Wise Anderson Protocol - Confusion in Describing Pelvic Floor Dysfunction

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  • Опубликовано: 21 окт 2024
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    I’m going to talk about the different names for pelvic floor dysfunction today. We receive many people with pelvic pain who are confused by their diagnosis. Men diagnosed with prostatitis think their symptoms are caused by their prostate gland. Men and women diagnosed with pudendal neuralgia believe that they have something wrong with their pudendal nerve. Individuals with the diagnosis of coccigodinia think they are suffering from some problem with their tailbone. Similar confusion exists in men and women diagnosed with what is called levator ani syndrome, chronic anal rectal pain, piriformis syndrome, chronic proctalgia, among others.
    In our 2009 publication in the journal of urology, we demonstrated that different symptoms of pelvic floor dysfunction can occur in relationship to the location of trigger points in the pelvis. This means that if we push on the tissue of the pelvic floor in patients with pelvic pain, and find painful trigger points (being taught bands of muscle) in the anterior or front portion of the pelvis there tends to be referral of sensation that recreates pain or discomfort or symptoms that are anterior, like genital pain, suprapubic pain urinary frequency and urgency, etc.
    In other words, if we palpate trigger points in the front of the pelvis we tend to see referral to anterior or front symptoms. If someone has posterior trigger points or symptoms towards the back, we tend to see referral and recreation of symptoms towards the back. In other words pressing on tissue on the back of the pelvis can recreate post bowel movement pain, anal rectal pain, low back pain, sitting pain, tailbone pain, the sensation of feeling like there’s a golf ball lodged up there. Not uncommonly, symptoms can occur in both the back and the front in many patients.
    Ultimately however, all of these symptoms are tied to tenderness in certain parts of the pelvis and related areas, whether they are in the back or in the front or both. As far as we are concerned these different diagnoses can most accurately be called pelvic floor dysfunctions.
    Regardless of location of pain and symptoms, the therapeutic goal of the Wise-Anderson protocol, is to train patients to release the tenderness in the tissue of their pelvic muscles, whether this tenderness is posterior or anterior or both, and critically and regularly reduce the nervous arousal that tightens and perpetuates the muscles that create these symptoms.
    Learn More about the Wise-Anderson Protocol (formerly known as the Stanford Protocol) at: www.pelvicpainh...
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