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Pelvic Pain & Anxiety, Stress

Throughout the Guidelines on Chronic Pelvic Pain created by the European Association of Urology, the recognition of anxiety and depression as a concomitant symptom of chronic pelvic pain is made. Various types of pelvic dysfunctions have been demonstrated to have an association with anxiety and depression, including urethral pain, chronic pelvic pain, anorectal disorders, and sexual dysfunction. While a first line of medical treatment for patients who complain of neuropathic pain type, according to the Guidelines, is the prescribing of antidepressants, there are other interventions identified in the literature for alleviating anxiety and stress related to chronic pain. One of the studied interventions for pain, anxiety, and stress is yoga.

In a systematic review and meta-analysis for yoga and low back pain (which is also a common comorbidity of pelvic pain) yoga was found to have "…strong evidence for short-term effectiveness and moderate evidence for long-term effectiveness…" and the study concludes that yoga can be recommended for patients who have chronic low back pain. In this review of ten randomized controlled trials including 967 subjects with chronic low back pain, no serious adverse events were reported. A report in the journal Alternative Medicine Review states that yoga, which may be considered an adjunct therapy for stress and anxiety, is supported by good compliance among patient populations and a lack of drug interactions. The same study states that better research is needed before strongly recommending yoga for the specific purposes of reducing anxiety and stress. The current research is plagued with common statistical challenges: lack of a control group, variations in studied physiological markers, lack of validated scales, and heterogenous study populations.

For the pelvic rehabilitation provider, having a working knowledge of common yoga terminology and postures can assist in modification or adaptation of a patient's current routine. In addition, learning to apply yoga concepts and postures such as breathing, trunk and pelvic coordination, soft tissue lengthening within a patient's comfort can add to a pelvic rehab provider's toolbox. There is room for you to join Dustienne Miller, physical therapist and yoga instructor, in California at the Yoga for Pelvic Pain course. Contact the Pelvic Rehabilitation Institute if you have any questions about this continuing education course.

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Upcoming Continuing Education Courses

Pediatric Incontinence and Pelvic Floor Dysfunction- Remote Course (SOLD OUT)

Apr 16, 2021 - Apr 18, 2021
Location: Replacement Remote Course

Pediatric Incontinence - Grand Rapids, MI (Rescheduled)

Apr 17, 2021 - Apr 18, 2021
Location: Mary Free Bed Rehabilitation Hospital

Pregnancy Rehabilitation - Remote Course

Apr 17, 2021 - Apr 18, 2021
Location: Replacement Remote Course

Manual Therapy for the Abdominal Wall - Remote Course

Apr 17, 2021
Location: Short Form Remote Course

Pudendal Neuralgia and Nerve Entrapment - Remote Course

Apr 17, 2021 - Apr 18, 2021
Location: Replacement Remote Course

From Challenged and Concerned to Centered and Empowered

Apr 18, 2021
Location: Short Form Remote Course

Pelvic Floor Level 2B - Houston, TX

Apr 24, 2021 - Apr 25, 2021
Location: Texas Children’s Hospital

Pelvic Floor Level 2B - Garden City, NY Satellite Course (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Metro Physical & Aquatic Therapy

Pelvic Floor Level 2A - West Norriton, PA Satellite Location (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Ivy Rehab Physical Therapy

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

Apr 24, 2021 - Apr 25, 2021
Location: Self-Hosted Course

Pelvic Floor Level 2B - Kenosha, WI Satellite Course (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Aurora Health Care

Pelvic Floor Level 2A - Self-Hosted

Apr 24, 2021 - Apr 25, 2021
Location: Self-Hosted Course

Pelvic Floor Capstone - Self-Hosted (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Self-Hosted Course

Pelvic Floor Capstone - St George, UT Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Dixie State University

Pelvic Floor Capstone - Manchester, IA Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Physical Therapy Solutions

Pelvic Floor Level 2B - Houston, TX Satellite Course (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Texas Children’s Hospital

Pelvic Floor Level 2A - Charlottesville, VA Satellite Location (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Ivy Rehab Physical Therapy

Pelvic Floor Capstone - Cranford, NJ Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Ivy Rehab Physical Therapy

Pelvic Floor Capstone - Alexandria, VA Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Inova Physical Therapy Center

Pelvic Floor Capstone - Brooklyn, NY Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: PT of the City

Pelvic Floor Capstone - Tacoma, WA Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Olympic Sports and Spine

Pelvic Floor Capstone - San Diego, CA Satellite Location (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: FunctionSmart Physical Therapy

Pelvic Floor Capstone - Richmond, VA Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Pivot Physical Therapy

Pelvic Floor Level 2B - San Diego, CA Satellite Course

Apr 24, 2021 - Apr 25, 2021
Location: Water and Sports Physical Therapy Clinics

Peripartum Advanced Topics - Remote Course

Apr 24, 2021 - Apr 25, 2021
Location: Replacement Remote Course

Pelvic Floor Capstone - Asheville, NC Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Cornerstone Physical Therapy

Pelvic Floor Level 2A - Truckee, CA Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Tahoe Forest Center for Health and Sports Performance / Alliance Therapy Partners

Pelvic Floor Capstone - Marietta, GA Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Southern Pelvic Health

Pelvic Floor Level 2A - Jacksonville, FL Satellite Location (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Summit Physical Therapy

Pelvic Floor Level 2A - Hinsdale, IL Satellite Location (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Ivy Rehab Physical Therapy