Breaking Through Chronic Pelvic Pain: A Holistic Approach to Relief is the most important book published on IC and pelvic pain in 50 years. Dr. Jerome Weiss, a urologist, pelvic pain and myofascial specialist who practiced in Northern California, devoted his career to unraveling the many potential causes for chronic bladder and pelvic pain.

Dr. Weiss shares how frustrated he was that therapies simply covered up the symptoms but did not result in healing. In his book, you will find master class in pelvic anatomy and how muscles, nerves and organs (bladder, prostate, etc.) can influence each other triggering interstitial cystitis, vulvodynia, rectal pain, overactive bladder, prostatitis and more. His caring, compassion and love for patients is shown on every page.

If your IC symptoms began after a trauma (i.e. a fall, surgery, having a child, etc.) he explains how the muscles and related trigger points can compress blood vessels and nerves for long periods of time. This results in poor blood flow and damage to the muscle fibers and nerves, triggering continuous pain that overwhelms the nervous system and spinal cord. While most urologists focus solely on the bladder as the source for their symptoms, he explains that bladder, vulvar, rectal sensitivity (and damage) can also be caused by muscle dysfunction via a somatovisceral reflex.

And if your symptoms began after chemotherapy, estrogen atrophy, chemical injury or infection of the bladder wall, he explains how and why muscles and nerves also become involved. And, importantly, that failure to treat each one of these systems can result in long-term suffering. He also shares how devastating stress and anxiety can be to anyone with chronic pain because it can trigger more muscle tension, more neurological dysfunction and lower pain thresholds. Proper nutrition for muscle and organ health is also discussed.

With this book, newly diagnosed patients may be able to catch muscle and nerve dysfunction early. Pay particular attention to the concept of biomechanics and how your hips, legs and feet could be driving continuous pelvic floor muscle tension and dysfunction which, when finally addressed, can result in long-term relief of many urinary symptoms. Patients with scoliosis, one leg shorter than the other, foot disorders (toes pointed inwards, toes pointed outward, Morton’s Neuroma, Morton’s toe, over pronation, etc.) will be stunned to discover that those conditions could be the root of their problems.

The book also includes very clear and detailed treatment plans. He includes dozens of patient success stories that will give you new ideas to explore with your medical team. If you are struggling with recurring flares, if bladder therapies haven’t worked well, if you are worsening rather than improving, this book is a MUST READ and will give you many more options to explore.

This book should be read by every doctor, nurse and physical therapist working with IC. It will change the face of patient care for many years to come. Thank you Dr. Weiss for your passion and commitment to your patient community. The gift of this book is nothing short of astonishing and we are so very grateful for your efforts. – Jill Osborne MA

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