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Mindfulness and Chronic Pelvic Pain

Mindful awareness has been defined as “the awareness that emerges through paying attention on purpose, in the present moment and non-judgmentally, to the unfolding experience, moment by moment.” Kabat Mindful awareness can be cultivated through training in sitting meditation, mindful body scan, walking meditation and mindful movement. Over the past 3 decades, a growing body of research has identified multiple health benefits from training in mindful awareness. Keng, Lakhan, La Cour One pilot study evaluated the feasibility and efficacy of an 8-week mindfulness program for patients with chronic pelvic pain. Fox Pre- and post-assessments included daily pain scores, the Short Form-36 Health Status Inventory, Kentucky Inventory of Mindfulness Score and the Inventory of Depressive Symptomatology. Upon program completion, participants reported significant improvement in daily maximum pain scores, physical function, mental health, social function and mindfulness scores. These pilot results are positive and promising.

In my experience, mindfulness gives patients the skillful awareness necessary to self-regulate their reactions to pain and stress. Many of these reactions are maladaptive and amplify distress and pain. With training in mindfulness, patients are able to observe physical, cognitive and emotional reactions to pain and stress and adopt healthy choices that de-escalate suffering. I am excited to share my 30 years of experience and training in mindful awareness and its application to patient care and provider self-care through my 2-day course with Herman & Wallace. Join me at "Mindfulness Based Pain Treatment: A Biopsychosocial Approach to the Treatment of Chronic Pain" on January 16-17, 2016 in Silverdale, WA.


1. Kabat Zinn, J.Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain and Illness. 2013, 2nd ed. New York: Bantam.
2. Keng, S.L., Smoski M.J., Robins, C.J. Effects of mindfulness on psychological health: a review of empirical studies. Clin Psychol Rev, 2011;31(6), pp. 1041-56.
3. Lakhan, S.E., Schofield, K.L. Mindfulness-based therapies in the treatment of somatization disorders: a systematic review and meta-analysis. PLoS One, 2013;8(8), e71834.
4. La Cour, P., Petersen, M., 2014. Effects of mindfulness meditation on chronic pain: A randomized controlled trial. Pain Med, Nov 7. doi: 10.1111/pme.12605.
5. Fox, SD, Flynn E, Allen RH. Mindfulness meditation for women with chronic pelvic pain: a pilot study. J Reprod Med, 2011;56(3-4):158-62.

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Upcoming Continuing Education Courses

Yoga for Pelvic Pain - Remote Course

Sep 25, 2021 - Sep 26, 2021
Location: Replacement Remote Course

Pelvic Floor Level 2B - Wallingford, CT Satellite Course

Sep 25, 2021 - Sep 26, 2021
Location: Ivy Rehab Physical Therapy

Pelvic Floor Level 2B - Charlotte, NC Satellite Course (SOLD OUT)

Sep 25, 2021 - Sep 26, 2021
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Pelvic Floor Level 2B - Virginia Beach, VA Satellite Course

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Pelvic Floor Level 2B - Salt Lake City, UT Satellite Course

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Location: Hand and Orthopedic Physical Therapy Specialists

Pelvic Floor Level 2B - Chamblee, GA Satellite Course

Sep 25, 2021 - Sep 26, 2021
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Pelvic Floor Level 2B - Baldwin, WI Satellite Course

Sep 25, 2021 - Sep 26, 2021
Location: Western Wisconsin Health

Pelvic Floor Level 2B - Smyrna, TN Satellite Course

Sep 25, 2021 - Sep 26, 2021
Location: Benchmark Physical Therapy - Smyrna, TN

Trauma Awareness for the Pelvic Therapist - Remote Course

Sep 25, 2021 - Sep 26, 2021
Location: Replacement Remote Course

Pelvic Floor Level 2B - Las Vegas, NV Satellite Course (SOLD OUT)

Sep 25, 2021 - Sep 26, 2021
Location: Action Therapeutics LLC

Pelvic Floor Level 2B - Greenville, SC Satellite Course

Sep 25, 2021 - Sep 26, 2021
Location: His Therapy

Pelvic Floor Level 2B - Willingboro, NJ Satellite Course

Sep 25, 2021 - Sep 26, 2021
Location: Kinesis Rehabilitation

Pelvic Floor Level 2B - Self-Hosted

Sep 25, 2021 - Sep 26, 2021
Location: Self-Hosted Course

Pelvic Floor Level 2B - Saint Peters, MO Satellite Course (Canceled)

Sep 25, 2021 - Sep 26, 2021
Location: Excel Spine & Sports Rehab

Pelvic Floor Level 2B - Chicago, IL Satellite Course

Sep 25, 2021 - Sep 26, 2021
Location: Advocate Illinois Masonic Medical Center

Mobilization of Visceral Fascia 2: The Reproductive System - Medford, OR Satellite Location

Oct 1, 2021 - Oct 3, 2021
Location: Asante Rogue Valley Medical Center

Oncology of the Pelvic Floor Level 2A - Remote Course

Oct 2, 2021 - Oct 3, 2021
Location: Replacement Remote Course

Pregnancy Rehabilitation - Remote Course (SOLD OUT)

Oct 2, 2021 - Oct 3, 2021
Location: Replacement Remote Course

Pelvic Floor Level 2A - Marietta, GA Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Southern Pelvic Health

Pelvic Floor Level 2A - Self-Hosted

Oct 9, 2021 - Oct 10, 2021
Location: Self-Hosted Course

Pelvic Floor Level 2A - Livonia, MI Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Mendelson Kornblum Physical Therapy

Pelvic Floor Level 1 - Torrance, CA Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Women's Advantage Inc

Pelvic Floor Level 2A - Smyrna, TN Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Benchmark Physical Therapy - Smyrna, TN

Pelvic Floor Level 2A - Columbia, MO Satellite Location (SOLD OUT)

Oct 9, 2021 - Oct 10, 2021
Location: Mizzou Therapy Services

Pelvic Floor Level 1 - Little Rock, AR Satellite Course

Oct 9, 2021 - Oct 10, 2021
Location: Core Pelvic Physical Therapy