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This groundbreaking book describes the Wise-Anderson Protocol for muscle-related pelvic pain in men and women, a new and revolutionary treatment developed at Stanford University. The Wise-Anderson Protocol involves the treatment of muscle-related pelvic pain and dysfunction, variously diagnosed as prostatitis, chronic pelvic pain syndrome, pelvic floor dysfunction, pelvic floor myalgia, interstitial cystitis, urethral syndrome, levator ani syndrome, among other related diagnoses affecting some twenty million men and women in the United States. Specifically, The 6th edition of A Headache in the Pelvis adds new research recently published in the Journal of Urology done by the Wise-Anderson team describing the relationship of painful trigger points that refer and re-create specific symptoms of pelvic pain, new research done at Stanford on the relationship between early morning anxiety and those with pelvic pain, and firsthand stories from women who have undergone the Wise-Anderson Protocol, along with other new sections.
- Sales Rank: #40119 in Books
- Published on: 2012-03-01
- Original language: English
- Number of items: 1
- Dimensions: 9.00" h x 1.38" w x 6.00" l, 1.85 pounds
- Binding: Paperback
- 568 pages
Review
“When I see patients after they’ve read the book
I can often see a change in their faces”
This is a book that helps patients empower themselves in their own healing. With this book, patients learn how to gain control over their chronic pelvic pain. It is not a hocus-pocus solution; it is a long-term program that must be adapted into one’s daily routine. I have witnessed firsthand how patients willing to change their behavior have been able to find healing…When I see patients after they’ve read the book I can often see a change in their faces. To understand that we have the ability to affect our own healing process can be life changing.
Ragi Doggweiler, MD
Associate Professor
Director of Neuro-Urology and Integrative Medicine, Division of Urology
University of Tennessee, Knoxville, TN
“This has truly become the “Bible”
for patients who suffer from pelvic floor muscle dysfunction”
After reading over the 6th edition of “A Headache in the Pelvis,” all I can say is “Wow”…Drs. Wise and Anderson have done it again! This has truly become the “Bible” for patients, both men and women, who suffer from pelvic floor muscle dysfunction. The book demystifies a condition that is so frequently overlooked and often mistreated in clinical practice. It empowers the patient to be their own caregiver; while it encourages partnerships with clinicians who can be tremendously helpful in the patient’s path to symptom improvement. “A Headache in the Pelvis” is on the top of my recommendation list.
Robert Moldwin, MD
Author, The Interstitial Cystitis Survival Guide
“…offer a therapeutic option that can bring relief to many”
Many pelvic pain patients go from doctor to doctor, specialist to specialist, without improvement, often feeling abandoned. A majority of patients with chronic pelvic pain do not respond to conventional therapies (antibiotics and anti-inflammatory drugs), leaving a huge void. Drs. Wise and Anderson offer a therapeutic option that can bring relief to many.
Bart Gershbein, MD
Clinical Instructor
Department of Urology
University of California School of Medicine
San Francisco, California
“one of the most useful books for people who suffer
from chronic pelvic floor pain”
The sixth edition of A Headache in the Pelvis by Drs. Rodney Anderson and David Wise continues to be one of the most useful books for people who suffer from chronic pelvic floor pain. The book details a method for resolving pelvic pain by rehabilitating the pelvic floor muscles that have often been the brunt of anxiety or a reaction to a trauma or surgery. This new edition has filled in many of the answers raised since the publication of the first edition of this book in 2003….This new treatment model is based upon Drs. Rodney Anderson and David Wise’s work at Stanford University Medical Center.
Erik Peper, PhD
Professor
Institute of Holistic Health Studies
San Francisco State University
“this book has changed the way I think about pelvic pain”
Drs. Wise and Anderson have updated their important book on pelvic pain. This work has changed the way I think about pelvic pain. I now can find the clues in the physical exam (pelvic muscle spasm) that I had previously missed. This book is required reading for any clinician dealing with pelvic pain patients.
Stephen Bearg, MD
Obstetrician-Gynecologist
Past Chairman, Department of Obstetrics and Gynecology,
Marin General Hospital
Kentfield, California
“a pioneering method that empowers patients …to understand
and help reduce their pain and symptoms.”
A Headache in the Pelvis is an excellent book, brimming with warmth, compassion and insight. It describes a pioneering method that empowers patients with pelvic pain to understand and help reduce their pain and symptoms. It is the very best kind of medicine, in that it teaches patients how to reduce their own symptoms themselves. This book is for people affected by pelvic pain and for family members who care about them; it's also for the medical providers who work with these patients.
Marlene Cresci Cohen, PhD
Director, Behavioral Sciences
Valley Family Medicine Residency, Modesto
Professor, Volunteer Faculty
Department of Family Medicine
University of California, Davis
“lamp in the dark suffering of chronic pelvic pain”
A Headache in the Pelvis is a lamp in the dark human suffering of chronic pelvic pain. This book is a precious document that will help many people.
Robert Blum, MD
Former Chief, Department of Neurosurgery
Marin General Hospital
Marin County, California
“this book needs to be read and re-read”
I highly recommend this book to colleagues, clients and friends all the time. It does a great job explaining the connections between muscle tension and pain symptoms. ….I find that after the first reading, the book needs to be read and re-read……
Marilyn Freedman, PT DPT BCB-PMD CAPP
Certificate of Achievement in Pelvic Physical Therapy
“new and pioneering approach”
This compelling understanding of chronic pelvic pain syndromes offers a new and pioneering approach to its alleviation.
Frank Werblin, PhD
Professor of Neuroscience
University of California, Berkeley
“For five minutes I was pain free, utterly relaxed.
It was the beginning of the way back…”
….One gloomy 5am in the winter of 2006, unable to sleep and trawling the net yet again for some explanation of the chronic condition that had made my life a misery, I came across an extract from a book with the ugly title A Headache in the Pelvis. Here, after two years of expensive consultations and invasive medical tests, I found at last an accurate description of my plight.
The authors David Wise and Rodney Anderson listed 23 symptoms, which would tend, they said, “to take on a life of their own”. I had 16 of them, including back pain, constantly changing abdominal pain, frequent nocturnal urination and fierce twinges in legs and perineum. They called it Chronic Pelvic Pain syndrome and concluded: “The effects on a person’s life have been likened to those of heart attack, angina, or Crohn’s disease. Sufferers tend to live lives of quiet desperation. Anxiety, depression and ‘catastrophic thinking’ are the norm.”
I was hugely cheered on reading this. ….. For two years I had oscillated between the conviction that I had cancer, or that my condition was psychosomatic…As each medical test indicated that I didn’t have cancer, I expected I’d quickly feel better. I didn’t…... The doctors proposed to tunnel a motorway through my prostate and permanently open the upper of the two sphincters that controls urination. This wouldn’t alleviate my pains, which they didn’t understand or seem concerned about, but I’d pee better, they thought.
I rebelled. None of the medical tests had indicated problems with my prostate. On the net, many women seemed to have the condition. And now, in A Headache in the Pelvis, I read: “95 per cent of patients with prostatitis do not have an infection or inflammation that can account for their symptoms . . . the prostate is not the issue . . . We have never seen a satisfactory surgical intervention for these pains.”
What to do? I had given up on official medicine. Its drugs made me sick. Its operations threatened my manhood without promising relief. … Now A Headache in the Pelvis talked about years of stressful overachieving, sitting at a desk and an embattled mental attitude that had led me to tense the muscles of my pelvic floor so that they had atrophied and were pinching the nerves that crossed them from bladder, penis and prostate. … I was definitely suffering enough. And growing curious. On your back, allowing your breath to establish its own pattern, eliminating all words from your mind, you focus on tension in the body and just, well, nothing, let it be. You go to meet the pain itself, and again, let it be.
It took many months…I shall remember for the rest of my life the day when, from the dry, knitted tension of my forehead, a great warm wave rose up and crashed across my chest and limbs, sweeping everything before it: thought, tension, pain. For five minutes I was pain free, utterly relaxed. It was the beginning of the way back…” -- The Times of England
Review
“I have witnessed the therapeutic benefits of this book”
Since its first edition, A Headache in the Pelvis has been enthusiastically welcomed by patients suffering from urological pelvic pain syndromes (UCPPS), which may have been previously diagnosed as prostatitis or interstitial cystitis/painful bladder syndrome.
I have specialized in UCPPS for over 15 years, and have been impressed by the educational merits of this book, which provides factual medical information to the patient without exacerbating fears or anxieties. Indeed, I have witnessed the therapeutic benefits of this book, as it provides validation to patients along with empowering management strategies. A Headache in the Pelvis addresses both the physical and emotional aspects of UCPPS in a caring and methodical way, which patients find accessible and nurturing. It has become a wonderful adjuvant to physiotherapy and self care, as well as a support tool for loved ones living with a man or woman who has UCPPS.
Although I recommend A Headache in the Pelvis to all of my patients, I have happily discovered that more and more physical therapists are recommending the book to their referring doctors and to their patients. In many ways, this book communicates effectively to a wide audience, as it is accessible and empowering to patients, interesting and insightful to healthcare providers.
Jeannette Potts, MD
Director, Center for Pelvic Pain, Alternative and Medical Urology Services
Urological Institute
University Hospitals of Cleveland
Case Western Reserve University
Cleveland, Ohio
About the Author
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.
Most helpful customer reviews
56 of 59 people found the following review helpful.
I got my health back and so can you!
By Tomas
[[VIDEOID:mo3NDVGLJRNXV5B]]I am now 22 years old and have always been a very healthy individual and trained some kind of sport almost every day since I can remember myself. Then, one day, without a warning, I collapsed down to the floor and experienced the most pain I have ever felt. I had no idea of what was going on inside my body and I lay on the floor for probably 30 minutes before I made an attempt to stand up.
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...
Tomas
47 of 53 people found the following review helpful.
This is not a guide book for self-help at home
By Kate McMurry
This book does not deal with the problem of nerve entrapment due to any other cause but muscle tension. Many well-regarded pain-management professionals believe as much as 80% of the chronic pain conditions in this country are related to dysfunctional muscle tension, for example, Dr. Bernard Filner in Maryland. But those same proponents of this approach to chronic pain will also tell you that it is never a safe choice to assume that muscle tension is the cause, or even a contributing factor, in your particular pelvic pain without first undergoing adequate medical testing to rule out other potential causes. In the case of pelvic pain, nerve entrapment may also be caused by spinal-disc or abdominal-organ injury or disease; it may be caused by abnormal formations of hard-tissue structures entrapping nerves, or it may be due to adhesions, that is, fibrosis or scar tissue which clings to nerves. These types of medical issues will not be relieved by muscle-release techniques such as this book recommends.
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
64 of 74 people found the following review helpful.
Thankful and relieved
By discriminating reader
A friend of mine who is a PT in NY city recommended this book to me. I had been experiencing pelvic pain and I hadn't done anything about it because I didn't know who to go to and I was frightened to get a diagnosis. After following a method described in the book, I was able to pinpoint the source of the pain and in less than a week I was completely pain free. I can't tell you how relieved I felt. I am very thankful that I found something that worked before getting involved in the whole medical merry-go-round.
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.
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