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Laser Therapy for Female Pelvic Floor Conditions - Our New Secret Weapon

Isa Herrera, MSPT, CSCS teaches the "Low-Level Laser Therapy for Female Pelvic Pain Conditions" course for Herman & Wallace. Join her on October 3-4 in New York, NY to learn about this new modality!

Physical therapists deal with chronic pain that can be problematic to treat and manage on a daily basis. There is an arsenal of tools, exercises and techniques at their disposal, but many times using a modality can help accelerate the pain-relieving process.

At my healing center in New York City, we treat an extremely difficult type of chronic pain loosely classified under the umbrella term "pelvic pain". Pelvic pain can express itself as sacroiliac pain, hip bursitis, symphysis pubic dysfunction, and vulvodynia. Chronic pelvic pain is sometimes perceived as a "woman's issue", but we treat both men and women who have suffered for years with their conditions. We are challenged to think outside the box to provide relief for these patients.

'Secret Weapon' for Pain

Chronic pelvic pain is very different from other types of pain because it's intimately connected to our emotional, spiritual and psychological states, and can involve many symptoms in the nervous, endocrine, visceral, gynecological, urological and muscular systems. It can be very difficult to treat, and can require from six months to one year of physical therapy, depending on patient presentation and history.

This lengthy course of treatment requires a fresh approach to therapy and modalities. When I started treating this population I had many difficulties when it came to controlling their pain and I had to think differently. Electrical stimulation and ultrasound were not working as well as I'd hoped, and were providing insufficient pain relief to these patients.

I needed a modality that, when incorporated with my pelvic pain treatment protocols, could help produce immediate and long-lasting pain-relieving effects. I needed a modality that could significantly decrease pain within one session, and that my patients could believe in because of the results.

Low-level laser therapy (LLLT) proved to be my secret weapon when treating women with chronic pelvic pain. (I frequently call it "light therapy", because many patients are put off by the term "laser.")

I have been successfully using light therapy for nearly ten years. It helps my patients keep their pain at bay, and many request that I use it as part of their therapy. Of course, light therapy is only as good as the therapist using it. You have to apply this modality correctly, and use the science properly to maximize results.

LLLT was approved by the FDA in 2002. At that time, the modality was hailed by the New England Patriots and the U.S. Olympic Committee, among others, for its ability to help top athletes quickly return from injury. Endorsements from these organizations piqued my interest and I decided to research its principles.

I realized that LLLT could be used on many levels. LLLT is unique: it is a cellular bio-stimulator and is used to increase vitality of cells as well as processes that occur within the cell. Not all lasers are "created equal," and you have to be careful with the type you purchase.

Principles that must be taken into consideration include wavelength in nanometers, power in milliwatts, and total energy delivered in joules. In my pelvic pain protocols, I use LLLT on sensitive and painful tissues that are unable to tolerate any heat production.

Many lasers claim to be great therapeutic lasers, but actually produce heat within the tissue and cells. Any heat production has the potential to harm cells and destroy them. Heat production indicates the delivery of too many joules of energy per cycle. The goal with LLLT is to stimulate health and vitality within the cell to produce effects such as pain relief, collagen synthesis, resetting nerve potential, anti-inflammatory effects, and endorphin production.

New Look at Modalities

LLLT has changed the way I treat all pain syndromes. It's had such a positive impact that I've created laser protocols for vulvodynia, scar and bladder pain. I also created a special class for the Herman and Wallace Institute class for physical therapists who treat chronic pelvic pain. I encourage any colleagues specializing in this population to investigate this remarkable modality and to attend the class in October. If you are looking for something different and a modality that will change the way you treat come and learn how to use if effectively.

A Thorough Pelvic Exam Leads to Appropriate Treatm...
My introduction to the World of Pelvic Floor

Upcoming Continuing Education Courses

Boundaries, Self-Care, and Meditation - Remote Course

May 22, 2020 - May 31, 2020
Location: Replacement Remote Course

Oncology of the Pelvic Floor Level 1 - Remote Course

May 26, 2020 - Jun 4, 2020
Location: Replacement Remote Course

Pelvic Floor Level 1 Part 1 - Remote Course (SOLD OUT)

May 28, 2020 - May 29, 2020
Location: Short Form Remote Course

Pelvic Floor Level 1 - Chicago, IL (RESCHEDULED)

May 29, 2020 - May 31, 2020
Location: Advocate Illinois Masonic Medical Center

Boundaries, Self-Care, and Meditation - Columbus, OH (RESCHEDULED)

May 29, 2020 - May 31, 2020
Location: The Ohio State University Wexner Medical Center

Pelvic Floor Level 2A - Syracuse, NY (RESCHEDULED)

May 29, 2020 - May 31, 2020
Location: SUNY Upstate Medical University

Gender Diversity and Pelvic Health - Livingston, NJ (RESCHEDULED)

May 29, 2020 - May 31, 2020
Location: Ambulatory Care Center- RWJ Barnabas Health

Pelvic Floor Level 2B - Maywood, IL (Rescheduled)

May 29, 2020 - May 31, 2020
Location: Loyola University Health System

Sexual Medicine in Pelvic Rehab - Remote Course (SOLD OUT)

May 30, 2020 - May 31, 2020
Location: Replacement Remote Course

Pregnancy Rehabilitation - Remote Course (SOLD OUT)

May 30, 2020 - May 31, 2020
Location: Replacement Remote Course

Sacroiliac Joint Evaluation and Treatment - Nashua, NH (RESCHEDULED)

May 30, 2020 - May 31, 2020
Location: St. Joseph Hospital Rehabilitative Services

Postpartum Rehabilitation - Foothill Ranch, CA (Rescheduled)

May 30, 2020 - May 31, 2020
Location: Intercore Physical Therapy

Pilates for the Pelvic Floor - Valencia, CA (Rescheduled)

May 30, 2020 - May 31, 2020
Location: Henry Mayo Newhall Memorial Hospital

Building Resilience Through Nourishment

Jun 2, 2020
Location: Short Form Remote Course

Pelvic Floor Series Capstone - Salt Lake City, UT (SOLD OUT)

Jun 5, 2020 - Jun 7, 2020
Location: Rocky Mountain University of Health Professions

Pelvic Floor Capstone - Remote Course

Jun 5, 2020 - Jun 7, 2020
Location: Replacement Remote Course

Pregnancy Rehabilitation - Remote Course (SOLD OUT)

Jun 5, 2020 - Jun 6, 2020
Location: Replacement Remote Course

Pediatric Incontinence - Grand Rapids, MI (RESCHEDULED)

Jun 5, 2020 - Jun 7, 2020
Location: Mary Free Bed Rehabilitation Hospital

Pelvic Floor Level 2A - Kansas City, MO (Rescheduled)

Jun 5, 2020 - Jun 7, 2020
Location: Centerpoint Medical Center

Pelvic Floor Level 1 - Atlanta, GA (RESCHEDULED)

Jun 5, 2020 - Jun 7, 2020
Location: Emory Healthcare

Pelvic Floor Level 1 - Washington, DC (Rescheduled)

Jun 5, 2020 - Jun 7, 2020
Location: The George Washington University

Pelvic Floor Level 1- Canton, OH (Rescheduled))

Jun 5, 2020 - Jun 7, 2020
Location: Aultman Hospital

Restorative Yoga for Physical Therapists - Remote Course

Jun 6, 2020 - Jun 7, 2020
Location: Short Form Remote Course

Pelvic Floor Level 1 Part 1 - Remote Course (SOLD OUT)

Jun 6, 2020 - Jun 7, 2020
Location: Short Form Remote Course

Trauma Informed Care - Remote Course

Jun 6, 2020
Location: Short Form Remote Course

Pelvic Floor Level 1 - Berrien Springs, MI (Rescheduled)

Jun 7, 2020 - Jun 9, 2020
Location: Andrews University

Pelvic Floor Level 2B - Bay Shore, NY (Rescheduled)

Jun 7, 2020 - Jun 9, 2020
Location: Touro College: Bayshore

Pelvic Floor Level 1 Part 1 - Remote Course

Jun 11, 2020 - Jun 12, 2020
Location: Short Form Remote Course