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: 22.5 (CEUs vary by state)
Price: $695 (Early registrant price of $675 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 vaginal examination. Pelvic Floor 1, through Herman & Wallace or Pelvic PT 1 through the APTA is strongly recommended.
Required and Suggested Pre-Readings

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This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to comprehensively evaluate the female and male pelvic floor by learning colorectal examination and treatments. Current medical evaluation, management, evidence-based references and case studies will be presented.

This continuing education seminar focuses on physical therapy evaluation and treatment protocols for anal incontinence, constipation, pudendal nerve entrapment, coccydynia, prostatodynia (prostatitis Category IIIB) and post-prostatectomy incontinence. The relationship between pelvic floor muscle impairment and the diagnoses presented for physical therapy evaluation and treatment will be instructed.

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.

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

1. Describe current updates in pelvic floor terminology.
2. Explain anatomy/physiology of the gastrointestinal system and anorectal region.
3. List key medical diagnostic procedures for colorectal conditions.
4. Perform and demonstrate external and internal anorectal examination of pelvic floor muscles.
5. Identify and differentiate specific pelvic floor muscle and key bony landmarks within the rectal canal.
6. Perform external and internal rectal myofascial treatment techniques (Thiele’s massage, trigger point release, positional release).
7. Perform patient education and behavioral training for constipation, overactive bladder and pelvic pain syndromes.
8. Describe and teach three SEMG downtraining (relaxation) strategies for the pelvic floor.
9. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
10. Describe male urogenital and pelvic floor anatomy.
11. Identify signs and symptoms of prostatodynia (prostatitis Category III B).

Have a question about this course? Contact Us.

Have a question about this course? Contact Us.

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

Stacey Futterman, PT, MPT, WCS, BCB-PMD certified, 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.

Pamela A. Downey, PT, DPT, WCS, BCB-PMD

Pamela A. Downey, PT, DPT, WCS, BCB-PMB, is a Board Certified Clinical Specialist in Women’s Health Physical Therapy and Board Certified in Biofeedback for Pelvic Muscle Dysfunction. Owner of Partnership in Therapy, a private practice in Coral Gables, Florida, she treats women and men with pelvic floor dysfunction, related urogynecological and colorectal issues, spine dysfunction, osteoporosis and complaints associated with pregnancy and the postpartum period. Her mission is to educate and integrate healthy lifestyles for patients on the road to wellness.

Dr. Downey has been honored to teach with the Herman and Wallace Institute since 2006. She is an Adjunct Professor in the Physical Therapy Program at the University Of Miami Miller School of Medicine in Coral Gables, Florida, and Nova Southeastern University in Fort Lauderdale, Florida. A certified Polestar Pilates Educator, she utilizes Pilates and therapeutic exercise interventions specifically designed for patients with pre/post-natal, pelvic floor muscle and other lumbo-pelvic pain-related dysfunctions.

Dr. Downey received her Bachelor of Arts from Sarah Lawrence College and her Master of Science and Doctorate in Physical Therapy from the University of Miami School Of Medicine. She is actively involved in professional activities of the Section on Women’s Health of the American Physical Therapy Association, presently sitting as Coordinator of Research Submissions for annual meetings and as a manuscript reviewer for the Journal of Women’s Health. Dr. Downey has lectured nationally and internationally at professional conferences and is the author of multiple published research articles and a book chapter on chronic pelvic pain in the medical text, Women’s Health in Physical Therapy.

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