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Pelvic Floor Level 2B - Milwaukee, WI - May 18-20, 2018 (SOLD OUT)

Milwaukee

  • Description

  • Schedule

  • Objectives

  • Instructors

  • Location/Lodging

  • Discounts

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.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. 

 

 

 

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.

 

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 terminology, concepts, anatomy review
9:15 Pelvic floor assessment skills review
10:00 Break 
10:15 Lab 1: Pelvic floor assessment review
11:00 Prolapse anatomy, evaluation, and treatment
12:15 Lunch
1:15 Intro to pelvic pain
2:15 Sexual trauma and abuse in pelvic pain
2:45 Break
3:00 Examination techniques in pelvic pain and prolapse
4:00 Examination techniques in pelvic pain and prolapse
5:00 Summary and Questions
5:15 Adjourn

Day Two:
8:00 Questions
8:15 Vulvodynia: medical perspective
9:15 Vaginismus, dyspareunia
10:00 Break
10:15 Biofeedback for pelvic pain
11:15 Lab 3: SEMG biofeedback for pelvic pain
12:15 Lunch
1:15 Interstitial cystitis
2:15 Rehabilitation of pelvic pain
3:00 Break
3:15 Internal manual release techniques for pelvic pain
4:00 Lab 4: Internal manual techniques for pelvic pain
5:00 Summary and questions, post-test
5:15 Adjourn

Day Three:
8:00 Questions
8:15 Abdominal wall part I: Breathing
8:30
 Lab 5A: Abdominal wall part I: Breathing
8:45 Abdominal wall part II: Diastasis and trigger points
9:30 Lab 5B: Abdominal wall Part II: Diastasis and trigger points
10:15 Break
10:30 Neuromuscular relaxation training
11:15 Lab: Neuromuscular relaxation training
11:45 Lunch 
12:30 Abdominal wall part III: Myofascial and nerve dysfunctions
1:00 Lab 5C: Abdominal wallmyofascial and nerve dysfunctions
2:00 Break
2:15 Case studies, treatment progressions, resources 
3:00 Business and program development
3:15 Post-test, course
evaluations
3:30 Questions and course summary
3:45 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.

Jessica Reale, PT, DPT, WCS

jessica reale

Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with men and women with pelvic floor disorders. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica is active in the American Physical Therapy Association and the Section on Women’s Health, having served on the educational review committee and the functional outcome measures taskforce. In addition, she is passionate about educating the community and current practitioners on pelvic floor disorders and has taught seminars locally as well as presented at conferences, as adjunct faculty in physical therapy orthopedic and sports residency programs, and as a guest lecturer for multiple graduate programs in physical therapy and medical residency programs. Jessica also teaches regular live webinars on topics related to pelvic health through Therapy Network Seminars. Jessica treats patients at One on One Physical Therapy in Atlanta, GA and runs an online educational blog on pelvic health at www.jessicarealept.com. Outside of work, Jessica enjoys spending time with her family and friends, staying active and traveling.

 


Tina Allen, PT, BCB-PMD

Tina Allen

Tina Allen, PT, BCB-PMD has been a physical therapist since 1993. After five years in acute care, trauma and outpatient physical therapy, she turned her practicetowards women's health. Since 1998, she has focused her treatment on thecare of women throughout their life spans with bladder dysfunction, bowel dysfunction,pelvic pain syndromes, pelvic ring dysfunction, pregnancy/ postpartum, lymphedema and breast cancer recovery. In 2002, she added male pelvic dysfunction, prostate cancer recovery and pudendal neuralgia for both men and women to her practice. Her treatment is largely focused on client education, manual techniques and SEMG.

Tina currently practices at the University of Washington Medical Center. She has presented at professional medical conferences on topics such as lymphedema, pelvic pain and musculoskeletal examination/treatment of the pelvic floor. She was the physical therapist provider for the University of Washington on a Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment intervention with physical therapy techniques. She works closely with the Medical Residents and Fellows at UW, where she teaches them how Pelvic Rehabilitation interventions will assist their patients.

Tina was born and raised just outside of Chicago. After graduating from the University of Illinois – Chicago with a BS in Physical Therapy in 1993, she practiced at Loyola Medical Center for five years. In 1998, she relocated to Seattle to be closer to the outdoor activities she loves.

 NameStreet Address (Links to Map)
Course Location

Aurora Medical Center – Kenosha

10400 75th St
Kenosha, WI 53142
Recommended Lodging

Candlewood Suites Kenosha
(262) 842-5000

10200 74th St
Kenosha, WI 53142
Nearest Airport

General Mitchell International Airport
Airport Code: MKE

5300 S Howell Ave
Milwaukee, WI 53207

 

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

 

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 check or one envelop with multiple checks.


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 Student2018. (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).