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Finding the Driver - Columbus, OH - June 28-30, 2019
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Description
Schedule
Objectives
Location/Lodging
Instructor
Discounts




Price: $725 (Early Registrant Price of $695 ends one month
before the first day of the course).
Experience Level: Intermediate
Contact Hours: 21.75





Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.
This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.
 
Audience:
Physical therapists, occupational therapists, advanced practice nurses and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics
 
Prerequisites:
Permission of instructor, or clinicians who have completed a minimum of one pelvic floor evaluation and treatment course including external and internal assessment of pelvic floor anatomy, options include Pelvic Floor Level 1 from Herman and Wallace, APTA SOWH PF 1 course and Marquette University’s 4 Day Treatment of Bowel, Bladder and Pelvic Floor Disorders.
 
What to Bring:
Joint Mobilization Belt




Day One:
 8:00 Objectives, Introductions and Overview
 8:15 Introduction: Finding the Driver
 8:45 Pelvic Floor Functional Anatomy
 9:45 Pelvic Floor TheraBand Demo
 10:00 Break
 10:15 External Pelvic Ring Palpation
11:00 Lab 1: External Pelvic Ring Palpation
 12:30 Lunch
 1:30 Vulvar and Pelvic Floor Muscle (PFM) Assessment
 2:15 Lab 2: Vulvar and PFM Assessment
 3:30 Break 
 3:45 Bowel and Bladder Diary Review
 4:30 Case Study
5:00 Adjourn


Day Two: (note concurrent lecture/lab and please keep desks clear)
8:00 Questions and Answers 
8:15 Musculoskeletal Screening Exam Lecture/Lab (Posture, Tsp, Abdominal)
 10:00 Break
 10:15 Musculoskeletal Screening Exam Lecture/Lab (Lumbar Spine)
 12:30 Lunch
 1:30 Musculoskeletal Screening Exam Lecture/Lab (SIJ, Hip)
 3:15 Break
 3:30 Musculoskeletal Screening Exam Lecture/Lab (LQ, Motor Control)
4:45 Questions 
 5:00 Adjourn


Day Three:
7:30 Completion of MSK Screening Lectures/Labs
Treatment: Manual Therapy Rx Options: Myofascial decompression, joint mobilization
 9:30 Break
 9:45 Overview of Urogynecologic Pelvic Pain Drivers
 10:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall Retraining
 12:00 Lunch
 12:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall (cont'd)
 2:00 Treatment and Reverse Case Studies
 3:00 Questions & Gratitude
 3:30 Adjourn



Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:
1. Understand evidence-based scan exam test item clusters pertaining to pelvic pain in order to identify pelvic pain sources, as well as factors that influence and react to pelvic floor overactivity.

2. Consider findings within Mechanisms-Based Reasoning, understanding normative data findings and using words that heal with our clients.

3. Understand the role of central sensitization, nociceptive, peripheral neurogenic, autonomic/sympathetic and affective/cognitive pain.

4. Perform test item clusters for spine, abdominal wall, SIJ, hip, pubic symphysis, biomechanical, neuromuscular factors impacting pelvic pain and elimination disorders.

5. Perform a scan exam for external and internal vaginal pelvic floor assessment and document findings with a PFM mapping tool.

6. Understand pelvic pain drivers including vulvodynia, interstitial cystitis (IC)/painful bladder syndrome (PBS), constipation, colorectal dysfunction, vulvar dermatologic and post-partum perineal injuries.

7. Fill out a bowel and bladder diary and apply advanced understanding to understand its role in evaluation and treatment of pelvic pain. 

8. Dialogue through the clinical reasoning of multiple case studies to design and prioritize evaluation and treatment interventions.

9. Learn treatment interventions including the use of reframing narratives, neural down regulation, manual therapy, client education resources and home self-treatment options.


 
Name
Street Address (Links to Map)

Course Location

Mount Carmel East Hospital
 Bruce E. Siegel Center

5975 E. Broad St
Columbus, OH 43213 


Recommended Lodging

Comfort Suites East Broad at 270
(614) 364-4362

70 Chris Perry Ln
 Columbus, OH 43213


Nearest Airport

John Glenn Columbus International Airport
Airport Code: CMH

4600 International Gateway
Columbus, OH 43219



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!
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
Location/Lodging
Instructor
Discounts




Price: $725 (Early Registrant Price of $695 ends one month
before the first day of the course).
Experience Level: Intermediate
Contact Hours: 21.75





Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.
This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.
 
Audience:
Physical therapists, occupational therapists, advanced practice nurses and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics
 
Prerequisites:
Permission of instructor, or clinicians who have completed a minimum of one pelvic floor evaluation and treatment course including external and internal assessment of pelvic floor anatomy, options include Pelvic Floor Level 1 from Herman and Wallace, APTA SOWH PF 1 course and Marquette University’s 4 Day Treatment of Bowel, Bladder and Pelvic Floor Disorders.
 
What to Bring:
Joint Mobilization Belt




Day One:
 8:00 Objectives, Introductions and Overview
 8:15 Introduction: Finding the Driver
 8:45 Pelvic Floor Functional Anatomy
 9:45 Pelvic Floor TheraBand Demo
 10:00 Break
 10:15 External Pelvic Ring Palpation
11:00 Lab 1: External Pelvic Ring Palpation
 12:30 Lunch
 1:30 Vulvar and Pelvic Floor Muscle (PFM) Assessment
 2:15 Lab 2: Vulvar and PFM Assessment
 3:30 Break 
 3:45 Bowel and Bladder Diary Review
 4:30 Case Study
5:00 Adjourn


Day Two: (note concurrent lecture/lab and please keep desks clear)
8:00 Questions and Answers 
8:15 Musculoskeletal Screening Exam Lecture/Lab (Posture, Tsp, Abdominal)
 10:00 Break
 10:15 Musculoskeletal Screening Exam Lecture/Lab (Lumbar Spine)
 12:30 Lunch
 1:30 Musculoskeletal Screening Exam Lecture/Lab (SIJ, Hip)
 3:15 Break
 3:30 Musculoskeletal Screening Exam Lecture/Lab (LQ, Motor Control)
4:45 Questions 
 5:00 Adjourn


Day Three:
7:30 Completion of MSK Screening Lectures/Labs
Treatment: Manual Therapy Rx Options: Myofascial decompression, joint mobilization
 9:30 Break
 9:45 Overview of Urogynecologic Pelvic Pain Drivers
 10:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall Retraining
 12:00 Lunch
 12:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall (cont'd)
 2:00 Treatment and Reverse Case Studies
 3:00 Questions & Gratitude
 3:30 Adjourn



Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:
1. Understand evidence-based scan exam test item clusters pertaining to pelvic pain in order to identify pelvic pain sources, as well as factors that influence and react to pelvic floor overactivity.

2. Consider findings within Mechanisms-Based Reasoning, understanding normative data findings and using words that heal with our clients.

3. Understand the role of central sensitization, nociceptive, peripheral neurogenic, autonomic/sympathetic and affective/cognitive pain.

4. Perform test item clusters for spine, abdominal wall, SIJ, hip, pubic symphysis, biomechanical, neuromuscular factors impacting pelvic pain and elimination disorders.

5. Perform a scan exam for external and internal vaginal pelvic floor assessment and document findings with a PFM mapping tool.

6. Understand pelvic pain drivers including vulvodynia, interstitial cystitis (IC)/painful bladder syndrome (PBS), constipation, colorectal dysfunction, vulvar dermatologic and post-partum perineal injuries.

7. Fill out a bowel and bladder diary and apply advanced understanding to understand its role in evaluation and treatment of pelvic pain. 

8. Dialogue through the clinical reasoning of multiple case studies to design and prioritize evaluation and treatment interventions.

9. Learn treatment interventions including the use of reframing narratives, neural down regulation, manual therapy, client education resources and home self-treatment options.


 
Name
Street Address (Links to Map)

Course Location

Loyola University Health System

2160 S 1st Ave
Maywood, IL 60625


Recommended Lodging

Residence Inn Oakbrook
(630)568-2342

790 Jorie Boulevard
Oak Brook, IL 60523


Nearest Airport

Chicago Midway International Airport
Airport Code: MCO

5700 S Cicero Ave
Chicago, IL 60638



 
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
 
Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!
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: $725 (Early Registrant Price of $695 ends one month
before the first day of the course).
Experience Level: Intermediate
Contact Hours: 21.75





Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.
This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.
 
Audience:
Physical therapists, occupational therapists, advanced practice nurses and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics
 
Prerequisites:
Permission of instructor, or clinicians who have completed a minimum of one pelvic floor evaluation and treatment course including external and internal assessment of pelvic floor anatomy, options include Pelvic Floor Level 1 from Herman and Wallace, APTA SOWH PF 1 course and Marquette University’s 4 Day Treatment of Bowel, Bladder and Pelvic Floor Disorders.
 
What to Bring:
Joint Mobilization Belt




Day One:
 8:00 Objectives, Introductions and Overview
 8:15 Introduction: Finding the Driver
 8:45 Pelvic Floor Functional Anatomy
 9:45 Pelvic Floor TheraBand Demo
 10:00 Break
 10:15 External Pelvic Ring Palpation
11:00 Lab 1: External Pelvic Ring Palpation
 12:30 Lunch
 1:30 Vulvar and Pelvic Floor Muscle (PFM) Assessment
 2:15 Lab 2: Vulvar and PFM Assessment
 3:30 Break 
 3:45 Bowel and Bladder Diary Review
 4:30 Case Study
5:00 Adjourn


Day Two: (note concurrent lecture/lab and please keep desks clear)
8:00 Questions and Answers 
8:15 Musculoskeletal Screening Exam Lecture/Lab (Posture, Tsp, Abdominal)
 10:00 Break
 10:15 Musculoskeletal Screening Exam Lecture/Lab (Lumbar Spine)
 12:30 Lunch
 1:30 Musculoskeletal Screening Exam Lecture/Lab (SIJ, Hip)
 3:15 Break
 3:30 Musculoskeletal Screening Exam Lecture/Lab (LQ, Motor Control)
4:45 Questions 
 5:00 Adjourn


Day Three:
7:30 Completion of MSK Screening Lectures/Labs
Treatment: Manual Therapy Rx Options: Myofascial decompression, joint mobilization
 9:30 Break
 9:45 Overview of Urogynecologic Pelvic Pain Drivers
 10:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall Retraining
 12:00 Lunch
 12:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall (cont'd)
 2:00 Treatment and Reverse Case Studies
 3:00 Questions & Gratitude
 3:30 Adjourn



Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:
1. Understand evidence-based scan exam test item clusters pertaining to pelvic pain in order to identify pelvic pain sources, as well as factors that influence and react to pelvic floor overactivity.

2. Consider findings within Mechanisms-Based Reasoning, understanding normative data findings and using words that heal with our clients.

3. Understand the role of central sensitization, nociceptive, peripheral neurogenic, autonomic/sympathetic and affective/cognitive pain.

4. Perform test item clusters for spine, abdominal wall, SIJ, hip, pubic symphysis, biomechanical, neuromuscular factors impacting pelvic pain and elimination disorders.

5. Perform a scan exam for external and internal vaginal pelvic floor assessment and document findings with a PFM mapping tool.

6. Understand pelvic pain drivers including vulvodynia, interstitial cystitis (IC)/painful bladder syndrome (PBS), constipation, colorectal dysfunction, vulvar dermatologic and post-partum perineal injuries.

7. Fill out a bowel and bladder diary and apply advanced understanding to understand its role in evaluation and treatment of pelvic pain. 

8. Dialogue through the clinical reasoning of multiple case studies to design and prioritize evaluation and treatment interventions.

9. Learn treatment interventions including the use of reframing narratives, neural down regulation, manual therapy, client education resources and home self-treatment options.
Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!


 
Name
Street Address (Links to Map)

Course Location

Legacy Health

19300 SW 65th Ave
 Tualatin, OR 97062


Recommended Lodging

Holiday Inn Express Portland South - Lake Oswego
(503) 620-2980

15700 SW Upper Boones Ferry Rd
 Lake Oswego, OR 97035


Nearest Airport

Portland International Airport
Airport Code: PDX

7000 NE Airport Way
 Portland, OR 97218



 
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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Finding the Driver in Pelvic Pain - Charlotte, NC - October 28-30, 2016
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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: Intermediate
Contact Hours: 21.75





Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.
This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.
 
Audience:
Physical therapists, occupational therapists, advanced practice nurses and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics
 
Prerequisites:
Permission of instructor, or clinicians who have completed a minimum of one pelvic floor evaluation and treatment course including external and internal assessment of pelvic floor anatomy, options include Pelvic Floor Level 1 from Herman and Wallace, APTA SOWH PF 1 course and Marquette University’s 4 Day Treatment of Bowel, Bladder and Pelvic Floor Disorders.
 
What to Bring:
Joint Mobilization Belt




Day One:
 8:00 Objectives, Introductions and Overview
 8:15 Introduction: Finding the Driver
 8:45 Pelvic Floor Functional Anatomy
 9:45 Pelvic Floor TheraBand Demo
 10:00 Break
 10:15 External Pelvic Ring Palpation
11:00 Lab 1: External Pelvic Ring Palpation
 12:30 Lunch
 1:30 Vulvar and Pelvic Floor Muscle (PFM) Assessment
 2:15 Lab 2: Vulvar and PFM Assessment
 3:30 Break 
 3:45 Bowel and Bladder Diary Review
 4:30 Case Study
5:00 Adjourn


Day Two: (note concurrent lecture/lab and please keep desks clear)
8:00 Questions and Answers 
8:15 Musculoskeletal Screening Exam Lecture/Lab (Posture, Tsp, Abdominal)
 10:00 Break
 10:15 Musculoskeletal Screening Exam Lecture/Lab (Lumbar Spine)
 12:30 Lunch
 1:30 Musculoskeletal Screening Exam Lecture/Lab (SIJ, Hip)
 3:15 Break
 3:30 Musculoskeletal Screening Exam Lecture/Lab (LQ, Motor Control)
4:45 Questions 
 5:00 Adjourn


Day Three:
7:30 Completion of MSK Screening Lectures/Labs
Treatment: Manual Therapy Rx Options: Myofascial decompression, joint mobilization
 9:30 Break
 9:45 Overview of Urogynecologic Pelvic Pain Drivers
 10:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall Retraining
 12:00 Lunch
 12:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall (cont'd)
 2:00 Treatment and Reverse Case Studies
 3:00 Questions & Gratitude
 3:30 Adjourn



Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:
1. Understand evidence-based scan exam test item clusters pertaining to pelvic pain in order to identify pelvic pain sources, as well as factors that influence and react to pelvic floor overactivity.

2. Consider findings within Mechanisms-Based Reasoning, understanding normative data findings and using words that heal with our clients.

3. Understand the role of central sensitization, nociceptive, peripheral neurogenic, autonomic/sympathetic and affective/cognitive pain.

4. Perform test item clusters for spine, abdominal wall, SIJ, hip, pubic symphysis, biomechanical, neuromuscular factors impacting pelvic pain and elimination disorders.

5. Perform a scan exam for external and internal vaginal pelvic floor assessment and document findings with a PFM mapping tool.

6. Understand pelvic pain drivers including vulvodynia, interstitial cystitis (IC)/painful bladder syndrome (PBS), constipation, colorectal dysfunction, vulvar dermatologic and post-partum perineal injuries.

7. Fill out a bowel and bladder diary and apply advanced understanding to understand its role in evaluation and treatment of pelvic pain. 

8. Dialogue through the clinical reasoning of multiple case studies to design and prioritize evaluation and treatment interventions.

9. Learn treatment interventions including the use of reframing narratives, neural down regulation, manual therapy, client education resources and home self-treatment options.
Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!


 
Name
Street Address (Links to Map)

Course Location

CMC - Mercy

2001 Vail Ave
 Charlotte, NC 28207


Recommended Lodging

 Hampton Inn Charlotte-Uptown
(704) 373-0917

530 E Martin Luther King Jr Blvd
 Charlotte, NC 28202


Nearest Airport

Charlotte Douglas International Airport
Airport Code: CLT

5501 R C Josh Birmingham Pkwy
 Charlotte, NC 28208



 
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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Finding the Driver in Pelvic Pain - Houston, TX - Nov. 6-8, 2015
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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: Intermediate
Contact Hours: 21.75





Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.
This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.
 
Audience:
Physical therapists, occupational therapists, advanced practice nurses and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics
 
Prerequisites:
Permission of instructor, or clinicians who have completed a minimum of one pelvic floor evaluation and treatment course including external and internal assessment of pelvic floor anatomy, options include Pelvic Floor Level 1 from Herman and Wallace, APTA SOWH PF 1 course and Marquette University’s 4 Day Treatment of Bowel, Bladder and Pelvic Floor Disorders.
 
What to Bring:
Joint Mobilization Belt




Day One:
 8:00 Objectives, Introductions and Overview
 8:15 Introduction: Finding the Driver
 8:45 Pelvic Floor Functional Anatomy
 9:45 Pelvic Floor TheraBand Demo
 10:00 Break
 10:15 External Pelvic Ring Palpation
11:00 Lab 1: External Pelvic Ring Palpation
 12:30 Lunch
 1:30 Vulvar and Pelvic Floor Muscle (PFM) Assessment
 2:15 Lab 2: Vulvar and PFM Assessment
 3:30 Break 
 3:45 Bowel and Bladder Diary Review
 4:30 Case Study
5:00 Adjourn


Day Two: (note concurrent lecture/lab and please keep desks clear)
8:00 Questions and Answers 
8:15 Musculoskeletal Screening Exam Lecture/Lab (Posture, Tsp, Abdominal)
 10:00 Break
 10:15 Musculoskeletal Screening Exam Lecture/Lab (Lumbar Spine)
 12:30 Lunch
 1:30 Musculoskeletal Screening Exam Lecture/Lab (SIJ, Hip)
 3:15 Break
 3:30 Musculoskeletal Screening Exam Lecture/Lab (LQ, Motor Control)
4:45 Questions 
 5:00 Adjourn


Day Three:
7:30 Completion of MSK Screening Lectures/Labs
Treatment: Manual Therapy Rx Options: Myofascial decompression, joint mobilization
 9:30 Break
 9:45 Overview of Urogynecologic Pelvic Pain Drivers
 10:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall Retraining
 12:00 Lunch
 12:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall (cont'd)
 2:00 Treatment and Reverse Case Studies
 3:00 Questions & Gratitude
 3:30 Adjourn



Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:
1. Understand evidence-based scan exam test item clusters pertaining to pelvic pain in order to identify pelvic pain sources, as well as factors that influence and react to pelvic floor overactivity.

2. Consider findings within Mechanisms-Based Reasoning, understanding normative data findings and using words that heal with our clients.

3. Understand the role of central sensitization, nociceptive, peripheral neurogenic, autonomic/sympathetic and affective/cognitive pain.

4. Perform test item clusters for spine, abdominal wall, SIJ, hip, pubic symphysis, biomechanical, neuromuscular factors impacting pelvic pain and elimination disorders.

5. Perform a scan exam for external and internal vaginal pelvic floor assessment and document findings with a PFM mapping tool.

6. Understand pelvic pain drivers including vulvodynia, interstitial cystitis (IC)/painful bladder syndrome (PBS), constipation, colorectal dysfunction, vulvar dermatologic and post-partum perineal injuries.

7. Fill out a bowel and bladder diary and apply advanced understanding to understand its role in evaluation and treatment of pelvic pain. 

8. Dialogue through the clinical reasoning of multiple case studies to design and prioritize evaluation and treatment interventions.

9. Learn treatment interventions including the use of reframing narratives, neural down regulation, manual therapy, client education resources and home self-treatment options.
Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!


 
Name
Street Address (Links to Map)

Course Location

Women's Hospital of Texas

7400 Fannin St 
Houston, TX 77054


Recommended Lodging

BEST WESTERN Plaza Hotel & Suites at Medical Center 
(713) 522-2811

6700 S Main St 
Houston, TX 77030


Nearest Airport

George Bush Intercontinental Airport
Airport Code: HOU

2800 N Terminal Rd
 Houston, TX 77032



 
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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Finding the Driver in Pelvic Pain - Madison, WI - June 9-11, 2017
{dtregister}472{/dtregister}

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

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: Intermediate
Contact Hours: 21.75





Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.
This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.
 
Audience:
Physical therapists, occupational therapists, advanced practice nurses and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics
 
Prerequisites:
Permission of instructor, or clinicians who have completed a minimum of one pelvic floor evaluation and treatment course including external and internal assessment of pelvic floor anatomy, options include Pelvic Floor Level 1 from Herman and Wallace, APTA SOWH PF 1 course and Marquette University’s 4 Day Treatment of Bowel, Bladder and Pelvic Floor Disorders.
 
What to Bring:
Joint Mobilization Belt




Day One:
 8:00 Objectives, Introductions and Overview
 8:15 Introduction: Finding the Driver
 8:45 Pelvic Floor Functional Anatomy
 9:45 Pelvic Floor TheraBand Demo
 10:00 Break
 10:15 External Pelvic Ring Palpation
11:00 Lab 1: External Pelvic Ring Palpation
 12:30 Lunch
 1:30 Vulvar and Pelvic Floor Muscle (PFM) Assessment
 2:15 Lab 2: Vulvar and PFM Assessment
 3:30 Break 
 3:45 Bowel and Bladder Diary Review
 4:30 Case Study
5:00 Adjourn


Day Two: (note concurrent lecture/lab and please keep desks clear)
8:00 Questions and Answers 
8:15 Musculoskeletal Screening Exam Lecture/Lab (Posture, Tsp, Abdominal)
 10:00 Break
 10:15 Musculoskeletal Screening Exam Lecture/Lab (Lumbar Spine)
 12:30 Lunch
 1:30 Musculoskeletal Screening Exam Lecture/Lab (SIJ, Hip)
 3:15 Break
 3:30 Musculoskeletal Screening Exam Lecture/Lab (LQ, Motor Control)
4:45 Questions 
 5:00 Adjourn


Day Three:
7:30 Completion of MSK Screening Lectures/Labs
Treatment: Manual Therapy Rx Options: Myofascial decompression, joint mobilization
 9:30 Break
 9:45 Overview of Urogynecologic Pelvic Pain Drivers
 10:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall Retraining
 12:00 Lunch
 12:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall (cont'd)
 2:00 Treatment and Reverse Case Studies
 3:00 Questions & Gratitude
 3:30 Adjourn



Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:
1. Understand evidence-based scan exam test item clusters pertaining to pelvic pain in order to identify pelvic pain sources, as well as factors that influence and react to pelvic floor overactivity.

2. Consider findings within Mechanisms-Based Reasoning, understanding normative data findings and using words that heal with our clients.

3. Understand the role of central sensitization, nociceptive, peripheral neurogenic, autonomic/sympathetic and affective/cognitive pain.

4. Perform test item clusters for spine, abdominal wall, SIJ, hip, pubic symphysis, biomechanical, neuromuscular factors impacting pelvic pain and elimination disorders.

5. Perform a scan exam for external and internal vaginal pelvic floor assessment and document findings with a PFM mapping tool.

6. Understand pelvic pain drivers including vulvodynia, interstitial cystitis (IC)/painful bladder syndrome (PBS), constipation, colorectal dysfunction, vulvar dermatologic and post-partum perineal injuries.

7. Fill out a bowel and bladder diary and apply advanced understanding to understand its role in evaluation and treatment of pelvic pain. 

8. Dialogue through the clinical reasoning of multiple case studies to design and prioritize evaluation and treatment interventions.

9. Learn treatment interventions including the use of reframing narratives, neural down regulation, manual therapy, client education resources and home self-treatment options.
Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!


 
Name
Street Address (Links to Map)

Course Location

Meriter Hospital

1010 Mound St
 Madison, WI 53715


Recommended Lodging

Sheraton Madison Hotel
(608) 251-2300

706 John Nolen Dr
 Madison, WI 53713


Nearest Airport

Dane County Regional Airport
Airport Code: MSN

4000 International Ln
 Madison, WI 53704



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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}557{/dtregister}




    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    




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: Intermediate
Contact Hours: 21.75





Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.
This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.
 
Audience:
Physical therapists, occupational therapists, advanced practice nurses and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics
 
Prerequisites:
Permission of instructor, or clinicians who have completed a minimum of one pelvic floor evaluation and treatment course including external and internal assessment of pelvic floor anatomy, options include Pelvic Floor Level 1 from Herman and Wallace, APTA SOWH PF 1 course and Marquette University’s 4 Day Treatment of Bowel, Bladder and Pelvic Floor Disorders.
 
What to Bring:
Joint Mobilization Belt




Day One:
 8:00 Objectives, Introductions and Overview
 8:15 Introduction: Finding the Driver
 8:45 Pelvic Floor Functional Anatomy
 9:45 Pelvic Floor TheraBand Demo
 10:00 Break
 10:15 External Pelvic Ring Palpation
11:00 Lab 1: External Pelvic Ring Palpation
 12:30 Lunch
 1:30 Vulvar and Pelvic Floor Muscle (PFM) Assessment
 2:15 Lab 2: Vulvar and PFM Assessment
 3:30 Break 
 3:45 Bowel and Bladder Diary Review
 4:30 Case Study
5:00 Adjourn


Day Two: (note concurrent lecture/lab and please keep desks clear)
8:00 Questions and Answers 
8:15 Musculoskeletal Screening Exam Lecture/Lab (Posture, Tsp, Abdominal)
 10:00 Break
 10:15 Musculoskeletal Screening Exam Lecture/Lab (Lumbar Spine)
 12:30 Lunch
 1:30 Musculoskeletal Screening Exam Lecture/Lab (SIJ, Hip)
 3:15 Break
 3:30 Musculoskeletal Screening Exam Lecture/Lab (LQ, Motor Control)
4:45 Questions 
 5:00 Adjourn


Day Three:
7:30 Completion of MSK Screening Lectures/Labs
Treatment: Manual Therapy Rx Options: Myofascial decompression, joint mobilization
 9:30 Break
 9:45 Overview of Urogynecologic Pelvic Pain Drivers
 10:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall Retraining
 12:00 Lunch
 12:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall (cont'd)
 2:00 Treatment and Reverse Case Studies
 3:00 Questions & Gratitude
 3:30 Adjourn



Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:
1. Understand evidence-based scan exam test item clusters pertaining to pelvic pain in order to identify pelvic pain sources, as well as factors that influence and react to pelvic floor overactivity.

2. Consider findings within Mechanisms-Based Reasoning, understanding normative data findings and using words that heal with our clients.

3. Understand the role of central sensitization, nociceptive, peripheral neurogenic, autonomic/sympathetic and affective/cognitive pain.

4. Perform test item clusters for spine, abdominal wall, SIJ, hip, pubic symphysis, biomechanical, neuromuscular factors impacting pelvic pain and elimination disorders.

5. Perform a scan exam for external and internal vaginal pelvic floor assessment and document findings with a PFM mapping tool.

6. Understand pelvic pain drivers including vulvodynia, interstitial cystitis (IC)/painful bladder syndrome (PBS), constipation, colorectal dysfunction, vulvar dermatologic and post-partum perineal injuries.

7. Fill out a bowel and bladder diary and apply advanced understanding to understand its role in evaluation and treatment of pelvic pain. 

8. Dialogue through the clinical reasoning of multiple case studies to design and prioritize evaluation and treatment interventions.

9. Learn treatment interventions including the use of reframing narratives, neural down regulation, manual therapy, client education resources and home self-treatment options.
Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!


 
Name
Street Address (Links to Map)

Course Location

St. Joseph's Hospital - Phoenix

124 W Thomas Rd
 Phoenix, AZ 85013


Recommended Lodging

Hampton Inn Phoenix-Midtown-Downtown Area
(602) 200-0999

160 W Catalina Dr
 Phoenix, AZ 85013


Nearest Airport

Phoenix Sky Harbor International Airport
Airport Code: PHX

3400 E Sky Harbor Blvd
 Phoenix, AZ 85034



 
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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Finding the Driver in Pelvic Pain - San Diego, CA - March 4-6, 2016
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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: Intermediate
Contact Hours: 21.75





Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.
This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.
 
Audience:
Physical therapists, occupational therapists, advanced practice nurses and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics
 
Prerequisites:
Permission of instructor, or clinicians who have completed a minimum of one pelvic floor evaluation and treatment course including external and internal assessment of pelvic floor anatomy, options include Pelvic Floor Level 1 from Herman and Wallace, APTA SOWH PF 1 course and Marquette University’s 4 Day Treatment of Bowel, Bladder and Pelvic Floor Disorders.
 
What to Bring:
Joint Mobilization Belt




Day One:
 8:00 Objectives, Introductions and Overview
 8:15 Introduction: Finding the Driver
 8:45 Pelvic Floor Functional Anatomy
 9:45 Pelvic Floor TheraBand Demo
 10:00 Break
 10:15 External Pelvic Ring Palpation
11:00 Lab 1: External Pelvic Ring Palpation
 12:30 Lunch
 1:30 Vulvar and Pelvic Floor Muscle (PFM) Assessment
 2:15 Lab 2: Vulvar and PFM Assessment
 3:30 Break 
 3:45 Bowel and Bladder Diary Review
 4:30 Case Study
5:00 Adjourn


Day Two: (note concurrent lecture/lab and please keep desks clear)
8:00 Questions and Answers 
8:15 Musculoskeletal Screening Exam Lecture/Lab (Posture, Tsp, Abdominal)
 10:00 Break
 10:15 Musculoskeletal Screening Exam Lecture/Lab (Lumbar Spine)
 12:30 Lunch
 1:30 Musculoskeletal Screening Exam Lecture/Lab (SIJ, Hip)
 3:15 Break
 3:30 Musculoskeletal Screening Exam Lecture/Lab (LQ, Motor Control)
4:45 Questions 
 5:00 Adjourn


Day Three:
7:30 Completion of MSK Screening Lectures/Labs
Treatment: Manual Therapy Rx Options: Myofascial decompression, joint mobilization
 9:30 Break
 9:45 Overview of Urogynecologic Pelvic Pain Drivers
 10:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall Retraining
 12:00 Lunch
 12:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall (cont'd)
 2:00 Treatment and Reverse Case Studies
 3:00 Questions & Gratitude
 3:30 Adjourn



Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:
1. Understand evidence-based scan exam test item clusters pertaining to pelvic pain in order to identify pelvic pain sources, as well as factors that influence and react to pelvic floor overactivity.

2. Consider findings within Mechanisms-Based Reasoning, understanding normative data findings and using words that heal with our clients.

3. Understand the role of central sensitization, nociceptive, peripheral neurogenic, autonomic/sympathetic and affective/cognitive pain.

4. Perform test item clusters for spine, abdominal wall, SIJ, hip, pubic symphysis, biomechanical, neuromuscular factors impacting pelvic pain and elimination disorders.

5. Perform a scan exam for external and internal vaginal pelvic floor assessment and document findings with a PFM mapping tool.

6. Understand pelvic pain drivers including vulvodynia, interstitial cystitis (IC)/painful bladder syndrome (PBS), constipation, colorectal dysfunction, vulvar dermatologic and post-partum perineal injuries.

7. Fill out a bowel and bladder diary and apply advanced understanding to understand its role in evaluation and treatment of pelvic pain. 

8. Dialogue through the clinical reasoning of multiple case studies to design and prioritize evaluation and treatment interventions.

9. Learn treatment interventions including the use of reframing narratives, neural down regulation, manual therapy, client education resources and home self-treatment options.
Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!


 
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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Finding the Driver in Pelvic Pain - Stockton, CA - November 3-5, 2017
{dtregister}491{/dtregister}

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

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: Intermediate
Contact Hours: 21.75





Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.
This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.
 
Audience:
Physical therapists, occupational therapists, advanced practice nurses and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics
 
Prerequisites:
Permission of instructor, or clinicians who have completed a minimum of one pelvic floor evaluation and treatment course including external and internal assessment of pelvic floor anatomy, options include Pelvic Floor Level 1 from Herman and Wallace, APTA SOWH PF 1 course and Marquette University’s 4 Day Treatment of Bowel, Bladder and Pelvic Floor Disorders.
 
What to Bring:
Joint Mobilization Belt




Day One:
 8:00 Objectives, Introductions and Overview
 8:15 Introduction: Finding the Driver
 8:45 Pelvic Floor Functional Anatomy
 9:45 Pelvic Floor TheraBand Demo
 10:00 Break
 10:15 External Pelvic Ring Palpation
11:00 Lab 1: External Pelvic Ring Palpation
 12:30 Lunch
 1:30 Vulvar and Pelvic Floor Muscle (PFM) Assessment
 2:15 Lab 2: Vulvar and PFM Assessment
 3:30 Break 
 3:45 Bowel and Bladder Diary Review
 4:30 Case Study
5:00 Adjourn


Day Two: (note concurrent lecture/lab and please keep desks clear)
8:00 Questions and Answers 
8:15 Musculoskeletal Screening Exam Lecture/Lab (Posture, Tsp, Abdominal)
 10:00 Break
 10:15 Musculoskeletal Screening Exam Lecture/Lab (Lumbar Spine)
 12:30 Lunch
 1:30 Musculoskeletal Screening Exam Lecture/Lab (SIJ, Hip)
 3:15 Break
 3:30 Musculoskeletal Screening Exam Lecture/Lab (LQ, Motor Control)
4:45 Questions 
 5:00 Adjourn


Day Three:
7:30 Completion of MSK Screening Lectures/Labs
Treatment: Manual Therapy Rx Options: Myofascial decompression, joint mobilization
 9:30 Break
 9:45 Overview of Urogynecologic Pelvic Pain Drivers
 10:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall Retraining
 12:00 Lunch
 12:45 Functional Real-Time Ultrasound Lab for Pelvic Floor and Abdominal Wall (cont'd)
 2:00 Treatment and Reverse Case Studies
 3:00 Questions & Gratitude
 3:30 Adjourn



Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:
1. Understand evidence-based scan exam test item clusters pertaining to pelvic pain in order to identify pelvic pain sources, as well as factors that influence and react to pelvic floor overactivity.

2. Consider findings within Mechanisms-Based Reasoning, understanding normative data findings and using words that heal with our clients.

3. Understand the role of central sensitization, nociceptive, peripheral neurogenic, autonomic/sympathetic and affective/cognitive pain.

4. Perform test item clusters for spine, abdominal wall, SIJ, hip, pubic symphysis, biomechanical, neuromuscular factors impacting pelvic pain and elimination disorders.

5. Perform a scan exam for external and internal vaginal pelvic floor assessment and document findings with a PFM mapping tool.

6. Understand pelvic pain drivers including vulvodynia, interstitial cystitis (IC)/painful bladder syndrome (PBS), constipation, colorectal dysfunction, vulvar dermatologic and post-partum perineal injuries.

7. Fill out a bowel and bladder diary and apply advanced understanding to understand its role in evaluation and treatment of pelvic pain. 

8. Dialogue through the clinical reasoning of multiple case studies to design and prioritize evaluation and treatment interventions.

9. Learn treatment interventions including the use of reframing narratives, neural down regulation, manual therapy, client education resources and home self-treatment options.
Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!


 
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).


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 Level 1 - Bellingham, WA - December 9-11, 2016 (SOLD OUT!)
{dtregister}401{/dtregister}

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Description
Schedule
Objectives
Intructors
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
8:30 Pelvic 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
 4:15 Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00 General 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 
 2:00 Break 
 2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 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
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.


Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!


 
Name
Street Address (Links to Map)

Course Location

St. Joseph Medical Center’s Health Education Center

3333 Squalicum Pkwy
 Bellingham, WA 98225


Recommended Lodging

Four Points by Sheraton Bellingham Hotel & Conference Center 
(360) 671-1011 

714 Lakeway Drive
Bellingham, WA, 98229


Nearest Airport

Bellingham International Airport
Airport Code: BLI

4255 Mitchell Way
 Bellingham, WA 98226



 
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: 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 course instructs in the use of biofeedback equipment. 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
8:30 Pelvic 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
 4:15 Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00 General 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 
 2:00 Break 
 2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 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


 
Name
Street Address (Links to Map)

Course Location

St. Joseph Medical Center’s Health Education Center

3333 Squalicum Pkwy
 Bellingham, WA 98225


Recommended Lodging

Four Points by Sheraton Bellingham Hotel & Conference Center 
(360) 671-1011 

714 Lakeway Drive
Bellingham, WA, 98229


Nearest Airport

Bellingham International Airport
Airport Code: BLI

4255 Mitchell Way
 Bellingham, WA 98226



 
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.


Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!
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 - Palo Alto, CA - August 25-27, 2017
{dtregister}458{/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 course instructs in the use of biofeedback equipment. 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
8:30 Pelvic 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
 4:15 Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00 General 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 
 2:00 Break 
 2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 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
Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!


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.


 
Name
Street Address (Links to Map)

Course Location

Agile Physical Therapy

3825 El Camino Real
Palo Alto, CA 94306


Recommended Lodging

Dinah's Garden Hotel
(650)493-2844

4261 El Camino Real 
Palo Alto, California 94306


Nearest Airport

San Francisco International Airport
Airport Code: SFO

San Francisco, CA 94128



 
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 - Salt Lake City, UT - September 11-13, 2015 (SOLD OUT!)
{dtregister}246{/dtregister}

This course is SOLD OUT! to add yourself to the wait list, click on the yellow registration button to the left, and fill out the form. We will not collect your payment information. If someone cancels, and a spot in the course becomes available, we will contact members of the waitlist to offer them a seat in the order in which they joined the waitlist.

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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
8:30 Pelvic 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
 4:15 Introduction to Pelvic Pain
 5:15 Adjourn


Day Three:
 7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
 9:00 General 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 
 2:00 Break 
 2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 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
Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!


Kathe Wallace PT, BCB-PMD

Kathe Wallace PT, BCB-PMD, is an internationally recognized clinician, author and innovative teacher in the field of pelvic floor rehabilitation. A physical therapist since 1976, Kathe has focused on the treatment of pelvic floor dysfunction since 1988. She received the Washington state physical therapy association (PTWA) Clinical Excellence Award in 2006. She currently has a clinical practice in Seattle, Washington as well as serving as a Clinical Instructor, Division of Physical Therapy, Department of Rehabilitation Medicine, at the University of Washington.
Kathe has authored chapters in Clinics in Sport Medicine, and published research on a vulvodynia functional outcome tool (known as the VQ) in the APTA Section on Women’s Health (SOWH) journal. Her most recent publication is Reviving Your Sex Life after Childbirth, written for postpartum women and the clinicians who care for them.
Kathe has developed educational materials for practitioners through Progressive Therapeutics and was a co-investigator for the development of a validated functional tool for vulvodynia.In 1990, as a pioneering practitioner with a mission to teach and train physical therapists about pelvic floor dysfunction, Kathe helped the SOWH establish their pelvic floor continuing education series and taught the courses with Holly Herman through 2005. In 2000, she developed a course for therapists seeking more information regarding external treatment of pelvic floor dysfunctions (PFPG). In 2006, as a founder of Herman and Wallace Inc., she co-developed and refined the series of pelvic floor continuing education Pelvic Floor 1, 2A and 2B with Holly Herman. Since 2016, Kathe has continued to teach and develop courses independently from Herman and Wallace, Inc. through her own company, Pelvic Resources, Kathe Wallace Physical Therapy.


 
Name
Street Address (Links to Map)

Course Location

University of Utah Orthopedic Center

520 Wakara Way 
Salt Lake City, UT 84108


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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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.
 
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 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.
 
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.
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.


Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!


 
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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Description
Schedule
Objectives
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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.
 
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 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.
 
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.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI

Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.


Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!


 
Name
Street Address (Links to Map)

Course Location

Mercy Hospital - Coon Rapids

4050 Coon Rapids Blvd
Coon Rapids, MN 55433


Recommended Lodging

Best Western Plus
(763)576-0700

3420 Northdale Blvd NW
Coon Rapids, MN 55448


Nearest Airport

Minneapolis Saint Paul International Airport
Airport Code: MSP

4300 Glumack Drive
St. Paul, MN 55111



 
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 - Stockton, CA - June 23-25, 2017
{dtregister} 420 {/dtregister}

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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 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.
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.
Prerequisite Skills Review
 
 
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.
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.


Elizabeth Hampton PT, DPT, WCS, BCB-PMD

	

Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!


 
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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