(646) 355-8777

Sacral Nerve Manual Assessment and Treatment - Madison, WI - December 4-6, 2020 (Now Remote)

Due to continued concerns surrounding Covid-19, this course has been moved to a remote option only. Please click here for more information. 

  • Description

  • Schedule

  • Objectives

  • Location Lodging

  • Instructors

  • 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.


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:

  1. 5 colored markers or felt tip pens
  2. 4 colored permanent markers (not black)
  3. 2 old washcloths that you can cut up (to make a treatment tool)
  4. 1 old hand towel (to make a treatment prop you will take home)
  5. One pair of scissors (strong enough to cut washcloth)
  6. Masking tape or athletic tape
  7. A soft tissue treatment tool or cupping set
  8. A pen
  9. Nailclippers, as you will need very short nails for this class
  10. Optional: Yoga Mat and pillow for your lab table (we have a LOT of lab in this class and laying on desks can be quite painful for such long periods of time). The pillow and yoga mat can make you more comfortable.

Please note: on day 3, it will be helpful if you can pack a lunch.

Required Readings:

Sacral Nerve Pre-Course Videos

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
8:30 Anatomy, Sacral Plexus
9:45 Palpation Lab
10:45 Break 
11:00 Coccyx lecture
11:45 Internal coccyx lab
12:45 Luch
1:45 External Coccyx Lab
3:30 Uterus Lecture
4:20 Break
4:30 Uterus Lab
5:30 Class Adjourns

Day Two:
8:00 Palpation Lab 2
8:45 Sacral Lecture
9:00 Sacral Lab
10:15 Break
10:30 Deep hip lecture
10:45 Deep hip lab
11:30 Sacrospinous and Sacrotuberous Ligaments Lecture and Lab
1:00 Lunch
2:00 Neural Research Lecture
3:30 Sciatic Lecture and Sacral Trunk Lab
4:00 Break
4:15 Sciatic Lab
6:00 Class Adjourns

Day Three:
7:30 Gluteal Nerves Lab and Lecture
9:00 Pudendal Lecture and Yarn Demo
9:30 Break
9:45 Pudendal Lab 1 (external)
11:00 Pudendal Lab Part 2 (internal and genital) plus coccygeal nerve technique
12:00 Lunch
12:45 Posterior Femoral Cutaneous Nerve Lecture
1:00 Palpation Lab 3 and PFC Lab
2:00 Management Highlights
2:35 Putting it all together: Case studies
3:15 Wrap up, course evals, and certificates
3:30 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
  Name Street Address (Links to Map)
Course Location

SSM Health

1806 W Beltline Hwy
Madison, WI 53713
Recommended Lodging

Hawthorn Suites by Wyndham Madison Fitchburg

5421 Caddis Bend
Fitchburg, WI 53711
Nearest Airport

Dane County Regional Airport
Airport Code: MSN

4000 International Ln
Madison, WI 53704


Directions from Recommended Lodging to Course Location: (click here if no map appears 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 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".