Destiny Bochinski, PT, DPT

Destiny Bochinski, PT, DPT, PRPC

Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

Courses Instructed by Destiny Bochinski

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    Pelvic Floor Level 1 - Grand Junction, CO - June 27-28, 2020 (SOLD OUT)

    {dtregister}838{/dtregister}
    Grand Junction
    • Description

    • Schedule

    • Objectives

    • Location Lodging

    • Instructors

    • Discounts

    Price: $695 ($725 within one month of the course)
    Experience Level: Beginner

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Assignments

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation (1 hour 15 min)

    Day One:

    7:30 Registration
    8:00 Introduction, goals, objectives, questions
    8:30 Pelvic Floor (PF) Anatomy and Evaluation
    9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    10:15 Break
    10:30 Pelvic Floor Evaluation (Continued)
    11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    12:00 Lunch
    1:00 Urinary Incontinence Examination & Interventions Part II
    1:45 Lab 3: Bladder Diary Activity
    2:30 Break
    2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
    4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
    5:00 Questions
    5:15 Adjourn

    Day Two:

    7:30 Questions, Post-test Day 2
    7:45 Pelvic Organ Prolapse
    8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:45 Break
    10:00 Specific Diagnoses in Female Pelvic Pain
    11:15 Managing Movement Part II: Pressures & Load Transfer
    12:00 Lunch
    1:00 Managing Movement Part II: Pressures & Load Transfer
    1:45 Final Lab Preparation
    2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    3:15 Break
    3:30 Case Studies
    4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    4:15 Adjourn

     

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

     NameStreet Address (Links to Map)
    Course Location

    Community Hospital

    2351 G Road
    Grand Junction, CO 81505
    Recommended Lodging

    Holiday Inn Express and Suites Grand Junction
    (970)-245-8164

    625 Rae Lynn St.
    Grand Junction, CO 81505
    Nearest Airport

    Grand Junction Regional Airport
    Airport Code: GJT

    2828 Walker Field Dr,
    Grand Junction, CO 81506

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Tara Sullivan, PT, DPT, PRPC, WCS, IF

    Tara Sullivan, PT, DPT, PRPC, WCS, IF

    Dr. Tara Sullivan, PT, PRPC, WCS, IF (she/her) started in the healthcare field as a massage therapist practicing for over ten years, including three years of teaching massage and anatomy & physiology. During that time, she attended college at Oregon State University earning her Bachelor of Science degree in Exercise and Sport Science, and she continued to earn her Masters of Science in Human Movement and Doctorate in Physical Therapy from A.T. Still University. Dr. Tara has specialized in Pelvic Floor Dysfunction (PFD) treating bowel, bladder, sexual dysfunctions, and pelvic pain exclusively since 2012. She has earned her Pelvic Rehabilitation Practitioner Certification (PRPC) deeming her an expert in the field of pelvic rehabilitation, treating men, women, and children. Dr. Sullivan is also a board-certified clinical specialist in women’s health (WCS) through the APTA and a Fellow of the International Society for the Study of Women's Sexual Health (IF).

    Dr. Tara established the pelvic health program at HonorHealth in Scottsdale and expanded the practice to 12 locations across the valley. She continues treating patients with her hands-on individualized approach, taking the time to listen and educate them, empowering them to return to a healthy and improved quality of life. Dr. Tara has developed and taught several pelvic health courses and lectures at local universities in Arizona including Northern Arizona University, Franklin Pierce University, and Midwestern University. In 2019, she joined the faculty team at Herman and Wallace teaching continuing education courses for rehab therapists and other health care providers interested in the pelvic health specialty, including a course she authored-Sexual Medicine in Pelvic Rehab, and co-author of Pain Science for the Chronic Pelvic Pain Population. Dr. Tara is very passionate about creating awareness of Pelvic Floor Dysfunction and launched her website pelvicfloorspecialist.com to continue educating the public and other healthcare professionals.

    In March 2024, Dr. Tara left HonorHealth and founded her company Mind to Body Healing (M2B) to continue spreading awareness on pelvic health, mentor other healthcare providers, and incorporate sexual counseling into her pelvic floor physical therapy practice. She has partnered with Co-Owner, Dr. Kylee Austin, PT.

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - Salt Lake City, UT - September 12-13, 2020 (Rescheduled)

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    SaltLakeCity
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $695 ($725 within one month of the course)
    Experience Level: Beginner

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Assignments

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation (1 hour 15 min)

    Day One:

    7:30 Registration
    8:00 Introduction, goals, objectives, questions
    8:30 Pelvic Floor (PF) Anatomy and Evaluation
    9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    10:15 Break
    10:30 Pelvic Floor Evaluation (Continued)
    11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    12:00 Lunch
    1:00 Urinary Incontinence Examination & Interventions Part II
    1:45 Lab 3: Bladder Diary Activity
    2:30 Break
    2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
    4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
    5:00 Questions
    5:15 Adjourn

    Day Two:

    7:30 Questions, Post-test Day 2
    7:45 Pelvic Organ Prolapse
    8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:45 Break
    10:00 Specific Diagnoses in Female Pelvic Pain
    11:15 Managing Movement Part II: Pressures & Load Transfer
    12:00 Lunch
    1:00 Managing Movement Part II: Pressures & Load Transfer
    1:45 Final Lab Preparation
    2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    3:15 Break
    3:30 Case Studies
    4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    4:15 Adjourn

     

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Rocky Mountain University of Health Professions

    122 E 1700 South
    Building #3
    Provo, UT 84606
    Recommended Lodging

    Hampton Inn Provo
    (801) 377-6396

    1511 S 40 E St
    Provo, UT 84606
    Nearest Airport

    Salt Lake City International Airport
    Airport Code: SLC

    776 N Terminal Dr
    Salt Lake City, UT 84122

     

    Directions from Recommended Lodging to Course Location:

     

    Tara Sullivan, PT, DPT, PRPC, WCS, IF

    Tara Sullivan, PT, DPT, PRPC, WCS, IF

    Dr. Tara Sullivan, PT, PRPC, WCS, IF (she/her) started in the healthcare field as a massage therapist practicing for over ten years, including three years of teaching massage and anatomy & physiology. During that time, she attended college at Oregon State University earning her Bachelor of Science degree in Exercise and Sport Science, and she continued to earn her Masters of Science in Human Movement and Doctorate in Physical Therapy from A.T. Still University. Dr. Tara has specialized in Pelvic Floor Dysfunction (PFD) treating bowel, bladder, sexual dysfunctions, and pelvic pain exclusively since 2012. She has earned her Pelvic Rehabilitation Practitioner Certification (PRPC) deeming her an expert in the field of pelvic rehabilitation, treating men, women, and children. Dr. Sullivan is also a board-certified clinical specialist in women’s health (WCS) through the APTA and a Fellow of the International Society for the Study of Women's Sexual Health (IF).

    Dr. Tara established the pelvic health program at HonorHealth in Scottsdale and expanded the practice to 12 locations across the valley. She continues treating patients with her hands-on individualized approach, taking the time to listen and educate them, empowering them to return to a healthy and improved quality of life. Dr. Tara has developed and taught several pelvic health courses and lectures at local universities in Arizona including Northern Arizona University, Franklin Pierce University, and Midwestern University. In 2019, she joined the faculty team at Herman and Wallace teaching continuing education courses for rehab therapists and other health care providers interested in the pelvic health specialty, including a course she authored-Sexual Medicine in Pelvic Rehab, and co-author of Pain Science for the Chronic Pelvic Pain Population. Dr. Tara is very passionate about creating awareness of Pelvic Floor Dysfunction and launched her website pelvicfloorspecialist.com to continue educating the public and other healthcare professionals.

    In March 2024, Dr. Tara left HonorHealth and founded her company Mind to Body Healing (M2B) to continue spreading awareness on pelvic health, mentor other healthcare providers, and incorporate sexual counseling into her pelvic floor physical therapy practice. She has partnered with Co-Owner, Dr. Kylee Austin, PT.

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - Santa Cruz, CA - January 10-12, 2020 (SOLD OUT)

    {dtregister}901{/dtregister}
    Santa Cruz
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $695 ($725 within one month of the course)
    Experience Level: Beginner

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Assignments

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding text book are not required to purchase an additional one.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation (1 hour 15 min)

    Day One:

    7:30 Registration
    8:00 Introduction, goals, objectives, questions
    8:30 Pelvic Floor (PF) Anatomy and Evaluation
    9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    10:15 Break
    10:30 Pelvic Floor Evaluation (Continued)
    11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    12:00 Lunch
    1:00 Urinary Incontinence Examination & Interventions Part II
    1:45 Lab 3: Bladder Diary Activity
    2:30 Break
    2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
    4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications
    5:00 Questions
    5:15 Adjourn

    Day Two:

    7:30 Questions, Post-test Day 2
    7:45 Pelvic Organ Prolapse
    8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:45 Break
    10:00 Specific Diagnoses in Female Pelvic Pain
    11:15 Managing Movement Part II: Pressures & Load Transfer
    12:00 Lunch
    1:00 Managing Movement Part II: Pressures & Load Transfer
    1:45 Final Lab Preparation
    2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    3:15 Break
    3:30 Case Studies
    4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    4:15 Adjourn

     

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

     NameStreet Address (Links to Map)
    Course Location

    Dominican Hospital Rehabilitation Center

    610 Frederick Street
    Santa Cruz, CA 95062
    Recommended Lodging

    Hyatt Place Santa Cruz
    (831)-226-2300

    407 Broadway Avenue
    Santa Cruz, CA 95060
    Nearest Airport

    Norman Y. Mineta San Jose International Airport
    Airport Code: SJC

    1701 Airport Blvd
    San Jose, CA 95110

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Instructor - GabelsbergJenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC

    Jenni Gabelsberg  DPT, MSc, MTC, PRPC

    Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - Satellite Lab Course - August 27-28, 2022

    Pacific Time - Day 1: 6:30am - 3:00pm / Day 2: 6:30am - 2:15pm

    • Description

    • Schedule

    • Objectives

    • Instructors

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

    This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

     

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities. 

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    Audience

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

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    Pelvic Floor Level 1 - Satellite Lab Course - June 11-12, 2022

    Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 4:45pm

    • Description

    • Schedule

    • Objectives

    • Instructors

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

    This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

     

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities. 

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    Audience

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

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    Pelvic Floor Level 1 - Satellite Lab Course - May 1-2, 2021

    Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 4:45pm

    Holly

    • Description

    • Schedule

    • Objectives

    • Instructors

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

    This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

     

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities. 

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    Audience

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

    Instructors - Futterman

    Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD, PRPC

     Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD, PRPC

    Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD, PPRC, (she/her) received her Master’s Degree in Physical Therapy from Nova Southeastern University in South Florida in 1996. After graduation she relocated to Chicago where she began specializing in women’s health issues including the treatment of incontinence, pelvic pain and prenatal/postpartum musculoskeletal issues. She returned to the east coast in 2003 and is now the owner of 5 Point Physical Therapy, a specialty physical therapy clinic for male and female pelvic dysfunction in New York City. Stacey, along side Dr. Deborah Coady, recently presented for International Pelvic Pain Society’s annual meeting in Chicago on their research of hip pathology and its relationship to pelvic pain. She has been featured on CBS New York and has presented for the APTA National Conference 2007 for the treatment of male pelvic pain.


    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

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    Pelvic Floor Level 1 Satellite Lab Course - Baldwin, WI May 1-2 2021

    Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 6:45pm

    {dtregister}1777{/dtregister}

    Baldwin

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

    This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

     

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities. 

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    Audience

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Western Wisconsin Health

    1100 Bergslien St
    Baldwin, WI 54002
    Recommended Lodging

    Cobblestone Hotel & Suites - Baldwin
    (715) 684-5888

    500 Baldwin Plaza Drive
    Baldwin, WI 54002
    Nearest Airport

    Minneapolis−Saint Paul International Airport
    Airport Code: MSP

    Minnesota, United States

     

    Directions from Recommended Lodging to Course Location

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 Satellite Lab Course - East Norriton, PA May 1-2 2021 (SOLD OUT)

    Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 7:45pm

    {dtregister}1739{/dtregister}

    East Norriton

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

    This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

     

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities. 

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    Audience

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Core 3 Physical Therapy

    325 W Germantown Pike
    Sycamore Hill Medical Complex
    East Norriton, PA 19403
    Recommended Lodging

    Springhill Suites by Marriott
    610-940-0400

    430 Plymouth Meeting Rd
    Plymouth Meeting, PA 19462
    Nearest Airport

    Philadelphia International Airport
    Airport Code: PHL

    8000 Essington Ave
    Philadelphia, PA 19153

     

    Directions from Recommended Lodging to Course Location:

     

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 Satellite Lab Course - Libertyville, IL May 1-2 2021

    Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 6:45pm

    {dtregister}1776{/dtregister}

    Libertyville

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

    This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

     

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities. 

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    Audience

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Advocate Condell Medical Center

    801 S Milwaukee Ave
    Libertyville, IL 60048
    Recommended Lodging

    Hampton Inn & Suites Chicago-Libertyville
    (847)-680-8828

    2061 Shell Dr
    Libertyville, IL 60048
    Nearest Airport

    O'Hare International Airport
    Airport Code: ORD

    10000 W O'Hare Ave
    Chicago, IL 60666

     

    Directions from Recommended Lodging to Course Location

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 Satellite Lab Course - Omaha, NE May 1-2 2021 (SOLD OUT)

    Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 6:45pm

    {dtregister}1710{/dtregister}

    OmahaV1

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

    This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

     

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities. 

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    Audience

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Nebraska Medicine

    42nd and, Emile St, Bennett Hall Room 4016
    Omaha, NE 68198
    Recommended Lodging

    Home2 Suites by Hilton Omaha UN Medical Ctr Area
    (402)-504-4848

    4440 Douglas St
    Omaha, NE 68131
    Nearest Airport

    Eppley Airfield
    Airport Code: OMA

    4501 Abbott Dr
    Omaha, NE 68110

     

    Directions from Recommended Lodging to Course Location

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 Satellite Lab Course - St. Louis, MO May 1-2 2021 (SOLD OUT)

    Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 6:45pm

    {dtregister}1751{/dtregister}

    St Louis

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants. 

     

    This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.

     

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities. 

     

    Prerequisites

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom  All pre-recorded lectures must be completed before attending the first day of class. 

     

    Audience

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 10 hours

    1) Pelvic Floor Anatomy & Function (51 minutes)
    2) Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3) Managing Movement (1 hour)
    4) Urinary Incontinence (1 hour 30 min)
    5) Introduction to Pelvic Pain (1 hour 10 min)
    6) General Treatment of Pelvic Pain (1 hour)
    7) Awareness of Trauma (1 hour)
    8) Pelvic Organ Prolapse (1 hour 10 min)
    9) Introduction to Biofeedback and Electrical Stimulation (46 min)
    10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)


    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, goals, objectives, questions
    6:45 - Pelvic Floor (PF) Anatomy and Evaluation
    7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    8:45 - Break
    9:00 - Pelvic Floor Evaluation (Continued)
    9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    10:30 - Lunch
    11:30 - Urinary Incontinence Examination & Interventions Part II
    1:00 - Break
    1:15 - Lab 3: Bladder Diary Activity
    2:00 - Questions
    2:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    7:30 - Break
    7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    9:00 - Specific Diagnoses in Female Pelvic Pain
    10:30 - Lunch
    11:00 - Managing Movement Part II: Pressures & Load Transfer
    12:45 - Final Lab Preparation Presentation
    1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    2:00 - Break
    2:15 - Case Studies
    2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    3:00 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Excel Spine & Sports Rehab

    4800 Mexico Rd # 104
    St Peters, MO 63376
    Recommended Lodging

    Courtyard by Marriott St. Louis St. Peters
    (636)-477-6900

    4341 Veterans Memorial Pkwy
    St Peters, MO 63376
    Nearest Airport

    St. Louis Lambert International Airport
    Airport Code: STL

    10701 Lambert International Blvd
    St. Louis, MO 63145

     

    Directions from Recommended Lodging to Course Location

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A - San Diego, CA - February 7-9, 2020 (SOLD OUT)

    {dtregister}823{/dtregister}
    SanDiego
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $695 ($725 within one month of the course)
    Experience Level: Intermediate
    Contact Hours: 22.5

    This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the In-Person Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

    7:30 Registration
    8:00 Introduction, Goals, Objectives
    8:30 Colorectal Anatomy and Physiology Review, Anorectal Examination
    9:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    10:15 Break
    10:30 Fecal Incontinence, Case Study
    11:15 Constipation, Case Study
    12:00 Lunch
    1:00 Pelvic Pain: Prostatitis, Scrotal Pain
    2:00 Coccyx Dysfunction
    3:00 Break
    3:15 LAB 2: External Palpation & Intervention Posterior Pelvis
    4:15 Prostatectomy Part I
    5:15 Questions
    5:30 Adjourn

    Day Two:

    7:45 Questions from Day 1, Post-test Day 1
    8:00 Prostatectomy Part II
    8:45 Pudendal
    9:45 Break
    10:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    11:15 LAB 4: Inclusive Language
    12:00 Lunch
    12:45 Colorectal Conditions
    2:00 Break
    2:15 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    3:30 Questions
    4:00 Adjourn

     

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

      Name Street Address (Links to Map)
    Course Location

    FunctionSmart Physical Therapy

    5945 Pacific Center Blvd Suite 510
    San Diego, CA 92121
    Recommended Lodging

    Residence Inn San Diego Sorrento Mesa
    (858) 552-9100

    5995 Pacific Mesa Ct
    San Diego, CA 92121
    Nearest Airport

    San Diego International Airport
    Airport Code: SAN

    3225 N Harbor Dr
    San Diego, CA 92101

     

    Directions from Recommended Lodging to Course Location

     

    Instructor - GabelsbergJenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC

    Jenni Gabelsberg  DPT, MSc, MTC, PRPC

    Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A - Satellite Lab Course - April 24-25, 2022

    Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 3:30pm

    • Description

    • Schedule

    • Objectives

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 9.3 hours

    1) Colorectal Anatomy & Physiology (60 min)
    2) Medical Testing & Rehab Examination (44 min)
    3) Fecal Incontinence (43 min)
    4) Constipation (56 min)
    5) Anatomy: Pelvic Floor, Penis, Scrotum & Spermatic Cord (62 min)
    6) Pudendal Nerve Dysfunction (87 min)
    7) Topics in Inclusive Care (64 min)
    8) Colorectal Conditions (40 min)
    9) Nutrition Concepts in Bowel Health (30 min)
    10) Prostate Dysfunction (73 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, Goals, Objectives
    6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep
    7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    8:45 - Break
    9:00 - Fecal Incontinence, Case Study
    9:45 - Constipation, Case Study
    10:45 - Lunch
    11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord
    12:45 - Coccyx Dysfunction
    1:45 - Break
    2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis
    3:00 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Prostate & Prostatectomy Part II - Rehabilitation
    7:45 - Pudendal Nerve Dysfunction Part II
    8:30 - Break
    8:45 - Pudendal Nerve Dysfunction Part II (Continued)
    9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    10:45 - Lunch
    11:30 - LAB 4: Inclusive Language
    12:15 - Break
    12:30 - Colorectal Conditions
    2:00 - Questions
    2:15 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A - Satellite Lab Course - November 20-21, 2021

    Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 3:30pm

    • Description

    • Schedule

    • Objectives

    • Instructors

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 9.3 hours

    1) Colorectal Anatomy & Physiology (60 min)
    2) Medical Testing & Rehab Examination (44 min)
    3) Fecal Incontinence (43 min)
    4) Constipation (56 min)
    5) Anatomy: Pelvic Floor, Penis, Scrotum & Spermatic Cord (62 min)
    6) Pudendal Nerve Dysfunction (87 min)
    7) Topics in Inclusive Care (64 min)
    8) Colorectal Conditions (40 min)
    9) Nutrition Concepts in Bowel Health (30 min)
    10) Prostate Dysfunction (73 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, Goals, Objectives
    6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep
    7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    8:45 - Break
    9:00 - Fecal Incontinence, Case Study
    9:45 - Constipation, Case Study
    10:45 - Lunch
    11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord
    12:45 - Coccyx Dysfunction
    1:45 - Break
    2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis
    3:00 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Prostate & Prostatectomy Part II - Rehabilitation
    7:45 - Pudendal Nerve Dysfunction Part II
    8:30 - Break
    8:45 - Pudendal Nerve Dysfunction Part II (Continued)
    9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    10:45 - Lunch
    11:30 - LAB 4: Inclusive Language
    12:15 - Break
    12:30 - Colorectal Conditions
    2:00 - Questions
    2:15 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

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    Pelvic Floor Level 2A Satellite Lab Course - Baltimore, MD - November 20-21, 2021 (SOLD OUT)

    Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 6:30pm

    {dtregister}1919{/dtregister}

    Baltimore

    Image retrieved from Wikimedia Commons courtesy of Smallbones
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 9.3 hours

    1) Colorectal Anatomy & Physiology (60 min)
    2) Medical Testing & Rehab Examination (44 min)
    3) Fecal Incontinence (43 min)
    4) Constipation (56 min)
    5) Anatomy: Pelvic Floor, Penis, Scrotum & Spermatic Cord (62 min)
    6) Pudendal Nerve Dysfunction (87 min)
    7) Topics in Inclusive Care (64 min)
    8) Colorectal Conditions (40 min)
    9) Nutrition Concepts in Bowel Health (30 min)
    10) Prostate Dysfunction (73 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, Goals, Objectives
    6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep
    7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    8:45 - Break
    9:00 - Fecal Incontinence, Case Study
    9:45 - Constipation, Case Study
    10:45 - Lunch
    11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord
    12:45 - Coccyx Dysfunction
    1:45 - Break
    2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis
    3:00 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Prostate & Prostatectomy Part II - Rehabilitation
    7:45 - Pudendal Nerve Dysfunction Part II
    8:30 - Break
    8:45 - Pudendal Nerve Dysfunction Part II (Continued)
    9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    10:45 - Lunch
    11:30 - LAB 4: Inclusive Language
    12:15 - Break
    12:30 - Colorectal Conditions
    2:00 - Questions
    2:15 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

      Name Street Address (Links to Map)
    Course Location

    Sparks Physical Therapy

    954 Ridgebrook Rd STE 330
    Sparks Glencoe, MD 21152
    Recommended Lodging

    Courtyard by Marriott Baltimore Hunt Valley
    (410) 584-7070

    221 International Cir
    Hunt Valley, MD 21030
    Nearest Airport

    Baltimore/Washington International Thurgood Marshall Airport
    Airport Code: BWI

    Baltimore, MD 21240

     

    Directions from Recommended Lodging to Course Location

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A Satellite Lab Course - Bedford, TX - April 24-25, 2022

    Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 5:30pm

    {dtregister}2466{/dtregister}

    Bedford

    Image retrieved from Wikimedia Commons courtesy of Farragutful
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 9.3 hours

    1) Colorectal Anatomy & Physiology (60 min)
    2) Medical Testing & Rehab Examination (44 min)
    3) Fecal Incontinence (43 min)
    4) Constipation (56 min)
    5) Anatomy: Pelvic Floor, Penis, Scrotum & Spermatic Cord (62 min)
    6) Pudendal Nerve Dysfunction (87 min)
    7) Topics in Inclusive Care (64 min)
    8) Colorectal Conditions (40 min)
    9) Nutrition Concepts in Bowel Health (30 min)
    10) Prostate Dysfunction (73 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, Goals, Objectives
    6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep
    7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    8:45 - Break
    9:00 - Fecal Incontinence, Case Study
    9:45 - Constipation, Case Study
    10:45 - Lunch
    11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord
    12:45 - Coccyx Dysfunction
    1:45 - Break
    2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis
    3:00 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Prostate & Prostatectomy Part II - Rehabilitation
    7:45 - Pudendal Nerve Dysfunction Part II
    8:30 - Break
    8:45 - Pudendal Nerve Dysfunction Part II (Continued)
    9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    10:45 - Lunch
    11:30 - LAB 4: Inclusive Language
    12:15 - Break
    12:30 - Colorectal Conditions
    2:00 - Questions
    2:15 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

      Name Street Address (Links to Map)
    Course Location

    Beyond Therapy and Wellness PLLC

    1248 Harwood Rd
    Bedford, TX 76021
    Recommended Lodging

    Super 8 by Wyndham Bedford DFW Airport West
    (817)-803-4055

    1800 Airport Fwy
    Bedford, TX 76022
    Nearest Airport

    Dallas/Fort Worth International Airport
    Airport Code: DFW

    2400 Aviation Dr
    DFW Airport, TX 75261

     

    Directions from Recommended Lodging to Course Location

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A Satellite Lab Course - Bensonhurst(Brooklyn), NY - April 24-25, 2022

    Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 6:30pm

    {dtregister}2442{/dtregister}

    Bensonhurst

    Image retrieved from Wikimedia Commons courtesy of Jim.henderson
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 9.3 hours

    1) Colorectal Anatomy & Physiology (60 min)
    2) Medical Testing & Rehab Examination (44 min)
    3) Fecal Incontinence (43 min)
    4) Constipation (56 min)
    5) Anatomy: Pelvic Floor, Penis, Scrotum & Spermatic Cord (62 min)
    6) Pudendal Nerve Dysfunction (87 min)
    7) Topics in Inclusive Care (64 min)
    8) Colorectal Conditions (40 min)
    9) Nutrition Concepts in Bowel Health (30 min)
    10) Prostate Dysfunction (73 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, Goals, Objectives
    6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep
    7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    8:45 - Break
    9:00 - Fecal Incontinence, Case Study
    9:45 - Constipation, Case Study
    10:45 - Lunch
    11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord
    12:45 - Coccyx Dysfunction
    1:45 - Break
    2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis
    3:00 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Prostate & Prostatectomy Part II - Rehabilitation
    7:45 - Pudendal Nerve Dysfunction Part II
    8:30 - Break
    8:45 - Pudendal Nerve Dysfunction Part II (Continued)
    9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    10:45 - Lunch
    11:30 - LAB 4: Inclusive Language
    12:15 - Break
    12:30 - Colorectal Conditions
    2:00 - Questions
    2:15 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

      Name Street Address (Links to Map)
    Course Location

    PT of The City - Bensonhurst

    8746 20th Ave
    Level L
    Brooklyn, NY 11214
    Recommended Lodging

    Best Western Brooklyn-Coney Island Inn
    (718) 975-8299

    2632 W 13th St
    Brooklyn, NY 11223
    Nearest Airport

    Newark Liberty International Airport
    Airport Code: EWR

    3 Brewster Rd
    Newark, NJ 07114

     

    Directions from Recommended Lodging to Course Location

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A Satellite Lab Course - Berrien Springs, MI - April 24-25, 2022

    Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 6:30pm

    {dtregister}2230{/dtregister}

    Berrien_Springs

    Image retrieved from Wikimedia Commons courtesy of rossograph
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 9.3 hours

    1) Colorectal Anatomy & Physiology (60 min)
    2) Medical Testing & Rehab Examination (44 min)
    3) Fecal Incontinence (43 min)
    4) Constipation (56 min)
    5) Anatomy: Pelvic Floor, Penis, Scrotum & Spermatic Cord (62 min)
    6) Pudendal Nerve Dysfunction (87 min)
    7) Topics in Inclusive Care (64 min)
    8) Colorectal Conditions (40 min)
    9) Nutrition Concepts in Bowel Health (30 min)
    10) Prostate Dysfunction (73 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, Goals, Objectives
    6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep
    7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    8:45 - Break
    9:00 - Fecal Incontinence, Case Study
    9:45 - Constipation, Case Study
    10:45 - Lunch
    11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord
    12:45 - Coccyx Dysfunction
    1:45 - Break
    2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis
    3:00 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Prostate & Prostatectomy Part II - Rehabilitation
    7:45 - Pudendal Nerve Dysfunction Part II
    8:30 - Break
    8:45 - Pudendal Nerve Dysfunction Part II (Continued)
    9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    10:45 - Lunch
    11:30 - LAB 4: Inclusive Language
    12:15 - Break
    12:30 - Colorectal Conditions
    2:00 - Questions
    2:15 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

      Name Street Address (Links to Map)
    Course Location

    Andrews University

    8515 East Campus Circle Dr
    Berrien Springs, MI 49104
    Recommended Lodging

    Andrews Guest Rooms
    (269)-471-3360

    Andrews University
    Berrien Springs, MI
    Nearest Airport

    South Bend International Airport
    Airport Code: SBN

    4477 Progress Dr,
    South Bend, IN 46628

     

    Directions from Recommended Lodging to Course Location:

     

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A Satellite Lab Course - Boston, MA - November 20-21, 2021

    Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 6:30pm

    {dtregister}1963{/dtregister}

    Boston

    Image retrieved from Wikimedia Commons courtesy of ahundt
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 9.3 hours

    1) Colorectal Anatomy & Physiology (60 min)
    2) Medical Testing & Rehab Examination (44 min)
    3) Fecal Incontinence (43 min)
    4) Constipation (56 min)
    5) Anatomy: Pelvic Floor, Penis, Scrotum & Spermatic Cord (62 min)
    6) Pudendal Nerve Dysfunction (87 min)
    7) Topics in Inclusive Care (64 min)
    8) Colorectal Conditions (40 min)
    9) Nutrition Concepts in Bowel Health (30 min)
    10) Prostate Dysfunction (73 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, Goals, Objectives
    6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep
    7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    8:45 - Break
    9:00 - Fecal Incontinence, Case Study
    9:45 - Constipation, Case Study
    10:45 - Lunch
    11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord
    12:45 - Coccyx Dysfunction
    1:45 - Break
    2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis
    3:00 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Prostate & Prostatectomy Part II - Rehabilitation
    7:45 - Pudendal Nerve Dysfunction Part II
    8:30 - Break
    8:45 - Pudendal Nerve Dysfunction Part II (Continued)
    9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    10:45 - Lunch
    11:30 - LAB 4: Inclusive Language
    12:15 - Break
    12:30 - Colorectal Conditions
    2:00 - Questions
    2:15 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

      Name Street Address (Links to Map)
    Course Location

    Emerson Wellness Center for Mind and Body

    310 Baker Ave
    Concord, MA 01742
    Recommended Lodging

    Residence Inn Boston Concord
    (978) 341-0003

    320 Baker Avenue
    Concord, MA 01742
    Nearest Airport

    Logan International Airport
    Airport Code: BOS

    1 Harborside Dr
    Boston, MA 02128

     

    Directions from Recommended Lodging to Course Location

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A Satellite Lab Course - Chico, CA - April 24-25, 2022

    Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 3:30pm

    {dtregister}2427{/dtregister}

    Chico

    Image retrieved from Wikimedia Commons courtesy of Frank Schulenburg
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 9.3 hours

    1) Colorectal Anatomy & Physiology (60 min)
    2) Medical Testing & Rehab Examination (44 min)
    3) Fecal Incontinence (43 min)
    4) Constipation (56 min)
    5) Anatomy: Pelvic Floor, Penis, Scrotum & Spermatic Cord (62 min)
    6) Pudendal Nerve Dysfunction (87 min)
    7) Topics in Inclusive Care (64 min)
    8) Colorectal Conditions (40 min)
    9) Nutrition Concepts in Bowel Health (30 min)
    10) Prostate Dysfunction (73 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, Goals, Objectives
    6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep
    7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    8:45 - Break
    9:00 - Fecal Incontinence, Case Study
    9:45 - Constipation, Case Study
    10:45 - Lunch
    11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord
    12:45 - Coccyx Dysfunction
    1:45 - Break
    2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis
    3:00 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Prostate & Prostatectomy Part II - Rehabilitation
    7:45 - Pudendal Nerve Dysfunction Part II
    8:30 - Break
    8:45 - Pudendal Nerve Dysfunction Part II (Continued)
    9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    10:45 - Lunch
    11:30 - LAB 4: Inclusive Language
    12:15 - Break
    12:30 - Colorectal Conditions
    2:00 - Questions
    2:15 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

      Name Street Address (Links to Map)
    Course Location

    Simply Results Physical Therapy

    9 Williamsburg Lane
    Chico, CA 95926
    Recommended Lodging

    Best Western Heritage Inn - Chico
    (530) 894-8600

    25 Heritage Ln
    Chico, CA 95926
    Nearest Airport

    Sacramento International Airport
    Airport Code: SMF

    6900 Airport Blvd
    Sacramento, CA 95837

     

    Directions from Recommended Lodging to Course Location

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A Satellite Lab Course - Houston, TX - April 24-25, 2022

    Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 5:30pm

    {dtregister}2410{/dtregister}

    Houston

    Image retrieved from Wikimedia Commons courtesy of Ed Schipul
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 9.3 hours

    1) Colorectal Anatomy & Physiology (60 min)
    2) Medical Testing & Rehab Examination (44 min)
    3) Fecal Incontinence (43 min)
    4) Constipation (56 min)
    5) Anatomy: Pelvic Floor, Penis, Scrotum & Spermatic Cord (62 min)
    6) Pudendal Nerve Dysfunction (87 min)
    7) Topics in Inclusive Care (64 min)
    8) Colorectal Conditions (40 min)
    9) Nutrition Concepts in Bowel Health (30 min)
    10) Prostate Dysfunction (73 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, Goals, Objectives
    6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep
    7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    8:45 - Break
    9:00 - Fecal Incontinence, Case Study
    9:45 - Constipation, Case Study
    10:45 - Lunch
    11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord
    12:45 - Coccyx Dysfunction
    1:45 - Break
    2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis
    3:00 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Prostate & Prostatectomy Part II - Rehabilitation
    7:45 - Pudendal Nerve Dysfunction Part II
    8:30 - Break
    8:45 - Pudendal Nerve Dysfunction Part II (Continued)
    9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    10:45 - Lunch
    11:30 - LAB 4: Inclusive Language
    12:15 - Break
    12:30 - Colorectal Conditions
    2:00 - Questions
    2:15 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

      Name Street Address (Links to Map)
    Course Location

    Texas Children's Hospital - West Campus

    Texas Children’s Hospital West Campus
    18200 Katy Freeway @ Barker Cypress
    Houston, TX 77094
    Recommended Lodging

    Best Western Premier Energy Corridor
    (281) 599-3249

    1549 Westborough Drive
    Katy, TX 77449
    Nearest Airport

    George Bush Intercontinental Airport
    Airport Code: IAH

    2800 N Terminal Rd
    Houston, TX 77032

     

    Directions from Recommended Lodging to Course Location

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A Satellite Lab Course - Indianapolis, IN - November 20-21, 2021

    Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 7:45pm

    {dtregister}2080{/dtregister}

    Indianapolis

    Image retrieved from Wikimedia Commons courtesy of 1778011
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 9.3 hours

    1) Colorectal Anatomy & Physiology (60 min)
    2) Medical Testing & Rehab Examination (44 min)
    3) Fecal Incontinence (43 min)
    4) Constipation (56 min)
    5) Anatomy: Pelvic Floor, Penis, Scrotum & Spermatic Cord (62 min)
    6) Pudendal Nerve Dysfunction (87 min)
    7) Topics in Inclusive Care (64 min)
    8) Colorectal Conditions (40 min)
    9) Nutrition Concepts in Bowel Health (30 min)
    10) Prostate Dysfunction (73 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, Goals, Objectives
    6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep
    7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    8:45 - Break
    9:00 - Fecal Incontinence, Case Study
    9:45 - Constipation, Case Study
    10:45 - Lunch
    11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord
    12:45 - Coccyx Dysfunction
    1:45 - Break
    2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis
    3:00 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Prostate & Prostatectomy Part II - Rehabilitation
    7:45 - Pudendal Nerve Dysfunction Part II
    8:30 - Break
    8:45 - Pudendal Nerve Dysfunction Part II (Continued)
    9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    10:45 - Lunch
    11:30 - LAB 4: Inclusive Language
    12:15 - Break
    12:30 - Colorectal Conditions
    2:00 - Questions
    2:15 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

      Name Street Address (Links to Map)
    Course Location

    Franciscan Health

    5255 East Stop 11 Road
    Indianapolis, IN 46237
    Recommended Lodging

    Country Inn & Suites by Radisson, Indianapolis South, IN
    (317) 859-6666

    4325 Southport Crossings Way
    Indianapolis, IN 46237
    Nearest Airport

    Indianapolis International Airport
    Airport Code: IND

    7800 Col. H. Weir Cook Memorial Dr
    Indianapolis, IN 46241

     

    Directions from Recommended Lodging to Course Location

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A Satellite Lab Course - Self-Hosted - November 20-21 2021

    Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 3:30pm

    {dtregister}1825{/dtregister}

    Self-hosted

    • Description

    • Schedule

    • Objectives

    • Self-Hosted Course Info

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a self-hosted satellite offering of our PF2A course. A satellite course means that the instructor is presently live on Zoom and that participants are gathering in various locations in order to participate and practice labs with one another. Self-hosted means that participants must register in pairs or small groups and practice on each other during lab time. 

    This continuing education course is comprised of 7 hours and 45 minutes of prerecorded lectures followed by 14 hours of live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    Special Considerations:

    Please note, this is a full lab course that is done remotely. These guidelines represent how we feel you can best experience a remote course. If you feel you are unable to fulfill them then it is recommended that you not participate as a remote learner at this time.

    1. You will need to register with a PT partner. The feedback of your lab partner is highly valuable, therefore you will need to collaborate with another clinician, preferably someone in your clinic or health system that you are currently working with and who is under the same guidelines and current precautions as your state leadership mandates. All participants will need to register for the course.
    2. You will need to be able to access Zoom. The instructor will be teaching to all participants via this platform, including live lectures, offering real-time feedback, and answering your questions during lab sessions. Zoom is free to download. Each pair or small group will only need to log in with one device webcam (either laptop or tablet is fine) and will need to have working video and audio in order that the instructor can see you during lab time and hear your questions. Access to the meeting will be password protected and no genitalia will be displayed during the lab sessions.
    3. You will need the following supplies to participate fully:

     

    1. A treatment table or other solid surface on which a participant can lie during lab time. A hi-low table is ideal but not necessary, a yoga mat on the floor could work in a pinch.
    2. One pillow per participant
    3. One sheet per participant d
    4. Lubricant and wipes
    5. Each participant should bring their own gloves (one set for each lab).

     

    Please treat this like any other live continuing education course. Test your ability to see and hear Zoom (audio and video) prior to the event. Come prepared, having completed the pre-course learning and with all props and supplies already gathered.

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 9.3 hours

    1) Colorectal Anatomy & Physiology (60 min)
    2) Medical Testing & Rehab Examination (44 min)
    3) Fecal Incontinence (43 min)
    4) Constipation (56 min)
    5) Anatomy: Pelvic Floor, Penis, Scrotum & Spermatic Cord (62 min)
    6) Pudendal Nerve Dysfunction (87 min)
    7) Topics in Inclusive Care (64 min)
    8) Colorectal Conditions (40 min)
    9) Nutrition Concepts in Bowel Health (30 min)
    10) Prostate Dysfunction (73 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, Goals, Objectives
    6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep
    7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    8:45 - Break
    9:00 - Fecal Incontinence, Case Study
    9:45 - Constipation, Case Study
    10:45 - Lunch
    11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord
    12:45 - Coccyx Dysfunction
    1:45 - Break
    2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis
    3:00 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Prostate & Prostatectomy Part II - Rehabilitation
    7:45 - Pudendal Nerve Dysfunction Part II
    8:30 - Break
    8:45 - Pudendal Nerve Dysfunction Part II (Continued)
    9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    10:45 - Lunch
    11:30 - LAB 4: Inclusive Language
    12:15 - Break
    12:30 - Colorectal Conditions
    2:00 - Questions
    2:15 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

    This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:

    1. Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
    2. Find a suitable location from which the pair/group can all view the zoom lectures together.
    3. Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.
    4. Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.

    Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course


    What to have on hand for self-hosted labs

    Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course.
    The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event.
    Your Mask- Please wear a mask while participating in this course to keep your colleagues safe.
    A computer with a Wifi connection that your group will be using to view the course.
    The following supplies:
    Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100)
    Hand Sanitizer (8 fl. Oz.)
    Lube for labs

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A Satellite Lab Course - Tulsa, OK - November 20-21, 2021 (SOLD OUT)

    Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 5:30pm

    {dtregister}2002{/dtregister}

    Tulsa

    Image retrieved from Wikimedia Commons courtesy of Jordan Michael Winn
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 9.3 hours

    1) Colorectal Anatomy & Physiology (60 min)
    2) Medical Testing & Rehab Examination (44 min)
    3) Fecal Incontinence (43 min)
    4) Constipation (56 min)
    5) Anatomy: Pelvic Floor, Penis, Scrotum & Spermatic Cord (62 min)
    6) Pudendal Nerve Dysfunction (87 min)
    7) Topics in Inclusive Care (64 min)
    8) Colorectal Conditions (40 min)
    9) Nutrition Concepts in Bowel Health (30 min)
    10) Prostate Dysfunction (73 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, Goals, Objectives
    6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep
    7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    8:45 - Break
    9:00 - Fecal Incontinence, Case Study
    9:45 - Constipation, Case Study
    10:45 - Lunch
    11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord
    12:45 - Coccyx Dysfunction
    1:45 - Break
    2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis
    3:00 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Prostate & Prostatectomy Part II - Rehabilitation
    7:45 - Pudendal Nerve Dysfunction Part II
    8:30 - Break
    8:45 - Pudendal Nerve Dysfunction Part II (Continued)
    9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    10:45 - Lunch
    11:30 - LAB 4: Inclusive Language
    12:15 - Break
    12:30 - Colorectal Conditions
    2:00 - Questions
    2:15 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

      Name Street Address (Links to Map)
    Course Location

    Physical Therapy of Tulsa

    6767 S Yale Ave ste b
    Tulsa, OK 74136
    Recommended Lodging

    Hilton Garden Inn Tulsa Midtown
    (918) 878-7777

    4518 E Skelly Dr
    Tulsa, OK 74135
    Nearest Airport

    Tulsa International Airport
    Airport Code: TUL

    7777 Airport Dr
    Tulsa, OK 74115

     

    Directions from Recommended Lodging to Course Location

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A Satellite Lab Course - Williamsburg, NY - April 24-25, 2022

    Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 6:30pm

    {dtregister}2498{/dtregister}

    Williamsburg

    Image retrieved from Wikimedia Commons courtesy of Sebastian Hirsch
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.

    This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 9.3 hours

    1) Colorectal Anatomy & Physiology (60 min)
    2) Medical Testing & Rehab Examination (44 min)
    3) Fecal Incontinence (43 min)
    4) Constipation (56 min)
    5) Anatomy: Pelvic Floor, Penis, Scrotum & Spermatic Cord (62 min)
    6) Pudendal Nerve Dysfunction (87 min)
    7) Topics in Inclusive Care (64 min)
    8) Colorectal Conditions (40 min)
    9) Nutrition Concepts in Bowel Health (30 min)
    10) Prostate Dysfunction (73 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction, Goals, Objectives
    6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep
    7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    8:45 - Break
    9:00 - Fecal Incontinence, Case Study
    9:45 - Constipation, Case Study
    10:45 - Lunch
    11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord
    12:45 - Coccyx Dysfunction
    1:45 - Break
    2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis
    3:00 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Prostate & Prostatectomy Part II - Rehabilitation
    7:45 - Pudendal Nerve Dysfunction Part II
    8:30 - Break
    8:45 - Pudendal Nerve Dysfunction Part II (Continued)
    9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    10:45 - Lunch
    11:30 - LAB 4: Inclusive Language
    12:15 - Break
    12:30 - Colorectal Conditions
    2:00 - Questions
    2:15 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1.   Describe anatomy of the colorectal region.
    2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
    3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
    4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
    5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
    6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
    7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
    8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
    9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
    10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
    11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
    12. List key medical diagnostic procedures for colorectal conditions.

      Name Street Address (Links to Map)
    Course Location

    Rehabiliation Associates of Williamsburg

    165 Division Ave
    Brooklyn, NY 11211
    Recommended Lodging

    Pod Brooklyn Hotel
    (844) 763-7666

    247 Metropolitan Avenue
    Brooklyn, NY 11211
    Nearest Airport

    John F. Kennedy International Airport
    Airport Code: JFK

    Queens, NY 11430

     

    Directions from Recommended Lodging to Course Location

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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      string(72) "Pelvic Floor Level 2B - Los Angeles, CA - July 25-26, 2020 (RESCHEDULED)"
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    Pelvic Floor Level 2B - Los Angeles, CA - July 25-26, 2020 (RESCHEDULED)

    Update 06/10/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

    {dtregister}977{/dtregister}
    LosAngeles
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $695
    Experience Level: Intermediate
    Contact Hours: 21.15

    Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare.  This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.

    Practical, trauma aware, hands-on labs will include an external abdominal and pelvic and internal vaginal approach. Labs will focus on pelvic structures in relationship to the vaginal canal and surrounding structures such as the lumbopelvic nerves, the uterus, urethra, bladder, and rectum. Interventions instructed will include patient management of trunk and pelvic pressure, relaxation training, breathing, and manual therapies for a variety of pelvic dysfunctions. The information contained in this course is immediately applicable to clinical practice.

    For pelvic conditions, the clinician will learn to: -- Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities for specific conditions -- Use an evaluation/outcome tool appropriate to the patient’s concerns -- Design a multi-modal plan of care for pelvic rehabilitation -- Perform clinical interventions based on the patient’s needs and goals

    Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercisemanual therapy, therapeutic activities, instruction in self-care, and recommendations for relevant modalities

    Prerequisites Our course Pelvic Function Level 1 or Pelvic PT 1 through the APTA, is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    Pre-Course Learning Requirements 10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. In Teachable, registrants will find recorded video lectures (all recorded video lectures must be completed before attending the first day of class), other pre-requisite learning materials, course manual files, mandatory liability waiver, and URLs for any Zoom meetings. We require registrants to complete teachable components in sequential order. Videos lectures are required and must be completed in-full before proceeding to the next Teachable section. At the conclusion of the course, registrants can access their post-test and course evaluation form to provide our curriculum team feedback on their experience, as well as download their certificate of completion - all via Teachable.

    Audience This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Read more aboutWhat to Expect During Courses with Internal Lab Work.

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 7 hours

    1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min)
    2) Trauma-informed Care (55 min)
    3) Prolapse (41 min)
    4) Medical and Multidisciplinary Management of Pelvic Pain (38 min)
    5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min)
    6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes)
    7) Specific Conditions: Endometriosis, PCOS (61 min)
    8) Neuromuscular Relaxation Training (39 min)
    9) Abdominal Neuromyofascial Anatomy (39 min)
    10) Breathing and Pressure Management (31 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
    7:00 - Abdominopelvic pain and anatomical mapping
    8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment
    8:30 - Break
    8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment
    10:15 - Lab synthesis discussion
    10:30 - Lunch/Meal Break
    11:30 - Prolapse, recovery, and pessary referrals
    12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability
    12:50 - LAB 2: Breathing & Trunk Mobility, Stability
    1:30 - Break
    1:45 - Vulvar skin conditions and topical medications
    2:30 - Case Discussions Part I
    3:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques
    7:15 - LAB 3: Abdominal neuromyofascial techniques
    8:30 - Break
    8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions
    9:30 - Lab 4: Relaxation techniques
    10:30 - Lunch/Meal Break
    11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions
    12:45 - Case Discussions Part II
    1:45 - Course Synthesis Discussion
    2:00 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis

    2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions

    3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.

    4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques

    5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis

    6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis

    7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis

    8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis

    9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting

    10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain

    11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles

    12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)

     NameStreet Address (Links to Map)
    Course Location

    Mount St. Mary's University

    10 Chester Pl
    Los Angeles, CA 90007
    Recommended Lodging

    USC Hotel
    1-833-2-BOOK-USC

    3540 S Figueroa St
    Los Angeles, CA 90007
    Nearest Airport

    Los Angeles International Airport
    Airport Code: LAX

    1 World Way
    Los Angeles, CA 90045

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Instructor - GabelsbergJenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC

    Jenni Gabelsberg  DPT, MSc, MTC, PRPC

    Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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      string(61) "Pelvic Floor Level 2B - Mission Hills, CA - August 9-11, 2019"
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    Pelvic Floor Level 2B - Mission Hills, CA - August 9-11, 2019

    {dtregister}763{/dtregister}
    Mission Hills
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $695
    Experience Level: Intermediate
    Contact Hours: 21.15

    Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare.  This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.

    Practical, trauma aware, hands-on labs will include an external abdominal and pelvic and internal vaginal approach. Labs will focus on pelvic structures in relationship to the vaginal canal and surrounding structures such as the lumbopelvic nerves, the uterus, urethra, bladder, and rectum. Interventions instructed will include patient management of trunk and pelvic pressure, relaxation training, breathing, and manual therapies for a variety of pelvic dysfunctions. The information contained in this course is immediately applicable to clinical practice.

    For pelvic conditions, the clinician will learn to: -- Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities for specific conditions -- Use an evaluation/outcome tool appropriate to the patient’s concerns -- Design a multi-modal plan of care for pelvic rehabilitation -- Perform clinical interventions based on the patient’s needs and goals

    Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercisemanual therapy, therapeutic activities, instruction in self-care, and recommendations for relevant modalities

    Prerequisites Our course Pelvic Function Level 1 or Pelvic PT 1 through the APTA, is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    Pre-Course Learning Requirements 10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. In Teachable, registrants will find recorded video lectures (all recorded video lectures must be completed before attending the first day of class), other pre-requisite learning materials, course manual files, mandatory liability waiver, and URLs for any Zoom meetings. We require registrants to complete teachable components in sequential order. Videos lectures are required and must be completed in-full before proceeding to the next Teachable section. At the conclusion of the course, registrants can access their post-test and course evaluation form to provide our curriculum team feedback on their experience, as well as download their certificate of completion - all via Teachable.

    Audience This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

    Special Considerations As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Read more aboutWhat to Expect During Courses with Internal Lab Work.

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 7 hours

    1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min)
    2) Trauma-informed Care (55 min)
    3) Prolapse (41 min)
    4) Medical and Multidisciplinary Management of Pelvic Pain (38 min)
    5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min)
    6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes)
    7) Specific Conditions: Endometriosis, PCOS (61 min)
    8) Neuromuscular Relaxation Training (39 min)
    9) Abdominal Neuromyofascial Anatomy (39 min)
    10) Breathing and Pressure Management (31 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
    7:00 - Abdominopelvic pain and anatomical mapping
    8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment
    8:30 - Break
    8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment
    10:15 - Lab synthesis discussion
    10:30 - Lunch/Meal Break
    11:30 - Prolapse, recovery, and pessary referrals
    12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability
    12:50 - LAB 2: Breathing & Trunk Mobility, Stability
    1:30 - Break
    1:45 - Vulvar skin conditions and topical medications
    2:30 - Case Discussions Part I
    3:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques
    7:15 - LAB 3: Abdominal neuromyofascial techniques
    8:30 - Break
    8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions
    9:30 - Lab 4: Relaxation techniques
    10:30 - Lunch/Meal Break
    11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions
    12:45 - Case Discussions Part II
    1:45 - Course Synthesis Discussion
    2:00 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis

    2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions

    3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.

    4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques

    5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis

    6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis

    7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis

    8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis

    9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting

    10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain

    11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles

    12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)

     NameStreet Address (Links to Map)
    Course Location

    Providence Holy Cross Medical Center

    15031 Rinaldi Street
    Mission Hills, CA 91345
    Recommended Lodging

    Staybridge Suites Chatsworth
    (818) 773-0707

    21902 Lassen St
    Chatsworth, CA 91311
    Nearest Airport

    Los Angeles International Airport
    Airport Code: LAX

    1 World Way
    Los Angeles, CA 90045

     

    Directions from Recommended Lodging to Course Location: (click here if no map appears below)

    Instructor - GabelsbergJenni Gabelsberg, DPT, WCS, MSc, MTC, PRPC

    Jenni Gabelsberg  DPT, MSc, MTC, PRPC

    Dr. Jenni Gabelsberg, DPT, MSc, MTC (she/her) is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.

    Destiny Bochinski, PT, DPT, PRPC

    Destiny Bochinski, PT, DPTDestiny Bochinski, PT, DPT, PRPC (she/her) is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2B - Satellite Lab Course - July 23-24, 2022

    Pacific Time - Day 1: 6:30am - 4:00pm / Day 2: 6:30am - 2:00pm

    • Description

    • Schedule

    • Objectives

    • Instructors

    • Discounts

    Price: $695 
    Experience Level: Intermediate
    Contact Hours: 22.5

    This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..

    This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.

    Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

    All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Special Considerations

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 

     

    Participation in Labs

    H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work

     

     


    References

    De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
    Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., 
    Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.

     

    NOTE: Times below are listed in Pacific time zone
    For assistance converting the times below to your local time zone, use this link:
    https://www.timeanddate.com/worldclock/converter-classic.html

    =============================
    Before Day One
    =============================

    These video lectures in Teachable must be viewed in-full prior to the course
    Total video lecture time: 7 hours

    1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min)
    2) Trauma-informed Care (55 min)
    3) Prolapse (41 min)
    4) Medical and Multidisciplinary Management of Pelvic Pain (38 min)
    5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min)
    6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes)
    7) Specific Conditions: Endometriosis, PCOS (61 min)
    8) Neuromuscular Relaxation Training (39 min)
    9) Abdominal Neuromyofascial Anatomy (39 min)
    10) Breathing and Pressure Management (31 min)

    =============================
    Day One
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
    7:00 - Abdominopelvic pain and anatomical mapping
    8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment
    8:30 - Break
    8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment
    10:15 - Lab synthesis discussion
    10:30 - Lunch/Meal Break
    11:30 - Prolapse, recovery, and pessary referrals
    12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability
    12:50 - LAB 2: Breathing & Trunk Mobility, Stability
    1:30 - Break
    1:45 - Vulvar skin conditions and topical medications
    2:30 - Case Discussions Part I
    3:30 - Adjourn

    =============================
    Day Two
    =============================

    6:00 am PST - Zoom opens 30 mins before course for registration and setup
    6:30 am PST - Course begins / Questions from Day 1
    6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques
    7:15 - LAB 3: Abdominal neuromyofascial techniques
    8:30 - Break
    8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions
    9:30 - Lab 4: Relaxation techniques
    10:30 - Lunch/Meal Break
    11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions
    12:45 - Case Discussions Part II
    1:45 - Course Synthesis Discussion
    2:00 - Adjourn

    Upon completion of this continuing education seminar, participants will be able to:

    1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis

    2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions

    3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.

    4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques

    5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis

    6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis

    7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis

    8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis

    9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting

    10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain

    11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles

    12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)

    Destiny Bochinski, PT, DPT, PRPC (Encinitas, CA)

    Destiny Bochinski, PT, DPT, PRPC

    Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace, teaching the pelvic floor series continuing education courses.

    Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.

    Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.

     

    Practice Information:
    Scripps Memorial Hospital Encinitas Outpatient Rehabilitation
    435 Santa Fe Dr.
    Encinitas, CA 92024

    Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI

    Holly Tanner

    Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI (she/her) was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA, and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborhood of Seattle.

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

    Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.

    Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.

     

    To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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