Is there any consensus on this?

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samsung

I am in active phase. I just developed a new plaque.

Should I be doing traction, etc. or not?

There are all kinds of threads that say leave it alone vs. throw the kitchen sink at it no matter what.
45 y.o. Single. Onset of symptoms (pain-stinging like a wasp) @ 6/2018. No sudden injury. Curve developed slowly. 40 deg. dorsal. Hourglassing. Torsion to left flaccid. 4 rounds xiaflex. Restorex, DMSO+, heat, arginine, cialis, lipoic acid, vit. K2

diehardpatriot

Penis injury in late 2017. A lump formed at injury site that caused no deformity, just pain and a palpable lump. Pain is improving through proper rest and use, diet, and mindfulness. I am always learning and looking to share things that have helped.

Pfract

Hey samsung:

If you really want to know what the consensus from the urologists on this is, then you have to see their medical guidelines. First and foremost, this is what any patient must try to do. Then, you may try other things as you see fit.

https://www.auanet.org/guidelines/peyronies-disease-guideline

QuoteCombination Therapies

An additional group of studies evaluated combination therapies. These included: verapamil intralesional + oral L-carnitine;297 verapamil intralesional + oral tamoxifen;297 interferon intralesional + oral vitamin E;298 verapamil intralesional + oral l-arginine + oral pentoxifylline;299 verapamil intralesional + oral l-arginine + oral pentoxifylline + penile traction;299 oral vitamin E with or without ICI treatments (papaverine, phentolamine, PGE1) and with or without oral colchicine;300 and ultrasound + hydrocortisone.301 These one-of-a-kind studies had small sample sizes and reported a mix of findings. All require replication in appropriately-powered randomized designs.

Mechanical Therapies

Several studies evaluated the effects of therapies categorized as mechanical. Three observational studies reported on the effects of penile traction for 4.5 to 5.0 hours a day302-304 and reported curvature improvements. One observational study evaluated the use of the vacuum pump without the constriction ring305 and also reported curvature improvement. One randomized study assessed hyperthermia (39 to 40 degrees C for 30 min twice weekly; the comparison group received intralesional verapamil) and reported curvature improvement and plaque reduction.68 Sample sizes were small; these findings require replication in appropriately-powered randomized designs.
Future Direction

Given its prevalence and its significant  psychosocial impact, better understanding of the pathophysiology of Peyronies Disease is greatly needed. In addition, this knowledge is critical to develop clinical therapies that are effective and safe. The absence of knowledge regarding what causes Peyronies Disease has two major consequences: it is not possible to advise men regarding risk factors and how the disease may be prevented and treatments remain focused on the alleviation of symptoms rather than on addressing causal mechanisms. Ideally, future treatments will be developed with full understanding of the scientific basis of the disease and that demonstrate consistent clinical effectiveness for most or all patients. Research endeavors in this field should continue to address multiple disciplinary areas including epidemiology, risk associations, pathophysiology, psychosocial assessment, diagnostics, clinical pharmacology and therapeutics, and health-related outcomes.

Basic scientific investigation effort should be geared toward elucidating the biologic mechanisms of Peyronies Disease. Current understanding of pathogenesis suggests the involvement of inflammatory factors, cytokines, growth factors and other molecular factors involved in tissue injury, fibrosis and abnormal wound healing. Ongoing scientific investigation that defines the molecular pathophysiology of this disorder can be expected to suggest molecular sites that can be targeted therapeutically. In acknowledgment of a likely genetic determinant or susceptibility for many individuals incurring Peyronies Disease, scientific focus should be intensified in discovering the genetic factors related to this condition. Investigative work involving gene expression profiles and describing gene mutations of cellular proteins involved in tissue fibrosis and plaque calcification is most relevant. Such work also may lead to establishing biomarkers that can be applied for disease evaluation and related diagnostic procedures (e.g., predictors of progression, spontaneous recovery, and possibly treatment response). Purpose in the basic scientific arena also may encompass the application of emerging technologies which, while grounded within advancements in the scientific basis of Peyronies Disease, may yield opportunities for implementing revolutionary therapeutics in the field. Besides such advances in pharmacotherapy, gene therapy, stem cell therapy and regenerative medicine may all be considered as having potential future roles in this condition.

Thinkpostiive also had very good results and according to him he started right away.

NeoV

Samsung, please spend some actual time researching the problem that seems to hurt you so much.

Begin right away, the benefits are better in the active phase. Do it for as many hours you can a day.

samsung

Not sure exactly what you mean Neo, by research the actual problem that is bothering me. Peyronie's is bothering me. If you mean stop asking questions on various forums, and do something, o.k. Trying to get answer on what to do. There are no clear cut answers so I am going to begin the traction.
45 y.o. Single. Onset of symptoms (pain-stinging like a wasp) @ 6/2018. No sudden injury. Curve developed slowly. 40 deg. dorsal. Hourglassing. Torsion to left flaccid. 4 rounds xiaflex. Restorex, DMSO+, heat, arginine, cialis, lipoic acid, vit. K2

Pfract

Samsung..... Did you read all the replies to your post above? Or are you in such distress that you can't even read English properly anymore?

Neo's answer was ''stop posting bogus threads, read as much as you can, inform your self, make sense of it, create a plan of action, share it here with others, stay focused'' rinse, repeat.

samsung

I think I understand. I will take that to mean "stop complaining and start actions." As far as bogus threads, not sure what you mean, but I will stop posting. I know what I need to know now to do what I need to do.
45 y.o. Single. Onset of symptoms (pain-stinging like a wasp) @ 6/2018. No sudden injury. Curve developed slowly. 40 deg. dorsal. Hourglassing. Torsion to left flaccid. 4 rounds xiaflex. Restorex, DMSO+, heat, arginine, cialis, lipoic acid, vit. K2

Pfract

Did you read all the replies above?  

samsung

Yes. And I take them to mean do the traction right now, stop being dramatic and if I have a question to research it first. Am I missing something?
45 y.o. Single. Onset of symptoms (pain-stinging like a wasp) @ 6/2018. No sudden injury. Curve developed slowly. 40 deg. dorsal. Hourglassing. Torsion to left flaccid. 4 rounds xiaflex. Restorex, DMSO+, heat, arginine, cialis, lipoic acid, vit. K2

JohnnyDoe

I think it's a valid question. I can advise you that, whatever you are going to try, do not go too extreme, especially in the beginning. Try it for a short amount of time and give it some time to see how your body reacts. As you have read, injuries can occur if you are not careful. Everybody seems to react differently and there are not really standard protocols.  
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Pfract

Yes, you are correct Samsung. But did you read the entire article on the guidelines? Be honest  

samsung

Yes, I read the entire article. What are you getting at or what am I missing?
45 y.o. Single. Onset of symptoms (pain-stinging like a wasp) @ 6/2018. No sudden injury. Curve developed slowly. 40 deg. dorsal. Hourglassing. Torsion to left flaccid. 4 rounds xiaflex. Restorex, DMSO+, heat, arginine, cialis, lipoic acid, vit. K2