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Jan 28, 2014

Recently, it was brought to our attention that on January 22nd the Director of State Government Affairs of the APTA has issued a statement to it's membership regarding our Pelvic Therapist Practitioner Certification. In light of the issues addressed in this statement, we have made the decision to slightly alter the name and abbreviation of our certification for pelivc therapists.


An excerpt from the statement reads:

All U.S. jurisdictions provide specific title protection for the initials “PT;” the use of these initials is reserved for use solely by individuals who hold an active and valid physical therapist license. In addition, a number of jurisdictions provide additional title protection for other variations on the title “PT” such “DPT,” “MPT,” “CPT,” “RPT,” etc. Individuals who obtain their “PTPC” need to be aware that the use the title “PTPC” may potentially be in conflict with the section of their state’s physical therapy statute that provides title protection on variations of the licensure designation “PT.”


Jan 28, 2014

Consider the number of women in the clinic who, as adults, have pelvic pain. How many of them report a history of painful periods? It seems that if we could address the high prevalence of menstrual pain during adolescence rather than wait until adulthood, that we as pelvic rehabilitation providers may be able to interrupt some of the common physical adaptations that occur from chronic menstrual pain


Iacovides and colleagues, in the Acta Obstetricia et Gynecologica Scandinavica, report that dysmenorrhea, "...the most common gynecological condition among women of reproductive age…", has a significant negative impact on rated quality of life. This impact on quality of life (QOL) was noted to be worsened during menstruation (when compared to the subject's non-menstrual phase) and QOL was lower in relation to controls who did not report primary dysmenorrhea


You may recall this blog post from 2012 that explained the potential benefits of specific yoga poses for menstrual pain. More recent research has reported on the potential scientific relationship between yoga and easing of menstrual symptoms. During menstruation, women who have painful periods have been observed to have higher serum levels of nitric oxide (NO), homocysteine, and other factors related to possible endothelial dysfunction. Research by Chien and colleagues assessed such blood serum levels for such markers in 30 women with dysmenorrhea and in 30 controls. Participants were instructed in yoga therapy 2x/week for 8 weeks, and each session was 30 minutes in length. The study concludes that yoga intervention can reduce severity of dysmenorrhea and may be effective in reducing serum homocysteine levels. 

Jan 27, 2014



This April, H&W is thrilled to be bringing our popular course Integrative Techniques for Pelvic Floor & Core Function to San Diego, CA. This course is instructed by Bill Gallagher PT, CMT, CYT and Richard Sabel, MA, MPH, OTR, GCFP.  Pelvic Rehab Report sat down with Bill and Richard to talk to them about this course.


PRR: You taught this course for the first time through H&W in 2012, and again in 2013. What did you learn from your first time teaching this course geared towards pelvic therapists?

Jan 24, 2014


Virtual reality and video games has been used increasingly in medicine and rehabilitation with promising results. How can video games assist patients in recovery from urinary incontinence (UI)? Researchers in Canada recently added a series of dance exercises to a video game console used in a physical therapy program for UI. 24 participants in a geriatric population who presented with both stress and urge UI, also known as mixed UI, participated in a weekly program of pelvic floor muscle virtual reality rehabilitation. 


Participants were assessed prior to and following the 12 week program, and measured variables included a bladder diary, pad test, symptom and quality of life questionnaire, and a questionnaire regarding participant satisfaction. The researchers reported a 91% attendance throughout the 12 weeks, 92% adherence to home program, and 96% level of completion of the pre- and post-assessments. Significant improvements were noted in the frequency and quantity of urine leakage, patient-reported symptoms, and quality of life scales. 


Jan 21, 2014

H&W instructor Dustienne Miller, CYT, PT, MS, WCS wrote this post.


At the 34th annual meeting of the American Congress Obstetricians and Gynocologists (ACOG), Huang et al. presented a paper revealing the results of a randomized control study on the efficacy of yoga in treating urinary incontinence. All participants (N=19) were women over 40 and the inclusion criteria included 1) no yoga practice for the last year, 2) experiences at least 7 episodes of stress UI, urge UI, or mixed urinary incontinence in a one week. Each woman, including the control group (N=9) was educated on behavioral techniques they could implement on their own. The intervention (N=10) included two Iyengar style yoga classes and one home practice per week for 6 weeks.


Jan 17, 2014




In 2013, H&W debuted a brand new course on Pudendal Neuralgia, developed by Tracy Sher and Loretta Robertson. This coming year, we are thrilled to be offering this course twice, in Boston and in San Diego, respectively. Tracy and Loretta talked to Pelvic Rehab Report about what they learned from teaching this course for the first time and what they look forward to sharing with participants at these upcoming events.

Tracy Sher

Jan 16, 2014



This June, H&W is proud to introduce a brand new course, Extra-Articular Pelvic and Hip Labrum Injury: Differential Diagnosis and Integrative Management. This two-day course was developed by H&W instructor Ginger Garner, who also teaches a series on Yoga as Medicine for Pregnancy and Postpartum.  Pelvic Rehab Report sat down with Ginger to talk more about this brand new course.


PRR: What inspired you to create this course?

Jan 09, 2014

holly at nams

This spring, H&W is proud to introduce a brand new course, Female and Male Sexual Medicine - A Rehabilitation Perspective. This course was written by Institute founder Holly Herman, who brings her unique perspective as a pelvic rehab physical therapist and certified Sexualty Counselor to this topic. Pelvic Rehab Report sat down with Holly to learn more about this brand new course.


PRR: What inspired you to create this course?


Jan 04, 2014

Late in 2013, the American Board of Obstetrics and Gynecology issued a revised definition for Board-Certified Obstetrician-Gynecologists. Included in this definition (for those who wish to maintain their certification status) is the restriction for OB-GYN's in treating male patients. The following exceptions are included: evaluation of fertility, sexually transmitted infections, transgender conditions, caring for men in active government service, for genetic counseling issues, administration of immunizations, family planning (excluding vasectomy), and for emergencies such as disaster response care. The full document can be found here


So where does this leave our male patients who have been fortunate enough, most likely after years of suffering, who find an OB-GYN who treats pelvic pain? The New York Times recently described the challenge of one such patient in this article. How many physicians are affected  by this issue? It's difficult to know exact numbers, but it is safe to assume that their patients are challenged in finding a replacement. 


What can be done to assure that male patients under the care of physicians impacted by the board's decision can still be treated? The International Pelvic Pain Society, of which many of our readers are members, has written to the gynecology board, requesting that treatment for male patients be allowed to continue. A petition started by "Male Patients Suffering from Pelvic Pain" has been started on change.org- you can access that petition here if interested. 

Dec 31, 2013

Michelle Lyons

This January, H&W is launching a brand new course on Oncology and the Male Pelvic Floor. This course was developed by H&W faculty member Michelle Lyons, PT, MISCP.  Below is a guest blog from Michelle about her prepartion for the course and the wisdom she will be imparting to participants in sunny San Diego.


It is less than a month until the Oncology and the Pelvic Floor course takes place in sunny San Diego, and I am putting the final touches on reading and resource lists for the course participants.


Upcoming Continuing Education Courses

Pelvic Floor Level 1 - Durham, NC (SOLD OUT)
Apr 25, 2014 - Apr 27, 2014
Location: Duke University Medical Center

Myofascial Release for Pelvic Dysfunction - Portland, OR
Apr 25, 2014 - Apr 27, 2014
Location: Legacy Meridian Park Medical Center

Finding the Driver in Pelvic Pain - Milwaukee, WI
May 01, 2014 - May 03, 2014
Location: Marquette University

Visceral Mobilization of the Urologic System - Winfield, IL
May 02, 2014 - May 04, 2014
Location: Central DuPage Hospital Conference Room

Rehabilitative Ultrasound Imaging: Women's Health and Orthopedic Topics - Seattle, WA
May 03, 2014 - May 05, 2014
Location: Swedish Hospital - Issaquah campus

Rehabilitative Ultrasound Imaging Orthopedic Topics - Seattle, WA
May 03, 2014 - May 04, 2014
Location: Swedish Hospital - Issaquah campus

Pelvic Floor Level 1 - Scottsdale, AZ (SOLD OUT)
May 16, 2014 - May 18, 2014
Location: Womens Center for Wellness and Rehabilitation

Pelvic Floor Level 2A - Maywood, IL (SOLD OUT!)
May 16, 2014 - May 18, 2014
Location: Loyola University Stritch School of Medicine

Pelvic Floor Level 3 - San Diego, CA
May 30, 2014 - Jun 01, 2014
Location: FunctionSmart Physical Therapy

Pelvic Floor Level 1 - Arlington, VA (SOLD OUT)
Jun 06, 2014 - Jun 08, 2014
Location: Virginia Hospital Center

Care of the Postpartum Patient - Houston, TX
Jun 07, 2014 - Jun 08, 2014
Location: Texas Children’s Hospital

Bowel Pathology and Function - Minneapolis, MN
Jun 07, 2014 - Jun 08, 2014
Location: Park Nicollet Clinic--St. Louis Park

Oncology and the Female Pelvic Floor - Orlando, FL
Jun 21, 2014 - Jun 22, 2014
Location: Florida Hospital Sports Medicine and Rehabilitation

Myofascial Release for Pelvic Dysfunction - Dayton, OH
Jun 22, 2014 - Jun 23, 2014
Location: Southview Hospital

Pelvic Floor Level 2A - Derby, CT
Jun 27, 2014 - Jun 29, 2014
Location: Griffin Hospital