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De-Mystifying Pudendal Neuralgia - Jacksonville, FL Nov 3-4 2012

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.
Level: Intermediate
Contact Hours: 14 (CEUs vary by state)
Price: $600 (Early registrant price of $575 for registrations received one month before course start date).
Prerequisites: It is required that the participants have a working experience with evaluating and treating patients with pelvic pain inclusive of internal examination. Pelvic Floor 1, through Herman & Wallace or Pelvic PT 1 through the APTA is strongly recommended.

Pre-Readings: Anatomy of the Pudendal Nerve and Targeting Cortical Representations in the Treatment of Chronic Pain: A Review

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Pudendal neuralgia is a painful, neuropathic condition which is often unrecognized and misdiagnosed by many medical practitioners. At present there is scarcity of both medical providers and physical therapists who treat patients who have pudendal neuralgia. Consequently, there is a need for health care providers to learn about this condition and the differential diagnostic process involved in order to provide appropriate treatment options. This two-day course will provide the clinician with a clear understanding of discerning pudendal neuralgia from other chronic pelvic pain conditions. The focus will be on current diagnosis, evaluation and treatment techniques both from a physician perspective and from a pelvic rehabilitation provider perspective.

This course will cover a great deal of clinical information and will address common misconceptions and misinformation. One very important distinction that is often missed is the difference is between Pudendal Neuralgia (PN) and Pudendal Nerve Entrapment (PNE). This course also covers medical diagnostic tests, surgeries (including pre- and post-operative management), and other interventions for pudendal neuralgia. The labs focus on refining palpation and treatment skills with regard to the pudendal nerve and surrounding structures that may be contributing to symptoms, including direct and indirect manual techniques such as myofascial release, connective tissue manipulation, and positional release.

Upon completion of the course, the therapist will be able to identify interventions such as exercise and manual therapy techniques that are based on the most recent research. The participant will not only be able to describe the role that pelvic physiotherapists play in the treatment of pudendal neuralgia, but in all chronic pelvic pain conditions from the perspective of the latest brain and pain research; this is a crucial component to effective therapeutic management of this condition. This course highlights various patient complaints and symptoms and provides knowledge and tools for treating patients along the continuum of care. The participant will be prepared to manage pudendal neuralgia with a multimodal, multi-disciplinary approach from surgery prevention to post-operative cases and protocols. 

Special Considerations: The labs for this course will involve external and internal hip and pelvic floor evaluation and treatment.

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

1. Identify the anatomy of the pudendal nerve and its distribution 
2. List the basic medical diagnostic criteria for pudendal diagnoses
3. Describe the differential diagnoses to consider with regard to pudendal neuralgia and how this relates to the treatment plan
4. Describe the rationale behind the different medical and surgical interventions.
5. Explain the complexity of pudendal neuralgia, particularly relating to nerve pain and chronic pain; and need for a multi-disciplinary approach for diagnosis and treatment 
6. Palpate the course and innervation of the pudendal nerve
7. Identify and implement a safe therapeutic exercise program for patients
8. List common symptoms of pudendal neuralgia
9. Define pudendal nerve entrapment versus pudendal neuralgia


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As this continuing education course includes lab work, attendees will practice on each other & should come prepared to be both clinician and patient for internal and external sessions. Participant must be prepared to expose the body/region of study.

Identification and treatment of connective tissue restrictions require short fingernails. Pregnant women who wish to fully participate in this course must have written permission from a physician.

Dress is casual and comfortable. Loose athletic shorts and t-shirts are recommended. Please bring two twin sheets and a pillow. This will be necessary for appropriate draping during labs.


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Day One:
7:30 Registration
8:00 Welcome/Introduction, Patient Presentations and Course Concept
8:45 Pudendal Anatomy
11:00 Pain/Brain
12:00 Lunch
1:00 Physical Therapy History, Evaluation, Evaluation Lab
5:00 Review and Questions
5:30 Adjourn

Day Two:
8:00 Review and Questions from Day 1
8:30 Physician Diagnosis and Testing
9:00 Physical Therapy Treatment, Case Studies, Treatment Lab

12:30 Lunch
1:30 Medical/Surgical Interventions
2:30 Post-op Guidelines and Progression, Case Studies
4:00 Questions and review
4:30 Adjourn



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Instructors: Stephanie A. Prendergast, MPT and Elizabeth H. Rummer, MSPT
Dates: Saturday November 3rd 2012 ~ Sunday November 4th 2012
Location: Shands Jacksonville Medical Center
Pavilion building, First Floor
555 West 8th Street
Jacksonville FL, 32209 (map)
Reservations: Crowne Plaza Hotel Jacksonville-Riverfront
(904) 398-8800