is to test out his main theory for yourself. Dr. Wise asserts that habitual "tail tucking" behavior (which happens when someone hangs their head or curls in fetal position when afraid, depressed, or in pain) is the cause of entrenched spasms of the pelvic-floor muscles. It is possible to mentally create a reaction in the body which is the opposite of this behavior by using the technique of visualization.
Visualization is a well-respected technique that has been used for many decades by professional athletes to enhance performance and medical patients to heal illness. Utilizing the image of tail-tucking, one could start out imagining oneself as an unhappy, frightened dog (perhaps one's own beloved pet--when I do this, I imagine my 10-lb rat terrier, Dottie, who frequently engages in tail-tucking behavior). Then, imagine your visualized dog-self becoming happy--your imaginary ears perk straight up, and so does your imaginary tail. Purposely put a smile on your face at the same time. When you do this while standing, you will notice that your head instinctively lifts up and the spine straightens, improving stooped posture, which physical therapists everywhere will inform you is a major contributor to back and neck pain. It is a simple matter to do this free, easy visualization multiple times a day for a few seconds. Not only does this visualization set up a new pattern in the body to counteract any unconscious tail-tucking, but the smile and the happy-dog visualization releases endorphins, which are known to be natural painkillers.
Test out this visualization for at least a week. If you notice any amount of improvement in your pelvic pain, it is possible you might be a candidate for further training in methods of releasing your pelvic-floor muscles at the doctor's expensive clinic.
I rate this book as follows:
Introduction of an interesting spin on pelvic pain with the tail-tucking concept: 4 stars
Self-help training for pain control at home: 1 star
Overall: 3 stars
I got this every couple of years, and dutifully trotted off to the urologist who would tell me to assume the position, poke me until tears leaked from my eyes, tell me I had prostatitis, and then give me a 30 day prescription of his latest favorite antibiotic. He would tell me to take hot baths to bring out the infection from my prostate, and drink lots of fluids because the prostate is like a sponge and needs to absorb a lot of water so that the antibiotic could get in there. I heard the same line from three or four different urologists over three different states and dozens of years. No clue why my prostate was so prone to infections like this, but sure enough after a one month course of antibiotics, the pain went away and all systems were once again "go".
Except a month or so ago when I went to see my urologist for the first time in four years with this problem, he told me his thinking about prostatitis had changed. This time when he examined me, he avoided my prostate and went for the pelvic wall. I screamed in pain. He then told me that my urine test had come back clean--no infection. In fact, 90% of the men he saw in his practice who complained of prostate pain had no infection at all. But almost everyone of them had spastic pelvic wall muscles. All those times I had been treated for a prostate infection had likely been for naught. That is why it took a month of antibiotics until the pain went away--because there was no infection! Think about it; usually you get almost immediate relief from an infection after taking antibiotics--so why did prostatitis take a full month or more to resolve? Because antibiotics were useless. Only time and relaxation worked.
Researching into this, my doc found David Wise's book and practice in California where they focus on dealing with the pelvic wall problem. My doctor called this "the bible" on this issue. So I got it. What I found is a book that is more polemic than anything else, told by a true believer who is like a prophet in the wilderness shouting into a denying wind. It was very useful for me to be able to read this book and understand the root of my pain and how to work with it. But I could have done without the fervent prophetic tone and overwriting. I guess I can understand this in some sense--what these guys are saying is that the vast majority of urologists are treating supposed prostatitis incorrectly, and that is not an easy orthodoxy to buck. When I asked my urologist what his fellow doctors in his practice said about his discovery, he said they did not care that much about it and continue to prescribe medication instead of muscle therapy. It is easier for them, they are not paid by insurers to teach muscle relaxation and massage (internal and external) and so they actually lose money if they do anything other than prescribe meds. In the face of this systemic bias, no wonder Wise feels like he has to shout to be heard. But it makes his book less useful for those in need of relief from pain.
Another quibble: Wise has developed a week long therapy training program in California, which sounds like it has become the central focus of his business plan. For a fair coin--the therapy, plus room and board and travel costs, and a lost work week--you spend a week with Wise and his team learning how to do your own internal trigger point release therapy. Yes, that means working deep inside your pelvic cavity, with access through the anus. Not something to learn from a do-it-yourself book at home, or so he assures us. I take him at his word on this one. But who has the time or money to do this? Sure, I can see this working for folks who have screaming, ongoing, relentless pelvic wall pain (and it sounds like there are many who do). But for those of us who have periodic but infrequent courses of this pain it is not realistic. I wish the book had a more basic set of instructions for those of us in that latter category.
At the same time I bought this book I also bought Amy Stein's "Heal Pelvic Pain", a book of stretching and external massage routines to loosen the pelvic wall muscles from outside the body, and then strengthen and lengthen them to reduce future episodes. This book was also recommended by my urologist. I found it an excellent companion to A Headache in the Pelvis for my relatively low-level episodes (so far). A Headache in the Pelvis gave me the overall picture of what was going on and how to deal with it, while the Stein book gave me some less intensive and invasive ways to deal with the problem.
Finally, I have to say a word about how this whole situation speaks volumes to the problem of our health care industry. Here we have a solution (antibiotics) searching for a problem, when the real resolution is easier, less stressful on the body, reduces reliance on antibiotics, and spends a lot less medical dollars. Yet the whole system is geared to having doctors not use this more holistic solution because it does not pay doctors to help us keep ourselves healthy. That would be a lot more useful towards solving the problem of rising health care costs, but until the pay system is changed, I guess it will be lone prophets like Wise trying to help as best they can.