(646) 355-8777

Sacral Nerve Manual Assessment and Treatment - Remote Course - March 13-14, 2021

8:00am - 5:00pm Pacific Time

Sacral
  • Description

  • Schedule

  • Objectives

  • Remote Course Info

  • Discounts

  • Instructor

Price: $450
Experience Level: Advanced
Contact Hours: 15.00

This two-day, remote course for the experienced pelvic rehab therapist will address 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 hemorrhoidal nerves), which run anterior to the sacrum and coccyx. This course is a modified offering of the three-day in-person course on the same topic, and is intended to cover the techniques and skills which can be demonstrated in a remote learning setting. 

This course will cover extensive anatomy and differential diagnosis and objective findings for specific nerves of the sacral plexus. It will also include 12 key lab techniques to launch your journey into manually treating the nerves of the sacral plexus, with research-based approaches to manual nerve treatment. Significant time will be devoted to mapping nerves and refined, precise palpatory techniques to find and assess the nerve.

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.

This sacral course course will be around 30% Lab and 70% lecture. 

Prerequisites:

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.

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.

Day One:
8:00-8:30 Intro
8:30-9:45 Anatomy, Sacral Plexus
9:45-10:00 Break
11:00-11:45 Coccyx lecture 
11:45-12:15 Palpation Lab 1
12:15-12:30 External Coccyx Lab
12:30-1:00 Lunch
1:00-1:30 Sacrum and Uterus Lecture
1:30-1:45 Deep Hip Lecture (15)
1:45-2:00 Sacrospinous and Sacrotuberous Lecture
2:00-2:45 Palpation Lab 2
2:45-3:00 Deep Hip Lab
3:00-3:15 Break
3:15-4:00 Sacrospinous/Sacrotuberous Ligaments Lab
4:00-5:00 Medical Management Lecture

Day Two:
8:00-8:15 Questions
8:15-9:45 Neural Research Lecture
9:45-10:15 Gluteal Nerves Lecture
10:00-10:15 Break
10:15-10:45 Sacral Trunk and Sciatic Nerve Lecture
10:45-11:15 palpation Lab 3
11:15-12:00 Sacral Trunk and Sciatic Nerve Lab
12:00-1:00 Lunch
1:00-2:00 Pudendal Nerve lecture
2:00-2:30 Gluteal Nerves Lecture
2:30-2:45 Break
2:45-3:00 Palpation Lab 4
3:00-4:00 Gluteal and Pudendal Nerves Lab
4:00-4:30 Case Studies
4:30-4:45 Wrap up questions
4:45 Adjourn

Upon completion of this course, participants will be able to:

  1. Describe symptoms (sensory vs motor) for each peripheral sacral nerve: pudendal (dorsal, perineal, and rectal branches), sciatic, superior and inferior gluteal, coccygeal nerves.
  2. Name common causes of injury for each nerve
  3. Identify the anatomy and pathway of each nerve
  4. Perform neural tests for differential diagnoses when applicable
  5. Perform 12 key neural/fascial manual release surrounding peri-neural structures from common regions of entrapment
  6. Perform neural gliding and sliding of nerve when applicable
  7. Prescribe a home program to maintain neural mobility or improve brain to nerve pathway
  8. Understand the scientific basis for the neural manual treatment techniques they have learned.

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

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).


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".


Nari Clemons, PT, PRPC

Nari Clemons

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.

Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.