(646) 355-8777
Pending &  Active: int(17)

All Registeredint(11)

Mobilization of Visceral Fascia: The Gastrointestinal System - Los Angeles, CA - January 24-26, 2020

Los Angeles
  • Description

  • Schedule

  • Objectives

  • Instructors

  • Discounts

Price: $650 (Early Registrant Price $625)
Experience Level: Intermediate
Contact Hours: 18.25

The fascial system consists of four concentric layers, with the visceral layer beginning at the naso-pharynx and ending at the anal aperture. This course will focus on theory and manual therapy technique for mobilizing fascial structures of the visceral system.

The abdominopelvic canister is a functional and anatomical construct comprised of the somatic structures of the abdominal cavity and pelvic basin, which work synergistically to support the midline of the body. The walls of this canister are occupied by and intimately connected to the visceral structures found within. In order to function optimally, the viscera must be able to move, not only in relation to one another, but with respect to their surrounding container.

Material will be presented that includes the science of and evidence behind the use of fascial based manual therapy with presentation of relevant visceral and fascial anatomy. Emphasis will be placed on clinical reasoning with the goal of immediate implementation of the techniques learned following this introductory course. Students will be instructed in an extensive number of treatment techniques, via the anterior and lateral abdominal wall. Course participants will be able to immediately incorporate evaluation and treatment of visceral fascia for patients with a variety of diagnoses related to pelvic health physical therapy.

Mobilization of the visceral fascia requires advanced palpation skills along with extensive knowledge of visceral anatomy. This two-day continuing education course is designed to provide comprehensive knowledge concerning the relationship between the connective tissue surrounding the visceral structures of the gastrointestinal system as it relates to physical therapy treatment such as chronic abdominopelvic pain, GERD, constipation, abdominal adhesions and urinary issues. This course is geared toward the experienced pelvic health therapist who wishes to integrate advanced manual therapy skills into their treatment regime. This course includes extensive lab work; all course attendees should come prepared to participate as both clinician and patient. Male course attendees may participate fully in the entire course. Pregnant attendees may participate in a limited capacity, bringing a model for labs will facilitate the best learning experience, as deep palpation to the abdomen is not recommended in pregnant women

Special Considerations:

As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 


1) Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA or pediatric PT that have completed training such as Pediatric Incontinence and Pelvic Floor Dysfunction live course. It is also highly recommended the participant have experience with assessing and treating patients with bowel dysfunction. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us

Day One:
4:30 Registration
5:00  Lecture: Concepts of Visceral Mobilization: Biological plausibility, clinical reasoning
6:30 Break
6:45 Lecture - Evidence based fascial mobilization
7:45 Lab I - Palpation and fascial stacking exercise - Direct, Indirect and Recoil
8:30 Adjourn

Day Two:
8:00 The autonomic nervous system contributions
8:30 Lab II – Abdomen auscultation and palpation
9:45 Break
10:00 Lecture - Liver fascial connections and impact
10:45 Lab III - Liver mobilization of fascial attachments
Triangular ligaments, Side lying mobilization
Self-treatment: The liver roll
12:00 Lunch
1:00 Lecture - Stomach anatomy, dysfunction and evidence
1:45 Lab IV- Esophagus mobilization of fascial attachments
Cricoid cartilage, Lower esophageal sphincter,
Esophagus mobilization with trunk, Vagus nerve
2:45 Break
3:00 Lab V –Stomach mobilization of fascial attachment
Greater curvature, Lesser curvature/gastrosplenic ligament, Pyloris
4:00 Lecture – Small intestine/Peritoneal cavity
5:30 Adjourn

Day Three:
8:00 Upper peritoneal cavity
Duodenum, Ligament of Trietz, Mesentery of small intestine
9:00 Lower peritoneal cavity
Posterior parietal peritoneum, Abdominal wall/parietal peritoneum,
Loops of small intestine/adhesions
10:00 Break
10:15 Lab VIII - Abdominal wall scars and fascial decompression
11:15 Lecture – Colon, fascial attachments and dysfunction
12:00 Lunch
1:00 Lab IX – Colon mobilization of fascial attachments
Cecum, ileocecal valve, facia of Toldt, sigmoid, flexures
2:00 Lab X – Rectum mobilization of fascial attachments
Internal (vaginal) approach for rectal fascia
3:00 Documentation and case study presentation
4:00 Adjourn

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

1. Understand the neurophysiology of fascial based manual therapy

2. Understand basic fascial structure and function to include all four fascial layers and how they interrelate

3. Describe the theory and application of mobilization of visceral fascial structures pertaining to pelvic floor dysfunction within the scope of a physical therapy practice

4. Understand the biological plausibility of how alteration of the normal mobility of visceral fascial structures can contribute to pelvic floor dysfunction

5. Cite potential causes for development of restrictions in the visceral fascia of the abdominal, pelvis, and thoracic cavity.

6. Express a clear understanding of the visceral structures within the peritoneal cavity and how their normal mobility is related to somatic and autonomic function

7. Differentiate between direct and indirect mobilization techniques and understand the proper application of each

8. Identify visceral structures within the GI system via abdominal and pelvic landmarks

9. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external approaches.

10. Recognize and treat fascial restrictions throughout the pelvis, and abdomen as they may relate to diagnoses of dysfunction within the gastrointestinal system

11. Develop treatment sequencing with respect to global, local and focal fascial restrictions.

12.Understand the contribution of chronic G-I distention to central sensitization and the visceral-somatic reflex

13. Implement fascial mobilization techniques into a comprehensive treatment program for the patient with varied diagnoses to include urologic, gynecologic, gastrointestinal and pelvic pain as they relate to physical therapy treatment.

Ramona Horton, MPT, DPT

Ramona C Horton, MPT

Ramona C. Horton MPT, DPT completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She then applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women and children with urological, gynecological and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national and international venues on topics relating to women’s health, pelvic floor dysfunction and manual therapy.

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".