2011 study of the Wise-Anderson protocol

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ezer
Posts: 689
Joined: Sun Sep 19, 2010 6:53 am

2011 study of the Wise-Anderson protocol

Post by ezer »

There is a brand new study of the Stanford protocol that got published in April of 2011:
6-Day Intensive Treatment Protocol for Refractory Chronic Prostatitis/Chronic Pelvic Pain Syndrome Using Myofascial Release and Paradoxical Relaxation Training
http://www.jurology.com/article/S0022-5 ... 6/abstract
Purpose
Chronic prostatitis/chronic pelvic pain syndrome continues to elude conventional therapy. Evidence supports the concept that phenotypes of pelvic muscular tenderness and psychosocial distress respond to myofascial trigger point release and specific relaxation training. This case series reports long-term outcomes of a 6-day intensive combination of such therapies in refractory cases.
The conclusion is that 82% of subjects reported improvement (59% marked to moderate, 23% slight). So far so good but what the abstract does not say but is reported incidentally in a video covering the Wise study on the Doctor's Channel is that people in average have improved from a pain of a 4/10 to a 3/10 in 6 months. The video reports that the improvement is sustained after 2 years (23 months to be exact). In other words the Wise Anderson protocol improved those people by only 1 point on the VAS pain scale and subsequently there was no more improvement.
http://www.thedoctorschannel.com/video/ ... specialty=
Median pain score measured with a visual analog scale decreased from 4 (out of 10) to 3 at follow-up, urinary domain scores decreased from 10.5 (out of 28) to 6, and sexual health domain scores decreased from 5 (out of 20) to 3 (P < 0.001 for all; higher scores represent greater severity.)
Improvements were sustained in patients with a long-term follow-up of 23 months.
Pain being the main source of complaint for people like us, 1 point of median pain improvement is extremely disappointing but it sadly matches what so many of us have experienced. The Wise Anderson protocol is a time consuming pain management but it does not "heal" you and certainly does not make you asymptomatic (pain free). Also worth noting is that the study retained 116 people out of 200.
2002 PN pain started following a fall on a wet marble floor
2004 Headache in the pelvis clinic. Diagnosed with PNE by Drs. Jerome Weiss, Stephen Mann, and Rodney Anderson
2004-2007 PT, Botox, diagnosed with PNE by Dr. Sheldon Jordan
2010 MRN and 3T MRI showing PNE. Diagnosed with PNE by Dr. Aaron Filler. 2 failed PNE surgeries.
2011-2012 Horrific PN pain.
2013 Experimented with various Mind-body modalities
3/2014 Significantly better
11/2014 Cured. No pain whatsoever since
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Charlie
Posts: 214
Joined: Fri Sep 17, 2010 11:48 pm

Re: 2011 study of the Wise-Anderson protocol

Post by Charlie »

ezer wrote:
So far so good but what the abstract does not say but is reported incidentally in a video covering the Wise study on the Doctor's Channel is that people in average have improved from a pain of a 4/10 to a 3/10 in 6 months. The video reports that the improvement is sustained after 2 years (23 months to be exact). In other words the Wise Anderson protocol improved those people by only 1 point on the VAS pain scale and subsequently there was no more improvement.
With such poor results it does make you wonder how long the A headache in the Pelvis clinic can carry on for. Interesting that they chose to deliberately exclude the infinitesimal change in pain scores from the abstract of the study. I wonder what the results would have been it they had not let almost half the sample drop out of the study? Would pain scores have increased? It is clear that at best this treatment only provides pain management and judging from the study results it cannot even provide that. Meditation is a beneficial thing to learn but there is no need to pay thousands to do this.

It is no surprise that there is only one place in the world which teaches the Wise Anderson protocol.
Tried numerous medications as well as a long period of myofascial physical therapy combined with meditation/relaxation. My pelvic floor muscles are now normal and relaxed on exam ( confirmed by many Pelvic floor PTs) yet my pain remains the same. Also have intense leg pain. Deciding on next treatment.
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