David McCoid - My history with pelvic pain and why I left DCT.

 

David McCoid

 

If you wish to save time reading this page I would like to make the following points. Resistance stretching is a treatment that can reduce pain and improve flexibility. It's effects are neural, it interacts with the nervous system rather than directly change tissues. Resistance stretching does NOT :

  • Stretch fascia 
  • Change the length of a muscle
  • Change posture

 Over the last five years of teaching resistance stretching to pelvic pain patients there were normally two questions that people asked me. 

Did you really have pelvic pain? and did you really recover?

Yes to both. You can learn about my experience with pelvic pain in the interview below. This interview is also included as part of the online course. 

 

 

 

 

As the interview above demonstrates 4 years ago I released an online course for pelvic pain in partnership with physical therapist Nic Bartolotta.

I first used the method called Dynamic Contraction Technique in Panama city, Panama, long before the course was made. After seeing the success I had with clients I suggested making a course for male pelvic pain. I funded in full the first shooting of the course and half of the second shot 8 months later. 

The course was a tremendous success and sold globally. The course used resistance stretching to treat pelvic pain and was called DCT for pelvic pain. DCT stands for Dynamic Contraction Technique. I also trained as a DCT practitioner.  In addition, I co-authored a book entitled Freedom from pelvic pain available on amazon.

There were many success stories, with the course discussed on English and Spanish speaking forums. 

A new perspective on Resistance Stretching

''It ain’t what you don’t know that gets you into trouble. It’s what you know for sure that just ain’t so'' - Mark Twain

In 2020 I enrolled in a four month mentoring program with a biomechanics author and world expert on stretching. I wished to educate myself further on the effects of resistance stretching and low load eccentrics. This was a mentoring program that challenged my beliefs about resistance stretching. 

I realised during this time that the effects of resistance stretching were neural and that it was not lengthening muscles or stretching fascia. The explanations we had given for the effects of resistance stretching were not accurate and could not be supported with evidence. 

Resistance stretching relieves pain through it's effect on the nervous system rather than creating tissue changes. It is simply a way of applying load to people in pain and it is essential that this load begins to slowly increase through progressive strength training.

We had essentially created a program which desensitised the nervous system and not one that changed the internal architecture of the body. DCT or resistance stretching is a form of PNF and it is a technique that begins the process of reducing pain. You can find this PNF technique discussed in the book Science of flexibility by Michael J Alter

Is pelvic pain really caused by shortened muscles? 

Resistance stretching uses eccentric contractions. While eccentric contractions lengthen tissues they increase muscle tension at the time you are performing them, they do not reduce it. The success of the course questioned many assumptions that are made about pelvic pain in particular the claim that pelvic pain is caused by tight or shortened muscles. One of the conclusions that I drew from the success of the course is that tightness is a sensation and does not mean that a muscle is shortened or have excessive tension.

Chronic pelvic pain syndrome is not an injury

I strongly disagree with DCT's position that pelvic pain patients are suffering from an injury. They are suffering from chronic pain which is very different. The idea of an injury serves to create fear in people and is disempowering. 

I adamantly disagree with DCT's statements on hypermobility. It is not possible to develop hypermobility in the body from low load stretching. Hypermobility is not something you can do to yourself. For some people it is normal and for others it is an actual condition. Hypermobility syndromes are a collection of hereditary genetic conditions that affect connective tissues and can cause a wide range of symptoms. Hypermobility syndromes are best assessed by genetic testing. High flexibility does not equate to having hypermobility. 

My view of resistance stretching was in opposition to DCT's explanation of resistance stretching. I was asked to leave DCT and was happy to do so. I wish to make it clear that I no longer have any association with DCT. When I left it was agreed that I would continue to sell the course that I originally suggested, created, edited and funded. The course is now available for free. 

The course available on this website includes the original resistance stretching course I co created with the addition of further advice on how to slowly increase load. It's a course that continues to be followed globally. 

I do not believe people need to resistance stretch for more than a month. Two weeks is normally sufficient.  When you realise that the effects of resistance stretching are neural and interacting with receptors within the muscle you also realise that people do not need to engage in hours of resistance stretching every day. This approach tends to break people mentally and increases the depression and anxiety caused by chronic pain. 

A twenty minute session performed regularly over two weeks is enough to start reducing pain. After this I advise full range strength training. This is the approach that has had the most success which you will see when you join the resistance stretch for pelvic pain forum.  Below is a post made very recently on the forum on the 3rd March,2022.  You can view Sean's testimonial on YouTube filmed in 2020 by clicking here and with Spanish subtitles here

Recovery from pelvic pain does not need to be complicated. This course is simple to follow and most importantly effective. You are in control. One of the great advantages of resistance stretching is that you can do it yourself. Self empowerment is vital to recovery from pelvic pain. You do not need to see someone in person.

My history with pelvic pain

The company DCT frequently makes the claim that I recovered with DCT. This is an extraordinary claim and verifiably not true if you watch the interview on this page. I have never received any form of treatment from anyone trained in DCT including Nic Bartolotta.  In the first interview of the course (see above) I describe how I recovered from pelvic pain. I was using resistance stretching online in Panama before the course was filmed. I suggested the filming of the course after working with clients for several months.

It was whilst at University that I first began to experience pelvic pain at the age of nineteen. This continued for 14 years until I found Katy Bowman’s Restorative Exercise™ at the age of 34. During that time I tried numerous treatments such as prostate injections, pelvic floor physical therapy in the UK and the USA. I attended the Wise Anderson clinic and eventually had pudendal nerve entrapment surgery (Filler, Dellon).
 As a result of my pudendal nerve surgeries, I had my Sacro tuberous ligaments severed on both sides and had both piriformis muscles resected. The pudendal nerve surgeries had no effect on my pain or symptoms.
If you wish to learn more about my story you are welcome to email me with questions about my experience.
I am British, have a Bachelors Degree in Politics from the University of Stirling in Scotland. I have lived most of my life in Somerset, England and 8 years in Scotland. 
David McCoid