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Oncology of the Pelvic Floor Level 1 - Chicago, IL - November 1-3, 2019
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Description
Objectives
Schedule
Location/Lodging
Instructors
Discounts



Price: $650.00  (Early Registrant Price $625.00)
Experience Level: Beginner
Contact Hours: 18.5 hours




There are over 15 million cancer survivors in the United States. As advancements in care and early diagnosis improves this is expected to increase to over 20 million survivors in the next 10 years. The continuum of care for patients with cancer ideally begins at diagnosis. The rehabilitation professional is an integral part of the oncology team that will work with the patient throughout treatment and into survivorship. In this two and a half day continuing education course, participants will learn topics that will prepare them to be part if the interdisciplinary oncology team. Topics will include the basics of cancer: terminology, staging, medical treatment, and the sequelae of these medical treatments.
The course will address issues that are commonly seen in a patient who has been diagnosed with cancer such as cardiotoxicity, peripheral neuropathy, and radiation fibrosis. Treatment techniques will be instructed throughout the course that will develop the participant’s clinical skills including manual techniques, exercise prescription, balance training, and specific taping techniques. Some holistic medicine topics, including yoga and mindfulness, will be discussed in order to fully prepare the participant to be able to competently work with cancer survivors.
Basics of the lymphatic system will be covered, as well as when to refer the patient to a lymphatic specialist for further treatment. Red flags and warning symptoms will be discussed so the participant feels comfortable with knowing when to refer the patient back to their medical provider for further assessment.
This course is the first in a series. The two follow-on courses will address in-depth pelvic cancers. This introductory course is aimed to get the participant comfortable with working with oncology patients and as part of an interdisciplinary oncology team.
Audience:
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

 
Following the completion of this course, the participant will be able to:
1. Describe components of the Commission on Cancer’s guidelines for rehabilitation programs. 
 2. Correctly articulate common terminology used in oncology medical care such as biopsy, margins, tumor markers, metastatic, in-situ, benign, and remission among others.
 3. Describe oncological staging systems used medicine.
4. Describe medical treatment options for cancer patients.
5. Describe common sequelae patients can suffer from due to medical treatment for cancer.
 6. Demonstrate manual techniques for fibrotic and adhered tissues in a safe and gentle manner. 
 7. Appraise symptoms and recognize red flags for cancer patients, and be aware of when to immediately refer the patient back to medical provider. 
 8. Analyze a case study and develop plan of care for rehabilitation including treatment techniques and home program recommendations. 
 9. Develop appropriate exercise progressions for patients suffering from sequelae of cancer treatment such as cardiotoxicity, and peripheral neuropathy.




Day One:
3:30 Registration
4:00 Introductions, goals, objectives
4:30 The language of cancer
5:30 Break
5:45 Treatment of Cancer
6:45 Lab1: Abdominal techniques following surgery
 7:45 Lymphatic anatomy and physiology
8:30 Adjourn/ post test day 1


Day Two:
8:00 Review and questions from day 1
8:15 Side effects of cancer treatment
9:15 Lab 2: Working with scar tissue, and adhesions/fibrosis
10:15 Treatment of specific side effects of cancer
11:15 Lab 3: Balance lab
12:00 Lunch
1:00 Outcome measures, safety considerations, contraindications
2:00 The stressors of cancer
3:00 Break
3:15 Lab 4: Working with the trunk and rib cage
4:15 Nutrition and cancer
5:00 Day 2 post test
5:15 Adjourn


Day Three:
8:00 Review and questions from day 2
8:15 Lymphedema
9:15 Lab 5: Basic lymphedema skills
10:15 Break
10:30 Medium to long term sequelae of cancer treatment
11:45Yoga for cancer
12:30 Lunch
1:30 Lab 6 Yoga for cancer
2:30 Common non-pelvic cancers
3:30 Break
3:45 Mindfulness and self care
4:30 Review
4:45 Adjourn





 
Name
Street Address (Links to Map)

Course Location

 Cancer Treatment Centers of America 

2520 Elisha Ave
Zion, IL 60099


Recommended Lodging

The Inn At Market Square 
(847) 872-4000

2723 Sheridan Rd
Zion, IL 60099


Nearest Airport

O'Hare International Airport
Airport Code: ORD

10000 W O'Hare Ave
Chicago, IL 60666



 
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
 
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


Tina Allen, PT, PRPC, BCB-PMD

Tina Allen, PT, PRPC, BCB-PMD has been a physical therapist since 1993. She received her PT degree from the University of Illinois at Chicago.  Her initial five years in practice focused on acute care, trauma, and outpatient orthopedic physical therapy at Loyola Medical Center in Illinois.  Tina moved to Seattle in 1997 and focused her practice in Pelvic Health. Since then she has focused her treatment on the care of all genders throughout their life spans with bladder/bowel dysfunction, pelvic pain syndromes, pregnancy/ postpartum, lymphedema, and cancer recovery.
Tina’s practice is at the University of Washington Medical Center in the Urology/Urogynecology Clinic where she treats along side physicians and educates medical residents in how pelvic rehab interventions will assist clients.  She presents at medical and patient conferences on topics such as pelvic pain, continence, and lymphedema.  Tina has been faculty at Herman and Wallace Pelvic Rehabilitation Institute since 2006. She was the physical therapist provider for the University of Washington on a LURN Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment with physical therapy techniques.  Tina was also a co-investigator for a content package on pain education for the NIDA/NIH on treatment of pelvic pain.
Outside work Tina enjoys spending time with her husband, hiking, traveling, reading and meditation.


Amy Sides, DPT, CLT-LANA

Amy Sides, DPT, CLT-LANA has been a physical therapist since 2001 when she received a Doctorate of Physical Therapy (DPT) from A.T. Still University in Mesa, AZ. She has experience in a variety of settings including pediatrics, acute care, and orthopedic/manual therapy. In 2009 she joined Centura Health Center for Therapy at Parker Adventist Hospital, where she had the opportunity to pursue her interest in women’s health physical therapy. Her treatment focus included bladder dysfunction, pregnancy/post-partum, pelvic ring instability, pelvic pain, utilization of rehabilitative ultrasound imaging, and breast cancer rehab.
Along her journey in treating women’s health she developed a passion for oncology and lymphedema rehabilitation. In 2014 she became a Certified Lymphedema Therapist (CLT), followed by certification in lymphedema by the Lymphology Association of North America (LANA) in 2017. She currently specializes in oncology rehabilitation, treating the side effects of a variety of cancer diagnoses. She provides community education at support groups, community lectures and hospital-based education programs. She is active in attending bi-monthly Tumor Boards and Breast Cancer Conferences, and is a member of the Cancer Committee and Breast Program Leadership Board at Parker Adventist Hospital. Amy completed a Quality-Improvement Study for the Cancer Committee highlighting the benefits of implementing the Prospective Surveillance Model of Care for breast cancer patients, and has been dedicated to program development of a multi-disciplinary, comprehensive oncology rehabilitation program.
Amy lives in the Denver metro area with her husband and three children. She enjoys spending time with them in the mountains camping, hiking, mountain biking and skiing.
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".




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Pelvic Floor Capstone - Houston, TX - October 11-13, 2019
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5




This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
 
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
 
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 
Audience:
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
 
 

 
 




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:30 Anatomy and Function of Abdominopelvic Connective Tissues
 10:00Break 
 10:15 LAB Activity 1: Working with fascia: abdomen
 11:15 Endocrine changes throughout the Lifespan 
 12:30 Lunch 
 1:30  Endocrine changes throughout the Lifespan (continued)
 2:30 LAB Activity 2: Advanced vaginal muscle techniques
 3:45 Break 
 4:00 Endometriosis
 4:45 Questions/Test
 5:00 Adjourn


Day Two:
 8:00 Questions and Answers from Day One/Test Review
 8:15 PCOS & Fibroids
 9:15 Vulvar skin and connective tissue dysfunctions
 10:15 Break
 10:30 LAB Activity 3: Perineal release techniques
 12:00 Lunch
 1:00 Common Female Pelvic Surgeries
 2:15 Special Topics in Surgeries
 3:15 Break
 3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
 5:00 Questions/Test
 5:15 Adjourn


Day Three:
 7:30 Questions from Day Two/Test Review
 7:45 Gynecological Oncology
 9:00 Break
 9:15 Gynecological Oncology Treatment Procedures
 10:30 LAB Activity 5: Oncology considerations and Lymphedema
 12:00 Lunch
 12:45 Nutritional Approaches to Decrease Inflammation
 2:15 Pharmacologic Considerations in Pelvic Rehab
 3:15 Break
 3:30 Putting it all together
 4:00 Questions/Test
 4:15 Ajourn



Upon completion of this continuing education seminar, participants will be able to:
 1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
 2. Describe the common vulvar skin and connective tissue dysfunctions
 3. List the common female pelvic surgery complications
 4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
 5. List the female gynecologic oncology conditions
 6. Demonstrate three manual techniques for common oncology complications
 7. Describe the hormonal dysfunction considerations throughout the life cycle 
 8. Demonstrate perineal release techniques
 9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
 10. Describe nutritional approaches to decrease inflammation


 
Name
Street Address (Links to Map)

Course Location

 Houston Methodist

18500 Katy Fwy
 Houston, TX 77094


Recommended Lodging

 Hilton Garden Inn Houston West Katy
(281)644-2400

 2409 Texamati Dr
 Katy, TX 77494 


Nearest Airport

George Bush Intercontinental Airport
Airport Code: IAH

2800 N Terminal Rd
 Houston, TX 77032



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
 
Instructor - Ariail
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 
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).



 
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Description
Schedule
Objectives
Location/Lodging
Instrutors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5




This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
 
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
 
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 
Audience:
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
 
 

 
 




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:30 Anatomy and Function of Abdominopelvic Connective Tissues
 10:00Break 
 10:15 LAB Activity 1: Working with fascia: abdomen
 11:15 Endocrine changes throughout the Lifespan 
 12:30 Lunch 
 1:30  Endocrine changes throughout the Lifespan (continued)
 2:30 LAB Activity 2: Advanced vaginal muscle techniques
 3:45 Break 
 4:00 Endometriosis
 4:45 Questions/Test
 5:00 Adjourn


Day Two:
 8:00 Questions and Answers from Day One/Test Review
 8:15 PCOS & Fibroids
 9:15 Vulvar skin and connective tissue dysfunctions
 10:15 Break
 10:30 LAB Activity 3: Perineal release techniques
 12:00 Lunch
 1:00 Common Female Pelvic Surgeries
 2:15 Special Topics in Surgeries
 3:15 Break
 3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
 5:00 Questions/Test
 5:15 Adjourn


Day Three:
 7:30 Questions from Day Two/Test Review
 7:45 Gynecological Oncology
 9:00 Break
 9:15 Gynecological Oncology Treatment Procedures
 10:30 LAB Activity 5: Oncology considerations and Lymphedema
 12:00 Lunch
 12:45 Nutritional Approaches to Decrease Inflammation
 2:15 Pharmacologic Considerations in Pelvic Rehab
 3:15 Break
 3:30 Putting it all together
 4:00 Questions/Test
 4:15 Ajourn



Upon completion of this continuing education seminar, participants will be able to:
 1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
 2. Describe the common vulvar skin and connective tissue dysfunctions
 3. List the common female pelvic surgery complications
 4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
 5. List the female gynecologic oncology conditions
 6. Demonstrate three manual techniques for common oncology complications
 7. Describe the hormonal dysfunction considerations throughout the life cycle 
 8. Demonstrate perineal release techniques
 9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
 10. Describe nutritional approaches to decrease inflammation


 
Name
Street Address (Links to Map)

Course Location

Mary Free Bed Rehabilitation Hospital

350 Lafayette SE
Grand Rapids, MI 49503


Recommended Lodging

Amway Grand Plaza Hotel
(616) 774-2000


187 Monroe Ave NW
Grand Rapids, MI 49503


Nearest Airport

Gerald R. Ford International Airport
Airport Code: GRR

5500 44th St SE
 Grand Rapids, MI 49512



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Instructor - Ariail
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI.  Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders.  She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters.  She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction.  She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family. 
 
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).



 
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
 
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
Audience:
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.
 
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
 
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
 2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
 3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource! 
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.




Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions 
10:00 Break 
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications* 
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 4:15Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00General Treatment of Female Pelvic Pain
10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:45 Lunch
 12:30 Managing Movement Part II: Pressures & Load Transfer 
 2:00Break 
 2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15Adjourn
 




*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
 2. List the pelvic floor muscle functions
 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
 8. List two diagnoses that would benefit from applications of electrotherapy
 9. Describe the applications of SEMG biofeedback for the pelvic floor
 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


Jenni Gabelsberg, DPT, WCS, MSc, MTC

Dr. Jenni Gabelsberg, DPT, MSc, MTC is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.


 
Name
Street Address (Links to Map)

Course Location

 South University

1220 W Louis Henna Blvd
Round Rock, TX 78681


Recommended Lodging

Austin Marriott North
(512) 733-6767

2600 La Frontera Blvd
Round Rock, TX 78681


Nearest Airport

Austin–Bergstrom International Airport
Airport Code: AUS

3600 Presidential Blvd
 Austin, TX 78719



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


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Pelvic Floor Level 1 - Denver, CO - May 19-21, 2017 (SOLD OUT!)
{dtregister}486{/dtregister}

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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
 
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 
 
Audience:
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.
 
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
 
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
 2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
 3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource! 
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. 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.
 
Please Contact Us with any questions about the use of this text as a required reading in this course.

 




Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions 
10:00 Break 
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications* 
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 4:15Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00General Treatment of Female Pelvic Pain
10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:45 Lunch
 12:30 Managing Movement Part II: Pressures & Load Transfer 
 2:00Break 
 2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15Adjourn
 




*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
 2. List the pelvic floor muscle functions
 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
 8. List two diagnoses that would benefit from applications of electrotherapy
 9. Describe the applications of SEMG biofeedback for the pelvic floor
 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


Tina Allen, PT, PRPC, BCB-PMD

Tina Allen, PT, PRPC, BCB-PMD has been a physical therapist since 1993. She received her PT degree from the University of Illinois at Chicago.  Her initial five years in practice focused on acute care, trauma, and outpatient orthopedic physical therapy at Loyola Medical Center in Illinois.  Tina moved to Seattle in 1997 and focused her practice in Pelvic Health. Since then she has focused her treatment on the care of all genders throughout their life spans with bladder/bowel dysfunction, pelvic pain syndromes, pregnancy/ postpartum, lymphedema, and cancer recovery.
Tina’s practice is at the University of Washington Medical Center in the Urology/Urogynecology Clinic where she treats along side physicians and educates medical residents in how pelvic rehab interventions will assist clients.  She presents at medical and patient conferences on topics such as pelvic pain, continence, and lymphedema.  Tina has been faculty at Herman and Wallace Pelvic Rehabilitation Institute since 2006. She was the physical therapist provider for the University of Washington on a LURN Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment with physical therapy techniques.  Tina was also a co-investigator for a content package on pain education for the NIDA/NIH on treatment of pelvic pain.
Outside work Tina enjoys spending time with her husband, hiking, traveling, reading and meditation.


 
Name
Street Address (Links to Map)

Course Location

Lutheran Hospital
Learning Center

8300 W. 38th Ave.
Wheat Ridge, CO 80033


Recommended Lodging

Denver Marriott West
(303) 279-9100
May Group Rate

1717 Denver W Dr
 Golden, CO 80401


Nearest Airport

Denver International Airport
Airport Code: DEN

8500 Peña Blvd
 Denver, CO 80249



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


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Pelvic Floor Level 1 - Freehold, NJ - April 8-10, 2016
{dtregister}320{/dtregister}

{gallery width=181}course_images/pf1{/gallery}

Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
 
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
Audience:
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.
 
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
 
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
 2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
 3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource! 
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.




Day One:
9:30 Registration
10:00 Introductions, Goals, Objectives
10:30 Female Pelvic Floor (PF) Anatomy and Function
11:30 Break
11:45 Pelvic Floor Evaluation
1:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
2:15 Lunch
3:15 Pelvic Floor Evaluation (Continued)
4:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
5:15 Break
5:30 Functional Screening for Pelvic Rehab: ASLR, SLS, Diastasis Recti Abdominis
6:15 Lab 3: SLS, ASLR, Diastasis Assessment
7:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Intro to Pelvic Dysfunctions, Urinary Incontinence 
9:30 Behavioral Interventions for Urinary Dysfunction 
10:00 Break
10:15 Lab 4: Bladder Diary Activity
10:45 Lab 5: sEMG Biofeedback & Electrical Stimulation Application* 
12:30 Lunch
1:30 Pelvic Organ Prolapse
2:45 Break
3:00 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation*
4:15 Introduction to Female Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:15 Sexuality & Trauma Issues in Female Pelvic Pain
 10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:30 Therapeutic Exercise in Female Pelvic Floor Dysfunction
 12:30 Lunch
 1:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment*
 2:30 Break
 2:45 Case Studies
3:30 Resources, Billing, Marketing
 4:00 Questions, Post-test Day 3
4:15 Adjourn
 




*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
 2. List the pelvic floor muscle functions
 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
 8. List two diagnoses that would benefit from applications of electrotherapy
 9. Describe the applications of SEMG biofeedback for the pelvic floor
 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


Susannah Haarmann, PT, CLT, WCS

Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.


 
Name
Street Address (Links to Map)

Course Location

CentraState Medical Center

901 West Main Street
Freehold, NJ, 07728


Recommended Lodging

Radisson Hotel Freehold 
(732) 780-3400 

50 Gibson Pl
Freehold, NJ 07728


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 no map appears below)
 
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).


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Pelvic Floor Level 1 - Grand Junction, CO - June 21-23, 2019 (SOLD OUT)
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
 
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 
 
Audience:
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.
 
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
 
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
 2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
 3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource! 
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. 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.
 
Please Contact Us with any questions about the use of this text as a required reading in this course.

 




Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions 
10:00 Break 
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications* 
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 4:15Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00General Treatment of Female Pelvic Pain
10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:45 Lunch
 12:30 Managing Movement Part II: Pressures & Load Transfer 
 2:00Break 
 2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15Adjourn
 




*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
 2. List the pelvic floor muscle functions
 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
 8. List two diagnoses that would benefit from applications of electrotherapy
 9. Describe the applications of SEMG biofeedback for the pelvic floor
 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions


 
Name
Street Address (Links to Map)

Course Location

Urological Associates of Western CO

2351 G Road
Community Hospital 
Grand Junction, CO 81505 USA


Recommended Lodging

Holiday Inn Express & Suites Grand Junction
(970) 245-8164

625 Rae Lynn St
Grand Junction, Colorado 81505 USA


Nearest Airport

Grand Junction Regional Airport
Airport Code:GJT

2828 Walker Field Dr
Grand Junction, CO 81506, USA 



 
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
 
Daphna Ross, PT, PRPC, WCS

Daphna completed a B.A. degree in Biology from Stern College in New York and pursued a B.S. in Physical Therapy from Hunter College, CUNY, in 1996. She has worked extensively with patients in various rehabilitation settings including; orthopedics, cardiac, acute care, pulmonary, outpatient clinics, and homecare. Daphna worked at St Luke’s/Roosevelt Hospital in New York as well as McGill University Medical Center in Montreal, Canada before moving to Northern California in 2005.

Daphna pursued specialization in Pelvic Rehabilitation and became board certified as both a Women's Health Clinical Specialist through the American Board of Physical Therapy Specialties and as a Pelvic Rehabilitation Practitioner through the Herman and Wallace Pelvic Rehabilitation Institute. Daphna developed the Pelvic Physical Therapy Program for the Alta Bates Summit Women's Health Center, in Lafayette, CA, where she worked as lead therapist for 8 years before opening up her own practice, Women's Health and Healing, in 2017. She has offices in Oakland and Lafayette, CA. Her practice focuses on treating women of all ages with pelvic floor dysfunction. She treats women with incontinence, pelvic pain, pregnancy and post-partum conditions, sexual dysfunction, and bowel and bladder dysfunction. 

 She is also a Faculty member of the Herman and Wallace Pelvic Rehabilitation Institute where she enjoys teaching and inspiring other physical therapists and healthcare professionals interested in learning about pelvic physical therapy.

Daphna is a member of the American Physical Therapy Association (APTA), Women's Health Section, International Society for the Study of Women's Sexual Health (ISSWSH) and the International Pelvic Pain Society (IPPS).

 She is committed to providing excellent care in a warm, nurturing environment.

In her free time she enjoys spending time with her husband and three children, water-skiing, hiking, swimming, personal fitness, skiing, and reading.

Lila Abbate, PT, DPT, MS, OCS, PRPC
Lila Abbate graduated from Touro College in Dix Hills, NY with a Bachelors of Science (BS) in Health Sciences and a Masters of Arts (MA) in Physical Therapy in 1997. Lila completed her Advanced Masters in Manual Orthopedic Physical Therapy (MS) at Touro College, Bayshore, NY in 2003 and continued to obtain her Doctor of Physical Therapy (DPT) in 2005. Currently, Dr. Abbate is pursuing her PhD at Nova Southeastern University in Ft. Lauderdale, Florida and plans to conduct research in Women’s and Men’s Pelvic Health. Dr. Abbate is also a Physical Therapy Board-Certified Specialist in Orthopedics (OCS) deemed by the American Physical Therapy Association in 2004.
Dr. Abbate has been faculty at Touro College (2003 – 2006), Manhattan Campus, teaching the biomechanical approach to orthopedic dysfunction, therapeutic exercise as well as massage/soft tissues work that highlighted trigger point work, scar management and myofascial release.
Currently, Dr. Abbate currently owns a private practice in Manhasset, NY specializing in complex orthopedic conditions and pelvic floor dysfunction.
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).


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Pelvic Floor Level 1 - St. Louis, MO - August 28-30, 2015 (SOLD OUT)
{dtregister}225{/dtregister}Request Invoice for this Course Add me to the Course Watchlist Contact Us about this Course


Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5




This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
 
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
Audience:
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.
 
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
 
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
 2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
 3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource! 
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.




Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn


Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions 
10:00 Break 
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications* 
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 4:15Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00General Treatment of Female Pelvic Pain
10:15 Break
 10:30 Specific Diagnoses in Female Pelvic Pain
 11:45 Lunch
 12:30 Managing Movement Part II: Pressures & Load Transfer 
 2:00Break 
 2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15Adjourn
 




*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
 2. List the pelvic floor muscle functions
 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
 8. List two diagnoses that would benefit from applications of electrotherapy
 9. Describe the applications of SEMG biofeedback for the pelvic floor
 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


Hollis Herman, PT, DPT, MS, OCS, WCS, BCB-PMD

Dr. Hollis (Holly) Herman has been a physical therapist for since 1974 She received her Bachelors and Masters degrees from Boston University and her doctorate from MGH Institute of Health Professionals. She currently owns her own practice, called Healthy Women Healthy Men in Cambridge, MA. In addition to her active private practice, Holly is a renowned international lecturer on physical therapy for women's and men's health. Holly is board certified in physical therapy, orthopedics, Women's Health and biofeedback for pelvic muscle dysfunction.
She has co-authored "How to Raise Children without Breaking Your Back," numerous chapters and peer reviewed articles on sexual medicine, geriatric foot care, pelvic pain, urinary and fecal continence and pregnancy and postpartum evaluation and treatment.
Holly has been formally awarded by the American Physical Therapy Association for her dedication and contribution to the field of physical therapy. She co-founded the Herman & Wallace Institute, where she teaches courses, mentors new instructors and develops new avenues to inform health care professionals and the public about physical therapy for colorectal, urologic, gynecologic, orthopedic and sexual dysfunction.
Healthy Women Healthy Men provides physical therapy musculoskeletal evaluation and treatment for orthopedic, lumbopelvic, obstetric, gynecologic, and women's and men's colorectal and pelvic pain conditions.


 
Name
Street Address (Links to Map)

Course Location

Washington University School of Medicine

4444 Forest Park Avenue 
, Saint Louis, MO


Recommended Lodging

The Parkway Hotel 
(314) 256-7777

4550 Forest Park Ave 
St Louis, MO 63108


Nearest Airport

Lambert–St. Louis International Airport
Airport Code: STL

10701 Lambert International Blvd
St. Louis, MO 63145



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


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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5




This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 
Audience:
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:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
 2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
 3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
 4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
 5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
 
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
 2. Many participants also find it helpful to review the anatomy of the pelvis and perineum

References 
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation 
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517




Day One:
 8:00 Objectives & Course Introduction
 8:15 Colorectal anatomy
 9:15 Colorectal Physiology
 10:00 Break
 10:15 Colorectal Medical Testing
 10:45 Anorectal Examination & Muscle Mapping
 11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
 12:00 Fecal Incontinence Evaluation & Interventions
 12:30 Lunch 
 1:30 Fecal Incontinence Evaluation & Interventions Continued
 2:45 Case Study: Fecal Incontinence
 3:30 SEMG Lecture
 4:00Lab: Pelvic Floor Uptraining
 4:30 Post-test, Questions
 5:00 Adjourn


Day Two:
 8:00 Questions
 8:15 Constipation Evaluation & Interventions
 10:00 Break
 10:15 SEMG Lecture 
  Lab: Pelvic Floor Downtraining
 11:30 Case Study: Constipation
 11:45 Colorectal Conditions and the Pelvic Floor
 12:45 Lunch 
 1:45 Coccyx dysfunctions
 2:45 Break
 3:00 Lab: External & Internal Interventions for Coccyx Pain
 4:30 Post-test and Questions
 5:00 Adjourn


Day Three:
 8:00 Questions
 8:30 Pudendal Nerve Dysfunction
 9:30 Male Pelvic Anatomy
 10:15 Break
 10:30 Male Pelvic Anatomy
 11:30 Male Pelvic Pain
 12:30 Case Study: Male Pelvic Pain
 12:45 Lunch
 1:30 Final Lab: Pudendal Palpation, Muscle Releases
  2:15 Post-Prostatectomy Dysfunction
 3:15 Marketing, Business, Program Development 
 3:30 Post-test & Questions
 4:00 Adjourn



Upon completion of this continuing education seminar, participants will be able to:
1.   Describe anatomy of the colorectal region.
2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.


 
Name
Street Address (Links to Map)

Course Location

 Rocky Mountain University of Health Professions 

122 E 1700 S
Provo, UT 84606 


Recommended Lodging

Hampton Inn Provo
(801) 377-6396

1511 S 40 E St
 Provo, UT 84601


Nearest Airport

Salt Lake City International Airport
Airport Code: SLC

776 N Terminal Dr
Salt Lake City, UT 84122



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
 
Jake Bartholomy, PT, DPT

Jake graduated with his Bachelors of Science in Exercise & Sport Science from Pennsylvania State University, where he was a captain of the cross country and track teams. In 2000 Jake earned his Doctorate in Physical Therapy from Slippery Rock University. He has worked in out-patient orthopedics in Seattle since 2000. In 2016 he jumped at the opportunity to work with Holly Tanner, PT, DPT at Flow Rehab.
He began treating male pelvic floor in 2009 and took PF1 in 2017 as he feels a strong need to provide services for the trans and gender non-binary communities as well. He treats pelvic pain, sexual dysfunction, bowel and bladder incontinence, constipation, pre- and post- prostatectomy as well as other SIJ and low back dysfunctions. Jake is thrilled to be a part of the Herman and Wallace Pelvic Rehabilitation Institute to educate and inspire other physical therapists and healthcare professionals to learn about these underserved conditions. He is a member of the American Physical Therapy Association (APTA) and the Women's Health Section (which includes male pelvic health). After running several marathons (Boston, Chicago, NYC), Jake became a triathlete focusing on the 70.3 distance as well as 3 full Ironmans including the World Championship in Kona. He now has two young boys and his focus has returned to running to balance family, work and fitness.

Instructor - Ariail
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.
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).


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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5




This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 
Audience:
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:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
 2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
 3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
 4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
 5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
 
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
 2. Many participants also find it helpful to review the anatomy of the pelvis and perineum

References 
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation 
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517




Day One:
 8:00 Objectives & Course Introduction
 8:15 Colorectal anatomy
 9:15 Colorectal Physiology
 10:00 Break
 10:15 Colorectal Medical Testing
 10:45 Anorectal Examination & Muscle Mapping
 11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
 12:00 Fecal Incontinence Evaluation & Interventions
 12:30 Lunch 
 1:30 Fecal Incontinence Evaluation & Interventions Continued
 2:45 Case Study: Fecal Incontinence
 3:30 SEMG Lecture
 4:00Lab: Pelvic Floor Uptraining
 4:30 Post-test, Questions
 5:00 Adjourn


Day Two:
 8:00 Questions
 8:15 Constipation Evaluation & Interventions
 10:00 Break
 10:15 SEMG Lecture 
  Lab: Pelvic Floor Downtraining
 11:30 Case Study: Constipation
 11:45 Colorectal Conditions and the Pelvic Floor
 12:45 Lunch 
 1:45 Coccyx dysfunctions
 2:45 Break
 3:00 Lab: External & Internal Interventions for Coccyx Pain
 4:30 Post-test and Questions
 5:00 Adjourn


Day Three:
 8:00 Questions
 8:30 Pudendal Nerve Dysfunction
 9:30 Male Pelvic Anatomy
 10:15 Break
 10:30 Male Pelvic Anatomy
 11:30 Male Pelvic Pain
 12:30 Case Study: Male Pelvic Pain
 12:45 Lunch
 1:30 Final Lab: Pudendal Palpation, Muscle Releases
  2:15 Post-Prostatectomy Dysfunction
 3:15 Marketing, Business, Program Development 
 3:30 Post-test & Questions
 4:00 Adjourn



Upon completion of this continuing education seminar, participants will be able to:
1.   Describe anatomy of the colorectal region.
2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


Jenni Gabelsberg, DPT, WCS, MSc, MTC

Dr. Jenni Gabelsberg, DPT, MSc, MTC is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.


 
Name
Street Address (Links to Map)

Course Location

Dignity Health Care of Stockton, CA
Cleveland Classroom

 564 E Cleveland St
Stockton, CA 95204 


Recommended Lodging

University Plaza Waterfront Hotel
(209) 944-1140

110 W Fremont St
Stockton, CA 95202


Nearest Airport

Sacramento International Airport
Airport Code: SMF

6900 Airport Blvd
Sacramento, CA 95837



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

 
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).


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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5




This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 
Audience:
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:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
 2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
 3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
 4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
 5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
 
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
 2. Many participants also find it helpful to review the anatomy of the pelvis and perineum

References 
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation 
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517




Day One:
 8:00 Objectives & Course Introduction
 8:15 Colorectal anatomy
 9:15 Colorectal Physiology
 10:00 Break
 10:15 Colorectal Medical Testing
 10:45 Anorectal Examination & Muscle Mapping
 11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
 12:00 Fecal Incontinence Evaluation & Interventions
 12:30 Lunch 
 1:30 Fecal Incontinence Evaluation & Interventions Continued
 2:45 Case Study: Fecal Incontinence
 3:30 SEMG Lecture
 4:00Lab: Pelvic Floor Uptraining
 4:30 Post-test, Questions
 5:00 Adjourn


Day Two:
 8:00 Questions
 8:15 Constipation Evaluation & Interventions
 10:00 Break
 10:15 SEMG Lecture 
  Lab: Pelvic Floor Downtraining
 11:30 Case Study: Constipation
 11:45 Colorectal Conditions and the Pelvic Floor
 12:45 Lunch 
 1:45 Coccyx dysfunctions
 2:45 Break
 3:00 Lab: External & Internal Interventions for Coccyx Pain
 4:30 Post-test and Questions
 5:00 Adjourn


Day Three:
 8:00 Questions
 8:30 Pudendal Nerve Dysfunction
 9:30 Male Pelvic Anatomy
 10:15 Break
 10:30 Male Pelvic Anatomy
 11:30 Male Pelvic Pain
 12:30 Case Study: Male Pelvic Pain
 12:45 Lunch
 1:30 Final Lab: Pudendal Palpation, Muscle Releases
  2:15 Post-Prostatectomy Dysfunction
 3:15 Marketing, Business, Program Development 
 3:30 Post-test & Questions
 4:00 Adjourn



Upon completion of this continuing education seminar, participants will be able to:
1.   Describe anatomy of the colorectal region.
2.   Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3.   Perform examination and evaluation of pelvic floor function related to anorectal structures.
4.   Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5.   Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6.   Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7.   Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8.   Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9.   Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


Susannah Haarmann, PT, CLT, WCS

Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.


 
Name
Street Address (Links to Map)

Course Location

Florida Hospital Wesley Chapel

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544


Recommended Lodging

Hampton Inn & Suites Tampa-Wesley Chapel
(813) 973-2288

 2740 Cypress Ridge Blvd
 Wesley Chapel, FL 33544 


Nearest Airport

Tampa International Airport
Airport Code: TPA

4100 George J Bean Pkwy
Tampa, FL 33607



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


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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Note pricing changes for 2017 courses
Experience Level: Intermediate
Contact Hours: 22.5




This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
 
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
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.
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., 
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.




Day One:
 7:30 Registration
 8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
 9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
 10:15 Prolapse anatomy, evaluation and treatment (continued)
 11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
 1:15 Medical and multidisciplinary management of pelvic pain
 2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
 5:00 Summary and Questions, post-test
5:15 Adjourn


Day Two:
 8:00 Questions from Day 1
 8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
 9:45 Break
 10:00 Neuromuscular relaxation training
 11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
 2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn


Day Three:
 8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
 10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
 12:15 Lunch
 1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 




 
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Pamela Downey, MSPT, DPT, WCS, BCB-PMD

Pamela A. Downey, PT, DPT, WCS, BCB-PMB, is a Board Certified Clinical Specialist in Women’s Health Physical Therapy and Board Certified in Biofeedback for Pelvic Muscle Dysfunction.  Owner of Partnership in Therapy, a private practice in Coral Gables, Florida, she treats women and men with pelvic floor dysfunction, related urogynecological and colorectal issues, spine dysfunction, osteoporosis and complaints associated with pregnancy and the postpartum period.  Her mission is to educate and integrate healthy lifestyles for patients on the road to wellness.
Dr. Downey has been honored to teach with the Herman and Wallace Institute since 2006.  She is an Adjunct Professor in the Physical Therapy Program at the University Of Miami Miller School of Medicine in Coral Gables, Florida, and Nova Southeastern University in Fort Lauderdale, Florida.   A certified Polestar Pilates Educator, she utilizes Pilates and therapeutic exercise interventions specifically designed for patients with pre/post-natal, pelvic floor muscle and other lumbo-pelvic pain-related dysfunctions.
Dr. Downey received her Bachelor of Arts from Sarah Lawrence College and her Master of Science and Doctorate in Physical Therapy from the University of Miami School Of Medicine.  She is actively involved in professional activities of the Section on Women’s Health of the American Physical Therapy Association, presently sitting as Coordinator of Research Submissions for annual meetings and as a manuscript reviewer for the Journal of Women’s Health.  Dr. Downey has lectured nationally and internationally at professional conferences and is the author of multiple published research articles and a book chapter on chronic pelvic pain in the medical text, Women’s Health in Physical Therapy.
She can be reached at 305 666-3232 or This email address is being protected from spambots. You need JavaScript enabled to view it.


Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


 
Name
Street Address (Links to Map)

Course Location

Emory Healthcare

2701 N Decatur Rd
Decatur, GA 30033


Recommended Lodging

Courtyard Marriott Atlanta Decatur Downtown/ Emory 
(404) 371-0204


130 Clairemont Ave
Decatur, GA 30030


Nearest Airport

Hartsfield–Jackson Atlanta International Airport
Airport Code: ATL

6000 N Terminal Pkwy
 Atlanta, GA 30320



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


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Pelvic Floor Level 2B - Boston, MA - October 19-21, 2018 (SOLD OUT)
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5




This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:

As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 

 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
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.
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., 
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.

 




Day One:
 7:30 Registration
 8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
 9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
 10:15 Prolapse anatomy, evaluation and treatment (continued)
 11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
 1:15 Medical and multidisciplinary management of pelvic pain
 2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
 5:00 Summary and Questions, post-test
5:15 Adjourn


Day Two:
 8:00 Questions from Day 1
 8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
 9:45 Break
 10:00 Neuromuscular relaxation training
 11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
 2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn


Day Three:
 8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
 10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
 12:15 Lunch
 1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 




 
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Michelle Lyons, PT, MISCP

Michelle Lyons, MISCP PT, has over twenty years of experience as a chartered physiotherapist. She has recently returned to live in Ireland after a number of years in the US.
As well as developing numerous speciality courses for Herman & Wallace (Oncology and the Female Pelvic Floor, Oncology and the Male Pelvic Floor, The Athlete & the Pelvic Floor, Menopause Rehabilitation and Symptom Management, and Special Topics: Endometriosis, Infertility & Hysterectomy), she is also a tutor on the Pelvic Floor Series and the Pregnancy/Post-partum Series. Michelle was also proud to be an item writer for the PRPC certification exam.
With additional training in nutrition therapy, herbal medicine, pilates and yoga as well as her clinical training and experience in pelvic health and oncology rehab, Michelle is a firm believer in integrative medicine and a whole body approach to health and wellness.
She is also a lecturer for the Pelvic Obstetric & Gynaecological Physiotherapy Association in the U.K. on their pregnancy/MSK courses and will be Clinical Lead on their new advanced pelvic floor course and their male pelvic health coursework. She blogs and teaches online (available late 2015) for Medbridge Education and has collaborated with the Integrative Women's Health Institute and Burrell Education on a number of live and online women’s health educational programs.
As a social media advocate, in 2013 she co-founded the Women’s Health Physiotherapy Facebook group, which now has over 3000 members from all over the world. A poster presentation looking at the role of the group/social media in promoting women’s health was presented at WCPT in 2015.
She also offers consulting/ mentoring service to clinicians internationally who wish to develop pelvic rehab, integrative health or oncology rehab programs. With a busy international teaching schedule, she also finds time to indulge her passion for reading, shopping for more books and reading some more!


Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


 
Name
Street Address (Links to Map)

Course Location

Marathon Physical Therapy

99 Vanderbilt Ave 
Norwood MA 02062


Recommended Lodging

Courtyard Boston Norwood 
(781) 762-4700
September Course Room Rate


 300 River Ridge Dr 
Norwood, MA 02062


Nearest Airport

Logan International Airport
Airport Code: BOS

1 Harborside Dr
Boston, MA 02128



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


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Pelvic Floor Level 2B - Durham, NC - October 2-4, 2015 (SOLD OUT)
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Note pricing changes for 2017 courses
Experience Level: Intermediate
Contact Hours: 22.5




This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
 
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
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.
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., 
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.




Day One:
 7:30 Registration
 8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
 9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
 10:15 Prolapse anatomy, evaluation and treatment (continued)
 11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
 1:15 Medical and multidisciplinary management of pelvic pain
 2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
 5:00 Summary and Questions, post-test
5:15 Adjourn


Day Two:
 8:00 Questions from Day 1
 8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
 9:45 Break
 10:00 Neuromuscular relaxation training
 11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
 2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn


Day Three:
 8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
 10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
 12:15 Lunch
 1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 




 
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


Hollis Herman, PT, DPT, MS, OCS, WCS, BCB-PMD

Dr. Hollis (Holly) Herman has been a physical therapist for since 1974 She received her Bachelors and Masters degrees from Boston University and her doctorate from MGH Institute of Health Professionals. She currently owns her own practice, called Healthy Women Healthy Men in Cambridge, MA. In addition to her active private practice, Holly is a renowned international lecturer on physical therapy for women's and men's health. Holly is board certified in physical therapy, orthopedics, Women's Health and biofeedback for pelvic muscle dysfunction.
She has co-authored "How to Raise Children without Breaking Your Back," numerous chapters and peer reviewed articles on sexual medicine, geriatric foot care, pelvic pain, urinary and fecal continence and pregnancy and postpartum evaluation and treatment.
Holly has been formally awarded by the American Physical Therapy Association for her dedication and contribution to the field of physical therapy. She co-founded the Herman & Wallace Institute, where she teaches courses, mentors new instructors and develops new avenues to inform health care professionals and the public about physical therapy for colorectal, urologic, gynecologic, orthopedic and sexual dysfunction.
Healthy Women Healthy Men provides physical therapy musculoskeletal evaluation and treatment for orthopedic, lumbopelvic, obstetric, gynecologic, and women's and men's colorectal and pelvic pain conditions.


 
Name
Street Address (Links to Map)

Course Location

Duke University Medical Center
Suite A-210 Wing A

2200 W Main St
 Durham, NC 27705


Recommended Lodging

Hilton Garden Inn Durham/University Medical Center 
(919) 286-0774

2102 W Main St
 Durham, NC 27705


Nearest Airport

Raleigh–Durham International Airport
Airport Code: RDU

2400 John Brantley Blvd
 Morrisville, NC 27560



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


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Pelvic Floor Level 2B - Salt Lake City, UT - September 28-30, 2018 (SOLD OUT)
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5




This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:

As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 

 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
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.
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., 
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.

 




Day One:
 7:30 Registration
 8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
 9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
 10:15 Prolapse anatomy, evaluation and treatment (continued)
 11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
 1:15 Medical and multidisciplinary management of pelvic pain
 2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
 5:00 Summary and Questions, post-test
5:15 Adjourn


Day Two:
 8:00 Questions from Day 1
 8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
 9:45 Break
 10:00 Neuromuscular relaxation training
 11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
 2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn


Day Three:
 8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
 10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
 12:15 Lunch
 1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 




 
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Lila Abbate, PT, DPT, MS, OCS, PRPC
Lila Abbate graduated from Touro College in Dix Hills, NY with a Bachelors of Science (BS) in Health Sciences and a Masters of Arts (MA) in Physical Therapy in 1997. Lila completed her Advanced Masters in Manual Orthopedic Physical Therapy (MS) at Touro College, Bayshore, NY in 2003 and continued to obtain her Doctor of Physical Therapy (DPT) in 2005. Currently, Dr. Abbate is pursuing her PhD at Nova Southeastern University in Ft. Lauderdale, Florida and plans to conduct research in Women’s and Men’s Pelvic Health. Dr. Abbate is also a Physical Therapy Board-Certified Specialist in Orthopedics (OCS) deemed by the American Physical Therapy Association in 2004.
Dr. Abbate has been faculty at Touro College (2003 – 2006), Manhattan Campus, teaching the biomechanical approach to orthopedic dysfunction, therapeutic exercise as well as massage/soft tissues work that highlighted trigger point work, scar management and myofascial release.
Currently, Dr. Abbate currently owns a private practice in Manhasset, NY specializing in complex orthopedic conditions and pelvic floor dysfunction.

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


 
Name
Street Address (Links to Map)

Course Location

 Veterans Administration - Salt Lake City

500 Foothill Dr
Salt Lake City, UT 84148


Recommended Lodging

Salt Lake City Marriott University Park 
(801) 581-1000

480 Wakara Way
Salt Lake City, UT 84108


Nearest Airport

Salt Lake City International Airport 
Airport Code: SLC

776 N Terminal Dr
Salt Lake City, UT 84122



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


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Pelvic Floor Level 2B - Tampa, FL - Sept. 9-11, 2016
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Note pricing changes for 2017 courses
Experience Level: Intermediate
Contact Hours: 22.5




This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
 
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
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.
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., 
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.




Day One:
 7:30 Registration
 8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
 9:15 Prolapse anatomy, evaluation and treatment
10:00 Break 
 10:15 Prolapse anatomy, evaluation and treatment (continued)
 11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
 1:15 Medical and multidisciplinary management of pelvic pain
 2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
 5:00 Summary and Questions, post-test
5:15 Adjourn


Day Two:
 8:00 Questions from Day 1
 8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
 9:45 Break
 10:00 Neuromuscular relaxation training
 11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
 2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn


Day Three:
 8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
 10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
 12:15 Lunch
 1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break 
2:30 Case studies, treatment progressions, resources 
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn 




 
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Pamela Downey, MSPT, DPT, WCS, BCB-PMD

Pamela A. Downey, PT, DPT, WCS, BCB-PMB, is a Board Certified Clinical Specialist in Women’s Health Physical Therapy and Board Certified in Biofeedback for Pelvic Muscle Dysfunction.  Owner of Partnership in Therapy, a private practice in Coral Gables, Florida, she treats women and men with pelvic floor dysfunction, related urogynecological and colorectal issues, spine dysfunction, osteoporosis and complaints associated with pregnancy and the postpartum period.  Her mission is to educate and integrate healthy lifestyles for patients on the road to wellness.
Dr. Downey has been honored to teach with the Herman and Wallace Institute since 2006.  She is an Adjunct Professor in the Physical Therapy Program at the University Of Miami Miller School of Medicine in Coral Gables, Florida, and Nova Southeastern University in Fort Lauderdale, Florida.   A certified Polestar Pilates Educator, she utilizes Pilates and therapeutic exercise interventions specifically designed for patients with pre/post-natal, pelvic floor muscle and other lumbo-pelvic pain-related dysfunctions.
Dr. Downey received her Bachelor of Arts from Sarah Lawrence College and her Master of Science and Doctorate in Physical Therapy from the University of Miami School Of Medicine.  She is actively involved in professional activities of the Section on Women’s Health of the American Physical Therapy Association, presently sitting as Coordinator of Research Submissions for annual meetings and as a manuscript reviewer for the Journal of Women’s Health.  Dr. Downey has lectured nationally and internationally at professional conferences and is the author of multiple published research articles and a book chapter on chronic pelvic pain in the medical text, Women’s Health in Physical Therapy.
She can be reached at 305 666-3232 or This email address is being protected from spambots. You need JavaScript enabled to view it.


Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


 
Name
Street Address (Links to Map)

Course Location

Florida Hospital Wesley Chapel

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544


Recommended Lodging

Hampton Inn & Suites Tampa-Wesley Chapel
(813) 973-2288

 2740 Cypress Ridge Blvd
 Wesley Chapel, FL 33544 


Nearest Airport

Tampa International Airport
Airport Code: TPA

4100 George J Bean Pkwy
Tampa, FL 33607



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


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Pelvic Floor Series Capstone - Denver, CO - June 10-12, 2016
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Price changes in 2017
Experience Level: Advanced
Contact Hours: 22




This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
 
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
 
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As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs.
 
Audience:
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
 
 

 
 




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:30 Anatomy and Function of Abdominopelvic Connective Tissues
 10:00Break 
 10:15 LAB Activity 1: Working with fascia: abdomen
 11:15 Endocrine changes throughout the Lifespan 
 12:30 Lunch 
 1:30  Endocrine changes throughout the Lifespan (continued)
 2:30 LAB Activity 2: Advanced vaginal muscle techniques
 3:45 Break 
 4:00 Endometriosis
 4:45 Questions/Test
 5:00 Adjourn


Day Two:
 8:00 Questions and Answers from Day One/Test Review
 8:15 PCOS & Fibroids
 9:15 Vulvar skin and connective tissue dysfunctions
 10:15 Break
 10:30 LAB Activity 3: Perineal release techniques
 12:00 Lunch
 1:00 Common Female Pelvic Surgeries
 2:15 Special Topics in Surgeries
 3:15 Break
 3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
 5:00 Questions/Test
 5:15 Adjourn


Day Three:
 7:30 Questions from Day Two/Test Review
 7:45 Gynecological Oncology
 9:00 Break
 9:15 Gynecological Oncology Treatment Procedures
 10:30 LAB Activity 5: Oncology considerations and Lymphedema
 12:00 Lunch
 12:45 Nutritional Approaches to Decrease Inflammation
 2:15 Pharmacologic Considerations in Pelvic Rehab
 3:15 Break
 3:30 Putting it all together
 4:00 Questions/Test
 4:15 Ajourn



Upon completion of this continuing education seminar, participants will be able to:
 1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
 2. Describe the common vulvar skin and connective tissue dysfunctions
 3. List the common female pelvic surgery complications
 4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
 5. List the female gynecologic oncology conditions
 6. Demonstrate three manual techniques for common oncology complications
 7. Describe the hormonal dysfunction considerations throughout the life cycle 
 8. Demonstrate perineal release techniques
 9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
 10. Describe nutritional approaches to decrease inflammation
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.

Nari Clemons, PT, PRPC

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.


 
Name
Street Address (Links to Map)

Course Location

University of Colorado Hospital

12401 E. 17th Ave
Aurora, CO 80045


Recommended Lodging

SpringHill Suites Denver at Anschutz Medical Campus
(720)859-1100

13400 E Colfax Ave
Aurora, CO 80011


Nearest Airport

Denver International Airport
Airport Code: DEN

8500 Pena Blvd.
Denver, CO 80249



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



 
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Pelvic Floor Series Capstone - Seattle, WA - August 26-28, 2016
{dtregister}400{/dtregister}

	
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Price changes in 2017
Experience Level: Advanced
Contact Hours: 22




This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
 
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
 
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs.
 
Audience:
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:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
 
 

 
 




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:30 Anatomy and Function of Abdominopelvic Connective Tissues
 10:00Break 
 10:15 LAB Activity 1: Working with fascia: abdomen
 11:15 Endocrine changes throughout the Lifespan 
 12:30 Lunch 
 1:30  Endocrine changes throughout the Lifespan (continued)
 2:30 LAB Activity 2: Advanced vaginal muscle techniques
 3:45 Break 
 4:00 Endometriosis
 4:45 Questions/Test
 5:00 Adjourn


Day Two:
 8:00 Questions and Answers from Day One/Test Review
 8:15 PCOS & Fibroids
 9:15 Vulvar skin and connective tissue dysfunctions
 10:15 Break
 10:30 LAB Activity 3: Perineal release techniques
 12:00 Lunch
 1:00 Common Female Pelvic Surgeries
 2:15 Special Topics in Surgeries
 3:15 Break
 3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
 5:00 Questions/Test
 5:15 Adjourn


Day Three:
 7:30 Questions from Day Two/Test Review
 7:45 Gynecological Oncology
 9:00 Break
 9:15 Gynecological Oncology Treatment Procedures
 10:30 LAB Activity 5: Oncology considerations and Lymphedema
 12:00 Lunch
 12:45 Nutritional Approaches to Decrease Inflammation
 2:15 Pharmacologic Considerations in Pelvic Rehab
 3:15 Break
 3:30 Putting it all together
 4:00 Questions/Test
 4:15 Ajourn



Upon completion of this continuing education seminar, participants will be able to:
 1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
 2. Describe the common vulvar skin and connective tissue dysfunctions
 3. List the common female pelvic surgery complications
 4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
 5. List the female gynecologic oncology conditions
 6. Demonstrate three manual techniques for common oncology complications
 7. Describe the hormonal dysfunction considerations throughout the life cycle 
 8. Demonstrate perineal release techniques
 9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
 10. Describe nutritional approaches to decrease inflammation
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.

Nari Clemons, PT, PRPC

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.


 
Name
Street Address (Links to Map)

Course Location

Swedish Medical Center Seattle- Ballard Campus



5300 Tallman Ave. NW
Seattle, WA 98107-3932


Recommended Lodging

The Ballard Inn 
(206)789-5011

5300 Ballard Avenue NW
Seattle, WA, 98107, USA


Nearest Airport

Seattle-Tacoma International Airport
Airport Code: SEA

17801 International Blvd
Seattle, WA 98158



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



 
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  string(82) "Rehabilitative Ultra Sound Imaging: Orthopedic Topics - Dayton, OH - May 1-2, 2016"
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Rehabilitative Ultra Sound Imaging: Orthopedic Topics - Dayton, OH - May 1-2, 2016
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $475 (Early Registrant Price $450)
Experience Level: Intermediate
Contact Hours: 14




This continuing education seminar is a two day course designed to provide instruction in the generation and interpretation of rehabilitative ultrasound images as they relate to the pelvic girdle and low back stabilization. Both lecture and lab material will be presented that will allow the participant to immediately incorporate the use of rehabilitative ultrasound imaging into their evaluation and treatment plans for patients with diagnoses including lumbo-pelvic pain and instability.
This continuing education course comprises of lectures and labs that present both ideal and abnormal responses of real-time imaging of the transverse abdominals, rectus abdominis, deep multifidus, levator ani, bladder, and bladder neck. During labs, participants will be able to practice using machines provided by our co-sponsor, The Prometheus Group. An onsite representative from Prometheus will also be available to answer questions about the equipment.
This is an intermediate level rehabilitative ultrasound imaging course intended for therapists having a sound knowledge in training techniques for the local stabilizing muscles of the pelvic floor, transverse abdominals, and deep multifidi muscles. Prior coursework regarding the local stabilizing muscles is required.
Have questions about equipment and want info on purchasing? Contact our co-sponsor, The Prometheus Group
 
Audience:
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: Prior coursework regarding the assessment and treatment of the local stabilizing muscles.

Required Reading: Pelvic Stability & Your Core by Diane Lee.




Day One:
 7:30 Registration
 8:00 Introductions, goals, objectives, history of ultrasound, scope of practice
 8:45 Limitations, reliability, validity, safety and risk of harm issues 
 9:15 Understanding ultrasound images
 10:30 Lab: Intro to US Machines
 11:00 Imaging Pelvic Floor Muscles - Transabdominal
 12:00 LUNCH
 1:00 Vendor Presentation
 1:15 Lab: Imaging pelvic floor muscles
 2:15 Imaging midline abdominal wall
 3:00 Lab: Imaging midline abdominal wall 
 3:45 Case Study
 4:30 Review, questions
 5:00 End of day 1


Day Two:
 8:30 Imaging transverse abdominal muscles
 9:15 Lab: Imaging transverse abdominal muscles/palpation of the transverse abdominal muscles
 10:30 Imaging deep multifidus muscles
 11:15 Lab: Imaging deep multifidus muscles/palpation of the multifidus muscles
 12:30 LUNCH
 1:30 Functional training with US imaging
 2:00 Lab: Functional training with US imaging
 2:45 Measurements of transabdominal
 3:15 Lab: Measurements
 4:00 Case Study
 4:45 Review and questions
 5:00 End of day 2




 
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the difference between rehabilitative ultrasound imaging and medical ultrasound imaging
2. Describe how rehabilitative ultrasound imaging fits into physical therapy scope of practice
3. Describe basic principles of physics that apply to ultrasound use
4. Describe safety issues and the ALARA principle concerning rehabilitative ultrasound imaging in physical therapy practice
5. List and appropriately use components of ultrasound machine
6. Generate, recognize, and interpret ultrasound images of the bladder base, pelvic floor muscles, transverse abdominal muscles, deep multifdi muscles, and rectus abdominis before and after contraction using transabdominal viewing methods
7. Demonstrate the ability to use ultrasound imaging in order to take measurements of diastasis rectus separations
8. Demonstrate the ability to use ultrasound imaging in order to take measurements relating to the transverse abdominus, deep multifidus, and the detrusor muscle
9. Save and transfer images and clips into multimedia presentations
10. Incorporate the use of rehabilitative ultrasound imaging into evaluation and development of treatment protocols for the lumbopelvic pain patient.
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


 
Name
Street Address (Links to Map)

Course Location

Kettering Health Network
Nelson Conference Rooms 1, 2 and 3

3535 Southern Blvd 
Dayton, OH 45429


Recommended Lodging

Courtyard Marriott 
(937) 220-9060

2006 S Edwin C Moses Blvd 
Dayton, OH 45417


Nearest Airport

Dayton International Airport
Airport Code: DAY

3600 Terminal Dr
Dayton, OH 45377



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




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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $475 (Early Registrant Price $450)
Experience Level: Intermediate
Contact Hours: 14




This continuing education seminar is a two day course designed to provide instruction in the generation and interpretation of rehabilitative ultrasound images as they relate to the pelvic girdle and low back stabilization. Both lecture and lab material will be presented that will allow the participant to immediately incorporate the use of rehabilitative ultrasound imaging into their evaluation and treatment plans for patients with diagnoses including lumbo-pelvic pain and instability.
This continuing education course comprises of lectures and labs that present both ideal and abnormal responses of real-time imaging of the transverse abdominals, rectus abdominis, deep multifidus, levator ani, bladder, and bladder neck. During labs, participants will be able to practice using machines provided by our co-sponsor, The Prometheus Group. An onsite representative from Prometheus will also be available to answer questions about the equipment.
This is an intermediate level rehabilitative ultrasound imaging course intended for therapists having a sound knowledge in training techniques for the local stabilizing muscles of the pelvic floor, transverse abdominals, and deep multifidi muscles. Prior coursework regarding the local stabilizing muscles is required.
Have questions about equipment and want info on purchasing? Contact our co-sponsor, The Prometheus Group
 
Audience:
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: Prior coursework regarding the assessment and treatment of the local stabilizing muscles.

Required Reading: Pelvic Stability & Your Core by Diane Lee.




Day One:
 7:30 Registration
 8:00 Introductions, goals, objectives, history of ultrasound, scope of practice
 8:45 Limitations, reliability, validity, safety and risk of harm issues 
 9:15 Understanding ultrasound images
 10:30 Lab: Intro to US Machines
 11:00 Imaging Pelvic Floor Muscles - Transabdominal
 12:00 LUNCH
 1:00 Vendor Presentation
 1:15 Lab: Imaging pelvic floor muscles
 2:15 Imaging midline abdominal wall
 3:00 Lab: Imaging midline abdominal wall 
 3:45 Case Study
 4:30 Review, questions
 5:00 End of day 1


Day Two:
 8:30 Imaging transverse abdominal muscles
 9:15 Lab: Imaging transverse abdominal muscles/palpation of the transverse abdominal muscles
 10:30 Imaging deep multifidus muscles
 11:15 Lab: Imaging deep multifidus muscles/palpation of the multifidus muscles
 12:30 LUNCH
 1:30 Functional training with US imaging
 2:00 Lab: Functional training with US imaging
 2:45 Measurements of transabdominal
 3:15 Lab: Measurements
 4:00 Case Study
 4:45 Review and questions
 5:00 End of day 2




 
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the difference between rehabilitative ultrasound imaging and medical ultrasound imaging
2. Describe how rehabilitative ultrasound imaging fits into physical therapy scope of practice
3. Describe basic principles of physics that apply to ultrasound use
4. Describe safety issues and the ALARA principle concerning rehabilitative ultrasound imaging in physical therapy practice
5. List and appropriately use components of ultrasound machine
6. Generate, recognize, and interpret ultrasound images of the bladder base, pelvic floor muscles, transverse abdominal muscles, deep multifdi muscles, and rectus abdominis before and after contraction using transabdominal viewing methods
7. Demonstrate the ability to use ultrasound imaging in order to take measurements of diastasis rectus separations
8. Demonstrate the ability to use ultrasound imaging in order to take measurements relating to the transverse abdominus, deep multifidus, and the detrusor muscle
9. Save and transfer images and clips into multimedia presentations
10. Incorporate the use of rehabilitative ultrasound imaging into evaluation and development of treatment protocols for the lumbopelvic pain patient.
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


 
Name
Street Address (Links to Map)

Course Location

Princeton Healthcare System 

 1 Plainsboro Rd, 
 Plainsboro, NJ 08536 


Recommended Lodging

Holiday Inn Express Princeton Southeast
(609)-936-6600

870 Scudders Mill Rd,
 Plainsboro Township, NJ 08536 


Nearest Airport

Princeton Airport
Airport Code: PCT

41 Airpark Rd, 
 Princeton, NJ 08540



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




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{dtregister}641{/dtregister}



    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    



Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $475 (Early Registrant Price $450)
Experience Level: Intermediate
Contact Hours: 14




This continuing education seminar is a two day course designed to provide instruction in the generation and interpretation of rehabilitative ultrasound images as they relate to the pelvic girdle and low back stabilization. Both lecture and lab material will be presented that will allow the participant to immediately incorporate the use of rehabilitative ultrasound imaging into their evaluation and treatment plans for patients with diagnoses including lumbo-pelvic pain and instability.
This continuing education course comprises of lectures and labs that present both ideal and abnormal responses of real-time imaging of the transverse abdominals, rectus abdominis, deep multifidus, levator ani, bladder, and bladder neck. During labs, participants will be able to practice using machines provided by our co-sponsor, The Prometheus Group. An onsite representative from Prometheus will also be available to answer questions about the equipment.
This is an intermediate level rehabilitative ultrasound imaging course intended for therapists having a sound knowledge in training techniques for the local stabilizing muscles of the pelvic floor, transverse abdominals, and deep multifidi muscles. Prior coursework regarding the local stabilizing muscles is required.
Have questions about equipment and want info on purchasing? Contact our co-sponsor, The Prometheus Group
 
Audience:
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: Prior coursework regarding the assessment and treatment of the local stabilizing muscles.

Required Reading: Pelvic Stability & Your Core by Diane Lee.




Day One:
 7:30 Registration
 8:00 Introductions, goals, objectives, history of ultrasound, scope of practice
 8:45 Limitations, reliability, validity, safety and risk of harm issues 
 9:15 Understanding ultrasound images
 10:30 Lab: Intro to US Machines
 11:00 Imaging Pelvic Floor Muscles - Transabdominal
 12:00 LUNCH
 1:00 Vendor Presentation
 1:15 Lab: Imaging pelvic floor muscles
 2:15 Imaging midline abdominal wall
 3:00 Lab: Imaging midline abdominal wall 
 3:45 Case Study
 4:30 Review, questions
 5:00 End of day 1


Day Two:
 8:30 Imaging transverse abdominal muscles
 9:15 Lab: Imaging transverse abdominal muscles/palpation of the transverse abdominal muscles
 10:30 Imaging deep multifidus muscles
 11:15 Lab: Imaging deep multifidus muscles/palpation of the multifidus muscles
 12:30 LUNCH
 1:30 Functional training with US imaging
 2:00 Lab: Functional training with US imaging
 2:45 Measurements of transabdominal
 3:15 Lab: Measurements
 4:00 Case Study
 4:45 Review and questions
 5:00 End of day 2




 
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the difference between rehabilitative ultrasound imaging and medical ultrasound imaging
2. Describe how rehabilitative ultrasound imaging fits into physical therapy scope of practice
3. Describe basic principles of physics that apply to ultrasound use
4. Describe safety issues and the ALARA principle concerning rehabilitative ultrasound imaging in physical therapy practice
5. List and appropriately use components of ultrasound machine
6. Generate, recognize, and interpret ultrasound images of the bladder base, pelvic floor muscles, transverse abdominal muscles, deep multifdi muscles, and rectus abdominis before and after contraction using transabdominal viewing methods
7. Demonstrate the ability to use ultrasound imaging in order to take measurements of diastasis rectus separations
8. Demonstrate the ability to use ultrasound imaging in order to take measurements relating to the transverse abdominus, deep multifidus, and the detrusor muscle
9. Save and transfer images and clips into multimedia presentations
10. Incorporate the use of rehabilitative ultrasound imaging into evaluation and development of treatment protocols for the lumbopelvic pain patient.
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


 
Name
Street Address (Links to Map)

Course Location

Comprehensive Therapy Services

5677 Oberlin Drive, Suite 106 
San Diego, CA 92121


Recommended Lodging

Holiday Inn Express Sorrento Valley 
(858) 731-0100

5925 Lusk Blvd 
San Diego, CA 92121


Nearest Airport

San Diego International Airport
Airport Code: SAN

3225 N Harbor Dr
San Diego, CA 92101



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




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Rehabilitative Ultra Sound Imaging: Orthopedic Topics - Spokane, WA - October 20-21, 2017
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $475 (Early Registrant Price $450)
Experience Level: Intermediate
Contact Hours: 14




This continuing education seminar is a two day course designed to provide instruction in the generation and interpretation of rehabilitative ultrasound images as they relate to the pelvic girdle and low back stabilization. Both lecture and lab material will be presented that will allow the participant to immediately incorporate the use of rehabilitative ultrasound imaging into their evaluation and treatment plans for patients with diagnoses including lumbo-pelvic pain and instability.
This continuing education course comprises of lectures and labs that present both ideal and abnormal responses of real-time imaging of the transverse abdominals, rectus abdominis, deep multifidus, levator ani, bladder, and bladder neck. During labs, participants will be able to practice using machines provided by our co-sponsor, The Prometheus Group. An onsite representative from Prometheus will also be available to answer questions about the equipment.
This is an intermediate level rehabilitative ultrasound imaging course intended for therapists having a sound knowledge in training techniques for the local stabilizing muscles of the pelvic floor, transverse abdominals, and deep multifidi muscles. Prior coursework regarding the local stabilizing muscles is required.
Have questions about equipment and want info on purchasing? Contact our co-sponsor, The Prometheus Group
 
Audience:
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: Prior coursework regarding the assessment and treatment of the local stabilizing muscles.

Required Reading: Pelvic Stability & Your Core by Diane Lee.




Day One:
 7:30 Registration
 8:00 Introductions, goals, objectives, history of ultrasound, scope of practice
 8:45 Limitations, reliability, validity, safety and risk of harm issues 
 9:15 Understanding ultrasound images
 10:30 Lab: Intro to US Machines
 11:00 Imaging Pelvic Floor Muscles - Transabdominal
 12:00 LUNCH
 1:00 Vendor Presentation
 1:15 Lab: Imaging pelvic floor muscles
 2:15 Imaging midline abdominal wall
 3:00 Lab: Imaging midline abdominal wall 
 3:45 Case Study
 4:30 Review, questions
 5:00 End of day 1


Day Two:
 8:30 Imaging transverse abdominal muscles
 9:15 Lab: Imaging transverse abdominal muscles/palpation of the transverse abdominal muscles
 10:30 Imaging deep multifidus muscles
 11:15 Lab: Imaging deep multifidus muscles/palpation of the multifidus muscles
 12:30 LUNCH
 1:30 Functional training with US imaging
 2:00 Lab: Functional training with US imaging
 2:45 Measurements of transabdominal
 3:15 Lab: Measurements
 4:00 Case Study
 4:45 Review and questions
 5:00 End of day 2




 
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the difference between rehabilitative ultrasound imaging and medical ultrasound imaging
2. Describe how rehabilitative ultrasound imaging fits into physical therapy scope of practice
3. Describe basic principles of physics that apply to ultrasound use
4. Describe safety issues and the ALARA principle concerning rehabilitative ultrasound imaging in physical therapy practice
5. List and appropriately use components of ultrasound machine
6. Generate, recognize, and interpret ultrasound images of the bladder base, pelvic floor muscles, transverse abdominal muscles, deep multifdi muscles, and rectus abdominis before and after contraction using transabdominal viewing methods
7. Demonstrate the ability to use ultrasound imaging in order to take measurements of diastasis rectus separations
8. Demonstrate the ability to use ultrasound imaging in order to take measurements relating to the transverse abdominus, deep multifidus, and the detrusor muscle
9. Save and transfer images and clips into multimedia presentations
10. Incorporate the use of rehabilitative ultrasound imaging into evaluation and development of treatment protocols for the lumbopelvic pain patient.
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


 
Name
Street Address (Links to Map)

Course Location

 St. Luke's Rehabilitation Institute


711 S Cowley St
Spokane, WA 99202


Recommended Lodging

DoubleTree by Hilton Spokane City Center
(509) 455-9600

322 N Spokane Falls Ct
Spokane, WA 99201


Nearest Airport

Spokane International Airport
Airport Code: GEG

9000 W Airport Dr
 Spokane, WA 99224



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




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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $675 (Early Registrant Price $650)
Experience Level: Intermediate
Contact Hours: 21




This continuing education seminar is a two-and-a-half day course designed to provide instruction in the generation and interpretation of rehabilitative ultrasound images as they relate to the pelvic girdle. Both lecture and lab material will be presented that will allow the participant to immediately incorporate the use of rehabilitative ultrasound imaging into their evaluation and treatment plans for patients with diagnoses including lumbo-pelvic pain and instability, pelvic organ prolapse, and urinary incontinence.
The course comprises of lectures and labs that present both ideal and abnormal responses of real-time imaging of the transverse abdominals, rectus abdominis, deep multifidus, levator ani, bladder, bladder neck, urethra, and vagina during contraction and valsalva. Imaging methods used during labs will consist of transabdominal viewing as well as transperineal/translabial viewing methods. Prior experience with perineal and vaginal assessments is required to take the course. During labs, participants will be able to practice using machines provided by our co-sponsor, The Prometheus Group. An onsite representative from Prometheus will also be available to answer questions about the equipment.
This is an intermediate level rehabilitative ultrasound imaging course intended for therapists having a sound knowledge in training techniques for the local stabilizing muscles of the pelvic floor, transverse abdominals, and deep multifidi muscles and experience with internal vaginal exam. Prior coursework regarding the local stabilizing muscles (Diane Lee/ Linda Joy Lee, Paul Hodges, Pelvic Floor/Pelvic Girdle) is required.
 
Have questions about equipment and want info on purchasing? Contact our co-sponsor, The Prometheus Group


Audience: 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: Prior coursework regarding the assessment and treatment of the local stabilizing muscles and experience with internal and external vaginal assessment.

Required Reading: Pelvic Stability & Your Core by Diane Lee.




Day One:
 7:30 Registration
 8:00 Introductions, goals, objectives, history of ultrasound, scope of practice
 8:45 Limitations, reliability, validity, safety and risk of harm issues 
 9:15 Understanding ultrasound images
 10:30 Lab: Intro to US Machines
 11:00 Imaging Pelvic Floor Muscles - Transabdominal
 12:00 LUNCH
 1:00 Vendor Presentation
 1:15 Lab: Imaging pelvic floor muscles
 2:15 Imaging midline abdominal wall
 3:00 Lab: Imaging midline abdominal wall 
 3:45 Case Study
 4:30 Review, questions
 5:00 End of day 1


Day Two:
 8:30 Imaging transverse abdominal muscles
 9:15 Lab: Imaging transverse abdominal muscles/palpation of the transverse abdominal muscles
 10:30 Imaging deep multifidus muscles
 11:15 Lab: Imaging deep multifidus muscles/palpation of the multifidus muscles
 12:30 LUNCH
 1:30 Functional training with US imaging
 2:00 Lab: Functional training with US imaging
 2:45 Measurements of transabdominal
 3:15 Lab: Measurements
 4:00 Case Study
 4:45 Review and questions
 5:00 End of day 2


Day Three:
 8:00 Questions
 8:15 PVR- transabdominal
 8:45 Lab: PVR
 9:15 Transperineal viewing of the anterior compartment
 10:45 Measurements of the anterior compartment
 11:30 Lab: Imaging of the anterior compartment/ Measurements of the anterior compartment
 12:30 Case study
 12:50 Review and questions
 1:00 End of day 3




 
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the difference between rehabilitative ultrasound imaging and medical ultrasound imaging
2. Describe how rehabilitative ultrasound imaging fits into physical therapy scope of practice
3. List current uses and limitations of ultrasound imaging in women’s health physical therapy practice
4. Describe basic principles of physics that apply to ultrasound use
5. Describe safety issues and the ALARA principle concerning rehabilitative ultrasound imaging in physical therapy practice
6. List and appropriately use components of ultrasound machine
7. Generate, recognize, and interpret ultrasound images of the bladder base, pelvic floor muscles, transverse abdominal muscles, deep multifdi muscles, and rectus abdominis before and after contraction using transabdominal viewing methods
8. Generate, recognize, and interpret ultrasound images of the levator ani muscles, detrusor muscle, bladder neck, and urethra using transperineal viewing methods
9. Demonstrate the ability to use ultrasound imaging in order to take measurements of diastasis rectus separations
10. Demonstrate the ability to use ultrasound imaging in order to take measurements relating to the transverse abdominus, deep multifidus, and the detrusor muscle
11. Incorporate the use of rehabilitative ultrasound imaging into evaluation and development of treatment protocols for the women’s health patient
12. Save and transfer images and clips into multimedia presentations
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


 
Name
Street Address (Links to Map)

Course Location

Kettering Health Network
Nelson Conference Rooms 1, 2 and 3

3535 Southern Blvd 
Dayton, OH 45429


Recommended Lodging

Courtyard Marriott 
(937) 220-9060

2006 S Edwin C Moses Blvd 
Dayton, OH 45417


Nearest Airport

Dayton International Airport
Airport Code: DAY

3600 Terminal Dr
Dayton, OH 45377



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




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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $675 (Early Registrant Price $650)
Experience Level: Intermediate
Contact Hours: 21




This continuing education seminar is a two-and-a-half day course designed to provide instruction in the generation and interpretation of rehabilitative ultrasound images as they relate to the pelvic girdle. Both lecture and lab material will be presented that will allow the participant to immediately incorporate the use of rehabilitative ultrasound imaging into their evaluation and treatment plans for patients with diagnoses including lumbo-pelvic pain and instability, pelvic organ prolapse, and urinary incontinence.
The course comprises of lectures and labs that present both ideal and abnormal responses of real-time imaging of the transverse abdominals, rectus abdominis, deep multifidus, levator ani, bladder, bladder neck, urethra, and vagina during contraction and valsalva. Imaging methods used during labs will consist of transabdominal viewing as well as transperineal/translabial viewing methods. Prior experience with perineal and vaginal assessments is required to take the course. During labs, participants will be able to practice using machines provided by our co-sponsor, The Prometheus Group. An onsite representative from Prometheus will also be available to answer questions about the equipment.
This is an intermediate level rehabilitative ultrasound imaging course intended for therapists having a sound knowledge in training techniques for the local stabilizing muscles of the pelvic floor, transverse abdominals, and deep multifidi muscles and experience with internal vaginal exam. Prior coursework regarding the local stabilizing muscles (Diane Lee/ Linda Joy Lee, Paul Hodges, Pelvic Floor/Pelvic Girdle) is required.
 
Have questions about equipment and want info on purchasing? Contact our co-sponsor, The Prometheus Group


Audience: 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: Prior coursework regarding the assessment and treatment of the local stabilizing muscles and experience with internal and external vaginal assessment.

Required Reading: Pelvic Stability & Your Core by Diane Lee.




Day One:
 7:30 Registration
 8:00 Introductions, goals, objectives, history of ultrasound, scope of practice
 8:45 Limitations, reliability, validity, safety and risk of harm issues 
 9:15 Understanding ultrasound images
 10:30 Lab: Intro to US Machines
 11:00 Imaging Pelvic Floor Muscles - Transabdominal
 12:00 LUNCH
 1:00 Vendor Presentation
 1:15 Lab: Imaging pelvic floor muscles
 2:15 Imaging midline abdominal wall
 3:00 Lab: Imaging midline abdominal wall 
 3:45 Case Study
 4:30 Review, questions
 5:00 End of day 1


Day Two:
 8:30 Imaging transverse abdominal muscles
 9:15 Lab: Imaging transverse abdominal muscles/palpation of the transverse abdominal muscles
 10:30 Imaging deep multifidus muscles
 11:15 Lab: Imaging deep multifidus muscles/palpation of the multifidus muscles
 12:30 LUNCH
 1:30 Functional training with US imaging
 2:00 Lab: Functional training with US imaging
 2:45 Measurements of transabdominal
 3:15 Lab: Measurements
 4:00 Case Study
 4:45 Review and questions
 5:00 End of day 2


Day Three:
 8:00 Questions
 8:15 PVR- transabdominal
 8:45 Lab: PVR
 9:15 Transperineal viewing of the anterior compartment
 10:45 Measurements of the anterior compartment
 11:30 Lab: Imaging of the anterior compartment/ Measurements of the anterior compartment
 12:30 Case study
 12:50 Review and questions
 1:00 End of day 3




 
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the difference between rehabilitative ultrasound imaging and medical ultrasound imaging
2. Describe how rehabilitative ultrasound imaging fits into physical therapy scope of practice
3. List current uses and limitations of ultrasound imaging in women’s health physical therapy practice
4. Describe basic principles of physics that apply to ultrasound use
5. Describe safety issues and the ALARA principle concerning rehabilitative ultrasound imaging in physical therapy practice
6. List and appropriately use components of ultrasound machine
7. Generate, recognize, and interpret ultrasound images of the bladder base, pelvic floor muscles, transverse abdominal muscles, deep multifdi muscles, and rectus abdominis before and after contraction using transabdominal viewing methods
8. Generate, recognize, and interpret ultrasound images of the levator ani muscles, detrusor muscle, bladder neck, and urethra using transperineal viewing methods
9. Demonstrate the ability to use ultrasound imaging in order to take measurements of diastasis rectus separations
10. Demonstrate the ability to use ultrasound imaging in order to take measurements relating to the transverse abdominus, deep multifidus, and the detrusor muscle
11. Incorporate the use of rehabilitative ultrasound imaging into evaluation and development of treatment protocols for the women’s health patient
12. Save and transfer images and clips into multimedia presentations
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


 
Name
Street Address (Links to Map)

Course Location

Princeton Healthcare System 

 1 Plainsboro Rd, 
 Plainsboro, NJ 08536 


Recommended Lodging

Holiday Inn Express Princeton Southeast
(609)-936-6600

870 Scudders Mill Rd,
 Plainsboro Township, NJ 08536 


Nearest Airport

Trenton–Mercer Airport
Airport Code:TTN

1100 Terminal Circle Dr
 Ewing Township, NJ 08628, USA



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




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Rehabilitative Ultra Sound Imaging: Women's Health and Orthopedic Topics - San Diego, CA - November 10-12, 2018
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $675 (Early Registrant Price $650)
Experience Level: Intermediate
Contact Hours: 21




This continuing education seminar is a two-and-a-half day course designed to provide instruction in the generation and interpretation of rehabilitative ultrasound images as they relate to the pelvic girdle. Both lecture and lab material will be presented that will allow the participant to immediately incorporate the use of rehabilitative ultrasound imaging into their evaluation and treatment plans for patients with diagnoses including lumbo-pelvic pain and instability, pelvic organ prolapse, and urinary incontinence.
The course comprises of lectures and labs that present both ideal and abnormal responses of real-time imaging of the transverse abdominals, rectus abdominis, deep multifidus, levator ani, bladder, bladder neck, urethra, and vagina during contraction and valsalva. Imaging methods used during labs will consist of transabdominal viewing as well as transperineal/translabial viewing methods. Prior experience with perineal and vaginal assessments is required to take the course. During labs, participants will be able to practice using machines provided by our co-sponsor, The Prometheus Group. An onsite representative from Prometheus will also be available to answer questions about the equipment.
This is an intermediate level rehabilitative ultrasound imaging course intended for therapists having a sound knowledge in training techniques for the local stabilizing muscles of the pelvic floor, transverse abdominals, and deep multifidi muscles and experience with internal vaginal exam. Prior coursework regarding the local stabilizing muscles (Diane Lee/ Linda Joy Lee, Paul Hodges, Pelvic Floor/Pelvic Girdle) is required.
 
Have questions about equipment and want info on purchasing? Contact our co-sponsor, The Prometheus Group


Audience: 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: Prior coursework regarding the assessment and treatment of the local stabilizing muscles and experience with internal and external vaginal assessment.

Required Reading: Pelvic Stability & Your Core by Diane Lee.




Day One:
 7:30 Registration
 8:00 Introductions, goals, objectives, history of ultrasound, scope of practice
 8:45 Limitations, reliability, validity, safety and risk of harm issues 
 9:15 Understanding ultrasound images
 10:30 Lab: Intro to US Machines
 11:00 Imaging Pelvic Floor Muscles - Transabdominal
 12:00 LUNCH
 1:00 Vendor Presentation
 1:15 Lab: Imaging pelvic floor muscles
 2:15 Imaging midline abdominal wall
 3:00 Lab: Imaging midline abdominal wall 
 3:45 Case Study
 4:30 Review, questions
 5:00 End of day 1


Day Two:
 8:30 Imaging transverse abdominal muscles
 9:15 Lab: Imaging transverse abdominal muscles/palpation of the transverse abdominal muscles
 10:30 Imaging deep multifidus muscles
 11:15 Lab: Imaging deep multifidus muscles/palpation of the multifidus muscles
 12:30 LUNCH
 1:30 Functional training with US imaging
 2:00 Lab: Functional training with US imaging
 2:45 Measurements of transabdominal
 3:15 Lab: Measurements
 4:00 Case Study
 4:45 Review and questions
 5:00 End of day 2


Day Three:
 8:00 Questions
 8:15 PVR- transabdominal
 8:45 Lab: PVR
 9:15 Transperineal viewing of the anterior compartment
 10:45 Measurements of the anterior compartment
 11:30 Lab: Imaging of the anterior compartment/ Measurements of the anterior compartment
 12:30 Case study
 12:50 Review and questions
 1:00 End of day 3




 
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the difference between rehabilitative ultrasound imaging and medical ultrasound imaging
2. Describe how rehabilitative ultrasound imaging fits into physical therapy scope of practice
3. List current uses and limitations of ultrasound imaging in women’s health physical therapy practice
4. Describe basic principles of physics that apply to ultrasound use
5. Describe safety issues and the ALARA principle concerning rehabilitative ultrasound imaging in physical therapy practice
6. List and appropriately use components of ultrasound machine
7. Generate, recognize, and interpret ultrasound images of the bladder base, pelvic floor muscles, transverse abdominal muscles, deep multifdi muscles, and rectus abdominis before and after contraction using transabdominal viewing methods
8. Generate, recognize, and interpret ultrasound images of the levator ani muscles, detrusor muscle, bladder neck, and urethra using transperineal viewing methods
9. Demonstrate the ability to use ultrasound imaging in order to take measurements of diastasis rectus separations
10. Demonstrate the ability to use ultrasound imaging in order to take measurements relating to the transverse abdominus, deep multifidus, and the detrusor muscle
11. Incorporate the use of rehabilitative ultrasound imaging into evaluation and development of treatment protocols for the women’s health patient
12. Save and transfer images and clips into multimedia presentations
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


 
Name
Street Address (Links to Map)

Course Location

Comprehensive Therapy Services

5677 Oberlin Drive, Suite 106 
San Diego, CA 92121


Recommended Lodging

Holiday Inn Express Sorrento Valley 
(858) 731-0100

5925 Lusk Blvd 
San Diego, CA 92121


Nearest Airport

San Diego International Airport
Airport Code: SAN

3225 N Harbor Dr
San Diego, CA 92101



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




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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $675 (Early Registrant Price $650)
Experience Level: Intermediate
Contact Hours: 21




This continuing education seminar is a two-and-a-half day course designed to provide instruction in the generation and interpretation of rehabilitative ultrasound images as they relate to the pelvic girdle. Both lecture and lab material will be presented that will allow the participant to immediately incorporate the use of rehabilitative ultrasound imaging into their evaluation and treatment plans for patients with diagnoses including lumbo-pelvic pain and instability, pelvic organ prolapse, and urinary incontinence.
The course comprises of lectures and labs that present both ideal and abnormal responses of real-time imaging of the transverse abdominals, rectus abdominis, deep multifidus, levator ani, bladder, bladder neck, urethra, and vagina during contraction and valsalva. Imaging methods used during labs will consist of transabdominal viewing as well as transperineal/translabial viewing methods. Prior experience with perineal and vaginal assessments is required to take the course. During labs, participants will be able to practice using machines provided by our co-sponsor, The Prometheus Group. An onsite representative from Prometheus will also be available to answer questions about the equipment.
This is an intermediate level rehabilitative ultrasound imaging course intended for therapists having a sound knowledge in training techniques for the local stabilizing muscles of the pelvic floor, transverse abdominals, and deep multifidi muscles and experience with internal vaginal exam. Prior coursework regarding the local stabilizing muscles (Diane Lee/ Linda Joy Lee, Paul Hodges, Pelvic Floor/Pelvic Girdle) is required.
 
Have questions about equipment and want info on purchasing? Contact our co-sponsor, The Prometheus Group


Audience: 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: Prior coursework regarding the assessment and treatment of the local stabilizing muscles and experience with internal and external vaginal assessment.

Required Reading: Pelvic Stability & Your Core by Diane Lee.




Day One:
 7:30 Registration
 8:00 Introductions, goals, objectives, history of ultrasound, scope of practice
 8:45 Limitations, reliability, validity, safety and risk of harm issues 
 9:15 Understanding ultrasound images
 10:30 Lab: Intro to US Machines
 11:00 Imaging Pelvic Floor Muscles - Transabdominal
 12:00 LUNCH
 1:00 Vendor Presentation
 1:15 Lab: Imaging pelvic floor muscles
 2:15 Imaging midline abdominal wall
 3:00 Lab: Imaging midline abdominal wall 
 3:45 Case Study
 4:30 Review, questions
 5:00 End of day 1


Day Two:
 8:30 Imaging transverse abdominal muscles
 9:15 Lab: Imaging transverse abdominal muscles/palpation of the transverse abdominal muscles
 10:30 Imaging deep multifidus muscles
 11:15 Lab: Imaging deep multifidus muscles/palpation of the multifidus muscles
 12:30 LUNCH
 1:30 Functional training with US imaging
 2:00 Lab: Functional training with US imaging
 2:45 Measurements of transabdominal
 3:15 Lab: Measurements
 4:00 Case Study
 4:45 Review and questions
 5:00 End of day 2


Day Three:
 8:00 Questions
 8:15 PVR- transabdominal
 8:45 Lab: PVR
 9:15 Transperineal viewing of the anterior compartment
 10:45 Measurements of the anterior compartment
 11:30 Lab: Imaging of the anterior compartment/ Measurements of the anterior compartment
 12:30 Case study
 12:50 Review and questions
 1:00 End of day 3




 
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the difference between rehabilitative ultrasound imaging and medical ultrasound imaging
2. Describe how rehabilitative ultrasound imaging fits into physical therapy scope of practice
3. List current uses and limitations of ultrasound imaging in women’s health physical therapy practice
4. Describe basic principles of physics that apply to ultrasound use
5. Describe safety issues and the ALARA principle concerning rehabilitative ultrasound imaging in physical therapy practice
6. List and appropriately use components of ultrasound machine
7. Generate, recognize, and interpret ultrasound images of the bladder base, pelvic floor muscles, transverse abdominal muscles, deep multifdi muscles, and rectus abdominis before and after contraction using transabdominal viewing methods
8. Generate, recognize, and interpret ultrasound images of the levator ani muscles, detrusor muscle, bladder neck, and urethra using transperineal viewing methods
9. Demonstrate the ability to use ultrasound imaging in order to take measurements of diastasis rectus separations
10. Demonstrate the ability to use ultrasound imaging in order to take measurements relating to the transverse abdominus, deep multifidus, and the detrusor muscle
11. Incorporate the use of rehabilitative ultrasound imaging into evaluation and development of treatment protocols for the women’s health patient
12. Save and transfer images and clips into multimedia presentations
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


 
Name
Street Address (Links to Map)

Course Location

 St. Luke's Rehabilitation Institute


711 S Cowley St
Spokane, WA 99202


Recommended Lodging

DoubleTree by Hilton Spokane City Center
(509) 455-9600

322 N Spokane Falls Ct
Spokane, WA 99201


Nearest Airport

Spokane International Airport
Airport Code: GEG

9000 W Airport Dr
 Spokane, WA 99224



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




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Rehabilitative Ultrasound Imaging: Orthopedic Topics - Chicago, IL - December 6-7, 2019
{dtregister}769{/dtregister}



    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    



Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $475 (Early Registrant Price $450)
Experience Level: Intermediate
Contact Hours: 14




This continuing education seminar is a two day course designed to provide instruction in the generation and interpretation of rehabilitative ultrasound images as they relate to the pelvic girdle and low back stabilization. Both lecture and lab material will be presented that will allow the participant to immediately incorporate the use of rehabilitative ultrasound imaging into their evaluation and treatment plans for patients with diagnoses including lumbo-pelvic pain and instability.
This continuing education course comprises of lectures and labs that present both ideal and abnormal responses of real-time imaging of the transverse abdominals, rectus abdominis, deep multifidus, levator ani, bladder, and bladder neck. During labs, participants will be able to practice using machines provided by our co-sponsor, The Prometheus Group. An onsite representative from Prometheus will also be available to answer questions about the equipment.
This is an intermediate level rehabilitative ultrasound imaging course intended for therapists having a sound knowledge in training techniques for the local stabilizing muscles of the pelvic floor, transverse abdominals, and deep multifidi muscles. Prior coursework regarding the local stabilizing muscles is required.
Have questions about equipment and want info on purchasing? Contact our co-sponsor, The Prometheus Group
 
Audience:
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: Prior coursework regarding the assessment and treatment of the local stabilizing muscles.

Required Reading: Pelvic Stability & Your Core by Diane Lee.




Day One:
 7:30 Registration
 8:00 Introductions, goals, objectives, history of ultrasound, scope of practice
 8:45 Limitations, reliability, validity, safety and risk of harm issues 
 9:15 Understanding ultrasound images
 10:30 Lab: Intro to US Machines
 11:00 Imaging Pelvic Floor Muscles - Transabdominal
 12:00 LUNCH
 1:00 Vendor Presentation
 1:15 Lab: Imaging pelvic floor muscles
 2:15 Imaging midline abdominal wall
 3:00 Lab: Imaging midline abdominal wall 
 3:45 Case Study
 4:30 Review, questions
 5:00 End of day 1


Day Two:
 8:30 Imaging transverse abdominal muscles
 9:15 Lab: Imaging transverse abdominal muscles/palpation of the transverse abdominal muscles
 10:30 Imaging deep multifidus muscles
 11:15 Lab: Imaging deep multifidus muscles/palpation of the multifidus muscles
 12:30 LUNCH
 1:30 Functional training with US imaging
 2:00 Lab: Functional training with US imaging
 2:45 Measurements of transabdominal
 3:15 Lab: Measurements
 4:00 Case Study
 4:45 Review and questions
 5:00 End of day 2




 
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the difference between rehabilitative ultrasound imaging and medical ultrasound imaging
2. Describe how rehabilitative ultrasound imaging fits into physical therapy scope of practice
3. Describe basic principles of physics that apply to ultrasound use
4. Describe safety issues and the ALARA principle concerning rehabilitative ultrasound imaging in physical therapy practice
5. List and appropriately use components of ultrasound machine
6. Generate, recognize, and interpret ultrasound images of the bladder base, pelvic floor muscles, transverse abdominal muscles, deep multifdi muscles, and rectus abdominis before and after contraction using transabdominal viewing methods
7. Demonstrate the ability to use ultrasound imaging in order to take measurements of diastasis rectus separations
8. Demonstrate the ability to use ultrasound imaging in order to take measurements relating to the transverse abdominus, deep multifidus, and the detrusor muscle
9. Save and transfer images and clips into multimedia presentations
10. Incorporate the use of rehabilitative ultrasound imaging into evaluation and development of treatment protocols for the lumbopelvic pain patient.


 
Name
Street Address (Links to Map)

Course Location

Swedish Covenant Hospital

2751 W Winona Ave
Chicago, IL 60625 


Recommended Lodging

Hilton Rosemont/Chicago O'Hare
(440) 871-3100

5550 N River Rd
 Rosemont, IL, 60018


Nearest Airport

O'Hare International Airport
Airport Code: ORD

10000 W O'Hare Ave
Chicago, IL 60666



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.
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".




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