Continuing Education Courses > Pelvic Floor Level 2A
|Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
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.
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, 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.
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Additional Helpful Resources:
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region.
2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3. Perform examination and evaluation of pelvic floor function related to anorectal structures.
4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.
This class allows me to connect more dots and allow me to reach the next level in patient care..
- Stephanie Spindler, PT, DPT - Beaverton, OR
One of the best courses I’ve ever taken with the best instructors. Great information, great labs with thoughtful feedback!.
- Mackenzie Van Loo, PT, DPT - McMinnville, OR
This course made me feel more confident in expanding my practice to men, colorectal conditions, and to pediatric patients.
- Lauren Carney, PT - Lexington, KY
Great intro to an anorectal exam/male PF. Holly, Jake and Jessica have a great dynamic and each added unique clinical pearls to the course. Holly is especially skilled in adjusting her teaching/communication techniques to different learning styles.
- Quozette Valera, PT, DPT - Long Beach, CA
I liked the homework to help cement learning. Holly, Jessica and Jake are very approachable and knowledgeable that made the class so much better. It was well worth attending the class.
- Gerard Tinsay PT, MPT, OCS - Panorama City, CA
Every time I go to a course my mind is blown away by how much I learn. It’s also a very humbling experience as it also teaches me how much I still am eager to learn from Herman + Wallace.
- Shannon Roth - Omaha, NE
Herman and Wallace courses are evidence based, but also extremely practical. You can use this information on Monday morning in the clinic!
- Divya Natesan, DPT - Brookline, MA
Clinicians were all great speakers very knowledgeable open to questions. (There is) authenic care towards wanting to truly help patients by teaching us best practice.
- Annique Noelle Melese,DPT,OCS,cscs - San Diego, CA
Videos on manual technique was really helpful, especially for make demonstration, incredible instructors!
- Staphany Lao, SPT - West Covina, CA
Wonderful course! Instructors make whole process of labs comfortable and a good learning environment.
-Racquel Kurzweg, DPT - Tonawanda, NY
Truly an amazing and informative course. I feel rejuvenated and inspired to expand my practice and patient population. I am able to treat.
-Victoria Rogus, PT, DPT - Brookfield, WI
So much info that is always presented in an excellent manner. Great learning opportunity. Wish I could take more.
-Andrea Staley, PT - Detroit, MI
Overall great course. Even with a potentially awkward or even “taboo” subject matter, I feel very prepared to immediately treat patients and navigate any issues that may arise.
-Kacy Houle - Flint, MI
Fantastic course! Extremely informative and eye-opening content that was presented in a very engaging way. Holly and Michelle are brilliant clinicians and such kind people. So fun!
-Hannah Gray - Grand Junction, CO
This course already has been and will continue to be life and career changing. This is exactly what I needed to continue progressing my skills to help me become more confident in treating and aware of treating those with colorectal needs. Also, Per usual-the instructors were phenomenal! I’m so inspired.
-Megan Neitzel-Rorabeck, DPT - Portsmouth, NH
I have not had much experience evaluating muscles actually and this course made me feel more comfortable going forward with this is my toolbox.
-Kendra-lynn Kohanski, PT, DPT - North Providence, RI
I have loved every H&W course I've been to. I had the opportunity to be a volunteer for class demo which really helped me learn from a patient's perspective and gave me an appreciation for various manual techniques. This class gives me a lot of confidence to treat male patients and now coccyx pain. Thank you!
-Lauren Critchlow, PT, DPT - Phoenix, AZ
I really enjoyed this course and found it very helpful. The presenters not only seemed incredibly knowledgeable, but also are immensely kind and holistically minded which was even more amazing.
- Emily Lerner, PT - Stratham, NH
I continue to be impressed by Herman & Wallace classes and the quality and usefullness of content as well as the impressive and knowledgeable instructors make these courses well worth the cost. Holly and Tina, you are both amazing! Thank you for sharing your expertise.
-Kathleen Hansen, PT, DPT - Tigard, OR
Excellent course! I had been avoiding taking this class due to my own hesitancy with the subject area. But, I'm so glad that I finally took this course. It provides me with so many more great tools to help my patients.
-Alexis Eusterbrock, DPT, COMT, OCS - Seattle, WA
Great course! Really enjoyed learning about this topic. Instructors were wonderful and had great anecdotal evidence to add to the course.
-Emily Noonan, DPT, CFMT - San Francisco, CA
Great course. Filled in some gaps in my knowledge and skills. Learned what I need to go back to clinic on Monday and be effective. Excellent instructors with great advice.
-Sara Gagliano, PT, DPT - Scottsdale, AZ
I have taken several of these course in the past two years and they have all exceeded my expectations in every way. Holly and Stacey are fantastic presenters and the course work is second to none. I could not be more happy with the course
-David C. Delehant, MA, OTR/L
I'm never disappointed by H&W courses! I've taken courses with other education companies and they pale in comparison! I learn and integrate so much information
-Ashley Crewe, DPT - Hummelstown, PA
I loved it. I took the APTA course on colorectal as well, but I feel so much more prepared to treat with this course. I have a much better understanding of anatomy and physiology.
-Erica Azzaretto, PT, DPT – New York, NY
I just love knowing there is quality continuing education in this unique specialty provided by excellent clinicians.
-Vanessa Farrer, PT, DPT – Monterey, CA
It was such a pleasure to take another course from you both. You have a wonderful teaching dynamic that not only engages your audience, but you discuss the topics with such ease, which is huge! I thoroughly enjoyed learning from you and appreciate all the knowledge you have shared with me! Thank you!
-Vicky Yeisley, DPT – Chicago, IL
Some light bulbs really went on for me after day 2. I like to incorporate yoga- but didn’t really understand what was going on with PF. I like that I now understand 1.Child’s pose may be a way to passively shorten and relax due to coccyx inflection 2. Sphinx pose will elongate the PF due to coccyx in extension.
-Natalie Hickenbotham, PT – Santa Barbara, CA
Great class as always! Can’t wait for PF2B. Always very informative.
-Denise Franks, DPT – Rancho Cucamonga, CA
Excellent Instructors who gave information in a way that made it easy to understand and how to use it practically in the clinic. Well organized presentation.
-Amy Shoue, MSPT - North Liberty, IN
Loved this course- it has connected so many dots for my clinical work!
-Amie Nangle, DPT – Denver, CO
The class was great. Holly and Stacey were enthusiastic and very skilled at explaining anatomy, distinctions and treatments. Thanks!
-Kristin Kenny, DPT – Westmont, IL
Great courses to take!
-Stephanie Giencke, DPT – Nashotah, WI
Great information emphasizing the why in thinking holistically.
-Beth Linke, PTA – Hudson, OH
Loved the class. Wish you spent more time teaching in California/west coast.
-Virginia Pier, PT – Davis, CA