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Sacroiliac Joint Evaluation and Treatment - Nashua, NH - May 30-31, 2020 (RESCHEDULED)

Update 4/23/2020: As a precaution against the spread of COVID-19, this course has been postponed. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

  • Description

  • Schedule

  • Objectives

  • Location/Lodging

  • Instructor

  • Discounts

Price: $475 (Early Registrant Price $450)
Experience Level: Beginner
Contact Hours: 15

Sacroiliac joint pain prevalence has been estimated to be as high as 30% in patients with low back and buttock pain. (Schwarzer et al., 1995) Local causes of sacroiliac joint pain can be created from the joint itself, the dense ligaments that cover the joint surfaces, surrounding muscles, or nerves. Pain in the sacroiliac region can also be referred from the low back, buttock muscles, abdominal organs, or the hips. The SI joint is frequently injured by a fall or trauma, and is at increased risk of dysfunction during pregnancy and postpartum. One in four women who have pelvic girdle pain (PGP) during pregnancy may develop chronic postpartum PGP. (Ostgaard, 1991)

This two-day course will present a reference-based, clinically applicable approach to the evaluation and treatment of the sacroiliac joint and pelvic ring. Pain in the lumbopelvic-hip complex can be challenging as there are many potential sources of biomechanical dysfunction and pain generation. The course will cover the direct and indirect anatomy that influences the sacroiliac joint, and provide a means of deducing the source of pain and dysfunction. Direct treatment of symptoms and techniques for symptom amelioration will be presented. During lecture and laboratory sessions, participants will have the opportunity to practice two different SIJ tests; movement impairment vs. symptom reproduction. The participants will also analyze which spinal joints may be referring pain, and assess the role that sacral discs play in initiating and perpetuating pain. The information presented is immediately applicable to the clinician's patient population and the techniques presented will be able to be incorporated seamlessly into the participant’s clinical practice.

An emphasis on specific exercise and stabilization approaches will be instructed throughout the course. As research by Hungerford et al (2003) has pointed out that patients who have sacroiliac joint pain have altered patterns of muscle recruitment that may affect load transfer strategies, movement re-training, muscle awareness training, and muscle activation strategies will be instructed for both clinical application and home program management..



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.


Prerequisites: None


Required Readings: This course has no required readings, but a practitioner who is new to pelvic rehabilitation may find it useful to renew the anatomy and physiology of the pelvic floor/pelvic girdle prior to the course.


Lab Attire: Comfortable, loose-fitting clothes. Course attendees will be participating in labs as both practitioner and practice patient. There is no internal evaluation in this course.


What to bring: Mobilization Belt, Yoga Mat, Foam Roller


Are you treating patients with Sacroiliac Joint pain? Herman & Wallace's offers a Home Exercise Manual for Patients with Sacroiliac/Low Back Pain

Hungerford, B., Gilleard, W., & Hodges, P. (2003). Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine,28(14), 1593-1600.
Ostgaard, H. C., Anderson, G. B. J., & Karlson, K. (1991). Prevalence of back pain in pregnancy: A review. Spine, 16(5), 549-552.
Schwarzer AC, Aprill CN, Bogduk N. The sacroiliac joint in chronic low back pain. Spine. Jan 1 1995;20(1):31-7

Day One:
8:00 Introduction/Course Objectives
8:15 Anatomy
9:30 Lab: Palpation of anterior pelvis
10:30 Lab: Palpation of posterior pelvis and SIJ
12:00 Lunch
12:30 Injury and dysfunction of the SIJ and pelvisL
1:30 Evaluation of SIJ - Lecture
2:30 Lab: Evaluation of SIJ
4:00 Treatment lecture: concepts
5:00 Adjourn

Day Two:
8:00 Treatment musculotendons
9:30 Treatment Pelvic and SIJ ligaments
10:30 Treatment Joint Mobilizations
12:00 Lunch
1:00 Treatment: Stabilization of SIJ
2:30 Lab: Treatment - Stabilization of SIJ  
4:00 Final questions/case studies
4:30 Adjourn

Upon completion of this course, the participant will be able to:
1. Identify the unique anatomical and functional characteristics of the sacroiliac joints.
2. Describe the role of aging on the various epiphyseal joints of the innominate bones.
3. Perform movement impairment and pain provocation maneuvers for the SIJ and pelvic ring.
4. Perform clinical testing procedures used to rule in/out the SIJ and pelvic ring in a patient’s pain.
5. Perform joint specific mobilization techniques to address pain or dysfunctions.
6. Instruct patients on a series of SIJ- specific stabilization exercises.
7. Design a plan of care specific to a patient's dysfunction.

 NameStreet Address (Links to Map)
Course Location

St. Joseph Hospital - Outpatient Rehab

75 Northeastern Blvd
Nashua, NH 03062
Recommended Lodging

Holiday Inn Hotel & Suites Nashua
(603) 888-1551

9 Northeastern Blvd
Nashua, NH 03062
Nearest Airport

Manchester-Boston Regional Airport
Airport Code: MHT

1 Airport Rd
Manchester, NH 03103


Directions from Recommended Lodging to Course Location: (click here if no map appears below)


Peter Philip, PT, ScD, COMT, PRPC

Peter Philip, PT, ScD, COMT, PRPC

Peter Philip, PT, ScD, COMT is a two- time graduate of Quinnipiac University; in 1996 with a bachelors in Physical Therapy and in 1999 with a Masters in Orthopedic Physical Therapy, and his doctorate from Texas Tech University’s Doctor of Science program where he enhanced and confirmed his independent research on pelvic pain, non-surgical orthopaedic medicine and teaching.

Peter has dedicated his life’s work to the eradication of pain and dysfunction. He treats both chronic and acute conditions, and bases his success on an integration of anatomy, physiology, kinesiology and pathoanatomy.

Since 1997, Peter Philip has been the owner/director of Philip Physical Therapy, which is currently located in New Canaan, Connecticut. After initiating his private practice out of his truck with a reflex hammer and folding table, he is grateful to have an office space from which to work, as driving 1,000 miles a week had become quite taxing.

Peter has been treating patients with pelvic dysfunction, pelvic pain and bladder/bowel dysfunctions since 2001. He incorporates sound differential diagnostics and treatment strategies that address the spine, pelvis, sacroiliac joints, hips and pelvic anatomy. In 2010, he was acknowledged by the International Association of Orthopedic Medicine (IAOM) as a leader in the field of nonsurgical medicine, and was certified as an orthopedic manual therapist (COMT); The 2nd in the East Coast, and 1st in the Tri-State and New England regions. In April of 2014, Peter was one of eighteen to successfully complete and receive recognition as a Pelvic Rehabilitation Practitioner (PRPC), and the first male nationally to receive this certification and recognition.

Peter was mentored by Dr. Russell Woodman and has taught nationally since 1995 on topics that range from pelvic pain, spine (cervical, thoracic, lumbar and sacral), hip, shoulder, knee and ankle. Peter developed and teaches Differential Diagnostics of Chronic Pelvic Pain and Differential Diagnosis of the Sacroiliac Joint through Herman & Wallace.

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".