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Sacral Nerve Manual Assessment and Treatment - Fairlawn, NJ - May 1-3, 2020

Fairlawn
  • Description

  • Schedule

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  • Location/Lodging

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  • Discounts

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.

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. There will also be pre-reading material which is required and will be posted by 2 months prior to the course.

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 Intro
8:15 Neural Research, Anatomy, Sacral Plexus
9:30 Palpation Lab
10:00 Break
10:15 Coccyx and lower dural tube lecture
11:15 Internal coccyx lab
12:30 Lunch
1:30 External Coccyx Lab
2:45 Sacrum Lecture
3:15 Break
3:30 Sacrum Lab
4:30 Listening to Tissues 1 (Abdomino-pelvic region)
5:15 Class Adjourns

Day Two:
8:00 Listening to Tissues 2 (Uterus)
8:45 Uterus anatomy and pre-lab
9:45 Uterus lab
10:30 Break
10:45 Uterus w Sacrum lab
11:15 Listening to Tissues (Posterior Sacrum and Coccyx)
12:00 Lunch
1:00 Sacrospinous ligament lab
1:45 Sacrotuberous ligament lab
2:45 Sacral plexus: feeling the nerve
3:15 Break
3:30 Sciatic Nerve lecture
3:50 Sciatic Nerve Lab
5:30 Class Adjourns

Day Three:
7:30 Gluteal Nerves Lecture
8:00 Gluteal Nerves Lab
9:00 Coccygeal Nerves/Alcox Canal Lecture/Lab
9:45 Break
10:00 Pudendal Lecture
10:45 Pudendal Lab 1 (external)
11:45 Lunch
12:30 Pudendal Lab Part 2
1:30 Posterior Femoral Cutaneous Nerve Lecture
1:50 PFC Nerve Lab
2:30 Break
2:45 Case studies/Putting it all together
3:30 Medical Management
4:00 Wrap up, course evals, and certificates
4:15pm Class Adjourns

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 tension test for differential diagnoses when applicable
  5. Perform mobilization of nerve
  6. Perform neural/fascial pathway to release surrounding peri-neural structures from common regions of entrapment
  7. Perform local balancing/integration of nerve
  8. Perform neural gliding and sliding of nerve when applicable
  9. Prescribe a home program to maintain neural mobility or improve brain to nerve pathway
  10. Address local osseous and visceral restrictions that can be directly affecting the nerve, including the following relationships
    • Uterus and sacrum
    • Sacrum and coccyx
    • Sacro/coccygeal region with sacrotuberous and sacrospinous ligaments
    • Coccyx torsion and malposition
    • Deep and superficial fascial restrictions in the ischiorectal fossa
    • Inferior dural tube and anococcygeal ligament
 NameStreet Address (Links to Map)
Course Location

Bella Physical Therapy

39-40 Broadway, Suite 4
Fair Lawn NJ 07410
Recommended Lodging

Hyatt Place Fair Lawn
(201)475-3888

41-01 Broadway
Fair Lawn, NJ 07410
Nearest Airport

Newark Liberty International Airport
Airport Code: EWR

3 Brewster Rd
Newark, NJ 07114

 

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

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.

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 Student2019. (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 FirstTimer2019 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".