Continuing Education Courses > Pelvic Floor Level 2B
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|Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
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. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. 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.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
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.
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.
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.
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
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.
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
I would prefer to review on my own and spend lab practicing learning new material. It might be nice to incorporate lab into case studies.
Rebecca Campbell, SPT - Aurora, CO
Tina and Jennafer were awesome. Time flew by, no dull movement! Manual has lots of information, resources included. Thank You! Looking forward to attend more courses.
- Smita Mehta,PT,DPT - San Antonio, TX
Both clinician instructors were fabulous! I would like to see in online review module that could be completed prior to the course so we can spend more time practicing new skills and less time reviewing.
- Virginia Arnette, SPT - Lafayette, CO
Instructors and TA’s very approachable and patient. Continued patient examples that bring all concepts together well very good learning environment
- Hannah Guilbeau, PT, DPT - Louisiana, LA
I was pleased with now the instructors and lab assistants helped me improve my internal palpation skills. This course improved my knowledge of pelvic rehab.
-Alyssa Easley PT, DPT - Katy, TX
Incredible course. I am learning with move knowledge. Skills, confidence and joy in treating pelvic health.
-Havely Carsky, PT, DPT - Winston-Salem, NC
Thank you so much Tina, Jessica and all lab assistants for sharing your knowledge. You all are an invaluable resource. I cannot wait to take my expanded knowledge back to my clinic.
-Brittney N Suelflow, PT, DPT - West Allis, WI
Jessica and Tina are both awesome and so knowledgeable .This course made me excited about Pelvic PT and about taking more Herman Wallace classes! Thank You!
-Heather Alaniz PT, DPT, OCS - Chicago, IL
Muscle maping was so helpful!! I wish I would have learned it sooner. It helped so much better way understanding of PF Antomy.
-Lauryn Beecher, SPT - Milwaukee, WI
Truly enjoyed every minute of the course. I really appreciated the additional focus on the importance of taking care of ourselves as clinicians. Overall information was very informative and also included review of PF 1.
-Meaghan Dullea, DPT - Knoxville, TN
Really appreciated the instructors knowledge and willingness to provide “extra” to this class, really made for a great weekend of leaning for me!
-Kaeli LaMont, PTA - Seattle, WA
(How I felt after this class:) "Give me your tired, your weak, your huddled masses, who yearn for freedom from pelvic floor dysfunction."
-Stephanie Erickson, DPT – Sarona, WI
I felt the course helped increase my confidence w/ PF assessment, anatomy, and treatment! I have a better grasp on when & why internal examination is appropriate. Being a new grad, this area of PT can be overwhelming & a very sensitive area, but H&W has really helped prepare me for this caseload.
-Brianna Droessler-Aschliman, PT, DPT – Appleton, WI
Thank you for a wonderful weekend of learning. There will be so many patients who will now benefit from all the knowledge I have gained. Stacey and Michelle were phenomenal.
- Kaitlin McGeary, DPT – Harrisburg, PA
I like the personal experience info given by presenters. The are also very well versed in their presentation materials, which makes it so much easier to follow along. I feel 100x more confident in my assessment/intervention skills after taking this course.
-Laurie Gauthier, PT – Chicago, IL
Herman & Wallace never disappoint! They always bring the perfect amount of evidence based material, clinical experience and remembering patient preference to their courses. I always leave more motivated and excited about this career I have chosen.
-Bonnie Bahler, DPT -Salem, OR
I thought this course was very evidence based and the instructors were very knowledgeable. The manual was easy to navigate and will be great as a reference in clinic.
Jessica Powley, DPT – Greenville, SC
Really good explanation of anatomy- I finally fully understand it! I was unsure of my manual techniques for pelvic pain before, but now I have increased confidence!
Jenny Hastreiter, PT - Rice Lake, WI
This was a great course to build confidence and skills!
-Sarah Knight, PT – Minnetonka, MN
I feel much more comfortable and confident with assessment during internal evaluation, differentiating between structures, and the use of more tools for treatment techniques.
-Heather Sletten, PT – Fargo. ND
Elizabeth and Jennafer are bright, organized and full of energy. These girls are tremendous instructors and have really inspired me. I am so excited to begin my own pelvic health clinic…on Monday!!
P.S. In addition the girls have a fabulous sense of humor!
-Laura Schwartz, PT – Bayshore, NY
The participant to instructor ratio is excellent and allows for a lot of one on one instruction. I feel very prepared to treat
-Tracie Del Sesto - East Greenwich, RI
I like that Elizabeth charged up the BF lab 2nd time around. I felt like I didn’t take as much out of the 1st one as I could have but when she agreed to have everyone do the same thing 2nd time around it really helped. Instructors were great! Very encouraging and willing to answer my many questions.
-Jocelyn Zolna-Pitts, PT – Chicago, IL
I feel that I have some great resources to use. Even though my head is full. It will be okay!
-Kim Krueger, PT – Hudson, WI
Great instructors. Came together by the final lab, Thanks!
-Natalie Hickenbotham, PT - Santa Barbara, CA
I appreciate your amazing instructors who bring great knowledge and clinical expertise.
-Blair Green, PT – Atlanta, GA
Presenters were very well informed. Delivery was great. Thanks
-Lydia Morris, PT, CMTPT – Richmond, VA
This has been a great journey and a wonderful direction for my menopausal career!!
-Starr Stanich, PT – Galveston, TX
Love this area of PT! Thank you for all your help. Always awesome classes. Can’t wait till PF3 in the fall. It is definitely a Journey!
-Marsha Camp, PT – Murfreesboro, TN
Each course is clearly laid out and organized with excellent manuals to back up what was covered. I am grateful for the thoroughness and care that goes into this program clearly guiding us towards providing us with the skills to evaluate and treat patients with pelvic pain problems.
-Carolyn Bentley PT, DPT, MEd – Amherst, MA
This course was wonderful. It met all of my expectations and answered all of my questions and then some!
-Beatriz Lizaso, MSPT - Pembroke Pines, FL
Single Dilator- $10
Vaginal Electrode- $45
Dilator kit at vaginissmus.com- $45
Bottle of slippery stuff- $7
This Class- PRICELESS
-Summer Lewis, PT, DPT - Little Rock, AR
Great course with a team of enthusiastic and experienced clinicians. Thank you so much for your guidance and insight. Lots of great attention during labs!
-Cathleen Ey, PT – Savannah, GA
This course provided me with so much information that I can immediately use on my patients. Thanks!
-Charmaine Mire, MOT – Houston, TX
The number of lab instructors and assistants was excellent.
-Kathy Bochnowski, PT - Park City, VT
Great course and breadth of material.
-Heather Baker, PT – Chicago, IL
Great job overall. Will greatly help maximize my treatment outcomes! Appreciate the new info about IC/Painful bladder syndrome.
-Amanda Owens, DPT – Indianapolis, IN
This course was great! The instructors are very knowledgeable. Kathe Wallace has a great sense of humor and makes learning fun and interesting. At the St. Louis course they provided bottled water for the class participants. That was really nice.
-Laura Ricci, PT – Amarillo, TX
By the end of the 3 day class I felt very comfortable treating the muscles of the PF internally.
-Katherine Balduzzi, DPT – Syracuse, NY
I feel much better about my assessment/evaluation skills. The anatomy review with the theraband was great. My attention was held the entire course, great info, great class. I feel much more confident.
-Rebecca Moses – Baltimore, MD
Very impressed with organization. I feel everyone was excited about the information and really invited the questions.
-Vanessa Beachner, PT – Raytown, MO
Having the instructors walk through lab line by line was very helpful. Great to have so many teacher assistants with lab. All have excellent knowledge.
-Nadia Sanchez, DPT - Chesapeake City, MD
PF anatomy finally makes sense…FYI: much better atmosphere for learning than at the APTA women’s health PF level 2 class.
-Rebecca Baron, PT, OCS – Cheyenne, WY
Love Lab Time. Both Elizabeth and Brigid are extremely knowledgeable and bring their years of expertise with them into the teaching arena. Their skill level and passion for pelvic health PT inspires this the course. Loved it and learned lots!
-Michele Palmer, MSPT – Boulder, CO
You leave after 3 days with really good information and mad skills to start treating on Monday morning!
-Nancy Suarez, MS, PT – Burlington, VT
Great experience as a student. Felt like everyone was willing to help and answer questions especially as someone who has less experience.
-Christina Marino, SPT – St. Louis, MO