Can anyone clarify on this
.
Why doesn't Stanford/Wise-Anderson Protocol ever recommend Elavil/ Lyrica as medications? These have been found to be helpful by many
Stanford/Wise-Anderson Protocol considers trigger point and paradoxical relaxation as the two main pillars of its philosophy. Trigger point deals with muscles while paradoxical relaxation attempts to calm the nervous system and then the muscles. So it does recognize that pain can be caused both by the muscles and the nerves. Then why aren't medications recommended?
Stanford/Wise-Anderson Protocol and neuropathic pain
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ramana
- Old Hand
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Stanford/Wise-Anderson Protocol and neuropathic pain
Age:36 | Onset Age: 31 (chronic incomplete evacuation since 29) | Symptoms: Anal fissure (3); Pain in the rectum. Left Testicular pain started in August 2007. Professional PT (5 sessions) in June 2007. Stanford/Wise-Anderson Protocol in July 2007. Back to professional PT from Dec 17 2007 onwards twice a week; Dry needling once a week since March 06 2008. | Helped By: Sleeping; lying down; Thermotex infrared heating pad | Worsened By: Any activity; Medications Lyrica 75 mg* 2, Elavil 10mg Supplements; Cod liver oil ; Natural calm started 02/15; Vitamin B12 started 02/16;Vitamin D 1000U 03//08;Glucosamine+hyaluronic acid+MSM 04/08 Bed ridden since August 2007; Working from bed since Dec 2007 ;Botox done 100 units 04/03/08;RAST for wheat/rye/oats/milk -ve. Dairy free since 04/20/08. Gluten free since 04/25/08;Tried without success so far: Baclofen, PEMF machines, pranic healing reiki ;
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webslave
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Ramana, I don't think DW actively speaks against these medications, but he is not a MD and cannot prescribe them. If you get them from his colleague Dr Anderson, a top uro, then I'm sure he will not object.
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alprost
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Re: Stanford/Wise-Anderson Protocol and neuropathic pain
IMHO 'nerve pain' is usually a misdiagnosis based on un-diagnosed and un-treated trigger points (which also impact on nerve function/cause dorsal horn sensitization etc.).ramana wrote: Trigger point deals with muscles while paradoxical relaxation attempts to calm the nervous system and then the muscles. So it does recognize that pain can be caused both by the muscles and the nerves. Then why aren't medications recommended?
That's what it was in my case anyway........
This is not Medical advice - Consult your Doctor!
Age:39. Age at onset:31. Symptoms prior to treatment: Golf ball in rectum, severe urinary frequency (2-3x/hr; 5-10x/night); weak stream; painful ejaculation; coccygeal pain; tip of penis pain; general pelvic pain on left; testicular pain; supra-pubic pain. Current | Symptoms: Urinary frequency 1x every 2-3 hrs and 1-2 x a night; mild pelvic pain on left hand side (all symptoms still improving!)
Helped by: Trigger point release; avoiding exercise; pelvic floor relaxation; Neurontin decreased bladder sensitivity somewhat. Worsened by: Exercise; frequent ejaculation; ibuprofen irritates bladder. Made no difference: Diet; biofeedback; quercetin; Steroid anti-inflammatories; Elavil.
****UPDATE*** I am now able to sit again at work all day, and can perform moderate aerobic exersise again for the first time in 8 years!!!
Please read:
viewtopic.php?f=37&t=808&p=3954
viewtopic.php?f=7&t=239&p=1158
viewtopic.php?f=37&t=248&p=1214
Age:39. Age at onset:31. Symptoms prior to treatment: Golf ball in rectum, severe urinary frequency (2-3x/hr; 5-10x/night); weak stream; painful ejaculation; coccygeal pain; tip of penis pain; general pelvic pain on left; testicular pain; supra-pubic pain. Current | Symptoms: Urinary frequency 1x every 2-3 hrs and 1-2 x a night; mild pelvic pain on left hand side (all symptoms still improving!)
Helped by: Trigger point release; avoiding exercise; pelvic floor relaxation; Neurontin decreased bladder sensitivity somewhat. Worsened by: Exercise; frequent ejaculation; ibuprofen irritates bladder. Made no difference: Diet; biofeedback; quercetin; Steroid anti-inflammatories; Elavil.
****UPDATE*** I am now able to sit again at work all day, and can perform moderate aerobic exersise again for the first time in 8 years!!!
Please read:
viewtopic.php?f=37&t=808&p=3954
viewtopic.php?f=7&t=239&p=1158
viewtopic.php?f=37&t=248&p=1214
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robertpagen
- Old Hand
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- Location: Beijing, China
As much as I was put off by the coarse and abrupt manner of Dr Jerome Weiss in SF, I am convinced that there is a great deal of truth in his very complex explanations of pelvic pain being neuropathic.
As for David Wise, he is the best.
An entire year now without a single flare...priceless
Be well,
Robert
As for David Wise, he is the best.
An entire year now without a single flare...priceless
Be well,
Robert
Age: 43 | Onset Age: 17 | Symptoms: previously: constant urgency, premature ejaculation, burning at tip of penis, pelvic ache current: semi annual flares. | Helped By: PT, yoga, stretch, keeping warm(long johns) boxer briefs, regular sleep routine | Worsened By: cystoscopy, antibiotics (fluoroquinolones) alcohol, coffee, stress, masturbation, cold
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graeme
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Also does does not mention pain killers like opoids which also help many deal with this .
I think its because it say patients on medication have a lower pain threshold and are harder to treat .
at times my life would be unbareable with out Solpadol (codeine) and I know other get help with Tramadol (ultram).
I think its because it say patients on medication have a lower pain threshold and are harder to treat .
at times my life would be unbareable with out Solpadol (codeine) and I know other get help with Tramadol (ultram).
Age:33 | Onset Age:19 | Symptoms:burning urethra, deep sore stinging around the perineum, dribbling | Helped By:when flare starts deep relaxing over a toilet to let out dribbling urine, hot bath, rubbing a heat cream on the perineum, Tens with a pad on the perineum, running, medication (solpadol) for pain. Current treatment: PT. | Worsened By:sitting, stressing over it, ejaculation, sometimes alcohol but I risk it. Been feeling a lot better last 6 months about 85% with a few flares lasting about 5 days. No longer having PT. Stretching every other night and I believe time is also a big factor for me
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Sleeper Service
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I think A HEADACHE IN THE PELVIS mentions that medications like low dose anti-depressants (Elavil etc) and benzos (Valium etc) are very useful in treating symptoms and making life bearable whilst SP is worked on as well as being of great use to those for whom SP isn't useful. In adition, if painkillers like Tramadol work for you then carry on - why suffer when you don't have to?
Personally I would think it beneficial to use any available method that improves one's symptoms rather than putting all of one's eggs in a single basket.
Personally I would think it beneficial to use any available method that improves one's symptoms rather than putting all of one's eggs in a single basket.
Age 56: Onset 2006 and bouts on and off since then. See posts for details.