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Mindfulness Based Pain Treatment - Houston, TX - October 26-27, 2019

  • Description

  • Objectives

  • Schedule

  • Location/Lodging

  • Instructor

  • Discounts

Price: $475 (Early Registrant Price $450)
Experience Level: Beginner
Contact Hours: 15

Pain is a perception engaging sensory, cognitive and emotional processes. Beliefs, expectations, fear, catastrophizing, childhood stress and trauma, and learning and memory can all modulate a patient’s pain experience. In addition, structural and functional brain changes have been identified in patients with persistent pain that may play a significant role in driving pain chronicity. This multifaceted nature of pain perception requires an equally multifaceted skill set to effectively address the therapeutic needs of patients experiencing pain.


A growing body of medical literature suggests mindfulness training is a treatment strategy that can help address the complexities of pain. Mindfulness training has been shown to reduce pain intensity and unpleasantness, decrease depression and anxiety and improve function and quality of life in patients with persistent pain. These improvements may occur through such means as improved body awareness, stress and emotional regulation, attention control and changes in perspective. In addition, mindfulness training contributes to neuroplastic brain changes including increases in prefrontal cortex and hippocampal activity and decreases in amygdala activity. Such changes can potentially help mitigate neurotoxic effects of stress in these chronic pain-associated brain regions.


This 2-day course provides you with practical, evidence-based treatment strategies to promote your patients’ abilities to self-regulate the stress reaction and self-manage pain. You will learn the science of mindfulness and pain and gain insight into how cognition, emotion and stress impact pain perception. You will practice mindful meditation, body scan and movement and learn skills to apply mindful awareness to teaching patients breathing, body awareness, exercise and the self-regulation of reactions to stress and pain. Experiential exercises help you personally experience the transformative power of mindful awareness. You will return to your clinic with the ability to explain the benefits of mindful awareness to your patients and teach mindfulness-based skills for pain relief that can help both prevent and treat chronic pain conditions. You will be able to draw on mindful listening skills to enhance your therapeutic alliance with your patients. In addition, you will learn mindful self-care practices to avoid burn-out and promote your own well-being.



This course addresses the topic of mindfulness and pain for all specialties (and the generalist!) dealing with pain and is not limited to the pelvic rehab therapist.





What to bring:

Yoga mat, beach towel, or blanket

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

  1. Define mindful awareness and describe 4 mindful awareness training activities
  2. Discuss research examining mindful awareness training in pain treatment
  3. Describe current pain science concepts
  4. Discuss the contributing role of stress and trauma to persistent pain
  5. Discuss the evidence for the cognitive and emotional modulation of pain
  6. Explain the role of mindfulness training in pain treatment to patients
  7. Instruct a patient in the basic qualities of mindful attention
  8. Integrate qualities of mindful attention when instructing patients in body awareness, breathing, exercise and walking
  9. Identify barriers and facilitators to pain self-management
  10. Employ mindfulness listening principles to promote your therapeutic alliance with your patients.
  11. Engage on-the-spot mindful practices to support your well-being and inner calm during a busy workday

Day One:
8:00 Introductions, course overview
8:15Experiential Exercise Introduction to Mindfulness
8:30 Introduction to mindfulness
9:00 Experiential Practice: Sitting breath awareness
9:30 Proposed mechanisms for how mindfulness works
10:00 Break
10:15 Mindful body scan
10:35 Pain science concepts
11:20 Stress and pain
11:40 Trauma, PTSD and pain
12:10 Cognitive and emotional modulation of pain
12:30 Lunch
1:30 Mindfulness and pain research
2:00 Mindful movement research
2:15 Experiential Practice: Mindful Movement
3:00 Break
3:15 Mindfulness and the Self-regulation of Reactions to Pain Movement and Stress
3:30 Experiential Practice: Integrate mindfulness into breath, body awareness and exercise instruction
4:00 Walking Meditation
4:30 Case studies
5:00 Experiential practice: Practice reflection exercise
5:15 Q&A
5:30 Adjourn

Day Two:
8:00 Questions, answers, discussion from yesterday
8:15 Experiential practice: Mindful movement, body scan, sitting meditation
9:00 The mindful healthcare provider lecture/experiential exercise
10:00 Break
10:15 Applying mindfulness to pleasant and unpleasant situations
10:40 Pain and positive emotional states research
10:50 Mindfulness and opioid use research
11:05 Mindfulness and sleep, anxiety and depression research
11:20 Mindfulness and special topics research: fibromyalgia, pelvic floor pain, LBP, headache, TBI, cancer
11:45 Kindness meditation and pain research
11:55 Experiential practice: Kindness meditation
12:15 Q & A
12:30 Lunch
1:30 Mindful communication: Lecture
1:40 Experiential practice: Mindful communication
2:10 Self-management barriers and facilitators
2:20 Putting it all together: Treatment protocol, documentation, billing
2:45 Break
3:00 Case Studies
3:30 Questions and Answers
3:45 Evaluations and wrap-up
4:00 Adjourn

 NameStreet Address (Links to Map)
Course Location

Texas Children's Hospital
Feigin Center
14th Floor Large Conference Room

1102 Bates Ave
Houston, TX 77030
Recommended Lodging

Hilton Houston Plaza/Medical Center
(713) 313-4000

6633 Travis St
Houston, TX 77030
Nearest Airports

George Bush Intercontinental Airport
Airport Code: IAH

William P. Hobby Airport
Airport Code: HOU

2800 N Terminal Rd
Houston, TX 77032

7800 Airport Blvd
Houston, TX 77061


Directions from Recommended Lodging to Course Location: (click here if no map appears below)

Carolyn McManus, PT, MS, MA

Carolyn McManus, PT, MS, MA

Carolyn McManus is a highly skilled clinician, researcher and professional trainer. She is an international leader in the integration of mindfulness into healthcare and the practice of mindfulness to promote provider well-being. Carolyn is President of the American Physical Therapy Orthopaedic Section Pain Management Special Interest Group. She holds Master’s degrees in physical therapy from Duke University and in psychology from Antioch University.

Since 1985 she has integrated mindfulness principles and practices into the care of patients with chronic conditions. In 1998, she joined the Outpatient Rehabilitation Department at Swedish Medical Center in Seattle, where she established their popular Mindfulness-Based Stress Reduction (MBSR) program for people with persistent pain and stress-related illness. She has over 30 years of experience in the practice of mindfulness meditation and has completed an advanced MBSR Teacher Training Program offered at the University of Massachusetts Center for Mindfulness.

In 2009, Carolyn was invited by David Kearney, MD to develop and conduct a pilot study examining the role of a 12-week course in Kindness Meditation for veterans with PTSD at the VA Puget Sound Healthcare System in Seattle. She continues to serve on Dr. Kearney’s research team, providing MBSR and Kindness Meditation courses in research exploring the effects of these practices in veterans with a wide range of health concerns, including chronic pain.

Carolyn is a regular presenter at state and national conferences, including APTA’s NEXT and Combined Sections Conferences. She is a member of the American Physical Therapy Association, the International Association for the Study of Pain and the Academy of Integrative Pain Management. Learn more about Carolyn at her website: carolynmcmanus.com.

Carolyn's website is carolynmcmanus.com

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".