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Pudendal Neuralgia and Nerve Entrapment - Remote Course - January 9-10, 2021
9:00 am - 2:30 pm Pacific Standard Time

  • Description

  • Schedule

  • Objectives

  • Location/Lodging

  • Instructors

Price: $450 (Early Registrant Price $425)
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 remote, live continuing education course is a two-day seminar offered live on Zoom and is designed to provide a thorough overview to evaluating and treating patients with Pudendal Dysfunction, including Neuropathy, Neuralgia and Entrapment. The course inclues pre-recorded lecture which is reviewed before meeting, and then two days of live remote learning presented by an instructor. 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 be interactive and 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:

This course includes an interactive lab that requires the following supplies. Please gather these supplies in order to participate: 

1. One paper picnic plate (this will be your pelvis)

2. String or yarn



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:

Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 3 hours) : 

  • Review: Pudendal and L/S plexus
  • Neurodynamics
  • Orthopedic tests and Nerve Glides

 Hourly schedule of live Zoom meetings. All times are in Pacifc Standard Time:

Day One:

8:45am ZOOM Registration Opens
Start of Day 1: Introductions & Pudendal Course Overview
Pelvic Anatomy
Anatomical relationships of pudendal nerve 
Break (30 min)
Differential Diagnosis 
Orthopedic Considerations with Lab

Day Two:

8:45 ZOOM Registration Opens
9:00 Start of Day 2: Questions
9:15 Diagnosis Practice & Treatment Integration: Case Study #1
10:00 Medical & Pain Management
11:00: Diagnosis Practice & Treatment Integration: Case Study #2
11:45 Break (30 min)
12:45 Biopsychosocial/Integrative Approach
1:45 Final Thoughts, Q&A
2:00 Adjourn Day 2

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 and surgical 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.

Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.


Important thing to note: 

- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/

- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.

- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.

- Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

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.