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Neuro Orthopaedic Institute (NOI)

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So… what is NOI?

Neuro Orthopaedic Institute (NOI) Australasia has been in operation for 20 years, with highly qualified instructors working on all continents with multidisciplinary audiences. Organising over 100 seminars a year throughout the world, NOI’s faculty members are active in many conferences, university programmes and other postgraduate education sessions. The company reinvests in education and clinically based research and Noigroup Publications has grown from the demand for resources to support this emerging research.

The essence of NOI

Our vision is to seed ‘healthy notions of self through neuroscience knowledge’ worldwide. Read on…

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Intensive 6-day Wise-Anderson Protocol Clinics

Author:

I was referred to two pain management centres in Melbourne. One doctor was happy with my own pain management routine and the other team asked that I agree to accept responsibility for my chronic pain and that I will forget having future x-rays, mri’s etc. if I was going to participate. Well as if I was going to go for that? As reputable as the centre was it didn’t sound right for me and as it turned out, it wasn’t.

This sounds a little more appropriate for me.

Source: chronicprostatitis.com

Intensive 6-day Wise-Anderson Protocol Clinics

Six day Comprehensive Pelvic Pain Intensive Clinics for the Stanford Treatment Protocol

Chronic pelvic pain syndromes have been a puzzle to the best medical minds for a century. Antibiotics, anti-inflammatories, prostate massage, and surgical procedures, which form the backbone of traditional treatments, have been of little use in dealing with these debilitating afflictions. In A Headache in the Pelvis, we describe a new treatment protocol developed at Stanford University’s Department of Urology that has stepped out of the box of conventional medical treatment. It involves a combined medical, behavioral, and physical intervention that has been successful in substantially abating the symptoms of pain and dysfunction in a select group of patients with chronic pelvic pain syndromes. This protocol is based on a new understanding that chronic pelvic pain syndromes are not caused by prostate or organ pathology but instead a chronically contracted pelvic floor that has made an inhospitable environment for the organs and tissues found within it.

This protocol is unusual because it requires the coordination of a physician, psychologist, and physical therapist. Successful results are dependent upon the willingness of the patient to actively comply with the regimen described in A Headache in the Pelvis for an extended period of time. This is in contrast to the conventional form of medical treatment which looks to a quick solution by drugs or surgery with minimal participation of the patient. The solution to this vexing condition is neither quick nor easy and requires a very large expenditure of effort. Our patients are typically people who have had pain and dysfunction for years, have seen numerous doctors, and have unsuccessfully used the conventional treatments.

While we have reached out to the medical community to educate them and to train them to use our approach, at present there are very few who can competently offer our protocol. It is for this reason that we have established these monthly clinics. They are designed to offer the most effective and comprehensive form of the treatment available described in A Headache in the Pelvis.

Perhaps the greatest suffering for patients with pelvic pain syndromes is the sense of helplessness that patients feel in the presence of their pelvic pain and dysfunction. We are not able to help everyone we treat. When we are successful in helping people with this problem, we are able to give them tools to reduce or abate their symptoms. When the treatment is successful and participants comply with the home practice portion of the protocol, some clear reduction of symptoms is usually seen within a period of three to four months. Stable reduction or abatement of symptoms can take several years and in many individuals who respond to our treatment, improvement continues with the use of the protocol.

These clinics train participants to do self-treatment at home. They are done in small groups and consist of approximately 20-30 hours of treatment over the period of 6 days. The content of the workshops consists of:

  1. Individual medical evaluations are done in the department of Urology at Stanford University or at a participating urologist’s office prior to the intensive program, at which time the nature of the condition of the participants will be evaluated and the appropriateness of the treatment protocol determined. (Most insurance plans cover some part of the Stanford evaluation and the extent of such coverage can be determined by the staff in the department of Urology at Stanford prior to the medical appointment at Stanford.)
  2. Training in Paradoxical Relaxation is done over a period of 5 days. The yearlong 36 lesson audio course in Paradoxical Relaxation is included in the cost of the clinic and instruction is geared to using the taped course at home. Cognitive strategies for reducing the impact of frequent negative/catastrophic thinking that accompanies chronic pelvic pain syndromes are part of the curriculum.
  3. Participants undergo physical therapy consisting of pelvic floor related Myofascial/Trigger Point Release or physical therapy self treatment instruction on a daily basis. When a partner is available and willing, the partner receives instruction in the Myofascial/Trigger Point Release geared to the treatment requirements of the participant. Partners who come for training in Myofascial/Trigger Point Release are encouraged to attend the physical therapy sessions. This attendance is included at no extra charge. The intention of this training is to enable a partner to do this component of the protocol at home on a regular basis. Patients receive a map of their trigger points and areas of restriction. This allows the patient to give their personal pelvic trigger point map to a physical therapist in their home area that they continue to work with and/or to assist the participant’s partner do the home Myofascial/Trigger Point Release.
  4. Participants receive information and recommendations on different aspects of treatment of pelvic pain. This information includes relevant educational material describing the physiology, anatomy, and psychology accompanying chronic pelvic pain syndromes. It includes specific stretches, referred to as pelvic floor yoga, recommendations about diet, exercise, and sexual activity. Instruction in appropriate self-administered Myofascial/Trigger Point Therapy is an important part of the curriculum.

Medical evaluation is usually done by Dr. Rodney Anderson at Stanford University or other participating urologists in the San Francisco bay area. The Paradoxical Relaxation training is conducted by Dr. David Wise and the Myofascial/Trigger Point Release is conducted by senior physical therapists trained in the Wise-Anderson Protocol at a site about an hour north of San Francisco.

In the event the treatment protocol is not deemed to be appropriate at the time of the evaluation, other treatment options will be discussed, and the participant will only be charged for the cost of the Stanford medical visit. Both the relaxation training and physical therapy are done on site in Sebastopol California and have no medical/financial relationship with Stanford as participants come to Stanford for the urologic evaluation alone.

Six Day Wise-Anderson Protocol Intensive Pelvic Pain Clinics Northern California

2011
January 27-Feb 1
March 3 – 8
April 7 – 12
May 19 – 24
June 23- 28
July 14 – 19
August 11- 16
September 22 – 27
October 20 – 25
November 10 – 15
December 8 – 13

Contact information
For information and registration
phone: 1 866 874 2225 (toll free)
1 707 874 2225

Diagnosis: Physiotherapy at the Women’s

Author:

It felt like a miracle and took all of about 15 minutes for the physiotherapist (at the chronic pelvic pain clinic at the Women’s here in Melbourne Australia) to give me her French infused explanation that my pain was most probably coming from my Pudendal Nerve (yes, a name, I had a name!). It took another 15mins for her to put me in on my back (I never lay on my back as it was too painful) and apply a pressure/postural technique that switched my pain off! (Yes, OFF… calm, silence, stillness, roar gone, no spasm, quiet, peace)… unbelievable but this is true.

I won’t go into much detail about how I felt, there really isn’t any way of explaining the relief of having a roaring pain that’s been halting your soul for 4.5 years, identified, clarified, acknowledged, manipulated with a single finger’s pressure point. I can’t explain how it felt to finally know (not hope or dream) that I will eventually become the best I can and that I finally found a practitioner and therapy that was going to help me. I could almost see my issue in the palm of my hand (before I was in limbo and had to come up with my own names, I won’t write them here!!).

What I will describe though, is the language, empathy, understanding and thorough explanations that I have had during my appointments so that anyone else in the same situation will know exactly where they need to go (Actually I’d be surprised if you were still reading! Taxi!! Physiotherapy Department, 1st floor Grattan Street & Flemington Road Parkville VIC).

My conversations have gone something like this:
Me: I haven’t told anyone this but there’s this short denim skirt I have and whenever I wear it I have a less painful day…
Physiotherapist leaves and comes back with a pregnancy/baby pressure belt that is adjustable either side. Et voila, a support for the pelvis adjustable to my requirements which was not so tight over my implant and uninjured side.

Me: In winter, I’m sure it hurts more to walk because my boots are heavier than shoes and I’m wearing a heavy coat.
Physiotherapist: Yes, weight is pressure for the nerve.

Me: I’m on fire today, I have all this burning, like fireworks going on.
Physiotherapist: lies me prone, applies pressure to a pressure point, fire put out instantly. This is a flare up.

Me: I feel like I have my finger stuck in a power point, I have a surge up my spine, the rattle of a tram or car drives me crazy, and don’t scare me or I’ll drop, my legs get weak and I can’t move….
Physiotherapist: Sensory pain.

Physiotherapist: How is your pain now?
Me: My pain is good now.
Physiotherapist: Laughs… but doesn’t really find this funny. Pain is never good.

So now when I have a physiotherapy appointment, instead of blank stares when I attempt to describe the fine details of my pain and activities I get clear descriptions for every point I make, in fact I even get a diagram and descriptive explanation, drawings referencing my insides, url links, and best of all, solutions in the form of techniques to release my pain, positions to release my entrapped nerve, even my husband gets attention, empathy for the difficulty he endures, he is shown the pressure points and techniques so he can help as accurately as possible (therefore finally finding peace for himself!!). I even had an explanation about my extracted ligament and septum, she’d seen it happen with trauma (pregnancy or birth) to the hips.

Finding this wonderful therapist leaves me in a very positive position too. I never had options before, I was told: go home and make yourself comfortable, but now I can calm my pain and I still have further treatments to explore depending on how I progress and this is thanks to the few specialists that have insisted on researching and learning about peripheral neuralgia and not ignored it leaving it a psychological condition or the more general we don’t know with back pain.

Read more about The Women‘s Physiotherapy Department.

Related Posts
My pre pain life…
My family, Theo, Origin of Image & Zephyr…
The big bang injury…
The way relief started…
The way relief continued…
Building Blocks…
Next stop: Traditional Chinese Medicine…
Soula’s PN Weather Update…
My practitioners

My list of practitioners

Author:

The most supported I’ve felt is when I’ve come across a practitioner who listens and wants to work with me specifically. I mean really take note of what’s going on and want to learn themselves too. Chronic pain is still so difficult to understand, and of course I can’t recommend or even suggest that my experience might be a solution for someone else but I can provide the contact details for ‘team Soula’.

Stage 1: The Search
Dr Harry Crock, retired
Mr Roy Carey, East Melbourne
Professor Michael Quinn The Women’s, The Royal Women’s Hosptial, Parkville
Pond Massage Water Wellness P/L, Collingwood
Pam Frost, Massage therapist, Inspiral Bodywork, Fitzroy

Stage 2: Implant
Dr Kathy Yu, Melbourne Sports Medicine Centre, Melbourne
Pam Frost, Massage therapist, Yoga Healing Centre, Fitzroy
Professor Teddy, Neurosurgeon, Precision Neurosurgery, Melbourne
Marilyn Lock, Knowbody Studios (Holistic physiotherapy), East Melbourne
Pam Frost, Massage therapist, Inspiral Bodywork, Fitzroy

Stage 3: Diagnosis
(All stage 2 practitioners)
Robert Postlethwaite, Psychiatrist, Freemasons Medical Centre, East Melbourne
The Women’s – Anne Florence Plante, Physiotherapist, RWH Physiotherapy department, chronic pelvic pain clinic
Dr Peter Courtney, Melbourne Pain Group, Glen Waverley
Pam Frost, Massage therapist, Inspiral Bodywork, Fitzroy

Stage 4: Treatment
Dr Peter Courtney, Melbourne Pain Group, Glen Waverley
The Women’s – Anne Florence Plante, Physiotherapist, RWH Physiotherapy department, chronic pelvic pain clinic
Raffaele Vavala, Traditional Chinese Medicine, 4a Mitchell Street Northcote
Pam Frost, Massage therapist, Inspiral Bodywork, Fitzroy

Related Posts
My pre pain life…
My family, Theo, Origin of Image & Zephyr…
The big bang injury…
The way relief started…
The way relief continued…
Diagnosis: Physiotherapy at The Women’s…
Building Blocks…
Next stop: Traditional Chinese Medicine…
Soula’s PN Weather Update…
My practitioners

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Definitions of pain

What is Pudendal Neuralgia (PN)?
Most simply put PN is Carpal Tunnel in the pelvis/buttocks. Compression of the Pudendal Nerve occurs after trauma to the pelvis and is aggravated with pressure. The pain is often described as a toothache like pain, with spasms, sensations of tingling, numbness, or burning. It can be very debilitating.

What is Neuropathic pain?
Neuropathic pain is the result of an injury or malfunction in the peripheral or central nervous system. The pain is often triggered by an injury, but this injury may or may not involve actual damage to the nervous system. More…

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