Continuing Education Courses > Sacral Nerve Manual Assessment and Treatment
|Price: $695 (Early Registrant Price $675)
Experience Level: Intermediate
Contact Hours: 21
This three-day course for the experienced pelvic rehab therapist will address manual treatments and problem-solving assessments for the major contributory nerves from the sacral plexus to the pelvis in an organized, systematic fashion. Peripheral sacral plexus nerves included in this course are (sciatic, superior and inferior gluteal, coccygeal nerves, inferior dural tube, pudendal nerve, dorsal clitoral/penile branch, perineal branch, and inferior rectal or hemorrohoidal nerves), which run anterior to the sacrum and coccyx. To effectively decompress the pathway of these nerves, one must also precisely address the torsional patterns of the sacrum with the uterus, the sacro-coccygeal transition, torsional patterns or misalignment within the coccyx, the interplay of the sacrospinus and sacrotuberous ligaments along common sites of neural entrapment, as well as the position of the sacrum. Assessment and treatment of all the above structures will be address and combined into a usable clinical package with problem solving and manual and therapeutic solutions. Clinical assessment and differential diagnosis will include history, symptoms, strength and sensation changes, and differential neural tension testing for each major peripheral nerve of the sacral plexus. Students will practice interactively mapping the pathway of each nerve and neuro-fascial techniques to decompress the nerve along the path, including common sites of entrapment and impingement. Treatments will encompass manually releasing the specific fascial pathway of each nerve, decompressing the peripheral plexus, and direct neural manipulation. Once the nerve path is addressed, neural mobilization with movement (gliding), manual regional integration with the nervous system, and home program to maintain neural strength and mobility will provided in easy to use handouts for your patients (when applicable).
This course will be very lab heavy, around 65% of the course will be interactive, hands-on learning. PF2A or another intra-rectal pelvic mapping course is a pre-requisite for this course, and this course is an excellent course to follow Capstone.
Nerves transmit pain messages. When nerves are compressed they can cause pain or weakness. Pelvic rehab is traditionally centered around muscles, but muscles are at the will of the innervating nerve. Frequently the nerve is overlooked as the source of pain or weakness. Unfortunately, the patients who receive diagnoses such as neuropathic pain or nerve entrapment are presented with few options. Pelvic neural pain can be mimic or be the actual cause of vulvodynia, labial pain, gluteal and low back pain, SI pain, lower abdominal and bladder pain, pubic symphysis pain, as well as many other syndromes and weakness, such as hypertonicity in the pelvic floor or anorgasmia.
Participants must have prior experience with internal vaginal assessment. Pelvic Floor Level One and intermediate coursework, Pelvic Floor Level 2A or other intra-rectal mapping course is a required pre-requisite.
What to Bring to Class:
Please note: on day 3, it will be helpful if you can pack a lunch.
Highly Suggested Text: Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link. You may wish to purchase the hard copy of the book to be able to take notes in class.
Upon completion of this course, participants will be able to:
We always want to hear from those interested in hosting our courses. We work with healthcare organizations of all types, sizes, and locations. Please, Contact us about Hosting Sacral Nerve Manual Assessment and Treatment or any other course!
Good mix of lecture/lab – Very good on time spent on sections and progression on difficulty.
- Heidi Giroux, MPT - Queen Creek, AZ
This course gave extremely useful techniques and applications for different Pts. I will be able to apply the principles immediately when I return to the clinic.
- Laurie Myers, M.S.,P.T. - Sandpoint, ID
Great course – can’t wait to take it again!
- Amanda Nayfield, DPT, WCS - Bellingham, WA
Nari does a fantastic job making in depth concepts into more digestible way.
- Kimberly Bryant, PT, DPT - Phoenix, AZ
Nari is an amazing instructor. She can simplify the most complex material. Her passion for pelvic health and teaching comes across in her presentation.
- Andrea Levkowitz, DPT - Gilbert, AZ
Excellent course to learn anatomical landmarks, very applicable content to Monday I always enjoy enjoy Nari’s Classes.
- Sherine Aubert, PT, DPT, PRPC - Los Alamitos, CA
Would love anatomy slides that are big enough to read the labels (Never mind! Found then. This is wonderful to have large pictures of anatomy! Thank you!) Love the drawing of anatomy – very helpful and appreciate the repetition of info more than once of the videos while doing labs along with video.
- Karen M Munger, MSPT, certMDT - Belmont, MI
This course was incredible. The instructors and TA’s were avazing. I learned so much! Thsnk you!
- Sharon J Warwick PT - Jupiter, FL
This course will completely change the way I practice knowledge pf specific nerve and ligament mobilizations of the pelvic will revolutionize my treatments with my more complex PTs. Thank you so much Nari and staff!!!
- Michelle Carter, PT - Tulsa, OK
Excellent instructor from Nari and TAs were very helpful and offered tactile feedback to ensure understanding and promote palpation skills. I will definitely use these techniques in my practices and my palpation skills have elevated.
- Ellaine Sapin-Ancheta, PT - Wesley Chapel, FL
Awesome workshop! Thank you Nari and all the TAs for being so patient.
- Filamae Garnica, PT - Ocala, FL
I have enjoyed many H&W classes including this Sacral Nerve class. Nari and TAs demonstrate incredible knowledge and clinical expertise.
- Amanda Heritage, PT, DPT - Collingswood, NJ
Excellent well organized and TA’s Class!
- Joy Hendricks, PT PRPC - Knoxville, TN
Thank you! Great course, love the number of TA’s! So nice to have so much help learning!
- Amy Bonano, PT CAPP - Jupiter, FL
Thank you for your patience and help. You are a good team. I appreciated your course and I have more tools for my practice!
- Geneviève Morin - St-Hubert, QC
The TAs were amazing! Everyone’s knowledge and feedback was incredibly helpful! Thank you for taking the time to explain a demo treatments/technique!
- Sierra Richmond, PT, DPT - Helena, MT
Thank you – so very, very excited to bring this back to the clinic. So many suffer from pelvic pain and will benefit.
- Amy Healy PT - Windsor, VT
Thank you for the multiple learning methods for many different learning styles.
- Barbara Baribeau, PT - Brattleboro, VT
Loved the videos of all the procedure along with the lab time.
- Sonal Choudhary, PT - Chicago, IL