(646) 355-8777

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

Hollis Herman, DPT, PT, OCS, BCIA-PMDB

Dr. Hollis (Holly) Herman has been a physical therapist for since 1974 She received her Bachelors and Masters degrees from Boston University and her doctorate from MGH Institute of Health Professionals. She currently owns her own practice, called Healthy Women Healthy Men in Cambridge, MA. In addition to her active private practice, Holly is a renowned international lecturer on physical therapy for women's and men's health. Holly is board certified in physical therapy, orthopedics, Women's Health and biofeedback for pelvic muscle dysfunction.

She has co-authored "How to Raise Children without Breaking Your Back," numerous chapters and peer reviewed articles on sexual medicine, geriatric foot care, pelvic pain, urinary and fecal continence and pregnancy and postpartum evaluation and treatment.

Holly has been formally awarded by the American Physical Therapy Association for her dedication and contribution to the field of physical therapy. She co-founded the Herman & Wallace Institute, where she teaches courses, mentors new instructors and develops new avenues to inform health care professionals and the public about physical therapy for colorectal, urologic, gynecologic, orthopedic and sexual dysfunction.

Healthy Women Healthy Men provides physical therapy musculoskeletal evaluation and treatment for orthopedic, lumbopelvic, obstetric, gynecologic, and women's and men's colorectal and pelvic pain conditions.

Courses Instructed by Hollis Herman

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    Care of the Pregnant Patient - New York City - Sept. 19-20, 2015 (SOLD OUT!)

    {dtregister}257{/dtregister}
    New York City
    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

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

    Evaluating and treating a patient during pregnancy can be daunting. Questions about safety and efficacy of evaluation and intervention arise, and most rehabilitation providers do not feel well prepared in working with patients who are pregnant. In a survey of therapists who were members of the American Physical Therapy Association (APTA) Section on Women's Health (SOWH), Krum & Smith (2005) found that "A majority of respondents...had received minimal academic education specific to women's health issues." (p. 31)

    This 2-day, beginner-level continuing education course provides a foundation in education specific to caring for the patient during pregnancy. Foundational to diagnosis of the musculoskeletal issues present in the peripartum period is an understand of the amazing changes that occur in the body, and the potential risks and benefits of evaluation and intervention techniques. These physical changes are driven by significant hormonal shifts. Hormones such as estrogen, progesterone, relaxin, oxytocin, and prolactin are discussed, and the effects of these and other hormones, some that are present only during pregnancy, are presented. An understanding of typical hormonal effects can allow a therapist to answer a patient's questions and to provide reassurance about the changes that are experienced during pregnancy or the gestational period.

    Some of the musculoskeletal changes and approaches to rehabilitation are like those in the non-pregnant population, yet the potential for risks from interventions such as manual therapies, modalities, and exercise approaches must be understood in order to proceed safely with care of the pregnant patient. Participants will learn about contraindications for modalities such as US, TENS, and the applications of specific exercises within safe postures throughout the gestational period.

    Despite the often-held belief that exercise during pregnancy is unsafe, moderate to vigorous exercise (for the patient who is not high-risk) offers many health benefits towards depression, maternal self-image, weight gain, and even offers benefit to the developing child. (Clapp, 2002) The participant will learn about these benefits, exercise recommendations, as well as guidelines from organizations such as the American Congress of Obstetricians and Gynecologists. For conditions that are specific to the peripartum period, such as pregnancy-related pelvic girdle pain or diastasis recti abdominis (a separation of the rectus abdominis at the midline that can occur in more than half of women according to Boissonnault and Blaschak, (1998) and Spitznagle and colleagues (2007)), this continuing education course instructs in risk factors, clinical diagnostic tests, and interventions including use of pregnancy-support belts and braces.

    With higher instances of carrying multiples and an increase in high-risk pregnancies, therapists must be familiar with medical screening for the pregnant population. In this course, therapists learn to screen for conditions including thyroid dysfunction, deep vein thrombosis, and pregnancy-related hypertension. Course instructors will also answer your questions about billing and reimbursement for this special population, marketing and the language of obstetrics, special tests during the pregnancy period such as amniocentesis, and preparing the patient for labor and delivery.

    .

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    Prerequisites: None

     

    Are you interested in expanding your practice to treat prenatal patients? Herman & Wallace has put together a Pregnancy and Your Pelvic Floor marketing presentation to help you underscore the importance of prenatal physical therapy.


    References

    Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Physical Therapy, 68(7), 1082-1086.
    Clapp, J. F. I. (2002). Exercising through your pregnancy. Omaha, Nebraska: Addicus Books, Inc.
    Krum, L., & Smith, S. (2005) Educating physical therapists in women's health: recommendations for professional (entry-level) and post-professional curricula. Journal of Physical Therapy Education. 19(2), 31-41.
    Spitznagle, T., Leong, F., & Van Dillen, L. (2007). Prevalence of diastasis recti abdominis in a urogynecological patient population. International Urogynecology Journal & Pelvic Floor Dysfunction, 18(3), 321-328.

    Day One:
    7:30 Registration
    8:00 Introduction, goals, and objectives
    8:15 Overview of the Pregnant Client
    9:15 Hormonal and System Changes During Pregnancy
    10:30 Break 
    10:45 General Examination Considerations and Modifications for the Pregnant Client
    11:30 General Treatment Considerations and Modifications for the Pregnant Client
    12:15 Lunch
    1:15 Examination and Evaluation for Lumbar and Pelvic Girdle Pain During Pregnancy
    2:15 LAB: Examination and Special Testing for Lumbar and Pelvic Girdle Pain During Pregnancy
    3:15 Break
    3:30 Introduction to Core Concepts, Diastasis Rectus Abdominis, and Pelvic Floor Muscle Dysfunction
    4:30 LAB: Introduction to the Core, Diastasis Rectus Abdominis, Breathing, and Deep Core Assessment and Treatment
    5:30 Day 1 Post Test and Wrap Up
    6:00 Adjourn

    Day Two:
    8:00 Treatment Strategies and Techniques for Spine and Pelvic Girdle During Pregnancy
    9:00 LAB:Treatment Techniques for Lumbar Spine and Pelvic Girdle
    10:00 Break 
    10:15 Preparing for Labor and Birth
    11:15 LAB: Birthing Position Strategies for Women with Musculoskeletal Problems
    12:00 Lunch
    1:00 Introduction to High Risk Pregnancy
    2:00 Fitness and Exercise During Pregnancy
    3:00 Marketing and Billing
    3:30 Day 2 Post Test and Wrap Up
    4:00 Adjourn

    Upon completion of this continuing education seminar, participants will be able to:
    1. Understand common definitions and medical testing used in obstetrics.
    2. Avoid all contraindications for evaluation and treatment of the pregnant patient.
    3. List 3 major hormones and how each affects the musculoskeletal system during pregnancy.
    4. Describe the pregnancy-related physiologic changes in the cardiorespiratory, integumentary, gastrointestinal, urinary, reproductive, immune and musculoskeletal systems during pregnancy.
    5. List 2 common conditions that occur in pregnancy for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities.
    6. Instruct in safe exercises and activities for the low-risk and high-risk patient.
    7. Educate the patient in methods to prepare physically for birth.
    8. Complete medical screening for referral for the pregnant patient.
    9. Apply and utilize surface EMG with external sensors for pelvic floor muscles.
    10. Market a program of physical therapy care for the pregnant patient.

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

    Hollis Herman, DPT, PT, OCS, BCIA-PMDB

    Dr. Hollis (Holly) Herman has been a physical therapist for since 1974 She received her Bachelors and Masters degrees from Boston University and her doctorate from MGH Institute of Health Professionals. She currently owns her own practice, called Healthy Women Healthy Men in Cambridge, MA. In addition to her active private practice, Holly is a renowned international lecturer on physical therapy for women's and men's health. Holly is board certified in physical therapy, orthopedics, Women's Health and biofeedback for pelvic muscle dysfunction.

    She has co-authored "How to Raise Children without Breaking Your Back," numerous chapters and peer reviewed articles on sexual medicine, geriatric foot care, pelvic pain, urinary and fecal continence and pregnancy and postpartum evaluation and treatment.

    Holly has been formally awarded by the American Physical Therapy Association for her dedication and contribution to the field of physical therapy. She co-founded the Herman & Wallace Institute, where she teaches courses, mentors new instructors and develops new avenues to inform health care professionals and the public about physical therapy for colorectal, urologic, gynecologic, orthopedic and sexual dysfunction.

    Healthy Women Healthy Men provides physical therapy musculoskeletal evaluation and treatment for orthopedic, lumbopelvic, obstetric, gynecologic, and women's and men's colorectal and pelvic pain conditions.

     NameStreet Address (Links to Map)
    Course Location

    Kima - Center for Physiotherapy & Wellness

    7 West 22nd St
    New York, NY 10010
    Recommended Lodging

    The Leo House
    (212)366-0100

    332 West 23rd Street
    New York, NY 10011
    Nearest Airport

    LaGuardia Airport
    Airport Code: LGA

    LaGuardia Airport, New York, 1137

     

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

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    First-Time Registrant Discount

    This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

    To apply this discount, please use the code 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 - Middletown, CT - Oct. 16-18, 2015 (SOLD OUT!)

    {dtregister}245{/dtregister}
    Middletown

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

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

    Hollis Herman, DPT, PT, OCS, BCIA-PMDB

    Dr. Hollis (Holly) Herman has been a physical therapist for since 1974 She received her Bachelors and Masters degrees from Boston University and her doctorate from MGH Institute of Health Professionals. She currently owns her own practice, called Healthy Women Healthy Men in Cambridge, MA. In addition to her active private practice, Holly is a renowned international lecturer on physical therapy for women's and men's health. Holly is board certified in physical therapy, orthopedics, Women's Health and biofeedback for pelvic muscle dysfunction.

    She has co-authored "How to Raise Children without Breaking Your Back," numerous chapters and peer reviewed articles on sexual medicine, geriatric foot care, pelvic pain, urinary and fecal continence and pregnancy and postpartum evaluation and treatment.

    Holly has been formally awarded by the American Physical Therapy Association for her dedication and contribution to the field of physical therapy. She co-founded the Herman & Wallace Institute, where she teaches courses, mentors new instructors and develops new avenues to inform health care professionals and the public about physical therapy for colorectal, urologic, gynecologic, orthopedic and sexual dysfunction.

    Healthy Women Healthy Men provides physical therapy musculoskeletal evaluation and treatment for orthopedic, lumbopelvic, obstetric, gynecologic, and women's and men's colorectal and pelvic pain conditions.


    Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

    Jennafer Vande Vegte

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

     

     NameStreet Address (Links to Map)
    Course Location

    Middlesex Hospital

    534 Saybrook Rd
    Middletown, CT 06457
    Recommended Lodging

    Inn at Middletown
    (860) 854-6300

    70 Main St
    Middletown, CT 06457
    Nearest Airport

    Bradley International Airport
    Airport Code: BDL

    Schoephoester Rd
    Windsor Locks, CT 06096

     

    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 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - St. Louis, MO - August 28-30, 2015 (SOLD OUT)

    {dtregister}225{/dtregister}
    St. Louis
    • 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

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

    Allison Ariail

    Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.

    Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.

    In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.

    Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.

    Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


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

    Hollis Herman, DPT, PT, OCS, BCIA-PMDB

    Dr. Hollis (Holly) Herman has been a physical therapist for since 1974 She received her Bachelors and Masters degrees from Boston University and her doctorate from MGH Institute of Health Professionals. She currently owns her own practice, called Healthy Women Healthy Men in Cambridge, MA. In addition to her active private practice, Holly is a renowned international lecturer on physical therapy for women's and men's health. Holly is board certified in physical therapy, orthopedics, Women's Health and biofeedback for pelvic muscle dysfunction.

    She has co-authored "How to Raise Children without Breaking Your Back," numerous chapters and peer reviewed articles on sexual medicine, geriatric foot care, pelvic pain, urinary and fecal continence and pregnancy and postpartum evaluation and treatment.

    Holly has been formally awarded by the American Physical Therapy Association for her dedication and contribution to the field of physical therapy. She co-founded the Herman & Wallace Institute, where she teaches courses, mentors new instructors and develops new avenues to inform health care professionals and the public about physical therapy for colorectal, urologic, gynecologic, orthopedic and sexual dysfunction.

    Healthy Women Healthy Men provides physical therapy musculoskeletal evaluation and treatment for orthopedic, lumbopelvic, obstetric, gynecologic, and women's and men's colorectal and pelvic pain conditions.

     NameStreet Address (Links to Map)
    Course Location

    Washington University School of Medicine

    4444 Forest Park Avenue
    , Saint Louis, MO
    Recommended Lodging

    The Parkway Hotel
    (314) 256-7777

    4550 Forest Park Ave
    St Louis, MO 63108
    Nearest Airport

    Lambert–St. Louis International Airport
    Airport Code: STL

    10701 Lambert International Blvd
    St. Louis, MO 63145

     

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

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A - Boston, MA - Dec. 11-13, 2015 (SOLD OUT!)

    {dtregister}275{/dtregister}
    Boston

    {gallery width=181}course_images/pf2a{/gallery}

    • Description

    • Schedule

    • Objectives

    • Instructor

    • 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.

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

    Hollis Herman, DPT, PT, OCS, BCIA-PMDB

    Dr. Hollis (Holly) Herman has been a physical therapist for since 1974 She received her Bachelors and Masters degrees from Boston University and her doctorate from MGH Institute of Health Professionals. She currently owns her own practice, called Healthy Women Healthy Men in Cambridge, MA. In addition to her active private practice, Holly is a renowned international lecturer on physical therapy for women's and men's health. Holly is board certified in physical therapy, orthopedics, Women's Health and biofeedback for pelvic muscle dysfunction.

    She has co-authored "How to Raise Children without Breaking Your Back," numerous chapters and peer reviewed articles on sexual medicine, geriatric foot care, pelvic pain, urinary and fecal continence and pregnancy and postpartum evaluation and treatment.

    Holly has been formally awarded by the American Physical Therapy Association for her dedication and contribution to the field of physical therapy. She co-founded the Herman & Wallace Institute, where she teaches courses, mentors new instructors and develops new avenues to inform health care professionals and the public about physical therapy for colorectal, urologic, gynecologic, orthopedic and sexual dysfunction.

    Healthy Women Healthy Men provides physical therapy musculoskeletal evaluation and treatment for orthopedic, lumbopelvic, obstetric, gynecologic, and women's and men's colorectal and pelvic pain conditions.


    Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD

     Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD

    Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD certified, received her Master’s Degree in Physical Therapy from Nova Southeastern University in South Florida in 1996. After graduation she relocated to Chicago where she began specializing in women’s health issues including the treatment of incontinence, pelvic pain and prenatal/postpartum musculoskeletal issues. She returned to the east coast in 2003 and is now the owner of 5 Point Physical Therapy, a specialty physical therapy clinic for male and female pelvic dysfunction in New York City. Stacey, along side Dr. Deborah Coady, recently presented for International Pelvic Pain Society’s annual meeting in Chicago on their research of hip pathology and its relationship to pelvic pain. She has been featured on CBS New York and has presented for the APTA National Conference 2007 for the treatment of male pelvic pain.

     NameStreet Address (Links to Map)
    Course Location

    Marathon Physical Therapy

    99 Vanderbilt Ave
    Norwood MA 02062
    Recommended Lodging

    Courtyard Boston Norwood
    (781) 762-4700

    300 River Ridge Dr
    Norwood, MA 02062
    Nearest Airport

    Logan International Airport
    Airport Code: BOS

    1 Harborside Dr
    Boston, MA 02128

     

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

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2B - Durham, NC - October 2-4, 2015 (SOLD OUT)

    {dtregister}263{/dtregister}
    Durham

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    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

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

    This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.

    Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such  rectocele, cystocele, or uterine prolapse.

    Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.

     

    The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.

     

    Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.

     

    Prerequisites:

    Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.

     

    Audience:

    This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.

     

    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 GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.


    References

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

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

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

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

     

    Upon completion of this continuing education seminar, participants will be able to:

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

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

    Allison Ariail

    Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.

    Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.

    In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.

    Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.

    Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.


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

    Hollis Herman, DPT, PT, OCS, BCIA-PMDB

    Dr. Hollis (Holly) Herman has been a physical therapist for since 1974 She received her Bachelors and Masters degrees from Boston University and her doctorate from MGH Institute of Health Professionals. She currently owns her own practice, called Healthy Women Healthy Men in Cambridge, MA. In addition to her active private practice, Holly is a renowned international lecturer on physical therapy for women's and men's health. Holly is board certified in physical therapy, orthopedics, Women's Health and biofeedback for pelvic muscle dysfunction.

    She has co-authored "How to Raise Children without Breaking Your Back," numerous chapters and peer reviewed articles on sexual medicine, geriatric foot care, pelvic pain, urinary and fecal continence and pregnancy and postpartum evaluation and treatment.

    Holly has been formally awarded by the American Physical Therapy Association for her dedication and contribution to the field of physical therapy. She co-founded the Herman & Wallace Institute, where she teaches courses, mentors new instructors and develops new avenues to inform health care professionals and the public about physical therapy for colorectal, urologic, gynecologic, orthopedic and sexual dysfunction.

    Healthy Women Healthy Men provides physical therapy musculoskeletal evaluation and treatment for orthopedic, lumbopelvic, obstetric, gynecologic, and women's and men's colorectal and pelvic pain conditions.

     NameStreet 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 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 3 - Dayton, OH - Dec. 6-8, 2015

    {dtregister}291{/dtregister}
    Dayton

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    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    Price: $695 (Early Registrant Price $675)
    Experience Level: Advanced
    Contact Hours: 22.5

    This continuing education course is a three-day advanced-level seminar created to further improve the clinicians’ ability to evaluate and treat pelvic floor dysfunctions by integrating ideas from many of the existing models of pelvic floor rehabilitation into comprehensive and cohesive programs. The participant will learn more specific examination and treatment

    interventions for female and male pelvic floor conditions. Current medical evaluation, management, evidence-based references and case studies will be presented.

    Topics include in-depth information regarding hormones and their effect on the female body through the life cycle, specific pelvic floor concerns for the different phases of the female life cycle, female sexual dysfunction, specific surgical procedures for urinary and fecal incontinence, prolapse repairs, hysterectomy, vestibulectomy, hymenectomy, hemorrhoidectomy, anal sphincter repair and TVT post-surgical protocol ideas. The labs are directed toward refining and adding new evaluation and treatment techniques for the pelvis and pelvic floor muscles. An integration of core stabilization including assessment and treatment of diastasis recti and conditions involving overactive pelvic floor muscles or the "short pelvic floor." 

    Participants are encouraged to submit a case study on a complex patient with specific questions for the class to discuss and generate ideas collectively. 

     

    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 and rectal pelvic floor muscle examinations will be reviewed and advanced vaginal techniques will be instructed in labs. Male Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination. 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.

     

    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 2A through Herman & Wallace is a prerequisite to participate.

     

    Required Readings:
    1. The Fascial Mechanoreceptors Article from fasciaresearch.com
    2. Review the anatomy of the pelvis and perineum
    3. Review of Anatomy Terms
    4. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.

    Day One:
    8:00 Registration
    8:15 Introductions and Course Objectives
    8:30 Lecture Pelvic Floor Update
    10:30 Break
    10:45 Lab 1A: Review Bony Landmarks
    Lab 1B Review External (Contraction, Pelvic Clock, Q-Tip Testing)
    Lab 2 Review Internal Vaginal Muscle Assessment
    12:00 Lunch
    1:00 Surgical Interventions, Part I
    2:30 Break
    3:00 Intro to Sexual Medicine
    4:15 Lab 3 Anorectal Exam
    5:00 Finish

    Day Two:
    8:00 Review/Q&A
    8:15 Surgical Interventions, Part II
    10:15 Break
    10:30 SCS Positional Release Lecture
    11:00 SCS Positional Release External and Internal Lab
    12:00 Lunch
    1:00 Hormones: Estrogen, Progesterone, Testosterone
    3:00 Break
    3:15 Short Pelvic Floor Lecture
    3:45 Short Pelvic Floor Lab
    4:45 Case Studies
    5:00 Finish

    Day Three:
    8:00 Review/Q&A
    8:15 Medications Lecture
    9:15 Sexual Medicine, Part 2
    10:00 Break
    10:45 Orthopedics Influence affecting pelvic floor over-activity, Part I
    12:00 Lunch
    1:00 Orthopedic Influences, Part II
    2:00 Orthopedic Labs: Diastasis recti evaluation and treatment, unlocking SIJ
    3:00 Case Studies/Complicated Patients/Q&A
    4:00 Finish

    Upon completion of this continuing education seminar, participants will be able to:

    1. Demonstrate a complete pelvic floor muscle examination with external and internal identification of structures, muscles and bony landmarks.
    2. Discuss three different female sexual dysfunctions and the physical therapy evaluation and treatment protocols appropriate for each dysfunction.
    3. Describe the different types and forms for application of estrogen, progesterone and testosterone for the common complaints of: vaginal dryness, atrophy of the genitalia, diminished libido, pain dysfunctions of vulvodynia, dyspareunia, urinary and fecal incontinence and post hysterectomy/oopherectomy osteoporosis.
    4. Demonstrate two manual techniques to treat the ”short” pelvic floor.
    5. Demonstrate three therapeutic exercises to correct for pelvic girdle instability and pelvic floor muscle hypertonus.
    6. Describe the surgical procedures for hymenectomy, vestibulectomy, TVT, hemorrhoids, anal sphincter repair and two possible physical therapy post surgical treatment techniques.

    Lila Abbate, PT, DPT, MS, OCS, PRPC

    Lila Abbate, PT, DPT, MS, OCS, PRPCLila Abbate graduated from Touro College in Dix Hills, NY with a Bachelors of Science (BS) in Health Sciences and a Masters of Arts (MA) in Physical Therapy in 1997. Lila completed her Advanced Masters in Manual Orthopedic Physical Therapy (MS) at Touro College, Bayshore, NY in 2003 and continued to obtain her Doctor of Physical Therapy (DPT) in 2005. Currently, Dr. Abbate is pursuing her PhD at Nova Southeastern University in Ft. Lauderdale, Florida and plans to conduct research in Women’s and Men’s Pelvic Health. Dr. Abbate is also a Physical Therapy Board-Certified Specialist in Orthopedics (OCS) deemed by the American Physical Therapy Association in 2004.

    Dr. Abbate has been faculty at Touro College (2003 – 2006), Manhattan Campus, teaching the biomechanical approach to orthopedic dysfunction, therapeutic exercise as well as massage/soft tissues work that highlighted trigger point work, scar management and myofascial release.

    Currently, Dr. Abbate currently owns a private practice in Manhasset, NY specializing in complex orthopedic conditions and pelvic floor dysfunction.


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

    Hollis Herman, DPT, PT, OCS, BCIA-PMDB

    Dr. Hollis (Holly) Herman has been a physical therapist for since 1974 She received her Bachelors and Masters degrees from Boston University and her doctorate from MGH Institute of Health Professionals. She currently owns her own practice, called Healthy Women Healthy Men in Cambridge, MA. In addition to her active private practice, Holly is a renowned international lecturer on physical therapy for women's and men's health. Holly is board certified in physical therapy, orthopedics, Women's Health and biofeedback for pelvic muscle dysfunction.

    She has co-authored "How to Raise Children without Breaking Your Back," numerous chapters and peer reviewed articles on sexual medicine, geriatric foot care, pelvic pain, urinary and fecal continence and pregnancy and postpartum evaluation and treatment.

    Holly has been formally awarded by the American Physical Therapy Association for her dedication and contribution to the field of physical therapy. She co-founded the Herman & Wallace Institute, where she teaches courses, mentors new instructors and develops new avenues to inform health care professionals and the public about physical therapy for colorectal, urologic, gynecologic, orthopedic and sexual dysfunction.

    Healthy Women Healthy Men provides physical therapy musculoskeletal evaluation and treatment for orthopedic, lumbopelvic, obstetric, gynecologic, and women's and men's colorectal and pelvic pain conditions.

     NameStreet Address (Links to Map)
    Course Location

    Kettering Health Network
    Nelson Conference Rooms 1, 2 and 3

    3535 Southern Blvd
    Dayton, OH 45429
    Recommended Lodging

    Courtyard Marriott
    (937) 220-9060

    2006 S Edwin C Moses Blvd
    Dayton, OH 45417
    Nearest Airport

    Dayton International Airport
    Airport Code: DAY

    3600 Terminal Dr
    Dayton, OH 45377

     

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

     

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 3 - Houston, TX - Sept. 11-13, 2015

    Houston
    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    Price: $695 (Early Registrant Price $675)
    Experience Level: Advanced
    Contact Hours: 22.5

    This continuing education course is a three-day advanced-level seminar created to further improve the clinicians’ ability to evaluate and treat pelvic floor dysfunctions by integrating ideas from many of the existing models of pelvic floor rehabilitation into comprehensive and cohesive programs. The participant will learn more specific examination and treatment

    interventions for female and male pelvic floor conditions. Current medical evaluation, management, evidence-based references and case studies will be presented.

    Topics include in-depth information regarding hormones and their effect on the female body through the life cycle, specific pelvic floor concerns for the different phases of the female life cycle, female sexual dysfunction, specific surgical procedures for urinary and fecal incontinence, prolapse repairs, hysterectomy, vestibulectomy, hymenectomy, hemorrhoidectomy, anal sphincter repair and TVT post-surgical protocol ideas. The labs are directed toward refining and adding new evaluation and treatment techniques for the pelvis and pelvic floor muscles. An integration of core stabilization including assessment and treatment of diastasis recti and conditions involving overactive pelvic floor muscles or the "short pelvic floor." 

    Participants are encouraged to submit a case study on a complex patient with specific questions for the class to discuss and generate ideas collectively. 

     

    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 and rectal pelvic floor muscle examinations will be reviewed and advanced vaginal techniques will be instructed in labs. Male Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination. 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.

     

    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 2A through Herman & Wallace is a prerequisite to participate.

     

    Required Readings:
    1. The Fascial Mechanoreceptors Article from fasciaresearch.com
    2. Review the anatomy of the pelvis and perineum
    3. Review of Anatomy Terms
    4. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.

    Day One:
    8:00 Registration
    8:15 Introductions and Course Objectives
    8:30 Lecture Pelvic Floor Update
    10:30 Break
    10:45 Lab 1A: Review Bony Landmarks
    Lab 1B Review External (Contraction, Pelvic Clock, Q-Tip Testing)
    Lab 2 Review Internal Vaginal Muscle Assessment
    12:00 Lunch
    1:00 Surgical Interventions, Part I
    2:30 Break
    3:00 Intro to Sexual Medicine
    4:15 Lab 3 Anorectal Exam
    5:00 Finish

    Day Two:
    8:00 Review/Q&A
    8:15 Surgical Interventions, Part II
    10:15 Break
    10:30 SCS Positional Release Lecture
    11:00 SCS Positional Release External and Internal Lab
    12:00 Lunch
    1:00 Hormones: Estrogen, Progesterone, Testosterone
    3:00 Break
    3:15 Short Pelvic Floor Lecture
    3:45 Short Pelvic Floor Lab
    4:45 Case Studies
    5:00 Finish

    Day Three:
    8:00 Review/Q&A
    8:15 Medications Lecture
    9:15 Sexual Medicine, Part 2
    10:00 Break
    10:45 Orthopedics Influence affecting pelvic floor over-activity, Part I
    12:00 Lunch
    1:00 Orthopedic Influences, Part II
    2:00 Orthopedic Labs: Diastasis recti evaluation and treatment, unlocking SIJ
    3:00 Case Studies/Complicated Patients/Q&A
    4:00 Finish

    Upon completion of this continuing education seminar, participants will be able to:

    1. Demonstrate a complete pelvic floor muscle examination with external and internal identification of structures, muscles and bony landmarks.
    2. Discuss three different female sexual dysfunctions and the physical therapy evaluation and treatment protocols appropriate for each dysfunction.
    3. Describe the different types and forms for application of estrogen, progesterone and testosterone for the common complaints of: vaginal dryness, atrophy of the genitalia, diminished libido, pain dysfunctions of vulvodynia, dyspareunia, urinary and fecal incontinence and post hysterectomy/oopherectomy osteoporosis.
    4. Demonstrate two manual techniques to treat the ”short” pelvic floor.
    5. Demonstrate three therapeutic exercises to correct for pelvic girdle instability and pelvic floor muscle hypertonus.
    6. Describe the surgical procedures for hymenectomy, vestibulectomy, TVT, hemorrhoids, anal sphincter repair and two possible physical therapy post surgical treatment techniques.

    Lila Abbate, PT, DPT, MS, OCS, PRPC

    Lila Abbate, PT, DPT, MS, OCS, PRPCLila Abbate graduated from Touro College in Dix Hills, NY with a Bachelors of Science (BS) in Health Sciences and a Masters of Arts (MA) in Physical Therapy in 1997. Lila completed her Advanced Masters in Manual Orthopedic Physical Therapy (MS) at Touro College, Bayshore, NY in 2003 and continued to obtain her Doctor of Physical Therapy (DPT) in 2005. Currently, Dr. Abbate is pursuing her PhD at Nova Southeastern University in Ft. Lauderdale, Florida and plans to conduct research in Women’s and Men’s Pelvic Health. Dr. Abbate is also a Physical Therapy Board-Certified Specialist in Orthopedics (OCS) deemed by the American Physical Therapy Association in 2004.

    Dr. Abbate has been faculty at Touro College (2003 – 2006), Manhattan Campus, teaching the biomechanical approach to orthopedic dysfunction, therapeutic exercise as well as massage/soft tissues work that highlighted trigger point work, scar management and myofascial release.

    Currently, Dr. Abbate currently owns a private practice in Manhasset, NY specializing in complex orthopedic conditions and pelvic floor dysfunction.


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

    Hollis Herman, DPT, PT, OCS, BCIA-PMDB

    Dr. Hollis (Holly) Herman has been a physical therapist for since 1974 She received her Bachelors and Masters degrees from Boston University and her doctorate from MGH Institute of Health Professionals. She currently owns her own practice, called Healthy Women Healthy Men in Cambridge, MA. In addition to her active private practice, Holly is a renowned international lecturer on physical therapy for women's and men's health. Holly is board certified in physical therapy, orthopedics, Women's Health and biofeedback for pelvic muscle dysfunction.

    She has co-authored "How to Raise Children without Breaking Your Back," numerous chapters and peer reviewed articles on sexual medicine, geriatric foot care, pelvic pain, urinary and fecal continence and pregnancy and postpartum evaluation and treatment.

    Holly has been formally awarded by the American Physical Therapy Association for her dedication and contribution to the field of physical therapy. She co-founded the Herman & Wallace Institute, where she teaches courses, mentors new instructors and develops new avenues to inform health care professionals and the public about physical therapy for colorectal, urologic, gynecologic, orthopedic and sexual dysfunction.

    Healthy Women Healthy Men provides physical therapy musculoskeletal evaluation and treatment for orthopedic, lumbopelvic, obstetric, gynecologic, and women's and men's colorectal and pelvic pain conditions.

     NameStreet Address (Links to Map)
    Course Location

    Women's Hospital of Texas

    7600 Fannin St
    Houston, TX 77054
    Recommended Lodging

    Hampton Inn & Suites Houston-Medical Ctr-Reliant Park
    (713) 797-0040

    1715 Old Spanish Trail
    Houston, TX 77054
    Nearest Airport

    George Bush Intercontinental Airport
    Airport Code: IAH

    2800 N Terminal Rd
    Houston, TX 77032

     

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

    Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.


    Multi-Course Discount

    This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.


    Group Discount

    This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

    Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
    Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.


    Student Discount

    This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.

     

    To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Sexual Medicine for Men and Women - San Diego, CA - Nov. 13-15, 2015

    {dtregister}256{/dtregister}
    San Diego
    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

    Price: $550 (Early Registrant Price $525)
    Experience Level: Beginner
    Contact Hours: 17

    Pelvic rehabilitation providers are uniquely positioned to offer support and care to patients who experience sexual dysfunction. Sexual dysfunction encompasses a wide range of issues including pain limiting sexual function, decreased sexual appreciation, concerns about performance and partner satisfaction, and orthopedic issues limiting sexual health. This continuing education course offers the therapist an opportunity to increase comfort levels in patient interviews, clinical examinations, and interventions towards sexual health and function. As Holly Herman, Pelvic Rehabilitation Institute founder and course author points out in a blog post that you can access here, there are many forms of healthy sexual activity that may be outside a therapist's personal experience. When a therapist is informed about various sexual practices, comfort level and knowledge can be increased, therefore allowing a positive and productive experience for both the patient and the practitioner.

    Foundational knowledge in the areas of female and male sexual response cycle, hormonal influences, medical testing, appropriate outcomes tools, and sexual practices will be covered in this continuing education course. This sexual medicine course provides a rehabilitative perspective about lesbian, gay, bisexual, transsexual, transgender and queer sexual activity including, but not limited to, anal health and pleasure. Specific diagnoses are discussed including premature ejaculation, persistent genital arousal disorder (PGAD), Peyronie's, and sexually transmitted diseases. In addition to covering orthopedic considerations and manual therapy interventions for sexual health and dysfunction, this course addresses the role of dilators, vibrators, lubricants, injections, medications, clamps, inserts, ointments, and pumps as they relate to sexual health.

    The format of the Sexual Medicine continuing education course includes lecture, lab, and case studies. Participants can benefit from Holly Herman's extensive experience and knowledge, including certifications in Women's Health, Orthopedics, Biofeedback for Pelvic Muscle Dysfunction, and certifications as an ISSWHS Fellow and AASECT Sexuality Counselor. Holly's warm, practical, engaging, and entertaining teaching style will add to the benefits of learning this important clinical information and skill set. While the course is appropriate and very helpful for the beginning therapist, experienced pelvic rehabilitation providers may find that this course fulfills a missing need in their continuing education.

     

    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 and Readings

    Mixed Media Preparation

    Questionnaires and Exercises

    Day One:
    5:00 Registration
    5:30 Introduction
    6:15 Pelvic Floor Update Lecture
    7:15 Lab: Pelvic Floor: General External and Internal Evaluation Exam

    8:00 Questions and Summary
    9:00 Adjourn

    Day Two:
    7:30 Registration
    8:00 Female and Male Sexual Response Cycles Lecture
    11:00 Break
    11:30 Lab: Sexual Medicine Questionnaires: Partner Exercise
    12:30 Lunch
    1:30 Hormonal and Pharmacologic Treatments in Sexual Medicine Lecture
    2:30 Break
    2:45 Sexual Medicine Medical Tests Lecture
    3:15 Lab: Manual Treatments and Exercises
    5:00 Adjourn

    Day Three:
    7:30 Questions and Review
    8:00 ED, PE, PGAD, Peyronie’s Disease, Anorgasmia, Hard Flaccid, Pelvic Pain Lecture
    10:00 Break
    10:15 GLBT Sexual Activity, Oral, Vaginal, Anal Sexual Activity Lecture
    12:00 Lunch
    1:00 Lab: Manual Treatments and Exercises
    2:30 Sexual Accessories, Stimulators, Injections, Clamps, Inserts, Lubricants
    3:30 Lab:Case Studies
    4:30 Questions and Summary

    Upon completion of this continuing education seminar, participants will be able to:

    1. Describe the variations of the female and male sexual response cycle throughout the lifecycle
    2. Explain the conditions of and risk factors for erectile dysfunction (ED), premature ejaculation (PE), persistent genital arousal disorder (PGAD), and Peyronie’s disease.
    3. Understand and be able to instruct in the role of dilators, vibrators, lubricants, medications, injections, clamps, inserts, ointments, pumps.
    4. Describe hormoneal influences on sexual health, common medical tests and questionnaires/outcomes tools used in sexual medicine
    5. Understand gay, lesbian, bisexual and transgender orientations to sexual activity
    6. Understand oral, vaginal and anal sexual activity
    7. Demonstrate manual techniques and exercises for relief of sexual pain related to dysfunction in the spine, hips and pelvic regions
    8. Demonstrate internal and external pelvic muscle evaluation in relation to sexual health

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

    Hollis Herman, DPT, PT, OCS, BCIA-PMDB

    Dr. Hollis (Holly) Herman has been a physical therapist for since 1974 She received her Bachelors and Masters degrees from Boston University and her doctorate from MGH Institute of Health Professionals. She currently owns her own practice, called Healthy Women Healthy Men in Cambridge, MA. In addition to her active private practice, Holly is a renowned international lecturer on physical therapy for women's and men's health. Holly is board certified in physical therapy, orthopedics, Women's Health and biofeedback for pelvic muscle dysfunction.

    She has co-authored "How to Raise Children without Breaking Your Back," numerous chapters and peer reviewed articles on sexual medicine, geriatric foot care, pelvic pain, urinary and fecal continence and pregnancy and postpartum evaluation and treatment.

    Holly has been formally awarded by the American Physical Therapy Association for her dedication and contribution to the field of physical therapy. She co-founded the Herman & Wallace Institute, where she teaches courses, mentors new instructors and develops new avenues to inform health care professionals and the public about physical therapy for colorectal, urologic, gynecologic, orthopedic and sexual dysfunction.

    Healthy Women Healthy Men provides physical therapy musculoskeletal evaluation and treatment for orthopedic, lumbopelvic, obstetric, gynecologic, and women's and men's colorectal and pelvic pain conditions.

     NameStreet Address (Links to Map)
    Course Location

    FunctionSmart Physical Therapy

    10803 Vista Sorrento
    San Diego, CA 92121
    Recommended Lodging

    Holiday Inn Express & Suites San Diego - 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 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    First-Time Registrant Discount

    This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

    To apply this discount, please use the code 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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Upcoming Continuing Education Courses

Jan 10, 2020 - Jan 12, 2020
Location: Dominican Hospital - Physical Therapy

Jan 17, 2020 - Jan 19, 2020
Location: Spooner Physical Therapy

Jan 17, 2020 - Jan 19, 2020
Location: Banner Physical Therapy and Rehabilitation

Jan 17, 2020 - Jan 19, 2020
Location: Our Lady of the Lake Children's Hospital

Jan 24, 2020 - Jan 26, 2020
Location: Nova Southeastern University

Jan 24, 2020 - Jan 26, 2020
Location: UCLA Health

Feb 1, 2020 - Feb 2, 2020
Location: Evergreen Hospital Medical Center

Feb 1, 2020 - Feb 2, 2020
Location: Ochsner Health System

Feb 7, 2020 - Feb 9, 2020
Location: FunctionSmart Physical Therapy

Feb 22, 2020 - Feb 23, 2020
Location: Pacific Medical Centers

Feb 22, 2020 - Feb 23, 2020
Location: Huntington Hospital

Feb 28, 2020 - Mar 1, 2020
Location: Inova Physical Therapy Center

Feb 28, 2020 - Mar 1, 2020
Location: University of North Texas Health Science Center

Feb 28, 2020 - Mar 1, 2020
Location: Novant Health

Feb 28, 2020 - Mar 1, 2020
Location: Rex Hospital

Feb 28, 2020 - Feb 29, 2020
Location: Rex Hospital

Mar 6, 2020 - Mar 8, 2020
Location: 360 Sports Medicine & Aquatic Rehabilitation Centers

Mar 6, 2020 - Mar 8, 2020
Location: Heart of the Rockies Regional Medical Center

Mar 6, 2020 - Mar 8, 2020
Location: University of Missouri-Smiley Lane Therapy Services

Mar 6, 2020 - Mar 8, 2020
Location: Princeton Healthcare System

Mar 6, 2020 - Mar 8, 2020
Location: Ochsner Health System

Mar 6, 2020 - Mar 8, 2020
Location: Spectrum Health System

Mar 7, 2020 - Mar 8, 2020
Location: Veterans Administration - Salt Lake City

Mar 7, 2020 - Mar 8, 2020
Location: GWUH Outpatient Rehabilitation Center

Mar 13, 2020 - Mar 15, 2020
Location: Sentara Therapy Center - Princess Anne

Mar 13, 2020 - Mar 15, 2020
Location: Thomas Jefferson University

Mar 13, 2020 - Mar 15, 2020
Location: Franklin Pierce University

Mar 14, 2020 - Mar 15, 2020
Location: Park Nicollet Clinic--St. Louis Park

Mar 20, 2020 - Mar 22, 2020
Location: Allina Hospitals and Clinics

Mar 20, 2020 - Mar 22, 2020
Location: Comprehensive Therapy Services