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Lymphatics and Pelvic Pain: New Strategies - Fairfield, CA - February 23-24, 2019


  • Description

  • Schedule

  • Objectives

  • Location/Lodging

  • Instructor

  • Discounts

Price: $495 (Early Registrant Price $475)
Experience Level: Beginner
Contact Hours: 16

Patients who have pelvic floor dysfunction frequently present with a variety of comorbidities and symptoms. One potentially severe complication of pelvic issues is a disruption in the lymphatic system that may lead to lymphatic congestion. Manual lymph drainage (MLD) is an intervention that pelvic rehabilitation providers can offer alongside manual therapy, therapeutic exercise, education, behavioral therapies, and other modalities for patients who present with pelvic floor dysfunctions and pain.

This 2-day training begins by teaching the fundamentals of lymph anatomy and physiology in addition to the identification, staging and classification of lymphedema. This continuing education course emphasizes the benefits of utilizing manual lymph drainage for patient with pelvic pain. The participants will be instructed in an approach for Complete Decongestive Therapy (CDT) that emphasizes pelvic lymphatic decongestion to utilize in conjunction with current interventions for pelvic pain. As you will see in the training course, this approach is warranted for a variety of pelvic floor dysfunction including: painful bladder syndrome, vulvodynia, vaginissmus, and many more.

Course attendees will learn how to examine the lymphatic system, how to integrate concepts of pelvic lymphatic dysfunction with common pelvic pain diagnoses, as well as how and when to apply appropriate manual lymphatic drainage techniques for specific patient presentations.

An emphasis is placed on hands-on practice with MLD, and several hours within the continuing education course are devoted to lab activities. Participants will not only learn standard lymph drainage protocols, but also how to adjust and supplement existing protocols with new decongestion MLD techniques for pelvic pain relief. At the end of this 2-day course, therapists can leave with a well-defined protocol for treating pelvic pain patients using manual lymphatic drainage.

Come and see how a lymphatic therapeutic approach is beneficial for reducing pain in patients with pelvic floor dysfunction.



This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.



Participants are to complete the first objective by viewing a 20 minute video on the lymphatic system prior to the course date. This video will be emailed to participants 1 week before the course.


Dunberger, G., Lindquist, H., Waldenström, A. C., Nyberg, T., Steineck, G., & Åvall-Lundqvist, E. (2013). Lower limb lymphedema in gynecological cancer survivors—effect on daily life functioning. Supportive Care in Cancer, 21(11), 3063-3070.

Rasmusson, E., Gunnlaugsson, A., Blom, R., Björk-Eriksson, T., Nilsson, P., Ahlgen, G., ... & Kjellén, E. (2013). Low rate of lymphedema after extended pelvic lymphadenectomy followed by pelvic irradiation of node-positive prostate cancer. Prostate, 50(1), 4.

Vannelli, A., Basilico, V., Zanardo, M., Caizzone, A., Rossi, F., Battaglia, L., & Scaramuzza, D. (2013). Pelvic lymphedema in rectal cancer: a magnetic resonance feasibility study: a preliminary report. Eur Rev Med Pharmacol Sci,17(7), 929-35.

Yost, K. J., Cheville, A. L., Al-Hilli, M. M., Mariani, A., Barrette, B. A., McGree, M. E., ... & Dowdy, S. C. (2014). Lymphedema After Surgery for Endometrial Cancer: Prevalence, Risk Factors, and Quality of Life. Obstetrics & Gynecology, 124(2, PART 1), 307-315.

Day One:
8:00 Registration
8:30 Objectives, History, Anatomy and Physiology of Lymphatic System
10:00 Break
10:15 Lymphedema Defined
11:15 Manual Lymph Drainage Lab: Abdomen and Breathing Neck
12:00 Lunch
1:00 Complete Decongestive Therapy
2:00 Manual Lymph Drainage Lab: Pathways, Anastomose, Trunk, Pelvis, and Upper Extremity and Lower Extremity
5:00 Adjourn

Day Two:
8:00 Review Manual Lymph Drainage: Impaired Lymph System Pelvic Diagnoses
10:00 Physical Therapy Evaluation
12:00 Lunch
1:00 Research Support for Lymphedema
4:00 Review Manual Lymph Drainage
5:00 Adjourn


Upon completion of this course, participants will be able to:

1. Understand the design and purpose of basic lymph flow in the circulatory system.

2. Create a visual representation of the lymph physiology at the capillary bed.

3. Identify, stage and classify lymphedema.

4. Review current pelvic pain diagnosis and physical therapy treatment.

5. Organize and interpret the involvement of the lymphatic system in a variety of pelvic pain patients.

6. Create a treatment protocol for pelvic pain patients and determine if MLD can be used or not.

7. Create and perform techniques to decrease lymphatic congestion, including intravaginal Manual Lymph Drainage for pelvic pain patients.

8. Review case studies with pelvic pain patients and define a lymphatic drainage approach to treatment.

 NameStreet Address (Links to Map)
Course Location

NorthBay HealthCare

4500 Business Center Drive
Fairfield, CA 94534
Recommended Lodging

Staybridge Suites Fairfield-Napa Valley Area
(707) 863-0900

4775 Business Center Drive
Fairfield, CA 94534 United States
Nearest Airport

Oakland International Airport
Airport Code: OAK

1 Airport Dr
Oakland, CA 94621


Directions from Recommended Lodging to Course Location: Click here if map is not shown below.


Debora Chasse, DPT, WCS, CLT-LANA

Deborah Hickman

Debora Chasse, DPT, WCS, CLT-LANA, has been practicing physical therapy since 1996 and is licensed in California. She began her physical therapy practice in Redlands, California in 1998. She is also a lecturer at Loma Linda University and has produced a self-help educational DVD on manual lymph drainage (MLD).

She is highly sought after as a physical therapist because of her creative insight and experience in helping those who thought they were without hope from traditional therapy or were unhappy with their response to medication or surgery. Through her experiences she has developed an innovative and whole-person approach to evaluating the body to treat pain and tissue dysfunctions, using manual therapy, therapeutic exercise, and electrical stimulation.

Clients are referred to her from all over the United States and Canada. Debora Hickman graduated from Loma Linda University in 1996 with a Master’s degree in Physical Therapy and in 2006 with a Doctoral degree in Physical Therapy. In addition to being a Women’s Health Clinical Specialist, she is a certified Matrix Repatterning Practitioner and Lymphedema Certified with the Lymphology Association of North America.

She is an adjunct professor at Loma Linda University and a volunteer member with the American Physical Therapy Association of Specialization Academy of Content Experts. Currently she is promoting women’s health and wellness with the use of osteopathic-based techniques, alternative medicine, and traditional physical therapy. She has an educational DVD for therapists on MLD for pelvic pain patients. She accepts patients for obstetrics, gynecology, lymphedema, and orthopedic-related issues.

Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

Multi-Course Discount

This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

Group Discount

This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.

Student Discount

This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.


To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

First-Time Registrant Discount

This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)

Referral Credit/Discount

Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".

Guest Blogger Credit/Discount

Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".

JTA Survey Credit/Discount

Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.