Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors
Boundaries Self Care and Meditation is a course born out of our own personal and professional struggles and our journey to having a life and a practice that we love and can sustain. The intention of this class is deep, personal and professional transformation through evidence- based information and practices.
Boundaries Self Care and Meditation is a course born out of our own personal and professional struggles and our journey to having a life and a practice that we love and can sustain. The intention of this class is deep, personal and professional transformation through evidence- based information and practices.
In Part One participants begin their process of study, meditation, and self-reflection in the weeks prior to the start of the class. Pre-work includes focus on neuroscience of pain, trauma, PTSD and meditation. You will learn about the powerful influence both negative and positive experiences have on our nervous system’s structure AND function. Personal meditation practice and instruction will create changes in your own nervous system. You will also learn how to prescribe meditation for various patient personalities and needs. You will analyze yourself through inventories on coping, self-care, empathy, burnout, values as well as track how you spend your time. Your commitment to pre-work will facilitate rich discussion as we put what you have learned into practice around building a shared responsibility model of patient care, language to support difficult patients, and both visualizing and planning steps to create new, healthier patterns in your life and in your practice.
Boundaries Self Care and Meditation is a course born out of our own personal and professional struggles and our journey to having a life and a practice that we love and can sustain. The intention of this class is deep, personal and professional transformation through evidence- based information and practices.
In Part One participants begin their process of study, meditation, and self-reflection in the weeks prior to the start of the class. Pre-work includes focus on neuroscience of pain, trauma, PTSD and meditation. You will learn about the powerful influence both negative and positive experiences have on our nervous system’s structure AND function. Personal meditation practice and instruction will create changes in your own nervous system. You will also learn how to prescribe meditation for various patient personalities and needs. You will analyze yourself through inventories on coping, self-care, empathy, burnout, values as well as track how you spend your time. Your commitment to pre-work will facilitate rich discussion as we put what you have learned into practice around building a shared responsibility model of patient care, language to support difficult patients, and both visualizing and planning steps to create new, healthier patterns in your life and in your practice.
Boundaries Self Care and Meditation is a course born out of our own personal and professional struggles and our journey to having a life and a practice that we love and can sustain. The intention of this class is deep, personal and professional transformation through evidence- based information and practices.
In Part One participants begin their process of study, meditation, and self-reflection in the weeks prior to the start of the class. Pre-work includes focus on neuroscience of pain, trauma, PTSD and meditation. You will learn about the powerful influence both negative and positive experiences have on our nervous system’s structure AND function. Personal meditation practice and instruction will create changes in your own nervous system. You will also learn how to prescribe meditation for various patient personalities and needs. You will analyze yourself through inventories on coping, self-care, empathy, burnout, values as well as track how you spend your time. Your commitment to pre-work will facilitate rich discussion as we put what you have learned into practice around building a shared responsibility model of patient care, language to support difficult patients, and both visualizing and planning steps to create new, healthier patterns in your life and in your practice.
Boundaries Self Care and Meditation is a course born out of our own personal and professional struggles and our journey to having a life and a practice that we love and can sustain. The intention of this class is deep, personal and professional transformation through evidence- based information and practices.
In Part One participants begin their process of study, meditation, and self-reflection in the weeks prior to the start of the class. Pre-work includes focus on neuroscience of pain, trauma, PTSD and meditation. You will learn about the powerful influence both negative and positive experiences have on our nervous system’s structure AND function. Personal meditation practice and instruction will create changes in your own nervous system. You will also learn how to prescribe meditation for various patient personalities and needs. You will analyze yourself through inventories on coping, self-care, empathy, burnout, values as well as track how you spend your time. Your commitment to pre-work will facilitate rich discussion as we put what you have learned into practice around building a shared responsibility model of patient care, language to support difficult patients, and both visualizing and planning steps to create new, healthier patterns in your life and in your practice.
This course is a two-part series intended to be completed in order. Participants should register for Part 1 and Part 2 at the same time, or complete Part 1 and wait to complete Part 2 at a later date. This course was developed by Nari Clemons, PT, PRPC and Jennafer Vande Vegte, PT, PRPC and was "born out of our own personal and professional struggles and our journey to having a life and a practice that we love and can sustain." The intention of this class is deep, personal and professional transformation through evidence- based information and practices.
The instructors recommend completing this series in two parts to allow time to process and implement one leg of the journey before undertaking the next. Both Part One and Part Two have a significant amount of pre-work to digest and practice before meeting via Zoom. Please plan for up to 12 hours of pre-course work. This sets the stage for you to find your path to experiencing more joy, energy and balance.
In Part One. participants begin their process of study, meditation, and self-reflection in the weeks prior to the start of the class. Pre-work includes focus on neuroscience of pain, trauma, PTSD and meditation. Participants will learn about the powerful influence both negative and positive experiences have on our nervous system’s structure and function. Personal meditation practice and instruction will create changes in the participant's own nervous system. Participants will also learn how to prescribe meditation for various patient personalities and needs, as well as analyze yourself through inventories on coping, self-care, empathy, burnout, values as well as track how you spend your time. Commitment to pre-work will facilitate rich discussion as we put what you have learned into practice around building a shared responsibility modelof patient care, language to support difficult patients, and both visualizing and planning steps to create new, healthier patterns in your life and in your practice.
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:
Please begin your meditation practice. You will need to download the CD, “Meditations for Pelvic Health” from google play or itunes. You can also search “Nari Clemons”. The CD is also available at Amazon, Current Tech, or Current Medical Technologies. The downloaded form makes it easier to catch your 10 minute daily meditation during lunch at work, or wherever you have your phone. Using earbuds will enhance the experience, as the music has binary beats that balance the two sides of the brain. Please find the self practice logs at this link. We would like you to use tracks 1-7 each three times before the course. This way, at the course, we can dive deeper and work more on application into your practice, as you will have familiarity with each technique and how it affects you. Please start sooner than later, trying to get a sitting in each day.
Prerequisites:
All written assignments and pre-recorded lectures in Teachable for this course must be completed before the Live Component of the course. See the Schedule tab for the current list of prerequisites
Upon completion of this program, participants will be able to:
List and describe several meditation techniques and which techniques are effective with different patient types
Describe basic concepts of the neuroscience of pain and the effects of meditation on the brain
Discuss the contributing role of trauma and stress to persistent pain
Discuss the evidence for the cognitive and emotional modulation of pain
Explain pain and stress-induced hyperalgesia to patients in simple language
Define helpful vs. dysfunctional patterns of care
Practice techniques to center and stay grounded at work with detached compassion
Describe the steps for setting up a shared responsibility model of patient care
Instruct a patient in the basic qualities of meditation
============================= Before the Course Begins
=============================
These written assignments in Teachable must be completed prior to the course Total written assignment time: 1.5 hours
1) Empath Quiz 2) Self-Care Test 3) Coping Styles Self-Test 4) Is your Workplace a source of Burnout - assessment 5) Intention Setting around work 6) Values and Time Tracker 7) Mediation Practice
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 6.5 hours
1) Concept Introduction (12 min) 2) Meditation Neuroscience Part 1 (30 min) 3) Meditation Neuroscience Part 2 (27 min) 4) Meditation Neuroscience Part 3 (26 min) 5) Brain and Pain Part 1 (1 hr, 23 min) 6) Brain and Pain Part 2 (41 min) 7) Meditation Types and Tips (1 hr, 17 min) 8) Burnout (1 hr, 9 min) 9) Boundaries with Patients (15 min)
============================= Day of the Course
=============================
7:00 am PST - Zoom opens 30 mins before course for registration and setup 7:30 am PST - Course begins / Welcome / Objectives / Personal Introductions / Goals for class
8:30 - Interpersonal Relationships lecture and discussion (drama triangle) 9:30 - Break 9:45 - Not owning others, Discussion from Self Care for the Self Aware by David Markowitz pages 1-40 (Chapters 1-4) 10:45 - Longer Meditation: Overcoming Pain with Mindfulness Practice 11:15 - Lunch 11:45 - Brain Pain Review and Lab Case Studies 1:15 - Codependency, Attachment and Empathy 1:45 - BREAK 2:00 - Values and Intentions: Directions for Life 3:15 - Wrap up 3:30 - Adjourn
============================= After the Live Portion of the Course
=============================
These video lectures in Teachable must be viewed in-full after the live portion of the course Total video lecture time: 2.25 hours
1) Brain and Pain Part 1 (1 hr, 23 min) 2) Brain and Pain Part 2 (41 min)
Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.
Important thing to note:
- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.
- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/
- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.
- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND 2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.
Boundaries Self Care and Meditation is a course born out of our own personal and professional struggles and our journey to having a life and a practice that we love and can sustain. The intention of this class is deep, personal and professional transformation through evidence-based information and practices.
It is broken up into two parts simply because we wanted to have time for you to process and implement one leg of the journey before undertaking the next steps. Both Part One and Part Two have a significant amount of pre-work to digest and practice before meeting together. This sets the stage for you to find your path to experiencing more joy, energy and balance.
This two-day, in-person continuing education course is targeted to pelvic health clinicians covering frequently used modalities in pelvic health. Participants will learn how to use various modalities that can assist in downtraining, uptraining, monitoring of physiologic variables, as well as other tools that can assist in the care of a pelvic health patient. Lectures will instruct the participant in hands-on application of biofeedback and electrical stimulation along with other tools that can be used to assist in relaxation, bowel and bladder health, and sexual function.
Price: $725 ($750 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
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This three-day (8 hours of online lecture plus 2 days of in-person learning), advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
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. Read more about What to Expect During Courses with Internal Lab Work.
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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Prerecorded lectures - sent 7-10 days prior to the course
Anatomy and function of abdominopelvic connective tissues – 90 mins The Endocrine System and Sex Hormones part 1-60 The Endocrine System: Changes Throughout the life span part 2- 60 Endometriosis : 90 mins PCOS & Fibroids: 60 Special topics in surgery: 60 Gynecological Oncology Intro: 75 Pharmacologic considerations in pelvic rehab: 60 Nutritional approaches to decrease inflammation 90
Day One
8:30 Anatomy review and working with connective tissues – Part 2, prelab 9:00 LAB Activity 1: Working with fascia: abdomen 10:00 Break 10:15 Scar demo and lab 45 mins 11:00 Endocrine changes highlights and Case Study Thyroid, Adrenal Fatigue– Endocrine Red Herrings 11:45 Lunch 12:45 LAB Activity 2: Prelab: (anatomy, lab instruction, patient applications) 2:45 Break 3:00 Vulvar skin and connective tissue dysfunctions 60 4:00 Lab 3 Perineal release techniques 5:45 Adjourn
Day Two:
8:00 Questions and test from day 1, online portion 8:30 Common female pelvic surgeries – add C-Section, Case Studies? 10:00 Break 10:15 Lab 4: Rehabilitation techniques for common female surgery complications 11:45 Lunch 12:45 Gynecological Oncology Treatment Procedures Part 2 1:45 Lab 5: Pre lab with Positional release external pelvic floor 75 3:00 Break 3:15 LAB 6 Oncology considerations & lymphedema 4:30 Putting it all together 5:15 Wrap up, 5:30 Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location:
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Capstone - Grand Rapids, MI - April 12-14, 2019 (SOLD OUT)
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Description
Schedule
Objectives
Location/Lodging
Instrutors
Discounts
Price: $725 ($750 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
>
This three-day (8 hours of online lecture plus 2 days of in-person learning), advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
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. Read more about What to Expect During Courses with Internal Lab Work.
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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Prerecorded lectures - sent 7-10 days prior to the course
Anatomy and function of abdominopelvic connective tissues – 90 mins The Endocrine System and Sex Hormones part 1-60 The Endocrine System: Changes Throughout the life span part 2- 60 Endometriosis : 90 mins PCOS & Fibroids: 60 Special topics in surgery: 60 Gynecological Oncology Intro: 75 Pharmacologic considerations in pelvic rehab: 60 Nutritional approaches to decrease inflammation 90
Day One
8:30 Anatomy review and working with connective tissues – Part 2, prelab 9:00 LAB Activity 1: Working with fascia: abdomen 10:00 Break 10:15 Scar demo and lab 45 mins 11:00 Endocrine changes highlights and Case Study Thyroid, Adrenal Fatigue– Endocrine Red Herrings 11:45 Lunch 12:45 LAB Activity 2: Prelab: (anatomy, lab instruction, patient applications) 2:45 Break 3:00 Vulvar skin and connective tissue dysfunctions 60 4:00 Lab 3 Perineal release techniques 5:45 Adjourn
Day Two:
8:00 Questions and test from day 1, online portion 8:30 Common female pelvic surgeries – add C-Section, Case Studies? 10:00 Break 10:15 Lab 4: Rehabilitation techniques for common female surgery complications 11:45 Lunch 12:45 Gynecological Oncology Treatment Procedures Part 2 1:45 Lab 5: Pre lab with Positional release external pelvic floor 75 3:00 Break 3:15 LAB 6 Oncology considerations & lymphedema 4:30 Putting it all together 5:15 Wrap up, 5:30 Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Instructor - Ariail
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC (she/her) has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011 and board-certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in the treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor Disorders program. Allison's publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009 and 2013. In 2016, Allison co-authored a chapter in “Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.”
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing Herman and Wallace on pelvic floor-related topics, Allison lectures nationally on lymphedema, cancer-related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys spending time with her family, caring for her animals, reading, traveling, and most importantly of all, being a mom! She lives in the Denver metro area with her family.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Instructor - Ariail
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC (she/her) has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011 and board-certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in the treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor Disorders program. Allison's publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009 and 2013. In 2016, Allison co-authored a chapter in “Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.”
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing Herman and Wallace on pelvic floor-related topics, Allison lectures nationally on lymphedema, cancer-related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys spending time with her family, caring for her animals, reading, traveling, and most importantly of all, being a mom! She lives in the Denver metro area with her family.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Pelvic Floor Capstone - Washington, DC - December 12-13, 2020 (POSTPONED)
{dtregister}902{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $725 ($750 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
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This three-day (8 hours of online lecture plus 2 days of in-person learning), advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
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. Read more about What to Expect During Courses with Internal Lab Work.
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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Prerecorded lectures - sent 7-10 days prior to the course
Anatomy and function of abdominopelvic connective tissues – 90 mins The Endocrine System and Sex Hormones part 1-60 The Endocrine System: Changes Throughout the life span part 2- 60 Endometriosis : 90 mins PCOS & Fibroids: 60 Special topics in surgery: 60 Gynecological Oncology Intro: 75 Pharmacologic considerations in pelvic rehab: 60 Nutritional approaches to decrease inflammation 90
Day One
8:30 Anatomy review and working with connective tissues – Part 2, prelab 9:00 LAB Activity 1: Working with fascia: abdomen 10:00 Break 10:15 Scar demo and lab 45 mins 11:00 Endocrine changes highlights and Case Study Thyroid, Adrenal Fatigue– Endocrine Red Herrings 11:45 Lunch 12:45 LAB Activity 2: Prelab: (anatomy, lab instruction, patient applications) 2:45 Break 3:00 Vulvar skin and connective tissue dysfunctions 60 4:00 Lab 3 Perineal release techniques 5:45 Adjourn
Day Two:
8:00 Questions and test from day 1, online portion 8:30 Common female pelvic surgeries – add C-Section, Case Studies? 10:00 Break 10:15 Lab 4: Rehabilitation techniques for common female surgery complications 11:45 Lunch 12:45 Gynecological Oncology Treatment Procedures Part 2 1:45 Lab 5: Pre lab with Positional release external pelvic floor 75 3:00 Break 3:15 LAB 6 Oncology considerations & lymphedema 4:30 Putting it all together 5:15 Wrap up, 5:30 Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Instructors - Nazari
Pany Nazari, PT, DPT, PRPC, BCB-PMD
Dr. Pany Nazari received her BS degree in 1994 from Howard University in Washington, D.C., and her doctorate degree in 2016 from Northeastern University in Boston, MA. For the first decade of her career she focused on mastering the assessment and treatment of a variety of orthopedic issues, with a focus on the spine, sacro-iliac joint, and pelvis. Since 2005, Pany has dedicated her educational and clinical concentration on pelvic floor rehabilitation. Her passion is to use various forms of biofeedback in conjunction with manual therapy along with a strong emphasis on patient education to facilitate optimal function for individuals. She is a fellow and is board certified
in the use of Biofeedback for Pelvic Muscle Disorders and holds certification as a Pelvic Rehabilitation Practitioner from the Herman & Wallace Pelvic Rehabilitation Institute.
Pany truly believes that knowledge is power; as mentioned, she has a strong focus on education and increasing awareness of the importance of pelvic health among the community, physicians and other practitioners. Aside from teaching for Herman and Wallace Rehab Institute, she has recently been appointed as a clinical instructor for George Washington University in the Department of Physical Therapy and Health Care Science. She is also continuously expanding her own knowledge by attending various conferences and is a member of the International Pelvic Pain Society and National Vulvodynia Association.
Pany established a tremendously well respected pelvic rehab program at her local hospital from the ground up, where she worked for 18 years. She now works in a multidisciplinary wellness center in McLean, Virginia. Cooking while listening to music, reading, cross-training, and being with her family are some of Pany's other passions.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Capstone Satellite Lab Course - Alexandria, VA - April 24-25, 2021
Eastern Time - Day 1: 11:00am - 8:00pm / Day 2: 11:00am - 7:45pm
{dtregister}1522{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Eastern Time - Day 1: 11:00am - 8:00pm / Day 2: 11:00am - 7:45pm
{dtregister}1647{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors
Pelvic Floor Capstone Satellite Lab Course - Brooklyn, NY - April 24-25, 2021
Eastern Time - Day 1: 11:00am - 8:00pm / Day 2: 11:00am - 7:45pm
{dtregister}1532{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Capstone Satellite Lab Course - Chamblee, GA - December 4-5, 2021
Eastern Time - Day 1: 11:00am - 8:00pm / Day 2: 11:00am - 7:45pm
{dtregister}1700{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Eastern Time - Day 1: 11:00am - 8:00pm / Day 2: 11:00am - 7:45pm
{dtregister}1517{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Capstone Satellite Lab Course - Garden City, NY - December 4-5, 2021
Eastern Time - Day 1: 11:00am - 8:00pm / Day 2: 11:00am - 7:45pm
{dtregister}1935{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors.
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors
Pelvic Floor Capstone Satellite Lab Course - Manchester, IA - April 24-25, 2021
Central Time - Day 1: 10:00am - 7:00pm / Day 2: 10:00am - 6:45pm
{dtregister}1477{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Capstone Satellite Lab Course - Marietta, GA - April 24-25, 2021
Eastern Time - Day 1: 11:00am - 8:00pm / Day 2: 11:00am - 7:45pm
{dtregister}1654{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location:
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location:
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Instructor - Ariail
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC (she/her) has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011 and board-certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in the treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor Disorders program. Allison's publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009 and 2013. In 2016, Allison co-authored a chapter in “Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.”
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing Herman and Wallace on pelvic floor-related topics, Allison lectures nationally on lymphedema, cancer-related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys spending time with her family, caring for her animals, reading, traveling, and most importantly of all, being a mom! She lives in the Denver metro area with her family.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Instructor - Ariail
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC (she/her) has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011 and board-certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in the treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor Disorders program. Allison's publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009 and 2013. In 2016, Allison co-authored a chapter in “Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.”
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing Herman and Wallace on pelvic floor-related topics, Allison lectures nationally on lymphedema, cancer-related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys spending time with her family, caring for her animals, reading, traveling, and most importantly of all, being a mom! She lives in the Denver metro area with her family.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This 26 hour, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Pelvic Floor Capstone Satellite Lab Course - Richmond, VA - April 24-25, 2021
Eastern Time - Day 1: 11:00am - 8:00pm / Day 2: 11:00am - 7:45pm
{dtregister}1587{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Capstone Satellite Lab Course - San Diego, CA - April 24-25, 2021 (SOLD OUT)
Pacific Time - Day 1: 8:00am - 5:00pm / Day 2: 8:00am - 4:45pm
{dtregister}1577{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
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.
Find a suitable location from which the pair/group can all view the zoom lectures together.
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.
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
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
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.
Find a suitable location from which the pair/group can all view the zoom lectures together.
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.
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
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors
Pelvic Floor Capstone Satellite Lab Course - St George, UT - April 24-25, 2020
Mountain Time - Day 1: 9:00am - 6:00pm / Day 2: 9:00am - 5:45pm
{dtregister}1455{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Capstone Satellite Lab Course - Tacoma, WA - April 24-25, 2021
Pacific Time - Day 1: 8:00am - 5:00pm / Day 2: 8:00am - 4:45pm
{dtregister}1568{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors.
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Function Capstone is an advanced-level course that will provide the pelvic health clinician with additional knowledge and tools to manage complex patient presentations more effectively. The participant will have the opportunity to learn advanced anatomy concepts, endocrine physiology, and how to integrate neurologic, pharmacologic, and post-surgical rehabilitation into patient care. Participants will understand how diagnoses such as pelvic congestion syndrome, endometriosis, Ehlers-Danlos syndrome, and neuro-inflammation can be addressed with pelvic rehabilitation. Clinicians will be introduced to self-care and managing boundaries with the goal of avoiding burnout. Practical, hands-on, supervised labs will include external and internal approaches focusing on neuro-myofascial approaches for the lower abdomen, inguinal canal, and pelvis. Capstone was designed as the culmination of knowledge and skills learned in the foundational courses of our Pelvic Function Series. The information contained in this course is immediately applicable to clinical practice.
Presentation of trauma-informed, evidence-informed evaluation and intervention will be emphasized. Outcome measures and quality of life questionnaires will be presented for a variety of topics. Daily lab time allows for supervised instruction of advanced therapeutic techniques that can be utilized with complex case presentations.
For pelvic conditions, participants will learn to:
Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities
Describe the endocrine system physiologic principles and changes over the lifespan
Use a holistic framework for patient evaluation
Design a multi-modal plan of care for pelvic rehabilitation
Perform clinical care based on patient presentation and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercise, manual therapy, therapeutic activities, self-care instruction, and recommendations for relevant modalities and referrals.
Prerequisites: In order to take the Capstone course, registrants must have previously completed Pelvic Function Level 1 through Herman & Wallace or Pelvic PT 1 through the APTA; and Pelvic Function Level 2A with H&W. Participants must also have completed either Pelvic Function Level 2B OR Pelvic Function Level 2C or both. 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 about What to Expect During Courses with Internal Lab Work.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Price: $775 ($795 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
This 26 hour (12.17 hours of online lecture plus 2 days of in-person learning), this advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This is a satellite offering of our course, Pelvic Floor Capstone. 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 on-site lab assistants at the satellite course location.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS).Lectures includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Other lectures and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
This is a satellite offering of the Pelvic Floor Capstone Course. 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 on-site lab assistants at the satellite course location.
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. Read more about What to Expect During Courses with Internal Lab Work.
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 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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of the material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
=============================
Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the courseTotal video lecture time: 8 hours1) Advanced Anatomy (46 minutes)
2) Endocrine System: The Basics (28 minutes)
3) Endocrine System: Lifespan Considerations (43 minutes)
4) Endometriosis: Diagnosis & Medical Management (31 minutes)
5) Genital & Perineal Skin (37 minutes)
6) Topics in Neurologic Pelvic Rehabilitation (73 minutes)
7) Common Pelvic Surgeries & Procedures (54 minutes)
8) Pain Science in Practice (37 minutes)
9) Mental Health Screening (46 minutes)
10) Pharmacologic Considerations in Pelvic Rehab (57 minutes)
11) Neuroinflammation & Complex Conditions (35 min)
=============================
Day One
=============================
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
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to Capstone / Course Goals and Objectives 7:00 - Pelvic Health Anatomy - Beyond the Basics 7:50 - Lab 1 Prep: “Stacking” and Working with Fascia 8:15 - Lab 1: External Techniques- “Stacking” and Working with Fascia 9:00 - Break 9:15 - Endometriosis & Pelvic Rehab 9:45 - Post-Surgical Rehabilitation 11:00 - Lunch 12:00 - Pelvic Congestion Syndrome 12:45 - Lab 2 Prep: Internal Techniques - Anterior Structures 1:15 - Lab 2: Internal Techniques - Anterior Structures 2:15 - Break 2:30 - Case Studies Part 1: “Choose Your Own Ending” 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 - Complex Patient Presentations & Challenging Conditions 8:00 - Boundaries & Burnout 8:30 - Break 8:45 - Lab 3 Prep: External Techniques- Anterior Structures 9:15 - Lab 3: External Techniques- Anterior Structures 10:30 - Lunch/Meal Break 11:15 - Case Studies: Part 2 12:15 - Lab 4 Prep: Internal & External Techniques- Lower Abdomen and Posterior Pelvis 12:45 - Lab 4 : Internal & External Techniques- Lower Abdomen and Posterior Pelvis 1:45 - Break 2:15 - Lab 5: Movement! Clinical Pearls 3:00 - Synthesis of labs 3:15 - Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location
\
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course). Experience Level: Beginner Contact Hours: 22.5
This continuing education course is a three-day seminar 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.
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.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
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.
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
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location:
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).
Pelvic Floor Level 1 - Bangor, ME - July 18-19, 2020 (RESCHEDULED)
Update 6/10/2020: 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}860{/dtregister}
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.
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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Dustienne Miller, MSPT, WCS, CYT
Dustienne Miller MSPT, WCS, CYT (she/her) is the creator of the two-day course Yoga for Pelvic Pain and an instructor for Pelvic Function Level 1. Born out of an interest in creating yoga home programs for her patients, she developed a pelvic health yoga video series called Your Pace Yoga in 2012. She is a contributing author in two books about the integration of pelvic health and yoga, Yoga Mama: The Practitioner’s Guide to Prenatal Yoga (Shambhala Publications, 2016) and Healing in Urology (World Scientific). Prior conference and workshop engagements include APTA's CSM, International Pelvic Pain Society, Woman on Fire, Wound Ostomy and Continence Society, and the American Academy of Physical Medicine and Rehabilitation Annual Assembly.
Her clinical practice, Flourish Physical Therapy, is located in Boston's Back Bay. She is a board-certified women's health clinical specialist recognized by the American Board of Physical Therapy Specialties. Dustienne weaves yoga, mindfulness, and breathwork into her clinical practice, having received her yoga teacher certification through the Kripalu Center for Yoga and Health in 2005.
Dustienne's love of movement carried over into her physical therapy and yoga practice, stemming from her previous career as a professional dancer. She danced professionally in New York City for several years, most notably with the national tour of Fosse. She bridged her dance and physical therapy backgrounds working for Physioarts, who contracted her to work backstage at various Broadway shows and for Radio City Christmas Spectacular. She is currently an assistant professor of jazz dance at Boston Conservatory at Berklee.
Dustienne passionately believes in the integration of physical therapy and yoga within a holistic model of care. Her course aims to provide therapists and patients with an additional resource centered on supporting the nervous system and enhancing patient self-efficacy.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted 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 and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female 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.
Pelvic Floor Level 1 - Bay Shore, NY - May 11-13, 2020 (Rescheduled)
Update 4/10/2020: 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}981{/dtregister}
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.
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
Directions from Recommended Lodging to Course Location:Click here if map is not shown below.
Instructors - Nazari
Pany Nazari, PT, DPT, PRPC, BCB-PMD
Dr. Pany Nazari received her BS degree in 1994 from Howard University in Washington, D.C., and her doctorate degree in 2016 from Northeastern University in Boston, MA. For the first decade of her career she focused on mastering the assessment and treatment of a variety of orthopedic issues, with a focus on the spine, sacro-iliac joint, and pelvis. Since 2005, Pany has dedicated her educational and clinical concentration on pelvic floor rehabilitation. Her passion is to use various forms of biofeedback in conjunction with manual therapy along with a strong emphasis on patient education to facilitate optimal function for individuals. She is a fellow and is board certified
in the use of Biofeedback for Pelvic Muscle Disorders and holds certification as a Pelvic Rehabilitation Practitioner from the Herman & Wallace Pelvic Rehabilitation Institute.
Pany truly believes that knowledge is power; as mentioned, she has a strong focus on education and increasing awareness of the importance of pelvic health among the community, physicians and other practitioners. Aside from teaching for Herman and Wallace Rehab Institute, she has recently been appointed as a clinical instructor for George Washington University in the Department of Physical Therapy and Health Care Science. She is also continuously expanding her own knowledge by attending various conferences and is a member of the International Pelvic Pain Society and National Vulvodynia Association.
Pany established a tremendously well respected pelvic rehab program at her local hospital from the ground up, where she worked for 18 years. She now works in a multidisciplinary wellness center in McLean, Virginia. Cooking while listening to music, reading, cross-training, and being with her family are some of Pany's other passions.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Level 1 - Bayshore, NY - March 6-8, 2016
{dtregister}391{/dtregister}
{gallery width=181}course_images/pf1{/gallery}
Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course). Experience Level: Beginner Contact Hours: 22.5
This continuing education course is a three-day seminar 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.
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.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
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.
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
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.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location:Click here if map is not shown below.
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).
Pelvic Floor Level 1 - Berrien Springs, MI - June 7-9, 2020 (Rescheduled)
Update 4/15/2020: 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}831{/dtregister}
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.
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
Directions from Recommended Lodging to Course Location:
Kristina Koch, PT, DPT, MS, Board Certified Specialist in Women's Health PT (2013-2023), CLT
Kristina Koch, PT, DPT, MS, Board Certified Specialist in Women's Health PT (2013-2023), CLT (she/her) received her Masters of Science in Physical Therapy in 1996 from Springfield College in Massachusetts. In 2001, while living in the Los Angeles area, Kristina started specializing in the treatment of pelvic floor dysfunction including bowel/bladder issues and pelvic pain, and in 2021, she went on to earn her doctorate of physical therapy from The College of St. Scholastica. During her time in Los Angeles, she was fortunate to work with and, be mentored by fellow Herman and Wallace faculty member, Jenni Gabelsburg, DPT, WCS, MSc, MTC. Kristina is a Board Certified Specialist in Women's Health Physical Therapist (2013-2023) by the American Board of Physical Therapy Specialties. She then received her lymphatic therapist certification (CLT) in 2015.
Kristina has successfully helped establish women’s health and pelvic floor physical therapy programs in San Diego, California and Colorado Springs, CO where she currently works in private practice. Kristina treats men, women, children, trans and gender non-binary individuals in her practice. In addition, Kristina serves as a guest lecturer for graduate physical therapy students at Regis University in Denver, CO and, provides educational lectures to medical providers and local community groups. Outside of work, Kristina enjoys spending time with her husband and two children, skiing, running and hiking.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted 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 and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted 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 and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female 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.
Pelvic Floor Level 1 - Crown Point, IN - September 7-9, 2018 (SOLD OUT)
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Description
Schedule
Objectives
Instructors
Location/Lodging
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.
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
Teri Elliott-Burke, PT, MHS, BCB-PMD
Teri Elliott-Burke, PT, MHS has been practicing physical therapy since 1978. She received a Masters in Health Science from the University of Indianapolis, a certificate in physical therapy from Northwestern University Medical School and a BA in biology and psychology from North Central College. She is the co-owner of Women’s Physical Therapy Institute, in Lake Zurich, IL specializing in orthopedics and pelvic dysfunction for men, women, and children. She is an adjunct faculty member of Midwestern University in Downers Grove, IL where she co-teaches Management in Physical Therapy Systems, Applied Management Skills in Physical Therapy Systems, and lectures on women’s health and pelvic dysfunction. She is a member of the APTA Section on Women’s Health, the Private Practice Section, the International Pelvic Pain Society, American Urogynecologic Society, and the Chicagoland Pelvic Floor Research Consortium. Teri also speaks frequently to community and professional groups on topics related to pelvic dysfunction for men and women. She strives to maintain a balance between work, her family (1 husband, 2 sons), her church and community.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location:Click here if map is not shown below.
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).
Pelvic Floor Level 1 - Durham, NC - April 29 - May 1, 2016 (SOLD OUT!)
{dtregister}355{/dtregister}
{gallery width=181}course_images/pf1{/gallery}
Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course). Experience Level: Beginner Contact Hours: 22.5
This continuing education course is a three-day seminar 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.
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.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
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.
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
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted 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 and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female 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.
Start Date/Time and Time Zone:
Nov 19, 2022 9:30 AM America/New_York
Location
Venue: Gibbs Cancer Center & Research Institute - Pelham
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted 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 and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted 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 and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female 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.
Start Date/Time and Time Zone:
Apr 15, 2023 9:30 AM America/New_York
Location
Venue: East Tennessee Spine and Sport - Old Weisgarber Rd
Pelvic Floor Level 1 - Lansing, MI - June 12-14, 2020 (Rescheduled)
Update 04/3-/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}916{/dtregister}
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.
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
Directions from Recommended Lodging to Course Location:
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Instructors - Pribyl
Megan Pribyl, PT, CMPT, CMTPT/DN, PCES
Megan Pribyl, PT, CMPT, CMTPT/DN, PCES (she/her) is a mastery-level physical therapist at the University of Kansas Health System in Olathe, KS treating a diverse outpatient population in orthopedics including pelvic health, pregnancy, and postpartum rehabilitation – all with integration of health and wellness. She began her PT career in 2000 after graduating from the University of Colorado Health Sciences Center with her Master of Science in Physical Therapy. Prior, she earned her dual degree in Nutrition and Exercise Sciences (B.S. Foods & Nutrition, B.S. Kinesiology) in 1998 from Kansas State University. Later, she obtained her CMPT from the North American Institute of Orthopedic Manual Therapy and became certified in dry needling in 2019. Since 2015, she has been a faculty member of Herman & Wallace Pelvic Rehab Institute and enjoys both teaching and developing content. She created and instructs Nutrition Perspectives for the Pelvic Rehab Therapist offered remotely through Herman & Wallace. She also teaches Pelvic Function – Level 1, Pregnancy Rehabilitation and Postpartum Rehabilitation. She brings many years of experience and insight to all courses. As a content developer, Megan has also contributed to the Herman & Wallace Oncology Series, Pelvic Function Level 2A, as well as the Pelvic Function Series Capstone Course.
Megan’s longstanding passion for both nutritional sciences and manual therapy culminated in her creating Nutrition Perspectives for the Pelvic Rehab Therapist designed to propel understanding of human physiology as it relates to pelvic conditions, pain, healing, and therapeutic response. She harnesses her passion to integrate ancient and traditional practices with cutting-edge discoveries creating a unique experience sure to elevate your level of appreciation for the complex and fascinating nature of clinical presentations in orthopedic manual therapy and pelvic rehabilitation. Clinicians will come away from this course with both simple and practical integrative tools that can be immediately utilized to help clients and providers alike - along their path of healing.
Megan enjoys her many fulfilling roles as an instructor, clinician, wife, and mom to two active teenagers and owner of two rambunctious golden retrievers. She loves to read, cook, be in the great outdoors, travel, and spend time with her family and friends. She has a passion for both the mountains and the beach, exploring scientific literature, and learning all she can about the power of using nature, nurture, and nutrition to heal and sustain health.
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).
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.
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
Directions from Recommended Lodging to Course Location:
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Instructors - Pribyl
Megan Pribyl, PT, CMPT, CMTPT/DN, PCES
Megan Pribyl, PT, CMPT, CMTPT/DN, PCES (she/her) is a mastery-level physical therapist at the University of Kansas Health System in Olathe, KS treating a diverse outpatient population in orthopedics including pelvic health, pregnancy, and postpartum rehabilitation – all with integration of health and wellness. She began her PT career in 2000 after graduating from the University of Colorado Health Sciences Center with her Master of Science in Physical Therapy. Prior, she earned her dual degree in Nutrition and Exercise Sciences (B.S. Foods & Nutrition, B.S. Kinesiology) in 1998 from Kansas State University. Later, she obtained her CMPT from the North American Institute of Orthopedic Manual Therapy and became certified in dry needling in 2019. Since 2015, she has been a faculty member of Herman & Wallace Pelvic Rehab Institute and enjoys both teaching and developing content. She created and instructs Nutrition Perspectives for the Pelvic Rehab Therapist offered remotely through Herman & Wallace. She also teaches Pelvic Function – Level 1, Pregnancy Rehabilitation and Postpartum Rehabilitation. She brings many years of experience and insight to all courses. As a content developer, Megan has also contributed to the Herman & Wallace Oncology Series, Pelvic Function Level 2A, as well as the Pelvic Function Series Capstone Course.
Megan’s longstanding passion for both nutritional sciences and manual therapy culminated in her creating Nutrition Perspectives for the Pelvic Rehab Therapist designed to propel understanding of human physiology as it relates to pelvic conditions, pain, healing, and therapeutic response. She harnesses her passion to integrate ancient and traditional practices with cutting-edge discoveries creating a unique experience sure to elevate your level of appreciation for the complex and fascinating nature of clinical presentations in orthopedic manual therapy and pelvic rehabilitation. Clinicians will come away from this course with both simple and practical integrative tools that can be immediately utilized to help clients and providers alike - along their path of healing.
Megan enjoys her many fulfilling roles as an instructor, clinician, wife, and mom to two active teenagers and owner of two rambunctious golden retrievers. She loves to read, cook, be in the great outdoors, travel, and spend time with her family and friends. She has a passion for both the mountains and the beach, exploring scientific literature, and learning all she can about the power of using nature, nurture, and nutrition to heal and sustain health.
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).
Pelvic Floor Level 1 - Lansing, MI - October 5-7, 2018 (SOLD OUT)
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Description
Schedule
Objectives
Instructor
Location/Lodging
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.
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
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Teri Elliott-Burke, PT, MHS, BCB-PMD
Teri Elliott-Burke, PT, MHS has been practicing physical therapy since 1978. She received a Masters in Health Science from the University of Indianapolis, a certificate in physical therapy from Northwestern University Medical School and a BA in biology and psychology from North Central College. She is the co-owner of Women’s Physical Therapy Institute, in Lake Zurich, IL specializing in orthopedics and pelvic dysfunction for men, women, and children. She is an adjunct faculty member of Midwestern University in Downers Grove, IL where she co-teaches Management in Physical Therapy Systems, Applied Management Skills in Physical Therapy Systems, and lectures on women’s health and pelvic dysfunction. She is a member of the APTA Section on Women’s Health, the Private Practice Section, the International Pelvic Pain Society, American Urogynecologic Society, and the Chicagoland Pelvic Floor Research Consortium. Teri also speaks frequently to community and professional groups on topics related to pelvic dysfunction for men and women. She strives to maintain a balance between work, her family (1 husband, 2 sons), her church and community.
Directions from Recommended Lodging to Course Location:
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted 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 and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted 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 and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted 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 and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female 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.
Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course). Experience Level: Beginner Contact Hours: 22.5
This continuing education course is a three-day seminar 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.
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.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
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.
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
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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).
Pelvic Floor Level 1 - Royal Oak, MI - May 17-19, 2019 (SOLD OUT)
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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.
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
Directions from Recommended Lodging to Course Location:
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Instructors - Pribyl
Megan Pribyl, PT, CMPT, CMTPT/DN, PCES
Megan Pribyl, PT, CMPT, CMTPT/DN, PCES (she/her) is a mastery-level physical therapist at the University of Kansas Health System in Olathe, KS treating a diverse outpatient population in orthopedics including pelvic health, pregnancy, and postpartum rehabilitation – all with integration of health and wellness. She began her PT career in 2000 after graduating from the University of Colorado Health Sciences Center with her Master of Science in Physical Therapy. Prior, she earned her dual degree in Nutrition and Exercise Sciences (B.S. Foods & Nutrition, B.S. Kinesiology) in 1998 from Kansas State University. Later, she obtained her CMPT from the North American Institute of Orthopedic Manual Therapy and became certified in dry needling in 2019. Since 2015, she has been a faculty member of Herman & Wallace Pelvic Rehab Institute and enjoys both teaching and developing content. She created and instructs Nutrition Perspectives for the Pelvic Rehab Therapist offered remotely through Herman & Wallace. She also teaches Pelvic Function – Level 1, Pregnancy Rehabilitation and Postpartum Rehabilitation. She brings many years of experience and insight to all courses. As a content developer, Megan has also contributed to the Herman & Wallace Oncology Series, Pelvic Function Level 2A, as well as the Pelvic Function Series Capstone Course.
Megan’s longstanding passion for both nutritional sciences and manual therapy culminated in her creating Nutrition Perspectives for the Pelvic Rehab Therapist designed to propel understanding of human physiology as it relates to pelvic conditions, pain, healing, and therapeutic response. She harnesses her passion to integrate ancient and traditional practices with cutting-edge discoveries creating a unique experience sure to elevate your level of appreciation for the complex and fascinating nature of clinical presentations in orthopedic manual therapy and pelvic rehabilitation. Clinicians will come away from this course with both simple and practical integrative tools that can be immediately utilized to help clients and providers alike - along their path of healing.
Megan enjoys her many fulfilling roles as an instructor, clinician, wife, and mom to two active teenagers and owner of two rambunctious golden retrievers. She loves to read, cook, be in the great outdoors, travel, and spend time with her family and friends. She has a passion for both the mountains and the beach, exploring scientific literature, and learning all she can about the power of using nature, nurture, and nutrition to heal and sustain health.
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).
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.
============================= 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
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Instructors - Pribyl
Megan Pribyl, PT, CMPT, CMTPT/DN, PCES
Megan Pribyl, PT, CMPT, CMTPT/DN, PCES (she/her) is a mastery-level physical therapist at the University of Kansas Health System in Olathe, KS treating a diverse outpatient population in orthopedics including pelvic health, pregnancy, and postpartum rehabilitation – all with integration of health and wellness. She began her PT career in 2000 after graduating from the University of Colorado Health Sciences Center with her Master of Science in Physical Therapy. Prior, she earned her dual degree in Nutrition and Exercise Sciences (B.S. Foods & Nutrition, B.S. Kinesiology) in 1998 from Kansas State University. Later, she obtained her CMPT from the North American Institute of Orthopedic Manual Therapy and became certified in dry needling in 2019. Since 2015, she has been a faculty member of Herman & Wallace Pelvic Rehab Institute and enjoys both teaching and developing content. She created and instructs Nutrition Perspectives for the Pelvic Rehab Therapist offered remotely through Herman & Wallace. She also teaches Pelvic Function – Level 1, Pregnancy Rehabilitation and Postpartum Rehabilitation. She brings many years of experience and insight to all courses. As a content developer, Megan has also contributed to the Herman & Wallace Oncology Series, Pelvic Function Level 2A, as well as the Pelvic Function Series Capstone Course.
Megan’s longstanding passion for both nutritional sciences and manual therapy culminated in her creating Nutrition Perspectives for the Pelvic Rehab Therapist designed to propel understanding of human physiology as it relates to pelvic conditions, pain, healing, and therapeutic response. She harnesses her passion to integrate ancient and traditional practices with cutting-edge discoveries creating a unique experience sure to elevate your level of appreciation for the complex and fascinating nature of clinical presentations in orthopedic manual therapy and pelvic rehabilitation. Clinicians will come away from this course with both simple and practical integrative tools that can be immediately utilized to help clients and providers alike - along their path of healing.
Megan enjoys her many fulfilling roles as an instructor, clinician, wife, and mom to two active teenagers and owner of two rambunctious golden retrievers. She loves to read, cook, be in the great outdoors, travel, and spend time with her family and friends. She has a passion for both the mountains and the beach, exploring scientific literature, and learning all she can about the power of using nature, nurture, and nutrition to heal and sustain health.
This is a satellite offering of our course, Pelvic Floor Level 1. 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 practice labs with one another. This is the self-hosted option for the satellite course.
What does self-hosted mean? The self-hosted option is for those who live in very remote/inaccessible regions, who are practicing stricter social distancing, and are comfortable with self-lead, independent learning. Participants will need to sign up in groups of two or more in order to participate in labs. All participants must be therapists who are registered for this course who can give knowledgeable feedback to their partner during lab (no patients other unlicensed people).
Looking for more help and hands-on guidance during labs from vetted teaching assistants who are guiding participants meeting in groups of 10-16? Click here for a list of satellite locations where participants will be gathering at hosted locations with teaching assistants to assist the learning.
This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which 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 and participate in labs together, with the instructor guiding remotely. 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.
This course was designed to provide a thorough introduction to female 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. 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.
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 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 the 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.
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.
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.
============================= 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
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
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.
Find a suitable location from which the pair/group can all view the zoom lectures together.
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.
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
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Instructors - Pribyl
Megan Pribyl, PT, CMPT, CMTPT/DN, PCES
Megan Pribyl, PT, CMPT, CMTPT/DN, PCES (she/her) is a mastery-level physical therapist at the University of Kansas Health System in Olathe, KS treating a diverse outpatient population in orthopedics including pelvic health, pregnancy, and postpartum rehabilitation – all with integration of health and wellness. She began her PT career in 2000 after graduating from the University of Colorado Health Sciences Center with her Master of Science in Physical Therapy. Prior, she earned her dual degree in Nutrition and Exercise Sciences (B.S. Foods & Nutrition, B.S. Kinesiology) in 1998 from Kansas State University. Later, she obtained her CMPT from the North American Institute of Orthopedic Manual Therapy and became certified in dry needling in 2019. Since 2015, she has been a faculty member of Herman & Wallace Pelvic Rehab Institute and enjoys both teaching and developing content. She created and instructs Nutrition Perspectives for the Pelvic Rehab Therapist offered remotely through Herman & Wallace. She also teaches Pelvic Function – Level 1, Pregnancy Rehabilitation and Postpartum Rehabilitation. She brings many years of experience and insight to all courses. As a content developer, Megan has also contributed to the Herman & Wallace Oncology Series, Pelvic Function Level 2A, as well as the Pelvic Function Series Capstone Course.
Megan’s longstanding passion for both nutritional sciences and manual therapy culminated in her creating Nutrition Perspectives for the Pelvic Rehab Therapist designed to propel understanding of human physiology as it relates to pelvic conditions, pain, healing, and therapeutic response. She harnesses her passion to integrate ancient and traditional practices with cutting-edge discoveries creating a unique experience sure to elevate your level of appreciation for the complex and fascinating nature of clinical presentations in orthopedic manual therapy and pelvic rehabilitation. Clinicians will come away from this course with both simple and practical integrative tools that can be immediately utilized to help clients and providers alike - along their path of healing.
Megan enjoys her many fulfilling roles as an instructor, clinician, wife, and mom to two active teenagers and owner of two rambunctious golden retrievers. She loves to read, cook, be in the great outdoors, travel, and spend time with her family and friends. She has a passion for both the mountains and the beach, exploring scientific literature, and learning all she can about the power of using nature, nurture, and nutrition to heal and sustain health.
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).
This is a satellite offering of our course, Pelvic Floor Level 1. 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 practice labs with one another. This is the self-hosted option for the satellite course.
What does self-hosted mean? The self-hosted option is for those who live in very remote/inaccessible regions, who are practicing stricter social distancing, and are comfortable with self-lead, independent learning. Participants will need to sign up in groups of two or more in order to participate in labs. All participants must be therapists who are registered for this course who can give knowledgeable feedback to their partner during lab (no patients other unlicensed people).
Looking for more help and hands-on guidance during labs from vetted teaching assistants who are guiding participants meeting in groups of 10-16? Click here for a list of satellite locations where participants will be gathering at hosted locations with teaching assistants to assist the learning.
This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which 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 and participate in labs together, with the instructor guiding remotely. 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.
This course was designed to provide a thorough introduction to female 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. 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.
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 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 the 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.
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.
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.
============================= 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
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
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.
Find a suitable location from which the pair/group can all view the zoom lectures together.
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.
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
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC (she/her) has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011 and board-certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in the treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor Disorders program. Allison's publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009 and 2013. In 2016, Allison co-authored a chapter in “Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.”
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing Herman and Wallace on pelvic floor-related topics, Allison lectures nationally on lymphedema, cancer-related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys spending time with her family, caring for her animals, reading, traveling, and most importantly of all, being a mom! She lives in the Denver metro area with her family.
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).
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.
============================= 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
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted 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 and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female 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.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted 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 and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female 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.
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted 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 and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female 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.
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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
Directions from Recommended Lodging to Course Location:
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
This is a satellite offering of our course, Pelvic Floor Level 1. 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 practice labs with one another. This is the self-hosted option for the satellite course.
What does self-hosted mean? The self-hosted option is for those who live in very remote/inaccessible regions, who are practicing stricter social distancing, and are comfortable with self-lead, independent learning. Participants will need to sign up in groups of two or more in order to participate in labs. All participants must be therapists who are registered for this course who can give knowledgeable feedback to their partner during lab (no patients other unlicensed people).
Looking for more help and hands-on guidance during labs from vetted teaching assistants who are guiding participants meeting in groups of 10-16? Click here for a list of satellite locations where participants will be gathering at hosted locations with teaching assistants to assist the learning.
This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which 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 and participate in labs together, with the instructor guiding remotely. 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.
This course was designed to provide a thorough introduction to female 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. 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.
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 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 the 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.
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.
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.
============================= 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
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
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.
Find a suitable location from which the pair/group can all view the zoom lectures together.
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.
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
Elizabeth Hampton PT, DPT, WCS, PRPC, BCB-PMD
Elizabeth Hampton PT, DPT, WCS, PRPC, BCB-PMD (she/her) is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Level 2A - Crown Point, IN - May 15-17, 2020 (Rescheduled)
Update 4/15/2020: 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!
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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.
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
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.
Directions from Recommended Lodging to Course Location:Click here if map is not shown below.
Instructor - Ariail
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC (she/her) has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011 and board-certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in the treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor Disorders program. Allison's publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009 and 2013. In 2016, Allison co-authored a chapter in “Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.”
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing Herman and Wallace on pelvic floor-related topics, Allison lectures nationally on lymphedema, cancer-related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys spending time with her family, caring for her animals, reading, traveling, and most importantly of all, being a mom! She lives in the Denver metro area with her family.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Level 2A - Grand Rapids, MI - April 17-19, 2020 (Rescheduled)
Update 3/19/2020: 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}796{/dtregister}
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.
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
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.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Heather S. Rader, PT, DPT, PRPC, BCB-PMD
Dr. Heather S. Rader, PT, DPT, PRPC, BCB-PMD (she/her) the owner of The OB PT Clinic, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain located in Eustis, FL. A physical therapist since 1994, she graduated from the University of Miami with a Master’s degree in Physical Therapy and she completed her Doctorate in Physical Therapy from the University of St. Augustine in 2011. She was board certified in the use of Biofeedback for Pelvic Muscle Disorders in 2006. She was awarded the Pelvic Rehabilitation Practitioner Certification in 2014 and served as a subject matter expert and question writer for the PRPC examination. She is on faculty with the Herman & Wallace Pelvic Rehabilitation Institute, teaching Pelvic Rehabilitation around the country several times a year, teaching courses in the Pelvic Floor Series and Pregnancy Series.
Her mission as an educator is to assist in the national expansion of qualified pelvic floor therapists and promote awareness of pelvic floor dysfunction to medical professionals and the community at large. She runs a social media site on Facebook called “Team Pelvic Floor”, which posts articles and facts about pelvic floor rehab while promoting a team approach to treating pelvic dysfunction. She is a practice consultant and mentors therapists wishing to incorporate pelvic rehabilitation into their practice.
Office: 352-585-9135
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
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).
Pelvic Floor Level 2A - Grand Rapids, MI - November 7-8, 2020 (SOLD OUT)
{dtregister}1096{/dtregister}
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.
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
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.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Level 2A - Milwaukee, WI - June 21-23, 2019 (SOLD OUT)
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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.
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
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.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Dana Reid, DPT
Dana Reid, DPT graduated from the University of Puget Sound in 2009 with her Doctorate in Physical Therapy. Dana’s interest with pelvic rehab started in school where she was fortunate enough to have a Women’s Health elective to start her journey. She has enjoyed pursuing continuing education with the aim to be able to treat a wide array of pelvic health conditions and looks forward to helping spark interest in this field in more practitioners through Herman & Wallace. She currently owns her own physical therapy practice in Hood River Oregon, focusing on the wholistic treatment of all genders with pelvic health concerns.
Dana enjoys taking advantage of the outdoor recreation her Columbia River Gorge home has to offer. She has participated in triathlons nationally and internationally as part of Age Group Team USA and enjoys running marathons as well. At home, Dana and her partner enjoy working with their dogs and livestock on their sustainable farm and vineyard.
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).
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
============================= 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.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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
============================= 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.
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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
============================= 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.
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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
============================= 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.
Directions from Recommended Lodging to Course Location:
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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
============================= 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.
Directions from Recommended Lodging to Course Location:
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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
============================= 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.
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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
============================= 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.
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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
============================= 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.
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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
============================= 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.
Directions from Recommended Lodging to Course Location:
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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
============================= 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.
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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
============================= 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.
Directions from Recommended Lodging to Course Location
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Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Level 2B - Ann Arbor, MI - March 29-31, 2019 (SOLD OUT)
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Note pricing changes for 2017 courses Experience Level: Intermediate Contact Hours: 22.5
This three day 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 downtraining 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 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 trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and 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 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 is 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 to care of the patient is discussed.
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.
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.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
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.
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.
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.
============================= 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)
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Tina Allen, PT, PRPC, BCB-PMD
Tina Allen, PT, PRPC, BCB-PMD (she/her) has been a physical therapist since 1993. She received her PT degree from the University of Illinois at Chicago. Her initial five years in practice focused on acute care, trauma, and outpatient orthopedic physical therapy at Loyola Medical Center in Illinois. Tina moved to Seattle in 1997 and focused her practice in Pelvic Health. Since then she has focused her treatment on the care of all genders throughout their life spans with bladder/bowel dysfunction, pelvic pain syndromes, pregnancy/ postpartum, lymphedema, and cancer recovery.
Tina’s practice is at the University of Washington Medical Center in the Urology/Urogynecology Clinic where she treats along side physicians and educates medical residents in how pelvic rehab interventions will assist clients. She presents at medical and patient conferences on topics such as pelvic pain, continence, and lymphedema. Tina has been faculty at Herman and Wallace Pelvic Rehabilitation Institute since 2006. She was the physical therapist provider for the University of Washington on a LURN Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment with physical therapy techniques. Tina was also a co-investigator for a content package on pain education for the NIDA/NIH on treatment of pelvic pain.
Outside work Tina enjoys spending time with her husband, hiking, traveling, reading and meditation.
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).
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.
============================= 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)
Lila Abbate, PT, DPT, MS, OCS, WCS, PRPC
Lila Abbate, PT, DPT, MS, OCS, WCS, PRPC (she/her) is the Director/Owner of New Dimensions Physical Therapy with locations Roslyn, Long Island, and the Noho Section of New York City. Dr. Abbate graduated from Touro College in Dix Hills, NY with a Bachelors of Science (BS) in Health Sciences and a Masters of Arts (MA) in Physical Therapy in 1997. She completed her Advanced Masters in Manual Orthopedic Physical Therapy (MS) at Touro College, Bayshore, NY in 2003 and continued to pursue her Doctor of Physical Therapy (DPT) at Touro in 2005. Dr. Abbate is a Board-Certified Specialist by the American Physical Therapy Association in Orthopedics (OCS) 2004 and Women’s Health (WCS) 2011. She has obtained the Certified Pelvic Rehabilitation Practitioner (PRPC) by Herman & Wallace Institute, 2014. She is a Diane Lee/LJ Lee, Integrated Systems Model (ISM) graduate and completed the New York series in 2012.
Dr. Abbate has been an educator for most of her physical therapy career. She has experience as full-time faculty at Touro College, Manhattan Campus from 2002 to 2006 teaching the biomechanical approach to orthopedic dysfunction and therapeutic exercise as well as massage/soft tissue work that highlighted trigger point work, scar management, and myofascial release.
She is currently on faculty as a Lecturer at Columbia University teaching the private practice section Business & Management course (since 2016) along with the Pelvic Health elective (since 2012). She teaches nationally and internationally with the Herman & Wallace Pelvic Rehabilitation Institute teaching advanced courses of her own intellectual property: Orthopedic Assessment for the Pelvic Health Therapist, Bowel Pathology Function, Dysfunction and the Pelvic Floor, Coccydynia & Painful Sitting: Orthopedic Implications. She was a co-writer for the Pudendal Neuralgia course and teaches the Pelvic Floor Series of Pelvic Floor 1, 2A and 2B and Pregnancy, Postpartum. She has written two book chapters in 2016: Pelvic Pain Management by Valvoska and Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies by Chughtai.
She is a member of the American Physical Therapy Association, the National Vulvodynia Association, the American Urogynecology Association, and the International Pelvic Pain Society. Dr. Abbate is also a Senior Physical Therapy consultant for SI Bone, a sacroiliac joint instrumentation company.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location:Click here if map is not shown below.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
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.
Pelvic Floor Level 2B - Grand Rapids, MI - September 12-13, 2020 (RESCHEDULED)
Update 05/22/2020: As a precaution against the spread of COVID-19, this course has been postponed. We have rescheduled it. Please take a look here and let us know if you would like to transfer your registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!
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.
============================= 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)
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Jessica Reale, PT, DPT, WCS
Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with all people with pelvic floor disorders, especially those with chronic pelvic pain, urinary dysfunction and bowel dysfunction. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica owns and treats patients at Southern Pelvic Health in Atlanta, GA, a specialty pelvic rehabilitation practice.
Jessica is passionate about pelvic health education, and works closely with Holly Tanner in writing and updating Pelvic Floor Level 1, 2A and 2B coursework. She also regularly guest lectures at local university DPT programs, and has presented at conferences, seminars, community groups, and various medical and physical therapy residency programs.
Jessica loves supporting other pelvic rehabilitation providers, and founded the Facebook group, Pelvic PT Newbies, as a place for safe questioning, learning and growth. She also established and runs a professional small group mentoring program several times each year. She also runs an educational blog on pelvic health topics through her website, and is active on social media @southernpelvichealth, spreading awareness of pelvic floor dysfunction and pelvic rehabilitation. Outside of work, Jessica enjoys spending time with her husband and 2 daughters, staying active, and traveling. .
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).
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.
============================= 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)
Sara Reardon, DPT, WCS, BCB-PMD
Sara specializes in treating women and men with pelvic floor muscle dysfunction, particularly chronic pelvic pain, bowel dysfunction, bladder dysfunction including post-prostatectomy urinary incontinence, and prenatal and postpartum conditions. She currently practices in her hometown of New Orleans, La. She has served as a clinical faculty member of University of Texas Physical Therapy Program teaching the Women’s Health Elective. She frequently presents to physicians, nurses, physical therapists, and community support groups on physical therapy treatment for pelvic floor dysfunction.
Sara is a graduate of Washington University in St. Louis, receiving her Bachelor of Science Degree in Psychology in 2000 and Doctorate of Physical Therapy Degree in 2007. She has achieved her Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic) and certification in Biofeedback Treatment of Pelvic Muscle Dysfunction (BCB-PMD). She earned her board-certification as a Women's Health Clinical Specialist (WCS) through the American Board of Physical Therapy Specialties in 2010.
Sara was named the 2008 Section on Women’s Health Research Scholar for her published research on pelvic floor dyssynergia related constipation. She was recognized as an Emerging Leader in 2013 by the American Physical Therapy Association. She served as Treasurer of the APTA’s Section on Women's Health and sat on their Executive Board of Directors from 2012-2015.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
7800 Col. H. Weir Cook Memorial Dr Indianapolis, IN 46241
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Susannah Haarmann, PT, CLT, WCS
Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location:
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Level 2B - Madison, WI - April 8-10, 2016 (SOLD OUT!)
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Note pricing changes for 2017 courses Experience Level: Intermediate Contact Hours: 22.5
This three day 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 downtraining 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 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 trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and 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 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 is 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 to care of the patient is discussed.
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.
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.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
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.
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.
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.
============================= 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)
Teri Elliott-Burke, PT, MHS, BCB-PMD
Teri Elliott-Burke, PT, MHS has been practicing physical therapy since 1978. She received a Masters in Health Science from the University of Indianapolis, a certificate in physical therapy from Northwestern University Medical School and a BA in biology and psychology from North Central College. She is the co-owner of Women’s Physical Therapy Institute, in Lake Zurich, IL specializing in orthopedics and pelvic dysfunction for men, women, and children. She is an adjunct faculty member of Midwestern University in Downers Grove, IL where she co-teaches Management in Physical Therapy Systems, Applied Management Skills in Physical Therapy Systems, and lectures on women’s health and pelvic dysfunction. She is a member of the APTA Section on Women’s Health, the Private Practice Section, the International Pelvic Pain Society, American Urogynecologic Society, and the Chicagoland Pelvic Floor Research Consortium. Teri also speaks frequently to community and professional groups on topics related to pelvic dysfunction for men and women. She strives to maintain a balance between work, her family (1 husband, 2 sons), her church and community.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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).
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.
============================= 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)
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location:
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Heather S. Rader, PT, DPT, PRPC, BCB-PMD
Dr. Heather S. Rader, PT, DPT, PRPC, BCB-PMD (she/her) the owner of The OB PT Clinic, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain located in Eustis, FL. A physical therapist since 1994, she graduated from the University of Miami with a Master’s degree in Physical Therapy and she completed her Doctorate in Physical Therapy from the University of St. Augustine in 2011. She was board certified in the use of Biofeedback for Pelvic Muscle Disorders in 2006. She was awarded the Pelvic Rehabilitation Practitioner Certification in 2014 and served as a subject matter expert and question writer for the PRPC examination. She is on faculty with the Herman & Wallace Pelvic Rehabilitation Institute, teaching Pelvic Rehabilitation around the country several times a year, teaching courses in the Pelvic Floor Series and Pregnancy Series.
Her mission as an educator is to assist in the national expansion of qualified pelvic floor therapists and promote awareness of pelvic floor dysfunction to medical professionals and the community at large. She runs a social media site on Facebook called “Team Pelvic Floor”, which posts articles and facts about pelvic floor rehab while promoting a team approach to treating pelvic dysfunction. She is a practice consultant and mentors therapists wishing to incorporate pelvic rehabilitation into their practice.
Office: 352-585-9135
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
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).
Pelvic Floor Level 2B - Royal Oak, MI - June 26-28, 2020 (Rescheduled)
Update 05/22/2020: As a precaution against the spread of COVID-19, this course has been postponed. We are offering Urogynecologic topics for the pelvic rehab therapist in it's place. Please take a look and let us know if you would like to transfer your registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!
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.
============================= 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)
Directions from Recommended Lodging to Course Location:Click here if map is not shown below.
Darla Cathcart, PT, DPT, PhD, WCS, CLT
Darla Cathcart, PT, DPT, PhD, WCS, CLT (she/her) graduated from Louisiana State University (Shreveport, LA) with her physical therapy degree, performed residency training in Women’s Health PT at Duke University, and completed a Ph.D. at the University of Arkansas Medical Sciences. Her dissertation research focused on using non-invasive brain stimulation to augment behavioral interventions for women with lifelong vaginismus, and her ongoing line of research focuses on painful intercourse and post-Cesarean rehabilitation.
Darla’s certifications and training include Women’s Health Certified Specialist (WCS, board certification through the American Board of Physical Therapy Specialties). Certificate of Achievement in Pelvic Physical Therapy (CAPP-Pelvic). Certificate of Achievement in Pregnancy & Postpartum Physical Therapy (CAPP-OB). Certified Lymphedema Therapist (CLT).
Darla began her women’s health physical therapy career in her first job while working with pregnant women with musculoskeletal problems in a private outpatient therapy clinic in Shreveport, LA (with a focus on spine rehab). While there, she developed and hosted an exercise class for pregnant women. She would go on to develop a mom and baby postpartum exercise class while in her Duke residency in Durham, NC. She went on to develop the pelvic, pregnancy, and post-breast cancer/lymphedema PT program at Christus-Schumpert Health System in Shreveport, LA. During this time, she participated in educating women in the labor and birth preparatory classes hosted by the hospital; she also taught the women’s health course for physical therapy students at LSU-Shreveport. Darla went on to serve as a full-time faculty member in the physical therapy program at the University of Central Arkansas in Conway, AR, where she taught women’s health topics, documentation, therapeutic exercise, professional development, and human physiology. She recently owned a private PT practice that is dedicated to pelvic (bowel, bladder, and pelvic pain) and pregnancy/postpartum conditions in Conway, AR. Darla now is a full-time faculty member in the entry-level Physical Therapy program at Graceland University.
Darla currently serves as the President for the Academy of Pelvic Health of the American Physical Therapy Association. She has several peer-reviewed and non-peer-reviewed scientific publications. Amongst some of these, she co-authored “Clinical Summary: Urinary Incontinence” for PTNow.org in April 2015. She authored the chapter titled “The Female Hip and Pelvis” in Orthopedic Management of the Hip and Pelvis (S Cheatham, M Kolber, Elsevier, 2015). She chaired the committee for and participated heavily in the development of the Certificate of Achievement in Pregnancy/Postpartum (CAPP-OB) course series for the Section on Women’s Health of the American Physical Therapy Association. Darla has spoken and instructed many courses in local, national, and international settings on a variety of pelvic, pregnancy/postpartum, and other women’s health physical therapy topics. Darla has served as the Director of Education (2011-2014) and as Vice President (2015-2016) for the Section on Women’s Health, American Physical Therapy Association. She also served a technical expert panel member on Treatments for Fecal Incontinence, Agency for Healthcare Research and Quality in 2014-2015. She also volunteered as a Women’s Health Certified Specialist Exam Standardization Task Force member in May 2013. Darla received several awards from the Section on Women’s Health: CAPP-OB Instructor of the Year (2017); Course Site Hostess of the Year (2018); and Volunteer of the Year (2015). She also received Clinical Instructor of the Year while serving as a clinical instructor a pelvic health physical therapy student from Elon University in 2011.
On a personal note, Darla has teenaged twin boys. She is a lifelong runner and exerciser who loves dark chocolate, craft beer, and her four dogs.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Elizabeth Hampton PT, DPT, WCS, PRPC, BCB-PMD
Elizabeth Hampton PT, DPT, WCS, PRPC, BCB-PMD (she/her) is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
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.
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.
============================= 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)
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.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location:(click here)
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location:
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location:
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
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.
Find a suitable location from which the pair/group can all view the zoom lectures together.
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.
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
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
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.
Find a suitable location from which the pair/group can all view the zoom lectures together.
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.
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
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
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.
Find a suitable location from which the pair/group can all view the zoom lectures together.
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.
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
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
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.
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.
============================= 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)
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
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.
============================= 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)
Directions from Recommended Lodging to Course Location
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Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of pre recorded lectures followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
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.
Start Date/Time and Time Zone:
Oct 21, 2023 9:30 AM America/New_York
Location
Venue: Peak Physical Therapy and Sports Performance - Braintree
Pelvic Floor Series Capstone - Arlington, VA - May 5-7, 2017
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{gallery width=181}course_images/pf3{/gallery}
Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $725 ($750 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
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This three-day (8 hours of online lecture plus 2 days of in-person learning), advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
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. Read more about What to Expect During Courses with Internal Lab Work.
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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Prerecorded lectures - sent 7-10 days prior to the course
Anatomy and function of abdominopelvic connective tissues – 90 mins The Endocrine System and Sex Hormones part 1-60 The Endocrine System: Changes Throughout the life span part 2- 60 Endometriosis : 90 mins PCOS & Fibroids: 60 Special topics in surgery: 60 Gynecological Oncology Intro: 75 Pharmacologic considerations in pelvic rehab: 60 Nutritional approaches to decrease inflammation 90
Day One
8:30 Anatomy review and working with connective tissues – Part 2, prelab 9:00 LAB Activity 1: Working with fascia: abdomen 10:00 Break 10:15 Scar demo and lab 45 mins 11:00 Endocrine changes highlights and Case Study Thyroid, Adrenal Fatigue– Endocrine Red Herrings 11:45 Lunch 12:45 LAB Activity 2: Prelab: (anatomy, lab instruction, patient applications) 2:45 Break 3:00 Vulvar skin and connective tissue dysfunctions 60 4:00 Lab 3 Perineal release techniques 5:45 Adjourn
Day Two:
8:00 Questions and test from day 1, online portion 8:30 Common female pelvic surgeries – add C-Section, Case Studies? 10:00 Break 10:15 Lab 4: Rehabilitation techniques for common female surgery complications 11:45 Lunch 12:45 Gynecological Oncology Treatment Procedures Part 2 1:45 Lab 5: Pre lab with Positional release external pelvic floor 75 3:00 Break 3:15 LAB 6 Oncology considerations & lymphedema 4:30 Putting it all together 5:15 Wrap up, 5:30 Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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).
Pelvic Floor Series Capstone - Bayshore, NY - November 4-6, 2018 (Sun - Tues)
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Price changes in 2017 Experience Level: Advanced Contact Hours: 22
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Prerecorded lectures - sent 7-10 days prior to the course
Anatomy and function of abdominopelvic connective tissues – 90 mins The Endocrine System and Sex Hormones part 1-60 The Endocrine System: Changes Throughout the life span part 2- 60 Endometriosis : 90 mins PCOS & Fibroids: 60 Special topics in surgery: 60 Gynecological Oncology Intro: 75 Pharmacologic considerations in pelvic rehab: 60 Nutritional approaches to decrease inflammation 90
Day One
8:30 Anatomy review and working with connective tissues – Part 2, prelab 9:00 LAB Activity 1: Working with fascia: abdomen 10:00 Break 10:15 Scar demo and lab 45 mins 11:00 Endocrine changes highlights and Case Study Thyroid, Adrenal Fatigue– Endocrine Red Herrings 11:45 Lunch 12:45 LAB Activity 2: Prelab: (anatomy, lab instruction, patient applications) 2:45 Break 3:00 Vulvar skin and connective tissue dysfunctions 60 4:00 Lab 3 Perineal release techniques 5:45 Adjourn
Day Two:
8:00 Questions and test from day 1, online portion 8:30 Common female pelvic surgeries – add C-Section, Case Studies? 10:00 Break 10:15 Lab 4: Rehabilitation techniques for common female surgery complications 11:45 Lunch 12:45 Gynecological Oncology Treatment Procedures Part 2 1:45 Lab 5: Pre lab with Positional release external pelvic floor 75 3:00 Break 3:15 LAB 6 Oncology considerations & lymphedema 4:30 Putting it all together 5:15 Wrap up, 5:30 Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location:Click here if map is not shown below.
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Series Capstone - Columbus, OH - August 18-20, 2017
{dtregister}439{/dtregister}
{gallery width=181}course_images/pf3{/gallery}
Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $725 ($750 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
>
This three-day (8 hours of online lecture plus 2 days of in-person learning), advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
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. Read more about What to Expect During Courses with Internal Lab Work.
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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Prerecorded lectures - sent 7-10 days prior to the course
Anatomy and function of abdominopelvic connective tissues – 90 mins The Endocrine System and Sex Hormones part 1-60 The Endocrine System: Changes Throughout the life span part 2- 60 Endometriosis : 90 mins PCOS & Fibroids: 60 Special topics in surgery: 60 Gynecological Oncology Intro: 75 Pharmacologic considerations in pelvic rehab: 60 Nutritional approaches to decrease inflammation 90
Day One
8:30 Anatomy review and working with connective tissues – Part 2, prelab 9:00 LAB Activity 1: Working with fascia: abdomen 10:00 Break 10:15 Scar demo and lab 45 mins 11:00 Endocrine changes highlights and Case Study Thyroid, Adrenal Fatigue– Endocrine Red Herrings 11:45 Lunch 12:45 LAB Activity 2: Prelab: (anatomy, lab instruction, patient applications) 2:45 Break 3:00 Vulvar skin and connective tissue dysfunctions 60 4:00 Lab 3 Perineal release techniques 5:45 Adjourn
Day Two:
8:00 Questions and test from day 1, online portion 8:30 Common female pelvic surgeries – add C-Section, Case Studies? 10:00 Break 10:15 Lab 4: Rehabilitation techniques for common female surgery complications 11:45 Lunch 12:45 Gynecological Oncology Treatment Procedures Part 2 1:45 Lab 5: Pre lab with Positional release external pelvic floor 75 3:00 Break 3:15 LAB 6 Oncology considerations & lymphedema 4:30 Putting it all together 5:15 Wrap up, 5:30 Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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).
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors.
Pelvic Floor Series Capstone - Minneapolis, MN - September 14-16, 2018
{dtregister}529{/dtregister}
Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $725 ($750 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
>
This three-day (8 hours of online lecture plus 2 days of in-person learning), advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
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. Read more about What to Expect During Courses with Internal Lab Work.
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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Prerecorded lectures - sent 7-10 days prior to the course
Anatomy and function of abdominopelvic connective tissues – 90 mins The Endocrine System and Sex Hormones part 1-60 The Endocrine System: Changes Throughout the life span part 2- 60 Endometriosis : 90 mins PCOS & Fibroids: 60 Special topics in surgery: 60 Gynecological Oncology Intro: 75 Pharmacologic considerations in pelvic rehab: 60 Nutritional approaches to decrease inflammation 90
Day One
8:30 Anatomy review and working with connective tissues – Part 2, prelab 9:00 LAB Activity 1: Working with fascia: abdomen 10:00 Break 10:15 Scar demo and lab 45 mins 11:00 Endocrine changes highlights and Case Study Thyroid, Adrenal Fatigue– Endocrine Red Herrings 11:45 Lunch 12:45 LAB Activity 2: Prelab: (anatomy, lab instruction, patient applications) 2:45 Break 3:00 Vulvar skin and connective tissue dysfunctions 60 4:00 Lab 3 Perineal release techniques 5:45 Adjourn
Day Two:
8:00 Questions and test from day 1, online portion 8:30 Common female pelvic surgeries – add C-Section, Case Studies? 10:00 Break 10:15 Lab 4: Rehabilitation techniques for common female surgery complications 11:45 Lunch 12:45 Gynecological Oncology Treatment Procedures Part 2 1:45 Lab 5: Pre lab with Positional release external pelvic floor 75 3:00 Break 3:15 LAB 6 Oncology considerations & lymphedema 4:30 Putting it all together 5:15 Wrap up, 5:30 Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location:Click here if map is not shown below.
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).
Pelvic Floor Capstone - Phoenix, AZ - March 6-8, 2020 (SOLD OUT)
{dtregister}815{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructor
Discounts
Price: $725 ($750 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
>
This three-day (8 hours of online lecture plus 2 days of in-person learning), advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
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. Read more about What to Expect During Courses with Internal Lab Work.
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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Prerecorded lectures - sent 7-10 days prior to the course
Anatomy and function of abdominopelvic connective tissues – 90 mins The Endocrine System and Sex Hormones part 1-60 The Endocrine System: Changes Throughout the life span part 2- 60 Endometriosis : 90 mins PCOS & Fibroids: 60 Special topics in surgery: 60 Gynecological Oncology Intro: 75 Pharmacologic considerations in pelvic rehab: 60 Nutritional approaches to decrease inflammation 90
Day One
8:30 Anatomy review and working with connective tissues – Part 2, prelab 9:00 LAB Activity 1: Working with fascia: abdomen 10:00 Break 10:15 Scar demo and lab 45 mins 11:00 Endocrine changes highlights and Case Study Thyroid, Adrenal Fatigue– Endocrine Red Herrings 11:45 Lunch 12:45 LAB Activity 2: Prelab: (anatomy, lab instruction, patient applications) 2:45 Break 3:00 Vulvar skin and connective tissue dysfunctions 60 4:00 Lab 3 Perineal release techniques 5:45 Adjourn
Day Two:
8:00 Questions and test from day 1, online portion 8:30 Common female pelvic surgeries – add C-Section, Case Studies? 10:00 Break 10:15 Lab 4: Rehabilitation techniques for common female surgery complications 11:45 Lunch 12:45 Gynecological Oncology Treatment Procedures Part 2 1:45 Lab 5: Pre lab with Positional release external pelvic floor 75 3:00 Break 3:15 LAB 6 Oncology considerations & lymphedema 4:30 Putting it all together 5:15 Wrap up, 5:30 Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Pelvic Floor Series Capstone - Seattle, WA - October 12-14, 2018 (SOLD OUT)
{dtregister}563{/dtregister}
Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $725 ($750 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
>
This three-day (8 hours of online lecture plus 2 days of in-person learning), advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
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. Read more about What to Expect During Courses with Internal Lab Work.
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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Prerecorded lectures - sent 7-10 days prior to the course
Anatomy and function of abdominopelvic connective tissues – 90 mins The Endocrine System and Sex Hormones part 1-60 The Endocrine System: Changes Throughout the life span part 2- 60 Endometriosis : 90 mins PCOS & Fibroids: 60 Special topics in surgery: 60 Gynecological Oncology Intro: 75 Pharmacologic considerations in pelvic rehab: 60 Nutritional approaches to decrease inflammation 90
Day One
8:30 Anatomy review and working with connective tissues – Part 2, prelab 9:00 LAB Activity 1: Working with fascia: abdomen 10:00 Break 10:15 Scar demo and lab 45 mins 11:00 Endocrine changes highlights and Case Study Thyroid, Adrenal Fatigue– Endocrine Red Herrings 11:45 Lunch 12:45 LAB Activity 2: Prelab: (anatomy, lab instruction, patient applications) 2:45 Break 3:00 Vulvar skin and connective tissue dysfunctions 60 4:00 Lab 3 Perineal release techniques 5:45 Adjourn
Day Two:
8:00 Questions and test from day 1, online portion 8:30 Common female pelvic surgeries – add C-Section, Case Studies? 10:00 Break 10:15 Lab 4: Rehabilitation techniques for common female surgery complications 11:45 Lunch 12:45 Gynecological Oncology Treatment Procedures Part 2 1:45 Lab 5: Pre lab with Positional release external pelvic floor 75 3:00 Break 3:15 LAB 6 Oncology considerations & lymphedema 4:30 Putting it all together 5:15 Wrap up, 5:30 Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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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).
Pelvic Floor Series Capstone - Seattle, WA - October 12-14, 2018 (SOLD OUT)
{dtregister}563{/dtregister}
Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $725 ($750 within one month of the course) Experience Level: Advanced Contact Hours: 26
The Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B.
>
This three-day (8 hours of online lecture plus 2 days of in-person learning), advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal 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.
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. Read more about What to Expect During Courses with Internal Lab Work.
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.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Prerecorded lectures - sent 7-10 days prior to the course
Anatomy and function of abdominopelvic connective tissues – 90 mins The Endocrine System and Sex Hormones part 1-60 The Endocrine System: Changes Throughout the life span part 2- 60 Endometriosis : 90 mins PCOS & Fibroids: 60 Special topics in surgery: 60 Gynecological Oncology Intro: 75 Pharmacologic considerations in pelvic rehab: 60 Nutritional approaches to decrease inflammation 90
Day One
8:30 Anatomy review and working with connective tissues – Part 2, prelab 9:00 LAB Activity 1: Working with fascia: abdomen 10:00 Break 10:15 Scar demo and lab 45 mins 11:00 Endocrine changes highlights and Case Study Thyroid, Adrenal Fatigue– Endocrine Red Herrings 11:45 Lunch 12:45 LAB Activity 2: Prelab: (anatomy, lab instruction, patient applications) 2:45 Break 3:00 Vulvar skin and connective tissue dysfunctions 60 4:00 Lab 3 Perineal release techniques 5:45 Adjourn
Day Two:
8:00 Questions and test from day 1, online portion 8:30 Common female pelvic surgeries – add C-Section, Case Studies? 10:00 Break 10:15 Lab 4: Rehabilitation techniques for common female surgery complications 11:45 Lunch 12:45 Gynecological Oncology Treatment Procedures Part 2 1:45 Lab 5: Pre lab with Positional release external pelvic floor 75 3:00 Break 3:15 LAB 6 Oncology considerations & lymphedema 4:30 Putting it all together 5:15 Wrap up, 5:30 Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
<
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).
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors
Pelvic Floor Series Capstone - Tampa, FL - December 2-4, 2016
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts
Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Price changes in 2017 Experience Level: Advanced Contact Hours: 22
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
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 attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs.
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Prerecorded lectures - sent 7-10 days prior to the course
Anatomy and function of abdominopelvic connective tissues – 90 mins The Endocrine System and Sex Hormones part 1-60 The Endocrine System: Changes Throughout the life span part 2- 60 Endometriosis : 90 mins PCOS & Fibroids: 60 Special topics in surgery: 60 Gynecological Oncology Intro: 75 Pharmacologic considerations in pelvic rehab: 60 Nutritional approaches to decrease inflammation 90
Day One
8:30 Anatomy review and working with connective tissues – Part 2, prelab 9:00 LAB Activity 1: Working with fascia: abdomen 10:00 Break 10:15 Scar demo and lab 45 mins 11:00 Endocrine changes highlights and Case Study Thyroid, Adrenal Fatigue– Endocrine Red Herrings 11:45 Lunch 12:45 LAB Activity 2: Prelab: (anatomy, lab instruction, patient applications) 2:45 Break 3:00 Vulvar skin and connective tissue dysfunctions 60 4:00 Lab 3 Perineal release techniques 5:45 Adjourn
Day Two:
8:00 Questions and test from day 1, online portion 8:30 Common female pelvic surgeries – add C-Section, Case Studies? 10:00 Break 10:15 Lab 4: Rehabilitation techniques for common female surgery complications 11:45 Lunch 12:45 Gynecological Oncology Treatment Procedures Part 2 1:45 Lab 5: Pre lab with Positional release external pelvic floor 75 3:00 Break 3:15 LAB 6 Oncology considerations & lymphedema 4:30 Putting it all together 5:15 Wrap up, 5:30 Adjourn
Upon completion of this continuing education course, participants will be able to:
1. Identify anatomy of structures including Camper’s, Buck’s, Scarpa’s, and endopelvic fascia.
2. Describe relevant anatomy, physiology, and pathophysiology relating to specific conditions such as endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Demonstrate techniques in motivational interviewing, pain neuroscience education, and mental health screening
5. Describe necessity of medical referral and screening as appropriate for mental health concerns, genital and perineal skin conditions, pharmacology adverse interactions, and post-surgical complications
6. Describe common surgical procedures for pelvic organ prolapse, hysterectomy, mid-urethral slings, and neobladder
7. Perform examination, evaluation, and develop a prioritized plan of care appropriate for pelvic dysfunctions including multiple diagnoses that may interact with each other
8. Recognize signs, symptoms, and rehabilitation interventions for endometriosis, Ehlers-Danlos, pelvic congestion syndrome, and neurogenic bladder
9. Describe lifespan considerations for hormonal influences on pelvic health conditions
10. Describe and demonstrate evaluation and treatment interventions for inguinal canal, scrotum, spermatic cord, scars, lower abdomen, bladder and urethra
Nari Clemons, PT, PRPC
Nari Clemons, PT, PRPC (she/her) has been teaching with the institute since 2004. She has written the following courses: Lumbar Nerve Manual Assessment /Treatment, as well as Sacral Nerve Manual Assessment/Treatment. She has co-authored the PF Series Capstone course with Allison Ariail and Jen Vande Vegte, and the Boundaries, Self Care, and Meditation Course (the burnout course) with Jen Vandevegte. In addition to teaching the classes she has authored, Nari also teaches all the other classes in the PF series: PF1, PF2A, PF2B, and Capstone. She was one of the question authors for the PRPC, and she has presented at many conferences, including CSM.
Nari’s passions include teaching students how to use their hands more receptively and precisely for advanced manual therapy skills while keeping it simple enough to feel successful. She also is an advocate for therapists learning how to feel well and thrive as they care for others, which is a skill that can be developed. “Basically, I love helping therapists learn to help themselves and others more while having a lot of fun doing it”. Nari lives in Portland Oregon, where she runs a local study/mentoring group and has a private practice, Portland Pelvic Therapy. Her interests include meditation, working out, nature, and being constantly humbled from raising her three amazing teenagers!
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location:Click here if map is not shown below.
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).
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors.
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors.
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors.
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors.
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors.
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors.
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors.
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.
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.
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.
Pelvic Floor Function, Dysfunction and Treatment: Series Capstone
Course Description
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors.
Pelvic Floor Capstone is an advanced course with the prerequisite of having attended Pelvic Floor Level 1, 2A, and 2B. This advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics include surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. Participants will also have the opportunity to discuss case studies and complex patients with the instructors.
The Postpartum Client: Abdominal Wall and Musculoskeletal Considerations
Course Description
The client who is postpartum may be one of the most overlooked clients in health care. Knowing the specific rehabilitation needs to help with common problems and to prevent future problems is the goal of this 2-day, beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course takes place live on a remote Zoom meeting, and will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. There will also be pre recorded content which must be viewed prior to participating in the meeting. Labor and birth, birth complications and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.
This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in the lab.
The Postpartum Client: Abdominal Wall and Musculoskeletal Considerations
Course Description
The client who is postpartum may be one of the most overlooked clients in health care. Knowing the specific rehabilitation needs to help with common problems and to prevent future problems is the goal of this 2-day, beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course takes place live on a remote Zoom meeting, and will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. There will also be pre recorded content which must be viewed prior to participating in the meeting. Labor and birth, birth complications and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.
This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in the lab.
The Postpartum Client: Abdominal Wall and Musculoskeletal Considerations
Course Description
The client who is postpartum may be one of the most overlooked clients in health care. Knowing the specific rehabilitation needs to help with common problems and to prevent future problems is the goal of this 2-day, beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course takes place live on a remote Zoom meeting, and will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. There will also be pre recorded content which must be viewed prior to participating in the meeting. Labor and birth, birth complications and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.
This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in the lab.
The Postpartum Client: Abdominal Wall and Musculoskeletal Considerations
Course Description
The client who is postpartum may be one of the most overlooked clients in health care. Knowing the specific rehabilitation needs to help with common problems and to prevent future problems is the goal of this 2-day, beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course takes place live on a remote Zoom meeting, and will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. There will be roughly three hours of pre recorded content which must be viewed prior to participating in the meeting. Labor and birth, birth complications and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.
This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in the lab.
The Postpartum Client: Abdominal Wall and Musculoskeletal Considerations
Course Description
The client who is postpartum may be one of the most overlooked clients in health care. Knowing the specific rehabilitation needs to help with common problems and to prevent future problems is the goal of this 2-day, beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course takes place live on a remote Zoom meeting, and will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. There will also be pre recorded content which must be viewed prior to participating in the meeting. Labor and birth, birth complications and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.
This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in the lab.
This two-day, remote continuing education course covers methods for performing assessment and treatment by both telehealth/online consultation and in-person visits for our pregnant clients. Knowing how to safely examine and treat the patient who is pregnant is the goal of this beginner-to-intermediate course.
Prior to the live, online portion of the course, participants will be able to view pre-recorded lectures at their own pace. In these videos, these pregnancy-related topics will be covered: terminology, fertilization, trimesters, medical testing/interventions, imaging, and medications. Differentiating between false labor, progressive labor, and other musculoskeletal pain will be covered. Understanding typical hormonal and systemic changes during pregnancy will be provided, included pregnancy effects on the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems. Additionally, during this self-paced viewing, examination, evaluation, and treatment of common pregnancy-related lumbopelvic conditions will be provided. An introduction to diastasis rectus abdominis, pelvic floor dysfunction, breathing, and deep core assessment/treatment will be provided.
Resource documents will also be provided for preview that will cover history taking with pregnant clients; obstetric red flags and medical screening; and positioning considerations with the pregnant client.
During online live interactive portions of this course, we will open with general examination considerations and modifications specific to pregnancy, including discussion of modalities and manual therapy techniques considered safe or precautioned during pregnancy. Further discussion of pelvic girdle examination, diagnosis, and treatment strategies will be provided, followed by “lab” time with assessment and treatment techniques for the lumbopelvic region. Review of key concepts related to core muscle and diastasis rectus abdominis will lead to “lab” time with assessment and treatment techniques. Progression of stabilization exercises during pregnancy will be practiced. Break out cases will allow time for both small and large group discussion for diagnosis and treatment progression for pregnant clients with lumbopelvic dysfunction or with diastasis rectus abdominis. Finally, to prepare the pregnant client for labor and birth, instruction in perineal stretching, hip and trunk flexibility activities, and TENS for labor will be discussed. “Lab” practice will include labor and birthing positions, with a focus on consideration for positional strategies for women with pre-existing musculoskeletal problems.
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:
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course. See the Schedule tab for the current list of pre-recorded videos
Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.
References
Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082-1086. Clapp, J. F. I. (2002). Exercising through your pregnancy. Omaha, Nebraska: Addicus Books, Inc. Krum, L., & Smith, S. (2005) Educating physical therapists in women's health: recommendations for professional (entry-level) and post-professional curricula. Journal of Physical Therapy Education. 19(2), 31-41. Spitznagle, T., Leong, F., & Van Dillen, L. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal & Pelvic Floor Dysfunction, 18(3), 321-328.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 4 hours
1) Overview of the Pregnant Client (64 min) 2) Hormonal and System Changes During Pregnancy (73 min) 3) Lumbopelvic Examination: Review of Anatomy and Terminology (44 mins) 4) Introduction to Core Concepts, DRA, and PFM (60 mins)
============================= Day One
=============================
8:30 am PST - Zoom opens 30 mins before course for registration and setup 9:00 am PST - Course begins / Introductions and Q&A/Review of Pre-Recorded Lectures
9:15 - General Examination & Treatment Considerations and Modifications for the Pregnant Client 10:00 - Pelvic Girdle Examination and Diagnosis 10:30 - Lab: Self-Assessment of Lumbopelvic Region (Participants: please have a sturdy surface to lie on such as floor or sturdy coffee table, a hand towel, a belt/ yoga strap/ gait belt, a towel or sheet, and a couple of pillows) 11:30 - Break out case studies: Diagnosing Lumbopelvic Pain During Pregnancy 12:00 - Lunch 12:30 - Review of Key Concepts related to the Core, DRA, and PFM 1:00 - Lab: Deep Core and DRA (Participants: you may want to have a felt tip pen or marker and tape measure.) 2:00 - Recap of Key Concepts and Q&A 2:30 - Adjourn
============================= Day Two
=============================
8:30 am PST - Zoom opens 30 mins before course for registration and setup 9:00 am PST - Course begins / Q&A, Review of previous day 9:15 - Treatment Strategies and Techniques for Spine and Pelvic Girdle During Pregnancy 9:45 - Lab: Treatment Techniques for Lumbar Spine and Pelvic Girdle (Participants: please have a tennis ball, a dowel rod/ broomstick/ fat marker/ round lipstick tube, a belt/ sheet/ towel, and one pillow or ball. A kickball, soccer ball, or volleyball will work well. If you can, you may also want to have 4-5 pillows and a 3-foot piece of TheraBand.) 10:45 - Lab: Progression of Lumbopelvic Stabilization During Pregnancy (Participants: if you are able, please have the following on hand: large exercise ball, footstool, bath towel, and two pieces of TheraBand about 4-5 feet in length) 11:15 - Break out cases 12:00 - Lunch 12:30 - Preparing for Labor & Birth 1:00 - Lab: Labor & Birth Preparation 2:00 - Recap of Key Concepts and Q&A 2:30 - Adjourn
Upon completion of this continuing education seminar, participants will be able to: 1. Describe basic terminology related to pregnancy, including fertilization, trimesters, and medical testing/interventions. 2. Perform medical screening for obstetric red flags that may require further referral. 3. Differentiate between progressive labor onset and Braxton-Hicks contractions. 4. Describe pregnancy-related hormonal effects throughout the body systems. 5. Differentiate pelvic girdle pain and pregnancy-related low back pain. 6. Safely perform lumbopelvic examination, diagnosis, and treatment with the pregnant client. 7. Differentiate the terms diastasis rectus abdominis and inter-recti distance. 8. Safely perform diastasis rectus abdominis examination, diagnosis, and treatment with the pregnant client. 9. Instruct a pregnant client through a progression of core muscle training. 10. Instruct a pregnant client in labor & birth preparation techniques, including perineal massage, use of TENS, and positioning to minimize impact on pre-existing musculoskeletal conditions.
Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.
Important thing to note:
- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.
- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/
- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.
- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
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).
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND 2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.
Pregnancy Rehabilitation: Safely Managing Pelvic Girdle and Musculoskeletal Conditions
Course Description
This two-day, remote continuing education course covers methods for performing assessment and treatment by both telehealth/online consultation and in-person visits for our pregnant clients. Knowing how to safely examine and treat the patient who is pregnant is the goal of this beginner-to-intermediate course.
Prior to the live, online portion of the course, participants will be able to view pre-recorded lectures at their own pace. In these videos, these pregnancy-related topics will be covered: terminology, fertilization, trimesters, medical testing/interventions, imaging, and medications. Differentiating between false labor, progressive labor, and other musculoskeletal pain will be covered. Understanding typical hormonal and systemic changes during pregnancy will be provided, included pregnancy effects on the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems. Additionally, during this self-paced viewing, examination, evaluation, and treatment of common pregnancy-related lumbopelvic conditions will be provided. An introduction to diastasis rectus abdominis, pelvic floor dysfunction, breathing, and deep core assessment/treatment will be provided.
Pregnancy Rehabilitation: Safely Managing Pelvic Girdle and Musculoskeletal Conditions
Course Description
This two-day, remote continuing education course covers methods for performing assessment and treatment by both telehealth/online consultation and in-person visits for our pregnant clients. Knowing how to safely examine and treat the patient who is pregnant is the goal of this beginner-to-intermediate course.
Prior to the live, online portion of the course, participants will be able to view pre-recorded lectures at their own pace. In these videos, these pregnancy-related topics will be covered: terminology, fertilization, trimesters, medical testing/interventions, imaging, and medications. Differentiating between false labor, progressive labor, and other musculoskeletal pain will be covered. Understanding typical hormonal and systemic changes during pregnancy will be provided, included pregnancy effects on the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems. Additionally, during this self-paced viewing, examination, evaluation, and treatment of common pregnancy-related lumbopelvic conditions will be provided. An introduction to diastasis rectus abdominis, pelvic floor dysfunction, breathing, and deep core assessment/treatment will be provided.
Pregnancy Rehabilitation: Safely Managing Pelvic Girdle and Musculoskeletal Conditions
Course Description
This two-day, remote continuing education course covers methods for performing assessment and treatment by both telehealth/online consultation and in-person visits for our pregnant clients. Knowing how to safely examine and treat the patient who is pregnant is the goal of this beginner-to-intermediate course.
Prior to the live, online portion of the course, participants will be able to view pre-recorded lectures at their own pace. In these videos, these pregnancy-related topics will be covered: terminology, fertilization, trimesters, medical testing/interventions, imaging, and medications. Differentiating between false labor, progressive labor, and other musculoskeletal pain will be covered. Understanding typical hormonal and systemic changes during pregnancy will be provided, included pregnancy effects on the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems. Additionally, during this self-paced viewing, examination, evaluation, and treatment of common pregnancy-related lumbopelvic conditions will be provided. An introduction to diastasis rectus abdominis, pelvic floor dysfunction, breathing, and deep core assessment/treatment will be provided.
The occurrence of pelvic floor dysfunction in athletes is well documented, and includes both urinary and fecal incontinence in athletes who participate in high-impact sports. (Bo, 2004; Nygaard, 2011; Vitton et al., 2011) Even in women who have not experienced childbirth, urinary incontinence is a common condition. (O'Halloran et al., 2012) Pelvic pain in athletes is also common, with diagnoses ranging from abdominopelvic pain, labral tears, groin injuries, sacroiliac joint pain, coccyx pain, and pubis symphysis pain. Integration of pelvic floor evaluation and rehabilitation concepts are not, however, common components of sports medicine.
The lumbo-pelvic and hip complex is intimately related to pelvic floor function by way of musculoskeletal stability, mobility, and function. Too much tension can cause compression and pain, whereas weakness or underutilization of the pelvic muscles for stability and strength can lead to issues of pain as well as incontinence. The pelvic floor can often be implicated when there is functional limitation in bowel, bladder, and sexual health as well, yet athletes are not typically asked about these issues. In general, many people are too shy or embarassed to bring up concerns such as genital pain or difficulties with daily function related to bladder and bowel health.
This course is designed to bridge the gap between pelvic floor therapists and sports medicine/musculoskeletal practitioners; we will examine the role of the pelvic floor and pelvic girdle in relation to the hip and spine of the athlete, as well as looking at gender specific issues the athlete may have in relation to assessment and rehabilitation of this region. The goals are to provide participants with an insight into the pivotal role of the pelvic floor in relation to sports injuries and musculoskeletal dysfunction, consider differential diagnoses and an evidence-based approach to treatment and resumption of the athlete’s chosen sport.
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:
None
References
Bø, K. (2004). Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sports Medicine, 34(7), 451-464.
Nygaard, I. E. (1997). Does prolonged high-impact activity contribute to later urinary incontinence? A retrospective cohort study of female Olympians. Obstetrics & Gynecology, 90(5), 718-722.
O'Halloran, T., Bell, R. J., Robinson, P. J., & Davis, S. R. (2012). Urinary Incontinence in Young Nulligravid WomenA Cross-sectional Analysis. Annals of Internal Medicine, 157(2), 87-93.
Vitton, V., Baumstarck-Barrau, K., Brardjanian, S., Caballe, I., Bouvier, M., & Grimaud, J.-C. (2011). Impact of high-level sport practice on anal incontinence in a healthy young female population. Journal of Women's Health, 20(5), 757-763.
Day One: 7:30 Registration 8:00 Introductions, goals, objectives 8:30 Anatomy review: the relationships between the lumbo-pelvic-hip complexes and the pelvic floor 10:00 Break 10:15 Lab: Assessment – integrating evaluations of the lumbo-pelvic, hip and pelvic floor Part 1 11:00 Differential diagnosis for the hip: adductor strains, FAI, ITB, Ilio-psoas syndrome, OA, stress fractures 11:30 Osteitis Pubis 12:00 Lunch 1:00 Lab: Assessment – integrating evaluations of the lumbo-pelvic, hip and pelvic floor Part 2 2:00 Labral Tears 3:00 Break 3:15 The Male Athlete 4:00 Q and A, post test 4:30 Adjourn
Day Two: 8:00 Review, Q and A 8:30 The female athlete: pregnancy/ post partum, the female triads 9:30 Urinary Incontinence and the athlete 10:15 Break 10:30 Lecture Assessment and treatment of abdominal wall issues 12:00 Lunch 1:00 Lab: Assessment and treatment of abdominal wall issues, including diaphragm function & dysfunction 2:00 Nerve compression – including pudendal neuralgia 2:45 Break 3:00 Lab: assessment and management of nerve compression 4:00 Summary, Q and A 4:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the relationship between the lumbo-pelvic, hip and pelvic floor complexes. 2. Integrate a multi-system evaluation approach, utilising orthopaedic, respiratory and pelvic perspectives. 3. Identify the different diagnoses possible when the athlete’s pelvis is injured (eg labral tear, sacro-iliac dysfunction, pelvic floor dysfunction, over dominant abdominals). 4. Describe diagnostic techniques and treatment options, both conservative and surgical, for labral tears. 5. Describe the differential diagnoses possible with athletic pelvic pain (eg adductor strain, osteitis pubis, hernia, pelvic floor dysfunction). 6. Expand the repertoire of traditional exercise prescription to incorporate pilates and yoga. 7. Describe gender specific issues when treating the athletic pelvis. 8. Describe an EBM approach to the injured athlete, and how it can be used to manage his/her injuries and returning him/her to sport.
Jennafer "Jenna" Ross, MSPT, BCB-PMD, PRPC
Jennafer Ross PT, BCB-PMD, PRPC, (she/her) After graduating from Ithaca College, Jenna began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 she has focused her professional attention on treating women, men, and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part-time home-schooling her two daughters. She has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is the author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jenna was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation Part 1” and “Boundaries, Self-Care and Meditation Part 2” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jenna loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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).
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND 2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course.