
At a Glance
Many Intersex patients have changed or avoided care because of discomfort with their medical providers. Pelvic rehabilitation practitioners are in a meaningful position to change that. In this post, Herman & Wallace faculty member Dr. Molly O’Brien-Horn, PT, DPT, CLT, PCES, CCI, shares three practical ways clinicians can educate themselves and provide more affirming, trauma-informed, and inclusive care to patients who are Intersex. To go deeper, her remote course, Intersex Patients: Rehab and Inclusive Care, is available through Herman & Wallace.
According to Ilene Wong, M.D., “Studies have shown that up to 80% of intersex patients have changed their care based on discomfort with their medical providers.”1 That is a lot of patients. As healthcare providers, we should strive to avoid contributing to that patient discomfort and trauma. Providing intersex-affirming, trauma-informed, and inclusive care can help. Below are just three ways to educate yourselves and provide better care to patients who are Intersex.
Following Intersex activists and organizations on social media and sharing their stories can be a great way to learn from Intersex folx. Reading books and memoirs, and watching movies or videos by Intersex folx about their lived experiences, is another way to educate yourself.2, 3, 4, 5
Some patients may have a history of trauma. There are many different ways trauma can manifest in a person. Identify the different signs of trauma a patient may have, and seek to prevent re-traumatizing patients.6
Meeting other Intersex folks with similar lived experiences can empower patients, foster community, and build connections. Recommending patients and their families to peer support groups can be a great way to promote these things.6, 7
Want to learn more ways to provide intersex-affirming healthcare and learn how to be an ally to patients who are Intersex? Molly’s remote course takes you deeper into the genetics, history, variations, and clinical care that help you support Intersex patients with skill and compassion.
Remote Course
Intersex Patients: Rehab and Inclusive Care
This one-day remote course is designed to help pelvic rehab therapists and other healthcare professionals provide compassionate, skilled care to Intersex patients, grounded in the latest evidence-based research and Intersex advocacy content. Topics may include genetics, embryology, historical contexts, Intersex variations, inclusive care, activism, and rehabilitation interventions.
Format: Remote Course
Instructor: Dr. Molly O’Brien-Horn, PT, DPT, CLT, PCES, CCI
About Molly
Dr. Molly O’Brien-Horn, PT, DPT, CLT, PCES, CCI, is a pelvic health physical therapist practicing in an outpatient hospital-based clinic in California, where she works with patients of a variety of ages, gender identities, and body variations. She began her career in pediatrics and outpatient orthopedics before moving into pelvic health, and she practices through a trauma-informed lens. As faculty for Herman & Wallace Pelvic Rehabilitation Institute, Molly authored and instructs the course Intersex Patients: Rehab and Inclusive Care, created to fill a gap she noticed in how rarely Intersex folx were included in LGBTQIA+ healthcare education.

At a Glance
Herman & Wallace is broadening its neuro offerings with the launch of Neurologic Conditions and Pelvic Floor Rehabilitation, a collaborative course arriving at the end of June 2026. Co-authored by Herman & Wallace faculty member Erica Vitek, MOT, OTR, BCB-PMD, PRPC, the course is built to help pelvic health clinicians confidently "think neuro." Below, Erica shares the story behind the course and what it can bring to your clinic.
When I first co-authored the course Neurologic Conditions and Pelvic Floor Rehab in 2018, the goal was ambitious: help pelvic health clinicians begin to confidently "think neuro." We focused on a deep dive into the pelvic health conditions in people with Parkinson disease, multiple sclerosis, and spinal cord injury. The course was offered in person and then Covid hit in 2020 putting a long pause on general neuro topics. As the stand-alone Parkinson disease and Pelvic Rehabilitation remote on-line live learning course continues to be offered by Herman and Wallace, there have been on-going requests to broaden the neuro course offerings line-up. We are very excited to announce a neuro expert, collaborative effort with the launching of Neurologic Conditions and Pelvic Floor Rehabilitation at the end of June 2026.
There can be a sense of hesitation and uncertainty when a new patient on our schedule has a neurological diagnosis. We may not be confident of where to even begin. Our patients that have been given a neuro diagnosis likely have multiple other comorbidities, are being followed by multiple specialty physicians, and are on many different pharmaceuticals to manage their condition. These patients often present with complex, fluctuating, frequently overlapping symptoms that don't always fit consistently and neatly into traditional evaluation and treatment planning. These patients have often seen multiple therapy providers trying to get help and needing to be understood through a neuro lens.
This course is designed to get you thinking about neuroanatomy and physiology from the ground up and expand on neurologic diagnoses across the lifespan, from pediatrics to adults; from traumatic neurologic injury (such as stroke) to neurodegeneration (such as amyotrophic lateral sclerosis), transient neurologic conditions (such as Lyme disease) to autonomic nervous system dysfunction (such as POTS), and from neurodiversity (such as autism) to pediatric congenital defects (such as cerebral palsy). Our goal is to offer a practical framework you can carry into any pelvic health neurologic evaluation, so when a complex patient walks into your clinic, you feel confident in your clinical reasoning rather than limited by the diagnosis. Instead, we hope you will feel equipped to ask better questions, see patterns others might have otherwise missed, and develop treatment plans that accurately address the neurologic contributions to pelvic function. We also look to strengthen your clinical reasoning and problem-solving ability to adapt and pivot your treatment approaches when patient outcomes do not progress as you intend or expect.
If you've ever felt like, "I have a neuro patient on my schedule tomorrow and I don't even know where to start", "I know there's a neuro component here, but I'm not sure how to assess it" or "This patient doesn't fit the usual presentation", then this course was designed for you. We hope to help you "think neuro" in ways you have not thought about before, refine your assessment and treatment planning with your "neuro brain", and confidently expand into your role as a neuro-informed pelvic health clinician.
New Course
Neurologic Conditions and Pelvic Floor Rehabilitation
Dates: Saturday and Sunday, June 27-28, 2026
Format: Remote course (live via Zoom)
Co-authored by: Erica Vitek, MOT, OTR, BCB-PMD, PRPC, with Herman & Wallace neuro faculty
Go Deeper
Parkinson Disease and Pelvic Rehabilitation
Want to start with a focused deep dive? Erica's stand-alone remote course takes you into the neurophysiology of Parkinson disease and the pelvic health conditions these patients commonly face, including assessment, treatment planning, and applications for TENS in the neurologic population.
About Erica
Erica Vitek, MOT, OTR, BCB-PMD, PRPC, graduated with her master's degree in Occupational Therapy from Concordia University Wisconsin in 2002 and works for Aurora Health Care at Aurora Sinai Medical Center in downtown Milwaukee, Wisconsin. She specializes in female, male, and pediatric evaluation and treatment of the pelvic floor and related bladder, bowel, and sexual health issues. Erica is board certified in Biofeedback for Pelvic Muscle Dysfunction (BCB-PMD) and is a Certified Pelvic Rehabilitation Practitioner (PRPC) through Herman & Wallace. She has completed extensive postgraduate education in Parkinson disease and exercise, is certified in LSVT BIG, and is a trained PWR! (Parkinson Wellness Recovery) provider. She is also an LSVT Global faculty member and partners with the Wisconsin Parkinson Association. Erica authored Parkinson Disease and Pelvic Rehabilitation and co-authored the new Neurologic Conditions and Pelvic Floor Rehabilitation for Herman & Wallace.

At a Glance
Menopause is one of the most universal transitions a patient will go through, and it reaches far beyond hot flashes. In this free introductory webinar, Herman & Wallace faculty member Christine Stewart, PT, CMPT, walks pelvic therapists through the foundations of the menopause transition, the wide range of symptoms patients experience, and where skilled pelvic rehabilitation fits into their care. It is a welcoming starting point whether menopause is new clinical territory for you or you simply want a clearer framework to bring to your patients. Bring your questions for the live discussion.
Conversations about menopause have moved from a taboo subject into the mainstream, and patients are arriving with more questions than ever. Yet many clinicians were never taught how the menopause transition reshapes the body, or how much of that change lands squarely within the scope of pelvic rehabilitation. This webinar is designed to close that gap. In one focused session, Christine Stewart, PT, CMPT, lays out the essentials so pelvic therapists can recognize what is happening, validate what their patients are feeling, and respond with confidence.
What the webinar covers
Christine introduces the full arc of the menopause transition, from perimenopause through postmenopause, and the shifting hormonal profile that drives it. You will get a clear overview of the symptoms patients commonly report, including genitourinary changes, vaginal and tissue health, pelvic floor and sexual function, musculoskeletal complaints, sleep disruption, mood, and long term concerns such as bone density. Throughout, the focus stays practical, connecting each change to the role a pelvic therapist can play in education, treatment, and reassurance.
Who should attend
This introduction is built for pelvic therapists and pelvic health clinicians who want a solid foundation in menopause care. Whether you are early in your pelvic rehab journey or experienced and looking to fold menopause more intentionally into your practice, you will leave with a framework you can use right away with the patients in front of you.
Why menopause belongs in pelvic rehab
In a survey of postgraduate trainees in internal medicine, family medicine, and obstetrics and gynecology, ninety percent felt unprepared to manage patients experiencing menopause (Reid, 2021). That gap is exactly where pelvic health providers can step in. By calming patients' fears through education, and by treating the pelvic, sexual, and musculoskeletal symptoms within our reach, we can ease the burden of this period of adaptation and help patients flourish through a critical phase of life.
Free Live Webinar
Menopause 102: An Introduction for Pelvic Therapists
Date: July 23, 2026
Time: 8:00 PM ET / 7:00 PM CT / 6:00 PM MT / 5:00 PM PT
Cost: Free & Live Meeting Registration - Zoom
Presenter: Christine Stewart, PT
Go Deeper
Menopause Transitions and Pelvic Rehab
Ready to move past the introduction? Christine's full remote course gives you the deep, evidence based training to understand the menopause transition and confidently manage your patients' symptoms across the lifespan.
About Christine
Christine Stewart, PT, CMPT, graduated from Kansas State University in 1992 and earned her master's degree in physical therapy from the University of Kansas Medical Center in 1994. She began her career specializing in orthopedics and manual therapy, then became interested in women's health after the birth of her second child. Christine developed her pelvic health practice in a local hospital with a focus on urinary incontinence and prolapse, and in 2010 joined Olathe Health to further focus on pelvic rehabilitation for all genders and to earn her Certified Manual Physical Therapist credential from the North American Institute of Manual Therapy. She teaches Menopause Transitions and Pelvic Rehab for Herman & Wallace, where she is known as an expert and a passionate educator on the menopause transition.

At a Glance
Endometriosis affects roughly one in ten people of reproductive age, yet it is still widely under-recognized and slow to diagnose. Medical and surgical care are essential, but they are not the whole picture. In this free live webinar on June 15, 2026, Herman & Wallace Director of Education Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC, explores the everyday lifestyle factors that can influence endometriosis symptoms and how clinicians can fold them into a whole-person plan of care. Details and registration are below.
Endometriosis is one of the most common and most misunderstood conditions in pelvic health. It can drive chronic pelvic pain, painful periods, bowel and bladder symptoms, fatigue, and pain with intimacy, and on average it takes years for a patient to receive an accurate diagnosis. For the clinicians who treat them, the question is rarely whether to help, but how to help more completely.
Medical management, surgery, and pelvic rehabilitation are all important parts of care. Alongside them, a growing body of attention is turning toward the daily habits that shape how a person living with endometriosis actually feels day to day.
Endometriosis is an inflammatory condition, and many of the factors that influence inflammation, pain sensitivity, and overall wellbeing are tied to lifestyle. Nutrition, movement, sleep, stress regulation, and nervous system care all interact with how symptoms are experienced. None of these replace medical treatment, but used thoughtfully and individualized to each patient, they can become meaningful supports within a comprehensive plan of care.
For clinicians, the opportunity is to move beyond treating symptoms in isolation and instead help patients understand the levers they can influence themselves, building agency and self-efficacy along the way.
In this session, Allison will walk clinicians through the lifestyle factors most relevant to patients living with endometriosis and how to introduce them in a way that is practical, evidence-informed, and patient-centered. Whether you specialize in pelvic health or simply want to support these patients more effectively, you will leave with strategies you can share right away. Bring your questions for the live discussion.
Free Live Webinar
Endometriosis and Lifestyle Changes
Date: Monday, June 15, 2026
Time: 4:00 PM ET / 3:00 PM CT / 2:00 PM MT / 1:00 PM PT
Cost: Free & Live
Presenter: Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC
About Allison
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC, serves as Director of Education at Herman & Wallace Pelvic Rehabilitation Institute. A physical therapist since 1999, she earned her Doctor of Physical Therapy from Boston University and is board certified by the Lymphology Association of North America, board certified in Biofeedback for Pelvic Muscle Dysfunction, and a certified Pelvic Rehabilitation Practitioner. Teaching with Herman & Wallace since 2011, Allison has played a major role in developing the Capstone, Oncology, Anorectal Ballooning, Peripartum, and Rehabilitative Ultrasound Imaging course series. She is a published researcher and a co-author in Healing in Urology, and practices in the Denver metro area at her clinic, Inspire Physical Therapy and Wellness.

At a Glance
Pelvic health education is evolving, and so is the way we teach it. At the Michigan APTA Student Conclave, Herman & Wallace faculty member Jenna Ross, MSPT, BCB-PMD, PRPC, traded the traditional lecture for a hands-on, experiential session that invited physical therapy students to explore their own pelvic floors. In this reflection she shares what unfolded in that room, why representation in pelvic health matters, and the student message that reminded her exactly why this work is so important. Want to experience it yourself? Jenna is bringing this very session to a free live webinar on June 22, 2026 — details and registration are at the end of this post.
Last month I was invited to give a talk at the Michigan APTA Student Conclave, and I gave myself a challenge before I walked into that lecture hall.
Pelvic health is my jam. Talk to me about it at a dinner party, at a conference, on a podcast, and I will not stop. But education has changed since I was in school. My version of learning was lecture, test, repeat. My college daughters describe classrooms that look almost nothing like that, and frankly, theirs sound more interesting. So I did not want to lecture these students. I wanted to give them an experience with their own pelvic floors. Could I pull that off in a way that was both fun and meaningful? That was the assignment I gave myself.
The talk was called “Explore Your Floor: What You May Not Have Learned in School About the Land Down Under.”
The first thing that struck me was the diversity. Pelvic health desperately needs practitioners of every gender and orientation to meet the needs of the patients who depend on us, and seeing that room felt like a real preview of where the profession is heading.
I told the group up front what I wanted the next hour to feel like: safe, inclusive, humble, educational, fun, and a little inspiring. Because we need more people in this field. Participation was voluntary throughout. Questions were welcome.
We started with a tour of the layers of the pelvic floor. Students stood up and used their bodies to act out the individual muscles and feel their unique functions. From there, we moved into biofeedback work where each student could discover the range of motion of their own pelvic floor.
Next came pressure regulation. I wanted them to experience the relationship between breath, abdominal wall tension, and pelvic floor function, so we did it with a balloon. Everyone blew one up and we watched several different patterns emerge in how people accomplished that simple task. The lesson was right there in the room.
For the last physical activity, everyone stood up and tried to push each other over under three conditions: relaxed bodies, holding breath and bracing, exhaling and bracing. Most students felt most stable holding their breath. That gave us a really meaningful conversation about internal pressure and the way it finds its path to the places of least resistance. Hernia. Prolapse. Diastasis. Disc herniation. The body always tells the truth about where the load is going.
The rest of our hour explored the relationships between the pelvic floor and the visceral, musculoskeletal, endocrine, and nervous systems, and how a pelvic floor physical therapist uses those relationships to shape the rehab experience for every patient.
I talked about the role and responsibility of the pelvic health specialist and shared snippets from real case studies. Two patients can show up with the same complaint, whether stress urinary incontinence, constipation, or pelvic pain, and have completely different reasons behind it. Our job is to be detectives. The presentation is never the diagnosis. The patient is.
I had a blast. The mission felt accomplished. And the students seemed to have a great time learning.
A few days later, a student sent me a note that I have not stopped thinking about:
“I am one of the many male students inspired by your pelvic floor presentation at the APTA Student Conclave. After walking out of your conference, I felt a responsibility to advocate for pelvic floor health for everyone. I find pelvic floor therapy truly fascinating.”
I could not agree more.
If you are a student reading this, or a clinician on the fence about pursuing pelvic health, I want you to know that this field needs you. All of you. Every background, every identity, every clinical curiosity. There has never been a better time to bring your full self to this work.
Curious what it feels like to truly explore your floor? Jenna is bringing this same session to a free live webinar open to clinicians and students everywhere. Come ready to participate, bring your questions, and discover what you may not have learned in school about the land down under.
Free Live Webinar
Explore Your Floor: What You May Not Have Learned in School About the Land Down Under
Date: Monday, June 22, 2026
Time: 7:00 PM ET / 6:00 PM CT / 5:00 PM MT / 4:00 PM PT
Cost: Free & Live
Presenter: Jenna Ross, MSPT, BCB-PMD, PRPC
About Jenna
Jenna Ross, MSPT, BCB-PMD, PRPC, is a physical therapist at Corewell Health in Grand Rapids, MI. After graduating from Ithaca College, she has focused her professional attention since 2002 on treating women, men, and children with pelvic health disorders. She serves as adjunct faculty at Grand Valley University and has been faculty for Herman & Wallace Pelvic Rehabilitation Institute since 2009. Jenna is a curriculum contributor for many Herman & Wallace courses, including Pessary Fitting, Modalities, the Oncology Series, and Capstone, and co-authored the continuing education course “Boundaries, Self-Care, and Meditation” with Nari Clemons. She authored the chapter “Manual Therapy for the Pelvic Floor,” published in Healing in Urology. Her most recent project has been partnering with the Jackson Foundation to build and teach a two-year master’s-level pelvic health curriculum for physical therapists in Nairobi, Kenya.

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Quick Summary Acupressure is a noninvasive, evidence-informed technique that pelvic rehabilitation providers can use to support nervous system regulation, reduce pelvic floor overactivity, and improve patient self-management across conditions including chronic pelvic pain, urinary urgency, dysmenorrhea, constipation, and prolapse. |
Pelvic health symptoms rarely exist in isolation. A patient may present with urinary urgency, pelvic pain, constipation, or prolapse symptoms, but beneath the surface there is often another layer: fear, stress, bracing, hypervigilance, and a nervous system that has been living in high alert for far too long.
As pelvic rehabilitation providers, we are trained to assess muscles, fascia, posture, breathing, pressure management, and functional movement. Yet many of our patients also need tools that help them feel safe in their bodies again. This is where acupressure becomes a valuable part of integrative pelvic health care.
Acupressure is a noninvasive, self-applied technique rooted in Traditional Chinese Medicine that uses manual pressure on specific points of the body. In pelvic rehabilitation, it may be used as an adjunct to support nervous system regulation, symptom self-management, and whole-person care — serving as a practical bridge between the body, the breath, and the nervous system.
Why Mental Health Belongs in the Conversation
The relationship between pelvic health and mental health is bidirectional. Stress and anxiety can increase pain sensitivity, alter breathing patterns, contribute to pelvic floor overactivity, and worsen symptom perception. Pelvic symptoms, in turn, can increase fear, distress, and loss of control. This is especially relevant in conditions such as chronic pelvic pain, urinary urgency, dysmenorrhea, constipation, and prolapse-related symptoms.
Integrative physical therapy offers a framework for this complexity, blending conventional rehabilitation with complementary strategies while emphasizing therapeutic presence, patient empowerment, and the interconnection of mind, body, and function.
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"Acupressure may help create a pause. By applying gentle pressure to selected points while breathing slowly, the patient has a holistic strategy to shift attention inward, reduce threat perception, and practice downregulation." — Rachna Mehta, PT, DPT, CIMT, OCS, PRPC, RYT 200 |
Published Case Report: Rectal Prolapse
In a newly published case report in the Journal of Women's & Pelvic Health Physical Therapy, Rachna Mehta and co-author Becky Parr, PT, DPT, DHSc, OCS describe an integrative plan of care for a 71-year-old woman with chronic rectal prolapse, rectal pain, urinary urgency, and low back pain.
The patient's treatment plan combined pelvic floor muscle training, manual therapy, mindfulness-based interventions, bowel and bladder education, and acupressure. Two acupressure points were taught for post-bowel-movement symptom management, paired with the phrase: relax, release, let go.
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90% Improvement in |
0/10 Rectal pain at |
7 Visits to achieve |
Acupressure Points Used
| Meridian | Location | TCM Indications |
|---|---|---|
| CV 1 Conception Vessel |
Center of the perineum, between genitals and anus | Genitourinary issues, uterine prolapse, hemorrhoids, anal prolapse |
| GV 1 Governing Vessel |
Midway between anus and tip of coccyx | Constipation, hemorrhoids, anal prolapse, genitourinary disorders |
The Role of the Clinician
Pelvic rehabilitation clinicians are uniquely positioned to care for patients whose symptoms are influenced by stress, fear, trauma, anxiety, sleep disruption, and nervous system dysregulation. Treatment strategies can include breathing and downregulation techniques, identification of pelvic floor guarding patterns, acupressure as a self-management tool, and integration of mindfulness into pelvic floor coordination.
Acupressure provides an accessible, noninvasive adjunct to support whole-person healing. When integrated with breathwork, pelvic floor muscle training, patient education, and compassionate clinical reasoning, it helps patients improve body awareness, enhance self-regulation, and develop greater confidence in symptom management.
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Upcoming Course Acupressure for Optimal Pelvic Health June 6 & 7, 2026 · Remote Course This course introduces foundational principles of Traditional Chinese Medicine, acupuncture, and acupressure with a focused exploration of the Bladder, Kidney, Stomach, and Spleen meridians. Participants explore points that support nervous system regulation to address anxiety, pain, and pelvic health symptoms. Yin yoga is woven throughout as a complementary modality. Register Now → |
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Rachna Mehta, PT, DPT, CIMT, OCS, PRPC, RYT 200 Herman & Wallace Faculty Member · Columbia University, DPT · Certified Pelvic Rehab Practitioner Rachna has spent over 20 years in outpatient orthopedic and pelvic health settings. She was instrumental in founding one of the first Women's Health Programs in an outpatient orthopedic clinic in New Jersey and owns TeachPhysio, a PT education and consulting company. Her approach blends traditional rehabilitation with holistic practices addressing the whole person. |

Half the world's population experiences a menstrual cycle, yet social stigma, clinical discomfort, and gaps in provider training often leave patients without the information, tools, or permission they need to manage it well. Pelvic rehab clinicians frequently find themselves on the receiving end of questions no one else has been willing to answer. What is a normal period? Why does my cycle affect my pelvic floor symptoms so much? What products actually work, and how do I choose the right one? Is this amount of pain something I should just live with?
These are the questions Nicholas Gaffga, MD, MPH, FAAFP and Amy Meehan, PT, DPT, MTC set out to address when they built the Herman & Wallace remote course Menstruation and Pelvic Health. The course is designed for pelvic rehab providers who want to go beyond treating isolated symptoms and instead help patients reshape the menstrual experience itself through non-hormonal, non-prescription, and non-surgical interventions.
What the Course Covers
The curriculum is organized into four parts. Part 1, Cultural Aspects of the Menstrual Experience, examines how historical and cultural narratives shape the way menstruation is discussed, clinically managed, and personally experienced. Part 2, Menstrual Structures and Processes, covers the hormones, anatomy, and physiology of the cycle, including the HPO axis and the organs involved in preparing the uterus throughout each phase. Part 3, Menstrual Symptoms and Disorders, addresses dysmenorrhea, heavy bleeding, off-cycle spotting, emotional concerns, and vaginal discharge, along with common disorders including premenstrual disorders, endometriosis, adenomyosis, PCOS, and fibroids. Part 4, Menstrual Interventions, focuses on holistic strategies clinicians can introduce in practice today.
The second edition of the course includes new interviews with expert pelvic floor practitioners Ramona Horton, Jenna Ross, and Beth Kemper, whose clinical experience adds depth to the discussion of how the menstrual cycle intersects with pelvic floor dysfunction across the lifespan. Provocative topics run throughout, including chronobiology, interoception, menstrual mindfulness, menstrual molimina, cultural milestones, prostaglandins and period symptoms, and what a normal period actually looks like.
Why It Matters for Pelvic Rehab
In the live remote session, Dr. Meehan demonstrates yoga and stretch poses tailored to different phases of the cycle, along with a detailed walkthrough of menstrual products from liners and tampons to cups, discs, period underwear, overnightwear, activewear, and swimwear. Participants learn to build a flow management plan with patients, identify when to refer for physician evaluation, and help patients develop an individual action plan to reduce negative symptoms and work with the natural rhythms of their cycle.
Past participants describe the course as one that changes how they practice. Clinicians leave with a deeper understanding of their patients' experience, a broader set of tools to offer in the clinic, and language that makes a historically taboo topic feel approachable in the treatment room.
Upcoming Dates
The next live remote session of Menstruation and Pelvic Health is May 9, 2026. Additional dates are offered throughout the year for clinicians who want to schedule the course alongside their summer and fall continuing education plans.
Register for the Course
Menstruation and Pelvic Health
Next Session: May 9, 2026
Remote Course via Zoom
Additional dates available throughout 2026
Register here: https://hermanwallace.com/continuing-education-courses/menstruation-and-pelvic-health

From Home Care to Pelvic Health: A Journey Guided by Faith, Mentorship, and Resilience
Sometimes the most meaningful career paths aren’t the ones we plan. For Herman & Wallace faculty member Carole High Gross, PT, MS, DPT, PRPC, the road to becoming a leader in pelvic health rehabilitation was shaped by unexpected challenges, pivotal relationships, and a willingness to trust the journey even when the destination wasn’t yet visible.
We recently sat down with Carole to talk about her career, her calling, and the work that drives her. What unfolded was one of the most compelling stories of resilience and purpose we’ve heard.
A Career Built on Breadth
Carole’s career in physical therapy spans more than three decades. After earning her Master of Science in Physical Therapy from Thomas Jefferson University in 1992, she worked across nearly every clinical setting imaginable: pediatrics, aquatics, outpatient orthopedics, inpatient rehab, contract work, and home care, which she loved most. She built a deep clinical foundation long before pelvic health was on her radar.
Then life intervened.
Carole was diagnosed with breast cancer, followed by a rare chronic leukemia called hairy cell leukemia. She also lives with CIDP, a neurological condition that significantly impacted her mobility. At one point, she was using a walker, a wheelchair, and a scooter for community outings. Clinical work, at least the way she’d always done it, was no longer an option.
But Carole’s response was characteristically forward-looking: her brain was still working, so she went back for her doctorate.
Getting Back Into the Swing of Things
When Carole enrolled in her Doctor of Physical Therapy program at Arcadia University, the same institution where she’d started her undergraduate education years earlier (she lovingly calls them her “bookend university”), the transition wasn’t easy. She recalls sitting on her bed, textbooks in hand, wondering why she was putting herself through it.
But she found a way to reframe the challenge. She hadn’t forgotten how to learn. She’d simply had a very long summer. That simple mindset shift became a guiding mantra. Every time Carole faces a challenge in her health, her career, or her education, she reminds herself that she’s just getting back into the swing of things.
Walking Through the Door
As Carole neared the end of her DPT, she knew she couldn’t return to home care. She felt pulled toward something but didn’t know what it was. She describes it as trusting a GPS where someone else can see the full route, but she can only see the next turn on the screen.
Then, in a matter of days, a series of small, seemingly random events changed the trajectory of her career.
A friend convinced her to stop by a retirement party. There, she bumped into Kathy Sumner, a PT she’d worked with 20 years earlier. Kathy invited Carole to visit a pelvic health clinic she ran with Janet Drake Whalen, who Carole now works alongside as a Lead Teaching Assistant at Herman & Wallace.
When Carole walked through the clinic door, the feeling was immediate and unmistakable. She was home.
Kathy and Janet became Carole’s mentors. Weekends of hands-on training. Patients brought in for teaching opportunities. Encouragement to pursue coursework. The small-room private practice setting turned out to be the perfect environment for someone navigating mobility challenges, a place where Carole could not only survive, but thrive.
The timing was ideal. Her DPT program required a semester-long research project on a topic of interest, and Carole channeled everything into developing her Belly After Baby program for postpartum women, with Kathy and Janet guiding her every step of the way.
Eating Disorders and Pelvic Health: A Critical Connection
Today, Carole is a Pelvic Clinical Rehabilitation Specialist at Jefferson Health Lehigh Valley in Pennsylvania, where she treats patients of all genders with pelvic, bowel, bladder, and abdominal concerns. She holds her Pelvic Rehabilitation Practitioner Certification (PRPC) and serves as both an instructor and Lead Teaching Assistant at Herman & Wallace.
Her course, Eating Disorders and Pelvic Health Rehabilitation: The Role of a Rehab Professional, fills a critical gap in pelvic health education. Individuals with eating disorders frequently present with the exact symptoms pelvic rehab professionals treat every day: constipation, bloating, abdominal pain, pelvic organ prolapse, urinary dysfunction, and pelvic pain. Yet the connection between eating disorders and pelvic health is often overlooked.
As Carole explains, pelvic health providers aren’t going to diagnose or treat eating disorders, but they absolutely can and should be asking the right questions. They can observe, support, refer, and provide manual and educational tools that make a real difference in someone’s recovery journey. Sometimes, a pelvic health clinician is the first provider to notice the signs and gently guide someone toward help.
The course has received outstanding reviews, with clinicians praising its depth and Carole’s ability to connect the bigger picture, the multidisciplinary web of providers that supports individuals with eating disorders, with the specific, actionable skills pelvic health professionals can bring to the table.
Research at the International Level
Beyond Herman & Wallace, Carole serves on the Pelvic Workgroup of the International Consortium on the Ehlers-Danlos Syndromes and Hypermobility Spectrum Disorders, facilitated by the Ehlers-Danlos Society. In 2024, the workgroup published a landmark paper in PLOS ONE, a multidisciplinary, multinational effort co-creating evidence-based clinical guidelines for the management of pregnancy, birth, and postpartum recovery in individuals with hypermobile Ehlers-Danlos syndrome (hEDS) and hypermobility spectrum disorders (HSD).
The workgroup is currently finalizing a paper focused on pelvic health concerns in individuals with hEDS and HSD, with additional publications expected through 2026 and into 2027, including updates to diagnostic criteria and guidance across multiple clinical domains.
Carole is passionate about the screening role pelvic health professionals can play for hypermobility. As she describes it, asking just a few simple questions about a history of joint subluxations, dislocations, or being “super bendy” can start to connect dots that no one else has connected. Many individuals with hypermobility present with pelvic dysfunction, GI issues, chronic pain, skin changes, and temperature sensitivities. Pelvic health clinicians may be the first to notice that these seemingly unrelated issues share a common thread.
A Philosophy of Mentorship
One theme that runs through every chapter of Carole’s story is mentorship. She was mentored into pelvic health by Kathy and Janet. She was encouraged to take that first Pelvic Floor Level 1 course by people who believed in her when she wasn’t sure she believed in herself. And now, she pays it forward: mentoring new clinicians, serving as boots on the ground at satellite courses, and fostering the collaborative, family-like learning environment that she believes is the heart of what Herman & Wallace does best.
Her advice to clinicians who feel overwhelmed by the breadth of pelvic health education?
“Keep your focus on the step you’re on. Don’t look up at the full staircase. There’s no timeline. One course, one skill, one patient at a time, and before you know it, you’ll have built something incredible underneath you.”
About Carole
Carole High Gross, PT, MS, DPT, PRPC (she/her) earned her Doctorate of Physical Therapy from Arcadia University in 2015 and her Master of Science in Physical Therapy from Thomas Jefferson University in 1992. She works as a Pelvic Clinical Rehabilitation Specialist at Jefferson Health Lehigh Valley and serves as a Lead Teaching Assistant and instructor at Herman & Wallace, where she created and teaches Eating Disorders and Pelvic Health Rehabilitation: The Role of a Rehab Professional. Carole is a member of the Pelvic Workgroup of the Ehlers-Danlos International Consortium and has a special interest in working with individuals living with eating disorders and hypermobility throughout the pregnancy and postpartum journey. She is a dedicated mentor for growing pelvic professionals and focuses on team building and program development.
Learn From Carole
Ready to explore the intersection of eating disorders and pelvic health rehabilitation? Carole’s course is designed to expand your clinical lens, build your confidence in screening and observation, and equip you with practical tools to support individuals with eating disorders on their recovery journey.
Eating Disorders and Pelvic Health Rehabilitation: The Role of a Rehab Professional
Remote Course | October 4–5, 2025 | Live via Zoom
Your patients deserve comprehensive care, and you deserve the knowledge to deliver it. Register today at hermanwallace.com. Spots are limited.
Frank Ciuba, co-instructor of Osteoporosis Management< alongside Deb Gulbrandson, explains that practitioners need the information provided in their course. "This course is the latest up-to-date research compiled by my partner Deb Gulbrandson and myself in the management of osteoporosis for clinicians." He shares that similar to learning about the pelvic floor, "when physical therapists go to school they get only a small amount of what osteoporosis is and very little on how to treat a patient."
Frank explains that he became interested in teaching osteoporosis management when he learned "that one in four men statistically will get osteoporosis or an osteoporosis-related fracture in their lifetime and they're really not being identified." Osteoporosis Management provides an exercise-oriented approach to treating these patients and it covers specific tests for evaluation, appropriate safe exercises and dosing, basic nutrition, and ideas for marketing your osteoporosis program.
In pelvic health rehabilitation, it's seen that osteoporosis-related kyphosis (curvature of the spine) can affect pelvic organ prolapse, breathing, and digestion. Patients who go through the osteoporosis management program with Frank and Deb, are shown that they reduce the likelihood of compression fracture by 80%.
This course, Osteoporosis Management, is not just for practitioners working with osteoporosis or osteopenia patients. Frank lists the types of patients he's been able to help. "I've used this on high school backpack syndrome, whiplash injuries, adhesive capsulitis, spinal stenosis, low back pain, lumbar strain, even some hip pathologies." He concludes with "We just need to get the word out to more individuals that this a program that can help them. Not only in the short term, but in the long term. This is a program for life."