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Finding the Driver in Pelvic Pain - Milwaukee, WI - May 1-3, 2014


This course is being co-sponsored by Herman & Wallace and Marquette University College of Health Sciences

Audience: Physical therapists, occupational therapists, advanced practice nurses and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics
Level: Intermediate
Contact hours: 21.75 (CEUs vary by state)
Price: $695
Prerequisites: Consent of instructor or clinicians will have completed a minimum of one pelvic floor evaluation and treatment course including external and internal assessment of pelvic floor anatomy. [Prerequisite Course options include Herman and Wallace PF 1, APTA SOWH PF 1 course and Marquette University’s 4 Day Treatment of Bowel, Bladder and Pelvic Floor Disorders.]

Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.

This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.

Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:

1. Understand musculoskeletal contributing factors to pelvic pain and elimination disorders.
2. Perform a musculoskeletal scan exam to screen for red flags and contributing factors to pelvic pain
3. Understand neural, vascular and functional anatomy associated with musculoskeletal and pelvic pain co-morbidities.
4. Perform an external and internal intravaginal pelvic floor assessment and document findings with mapping tool.
5. Describe pelvic pain drivers including vulvodynia, interstitial cystitis (IC)/painful bladder syndrome (PBS), lichens sclerosis and post-partum perineal injuries.
6. Fill out a bowel and bladder diary and understand its role in evaluation and treatment of pelvic pain.
7. Dialogue through the clinical reasoning of multiple case studies regarding musculoskeletal and urogynecologic (Vulvodynia, IC, Dyspareunia, Incontinence) co-morbidities to pelvic floor dysfunction to design and prioritize evaluation and treatment interventions.
8. Discuss clinician and client treatment interventions including neural down regulation, client education resources and home self-treatment options.


Day One:
7:30 Registration and Continental Breakfast
8:00 Introductions, objectives and overview
8:15 Core Concepts
8:45 Pelvic Floor Anatomy
9:45 Pelvic Floor TheraBand Demo
10:00 Break
10:15 External Bony Landmark Palpation and Perineal Exam
11:00 Lab 1: External Bony Landmark and Perineal Exam
12:00 Lunch
1:00 Intrapelvic Structural Mapping of Muscles and Nerves
1:45 Lab 2: PFM Mapping, Pudendal Nerve Pathway Identification
3:00 Break
3:15 Bowel and Bladder Norms vs. Your B and B Diary findings
4:00 Case Study: Finding the Driver
4:30 Post test and review
5:00 Adjourn

Day Two:
7:30 Continental Breakfast and Registration
8:00 Questions and Answers
Pelvic Pain Drivers: Vulvodynia, IC/PBS, Pudendal Neuralgia

9:30 History Taking and FO Methods for Pelvic Pain
10:15 Break
10:30 Musculoskeletal Contributing Factors to Pelvic Pain
11:45 Musculoskeletal Scan Exam for Pelvic Pain
12:30 Lunch
1:30 Lab 3: Musculoskeletal Scan Exam for Pelvic Pain Lecture and Lab
3:00 Break
3:15 Case Study: Pelvic Pain with musculoskeletal condition as primary driver
4:30 Post Test and review
5:00 Adjourn

Day Three:
7:00 Continental Breakfast
7:30 Lab 5: Cumulative Lab practicum: History, B and B Diary, Musculoskeletal Scan Exam
8:45 Case Study: Finding the Driver
9:30 Break
9:45 Lab 6: Cumulative Lab Practicum: Musculoskeletal and Pelvic Floor Scan exam
10:15 Case Study: Vulvar Pain with multiple Co-morbidities
11:30 Lunch
12:15 Lab 7: External PFM Techniques: Manual Therapy to Pelvic Ring for PFM Release and Joint Mobilization
1:45 Case Presentations: Clinical Reasoning
2:45 Post-Test, Questions & Gratitude!
3:30 Adjourn



Have a question about this course? Contact Us.

Elizabeth Hampton PT, BCIA-PMDB

Elizabeth Hampton, PT, BCB-PMD

 Elizabeth Hampton, PT, BCB-PMD 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's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."

Elizabeth owns Core Therapeutics Physical Therapy in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!

Course Location
Additional Recommendations

Marquette University
Campus Map

561 N 15th St.
Milwaukee, WI 53233

Recommended Lodging:

Ambassador Hotel Milwaukee
(414) 342-8400
There is a group rate under Marquette University

Campus Housing
(414) 342-8400
Carrie Enea can help you make a reservation

H&W makes a best effort to find recommended lodging for participants. However, our primary focus is the excellence of the course itself. Participants are encouraged to explore travel options and make the best choice to fit their needs. Hotels.com, Hotwire.com and similar sites may also offer excellent deals to save on travel costs.

Mitchell Airport (map will open in new window)

Transportation to the course:
The hotel is a .6 miles to the course location with a shuttle service


Have a question about this course? Contact Us

Herman & Wallace is not able to apply discounts retroactively! Please contact us BEFORE registering if you are eligible for one of the discounts below.

Discounts Currently Available for this Event:

First-Time Registrant Discount ($50)
Multi-Course Discount (10%)
Group Discount (10% - 20%)
Student Discount (10%)
Retake/Audit Discount ($100)
JTA Survey Credit/Discount ($50)
Referral Credit/Discount ($50)
Link-Back Credit/Discount ($50)
Guest Blogger Credit/Discount ($50)