FAQs

Condition-Specific FAQs

What is an adhesion?

An adhesion is an the internal scar; adhesions tend to form in all of us wherever our bodies heal as the first step in healing. Adhesions may occur on the surface of our bodily structures or deep within them. They can join any structure in the body to its neighbor or to distant structures, causing confusing symptoms of pain or dysfunction.

Adhesions may be filmy or coarse, thick or thin. They may be small enough to join individual muscle cells, deep within a structure. They may grow so large that they stretch down the front of the torso from neck to waist, bending a person forward so that s/he literally cannot stand erect.

What causes adhesions?

Adhesions form as part of the body’s natural healing process after tissue damage due to an infection, inflammation, surgery, trauma, or radiation therapy. Once formed adhesions can remain in the body for a lifetime. Due to their pull on internal structures, adhesions can cause ongoing inflammation, causing more adhesions to form. Surgery is a primary cause of adhesion formation.

What is infertility?

This depends on who you ask. The U.S. Centers for Disease Control and Prevention defines infertility as the inability to “get pregnant (conceive) after one year of unprotected sex.” In women over the age of 35, it is defined as inability to conceive after sixth months of unprotected intercourse. The World Health Organization defines infertility as the inability to become pregnant after two years of unprotected sex.

What causes infertility?

A number of factors can cause female infertility. Some women have hormonal causes (e.g. high FSH, PCOS, ovulation problems), while others have mechanical causes such as scarring and adhesions.

Adhesions can block fallopian tubes, decrease function of the fimbriae or ovaries and restrict the cervix, making a difficult passage for sperm. In addition, tiny adhesions within the walls of the uterine body may cause spasm, inflammation or otherwise decrease the chance for implantation, or cause a miscarriage after fertilization. Ovarian adhesions can decrease hormonal function or block eggs from leaving the ovary.

Published studies on our work have shown measurable results in all of the above causes. While most of our successes have been by natural conception, Our therapy has been shown to statistically increase pregnancy rates for IVF when performed within 15 months before embryo transfer.

What is chronic pain?

According to the American Academy of Family Physicians, pain is categorized into two types – acute and chronic. Acute pain tells you that your body is injured and typically does not last long. It tends to resolve as your body heals from injury. Chronic pain can last for months or even years, interfere with your daily activities and significantly impact quality of life. It can lead to low self-esteem, depression and anger. Because adhesions are a common natural occurrence in the body and they are undetectable by most diagnostic tests, they are thought to be a common cause or contributor to unexplained pain. We find unexplained chronic pain is often caused by adhesions that form after a surgery, injury or infection. Our clinic started as a place to relieve chronic pain and that remains a central focus of our work. Studies and patient testimonials address this throughout this website. 

What is a small bowel obstruction?

A small bowel obstruction is a life-threatening event which occurs when the small intestine becomes partially or fully blocked, preventing food, liquids and gas from moving through the intestines.

Symptoms include severe pain around or just below the belly button, nausea or vomiting, swelling or bloating of the stomach (distention), constipation and the inability to pass gas with a complete obstruction. Total small bowel obstructions are 100% fatal unless the adhesions are cleared. If you experience severe abdominal pain or other bowel obstruction symptoms, you should seek immediate medical attention.

What causes bowel obstruction?

Adhesions (internal scar tissue) from prior surgery are most common cause of small bowel. Other causes include hernias and Crohn’s disease, which can twist or narrow the intestine, and tumors that block the intestine.

In the large intestine, cancer is a common cause of a blockage. Other causes may include severe constipation from a hard mass of stool or narrowing of the intestine called a stricture. Adhesions can also occur as a result of:

  • diverticulitis (pouches called diverticula form in the wall of the large intestine and become inflamed or infected)
  • inflammatory bowel disease (ongoing inflammation of the intestines that may recur many times in a person’s life)
  • Bipolar disorder patients often do not do well with this therapy
  • Blood clotting disorder, abnormal bleeding or blood thinning medication
  • Both fallopian tubes have been removed or surgically closed; you may qualify for our pre-IVF therapy, but not natural infertility reversal. Call for more information.
  • Cancer in the last 18 months (Requires a more extensive evaluation)
  • Cardiac conditions, including DVT, PE, or CVA in the last 12 months
  • Congestive heart failure (need your details)
  • Connective tissue disorder (EDS, Marfan)
  • Deep Vein Thrombosis, PE or CVA within 12 weeks of scheduled therapy
  • Endometrioma; other non-follicular cyst(s)
  • Fistula present within 6 weeks of therapy of scheduled therapy
  • Gall stones or kidney stones (Requires more extensive evaluation)
  • Heart, liver or kidney dysfunction (Requires a more extensive evaluation)
  • Hernia (we need to know the location and approximate size)
  • HIV
  • IUD or Essure must be removed before receiving therapy
  • Lymphedema (wear compression garments during therapy and traveling)
  • Seizures – may require MD clearance letter and/or be accompanied by a caregiver
  • SIBO – we have suggested protocols to share with you and your physician
  • Sickle cell disease
  • Some cardiac or kidney dysfunctions
  • Stents (note location, approx. date inserted)
  • Surgery (no surgery within 90 days before therapy, some exceptions apply)

Can I receive treatment while I am in the hospital?

We regret that we cannot treat you at the hospital. We can treat patients in our clinics at any time, provided they have not had surgery within the prior 12 weeks. We can sometimes make exceptions to the ‘time since surgery’ rule, e.g. if you had hand surgery and we will be treating your abdomen.  Please contact us if you have any questions.

How do I know whether this therapy may help me?

You should either complete our online Request Consultation form, and Medical History Form. After thorough review, we can provide information that is specific to your situation.

Who can perform this treatment?

The Wurn Technique®️ is unique. It is only performed by staff trained and licensed by Clear Passage®️ to perform our work. These designations ensure you receive the specialized therapy that has been developed and researched for over 25 years, with results published in peer-reviewed medical journals.

Where and how can I get this treatment?

We have locations in North America and the United Kingdom. While local patients may choose to spread therapy over several weeks, most patients visit Clear Passage® locations from out of town or other countries, and receive our full 20-hour therapy program over five days (e.g. Monday-Friday). Patients with extensive history of surgery or adhesions may benefit from additional therapy. We try to save a few hours the following week to accommodate patients who want or need to book additional hours.

From the initial evaluation through therapy, discharge and follow-up, every aspect of treatment is thorough, private, respectful, and focused on each patient’s individual needs and goals. Please call our Headquarters in the U.S. at 1-352-336-1433 to learn about our clinic locations.

How can my doctor or I learn more about your work?

Information about our work is readily available in public settings, both on- and offline. These include:

How do I know that Clear Passage®️ is legitimate and that your data is credible?

We suggest taking the following factors into account when considering our legitimacy and credibility:

  • View dozens of reviews of Clear Passage®️ at Google, or the Better Business Bureau
  • We conduct and publish scientific research to quantify our results. View published studies about us in peer-reviewed medical journals, and in the U.S. National Library of Medicine by doing a PubMed search for “Wurn.” On our website, visit the Published Studies section for links to all published studies of our work.
  • We work with respected independent physicians and scientists. Learn about the physicians and scientists who work with us by visiting our “Authors, Advisors and Researchers” page. This group includes doctors from Harvard, Stanford, George Washington, U.C. Irvine, Columbia, Northwestern and the Universities of Florida and Arizona Medical Schools. They also include the former Chief of Staff of North Florida Regional Medical Center and the Founder/Director of the Endometriosis Association.
  • Physio/physical therapy (PT) is a highly-respected form of mainstream medicine. It is a licensed and highly-regulated profession, requiring a five (plus) year university degree. In order to be accepted into a physical therapy program, a candidate must have an academic history and background similar to that required for medical school.

Does the medical community accept this work?

Roughly 40% of our patients are healthcare providers (doctors, nurses, therapists, etc.) or their spouses. Due to published studies on our therapy, physician acceptance of our work is growing steadily. Authors, Advisors and Researchers include doctors from major medical schools, and the Founder of the Endometriosis Association.

Physicians recognize that physical therapy is a conservative approach. Since there is such a low risk of complications, most physicians encourage patients to attend or to make their own decisions regarding therapy. Patients should be screened by their physician for conditions that would prevent treatment, such as active infection, active cancer or abnormal cysts. We are glad to consult with your physician to explain our work or discuss your case.

Will my health insurance cover treatment? (U.S. Patients)

While you will pay us directly for our services, your insurer may reimburse you for part or all of your therapy. Please note that Medicare and Medicaid do not cover our level of service.

You may wish to contact your insurer to clarify your benefits before you schedule treatment. Ask them about your “out-of-network, outpatient physical therapy benefits for adhesions and/or pain.” We provide you with copies of your initial evaluation, daily notes, progress report and a statement noting all charges, payments, provider information, diagnosis and procedure codes to support your claim for reimbursement.

Our procedure codes are defined and approved by the American Medical Association and include the following common PT codes:

  • 97161 – Initial Evaluation (Low Complexity)
  • 97162 – Initial Evaluation (Moderate Complexity)
  • 97163 – Initial Evaluation (High Complexity)
  • 97164 – Re-Evaluation
  • 97110 – therapeutic procedure
  • 97112 – neuromuscular reeducation
  • 97140 – manual therapy
  • 97530 – therapeutic activities to increase function
  • 97535 – self care instruction

Ask your insurer if you need pre-authorization and a physician’s written referral. This document can also help you get insurance reimbursement. If you are coming for the five-day program, s/he can add “20 hours of manual physical therapy over five days.” Your doctor note “medically necessary, no substitution”, then should sign, date, include their NPI number and give you the referral slip.

Twenty hours of physical therapy per year falls within the parameters of most insurers but some limit therapy to one hour per day. If you speak with your insurer, explain that you have to travel for therapy for services they do not provide; this is one of the only clinics in the country that treats adhesions non-surgically. Ask to speak with a supervisor, if necessary. Record the name, time and date of every person with whom you speak and what they tell you.

Upon request, we are happy to provide you with a letter that you may forward to your insurance company. This document provides advice regarding our specialized therapy program and notes your pre-treatment diagnosis codes, based on your reported medical history. Learn more about insurance and reimbursement.

Condition-Specific FAQs

What is an adhesion?

An adhesion is an the internal scar; adhesions tend to form in all of us wherever our bodies heal as the first step in healing. Adhesions may occur on the surface of our bodily structures or deep within them. They can join any structure in the body to its neighbor or to distant structures, causing confusing symptoms of pain or dysfunction.

Adhesions may be filmy or coarse, thick or thin. They may be small enough to join individual muscle cells, deep within a structure. They may grow so large that they stretch down the front of the torso from neck to waist, bending a person forward so that s/he literally cannot stand erect.

What causes adhesions?

Adhesions form as part of the body’s natural healing process after tissue damage due to an infection, inflammation, surgery, trauma, or radiation therapy. Once formed adhesions can remain in the body for a lifetime. Due to their pull on internal structures, adhesions can cause ongoing inflammation, causing more adhesions to form. Surgery is a primary cause of adhesion formation.

What is infertility?

This depends on who you ask. The U.S. Centers for Disease Control and Prevention defines infertility as the inability to “get pregnant (conceive) after one year of unprotected sex.” In women over the age of 35, it is defined as inability to conceive after sixth months of unprotected intercourse. The World Health Organization defines infertility as the inability to become pregnant after two years of unprotected sex.

What causes infertility?

A number of factors can cause female infertility. Some women have hormonal causes (e.g. high FSH, PCOS, ovulation problems), while others have mechanical causes such as scarring and adhesions.

Adhesions can block fallopian tubes, decrease function of the fimbriae or ovaries and restrict the cervix, making a difficult passage for sperm. In addition, tiny adhesions within the walls of the uterine body may cause spasm, inflammation or otherwise decrease the chance for implantation, or cause a miscarriage after fertilization. Ovarian adhesions can decrease hormonal function or block eggs from leaving the ovary.

Published studies on our work have shown measurable results in all of the above causes. While most of our successes have been by natural conception, Our therapy has been shown to statistically increase pregnancy rates for IVF when performed within 15 months before embryo transfer.

What is chronic pain?

According to the American Academy of Family Physicians, pain is categorized into two types – acute and chronic. Acute pain tells you that your body is injured and typically does not last long. It tends to resolve as your body heals from injury. Chronic pain can last for months or even years, interfere with your daily activities and significantly impact quality of life. It can lead to low self-esteem, depression and anger. Because adhesions are a common natural occurrence in the body and they are undetectable by most diagnostic tests, they are thought to be a common cause or contributor to unexplained pain. We find unexplained chronic pain is often caused by adhesions that form after a surgery, injury or infection. Our clinic started as a place to relieve chronic pain and that remains a central focus of our work. Studies and patient testimonials address this throughout this website. 

What is a small bowel obstruction?

A small bowel obstruction is a life-threatening event which occurs when the small intestine becomes partially or fully blocked, preventing food, liquids and gas from moving through the intestines.

Symptoms include severe pain around or just below the belly button, nausea or vomiting, swelling or bloating of the stomach (distention), constipation and the inability to pass gas with a complete obstruction. Total small bowel obstructions are 100% fatal unless the adhesions are cleared. If you experience severe abdominal pain or other bowel obstruction symptoms, you should seek immediate medical attention.

What causes bowel obstruction?

Adhesions (internal scar tissue) from prior surgery are most common cause of small bowel. Other causes include hernias and Crohn’s disease, which can twist or narrow the intestine, and tumors that block the intestine.

In the large intestine, cancer is a common cause of a blockage. Other causes may include severe constipation from a hard mass of stool or narrowing of the intestine called a stricture. Adhesions can also occur as a result of:

  • diverticulitis (pouches called diverticula form in the wall of the large intestine and become inflamed or infected)
  • inflammatory bowel disease (ongoing inflammation of the intestines that may recur many times in a person’s life)

What does therapy feel like?

Sometimes, therapy can feel like a deep stretch; other times, the work can be very light, as it follows the subtle rhythm within the connective tissue sheath that surrounds the spinal cord and brain. Depending on the diagnosis and treatment area, your therapist may work to improve motility – subtle organ movements. During therapy, we may ask you to flex large muscles or move in certain ways to improve the body’s symmetry and function. We continuously communicate with patients throughout treatment to ensure they understand our intent and findings, and maintain their comfort level. We educate our patients in self-help techniques to prevent reinjury and to maximize the results of therapy.

What is internal treatment like?

The closer we can get to adhesions, the more effective our work. Thus, we have found that combining internal and external assessment and treatment can be much more effective than external assessment and treatment alone in order to resolve some abdominal and pelvic conditions. Physical therapists in the U.S. have been treating patients internally for urinary incontinence and pelvic pain since 1975. The Women’s Health section of the American Physical Therapy Association (APTA) regularly teaches and endorses courses in internal assessment and treatment of pelvic floor dysfunctions.

While most of our therapy is external, your evaluating therapist may suggest some vaginal or rectal assessment to locate tissues that are tender, tight, inflamed, irritated or restricted. As with any part of your evaluation or therapy, we will communicate the basis for suggesting this option and you may accept or decline this component of your care.

With your approval, using non-latex gloves and “environment-friendly” lubricant, we treat any adhered or restricted tissues and structures within the vagina or rectum, as indicated. You can expect to feel some pressure with internal treatment; tenderness will generally improve as we restore mobility to these tissues. Your therapist will always remain within your tolerance level during therapy and, upon your request, will stop at any point in the treatment.

Does therapy hurt?

We work within each patient’s comfort or tolerance level. At all times, the patient is in total control of the depth at which we work. Some invite us to work quite deeply and describe what they call a “good hurt”; others say “you are exactly on the area I have been telling my doctor about for years but that s/he cannot find.”

Our therapists’ touch can be very light when they treat delicate or painful areas, such as on the vaginal wall of a woman suffering from intercourse pain. At other times (and within the patient’s tolerance), we may use deeper pressure to slowly pull through thick muscles in areas such as the back, buttock or leg.

We maintain communication with patients at all times to ensure their comfort level and understanding of our findings. We educate many of our patients in techniques to maximize results and prevent reinjury. Learn more about what to expect during therapy.

Who may benefit from this therapy?

The best candidates have any of the conditions listed on our website or histories indicating possible adhesion formation. These histories include:

  • surgery in the abdomen, pelvis, back, hip or neck
  • An injury or repetitive trauma, chronic poor posture, physical or sexual abuse
  • infection or inflammatory process (e.g. endometriosis, appendicitis,  PID)

We treat adults and children of all ages. Minor patients must be accompanied by an adult at all therapy sessions. 

Who may not be a good candidate for this therapy

We want you to do well; we don’t want to injure you. Thus, you must report accurately about your body and medical history. Some applicants with the conditions below may need to obtain physician clearance prior to scheduling therapy; some may not be appropriate for therapy. We are cautious about treating patients with the following conditions:

  • Aneurysm
  • Active infection
  • Autoimmune disorders must be under control. We may need to delay, or to spread therapy over two weeks if applicant has elevated inflammatory markers for these conditions:
    • Crohn’s
    • Fibromyalgia
    • Celiac Disease
    • Grave’s disease
    • Ulcerative Colitis
    • Rheumatoid Arthritis
    • Systemic Lupus Erythematosus

  • Bipolar disorder patients often do not do well with this therapy
  • Blood clotting disorder, abnormal bleeding or blood thinning medication
  • Both fallopian tubes have been removed or surgically closed; you may qualify for our pre-IVF therapy, but not natural infertility reversal. Call for more information.
  • Cancer in the last 18 months (Requires a more extensive evaluation)
  • Cardiac conditions, including DVT, PE, or CVA in the last 12 months
  • Congestive heart failure (need your details)
  • Connective tissue disorder (EDS, Marfan)
  • Deep Vein Thrombosis, PE or CVA within 12 weeks of scheduled therapy
  • Endometrioma; other non-follicular cyst(s)
  • Fistula present within 6 weeks of therapy of scheduled therapy
  • Gall stones or kidney stones (Requires more extensive evaluation)
  • Heart, liver or kidney dysfunction (Requires a more extensive evaluation)
  • Hernia (we need to know the location and approximate size)
  • HIV
  • IUD or Essure must be removed before receiving therapy
  • Lymphedema (wear compression garments during therapy and traveling)
  • Seizures – may require MD clearance letter and/or be accompanied by a caregiver
  • SIBO – we have suggested protocols to share with you and your physician
  • Sickle cell disease
  • Some cardiac or kidney dysfunctions
  • Stents (note location, approx. date inserted)
  • Surgery (no surgery within 90 days before therapy, some exceptions apply)

Can I receive treatment while I am in the hospital?

We regret that we cannot treat you at the hospital. We can treat patients in our clinics at any time, provided they have not had surgery within the prior 12 weeks. We can sometimes make exceptions to the ‘time since surgery’ rule, e.g. if you had hand surgery and we will be treating your abdomen.  Please contact us if you have any questions.

How do I know whether this therapy may help me?

You should either complete our online Request Consultation form, and Medical History Form. After thorough review, we can provide information that is specific to your situation.

Who can perform this treatment?

The Wurn Technique®️ is unique. It is only performed by staff trained and licensed by Clear Passage®️ to perform our work. These designations ensure you receive the specialized therapy that has been developed and researched for over 25 years, with results published in peer-reviewed medical journals.

Where and how can I get this treatment?

We have locations in North America and the United Kingdom. While local patients may choose to spread therapy over several weeks, most patients visit Clear Passage® locations from out of town or other countries, and receive our full 20-hour therapy program over five days (e.g. Monday-Friday). Patients with extensive history of surgery or adhesions may benefit from additional therapy. We try to save a few hours the following week to accommodate patients who want or need to book additional hours.

From the initial evaluation through therapy, discharge and follow-up, every aspect of treatment is thorough, private, respectful, and focused on each patient’s individual needs and goals. Please call our Headquarters in the U.S. at 1-352-336-1433 to learn about our clinic locations.

How can my doctor or I learn more about your work?

Information about our work is readily available in public settings, both on- and offline. These include:

How do I know that Clear Passage®️ is legitimate and that your data is credible?

We suggest taking the following factors into account when considering our legitimacy and credibility:

  • View dozens of reviews of Clear Passage®️ at Google, or the Better Business Bureau
  • We conduct and publish scientific research to quantify our results. View published studies about us in peer-reviewed medical journals, and in the U.S. National Library of Medicine by doing a PubMed search for “Wurn.” On our website, visit the Published Studies section for links to all published studies of our work.
  • We work with respected independent physicians and scientists. Learn about the physicians and scientists who work with us by visiting our “Authors, Advisors and Researchers” page. This group includes doctors from Harvard, Stanford, George Washington, U.C. Irvine, Columbia, Northwestern and the Universities of Florida and Arizona Medical Schools. They also include the former Chief of Staff of North Florida Regional Medical Center and the Founder/Director of the Endometriosis Association.
  • Physio/physical therapy (PT) is a highly-respected form of mainstream medicine. It is a licensed and highly-regulated profession, requiring a five (plus) year university degree. In order to be accepted into a physical therapy program, a candidate must have an academic history and background similar to that required for medical school.

Does the medical community accept this work?

Roughly 40% of our patients are healthcare providers (doctors, nurses, therapists, etc.) or their spouses. Due to published studies on our therapy, physician acceptance of our work is growing steadily. Authors, Advisors and Researchers include doctors from major medical schools, and the Founder of the Endometriosis Association.

Physicians recognize that physical therapy is a conservative approach. Since there is such a low risk of complications, most physicians encourage patients to attend or to make their own decisions regarding therapy. Patients should be screened by their physician for conditions that would prevent treatment, such as active infection, active cancer or abnormal cysts. We are glad to consult with your physician to explain our work or discuss your case.

Will my health insurance cover treatment? (U.S. Patients)

While you will pay us directly for our services, your insurer may reimburse you for part or all of your therapy. Please note that Medicare and Medicaid do not cover our level of service.

You may wish to contact your insurer to clarify your benefits before you schedule treatment. Ask them about your “out-of-network, outpatient physical therapy benefits for adhesions and/or pain.” We provide you with copies of your initial evaluation, daily notes, progress report and a statement noting all charges, payments, provider information, diagnosis and procedure codes to support your claim for reimbursement.

Our procedure codes are defined and approved by the American Medical Association and include the following common PT codes:

  • 97161 – Initial Evaluation (Low Complexity)
  • 97162 – Initial Evaluation (Moderate Complexity)
  • 97163 – Initial Evaluation (High Complexity)
  • 97164 – Re-Evaluation
  • 97110 – therapeutic procedure
  • 97112 – neuromuscular reeducation
  • 97140 – manual therapy
  • 97530 – therapeutic activities to increase function
  • 97535 – self care instruction

Ask your insurer if you need pre-authorization and a physician’s written referral. This document can also help you get insurance reimbursement. If you are coming for the five-day program, s/he can add “20 hours of manual physical therapy over five days.” Your doctor note “medically necessary, no substitution”, then should sign, date, include their NPI number and give you the referral slip.

Twenty hours of physical therapy per year falls within the parameters of most insurers but some limit therapy to one hour per day. If you speak with your insurer, explain that you have to travel for therapy for services they do not provide; this is one of the only clinics in the country that treats adhesions non-surgically. Ask to speak with a supervisor, if necessary. Record the name, time and date of every person with whom you speak and what they tell you.

Upon request, we are happy to provide you with a letter that you may forward to your insurance company. This document provides advice regarding our specialized therapy program and notes your pre-treatment diagnosis codes, based on your reported medical history. Learn more about insurance and reimbursement.

Condition-Specific FAQs

What is an adhesion?

An adhesion is an the internal scar; adhesions tend to form in all of us wherever our bodies heal as the first step in healing. Adhesions may occur on the surface of our bodily structures or deep within them. They can join any structure in the body to its neighbor or to distant structures, causing confusing symptoms of pain or dysfunction.

Adhesions may be filmy or coarse, thick or thin. They may be small enough to join individual muscle cells, deep within a structure. They may grow so large that they stretch down the front of the torso from neck to waist, bending a person forward so that s/he literally cannot stand erect.

What causes adhesions?

Adhesions form as part of the body’s natural healing process after tissue damage due to an infection, inflammation, surgery, trauma, or radiation therapy. Once formed adhesions can remain in the body for a lifetime. Due to their pull on internal structures, adhesions can cause ongoing inflammation, causing more adhesions to form. Surgery is a primary cause of adhesion formation.

What is infertility?

This depends on who you ask. The U.S. Centers for Disease Control and Prevention defines infertility as the inability to “get pregnant (conceive) after one year of unprotected sex.” In women over the age of 35, it is defined as inability to conceive after sixth months of unprotected intercourse. The World Health Organization defines infertility as the inability to become pregnant after two years of unprotected sex.

What causes infertility?

A number of factors can cause female infertility. Some women have hormonal causes (e.g. high FSH, PCOS, ovulation problems), while others have mechanical causes such as scarring and adhesions.

Adhesions can block fallopian tubes, decrease function of the fimbriae or ovaries and restrict the cervix, making a difficult passage for sperm. In addition, tiny adhesions within the walls of the uterine body may cause spasm, inflammation or otherwise decrease the chance for implantation, or cause a miscarriage after fertilization. Ovarian adhesions can decrease hormonal function or block eggs from leaving the ovary.

Published studies on our work have shown measurable results in all of the above causes. While most of our successes have been by natural conception, Our therapy has been shown to statistically increase pregnancy rates for IVF when performed within 15 months before embryo transfer.

What is chronic pain?

According to the American Academy of Family Physicians, pain is categorized into two types – acute and chronic. Acute pain tells you that your body is injured and typically does not last long. It tends to resolve as your body heals from injury. Chronic pain can last for months or even years, interfere with your daily activities and significantly impact quality of life. It can lead to low self-esteem, depression and anger. Because adhesions are a common natural occurrence in the body and they are undetectable by most diagnostic tests, they are thought to be a common cause or contributor to unexplained pain. We find unexplained chronic pain is often caused by adhesions that form after a surgery, injury or infection. Our clinic started as a place to relieve chronic pain and that remains a central focus of our work. Studies and patient testimonials address this throughout this website. 

What is a small bowel obstruction?

A small bowel obstruction is a life-threatening event which occurs when the small intestine becomes partially or fully blocked, preventing food, liquids and gas from moving through the intestines.

Symptoms include severe pain around or just below the belly button, nausea or vomiting, swelling or bloating of the stomach (distention), constipation and the inability to pass gas with a complete obstruction. Total small bowel obstructions are 100% fatal unless the adhesions are cleared. If you experience severe abdominal pain or other bowel obstruction symptoms, you should seek immediate medical attention.

What causes bowel obstruction?

Adhesions (internal scar tissue) from prior surgery are most common cause of small bowel. Other causes include hernias and Crohn’s disease, which can twist or narrow the intestine, and tumors that block the intestine.

In the large intestine, cancer is a common cause of a blockage. Other causes may include severe constipation from a hard mass of stool or narrowing of the intestine called a stricture. Adhesions can also occur as a result of:

  • diverticulitis (pouches called diverticula form in the wall of the large intestine and become inflamed or infected)
  • inflammatory bowel disease (ongoing inflammation of the intestines that may recur many times in a person’s life)

What is Clear Passage®️?

We are a network of physical therapy (called physiotherapy in outside the U.S.A.) clinics. We provide a unique manual therapy protocol (the Clear Passage® Approach) to treat chronic pain and dysfunction, including post-surgical pain, small bowel obstruction and female infertility. Our therapists receive exclusive training, certification and licensing to provide our work. None of our treatments involve drugs or surgery.

Patients come to Clear Passage®️ locations from around the world and from all walks of life. Many have conditions that have not resolved after traditional therapy, medications or surgery; some want to avoid future surgery. About 35% of our patients are health care professionals, or their spouses. Our therapy has shown positive results in numerous peer-reviewed, PubMed indexed studies, housed in the US National Library of Medicine.

What is the Clear Passage® Approach?

The Clear Passage®  Approach is a unique hands-on therapy protocol, developed over 25+ years of study and clinical research by Belinda Wurn, PT and Larry Wurn, LMT. Our focus is to deform, detach and seperate the bonds that attach collagenous cross-links, the building blocks of adhesions. The protocol includes over 200 individual techniques designed to reduce and eliminate adhesions that form wherever the body heals. As a manual therapy, it works without the risks or side effects of surgery or drugs. Studies on the effectiveness of this work, published in peer-reviewed medical journals, show success treating conditions not previously treated via outpatient therapy.

Why is this therapy unique?

Every body heals differently after injury, surgery, infection or inflammation. Physical therapists certified in the Clear Passage®️ Approach are trained to evaluate and treat the entire body. Coupled with extensive patient history and feedback, this holistic view helps us understand the physical forces preventing patients from leading the life they envision. Our focus is to decrease the powerful adhesive pulls that cause pain or dysfunction – no matter where they occur in the body.

Our therapy is different from other manual therapies for several reasons:

  1. We have lived the experience. Our work was born in 1986 from the need to find a non-surgical answer to treat debilitating pain in our co-founder and Therapist Director, Belinda Wurn, PT.
  2. Focused on decreasing adhesions, our background is broad; our focus is logical and methodical. We studied rigorously with top manual physicians and physical therapists in the U.S. and abroad. From that strong foundation, we worked hard to develop a therapy to effectively treat the adhesions causing Belinda’s pain and dysfunction. After Belinda was able to return to work, we continued to refine our work to treat others with pain and dysfunction.
  3. We test our work and publish our results. Independent physicians and scientists design studies that measure the results of our therapy. We regularly present our findings and results at medical conferences. Studies on the effectiveness of the Wurn Technique®️ and Clear Passage®️ have been published in peer-reviewed medical journals and accepted into the U.S. National Library of Medicine. Citations about this work appear in WebMD’s Medscape General Medicine, Fertility and Sterility, Gastroenterology, Healthcare, Contemporary Ob-Gyn, Alternative Therapies in Health and Medicine, the Journal of Endometriosis, and the World Journal of Gastroenterology, among others.
  4. We rigorously test and train our therapists for knowledge and clinical skills. We base their certification on strong manual and palpatory skills, and on test results after weeks of study and training. Each must pass tests that demonstrate a thorough understanding of the material in our 600-page Therapist Training Manual written by Belinda Wurn, PT and her training staff.

What does therapy feel like?

Sometimes, therapy can feel like a deep stretch; other times, the work can be very light, as it follows the subtle rhythm within the connective tissue sheath that surrounds the spinal cord and brain. Depending on the diagnosis and treatment area, your therapist may work to improve motility – subtle organ movements. During therapy, we may ask you to flex large muscles or move in certain ways to improve the body’s symmetry and function. We continuously communicate with patients throughout treatment to ensure they understand our intent and findings, and maintain their comfort level. We educate our patients in self-help techniques to prevent reinjury and to maximize the results of therapy.

What is internal treatment like?

The closer we can get to adhesions, the more effective our work. Thus, we have found that combining internal and external assessment and treatment can be much more effective than external assessment and treatment alone in order to resolve some abdominal and pelvic conditions. Physical therapists in the U.S. have been treating patients internally for urinary incontinence and pelvic pain since 1975. The Women’s Health section of the American Physical Therapy Association (APTA) regularly teaches and endorses courses in internal assessment and treatment of pelvic floor dysfunctions.

While most of our therapy is external, your evaluating therapist may suggest some vaginal or rectal assessment to locate tissues that are tender, tight, inflamed, irritated or restricted. As with any part of your evaluation or therapy, we will communicate the basis for suggesting this option and you may accept or decline this component of your care.

With your approval, using non-latex gloves and “environment-friendly” lubricant, we treat any adhered or restricted tissues and structures within the vagina or rectum, as indicated. You can expect to feel some pressure with internal treatment; tenderness will generally improve as we restore mobility to these tissues. Your therapist will always remain within your tolerance level during therapy and, upon your request, will stop at any point in the treatment.

Does therapy hurt?

We work within each patient’s comfort or tolerance level. At all times, the patient is in total control of the depth at which we work. Some invite us to work quite deeply and describe what they call a “good hurt”; others say “you are exactly on the area I have been telling my doctor about for years but that s/he cannot find.”

Our therapists’ touch can be very light when they treat delicate or painful areas, such as on the vaginal wall of a woman suffering from intercourse pain. At other times (and within the patient’s tolerance), we may use deeper pressure to slowly pull through thick muscles in areas such as the back, buttock or leg.

We maintain communication with patients at all times to ensure their comfort level and understanding of our findings. We educate many of our patients in techniques to maximize results and prevent reinjury. Learn more about what to expect during therapy.

Who may benefit from this therapy?

The best candidates have any of the conditions listed on our website or histories indicating possible adhesion formation. These histories include:

  • surgery in the abdomen, pelvis, back, hip or neck
  • An injury or repetitive trauma, chronic poor posture, physical or sexual abuse
  • infection or inflammatory process (e.g. endometriosis, appendicitis,  PID)

We treat adults and children of all ages. Minor patients must be accompanied by an adult at all therapy sessions. 

Who may not be a good candidate for this therapy

We want you to do well; we don’t want to injure you. Thus, you must report accurately about your body and medical history. Some applicants with the conditions below may need to obtain physician clearance prior to scheduling therapy; some may not be appropriate for therapy. We are cautious about treating patients with the following conditions:

  • Aneurysm
  • Active infection
  • Autoimmune disorders must be under control. We may need to delay, or to spread therapy over two weeks if applicant has elevated inflammatory markers for these conditions:
    • Crohn’s
    • Fibromyalgia
    • Celiac Disease
    • Grave’s disease
    • Ulcerative Colitis
    • Rheumatoid Arthritis
    • Systemic Lupus Erythematosus

  • Bipolar disorder patients often do not do well with this therapy
  • Blood clotting disorder, abnormal bleeding or blood thinning medication
  • Both fallopian tubes have been removed or surgically closed; you may qualify for our pre-IVF therapy, but not natural infertility reversal. Call for more information.
  • Cancer in the last 18 months (Requires a more extensive evaluation)
  • Cardiac conditions, including DVT, PE, or CVA in the last 12 months
  • Congestive heart failure (need your details)
  • Connective tissue disorder (EDS, Marfan)
  • Deep Vein Thrombosis, PE or CVA within 12 weeks of scheduled therapy
  • Endometrioma; other non-follicular cyst(s)
  • Fistula present within 6 weeks of therapy of scheduled therapy
  • Gall stones or kidney stones (Requires more extensive evaluation)
  • Heart, liver or kidney dysfunction (Requires a more extensive evaluation)
  • Hernia (we need to know the location and approximate size)
  • HIV
  • IUD or Essure must be removed before receiving therapy
  • Lymphedema (wear compression garments during therapy and traveling)
  • Seizures – may require MD clearance letter and/or be accompanied by a caregiver
  • SIBO – we have suggested protocols to share with you and your physician
  • Sickle cell disease
  • Some cardiac or kidney dysfunctions
  • Stents (note location, approx. date inserted)
  • Surgery (no surgery within 90 days before therapy, some exceptions apply)

Can I receive treatment while I am in the hospital?

We regret that we cannot treat you at the hospital. We can treat patients in our clinics at any time, provided they have not had surgery within the prior 12 weeks. We can sometimes make exceptions to the ‘time since surgery’ rule, e.g. if you had hand surgery and we will be treating your abdomen.  Please contact us if you have any questions.

How do I know whether this therapy may help me?

You should either complete our online Request Consultation form, and Medical History Form. After thorough review, we can provide information that is specific to your situation.

Who can perform this treatment?

The Wurn Technique®️ is unique. It is only performed by staff trained and licensed by Clear Passage®️ to perform our work. These designations ensure you receive the specialized therapy that has been developed and researched for over 25 years, with results published in peer-reviewed medical journals.

Where and how can I get this treatment?

We have locations in North America and the United Kingdom. While local patients may choose to spread therapy over several weeks, most patients visit Clear Passage® locations from out of town or other countries, and receive our full 20-hour therapy program over five days (e.g. Monday-Friday). Patients with extensive history of surgery or adhesions may benefit from additional therapy. We try to save a few hours the following week to accommodate patients who want or need to book additional hours.

From the initial evaluation through therapy, discharge and follow-up, every aspect of treatment is thorough, private, respectful, and focused on each patient’s individual needs and goals. Please call our Headquarters in the U.S. at 1-352-336-1433 to learn about our clinic locations.

How can my doctor or I learn more about your work?

Information about our work is readily available in public settings, both on- and offline. These include:

How do I know that Clear Passage®️ is legitimate and that your data is credible?

We suggest taking the following factors into account when considering our legitimacy and credibility:

  • View dozens of reviews of Clear Passage®️ at Google, or the Better Business Bureau
  • We conduct and publish scientific research to quantify our results. View published studies about us in peer-reviewed medical journals, and in the U.S. National Library of Medicine by doing a PubMed search for “Wurn.” On our website, visit the Published Studies section for links to all published studies of our work.
  • We work with respected independent physicians and scientists. Learn about the physicians and scientists who work with us by visiting our “Authors, Advisors and Researchers” page. This group includes doctors from Harvard, Stanford, George Washington, U.C. Irvine, Columbia, Northwestern and the Universities of Florida and Arizona Medical Schools. They also include the former Chief of Staff of North Florida Regional Medical Center and the Founder/Director of the Endometriosis Association.
  • Physio/physical therapy (PT) is a highly-respected form of mainstream medicine. It is a licensed and highly-regulated profession, requiring a five (plus) year university degree. In order to be accepted into a physical therapy program, a candidate must have an academic history and background similar to that required for medical school.

Does the medical community accept this work?

Roughly 40% of our patients are healthcare providers (doctors, nurses, therapists, etc.) or their spouses. Due to published studies on our therapy, physician acceptance of our work is growing steadily. Authors, Advisors and Researchers include doctors from major medical schools, and the Founder of the Endometriosis Association.

Physicians recognize that physical therapy is a conservative approach. Since there is such a low risk of complications, most physicians encourage patients to attend or to make their own decisions regarding therapy. Patients should be screened by their physician for conditions that would prevent treatment, such as active infection, active cancer or abnormal cysts. We are glad to consult with your physician to explain our work or discuss your case.

Will my health insurance cover treatment? (U.S. Patients)

While you will pay us directly for our services, your insurer may reimburse you for part or all of your therapy. Please note that Medicare and Medicaid do not cover our level of service.

You may wish to contact your insurer to clarify your benefits before you schedule treatment. Ask them about your “out-of-network, outpatient physical therapy benefits for adhesions and/or pain.” We provide you with copies of your initial evaluation, daily notes, progress report and a statement noting all charges, payments, provider information, diagnosis and procedure codes to support your claim for reimbursement.

Our procedure codes are defined and approved by the American Medical Association and include the following common PT codes:

  • 97161 – Initial Evaluation (Low Complexity)
  • 97162 – Initial Evaluation (Moderate Complexity)
  • 97163 – Initial Evaluation (High Complexity)
  • 97164 – Re-Evaluation
  • 97110 – therapeutic procedure
  • 97112 – neuromuscular reeducation
  • 97140 – manual therapy
  • 97530 – therapeutic activities to increase function
  • 97535 – self care instruction

Ask your insurer if you need pre-authorization and a physician’s written referral. This document can also help you get insurance reimbursement. If you are coming for the five-day program, s/he can add “20 hours of manual physical therapy over five days.” Your doctor note “medically necessary, no substitution”, then should sign, date, include their NPI number and give you the referral slip.

Twenty hours of physical therapy per year falls within the parameters of most insurers but some limit therapy to one hour per day. If you speak with your insurer, explain that you have to travel for therapy for services they do not provide; this is one of the only clinics in the country that treats adhesions non-surgically. Ask to speak with a supervisor, if necessary. Record the name, time and date of every person with whom you speak and what they tell you.

Upon request, we are happy to provide you with a letter that you may forward to your insurance company. This document provides advice regarding our specialized therapy program and notes your pre-treatment diagnosis codes, based on your reported medical history. Learn more about insurance and reimbursement.

Condition-Specific FAQs

What is an adhesion?

An adhesion is an the internal scar; adhesions tend to form in all of us wherever our bodies heal as the first step in healing. Adhesions may occur on the surface of our bodily structures or deep within them. They can join any structure in the body to its neighbor or to distant structures, causing confusing symptoms of pain or dysfunction.

Adhesions may be filmy or coarse, thick or thin. They may be small enough to join individual muscle cells, deep within a structure. They may grow so large that they stretch down the front of the torso from neck to waist, bending a person forward so that s/he literally cannot stand erect.

What causes adhesions?

Adhesions form as part of the body’s natural healing process after tissue damage due to an infection, inflammation, surgery, trauma, or radiation therapy. Once formed adhesions can remain in the body for a lifetime. Due to their pull on internal structures, adhesions can cause ongoing inflammation, causing more adhesions to form. Surgery is a primary cause of adhesion formation.

What is infertility?

This depends on who you ask. The U.S. Centers for Disease Control and Prevention defines infertility as the inability to “get pregnant (conceive) after one year of unprotected sex.” In women over the age of 35, it is defined as inability to conceive after sixth months of unprotected intercourse. The World Health Organization defines infertility as the inability to become pregnant after two years of unprotected sex.

What causes infertility?

A number of factors can cause female infertility. Some women have hormonal causes (e.g. high FSH, PCOS, ovulation problems), while others have mechanical causes such as scarring and adhesions.

Adhesions can block fallopian tubes, decrease function of the fimbriae or ovaries and restrict the cervix, making a difficult passage for sperm. In addition, tiny adhesions within the walls of the uterine body may cause spasm, inflammation or otherwise decrease the chance for implantation, or cause a miscarriage after fertilization. Ovarian adhesions can decrease hormonal function or block eggs from leaving the ovary.

Published studies on our work have shown measurable results in all of the above causes. While most of our successes have been by natural conception, Our therapy has been shown to statistically increase pregnancy rates for IVF when performed within 15 months before embryo transfer.

What is chronic pain?

According to the American Academy of Family Physicians, pain is categorized into two types – acute and chronic. Acute pain tells you that your body is injured and typically does not last long. It tends to resolve as your body heals from injury. Chronic pain can last for months or even years, interfere with your daily activities and significantly impact quality of life. It can lead to low self-esteem, depression and anger. Because adhesions are a common natural occurrence in the body and they are undetectable by most diagnostic tests, they are thought to be a common cause or contributor to unexplained pain. We find unexplained chronic pain is often caused by adhesions that form after a surgery, injury or infection. Our clinic started as a place to relieve chronic pain and that remains a central focus of our work. Studies and patient testimonials address this throughout this website. 

What is a small bowel obstruction?

A small bowel obstruction is a life-threatening event which occurs when the small intestine becomes partially or fully blocked, preventing food, liquids and gas from moving through the intestines.

Symptoms include severe pain around or just below the belly button, nausea or vomiting, swelling or bloating of the stomach (distention), constipation and the inability to pass gas with a complete obstruction. Total small bowel obstructions are 100% fatal unless the adhesions are cleared. If you experience severe abdominal pain or other bowel obstruction symptoms, you should seek immediate medical attention.

What causes bowel obstruction?

Adhesions (internal scar tissue) from prior surgery are most common cause of small bowel. Other causes include hernias and Crohn’s disease, which can twist or narrow the intestine, and tumors that block the intestine.

In the large intestine, cancer is a common cause of a blockage. Other causes may include severe constipation from a hard mass of stool or narrowing of the intestine called a stricture. Adhesions can also occur as a result of:

  • diverticulitis (pouches called diverticula form in the wall of the large intestine and become inflamed or infected)
  • inflammatory bowel disease (ongoing inflammation of the intestines that may recur many times in a person’s life)
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