In essence if we want to direct our lives, we should take control of our consistent actions.
It’s not what we do once in a while that shapes our lives but what we do consistently. Anonymous author
As I have written in a past blog the origin of IC from an energy science point of view is the pelvic quality expression of hot, sharp, mobile, light, dry, rough, spreading, soft, cloudy, and sticky In the past I have simplified these qualities to hot and mobile because they are so dominantly expressed but you should be aware that there is the potential for these other qualities to produce their symptoms as well in the physiology For example it’s not uncommon for patients to report a sharp, spreading, and stabbing pain in parts of the perineum or pelvic area
As I have written the pelvic nerve involvement is the common pathway to the symptom complex of the IC bladder pain syndrome(interstitial cystitis, vulvodynia, chronic prostatitis, irritable bowel syndrome, GERD, and fibromyalgia) and from an energy science perspective the above qualities become involved in the nervous tissue of the pelvis leading to this perplexing group of symptoms
DMSO bladder instillation has long been known to produce symptom relief in some of those with the IC bladder pain syndrome and there are published results of its effectiveness The reason for the symptom improvement is unclear or unstated from a matter science point of view But if we look at DMSO’s properties it has specific skin or mucosal permeability characteristics which has made it an ideal vehicle to carry various materials into the anatomy Much of the urologic concern around safety of use has been focused on bladder wall damage particularly for concentrations greater than the recommended RIMSO 50 It has been suggested that high concentrations of DMSO can lead to permanent bladder wall damage that might eventuate in surgical removal of the the bladder
DMSO has a predilection for nervous tissue and has been shown in an animal model to produce cell death in developing nervous tissue This cell destruction is probable in its human use from what we know from animal models Nonetheless the important observation is that DMSO can seek out pelvic nervous tissue as a target and has potentially damaging effects on that tissue
It is clear that there is systemic absorption from the garlic like odor that is elicited in patients receiving DMSO bladder instillation therapy So it’s quite reasonable to consider that DMSO’s mode of action in the case of IC is to penetrate the bladder mucosa and infiltrate the local pelvic nerves to in effect numb or even destroy the pelvic nerves leading to transient symptom relief
In previous blogs I have discussed the energy science’s explanation of how the IC bladder pain syndrome occurs Vata Pitta and even Kapha qualities move from the colon The Vata qualities have a predilection for nervous tissue as many of the qualities of Vata are shared by those of the nervous system tissue The energy science also tells us that the Vata quality of mobile carries the qualities of Pitta and Kapha into the pelvic nerve tissues as well
The stage is then set for these qualities to begin causing the characteristic symptoms of IC Urinary urgency and frequency(mobile), burning on urination(hot, sharp, spreading), dull ache(slow/dull, heavy, sticky,dense), generalized sporadic pain(cold, light, mobile, dry, rough, subtle) These symptoms occur not only in the bladder and general pelvic area but also lead to those in the vagina and prostate The colon may also have symptoms from the buildup of these qualities and would be interpreted as IBS
So the use of DMSO numbs or destroys the pelvic nerves and gives relief It also serves as an anti-inflammatory which is know to be present energetically in the pelvic nerves But unfortunately it becomes a bandaid which does not address the basic underlying imbalance which remains The pelvic qualities like phantom pain still remain It’s well known that cystectomy and/or prostatectomy does not clear the symptoms of IC or chronic prostatitis This is because the causative qualities are still present in the remaining tissues
There are points in therapy after nutrition and basic lifestyle behavior patterns are completed that basti management as previously described can be instituted to create a reduction of the qualities in the colon so that the qualities in the pelvis can come back to the colon for elimination
Another avenue for temporary relief from symptoms is lower rectal lidocaine administration using basti technique This is routinely done in urologic practice through bladder instillation with the use of other drugs such as steroids and heparin Labeled as bladder rescue instillations the urologist is essentially treating the pelvic nerves not the bladder My patient experience suggests that the rectal route is more effective than the bladder route but both are temporary at best The rectal administration also lasts longer and when the pain does come back it is typically not as severe as before the lidocaine
Our understanding of the etiology of IC with the help of the mechanism of action of DMSO completely supports the energy science model of how the IC bladder pain syndrome evolves
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