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Pudendal Neuralgia and Nerve Entrapment - Minneapolis, MN - October 3-4, 2020

Due ongoing concerns about COVID, this course has been postponed in person and will be offered remotely.

  • Description

  • Schedule

  • Objectives

  • Location/Lodging

  • Instructors

  • Discounts

Price: $495 (Early Registrant Price $475)
Experience Level: Intermediate
Contact Hours: 14

Pudendal neuralgia is defined as ‘a painful neuropathic condition involving the dermatome of the pudendal nerve’ (Robert et al 1998) but there are few diagnoses that cause as much confusion and fear for both patient and provider. Simultaneously overused as a diagnosis for pelvic pain and yet misunderstood by both physicians and therapists, diagnosis (and differential diagnosis) of Pudendal Neuralgia can be a complex, chronic and often costly source of pelvic dysfunction for many of our patients, male and female, young and old. The aim of this course is to thoroughly engage the practitioner with the anatomy, physiology, function and dysfunctions of this condition and to provide a broad spectrum treatment approach using the best clinical evidence available.

This continuing education course is a two-day seminar designed to provide a thorough overview to evaluating and treating patients with Pudendal Dysfunction, including Neuropathy, Neuralgia and Entrapment. Lecture will include a review of pelvic neural anatomy, as well as a review of multi-disciplinary treatments, including medical & surgical treatment options. This course presents an integrative approach to pelvic pain; psychosexual health issues, nutrition, neuroscience and mindfulness will also be addressed. Labs will cover spine, lumbopelvic/hip complex, neurodynamics and therapeutic techniques to integrate orthopaedic, pelvic floor and biopsychosocial approaches into the subjective and objective assessment.


Special Considerations:

The labs for this course will involve external and internal hip and pelvic floor evaluation and treatment. Please wear black leggings or yoga pants for nerve mapping.



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.



It is required that the participants have a working experience with evaluating and treating patients with pelvic pain inclusive of internal examination. Pelvic Floor 1 through Herman & Wallace or Pelvic PT 1 through the APTA is strongly recommended.


Prior to the course, please watch:

Also recommended:

Day One:
7:30 Registration
8:00 Introduction, Goals & Objectives
8:30 Pudendal Dysfunction: Neuropathy, Neuralgia or Entrapment?
9:00 Pelvic Neuro-anatomy
10:30 Break
10:45 Lab: Lab: Neural Mapping, Assessing Neural Integrity and Neurodynamics
12:30 Lunch
1:30 Risk factors for developing Pudendal Problems
2:15 Lecture/Lab: Assessing the Pudendal pain patient – integrating orthopaedic, pelvic floor and biopsychosocial approaches into the subjective and objective assessment
4:30 Q and A, wrap up
5:00 Adjourn

Day Two:
8:00 Integrative approach to Pelvic Pain – nutrition, neuroscience and mindfulness as therapeutic interventions
9:30 Multi-disciplinary treatment: medical & surgical treatment options
10:45 Break
11:45 The role of Manual Therapy, Exercise Prescription & Lifestyle Advice
12:00 Lab: Therapeutic Options: Pelvic Rehab Treatment
1:00 Lunch
1:45 Psychosexual Health Issues
2:45 Case Studies, Clinical Reasoning and Treatment Planning
3:30 Q and A, wrap up
4:00 Adjourn

Upon completion of this continuing education seminar, participants will be able to:

  1. Identify the neuroanatomy of the lumbosacral and sacral coccygeal plexus
  2. Distinguish the differential diagnoses for patient presenting with pudendal neuralgia
  3. Evaluate and diagnose pudendal neuralgia within lumbar spine and pelvic floor muscle presentations
  4. Apply neurodynamic principles in the treatment of patients presenting with nerve dysfunction
  5. Develop a multi-faceted approach to assess and treat the pudendal pain patient
  6. Describe medical treatment options available for the pudendal neuralgia patient
  7. Recognize orthopedic co-morbidities in the lumbo-pelvic-hip complex in patients with pelvic dysfunctions
  8. Perform Internal exam to evaluate and treat patient with pudendal neve dysfunction
  9. Recognize the need for addressing psychosexual health issues within this patient population
  10. Safely apply therapeutic exercise interventions to patients with pudendal nerve dysfunctions
  11. Educate patients in flare-up reduction procedures for pudendal neuralgia and musculoskeletal dysfunction.
 NameStreet Address (Links to Map)
Course Location


12324 Wayzata Blvd.
Minnetonka, MN 55305
Recommended Lodging

Country Inn & Suites By Carlson, Minneapolis West
(763) 473-3008

210 Carlson Pkwy N
Plymouth, MN 55447
Nearest Airport

Minneapolis St Paul International Airport
Airport Code: MSP



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

Pamela Downey, MSPT, DPT, WCS, BCB-PMD

Pamela A. Downey, MSPT, DPT, BCIA-PMDB

Pamela A. Downey, PT, DPT, WCS, BCB-PMB, is a Board Certified Clinical Specialist in Women’s Health Physical Therapy and Board Certified in Biofeedback for Pelvic Muscle Dysfunction. Owner of Partnership in Therapy, a private practice in Coral Gables, Florida, she treats women and men with pelvic floor dysfunction, related urogynecological and colorectal issues, spine dysfunction, osteoporosis and complaints associated with pregnancy and the postpartum period. Her mission is to educate and integrate healthy lifestyles for patients on the road to wellness.

Dr. Downey has been honored to teach with the Herman and Wallace Institute since 2006. She is an Adjunct Professor in the Physical Therapy Program at the University Of Miami Miller School of Medicine in Coral Gables, Florida, and Nova Southeastern University in Fort Lauderdale, Florida. A certified Polestar Pilates Educator, she utilizes Pilates and therapeutic exercise interventions specifically designed for patients with pre/post-natal, pelvic floor muscle and other lumbo-pelvic pain-related dysfunctions.

Dr. Downey received her Bachelor of Arts from Sarah Lawrence College and her Master of Science and Doctorate in Physical Therapy from the University of Miami School Of Medicine. She is actively involved in professional activities of the Section on Women’s Health of the American Physical Therapy Association, presently sitting as Coordinator of Research Submissions for annual meetings and as a manuscript reviewer for the Journal of Women’s Health. Dr. Downey has lectured nationally and internationally at professional conferences and is the author of multiple published research articles and a book chapter on chronic pelvic pain in the medical text, Women’s Health in Physical Therapy.

She can be reached at 305 666-3232 or This email address is being protected from spambots. You need JavaScript enabled to view it.

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 Student2021. (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 FirstTimer2020 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".