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Herman & Wallace Blog

On Pelvic Pain and Lymphatic Drainage

In 1998, faculty member Debora Chassé was asked to evaluate a patient with bilateral lower extremity lymphedema following repeated surgeries for cervical cancer. Her formal education did not cover this in school, so Dr. Chassé began to study peer-review research and consult with other clinicians about the diagnosis. Her journey down the rabbit hole began.

Dr. Chassé became a certified lymphedema therapist in 2000 and a certified Lymphology Association of North America therapist in 2001. She continued training by moving into osteopathy taking her into the direction of lymphatic vessel manipulation. In 2006 she began taking courses in pelvic pain and obstetrics with a focus on pelvic floor dysfunction. It was at this point that Dr. Chasse realized nobody was applying lymphatic treatment to women’s health and pelvic floor dysfunction. In 2009 she became a Board Certified Women’s Health Clinical Specialist in Physical Therapy and began traveling around the United States offering workshops in the area of lymphatic treatment.

"...using lymphatic drainage intravaginally is well tolerated and decreases the intravaginal pain"

Dr. Chassé’s approach is to incorporate all her varied skills in the clinic to produce the best patient outcomes. Debora explains that she is “…showing the similarities between pelvic pain and the lymphatic system. The treatment principles are the same, when you are treating both lymphedema or pelvic pain, you are working to reduce inflammation, pain and scarring.”

Another advantage of the lymphatic treatment approach is that it is more comfortable for the patient. “Most intravaginal techniques causes increased pain and inflammation. However, using lymphatic drainage intravaginally is well tolerated and decreases the intravaginal pain. The results are phenomenal!”

Dr. Chassé recollects her experience with a 21 year old female who suffered from chronic pelvic pain. By applying intravaginal lymphatic drainage techniques for 5 consecutive days, the patient experience a 4.83 reduction in pelvic girdle circumference and her intravaginal pain went from 8/10 to 2/10. The patient was amazed at how much better she felt. “My pants fit better, my energy level increased 25% and pain decreased more than 50%. I went from having 2-3 bad days per week to having 2-3 bad days per month, even when my work level increased. My feet no longer swell and I haven’t missed any classes since receiving this treatment.

In her course, “Lymphatics and Pelvic Pain: New Strategies”, Dr. Chassé seeks to train practitioners to utilize lymphatic drainage techniques when treating specifically pelvic pain. Participants will learn lymphatic drainage principles and techniques. They will learn how to clear pathways to transport lymph fluid and internal techniques which will have incredible impacts for patients.

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Upcoming Continuing Education Courses

Nutrition Perspectives for the Pelvic Rehab Therapist - Remote Course

Jan 29, 2021 - Jan 30, 2021
Location: Replacement Remote Course

Postpartum Rehabilitation - Remote Course (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Satellite Lab Course

Jan 30, 2021 - Jan 31, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Oklahoma City, OK Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Oklahoma Physical Therapy

Pelvic Floor Level 1 - Greenville, SC Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Restore Pelvic Health and Wellness

Pelvic Floor Level 1 - Doylestown, PA Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Central Bucks Physical Therapy LLC

Pelvic Floor Level 1 - Annapolis, MD Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Encompass PT

Oncology of the Pelvic Floor Level 1 - Remote Course

Jan 30, 2021 - Jan 31, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Marietta, GA Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Southern Pelvic Health

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

Jan 30, 2021 - Jan 31, 2021
Location: Women's Advantage Inc

Lumbar Nerve Manual Assessment and Treatment - Remote Course

Jan 30, 2021 - Jan 31, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Self-Hosted

Jan 30, 2021 - Jan 31, 2021
Location: Self-Hosted Course

Pelvic Floor Level 1 - Brooklyn, NY Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: PT of the City

Pelvic Floor Level 1 - New Orleans, LA Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: Ochsner Therapy and Wellness/Ochsner Health System

Pelvic Floor Level 1 - Metairie, LA Satellite Location (SOLD OUT)

Jan 30, 2021 - Jan 31, 2021
Location: East Jefferson General Hospital

Sexual Medicine in Pelvic Rehab - Remote Course

Feb 6, 2021 - Feb 7, 2021
Location: Replacement Remote Course

Osteoporosis Management - Remote Course

Feb 6, 2021 - Feb 7, 2021
Location: Replacement Remote Course

Manual Therapy for the Abdominal Wall - Remote Course

Feb 7, 2021
Location: Short Form Remote Course

Pregnancy Rehabilitation - Remote Course (SOLD OUT)

Feb 20, 2021 - Feb 21, 2021
Location: Replacement Remote Course

Pelvic Floor Level 1 - Self-Hosted (SOLD OUT)

Feb 20, 2021 - Feb 21, 2021
Location: Self-Hosted Course

Pelvic Floor Level 1 - West Norriton, PA Satellite Location (SOLD OUT)

Feb 20, 2021 - Feb 21, 2021
Location: Ivy Rehab Physical Therapy

Pelvic Floor Level 1 - Wallingford, CT Satellite Location (SOLD OUT)

Feb 20, 2021 - Feb 21, 2021
Location: Ivy Rehab Physical Therapy

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

Feb 20, 2021 - Feb 21, 2021
Location: Women's Advantage Inc

Pelvic Floor Level 1 - Bradenton, FL Satellite Location (SOLD OUT)

Feb 20, 2021 - Feb 21, 2021
Location: Thrive Integrated Medicine

Pelvic Floor Level 2B - Self-Hosted (SOLD OUT)

Feb 20, 2021 - Feb 21, 2021
Location: Self-Hosted Course

Pelvic Floor Level 2B - Brooklyn, NY Satellite Course

Feb 20, 2021 - Feb 21, 2021
Location: PT of the City

Coccydynia and Painful Sitting - Remote Course

Feb 20, 2021
Location: Short Form Remote Course

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

Feb 20, 2021 - Feb 21, 2021
Location: St Francis Memorial Hospital

Pelvic Floor Level 2B - Phoenix, AZ Satellite Course

Feb 20, 2021 - Feb 21, 2021
Location: Spooner Physical Therapy

Pudendal Neuralgia and Nerve Entrapment - Remote Course

Feb 21, 2021 - Feb 22, 2021
Location: Replacement Remote Course