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Pelvic Floor Level 2B - Maywood, IL - May 29-31, 2020

Maywood
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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.

Special Considerations:

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.

Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or 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. 

 

 

 

Prerequisites:

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.

 

Audience:

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.

Assignments:

In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.

Prerequisite Skills Review

 

 

Required Readings

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.


References

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.

 

Day One:
7:30 Registration
8:00 Objectives, introductions, overview
8:15 Pelvic rehab concepts, anatomy, and specific palpation
9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
10:15 Prolapse anatomy, evaluation and treatment (continued)
11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
1:15 Medical and multidisciplinary management of pelvic pain
2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
5:00 Summary and Questions, post-test
5:15 Adjourn

Day Two:
8:00 Questions from Day 1
8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
9:45 Break
10:00 Neuromuscular relaxation training
11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn

Day Three:
8:00 Questions
8:15 Trauma Informed Care
9:15
 Breathing and pressure management
10:15 Break
10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
12:15 Lunch
1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 

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.

 NameStreet Address (Links to Map)
Course Location

Loyola University Health System

2160 S 1st Ave
Maywood, IL 60625
Recommended Lodging

Residence Inn Oakbrook
(630)568-2342

790 Jorie Boulevard
Oak Brook, IL 60523
Nearest Airport

Chicago Midway International Airport
Airport Code: MCO

5700 S Cicero Ave
Chicago, IL 60638

 

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

 

Holly Tanner, PT, DPT, MA, OCS, WCS, LMP, BCB-PMD, CCI, PRPC (Seattle, WA)

Holly Tanner, PT, DPT, MA, OCS, WCS, LMP, BCB-PMD, CCI, PRPCHolly Tanner was born and raised in Duluth, Minnesota, and has lived in Washington state for most of her adult life. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and in Pelvic Rehabilitation. She teaches continuing education courses nationally, teaches in the transitional Doctor of Physical Therapy program for the College of St. Scholastics, and serves as a consultant for practice and program development. She is a member of the American Physical Therapy Association and the American Massage Therapy Association.

 

 

Practice Information:
 Flow Rehab


Meghan Rietschel, PT

Meghan Rietschel, PT

Originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for both women and men over the past several years.

Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students.

Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and to educate all on the importance of pelvic health.

Meghan currently practices, is a Clinic Supervisor and Clinical Specialist at The Institute for Athletic Medicine in Lino Lakes and Hugo, MN. She primarily treats women and men with chronic pelvic pain, incontinence, and constipation.

In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, camping, hiking, watching the Green Bay Packers and is a member of her children’s soccer board!

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 2020Student. (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).