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Information for Physicians

Because we treat pain, dysfunction and adhesions in various areas of the body, we have divided our physician information into separate categories. 
Please choose your area of practice:

General Practice and Specialty Physicians

Why should I refer to Clear Passage?

We have extensive expertise treating men and women with adhesions, chronic musculoskeletal and abdominopelvic pain. Before starting Clear Passage Physical Therapy , our founders owned and directed a network of physical therapy clinics with a referral base of over 650 referring physicians. They studied urogenital and reproductive tract manual therapies with physicians and therapists throughout the US, and at a French osteopathic medical school. They performed more than 40,000 hours of manual treatment to patients in our local clinic.

Therapists in our various locations have extensive training including years' of manual experience. All of our therapists must undergo a rigorous certification process to be licensed to practice the Wurn Technique. They must study and pass written examinations on our work, showing knowledge of the subject matter from a 600 page Therapist Training Manual we prepared. In addition, all therapists must pass a practical examination to show proficiency in dozens of techniques, designed to treat the various conditions of pain and dysfunction presented by your patients.

We provide a conservative, low risk treatment approach for clients with pain, impaired movement or function. Physical therapy is recognized as the "front line" of conservative care, with little or no risk, and with proven benefits. Our goals are to eliminate pain and restore normal movement and function. The extensive experience and educational requirements for our therapists assure you of the best care available for your patients.

We conduct and publish research under the guidance of some nationally and internationally recognized physicians and medical researchers. We have published controlled studies regarding the effectiveness of our work. These are now Medline searchable, part of the National Library of Medicine. You may access some of our studies (abstracts or full text) by Medline search for "Wurn," or via this website link.

We can treat your most difficult cases. Our patients are frequently people whose symptoms persist despite traditional therapy, medications, and surgery. After an extensive (and well documented) initial evaluation, we create an individual treatment plan for every patient tailored to their specific needs. We work to make permanent changes to the structural causes of the pain and dysfunction. Our intention is to help your patients return to an active, pain-free and productive lifestyle.

We work with physicians in a "team approach" to rehabilitation. Physician referrals have typically accounted for most of our patients. Our directors enjoyed active referrals from over 600 physicians in 17 Florida counties and several states prior to launching our present practice.

Chronic, complex patients have been the core of our patient population. If you have not worked with us before, please take us up on our challenge. Try us with:

  1. your most challenging neuro-musculoskeletal or biomechanical pain patients;
  2. your endometriosis, pelvic pain, post-surgical and post-radiation pain patients;
  3. difficult fibromyalgia and myofascial pain patients with or without psychological overlay;
  4. patients whose pain has not resolved despite traditional therapy, medications or surgery.

We have helped the vast majority of complex, chronic patients that have attended therapy here. Once you see what we can do with your most complex patients, we hope you will consider us when referring your patients with less complex histories and pain patterns for treatment.

"Above All, Do No Harm"

Clinically developed physical therapy techniques are conservative first steps to address pain and dysfunction, and return patients to an active and productive lifestyle. Our patients are responding well to treatment. Many physicians and therapists, and virtually all insurers feel that the tenet "above all, do no harm" means "try a conservative, low-risk approach to treatment prior to resorting to pharmaceutical or more invasive surgical protocols."

Pain patients generally begin to get relief within the first six hours of therapy. We have helped many people who suffer from chronic, complex pain and persistent dysfunctions. Our therapists have spent years studying numerous different techniques and developing and refining protocols to restore patients’ bodies to a state of balance, harmony and increased function.

What to Expect from your Referral

We can send you a thorough Initial Evaluation and Plan of Care including expected frequency and duration of treatment, as well as treatment goals. We will contact you as much or as little as you request. You have the right to remain in direct control and medical supervision of your patient’s treatment at all times. We refer patients back to you as the referring physician for follow-up.

How Do I Refer?

We treat women from around the world in five-day sessions. To try our services for your patient, simply download a referral form here or at the bottom of any of our website pages. Please include any significant medical or surgical history or comments you wish to make. Your office (or the patient) may call us toll-free (866.222.9437) with the patient’s name and phone number. We take over from there. Because it is so rare to find physical therapists who can provide services similar to ours and because we are 'out of network' for all but Medicare patients, your patient may ask you for a ‘letter of medical necessity' for her/his insurer. Since patients travel to see us from distant cities, we often provide 'intensive' sessions (up to 20 hours a week of therapy). For that reason, you can help your patient by specifying "multiple hours of therapy per day."

Gynecologists, Reproductive Endocrinologists

Why should I refer to Clear Passage?

Our therapy is an adjunct, not a replacement for your good care. As therapists who focus on female urogenital conditions, we have significant expertise dealing with chronic pelvic pain and dysfunction, including dysmenorrhea, dyspareunia, coccydynia, endometriosis pain and even infertility. We have treated women of all ages, from early puberty through octogenarians.

As active members of ASRM, we regularly conduct clinical research. We have published several Medline searchable studies in Medscape General Medicine, Ob-gyn and Women's Health (search Medline for "Wurn" 2004). We have additional studies underway for submission to other peer reviewed journals. Our clinical studies are conducted under the guidance of independent scientists; these include gynecologists, reproductive endocrinologists, biostatisticians and other experts in their fields.

The physicians, researchers and scientists with whom we work are 100% independent. We feel we can best serve the needs of all physicians and their patients by remaining autonomous. We are happy to work with any interested physician or group, to serve the needs of your patients.

We invite and solicit your opinions, requests and feedback as a referring physician. Your patient remains under your direct care while we are treating her. We perform a comprehensive Initial Evaluation and Plan of Care, which we are glad to send to you, after your patient's first visit.

We have achieved statistically significant results in the treatment of:

  1. Chronic pelvic pain
  2. Sexual dysfunction
  3. Female infertility

Chronic Pelvic Pain

1. Chronic pelvic pain (including menstrual, endometrial, intercourse, and unexplained pain) is one of our strongest treatment areas. We believe our success is due to the unique site-specific manual soft tissue therapy we have developed over the last 15 years. The Wurn Technique® (patent pending) addresses the tiny, strong collagenous cross-links that form when patients heal from infection, inflammation, surgery or trauma. Our work appears to break the bonds that attach cross-links to the underlying tissues, enabling them to become more mobile with increased function (see published studies). Another effect of breaking those bonds is a concurrent decrease of pain in the related tissues. In fact, pain relief seems to be most notable in conditions that do not respond well to conservative gynecologic care, i.e., chronic pelvic pain, dyspareunia, dysmenorrhea, coccydynia, and endometriosis.

Sexual Dysfunction

2. Sexual dysfunction treatment found us, rather than the opposite. That is, we were surprised when women we were treating for other conditions began to describe greatly increased desire, lubrication and orgasms. Convinced by a local gynecologist (and hospital Chief of Staff) that this was an area, worthy of study, we began our investigation by administering a pre- and post-treatment test of all six measurable domains of sexual function (desire, arousal, lubrication, orgasm, satisfaction, pain). As shown in a study published in Medscape General Medicine, Ob-gyn and Women's Health (12/04) sexual function increased significantly in 91% of the 23 participants in all domains (P </= .003). Of the 17 patients who completed the 3 sexual pain scales, the paired post-test vs. pre-test scores showed significant pain decrease (P </= .002), with lower pain levels in nearly all participants .

Female Infertility

3. Female infertility is another condition that found us. We were quite surprised by the serendipitous pregnancy of two patients with long-standing bilateral tubal occlusion (7 and 12 years, respectively). At the urging of another research gynecologist, we began investigations to see if we could improve fertility among certain sets of infertile women. Our first studies addressed assisted and unassisted pregnancies in women who averaged five years' infertility. While the unassisted successes were of interest (71% pregnancy within a year of therapy), it was difficult to measure degree of effectiveness, since this study lacked a control group.

However, a statistically significant increase of IVF pregnancies (P <.001) was seen in women who received our unique therapy within 15 months of embryo transfer. In fact, clinical pregnancies were documented in 22 of 33 (67%) of IVF transfers vs. the ASRM / CDC age-adjusted expected number of 12.7 (P <.001).
Women with several prior failed cycles also showed good results. Before therapy, 11 of the study participants had a total of 24 IVF attempts which resulted in 2/24 IVF pregnancies (8%) and 1/24 live birth (4%). Following therapy, IVF transfers in these same women yielded 10/14 clinical pregnancies (71%) and 7/14 live births (50%).

A small subset (n=7) of the "most challenging" patients met the additional criterion of failure to ever become pregnant via two or more pre-therapy IVF transfers. Thus before therapy, these patients had achieved zero pregnancies in 17 transfers (0/17=0%). Following therapy, 5/7 (71%) transfers resulted in clinical pregnancies and 4/7 (57%) resulted in live births. Clearly, the news is very encouraging for women who have failed to become pregnant in earlier attempts, and we are currently expanding this study.

How can therapy help increase IVF success?

We believe therapy assists IVF transfer by:

Clear Passage therapists use our newly researched therapy, the Wurn Technique® (patent pending), to decrease adhesions and improve mobility and function of the reproductive organs. Based on the published studies and clinical data, we believe that patients who receive this work before an IVF cycle may have a higher pregnancy rate after embryo transfer.

How Do I Refer?

We treat women from around the world in five-day sessions. To try our services for your patient, simply download a referral form here or at the bottom of any of our website pages. Please include any significant medical or surgical history or comments you wish to make. Your office (or the patient) may call us toll-free (866.222.9437) with the patient’s name and phone number. We take over from there. Because it is so rare to find physical therapists who can provide services similar to ours and because we are 'out of network' for all but Medicare patients, your patient may ask you for a ‘letter of medical necessity' for her/his insurer. Since patients travel to see us from distant cities, we often provide 'intensive' sessions (up to 20 hours a week of therapy). For that reason, you can help your patient by specifying "multiple hours of therapy per day."

 

We Treat

Surgical Pain & Adhesions
Small Bowel Obstruction
Fertility Treatment
Blocked Fallopian Tubes
Endometriosis Pain
Intercourse Pain

We Train

The inventors of the
Wurn Technique®
personally train
physical therapists
who have extensive
clinical experience.

We Test

We conduct clinical research to test the effectiveness of our treatments for specific conditions and have published success rates.