Founders and Faculty > Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
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Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Courses Instructed by Holly Tanner:
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- Male Pelvic Floor - Fort Myers, FL - October 19-21, 2019
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- Male Pelvic Floor - Pasadena, CA - September 13-15, 2019
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- Pelvic Floor Level 1 - Detroit, MI - June 7-9, 2019
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- Pelvic Floor Level 1 - Los Angeles, CA - March 22-24, 2019 (SOLD OUT)
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- Pelvic Floor Level 2B - Carlsbad, CA - October 4-6, 2019
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Price: $475 (Early Registrant Price $450)
Experience Level: Beginner
Contact Hours: 15
The woman who has just given birth is not only learning to adapt to motherhood, but her physiology is constantly adapting to the changes within the postnatal period. Her uterus will go through involution, or a return towards prenatal size, fluid volumes in her body will drastically reduce, affecting her cardiovascular responses, and the remarkable machinery involved in her endocrine system will again shift in response to varying hormonal needs. In this 2-day continuing education course the participant will learn about a variety of important challenges faced by the postpartum woman that are due, in part, to such physiological changes.
Although the postpartum period may be defined as the time immediately following the birth of a child until 6 weeks later, many patients present to the clinic years or even decades later who have issues that stemmed from the peripartum period. Physical changes including postural dysfunction, pelvic girdle dysfunction, diastasis recti abdominis, and foot size changes, if left unaddressed, can lead to persisting muscle imbalances and musculoskeletal dysfunction. For example, headaches can be mechanical in nature, resulting from retained postural habits gained in late pregnancy. Breathing patterns are altered from trunk, rib, and respiratory diaphragm alterations, and unless these patterns are identified and re-trained, breathing patterns remain suboptimal. Length and activation changes in the abdomen caused by a separation of the rectus abdominis are believed to alter trunk and pelvic muscle stability, potentially setting up a woman for lumbopelvic dysfunction in the postpartum period.
Research tells us that pelvic girdle pain (PGP) in pregnancy may be as high as 50% (Gutke, Ostgaard, & Oberg, 2006), and that 1 in 4 women who develop PGP in pregnancy develop chronic postpartum pain (Ostgaard, Anderson, & Karlson, 1991). Care of the Postpartum Patient emphasizes the evaluation and intervention strategies needed to alleviate lumopelvic pain so that more patients may have the opportunity to avoid chronic postpartum pain. In addition to addressing these common musculoskeletal conditions in this continuing education course, breast health, breastfeeding, scar massage, episiotomies, postpartum fitness, and pelvic floor dysfunctions (incontinence, pelvic pain, bowel dysfunction) are covered.
The postpartum period is also an important time in which the rehabilitation provider must be aware of serious medical issues that may arise. Such medical issues can include gestational hypothyroidism, development of diabetes mellitus following gestational diabetes, postpartum hemorrhage, and postpartum psychosis. Medical screening for these and other conditions are discussed in this second of the Peripartum Series of continuing education courses.
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
Gutke, A., Ostgaard, H. C., & Oberg, B. (2006) Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine, 31(5), E149-E155.
Ostgaard, H. C., Anderson, G. B. J., & Karlson, K. (1991). Prevalence of back pain in pregnancy: A review. Spine, 16(5), 549-552.
Day One:
7:30 Registration
8:00 Course goals, introductions, pre-test
8:30 Postpartum period
9:15 Labor and Delivery Issues
10:00 BREAK
10:15 Spine and Trunk Common Complaints Lecture
11:00 Spine and Trunk Common Complaints Lab
12:00 LUNCH
1:00 Pelvic Girdle Common Complaints Lecture
1:45 Pelvic Girdle Common Complaints Lab
2:45 BREAK
3:00 Abdomen and Pelvic Floor Lecture
3:45 Abdomen and Pelvic Floor Lab
4:45 BREAK
5:00 Case Study
5:30 Questions, Post-test
6:00 Adjourn
Day Two:
8:00 Questions, pre-test
8:30 Upper Quarter Common Complaints
9:15 Upper Quarter Common Complaints Lab
10:15 Break
10:30 Lower Quarter Common Complaints
11:15 Lower Quarter Common Complaints Lab
12:15 LUNCH
1:00 Postpartum considerations
1:45 Postpartum fitness programs
2:30 BREAK
2:45 Case Studies
3:30 Questions, post-test
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Define common terminology of the labor and delivery and the postpartum period.
2. Describe the physiologic changes in the postpartum period that assist a woman's body in returning to pre-pregnancy state.
3. List the endocrine system changes, including the risk for thyroid dysfunction, that influence the female patient during the postpartum period.
4. Define the stages of labor, common complications of labor and delivery, and the postpartum red flags.
5. Describe common clinical presentations for perineal trauma and pelvic floor dysfunction.
6. List indications and potential complications of c-section deliveries, as well as principles of c-section recovery.
7. List 2 common conditions and recommended treatment for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities during the postpartum period.
8. Instruct the postpartum patient in safe return to fitness activities.
9. Describe the challenges that new mothers face and instruct in practical strategies for body mechanics, sleep hygiene, and time management for postpartum recovery.
10. Complete medical screening for conditions in postpartum that require referral.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Name Street Address (Links to Map)
Course Location
1200 12th Ave South
Seattle, WA 98104
Recommended Lodging
Best Western Executive Inn
(206) 448-9444
200 Taylor Ave N
Seattle, WA 98109
Nearest Airport
Seattle–Tacoma International Airport
Airport Code: SEA
17801 International Blvd
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course )
Experience Level: Beginner-Intermediate
Contact Hours: 22
Male Pelvic Floor Function, Dysfunction, & Treatment introduces valuable concepts in male pelvic health including urinary function, chronic pelvic pain, and sexual health. For therapists who have taken Pelvic Floor Function, Dysfunction, and Treatment Level 2A, the Male Course expands on the male pelvic health topics introduced in PF2A. This continuing education course is also created at an introductory level, covering topics such as internal rectal pelvic muscle examination, so that a therapist who has not taken prior pelvic floor muscle function coursework can attend.
Urinary dysfunction such as post-prostatectomy incontinence, benign prostatic hypertrophy, urinary rentention, and post-micturition dribble are discussed in this class. Because urinary incontinence is a potential consequence following prostate surgery, risk factors, pre-surgical rehabilitation, and post-surgical intervention strategies following prostatectomy are instructed. The medical aspects of prostate cancer testing are also clearly described, including prostate specific antigen (PSA) testing, Gleason scores, and the recent changes in recommended medical screening and interventions are referenced.
Although most men diagnosed with prostatitis do not have a true infection, prostatitis is a common diagnosis within male chronic pelvic pain. The Male Course explains typical presentations of prostatitis-like pain, evaluation techniques and evidence-informed intervention techniques. Other male pelvic pain diagnoses are covered, such as Peyronie's Disease, testicular and scrotal pain, penile pain, and pelvic floor muscle-related conditions. Men who experience pelvic muscle dysfunction including pain or weakness are at risk for sexual dysfunction. Participants will be able to describe the relationships between pelvic muscle function and male sexual health, including the high-level evidence that demonstrates pelvic muscle rehabilitation's positive impact on erectile function. This continuing education course includes lecture and labs, including external and internal muscle mapping and neuro-myofascial treatment techniques.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal rectal pelvic floor muscle examinations will be taught in labs. As this is a male course, please be aware that the instructors encourage male attendees.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This course is for therapists with experience in treating pelvic floor dysfunction. This course is also appropriate for the practitioner who has not had any training in pelvic floor dysfunction and who is interested in treating male patients.
Recommended Readings
1. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
2. Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction by Grace Dorey, 2006.
3. Headache in the Pelvis, 4th Edition by David Wise and Rodney Anderson.
4. National Institute of Diabetes and Digestive and Kidney Diseases Pages on: Prostate Problems and Erectile Dysfunction
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and physiology of the male urogenital systems with reference to male pelvic floor dysfunction.
2. List key medical diagnostic procedures for male urologic, sexual and pelvic pain conditions.
3. Perform external and internal (rectal) examinations of the pelvis to identify specific pelvic floor muscles, ligaments, nerves, and key bony landmarks.
4. Perform pelvic floor muscle assessment procedures to identify strength, tone, length and coordination.
5. Demonstrate psoas muscle examination and treatment, and describe its potential role in referral of symptoms into the pelvis.
6. Instruct male patients in an in home program and behavioral education for urologic, sexual, and pelvic pain conditions.
7. Design treatment plans for male chronic pelvic syndromes, erectile dysfunction and post-prostatectomy dysfunctions.
8. Perform external and internal male pelvic floor myofascial treatment techniques.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Day One:
8:00 Introductions, Review of Course Goals/Objectives
8:30 Male Pelvic Health Introduction
9:15 Introduction to Male Anatomy
10:15 Break
10:30 Examination & Evaluation
12:45 Lunch
1:45 Lab 1: Male Pelvic Assessment in Sidelying
2:30 Male Urinary Dysfunction
3:30 Break
3:45 Prostate Conditions
4:45 Questions, wrap-up
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Rehabilitation of Male Urinary Dysfunctions
10:00 Break
10:15 Lab 2: Supine Pelvic Floor and Perineal Assessment Supine
11:45 Male Sexual Function & Dysfunction
12:30 Lunch
1:30 Male Sexual Function & Dysfunction
3:15 Break
3:30 Rehabilitation of Male Sexual Dysfunction
4:00 Anatomy of Pelvic Pain
4:45 Questions, wrap-up
5:00 Adjourn
Day Three:
7:45 Questions
8:00 Male Pelvic Pain
9:15 Rehabilitation of Male Pelvic Pain
10:15 Break
10:30 Lab 3: Male Pelvic Pain Treatment
12:00 Lunch
12:30 Special Topics: Circumcision, Hernias, Testicular Pain
1:45 Break
2:00 Pathways in Healing
2:45 Course Wrap-Up
3:15 Adjourn
Name Street Address (Links to Map)
Course Location
130 Division St
Derby, CT 06418
Recommended Lodging
Hilton Garden Inn Shelton
(203) 447-1000
25 Old Stratford Rd
Shelton, CT 06484
Nearest Airport
Westchester County Airport
Airport Code: HPN
240 Airport Rd
White Plains, NY 10604
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course )
Experience Level: Beginner-Intermediate
Contact Hours: 22
Male Pelvic Floor Function, Dysfunction, & Treatment introduces valuable concepts in male pelvic health including urinary function, chronic pelvic pain, and sexual health. For therapists who have taken Pelvic Floor Function, Dysfunction, and Treatment Level 2A, the Male Course expands on the male pelvic health topics introduced in PF2A. This continuing education course is also created at an introductory level, covering topics such as internal rectal pelvic muscle examination, so that a therapist who has not taken prior pelvic floor muscle function coursework can attend.
Urinary dysfunction such as post-prostatectomy incontinence, benign prostatic hypertrophy, urinary rentention, and post-micturition dribble are discussed in this class. Because urinary incontinence is a potential consequence following prostate surgery, risk factors, pre-surgical rehabilitation, and post-surgical intervention strategies following prostatectomy are instructed. The medical aspects of prostate cancer testing are also clearly described, including prostate specific antigen (PSA) testing, Gleason scores, and the recent changes in recommended medical screening and interventions are referenced.
Although most men diagnosed with prostatitis do not have a true infection, prostatitis is a common diagnosis within male chronic pelvic pain. The Male Course explains typical presentations of prostatitis-like pain, evaluation techniques and evidence-informed intervention techniques. Other male pelvic pain diagnoses are covered, such as Peyronie's Disease, testicular and scrotal pain, penile pain, and pelvic floor muscle-related conditions. Men who experience pelvic muscle dysfunction including pain or weakness are at risk for sexual dysfunction. Participants will be able to describe the relationships between pelvic muscle function and male sexual health, including the high-level evidence that demonstrates pelvic muscle rehabilitation's positive impact on erectile function. This continuing education course includes lecture and labs, including external and internal muscle mapping and neuro-myofascial treatment techniques.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal rectal pelvic floor muscle examinations will be taught in labs. As this is a male course, please be aware that the instructors encourage male attendees.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This course is for therapists with experience in treating pelvic floor dysfunction. This course is also appropriate for the practitioner who has not had any training in pelvic floor dysfunction and who is interested in treating male patients.
Recommended Readings
1. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
2. Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction by Grace Dorey, 2006.
3. Headache in the Pelvis, 4th Edition by David Wise and Rodney Anderson.
4. National Institute of Diabetes and Digestive and Kidney Diseases Pages on: Prostate Problems and Erectile Dysfunction
Day One:
8:00 Introductions, Review of Course Goals/Objectives
8:30 Male Pelvic Health Introduction
9:15 Introduction to Male Anatomy
10:15 Break
10:30 Examination & Evaluation
12:45 Lunch
1:45 Lab 1: Male Pelvic Assessment in Sidelying
2:30 Male Urinary Dysfunction
3:30 Break
3:45 Prostate Conditions
4:45 Questions, wrap-up
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Rehabilitation of Male Urinary Dysfunctions
10:00 Break
10:15 Lab 2: Supine Pelvic Floor and Perineal Assessment Supine
11:45 Male Sexual Function & Dysfunction
12:30 Lunch
1:30 Male Sexual Function & Dysfunction
3:15 Break
3:30 Rehabilitation of Male Sexual Dysfunction
4:00 Anatomy of Pelvic Pain
4:45 Questions, wrap-up
5:00 Adjourn
Day Three:
7:45 Questions
8:00 Male Pelvic Pain
9:15 Rehabilitation of Male Pelvic Pain
10:15 Break
10:30 Lab 3: Male Pelvic Pain Treatment
12:00 Lunch
12:30 Special Topics: Circumcision, Hernias, Testicular Pain
1:45 Break
2:00 Pathways in Healing
2:45 Course Wrap-Up
3:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and physiology of the male urogenital systems with reference to male pelvic floor dysfunction.
2. List key medical diagnostic procedures for male urologic, sexual and pelvic pain conditions.
3. Perform external and internal (rectal) examinations of the pelvis to identify specific pelvic floor muscles, ligaments, nerves, and key bony landmarks.
4. Perform pelvic floor muscle assessment procedures to identify strength, tone, length and coordination.
5. Demonstrate psoas muscle examination and treatment, and describe its potential role in referral of symptoms into the pelvis.
6. Instruct male patients in an in home program and behavioral education for urologic, sexual, and pelvic pain conditions.
7. Design treatment plans for male chronic pelvic syndromes, erectile dysfunction and post-prostatectomy dysfunctions.
8. Perform external and internal male pelvic floor myofascial treatment techniques.
Name Street Address (Links to Map)
Course Location
9981 S Healthpark Dr
Fort Myers, FL 33908
Recommended Lodging
La Quinta Inn & Suites Ft. Myers - Sanibel Gateway
(239)-466-1200
20091 Summerlin Rd
Fort Myers, FL 33908
Nearest Airport
Southwest Florida International Airport
Airport Code: RSW
11000 Terminal Access Rd
Fort Myers, FL 33913
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course )
Experience Level: Beginner-Intermediate
Contact Hours: 22
Male Pelvic Floor Function, Dysfunction, & Treatment introduces valuable concepts in male pelvic health including urinary function, chronic pelvic pain, and sexual health. For therapists who have taken Pelvic Floor Function, Dysfunction, and Treatment Level 2A, the Male Course expands on the male pelvic health topics introduced in PF2A. This continuing education course is also created at an introductory level, covering topics such as internal rectal pelvic muscle examination, so that a therapist who has not taken prior pelvic floor muscle function coursework can attend.
Urinary dysfunction such as post-prostatectomy incontinence, benign prostatic hypertrophy, urinary rentention, and post-micturition dribble are discussed in this class. Because urinary incontinence is a potential consequence following prostate surgery, risk factors, pre-surgical rehabilitation, and post-surgical intervention strategies following prostatectomy are instructed. The medical aspects of prostate cancer testing are also clearly described, including prostate specific antigen (PSA) testing, Gleason scores, and the recent changes in recommended medical screening and interventions are referenced.
Although most men diagnosed with prostatitis do not have a true infection, prostatitis is a common diagnosis within male chronic pelvic pain. The Male Course explains typical presentations of prostatitis-like pain, evaluation techniques and evidence-informed intervention techniques. Other male pelvic pain diagnoses are covered, such as Peyronie's Disease, testicular and scrotal pain, penile pain, and pelvic floor muscle-related conditions. Men who experience pelvic muscle dysfunction including pain or weakness are at risk for sexual dysfunction. Participants will be able to describe the relationships between pelvic muscle function and male sexual health, including the high-level evidence that demonstrates pelvic muscle rehabilitation's positive impact on erectile function. This continuing education course includes lecture and labs, including external and internal muscle mapping and neuro-myofascial treatment techniques.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal rectal pelvic floor muscle examinations will be taught in labs. As this is a male course, please be aware that the instructors encourage male attendees.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This course is for therapists with experience in treating pelvic floor dysfunction. This course is also appropriate for the practitioner who has not had any training in pelvic floor dysfunction and who is interested in treating male patients.
Recommended Readings
1. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
2. Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction by Grace Dorey, 2006.
3. Headache in the Pelvis, 4th Edition by David Wise and Rodney Anderson.
4. National Institute of Diabetes and Digestive and Kidney Diseases Pages on: Prostate Problems and Erectile Dysfunction
Day One:
8:00 Introductions, Review of Course Goals/Objectives
8:30 Male Pelvic Health Introduction
9:15 Introduction to Male Anatomy
10:15 Break
10:30 Examination & Evaluation
12:45 Lunch
1:45 Lab 1: Male Pelvic Assessment in Sidelying
2:30 Male Urinary Dysfunction
3:30 Break
3:45 Prostate Conditions
4:45 Questions, wrap-up
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Rehabilitation of Male Urinary Dysfunctions
10:00 Break
10:15 Lab 2: Supine Pelvic Floor and Perineal Assessment Supine
11:45 Male Sexual Function & Dysfunction
12:30 Lunch
1:30 Male Sexual Function & Dysfunction
3:15 Break
3:30 Rehabilitation of Male Sexual Dysfunction
4:00 Anatomy of Pelvic Pain
4:45 Questions, wrap-up
5:00 Adjourn
Day Three:
7:45 Questions
8:00 Male Pelvic Pain
9:15 Rehabilitation of Male Pelvic Pain
10:15 Break
10:30 Lab 3: Male Pelvic Pain Treatment
12:00 Lunch
12:30 Special Topics: Circumcision, Hernias, Testicular Pain
1:45 Break
2:00 Pathways in Healing
2:45 Course Wrap-Up
3:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and physiology of the male urogenital systems with reference to male pelvic floor dysfunction.
2. List key medical diagnostic procedures for male urologic, sexual and pelvic pain conditions.
3. Perform external and internal (rectal) examinations of the pelvis to identify specific pelvic floor muscles, ligaments, nerves, and key bony landmarks.
4. Perform pelvic floor muscle assessment procedures to identify strength, tone, length and coordination.
5. Demonstrate psoas muscle examination and treatment, and describe its potential role in referral of symptoms into the pelvis.
6. Instruct male patients in an in home program and behavioral education for urologic, sexual, and pelvic pain conditions.
7. Design treatment plans for male chronic pelvic syndromes, erectile dysfunction and post-prostatectomy dysfunctions.
8. Perform external and internal male pelvic floor myofascial treatment techniques.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Name Street Address (Links to Map)
Course Location
901 West Main Street
Freehold, NJ, 07728
Recommended Lodging
Radisson Hotel Freehold
(732) 780-3400
50 Gibson Pl
Freehold, NJ 07728
Nearest Airport
Newark Liberty International Airport
Airport Code: EWR
3 Brewster Rd
Newark, NJ 07114
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course )
Experience Level: Beginner-Intermediate
Contact Hours: 22
Male Pelvic Floor Function, Dysfunction, & Treatment introduces valuable concepts in male pelvic health including urinary function, chronic pelvic pain, and sexual health. For therapists who have taken Pelvic Floor Function, Dysfunction, and Treatment Level 2A, the Male Course expands on the male pelvic health topics introduced in PF2A. This continuing education course is also created at an introductory level, covering topics such as internal rectal pelvic muscle examination, so that a therapist who has not taken prior pelvic floor muscle function coursework can attend.
Urinary dysfunction such as post-prostatectomy incontinence, benign prostatic hypertrophy, urinary rentention, and post-micturition dribble are discussed in this class. Because urinary incontinence is a potential consequence following prostate surgery, risk factors, pre-surgical rehabilitation, and post-surgical intervention strategies following prostatectomy are instructed. The medical aspects of prostate cancer testing are also clearly described, including prostate specific antigen (PSA) testing, Gleason scores, and the recent changes in recommended medical screening and interventions are referenced.
Although most men diagnosed with prostatitis do not have a true infection, prostatitis is a common diagnosis within male chronic pelvic pain. The Male Course explains typical presentations of prostatitis-like pain, evaluation techniques and evidence-informed intervention techniques. Other male pelvic pain diagnoses are covered, such as Peyronie's Disease, testicular and scrotal pain, penile pain, and pelvic floor muscle-related conditions. Men who experience pelvic muscle dysfunction including pain or weakness are at risk for sexual dysfunction. Participants will be able to describe the relationships between pelvic muscle function and male sexual health, including the high-level evidence that demonstrates pelvic muscle rehabilitation's positive impact on erectile function. This continuing education course includes lecture and labs, including external and internal muscle mapping and neuro-myofascial treatment techniques.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal rectal pelvic floor muscle examinations will be taught in labs. As this is a male course, please be aware that the instructors encourage male attendees.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This course is for therapists with experience in treating pelvic floor dysfunction. This course is also appropriate for the practitioner who has not had any training in pelvic floor dysfunction and who is interested in treating male patients.
Recommended Readings
1. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
2. Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction by Grace Dorey, 2006.
3. Headache in the Pelvis, 4th Edition by David Wise and Rodney Anderson.
4. National Institute of Diabetes and Digestive and Kidney Diseases Pages on: Prostate Problems and Erectile Dysfunction
Day One:
8:00 Introductions, Review of Course Goals/Objectives
8:30 Male Pelvic Health Introduction
9:15 Introduction to Male Anatomy
10:15 Break
10:30 Examination & Evaluation
12:45 Lunch
1:45 Lab 1: Male Pelvic Assessment in Sidelying
2:30 Male Urinary Dysfunction
3:30 Break
3:45 Prostate Conditions
4:45 Questions, wrap-up
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Rehabilitation of Male Urinary Dysfunctions
10:00 Break
10:15 Lab 2: Supine Pelvic Floor and Perineal Assessment Supine
11:45 Male Sexual Function & Dysfunction
12:30 Lunch
1:30 Male Sexual Function & Dysfunction
3:15 Break
3:30 Rehabilitation of Male Sexual Dysfunction
4:00 Anatomy of Pelvic Pain
4:45 Questions, wrap-up
5:00 Adjourn
Day Three:
7:45 Questions
8:00 Male Pelvic Pain
9:15 Rehabilitation of Male Pelvic Pain
10:15 Break
10:30 Lab 3: Male Pelvic Pain Treatment
12:00 Lunch
12:30 Special Topics: Circumcision, Hernias, Testicular Pain
1:45 Break
2:00 Pathways in Healing
2:45 Course Wrap-Up
3:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and physiology of the male urogenital systems with reference to male pelvic floor dysfunction.
2. List key medical diagnostic procedures for male urologic, sexual and pelvic pain conditions.
3. Perform external and internal (rectal) examinations of the pelvis to identify specific pelvic floor muscles, ligaments, nerves, and key bony landmarks.
4. Perform pelvic floor muscle assessment procedures to identify strength, tone, length and coordination.
5. Demonstrate psoas muscle examination and treatment, and describe its potential role in referral of symptoms into the pelvis.
6. Instruct male patients in an in home program and behavioral education for urologic, sexual, and pelvic pain conditions.
7. Design treatment plans for male chronic pelvic syndromes, erectile dysfunction and post-prostatectomy dysfunctions.
8. Perform external and internal male pelvic floor myofascial treatment techniques.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Name Street Address (Links to Map)
Course Location
350 Lafayette SE
Grand Rapids, MI 49503
Recommended Lodging
Amway Grand Plaza Hotel
(616) 774-2000
187 Monroe Ave NW
Grand Rapids, MI 49503
Nearest Airport
Gerald R. Ford International Airport
Airport Code: GRR
5500 44th St SE
Grand Rapids, MI 49512
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course )
Experience Level: Beginner-Intermediate
Contact Hours: 22
Male Pelvic Floor Function, Dysfunction, & Treatment introduces valuable concepts in male pelvic health including urinary function, chronic pelvic pain, and sexual health. For therapists who have taken Pelvic Floor Function, Dysfunction, and Treatment Level 2A, the Male Course expands on the male pelvic health topics introduced in PF2A. This continuing education course is also created at an introductory level, covering topics such as internal rectal pelvic muscle examination, so that a therapist who has not taken prior pelvic floor muscle function coursework can attend.
Urinary dysfunction such as post-prostatectomy incontinence, benign prostatic hypertrophy, urinary rentention, and post-micturition dribble are discussed in this class. Because urinary incontinence is a potential consequence following prostate surgery, risk factors, pre-surgical rehabilitation, and post-surgical intervention strategies following prostatectomy are instructed. The medical aspects of prostate cancer testing are also clearly described, including prostate specific antigen (PSA) testing, Gleason scores, and the recent changes in recommended medical screening and interventions are referenced.
Although most men diagnosed with prostatitis do not have a true infection, prostatitis is a common diagnosis within male chronic pelvic pain. The Male Course explains typical presentations of prostatitis-like pain, evaluation techniques and evidence-informed intervention techniques. Other male pelvic pain diagnoses are covered, such as Peyronie's Disease, testicular and scrotal pain, penile pain, and pelvic floor muscle-related conditions. Men who experience pelvic muscle dysfunction including pain or weakness are at risk for sexual dysfunction. Participants will be able to describe the relationships between pelvic muscle function and male sexual health, including the high-level evidence that demonstrates pelvic muscle rehabilitation's positive impact on erectile function. This continuing education course includes lecture and labs, including external and internal muscle mapping and neuro-myofascial treatment techniques.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal rectal pelvic floor muscle examinations will be taught in labs. As this is a male course, please be aware that the instructors encourage male attendees.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This course is for therapists with experience in treating pelvic floor dysfunction. This course is also appropriate for the practitioner who has not had any training in pelvic floor dysfunction and who is interested in treating male patients.
Recommended Readings
1. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
2. Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction by Grace Dorey, 2006.
3. Headache in the Pelvis, 4th Edition by David Wise and Rodney Anderson.
4. National Institute of Diabetes and Digestive and Kidney Diseases Pages on: Prostate Problems and Erectile Dysfunction
Day One:
8:00 Introductions, Review of Course Goals/Objectives
8:30 Male Pelvic Health Introduction
9:15 Introduction to Male Anatomy
10:15 Break
10:30 Examination & Evaluation
12:45 Lunch
1:45 Lab 1: Male Pelvic Assessment in Sidelying
2:30 Male Urinary Dysfunction
3:30 Break
3:45 Prostate Conditions
4:45 Questions, wrap-up
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Rehabilitation of Male Urinary Dysfunctions
10:00 Break
10:15 Lab 2: Supine Pelvic Floor and Perineal Assessment Supine
11:45 Male Sexual Function & Dysfunction
12:30 Lunch
1:30 Male Sexual Function & Dysfunction
3:15 Break
3:30 Rehabilitation of Male Sexual Dysfunction
4:00 Anatomy of Pelvic Pain
4:45 Questions, wrap-up
5:00 Adjourn
Day Three:
7:45 Questions
8:00 Male Pelvic Pain
9:15 Rehabilitation of Male Pelvic Pain
10:15 Break
10:30 Lab 3: Male Pelvic Pain Treatment
12:00 Lunch
12:30 Special Topics: Circumcision, Hernias, Testicular Pain
1:45 Break
2:00 Pathways in Healing
2:45 Course Wrap-Up
3:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and physiology of the male urogenital systems with reference to male pelvic floor dysfunction.
2. List key medical diagnostic procedures for male urologic, sexual and pelvic pain conditions.
3. Perform external and internal (rectal) examinations of the pelvis to identify specific pelvic floor muscles, ligaments, nerves, and key bony landmarks.
4. Perform pelvic floor muscle assessment procedures to identify strength, tone, length and coordination.
5. Demonstrate psoas muscle examination and treatment, and describe its potential role in referral of symptoms into the pelvis.
6. Instruct male patients in an in home program and behavioral education for urologic, sexual, and pelvic pain conditions.
7. Design treatment plans for male chronic pelvic syndromes, erectile dysfunction and post-prostatectomy dysfunctions.
8. Perform external and internal male pelvic floor myofascial treatment techniques.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Name Street Address (Links to Map)
Course Location
929 Gessner Rd
Houston, TX 77024
Recommended Lodging
The Westin Houston, Memorial City
(281) 501-4300
945 Gessner Rd
Houston, TX 77024
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $695 (Early Registrant Price $675)
Experience Level: Beginner-Intermediate
Contact Hours: 22
Male Pelvic Floor Function, Dysfunction, & Treatment introduces valuable concepts in male pelvic health including urinary function, chronic pelvic pain, and sexual health. For therapists who have taken Pelvic Floor Function, Dysfunction, and Treatment Level 2A, the Male Course expands on the male pelvic health topics introduced in PF2A. This continuing education course is also created at an introductory level, covering topics such as internal rectal pelvic muscle examination, so that a therapist who has not taken prior pelvic floor muscle function coursework can attend.
Urinary dysfunction such as post-prostatectomy incontinence, benign prostatic hypertrophy, urinary rentention, and post-micturition dribble are discussed in this class. Because urinary incontinence is a potential consequence following prostate surgery, risk factors, pre-surgical rehabilitation, and post-surgical intervention strategies following prostatectomy are instructed. The medical aspects of prostate cancer testing are also clearly described, including prostate specific antigen (PSA) testing, Gleason scores, and the recent changes in recommended medical screening and interventions are referenced.
Although most men diagnosed with prostatitis do not have a true infection, prostatitis is a common diagnosis within male chronic pelvic pain. The Male Course explains typical presentations of prostatitis-like pain, evaluation techniques and evidence-informed intervention techniques. Other male pelvic pain diagnoses are covered, such as Peyronie's Disease, testicular and scrotal pain, penile pain, and pelvic floor muscle-related conditions. Men who experience pelvic muscle dysfunction including pain or weakness are at risk for sexual dysfunction. Participants will be able to describe the relationships between pelvic muscle function and male sexual health, including the high-level evidence that demonstrates pelvic muscle rehabilitation's positive impact on erectile function. This continuing education course includes lecture and labs, including external and internal muscle mapping and neuro-myofascial treatment techniques.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal rectal pelvic floor muscle examinations will be taught in labs. As this is a male course, please be aware that the instructors encourage male attendees.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This course is for therapists with experience in treating pelvic floor dysfunction. This course is also appropriate for the practitioner who has not had any training in pelvic floor dysfunction and who is interested in treating male patients.
Recommended Readings
1. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
2. Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction by Grace Dorey, 2006.
3. Headache in the Pelvis, 4th Edition by David Wise and Rodney Anderson.
4. National Institute of Diabetes and Digestive and Kidney Diseases Pages on: Prostate Problems and Erectile Dysfunction
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and physiology of the male urogenital systems with reference to male pelvic floor dysfunction.
2. List key medical diagnostic procedures for male urologic, sexual and pelvic pain conditions.
3. Perform external and internal (rectal) examinations of the pelvis to identify specific pelvic floor muscles, ligaments, nerves, and key bony landmarks.
4. Perform pelvic floor muscle assessment procedures to identify strength, tone, length and coordination.
5. Demonstrate psoas muscle examination and treatment, and describe its potential role in referral of symptoms into the pelvis.
6. Instruct male patients in an in home program and behavioral education for urologic, sexual, and pelvic pain conditions.
7. Design treatment plans for male chronic pelvic syndromes, erectile dysfunction and post-prostatectomy dysfunctions.
8. Perform external and internal male pelvic floor myofascial treatment techniques.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Day One:
8:00 Introductions, Review of Course Goals/Objectives
8:30 Male Pelvic Health Introduction
9:15 Introduction to Male Anatomy
10:15 Break
10:30 Examination & Evaluation
12:45 Lunch
1:45 Lab 1: Male Pelvic Assessment in Sidelying
2:30 Male Urinary Dysfunction
3:30 Break
3:45 Prostate Conditions
4:45 Questions, wrap-up
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Rehabilitation of Male Urinary Dysfunctions
10:00 Break
10:15 Lab 2: Supine Pelvic Floor and Perineal Assessment Supine
11:45 Male Sexual Function & Dysfunction
12:30 Lunch
1:30 Male Sexual Function & Dysfunction
3:15 Break
3:30 Rehabilitation of Male Sexual Dysfunction
4:00 Anatomy of Pelvic Pain
4:45 Questions, wrap-up
5:00 Adjourn
Day Three:
7:45 Questions
8:00 Male Pelvic Pain
9:15 Rehabilitation of Male Pelvic Pain
10:15 Break
10:30 Lab 3: Male Pelvic Pain Treatment
12:00 Lunch
12:30 Special Topics: Circumcision, Hernias, Testicular Pain
1:45 Break
2:00 Pathways in Healing
2:45 Course Wrap-Up
3:15 Adjourn
Name Street Address (Links to Map)
Course Location
2160 S 1st Ave
Maywood, IL 60625
Recommended Lodging
Residence Inn Oakbrook
(630)568-2342
790 Jorie Boulevard
Oak Brook, IL 60523
Nearest Airport
Chicago Midway International Airport
Airport Code: MCO
5700 S Cicero Ave
Chicago, IL 60638
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $695 (Early Registrant Price $675)
Experience Level: Beginner-Intermediate
Contact Hours: 22
Male Pelvic Floor Function, Dysfunction, & Treatment introduces valuable concepts in male pelvic health including urinary function, chronic pelvic pain, and sexual health. For therapists who have taken Pelvic Floor Function, Dysfunction, and Treatment Level 2A, the Male Course expands on the male pelvic health topics introduced in PF2A. This continuing education course is also created at an introductory level, covering topics such as internal rectal pelvic muscle examination, so that a therapist who has not taken prior pelvic floor muscle function coursework can attend.
Urinary dysfunction such as post-prostatectomy incontinence, benign prostatic hypertrophy, urinary rentention, and post-micturition dribble are discussed in this class. Because urinary incontinence is a potential consequence following prostate surgery, risk factors, pre-surgical rehabilitation, and post-surgical intervention strategies following prostatectomy are instructed. The medical aspects of prostate cancer testing are also clearly described, including prostate specific antigen (PSA) testing, Gleason scores, and the recent changes in recommended medical screening and interventions are referenced.
Although most men diagnosed with prostatitis do not have a true infection, prostatitis is a common diagnosis within male chronic pelvic pain. The Male Course explains typical presentations of prostatitis-like pain, evaluation techniques and evidence-informed intervention techniques. Other male pelvic pain diagnoses are covered, such as Peyronie's Disease, testicular and scrotal pain, penile pain, and pelvic floor muscle-related conditions. Men who experience pelvic muscle dysfunction including pain or weakness are at risk for sexual dysfunction. Participants will be able to describe the relationships between pelvic muscle function and male sexual health, including the high-level evidence that demonstrates pelvic muscle rehabilitation's positive impact on erectile function. This continuing education course includes lecture and labs, including external and internal muscle mapping and neuro-myofascial treatment techniques.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal rectal pelvic floor muscle examinations will be taught in labs. As this is a male course, please be aware that the instructors encourage male attendees.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This course is for therapists with experience in treating pelvic floor dysfunction. This course is also appropriate for the practitioner who has not had any training in pelvic floor dysfunction and who is interested in treating male patients.
Recommended Readings
1. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
2. Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction by Grace Dorey, 2006.
3. Headache in the Pelvis, 4th Edition by David Wise and Rodney Anderson.
4. National Institute of Diabetes and Digestive and Kidney Diseases Pages on: Prostate Problems and Erectile Dysfunction
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and physiology of the male urogenital systems with reference to male pelvic floor dysfunction.
2. List key medical diagnostic procedures for male urologic, sexual and pelvic pain conditions.
3. Perform external and internal (rectal) examinations of the pelvis to identify specific pelvic floor muscles, ligaments, nerves, and key bony landmarks.
4. Perform pelvic floor muscle assessment procedures to identify strength, tone, length and coordination.
5. Demonstrate psoas muscle examination and treatment, and describe its potential role in referral of symptoms into the pelvis.
6. Instruct male patients in an in home program and behavioral education for urologic, sexual, and pelvic pain conditions.
7. Design treatment plans for male chronic pelvic syndromes, erectile dysfunction and post-prostatectomy dysfunctions.
8. Perform external and internal male pelvic floor myofascial treatment techniques.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Day One:
8:00 Introductions, Review of Course Goals/Objectives
8:30 Male Pelvic Health Introduction
9:15 Introduction to Male Anatomy
10:15 Break
10:30 Examination & Evaluation
12:45 Lunch
1:45 Lab 1: Male Pelvic Assessment in Sidelying
2:30 Male Urinary Dysfunction
3:30 Break
3:45 Prostate Conditions
4:45 Questions, wrap-up
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Rehabilitation of Male Urinary Dysfunctions
10:00 Break
10:15 Lab 2: Supine Pelvic Floor and Perineal Assessment Supine
11:45 Male Sexual Function & Dysfunction
12:30 Lunch
1:30 Male Sexual Function & Dysfunction
3:15 Break
3:30 Rehabilitation of Male Sexual Dysfunction
4:00 Anatomy of Pelvic Pain
4:45 Questions, wrap-up
5:00 Adjourn
Day Three:
7:45 Questions
8:00 Male Pelvic Pain
9:15 Rehabilitation of Male Pelvic Pain
10:15 Break
10:30 Lab 3: Male Pelvic Pain Treatment
12:00 Lunch
12:30 Special Topics: Circumcision, Hernias, Testicular Pain
1:45 Break
2:00 Pathways in Healing
2:45 Course Wrap-Up
3:15 Adjourn
Name Street Address (Links to Map)
Course Location
4050 Coon Rapids Blvd
Coon Rapids, MN 55433
Recommended Lodging
Best Western Plus
(763)576-0700
3420 Northdale Blvd NW
Coon Rapids, MN 55448
Nearest Airport
Minneapolis Saint Paul International Airport
Airport Code: MSP
4300 Glumack Drive
St. Paul, MN 55111
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course )
Experience Level: Beginner-Intermediate
Contact Hours: 22
Male Pelvic Floor Function, Dysfunction, & Treatment introduces valuable concepts in male pelvic health including urinary function, chronic pelvic pain, and sexual health. For therapists who have taken Pelvic Floor Function, Dysfunction, and Treatment Level 2A, the Male Course expands on the male pelvic health topics introduced in PF2A. This continuing education course is also created at an introductory level, covering topics such as internal rectal pelvic muscle examination, so that a therapist who has not taken prior pelvic floor muscle function coursework can attend.
Urinary dysfunction such as post-prostatectomy incontinence, benign prostatic hypertrophy, urinary rentention, and post-micturition dribble are discussed in this class. Because urinary incontinence is a potential consequence following prostate surgery, risk factors, pre-surgical rehabilitation, and post-surgical intervention strategies following prostatectomy are instructed. The medical aspects of prostate cancer testing are also clearly described, including prostate specific antigen (PSA) testing, Gleason scores, and the recent changes in recommended medical screening and interventions are referenced.
Although most men diagnosed with prostatitis do not have a true infection, prostatitis is a common diagnosis within male chronic pelvic pain. The Male Course explains typical presentations of prostatitis-like pain, evaluation techniques and evidence-informed intervention techniques. Other male pelvic pain diagnoses are covered, such as Peyronie's Disease, testicular and scrotal pain, penile pain, and pelvic floor muscle-related conditions. Men who experience pelvic muscle dysfunction including pain or weakness are at risk for sexual dysfunction. Participants will be able to describe the relationships between pelvic muscle function and male sexual health, including the high-level evidence that demonstrates pelvic muscle rehabilitation's positive impact on erectile function. This continuing education course includes lecture and labs, including external and internal muscle mapping and neuro-myofascial treatment techniques.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal rectal pelvic floor muscle examinations will be taught in labs. As this is a male course, please be aware that the instructors encourage male attendees.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This course is for therapists with experience in treating pelvic floor dysfunction. This course is also appropriate for the practitioner who has not had any training in pelvic floor dysfunction and who is interested in treating male patients.
Recommended Readings
1. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
2. Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction by Grace Dorey, 2006.
3. Headache in the Pelvis, 4th Edition by David Wise and Rodney Anderson.
4. National Institute of Diabetes and Digestive and Kidney Diseases Pages on: Prostate Problems and Erectile Dysfunction
Day One:
8:00 Introductions, Review of Course Goals/Objectives
8:30 Male Pelvic Health Introduction
9:15 Introduction to Male Anatomy
10:15 Break
10:30 Examination & Evaluation
12:45 Lunch
1:45 Lab 1: Male Pelvic Assessment in Sidelying
2:30 Male Urinary Dysfunction
3:30 Break
3:45 Prostate Conditions
4:45 Questions, wrap-up
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Rehabilitation of Male Urinary Dysfunctions
10:00 Break
10:15 Lab 2: Supine Pelvic Floor and Perineal Assessment Supine
11:45 Male Sexual Function & Dysfunction
12:30 Lunch
1:30 Male Sexual Function & Dysfunction
3:15 Break
3:30 Rehabilitation of Male Sexual Dysfunction
4:00 Anatomy of Pelvic Pain
4:45 Questions, wrap-up
5:00 Adjourn
Day Three:
7:45 Questions
8:00 Male Pelvic Pain
9:15 Rehabilitation of Male Pelvic Pain
10:15 Break
10:30 Lab 3: Male Pelvic Pain Treatment
12:00 Lunch
12:30 Special Topics: Circumcision, Hernias, Testicular Pain
1:45 Break
2:00 Pathways in Healing
2:45 Course Wrap-Up
3:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and physiology of the male urogenital systems with reference to male pelvic floor dysfunction.
2. List key medical diagnostic procedures for male urologic, sexual and pelvic pain conditions.
3. Perform external and internal (rectal) examinations of the pelvis to identify specific pelvic floor muscles, ligaments, nerves, and key bony landmarks.
4. Perform pelvic floor muscle assessment procedures to identify strength, tone, length and coordination.
5. Demonstrate psoas muscle examination and treatment, and describe its potential role in referral of symptoms into the pelvis.
6. Instruct male patients in an in home program and behavioral education for urologic, sexual, and pelvic pain conditions.
7. Design treatment plans for male chronic pelvic syndromes, erectile dysfunction and post-prostatectomy dysfunctions.
8. Perform external and internal male pelvic floor myofascial treatment techniques.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course )
Experience Level: Beginner-Intermediate
Contact Hours: 22
Male Pelvic Floor Function, Dysfunction, & Treatment introduces valuable concepts in male pelvic health including urinary function, chronic pelvic pain, and sexual health. For therapists who have taken Pelvic Floor Function, Dysfunction, and Treatment Level 2A, the Male Course expands on the male pelvic health topics introduced in PF2A. This continuing education course is also created at an introductory level, covering topics such as internal rectal pelvic muscle examination, so that a therapist who has not taken prior pelvic floor muscle function coursework can attend.
Urinary dysfunction such as post-prostatectomy incontinence, benign prostatic hypertrophy, urinary rentention, and post-micturition dribble are discussed in this class. Because urinary incontinence is a potential consequence following prostate surgery, risk factors, pre-surgical rehabilitation, and post-surgical intervention strategies following prostatectomy are instructed. The medical aspects of prostate cancer testing are also clearly described, including prostate specific antigen (PSA) testing, Gleason scores, and the recent changes in recommended medical screening and interventions are referenced.
Although most men diagnosed with prostatitis do not have a true infection, prostatitis is a common diagnosis within male chronic pelvic pain. The Male Course explains typical presentations of prostatitis-like pain, evaluation techniques and evidence-informed intervention techniques. Other male pelvic pain diagnoses are covered, such as Peyronie's Disease, testicular and scrotal pain, penile pain, and pelvic floor muscle-related conditions. Men who experience pelvic muscle dysfunction including pain or weakness are at risk for sexual dysfunction. Participants will be able to describe the relationships between pelvic muscle function and male sexual health, including the high-level evidence that demonstrates pelvic muscle rehabilitation's positive impact on erectile function. This continuing education course includes lecture and labs, including external and internal muscle mapping and neuro-myofascial treatment techniques.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal rectal pelvic floor muscle examinations will be taught in labs. As this is a male course, please be aware that the instructors encourage male attendees.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This course is for therapists with experience in treating pelvic floor dysfunction. This course is also appropriate for the practitioner who has not had any training in pelvic floor dysfunction and who is interested in treating male patients.
Recommended Readings
1. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
2. Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction by Grace Dorey, 2006.
3. Headache in the Pelvis, 4th Edition by David Wise and Rodney Anderson.
4. National Institute of Diabetes and Digestive and Kidney Diseases Pages on: Prostate Problems and Erectile Dysfunction
Day One:
8:00 Introductions, Review of Course Goals/Objectives
8:30 Male Pelvic Health Introduction
9:15 Introduction to Male Anatomy
10:15 Break
10:30 Examination & Evaluation
12:45 Lunch
1:45 Lab 1: Male Pelvic Assessment in Sidelying
2:30 Male Urinary Dysfunction
3:30 Break
3:45 Prostate Conditions
4:45 Questions, wrap-up
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Rehabilitation of Male Urinary Dysfunctions
10:00 Break
10:15 Lab 2: Supine Pelvic Floor and Perineal Assessment Supine
11:45 Male Sexual Function & Dysfunction
12:30 Lunch
1:30 Male Sexual Function & Dysfunction
3:15 Break
3:30 Rehabilitation of Male Sexual Dysfunction
4:00 Anatomy of Pelvic Pain
4:45 Questions, wrap-up
5:00 Adjourn
Day Three:
7:45 Questions
8:00 Male Pelvic Pain
9:15 Rehabilitation of Male Pelvic Pain
10:15 Break
10:30 Lab 3: Male Pelvic Pain Treatment
12:00 Lunch
12:30 Special Topics: Circumcision, Hernias, Testicular Pain
1:45 Break
2:00 Pathways in Healing
2:45 Course Wrap-Up
3:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and physiology of the male urogenital systems with reference to male pelvic floor dysfunction.
2. List key medical diagnostic procedures for male urologic, sexual and pelvic pain conditions.
3. Perform external and internal (rectal) examinations of the pelvis to identify specific pelvic floor muscles, ligaments, nerves, and key bony landmarks.
4. Perform pelvic floor muscle assessment procedures to identify strength, tone, length and coordination.
5. Demonstrate psoas muscle examination and treatment, and describe its potential role in referral of symptoms into the pelvis.
6. Instruct male patients in an in home program and behavioral education for urologic, sexual, and pelvic pain conditions.
7. Design treatment plans for male chronic pelvic syndromes, erectile dysfunction and post-prostatectomy dysfunctions.
8. Perform external and internal male pelvic floor myofascial treatment techniques.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Name Street Address (Links to Map)
Course Location
19300 SW 65th Ave
Tualatin, OR 97062
Recommended Lodging
Holiday Inn Express Portland South - Lake Oswego
(503) 620-2980
15700 SW Upper Boones Ferry Rd
Lake Oswego, OR 97035
Nearest Airport
Portland International Airport
Airport Code: PDX
7000 NE Airport Way
Portland, OR 97218
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course )
Experience Level: Beginner-Intermediate
Contact Hours: 22
Male Pelvic Floor Function, Dysfunction, & Treatment introduces valuable concepts in male pelvic health including urinary function, chronic pelvic pain, and sexual health. For therapists who have taken Pelvic Floor Function, Dysfunction, and Treatment Level 2A, the Male Course expands on the male pelvic health topics introduced in PF2A. This continuing education course is also created at an introductory level, covering topics such as internal rectal pelvic muscle examination, so that a therapist who has not taken prior pelvic floor muscle function coursework can attend.
Urinary dysfunction such as post-prostatectomy incontinence, benign prostatic hypertrophy, urinary rentention, and post-micturition dribble are discussed in this class. Because urinary incontinence is a potential consequence following prostate surgery, risk factors, pre-surgical rehabilitation, and post-surgical intervention strategies following prostatectomy are instructed. The medical aspects of prostate cancer testing are also clearly described, including prostate specific antigen (PSA) testing, Gleason scores, and the recent changes in recommended medical screening and interventions are referenced.
Although most men diagnosed with prostatitis do not have a true infection, prostatitis is a common diagnosis within male chronic pelvic pain. The Male Course explains typical presentations of prostatitis-like pain, evaluation techniques and evidence-informed intervention techniques. Other male pelvic pain diagnoses are covered, such as Peyronie's Disease, testicular and scrotal pain, penile pain, and pelvic floor muscle-related conditions. Men who experience pelvic muscle dysfunction including pain or weakness are at risk for sexual dysfunction. Participants will be able to describe the relationships between pelvic muscle function and male sexual health, including the high-level evidence that demonstrates pelvic muscle rehabilitation's positive impact on erectile function. This continuing education course includes lecture and labs, including external and internal muscle mapping and neuro-myofascial treatment techniques.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal rectal pelvic floor muscle examinations will be taught in labs. As this is a male course, please be aware that the instructors encourage male attendees.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This course is for therapists with experience in treating pelvic floor dysfunction. This course is also appropriate for the practitioner who has not had any training in pelvic floor dysfunction and who is interested in treating male patients.
Recommended Readings
1. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
2. Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction by Grace Dorey, 2006.
3. Headache in the Pelvis, 4th Edition by David Wise and Rodney Anderson.
4. National Institute of Diabetes and Digestive and Kidney Diseases Pages on: Prostate Problems and Erectile Dysfunction
Day One:
8:00 Introductions, Review of Course Goals/Objectives
8:30 Male Pelvic Health Introduction
9:15 Introduction to Male Anatomy
10:15 Break
10:30 Examination & Evaluation
12:45 Lunch
1:45 Lab 1: Male Pelvic Assessment in Sidelying
2:30 Male Urinary Dysfunction
3:30 Break
3:45 Prostate Conditions
4:45 Questions, wrap-up
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Rehabilitation of Male Urinary Dysfunctions
10:00 Break
10:15 Lab 2: Supine Pelvic Floor and Perineal Assessment Supine
11:45 Male Sexual Function & Dysfunction
12:30 Lunch
1:30 Male Sexual Function & Dysfunction
3:15 Break
3:30 Rehabilitation of Male Sexual Dysfunction
4:00 Anatomy of Pelvic Pain
4:45 Questions, wrap-up
5:00 Adjourn
Day Three:
7:45 Questions
8:00 Male Pelvic Pain
9:15 Rehabilitation of Male Pelvic Pain
10:15 Break
10:30 Lab 3: Male Pelvic Pain Treatment
12:00 Lunch
12:30 Special Topics: Circumcision, Hernias, Testicular Pain
1:45 Break
2:00 Pathways in Healing
2:45 Course Wrap-Up
3:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and physiology of the male urogenital systems with reference to male pelvic floor dysfunction.
2. List key medical diagnostic procedures for male urologic, sexual and pelvic pain conditions.
3. Perform external and internal (rectal) examinations of the pelvis to identify specific pelvic floor muscles, ligaments, nerves, and key bony landmarks.
4. Perform pelvic floor muscle assessment procedures to identify strength, tone, length and coordination.
5. Demonstrate psoas muscle examination and treatment, and describe its potential role in referral of symptoms into the pelvis.
6. Instruct male patients in an in home program and behavioral education for urologic, sexual, and pelvic pain conditions.
7. Design treatment plans for male chronic pelvic syndromes, erectile dysfunction and post-prostatectomy dysfunctions.
8. Perform external and internal male pelvic floor myofascial treatment techniques.
Name Street Address (Links to Map)
Course Location
16251 Sylvester Rd SW
Burien, WA 98166
Recommended Lodging
Hampton Inn & Suites Seattle-Airport/28th Ave
(206) 244-5044
18850 28th Ave S
SeaTac, WA 98188
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Blvd
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
<
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
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{dtregister}682{/dtregister}
Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course )
Experience Level: Beginner-Intermediate
Contact Hours: 22
Male Pelvic Floor Function, Dysfunction, & Treatment introduces valuable concepts in male pelvic health including urinary function, chronic pelvic pain, and sexual health. For therapists who have taken Pelvic Floor Function, Dysfunction, and Treatment Level 2A, the Male Course expands on the male pelvic health topics introduced in PF2A. This continuing education course is also created at an introductory level, covering topics such as internal rectal pelvic muscle examination, so that a therapist who has not taken prior pelvic floor muscle function coursework can attend.
Urinary dysfunction such as post-prostatectomy incontinence, benign prostatic hypertrophy, urinary rentention, and post-micturition dribble are discussed in this class. Because urinary incontinence is a potential consequence following prostate surgery, risk factors, pre-surgical rehabilitation, and post-surgical intervention strategies following prostatectomy are instructed. The medical aspects of prostate cancer testing are also clearly described, including prostate specific antigen (PSA) testing, Gleason scores, and the recent changes in recommended medical screening and interventions are referenced.
Although most men diagnosed with prostatitis do not have a true infection, prostatitis is a common diagnosis within male chronic pelvic pain. The Male Course explains typical presentations of prostatitis-like pain, evaluation techniques and evidence-informed intervention techniques. Other male pelvic pain diagnoses are covered, such as Peyronie's Disease, testicular and scrotal pain, penile pain, and pelvic floor muscle-related conditions. Men who experience pelvic muscle dysfunction including pain or weakness are at risk for sexual dysfunction. Participants will be able to describe the relationships between pelvic muscle function and male sexual health, including the high-level evidence that demonstrates pelvic muscle rehabilitation's positive impact on erectile function. This continuing education course includes lecture and labs, including external and internal muscle mapping and neuro-myofascial treatment techniques.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal rectal pelvic floor muscle examinations will be taught in labs. As this is a male course, please be aware that the instructors encourage male attendees.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This course is for therapists with experience in treating pelvic floor dysfunction. This course is also appropriate for the practitioner who has not had any training in pelvic floor dysfunction and who is interested in treating male patients.
Recommended Readings
1. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
2. Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction by Grace Dorey, 2006.
3. Headache in the Pelvis, 4th Edition by David Wise and Rodney Anderson.
4. National Institute of Diabetes and Digestive and Kidney Diseases Pages on: Prostate Problems and Erectile Dysfunction
Day One:
8:00 Introductions, Review of Course Goals/Objectives
8:30 Male Pelvic Health Introduction
9:15 Introduction to Male Anatomy
10:15 Break
10:30 Examination & Evaluation
12:45 Lunch
1:45 Lab 1: Male Pelvic Assessment in Sidelying
2:30 Male Urinary Dysfunction
3:30 Break
3:45 Prostate Conditions
4:45 Questions, wrap-up
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Rehabilitation of Male Urinary Dysfunctions
10:00 Break
10:15 Lab 2: Supine Pelvic Floor and Perineal Assessment Supine
11:45 Male Sexual Function & Dysfunction
12:30 Lunch
1:30 Male Sexual Function & Dysfunction
3:15 Break
3:30 Rehabilitation of Male Sexual Dysfunction
4:00 Anatomy of Pelvic Pain
4:45 Questions, wrap-up
5:00 Adjourn
Day Three:
7:45 Questions
8:00 Male Pelvic Pain
9:15 Rehabilitation of Male Pelvic Pain
10:15 Break
10:30 Lab 3: Male Pelvic Pain Treatment
12:00 Lunch
12:30 Special Topics: Circumcision, Hernias, Testicular Pain
1:45 Break
2:00 Pathways in Healing
2:45 Course Wrap-Up
3:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and physiology of the male urogenital systems with reference to male pelvic floor dysfunction.
2. List key medical diagnostic procedures for male urologic, sexual and pelvic pain conditions.
3. Perform external and internal (rectal) examinations of the pelvis to identify specific pelvic floor muscles, ligaments, nerves, and key bony landmarks.
4. Perform pelvic floor muscle assessment procedures to identify strength, tone, length and coordination.
5. Demonstrate psoas muscle examination and treatment, and describe its potential role in referral of symptoms into the pelvis.
6. Instruct male patients in an in home program and behavioral education for urologic, sexual, and pelvic pain conditions.
7. Design treatment plans for male chronic pelvic syndromes, erectile dysfunction and post-prostatectomy dysfunctions.
8. Perform external and internal male pelvic floor myofascial treatment techniques.
Name Street Address (Links to Map)
Course Location
16251 Sylvester Rd SW
Burien, WA 98166
Recommended Lodging
Hampton Inn & Suites Seattle-Airport/28th Ave
(206) 244-5044
18850 28th Ave S
SeaTac, WA 98188
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Blvd
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
<
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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{dtregister}304{/dtregister}Request Invoice for this Course Add me to the Course Watchlist Contact Us about this Course
Price:
2015: $495 (Early Registrant Price $475)
2016: $650 (Early Registrant Price $625)
Experience Level: Beginner-Intermediate
Contact Hours: 15 (22 in 2016)
Male Pelvic Floor Function, Dysfunction, & Treatment introduces valuable concepts in male pelvic health including urinary function, chronic pelvic pain, and sexual health. For therapists who have taken Pelvic Floor Function, Dysfunction, and Treatment Level 2A, the Male Course expands on the male pelvic health topics introduced in PF2A. This continuing education course is also created at an introductory level, covering topics such as internal rectal pelvic muscle examination, so that a therapist who has not taken prior pelvic floor muscle function coursework can attend.
Urinary dysfunction such as post-prostatectomy incontinence, benign prostatic hypertrophy, urinary rentention, and post-micturition dribble are discussed in this class. Because urinary incontinence is a potential consequence following prostate surgery, risk factors, pre-surgical rehabilitation, and post-surgical intervention strategies following prostatectomy are instructed. The medical aspects of prostate cancer testing are also clearly described, including prostate specific antigen (PSA) testing, Gleason scores, and the recent changes in recommended medical screening and interventions are referenced.
Although most men diagnosed with prostatitis do not have a true infection, prostatitis is a common diagnosis within male chronic pelvic pain. The Male Course explains typical presentations of prostatitis-like pain, evaluation techniques and evidence-informed intervention techniques. Other male pelvic pain diagnoses are covered, such as Peyronie's Disease, testicular and scrotal pain, penile pain, and pelvic floor muscle-related conditions. Men who experience pelvic muscle dysfunction including pain or weakness are at risk for sexual dysfunction. Participants will be able to describe the relationships between pelvic muscle function and male sexual health, including the high-level evidence that demonstrates pelvic muscle rehabilitation's positive impact on erectile function. This continuing education course includes lecture and labs, including external and internal muscle mapping and neuro-myofascial treatment techniques.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal rectal pelvic floor muscle examinations will be taught in labs. As this is a male course, please be aware that the instructors encourage male attendees.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This course is for therapists with experience in treating pelvic floor dysfunction. This course is also appropriate for the practitioner who has not had any training in pelvic floor dysfunction and who is interested in treating male patients.
Recommended Readings
1. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
2. Pelvic Dysfunction in Men: Diagnosis and Treatment of Male Incontinence and Erectile Dysfunction by Grace Dorey, 2006.
3. Headache in the Pelvis, 4th Edition by David Wise and Rodney Anderson.
4. National Institute of Diabetes and Digestive and Kidney Diseases Pages on: Prostate Problems and Erectile Dysfunction
Day One:
8:00 Introduction, and categories of male pelvic dysfunction
9:00 Male Anatomy Overview, Anatomy, Physiology and Functions of the Male Urinary System
10:00 Break
10:15 Male Urinary Dysfunctions and Medical Examination
11:30 Lecture & Lab Male Pelvic Floor Muscle Strength and Tone Testing, Identification of landmarks
12:30 Lunch
1:30 Physical Therapy Evaluation and Rehabilitation of Male Urinary Dysfunction
2:30 Male Urinary Dysfunction Case Study
3:15 Break
3:30 Anatomy and Physiology of the Male Reproductive System
4:15 Male Sexual/Reproductive Dysfunctions and Medical Examination
5:00 Break
5:15 Rehabilitation for Male Sexual Dysfunction
5:45 Questions/Wrap-Up
6:00 Adjourn
Day Two:
8:00 Review
8:15 Male Pelvic Pain: Musculoskeletal
9:15 Male Pelvic Pain Dysfunctions and Medical Examination
10:30 Break
10:45 Physical Therapy Evaluation and Rehabilitation of Male Pelvic Floor Pain
11:45 Male Pelvic Floor Muscle Mapping
12:45 Lunch
1:15 External Connective Tissue Treatments for Male Pelvic Pain (psoas release, skin rolling, ischiorectalfossa release)
2:15 Pelvic Pain Case Study
2:45 Marketing, Billing, and Questions/Wrap-Up
3:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy and physiology of the male urogenital systems with reference to male pelvic floor dysfunction.
2. List key medical diagnostic procedures for male urologic, sexual and pelvic pain conditions.
3. Perform external and internal (rectal) examinations of the pelvis to identify specific pelvic floor muscles, ligaments, nerves, and key bony landmarks.
4. Perform pelvic floor muscle assessment procedures to identify strength, tone, length and coordination.
5. Demonstrate psoas muscle examination and treatment, and describe its potential role in referral of symptoms into the pelvis.
6. Instruct male patients in an in home program and behavioral education for urologic, sexual, and pelvic pain conditions.
7. Design treatment plans for male chronic pelvic syndromes, erectile dysfunction and post-prostatectomy dysfunctions.
8. Perform external and internal male pelvic floor myofascial treatment techniques.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Name Street Address (Links to Map)
Course Location
7600 Evergreen Way
Everett, WA 98203
Recommended Lodging
Silver Cloud Inns & Hotels
(425)423-8600
718 Front St
Mukilteo, WA 98275
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Blvd
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Name Street Address (Links to Map)
Course Location
3601 W 13 Mile Rd
Royal Oak, MI 48073
Recommended Lodging
Holiday Inn Express - Birmingham
(248)642-6200
35270 Woodward Ave
Birmingham, MI 48009
Nearest Airport
Detroit Metropolitan Airport
Airport Code: DTW
Detroit, MI 48242
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Holly Tanner, PT, DPT, MA, OCS, WCS, LMP, BCB-PMD, CCI, PRPC (Seattle, WA)
Holly Tanner was born and raised in Duluth, Minnesota, and has lived in Washington state for most of her adult life. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and in Pelvic Rehabilitation. She teaches continuing education courses nationally, teaches in the transitional Doctor of Physical Therapy program for the College of St. Scholastics, and serves as a consultant for practice and program development. She is a member of the American Physical Therapy Association and the American Massage Therapy Association.
Practice Information:
Flow Rehab
Kimberly Glow PT, DPT
Kimberly M. Glow, PT, DPT is a Boston-based physical therapist with a focus on both pelvic floor dysfunction and orthopedics. Kim graduated with her doctorate in physcial therapy from MGHIHP after completing her undergraduate work in Classics at UNH. She believes in the healing power of movement, and the power of the biopsychosocial connection. She has a passion for seamlessly treating pelvic floor dysfunction and orthopedic dysfunction as inter-related components. As an auspicious educator, Kim has been involved with many community-based education programs, including lectures and demonstrations to local yoga studios during instructor trainings, postpartum support groups, and support groups for those afflicted with neurological disease. In 2017, Kim was invited to guest lecture on the topic of “Physical Therapy’s Role in Treatment of Vulvovaginal Dermatological Conditions” during the American Urogynecologic Society’s annual conference, and has also lectured to medical residents at Tufts Medical Center.
Kimberly has a special passion for treating athletes with pelvic floor dysfunction, and returning them to the sport or movement style they most love. Her practice includes treatment of bowel, bladder, sexual, breast, and abdominal dysfunction for both men and women, as well as all breadths of orthopedic dysfunction. She has a passion for lifelong learning, and education. Currently, Kimberly practices out of Massachusetts General Hospital.
Kim enjoys her spare time with her husband and puppy, camping, and reading.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Jessica Reale, PT, DPT, WCS
Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with men and women with pelvic floor disorders. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica is active in the American Physical Therapy Association and the Section on Women’s Health, having served on the educational review committee and the functional outcome measures taskforce. In addition, she is passionate about educating the community and current practitioners on pelvic floor disorders and has taught seminars locally as well as presented at conferences, as adjunct faculty in physical therapy orthopedic and sports residency programs, and as a guest lecturer for multiple graduate programs in physical therapy and medical residency programs. Jessica also teaches regular live webinars on topics related to pelvic health through Therapy Network Seminars. Jessica treats patients at One on One Physical Therapy in Atlanta, GA and runs an online educational blog on pelvic health at www.jessicarealept.com. Outside of work, Jessica enjoys spending time with her family and friends, staying active and traveling.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Name Street Address (Links to Map)
Course Location
1635 N Loop W
Houston, TX 77008
Recommended Lodging
Courtyard Houston Brookhollow
(713) 688-7711
2504 North Loop West
Houston, TX, 77092
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Tina Allen, PT, BCB-PMD, PRPC
Tina Allen, PT, BCB-PMD, PRPC has been a physical therapist since 1993. After five years in acute care, trauma and outpatient physical therapy, she turned her practicetowards women's health. Since 1998, she has focused her treatment on thecare of women throughout their life spans with bladder dysfunction, bowel dysfunction,pelvic pain syndromes, pelvic ring dysfunction, pregnancy/ postpartum, lymphedema and breast cancer recovery. In 2002, she added male pelvic dysfunction, prostate cancer recovery and pudendal neuralgia for both men and women to her practice. Her treatment is largely focused on client education, manual techniques and SEMG.
Tina currently practices at the University of Washington Medical Center. She has presented at professional medical conferences on topics such as lymphedema, pelvic pain and musculoskeletal examination/treatment of the pelvic floor. She was the physical therapist provider for the University of Washington on a Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment intervention with physical therapy techniques. She works closely with the Medical Residents and Fellows at UW, where she teaches them how Pelvic Rehabilitation interventions will assist their patients.
Tina was born and raised just outside of Chicago. After graduating from the University of Illinois – Chicago with a BS in Physical Therapy in 1993, she practiced at Loyola Medical Center for five years. In 1998, she relocated to Seattle to be closer to the outdoor activities she loves.
Name Street Address (Links to Map)
Course Location
12333 NE 130th Ln.
Kirkland, WA 98034
Recommended Lodging
Courtyard Seattle Kirkland
(425)602-3200
11215 NE 124th St
Kirkland, WA 98034
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Boulevard
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Name Street Address (Links to Map)
Course Location
10 Chester Pl
Los Angeles, CA 90007
Recommended Lodging
USC Hotel
1-833-2-BOOK-USC
3540 S Figueroa St
Los Angeles, CA 90007
Nearest Airport
Los Angeles International Airport
Airport Code: LAX
1 World Way
Los Angeles, CA 90045
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Jenni Gabelsberg, DPT, WCS, MSc, MTC
Dr. Jenni Gabelsberg, DPT, MSc, MTC is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Daphna Ross, PT, PRPC, WCS
Daphna completed a B.A. degree in Biology from Stern College in New York and pursued a B.S. in Physical Therapy from Hunter College, CUNY, in 1996. She has worked extensively with patients in various rehabilitation settings including; orthopedics, cardiac, acute care, pulmonary, outpatient clinics, and homecare. Daphna worked at St Luke’s/Roosevelt Hospital in New York as well as McGill University Medical Center in Montreal, Canada before moving to Northern California in 2005.
Daphna pursued specialization in Pelvic Rehabilitation and became board certified as both a Women's Health Clinical Specialist through the American Board of Physical Therapy Specialties and as a Pelvic Rehabilitation Practitioner through the Herman and Wallace Pelvic Rehabilitation Institute. Daphna developed the Pelvic Physical Therapy Program for the Alta Bates Summit Women's Health Center, in Lafayette, CA, where she worked as lead therapist for 8 years before opening up her own practice, Women's Health and Healing, in 2017. She has offices in Oakland and Lafayette, CA. Her practice focuses on treating women of all ages with pelvic floor dysfunction. She treats women with incontinence, pelvic pain, pregnancy and post-partum conditions, sexual dysfunction, and bowel and bladder dysfunction.
She is also a Faculty member of the Herman and Wallace Pelvic Rehabilitation Institute where she enjoys teaching and inspiring other physical therapists and healthcare professionals interested in learning about pelvic physical therapy.
Daphna is a member of the American Physical Therapy Association (APTA), Women's Health Section, International Society for the Study of Women's Sexual Health (ISSWSH) and the International Pelvic Pain Society (IPPS).
She is committed to providing excellent care in a warm, nurturing environment.
In her free time she enjoys spending time with her husband and three children, water-skiing, hiking, swimming, personal fitness, skiing, and reading.
Name Street Address (Links to Map)
Course Location
Asante Rogue Regional Medical Center
Smullen Health Education Center
2825 E Barnett Rd
Medford, OR 97504
Recommended Lodging
Homewood Suites by Hilton Medford
(541) 779-9800
2010 Hospitality Way
Medford, OR 97504
Nearest Airport
Rogue Valley International – Medford Airport
Airport Code: MFR
1000 Terminal Spur Rd
Medford, OR 97504
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Tina Allen, PT, BCB-PMD, PRPC
Tina Allen, PT, BCB-PMD, PRPC has been a physical therapist since 1993. After five years in acute care, trauma and outpatient physical therapy, she turned her practicetowards women's health. Since 1998, she has focused her treatment on thecare of women throughout their life spans with bladder dysfunction, bowel dysfunction,pelvic pain syndromes, pelvic ring dysfunction, pregnancy/ postpartum, lymphedema and breast cancer recovery. In 2002, she added male pelvic dysfunction, prostate cancer recovery and pudendal neuralgia for both men and women to her practice. Her treatment is largely focused on client education, manual techniques and SEMG.
Tina currently practices at the University of Washington Medical Center. She has presented at professional medical conferences on topics such as lymphedema, pelvic pain and musculoskeletal examination/treatment of the pelvic floor. She was the physical therapist provider for the University of Washington on a Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment intervention with physical therapy techniques. She works closely with the Medical Residents and Fellows at UW, where she teaches them how Pelvic Rehabilitation interventions will assist their patients.
Tina was born and raised just outside of Chicago. After graduating from the University of Illinois – Chicago with a BS in Physical Therapy in 1993, she practiced at Loyola Medical Center for five years. In 1998, she relocated to Seattle to be closer to the outdoor activities she loves.
Name Street Address (Links to Map)
Course Location
1268 Lee Blvd
Richland, WA 99352
Recommended Lodging
Courtyard Richland Columbia Point
(509) 942-9400
480 Columbia Point Dr
Richland, WA 99352
Nearest Airport
Tri-Cities Airport
Airport Code: PSC
3601 N 20th Ave
Pasco, WA 99301
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Tina Allen, PT, BCB-PMD, PRPC
Tina Allen, PT, BCB-PMD, PRPC has been a physical therapist since 1993. After five years in acute care, trauma and outpatient physical therapy, she turned her practicetowards women's health. Since 1998, she has focused her treatment on thecare of women throughout their life spans with bladder dysfunction, bowel dysfunction,pelvic pain syndromes, pelvic ring dysfunction, pregnancy/ postpartum, lymphedema and breast cancer recovery. In 2002, she added male pelvic dysfunction, prostate cancer recovery and pudendal neuralgia for both men and women to her practice. Her treatment is largely focused on client education, manual techniques and SEMG.
Tina currently practices at the University of Washington Medical Center. She has presented at professional medical conferences on topics such as lymphedema, pelvic pain and musculoskeletal examination/treatment of the pelvic floor. She was the physical therapist provider for the University of Washington on a Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment intervention with physical therapy techniques. She works closely with the Medical Residents and Fellows at UW, where she teaches them how Pelvic Rehabilitation interventions will assist their patients.
Tina was born and raised just outside of Chicago. After graduating from the University of Illinois – Chicago with a BS in Physical Therapy in 1993, she practiced at Loyola Medical Center for five years. In 1998, she relocated to Seattle to be closer to the outdoor activities she loves.
Name Street Address (Links to Map)
Course Location
16251 Sylvester Rd SW
Burien, WA 98166
Recommended Lodging
Hampton Inn & Suites Seattle-Airport/28th Ave
(206) 244-5044
18850 28th Ave S
SeaTac, WA 98188
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Blvd
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
<
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Jenni Gabelsberg, DPT, WCS, MSc, MTC
Dr. Jenni Gabelsberg, DPT, MSc, MTC is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Name Street Address (Links to Map)
Course Location
564 E Cleveland St
Stockton, CA 95204
Recommended Lodging
University Plaza Waterfront Hotel
(209) 944-1140
110 W Fremont St
Stockton, CA 95202
Nearest Airport
Sacramento International Airport
Airport Code: SMF
6900 Airport Blvd
Sacramento, CA 95837
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
This coures instructs in the use of biofeedback equipement. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture>11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00Break
2:15LAB 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Teri Elliott-Burke, PT, MHS, BCB-PMD
Teri Elliott-Burke, PT, MHS has been practicing physical therapy since 1978. She received a Masters in Health Science from the University of Indianapolis, a certificate in physical therapy from Northwestern University Medical School and a BA in biology and psychology from North Central College. She is the co-owner of Women’s Physical Therapy Institute, in Lake Zurich, IL specializing in orthopedics and pelvic dysfunction for men, women, and children. She is an adjunct faculty member of Midwestern University in Downers Grove, IL where she co-teaches Management in Physical Therapy Systems, Applied Management Skills in Physical Therapy Systems, and lectures on women’s health and pelvic dysfunction. She is a member of the APTA Section on Women’s Health, the Private Practice Section, the International Pelvic Pain Society, American Urogynecologic Society, and the Chicagoland Pelvic Floor Research Consortium. Teri also speaks frequently to community and professional groups on topics related to pelvic dysfunction for men and women. She strives to maintain a balance between work, her family (1 husband, 2 sons), her church and community.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Name Street Address (Links to Map)
Course Location
550 N Hillside
Wichita, KS 67214
Recommended Lodging
Wesley Inn
(316) 858-3343
3343 Central Ave
Wichita, KS 67208
Nearest Airport
Wichita Dwight D. Eisenhower National Airport
Airport Code: ICT
2277 Eisenhower Airport Pkwy
Wichita KS 67209
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
2. Many participants also find it helpful to review the anatomy of the pelvis and perineum
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Day One:
8:00 Objectives & Course Introduction
8:15 Colorectal anatomy
9:15 Colorectal Physiology
10:00 Break
10:15 Colorectal Medical Testing
10:45 Anorectal Examination & Muscle Mapping
11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
12:00 Fecal Incontinence Evaluation & Interventions
12:30 Lunch
1:30 Fecal Incontinence Evaluation & Interventions Continued
2:45 Case Study: Fecal Incontinence
3:30 SEMG Lecture
4:00Lab: Pelvic Floor Uptraining
4:30 Post-test, Questions
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Constipation Evaluation & Interventions
10:00 Break
10:15 SEMG Lecture
Lab: Pelvic Floor Downtraining
11:30 Case Study: Constipation
11:45 Colorectal Conditions and the Pelvic Floor
12:45 Lunch
1:45 Coccyx dysfunctions
2:45 Break
3:00 Lab: External & Internal Interventions for Coccyx Pain
4:30 Post-test and Questions
5:00 Adjourn
Day Three:
8:00 Questions
8:30 Pudendal Nerve Dysfunction
9:30 Male Pelvic Anatomy
10:15 Break
10:30 Male Pelvic Anatomy
11:30 Male Pelvic Pain
12:30 Case Study: Male Pelvic Pain
12:45 Lunch
1:30 Final Lab: Pudendal Palpation, Muscle Releases
2:15 Post-Prostatectomy Dysfunction
3:15 Marketing, Business, Program Development
3:30 Post-test & Questions
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region.
2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3. Perform examination and evaluation of pelvic floor function related to anorectal structures.
4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.
Lila Abbate, PT, DPT, MS, OCS, PRPC
Lila Abbate graduated from Touro College in Dix Hills, NY with a Bachelors of Science (BS) in Health Sciences and a Masters of Arts (MA) in Physical Therapy in 1997. Lila completed her Advanced Masters in Manual Orthopedic Physical Therapy (MS) at Touro College, Bayshore, NY in 2003 and continued to obtain her Doctor of Physical Therapy (DPT) in 2005. Currently, Dr. Abbate is pursuing her PhD at Nova Southeastern University in Ft. Lauderdale, Florida and plans to conduct research in Women’s and Men’s Pelvic Health. Dr. Abbate is also a Physical Therapy Board-Certified Specialist in Orthopedics (OCS) deemed by the American Physical Therapy Association in 2004.
Dr. Abbate has been faculty at Touro College (2003 – 2006), Manhattan Campus, teaching the biomechanical approach to orthopedic dysfunction, therapeutic exercise as well as massage/soft tissues work that highlighted trigger point work, scar management and myofascial release.
Currently, Dr. Abbate currently owns a private practice in Manhasset, NY specializing in complex orthopedic conditions and pelvic floor dysfunction.
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.
Name Street Address (Links to Map)
Course Location
1700 Union Blvd. Room 327
Bay Shore, New York 11706
Recommended Lodging
Hampton Inn at Commack
(631)462-5700
680 Commack Rd.
Commack, New York 11725
Nearest Airport
LaGuardia Airport
Airport Code: LGA
New York, NY 11371
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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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.
Jenni Gabelsberg, DPT, WCS, MSc, MTC
Dr. Jenni Gabelsberg, DPT, MSc, MTC is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Name Street Address (Links to Map)
Course Location
9888 Genesee Ave
La Jolla, CA 92037
Recommended Lodging
Residence Inn San Diego La Jolla
(858)587-1770
8901 Gilman Drive
La Jolla, CA 92037
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 map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
2. Many participants also find it helpful to review the anatomy of the pelvis and perineum
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Day One:
8:00 Objectives & Course Introduction
8:15 Colorectal anatomy
9:15 Colorectal Physiology
10:00 Break
10:15 Colorectal Medical Testing
10:45 Anorectal Examination & Muscle Mapping
11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
12:00 Fecal Incontinence Evaluation & Interventions
12:30 Lunch
1:30 Fecal Incontinence Evaluation & Interventions Continued
2:45 Case Study: Fecal Incontinence
3:30 SEMG Lecture
4:00Lab: Pelvic Floor Uptraining
4:30 Post-test, Questions
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Constipation Evaluation & Interventions
10:00 Break
10:15 SEMG Lecture
Lab: Pelvic Floor Downtraining
11:30 Case Study: Constipation
11:45 Colorectal Conditions and the Pelvic Floor
12:45 Lunch
1:45 Coccyx dysfunctions
2:45 Break
3:00 Lab: External & Internal Interventions for Coccyx Pain
4:30 Post-test and Questions
5:00 Adjourn
Day Three:
8:00 Questions
8:30 Pudendal Nerve Dysfunction
9:30 Male Pelvic Anatomy
10:15 Break
10:30 Male Pelvic Anatomy
11:30 Male Pelvic Pain
12:30 Case Study: Male Pelvic Pain
12:45 Lunch
1:30 Final Lab: Pudendal Palpation, Muscle Releases
2:15 Post-Prostatectomy Dysfunction
3:15 Marketing, Business, Program Development
3:30 Post-test & Questions
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region.
2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3. Perform examination and evaluation of pelvic floor function related to anorectal structures.
4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Elizabeth Hampton PT, DPT, WCS, BCB-PMD
Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!
Name Street Address (Links to Map)
Course Location
4050 Coon Rapids Blvd
Coon Rapids, MN 55433
Recommended Lodging
Best Western Plus
(763)576-0700
3420 Northdale Blvd NW
Coon Rapids, MN 55448
Nearest Airport
Minneapolis Saint Paul International Airport
Airport Code: MSP
4300 Glumack Drive
St. Paul, MN 55111
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
2. Many participants also find it helpful to review the anatomy of the pelvis and perineum
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Day One:
8:00 Objectives & Course Introduction
8:15 Colorectal anatomy
9:15 Colorectal Physiology
10:00 Break
10:15 Colorectal Medical Testing
10:45 Anorectal Examination & Muscle Mapping
11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
12:00 Fecal Incontinence Evaluation & Interventions
12:30 Lunch
1:30 Fecal Incontinence Evaluation & Interventions Continued
2:45 Case Study: Fecal Incontinence
3:30 SEMG Lecture
4:00Lab: Pelvic Floor Uptraining
4:30 Post-test, Questions
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Constipation Evaluation & Interventions
10:00 Break
10:15 SEMG Lecture
Lab: Pelvic Floor Downtraining
11:30 Case Study: Constipation
11:45 Colorectal Conditions and the Pelvic Floor
12:45 Lunch
1:45 Coccyx dysfunctions
2:45 Break
3:00 Lab: External & Internal Interventions for Coccyx Pain
4:30 Post-test and Questions
5:00 Adjourn
Day Three:
8:00 Questions
8:30 Pudendal Nerve Dysfunction
9:30 Male Pelvic Anatomy
10:15 Break
10:30 Male Pelvic Anatomy
11:30 Male Pelvic Pain
12:30 Case Study: Male Pelvic Pain
12:45 Lunch
1:30 Final Lab: Pudendal Palpation, Muscle Releases
2:15 Post-Prostatectomy Dysfunction
3:15 Marketing, Business, Program Development
3:30 Post-test & Questions
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region.
2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3. Perform examination and evaluation of pelvic floor function related to anorectal structures.
4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Tina Allen, PT, BCB-PMD, PRPC
Tina Allen, PT, BCB-PMD, PRPC has been a physical therapist since 1993. After five years in acute care, trauma and outpatient physical therapy, she turned her practicetowards women's health. Since 1998, she has focused her treatment on thecare of women throughout their life spans with bladder dysfunction, bowel dysfunction,pelvic pain syndromes, pelvic ring dysfunction, pregnancy/ postpartum, lymphedema and breast cancer recovery. In 2002, she added male pelvic dysfunction, prostate cancer recovery and pudendal neuralgia for both men and women to her practice. Her treatment is largely focused on client education, manual techniques and SEMG.
Tina currently practices at the University of Washington Medical Center. She has presented at professional medical conferences on topics such as lymphedema, pelvic pain and musculoskeletal examination/treatment of the pelvic floor. She was the physical therapist provider for the University of Washington on a Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment intervention with physical therapy techniques. She works closely with the Medical Residents and Fellows at UW, where she teaches them how Pelvic Rehabilitation interventions will assist their patients.
Tina was born and raised just outside of Chicago. After graduating from the University of Illinois – Chicago with a BS in Physical Therapy in 1993, she practiced at Loyola Medical Center for five years. In 1998, she relocated to Seattle to be closer to the outdoor activities she loves.
Name Street Address (Links to Map)
Course Location
4520 Martin Way E.
Olympia, WA 98516 US
Recommended Lodging
Ramada Olympia
(360)459-8866
Mention: Providence St Peter Hospital
4520 Martin Way E.
Olympia, WA 98516 US
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Blvd
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
2. Many participants also find it helpful to review the anatomy of the pelvis and perineum
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Day One:
8:00 Objectives & Course Introduction
8:15 Colorectal anatomy
9:15 Colorectal Physiology
10:00 Break
10:15 Colorectal Medical Testing
10:45 Anorectal Examination & Muscle Mapping
11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
12:00 Fecal Incontinence Evaluation & Interventions
12:30 Lunch
1:30 Fecal Incontinence Evaluation & Interventions Continued
2:45 Case Study: Fecal Incontinence
3:30 SEMG Lecture
4:00Lab: Pelvic Floor Uptraining
4:30 Post-test, Questions
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Constipation Evaluation & Interventions
10:00 Break
10:15 SEMG Lecture
Lab: Pelvic Floor Downtraining
11:30 Case Study: Constipation
11:45 Colorectal Conditions and the Pelvic Floor
12:45 Lunch
1:45 Coccyx dysfunctions
2:45 Break
3:00 Lab: External & Internal Interventions for Coccyx Pain
4:30 Post-test and Questions
5:00 Adjourn
Day Three:
8:00 Questions
8:30 Pudendal Nerve Dysfunction
9:30 Male Pelvic Anatomy
10:15 Break
10:30 Male Pelvic Anatomy
11:30 Male Pelvic Pain
12:30 Case Study: Male Pelvic Pain
12:45 Lunch
1:30 Final Lab: Pudendal Palpation, Muscle Releases
2:15 Post-Prostatectomy Dysfunction
3:15 Marketing, Business, Program Development
3:30 Post-test & Questions
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region.
2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3. Perform examination and evaluation of pelvic floor function related to anorectal structures.
4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.
Jessica Reale, PT, DPT, WCS
Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with men and women with pelvic floor disorders. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica is active in the American Physical Therapy Association and the Section on Women’s Health, having served on the educational review committee and the functional outcome measures taskforce. In addition, she is passionate about educating the community and current practitioners on pelvic floor disorders and has taught seminars locally as well as presented at conferences, as adjunct faculty in physical therapy orthopedic and sports residency programs, and as a guest lecturer for multiple graduate programs in physical therapy and medical residency programs. Jessica also teaches regular live webinars on topics related to pelvic health through Therapy Network Seminars. Jessica treats patients at One on One Physical Therapy in Atlanta, GA and runs an online educational blog on pelvic health at www.jessicarealept.com. Outside of work, Jessica enjoys spending time with her family and friends, staying active and traveling.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Name Street Address (Links to Map)
Course Location
5677 Oberlin Drive, Suite 106
San Diego, CA 92121
Recommended Lodging
Holiday Inn Express Sorrento Valley
(858) 731-0100
5925 Lusk Blvd
San Diego, CA 92121
Nearest Airport
San Diego International Airport
Airport Code: SAN
3225 N Harbor Dr
San Diego, CA 92101
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
Day One:
7:30 Registration
8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
9:15 Prolapse anatomy, evaluation and treatment
10:00 Break
10:15 Prolapse anatomy, evaluation and treatment (continued)
11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
1:15 Medical and multidisciplinary management of pelvic pain
2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
5:00 Summary and Questions, post-test
5:15 Adjourn
Day Two:
8:00 Questions from Day 1
8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
9:45 Break
10:00 Neuromuscular relaxation training
11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn
Day Three:
8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
12:15 Lunch
1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break
2:30 Case studies, treatment progressions, resources
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Name Street Address (Links to Map)
Course Location
6250 El Camino Real
Carlsbad, CA 92009
Recommended Lodging
Residence Inn by Marriott San Diego Carlsbad
(760) 431-9999
2000 Faraday Ave
Carlsbad, CA 92008
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)
Jenni Gabelsberg, DPT, WCS, MSc, MTC
Dr. Jenni Gabelsberg, DPT, MSc, MTC is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Note pricing changes for 2017 courses
Experience Level: Intermediate
Contact Hours: 22.5
This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
Day One:
7:30 Registration
8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
9:15 Prolapse anatomy, evaluation and treatment
10:00 Break
10:15 Prolapse anatomy, evaluation and treatment (continued)
11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
1:15 Medical and multidisciplinary management of pelvic pain
2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
5:00 Summary and Questions, post-test
5:15 Adjourn
Day Two:
8:00 Questions from Day 1
8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
9:45 Break
10:00 Neuromuscular relaxation training
11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn
Day Three:
8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
12:15 Lunch
1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break
2:30 Case studies, treatment progressions, resources
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMD, CCI
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Tina Allen, PT, BCB-PMD, PRPC
Tina Allen, PT, BCB-PMD, PRPC has been a physical therapist since 1993. After five years in acute care, trauma and outpatient physical therapy, she turned her practicetowards women's health. Since 1998, she has focused her treatment on thecare of women throughout their life spans with bladder dysfunction, bowel dysfunction,pelvic pain syndromes, pelvic ring dysfunction, pregnancy/ postpartum, lymphedema and breast cancer recovery. In 2002, she added male pelvic dysfunction, prostate cancer recovery and pudendal neuralgia for both men and women to her practice. Her treatment is largely focused on client education, manual techniques and SEMG.
Tina currently practices at the University of Washington Medical Center. She has presented at professional medical conferences on topics such as lymphedema, pelvic pain and musculoskeletal examination/treatment of the pelvic floor. She was the physical therapist provider for the University of Washington on a Multi-Center study for Interstitial Cystitis/Painful Bladder Syndrome treatment intervention with physical therapy techniques. She works closely with the Medical Residents and Fellows at UW, where she teaches them how Pelvic Rehabilitation interventions will assist their patients.
Tina was born and raised just outside of Chicago. After graduating from the University of Illinois – Chicago with a BS in Physical Therapy in 1993, she practiced at Loyola Medical Center for five years. In 1998, she relocated to Seattle to be closer to the outdoor activities she loves.
Name Street Address (Links to Map)
Course Location
12333 NE 130th Ln.
Kirkland, WA 98034
Recommended Lodging
Courtyard Seattle Kirkland
(425)602-3200
11215 NE 124th St
Kirkland, WA 98034
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Boulevard
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $475 (Early Registrant Price $450)
Experience Level: Intermediate
Contact Hours: 15
This unique continuing education course addresses topics pertaining to patients during the peripartum period that both the new and the experienced therapist can enjoy. The course begins with a review of labor and delivery, fetal positions and presentations, labor augmentation and induction, and physical therapy in labor. The 2-day course progresses through many areas of "special topics" including conditions that affect fertility such as polycystic ovarian syndrome, endometriosis, thyroidectomies, and a history of cancer. While Caring for Pregnant Patient and Caring for the Postpartum Patient covered many of the common musculoskeletal issues encountered in the peripartum period, this 3rd continuing education course in the Peripartum Series offers more information about connective tissues such as myofascial restrictions and nerve dysfunctions. Gynecologic surgeries and pelvic rehabilitation for the following are included: tubal ligation, vaginal rejuvination, female genital cosmetic surgery, symphysiotomy, and postpartum hysterectomy.
Therapists who are familiar with the evaluation and treatment of women in the peripartum period may find the instruction of caring for special patient populations helpful in clinical practice. Patients who have medical conditions such as spinal cord injury, cystic fibrosis, multiple sclerosis, and lupus face added challenges during pregnancy and postpartum; this continuing education course looks to the research to guide participants' critical thinking towards clinical practice. Components of cultural competence are instructed that include cultural awareness and sensitivity, competent communication between those of differing cultural backgrounds, and cultural beliefs in pregnancy and childbearing practices.
In peripartum, a significant number of women are victims of domestic violence, many times committed by an intimate partner. (Daoud et al., 2012) The US Department of Health and Human Services recommends that intimate partner violence screening should occur as a core part of women's health care; participants will learn about the negative maternal and fetal health impact of abuse and will learn screening and reporting methods as well. Participants will have the opportunity to share a brief exercise "assignment" that is completed prior to attending the course, with assignments also presented by colleagues. There is timed carved out in the schedule to ask the instructor about any peripartum question such as a patient case-related issue, program development, or general treatment of the peripartum patient.
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:
It is recommended that the participant have experience and at least one course in pregnancy and post-partum issues prior to taking this “special topics” course.
Assignments:
Assignment and directions will be sent prior to attendance
References
Daoud, N., Urquia, M. L., O'Campo, P., Heaman, M., Janssen, P. A., Smylie, J., & Thiessen, K. (2012). Prevalence of Abuse and Violence Before, During, and After Pregnancy in a National Sample of Canadian Women. American Journal of Public Health (0), 1-9.
Day One:
7:30 Registration
8:00 Course goals, introductions, pre-test
8:30 Postpartum endocrine special topics
10:00 Break
10:15 PT in Labor and Delivery
11:15 Nerve dysfunction LAB
12:15 LUNCH
1:15 PT for Gyn surgeries
2:15 Postpartum connective tissue mobilization LAB
3:15 BREAK
3:30 Exercise task assignment
4:15 BREAK
4:30 Exercise task assignment continued<br5:30 Questions, post-test<br6:00 Adjourn
Day Two:
8:00 Questions, pre-test
8:30 Marketing, billing
9:15 Issues of abuse in peripartum
10:15 Break
10:30 Specific diseases, disabilities in peripartum
11:45 LUNCH
12:30 Cultural sensitivity
1:30 Case Studies
2:15 BREAK
2:30 "Ask the Expert"
3:30 Questions, post-test
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe common medical conditions and recommended endocrine function medical tests during the postpartum period.
2. Define the role of physical therapy during labor and delivery.
3. Evaluate, palpate, and treat various nerve dysfunctions in the pelvis related to peripartum issues.
4. List 3 gynecologic surgeries and specific rehabilitation concepts for each.
5. Instruct in safe and effective pregnancy and postpartum exercise techniques using demonstration.
6. Recognize signs of abuse during pregnancy and postpartum and identify the proper means of reporting.
7. Apply connective tissue mobilization techniques to the abdomen and pelvis.
8. Explain common diseases and disabilities that affect a woman and list typical modifications required to support the female patient during pregnancy and postpartum.
9. Identify issues that may arise due to cultural sensitivity and be able to modify approach to therapy as needed to fit a woman’s belief system.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborbood of Seattle.
Name Street Address (Links to Map)
Course Location
1550 North 115th Street
Seattle , WA 98133
Recommended Lodging
Hotel Nexus
(206)365-0700
2140 N. Northgate Way
Seattle, WA
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Blvd
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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".
JTA Survey Credit/Discount
Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.
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Blog posts authored by Holly Tanner:
Managing a medical crisis such as a cancer diagnosis can be overwhelming for an individual. Faced with choices about medical options, dealing with disruptions in work, home and family life often leaves little energy left to consider sexual health and intimacy. Maintaining closeness, however, is often a goal within a partnership and can aid in sustaining a relationship through such a crisis. The research is clear about cancer treatment being disruptive to sexual health, yet intimacy is a larger concept that may be fostered even when sexual activity is impaired or interrupted. Last year, when I was asked to speak to the Pacific NW Prostate Cancer Conference about intimacy, I was pleasantly surprised to find a rich body of literature about maintaining intimacy despite a diagnosis of prostate cancer.
Sexual health and sexuality is a social construct affected by many factors including mood, stress, depression, self-image, physiology, psychology, culture, relational and spiritual factors (Beck et al., 2009; Weiner & Avery-Clark, 2017) Prostate cancer treatment can change relational roles, finances, work life, independence, and other factors including hormone levels.(Beck et al., 2009) Exhaustion (on the part of the patient and the caregiver), role changes, changes in libido and performance anxiety can create further challenges. (Beck et al., 2009; Hawkins et al., 2009; Higano et al., 2012) Recovery of intimacy is possible, and reframing of sexual health may need to take place. Most importantly, these issues need to be talked about, as renegotiation of intimacy may need to take place after a diagnosis or treatment of prostate cancer. (Gilbert et al., 2010)
If the patient brings up sexual health, or we encourage the conversation, there are many research-based suggestions we can provide to encourage recovery of intimacy, several are listed below.
- Manage general health, fitness, nutrition, sleep, anxiety and stress
- Redefine sex as being beyond penetration, consider other sexual practices such as massage/touch, cuddling, talking, use of vibrators, medication, aids such as pumps (Usher et al., 2013)
- Participate in couples therapy to understand partners’ needs, address loss, be educated about sexual function (Wittman et al., 2014; Wittman et al., 2015)
- Participate in “sensate focus” activities (developed by Masters & Johnson in 1970’s as “touch opportunities”) with appropriate guidance (Weiner & Avery-Clark 2017)
Within the context of this information, there is opportunity to refer the patient to a provider who specializes in sexual health and function. While some rehabilitation professionals are taking additional training to be able to provide a level of sexual health education and counseling, most pelvic health providers do not have the breadth and depth of training required to provide counseling techniques related to sexual health- we can, however, get the conversation started, which in the end may be most important.
In the men’s health course, we further discuss sexual anatomy and physiology, prostate issues, and look at the research describing models of intimacy and what worked for couples who did learn to renegotiate intimacy after prostate cancer.
Beck, A. M., Robinson, J. W., & Carlson, L. E. (2009, April). Sexual intimacy in heterosexual couples after prostate cancer treatment: What we know and what we still need to learn. In Urologic oncology: seminars and original investigations (Vol. 27, No. 2, pp. 137-143). Elsevier.
Beck, A. M., Robinson, J. W., & Carlson, L. E. (2013). Sexual Values as the Key to Maintaining Satisfying Sex After Prostate Cancer Treatment : The Physical Pleasure–Relational Intimacy Model of Sexual Motivation. Archives of sexual behavior, 42(8), 1637-1647.
Gilbert, E., Ussher, J. M., & Perz, J. (2010). Renegotiating sexuality and intimacy in the context of cancer: the experiences of carers. Archives of Sexual Behavior, 39(4), 998-1009.
Hawkins, Y., Ussher, J., Gilbert, E., Perz, J., Sandoval, M., & Sundquist, K. (2009). Changes in sexuality and intimacy after the diagnosis and treatment of cancer: the experience of partners in a sexual relationship with a person with cancer. Cancer nursing, 32(4), 271-280.
Higano, C. S. (2012). Sexuality and intimacy after definitive treatment and subsequent androgen deprivation therapy for prostate cancer. Journal of Clinical Oncology, 30(30), 3720-3725.
Ussher, J. M., Perz, J., Gilbert, E., Wong, W. T., & Hobbs, K. (2013). Renegotiating sex and intimacy after cancer: resisting the coital imperative. Cancer Nursing, 36(6), 454-462.
Weiner, L., Avery-Clark, C. (2017). Sensate Focus in Sex Therapy: The Illustrated Manual. Routledge, New York.
Wittmann, D., Carolan, M., Given, B., Skolarus, T. A., An, L., Palapattu, G., & Montie, J. E. (2014). Exploring the role of the partner in couples’ sexual recovery after surgery for prostate cancer. Supportive Care in Cancer, 22(9), 2509-2515.
Wittmann, D., Carolan, M., Given, B., Skolarus, T. A., Crossley, H., An, L., ... & Montie, J. E. (2015). What couples say about their recovery of sexual intimacy after prostatectomy: toward the development of a conceptual model of couples' sexual recovery after surgery for prostate cancer. The journal of sexual medicine, 12(2), 494-504.
Men who present with chronic pelvic pain frequently have symptoms referred along the penis and into the tip of the penis, or glans. Symptoms may include numbness, tingling, aching, pain, or other sensitivity and discomfort. The tip of the penis, or glans, is a sensory structure, which allows for sexual stimulation and appreciation. This same capacity for valuable sensation can create severe discomfort when signals related to the glans are overactive or irritating. One of the most common complaints with this symptom is a level of annoyance and distraction, with level of bother worsening when a person is less active or not as mentally engaged with tasks. Wearing clothing that touches the tip of the penis (such as underwear, jock straps, jeans, or snug pants) may be limited and may worsen symptoms. When uncovering from where the symptoms originate, the culprit is often the dorsal nerve of the penis, which is sensible given that the glans is innervated by this branch of the pudendal nerve. If we consider this possibility (because certainly there are other potential causes) we find that there are many potential sites of pudendal nerve irritation to consider. First, let’s visualize the anatomy of the nerve.
Following the usually accepted descriptions of the dorsal nerve, we know that it is a terminal branch of the pudendal nerve that primarily is created from the mid-sacral nerves. This can lead us to include the lumbosacral region in our examination and treatment, yet in my clinical experience, there are other sites that more often reproduce pain in the glans. As the dorsal nerve branches off of the pudendal, usually after the location of the sacrotuberous ligament, it passes through and among the urogenital triangle layers of fascia where compression or irritation may generate symptoms.
As the nerve travels towards the pubic bone, it will pass inferior to the pubic bone, a location where suspensory ligaments of the penis can be found as well as pudendal vessels and fascia. This is also a site of potential compression and irritation, and palpation to this region may provide information about tissue health. Below is a cross-section of the proximal penis, allowing us to see where the pudendal nerve and vessels would travel inferior to the pubic bone.
As the dorsal nerve extends along either side of the penis, giving smaller branches along its path towards the glans, the nerve may also be experiencing soft tissue irritation along the length of the penis or even locally at the termination in the glans.
Palpation internally (via rectum) or externally may be a part of the assessment as well as treatment of this condition. Oftentimes, tip of the penis pain can be reproduced with palpation internally and directed towards the anterior levator ani and the connective tissues just inferior to the pubic bone. It may be difficult to know if the muscle is providing referred pain, or if the nerve is being tensioned and reproducing symptoms, however gentle soft tissue work applied to this area is often successful in reducing or resolving symptoms regardless of the tissue involved. In my experience, these symptoms of referred pain at the tip of the penis is often one of the last to resolve, and the use of topical lidocaine may be helpful in managing symptoms while healing takes place. Home program self-care including scar massage if needed, nerve mobilizations, trunk and pelvic mobility and strengthening, and advice for returning to meaningful activities can play a large role in resolution of pain in the glans.
If you would like to learn more about treating genital pain in men, consider joining me in Male Pelvic Floor: Function, Dysfunction, & Treatment. The 2018 courses will be in Freehold, NJ this June, and Houston, TX in September.
In 2007, after only speaking on the phone and never meeting in person, my new friend and colleague Stacey Futterman and I presented at the APTA National Conference on the topic of male pelvic pain. It was a 3 hour lecture that Stacey had been asked to give, and she invited me to assist her upon recommendation of one of her dear friends who had heard me lecture. I still recall the frequent glances I made to match the person behind the voice I had heard for so many long phone calls.
Upon recommendation of Holly Herman, we took this presentation and developed it into a 2 day continuing education course, creating lectures in male anatomy (we definitely did not learn about the epididymis in my graduate training), post-prostatectomy urinary incontinence, pelvic pain, and a bit about sexual health and dysfunction. Although it truly seems like the worst imaginable question, we asked each other “should we allow men to attend?” As strange as this question now seems, it speaks volumes about the world of pelvic health at that time; mostly female instructors taught mostly female participants about mostly female conditions.
Make no mistake- women’s health topics were and are deserving of much attention in our typically male-centered world of medicine and research. Maternal health in the US is dreadful, and gone are the days when providers should allow urinary incontinence or painful sexual health to be “normal”, yet it is often described as such to women who are brave enough to ask for help. Times have changed for the better for us all.
The Male Pelvic Floor Course was first taught in 2008, and so far, 22 events have taken place in 18 different cities. 73 men have attended the course to date, with increasing numbers represented at each course. Rather than 20-25 attendees, the Institute is seeing more of the men’s health course filling up with 35-40 participants. In my observations, the men who attend the course are often very experienced, have excellent orthopedic and manual therapy skills, and have personalities that fit very well into the sensitive work that is pelvic rehabilitation.
"We are creating male pelvic rehabilitation in real time"
The course was expanded to include 3 days of lectures and labs, and this expansion allowed more time for hands-on skills in examination and treatment. The schedule still covers bladder, prostate, sexual health and pelvic pain, and further discusses special topics like post-vasectomy syndrome, circumcision, and Peyronie’s disease. In my own clinical practice, learning to address penile injuries has allowed me to provide healing for conditions that are yet to appear in our journals and textbooks. As I often say in the course, we are creating male pelvic rehabilitation in real time.
Because the course often has providers in attendance who have not completed prior pelvic health training, instruction in basic techniques are included. For the experienced therapists, there are multiple lab “tracks” that offer intermediate to advanced skills that can be practiced in addition to the basic skills. Adaptations and models are used when needed to allow for draping, palpation, and education when working with partners in lab, and space is created for those therapists who want to learn genital palpation more thoroughly versus those who are deciding where their comfort zone is at the time. One of the more valuable conversations that we have in the course is how to create comfort and ease in when for most us, we were raised in a culture (and medical training) where palpation of the pelvis was not made comfortable. Hearing from the male participants about their bodies, how they are affected by cultural expectations, adds significant value as well.
We need to continue to create more coursework, more clinical training opportunities so that the representation of those treating male patients improves. If you feel ready to take your training to the next level in caring for male pelvic dysfunction, this year there are three opportunities to study. I hope you will join me in Male Pelvic Floor Function, Dysfunction and Treatment.
As someone who has spent nearly two decades marketing myself, my practice, or practices for employers, I have learned a lot of skills by trial and error. One of my favorite strategies to expand my professional network is to “Follow the Patient.” By this I mean to follow the patient to a specialist consult, to a procedure, or to a referral that you helped to coordinate. This must be done with the patient in mind, first and foremost, and then also the provider and their practice environment, so as not to have that practice shut the door on you in the future. Of course, this process can look different if you are in a health network because as an insider, you will likely be more welcome and have all the right credentials in order to simply attend a patient’s provider visit. If you are in a private practice, there are sometimes more hoops and permissions to negotiate. Following are some tips I have learned about this strategy of nurturing referral sources.
Offer the idea to the patient and see if they are open to it. It might sound like this: “If you are interested, I may be able to accompany you to your upcoming appointment. Does that interest you?” It’s very important that the patient is consenting to you being in attendance at their appointment, as the visit is for them. It may be best to not promise that you can clear your schedule, or coordinate the visit, but finding out if the patient is open to the idea is the first step.
2. Check in with the provider’s office. This can be accomplished by you or by the patient. This might sound like this: “I’d like to be sure that your provider would welcome me at your appointment. Would you prefer to contact the provider’s office or shall I?” In my experience, the provider’s office will say “if it’s ok with the patient, it’s fine with us!” Typically, a patient can bring whomever they like to an appointment, so that’s not much of an issue, unless there is close quarters or some other limiting scenario. The good thing about giving a heads up is it allows the provider’s office the opportunity to know that you may be joining your patient. I was able to follow a patient into a hernia repair surgery, and the nurses were so surprised that a physical therapist was in the prep room, they asked me “does the doctor know you are here?” in which case I was able to affirm that I indeed had permission from the surgeon.
3. When you attend the visit, allow the patient to introduce you or politely introduce yourself. Then listen. This is not the time to tell the medical provider all of the wonderful things you have been doing, or all of the things you have to offer their patients. Sometimes when reporting their history, the patient will look questioningly at me to recall details, and unless I am needed to give a brief response, I like to be quiet and stay out of the story until later. This is the time for the patient and the provider to get to know each other, establish rapport, and fewer interruptions are best.
4. Be prepared to summarize your thoughts when given the opportunity to share. Typically I have found that a medical provider will at some point turn and ask me a few questions, or simply state, “Do you have anything to add?” at which point I try to make concise yet thoughtful statements about the patient’s progress, continued challenges, and the reasoning behind the referral if I was the one to coordinate it. The summary might sound like this: “The original severe pain locations have eased, function has improved in this way, and the symptom or issue that is persisting is this. I was interested in knowing if there is potentially something else going on, or if you have a recommendation towards furthering their progress.” At this point, it’s best to not get too far ahead of yourself, or put expectations in front of the patient beyond a brief summary. In other words, don’t request specific imaging or suggest a particular procedure, as this may create an imbalance in the patient’s expectations and the reality of what takes place. If the provider wants more details or thoughts from you, they are likely to ask directly. (You can also send a progress report or summary letter prior to your visit if you have specific thoughts or concerns about what is going on.)
5. Allow the visit to unfold, listen carefully and take mental or written notes. I have often found that I recall details of anatomy, medications, or suggested interventions easily and the patient may ask about the details in a follow-up visit. This type of partnership allows the patient to have “another pair of ears” and can serve as a valuable part of the rehabilitation care planning. For example, perhaps the provider said, “Let’s try this imaging, if nothing of interest shows up, continue rehabilitation for 6 weeks. If no significant progress, I’d like to see you back here within a couple of months from today.” This allows the therapist to note that a provider visit was requested at 6 weeks following the appointment.
Marketing our services, in the long run, and especially in pelvic health, is critical in sharing awareness of the role of pelvic rehabilitation. Marketing is about relationships, and the easiest way to create a relationship is face to face. “Following” a patient along their healing journey, while it may take time out of the clinic for you, is a valuable way of engaging with providers and of being part of a collaborative process. When another provider or therapist requests that I see their patient to offer another view, I find it helpful to welcome the referring therapist to join the patient as well. This can lead to valuable discussions, sharing of information, and ultimately the patient may experience more efficient care that is directed to optimal strategies.
Many therapists transition to treating men with the knowledge and training from female patients. When therapists apply this knowledge, for the most part, it works. When we spend some attention on learning what is a bit different, we might be drawn to the superficial muscles of the perineum. This old anatomy image does a wonderful job of "calling it like it is" or using anatomical terms that describe an action versus naming only the structure. In the image we are looking from below (inferior view) at the perineum and genitals. Just anterior to the anus we can see the anterior muscles within the urogenital triangle, with the base of the shaft of the penis located just anterior to (above in this image) the anus and perineal body. Notice that at the midline, we see muscle names the "accelerator urine". Modern textbooks refer to this muscle as the bulbocavernosus, or bulbospongiosus. Taking the name of accelerator urine, we can understand that this muscle will have an effect on aiding the body in emptying urine. It does this through rhythmic contractions, most often noted towards the end of urination, when the typical spurts of urine follow a more steady stream. This assistance with emptying can take place because the urethra is located within the lower part of the penis, the portion known as the corpus spongiosum. Because the bulbocavernosus muscle covers this part of the penis, and the inferior and lateral parts of the urethra are virtually wrapped within the bulbocavernosus, the muscle can have an effect on emptying the urine in the urethra.
Notice that if you follow the fibers of the accelerator urine muscle towards the top of the image, where the penis continues, you will notice fibers of the muscle wrapping around the sides of the penis. These fibers will continue as a fascial band that travels over the dorsal vessels of the penis. This allows the muscle to also have a significant action during sexual activity, in which blood flow (getting blood into, keeping blood in, and letting blood out of the penis) is paramount.
On either side of the penis we can see what is labeled the erector penis. As these muscles cover the legs, or crura which form the two upper parts of the penis, when the muscles contract, blood is shunted towards the main body of the penis. This of course helps with penile rigidity, as the smooth muscles in the artery walls of the penis allow blood to fill the spongy chambers.
Once we discuss the usual functions of these muscles, we can then imagine the dysfunctions potentially created by less than optimal activity. Consider the difficulty that these muscles will create in contracting or relaxing if they are either too weak, or too tense. These issues can create difficulty emptying well the urethra, often leading to post-void dribble. Blood flow and therefore penile rigidity with erections may be negatively impacted by inability of these muscles to contract or stay contracted, and blood flow leaving the penis may be impaired if the muscles cannot relax. When we work with patients who have genital pain, pelvic floor muscle weakness, dyscoordination, or tension, we can often improve sexual function, bladder emptying, and tasks that might otherwise be affected by pain.
If you are interested in learning more about how to assess and treat these muscles, you have one more opportunity this year to attend the 3-day Male Course instructed by Holly Tanner. Holly has been teaching this course for over 10 years when she co-wrote the first course with colleague and faculty member Stacey Futterman. The course has been updated and turned into a 3-day course to include more manual therapy techniques. Hurry to grab one of the remaining spots in the October 27-29 course in Grand Rapids!
Preterm birth can have deleterious health effects not only for the child, but also for the mother. A child may be born so early that various health systems are not matured, leading to susceptibility and delay in development and growth. Maternal health may also be severely impacted, with conditions such as anxiety and psychological stress. Managing the prevention of a pre-term delivery can be stressful and challenging for a pregnant woman, and authors Ha & McDonald (2016) report that this issue is not well studied. A cross-sectional survey was completed to find out not only what a woman’s preferences and concerns are, but also to find out which recommendations were likely to be followed by the patient. This is important, the authors state, because women who are actively involved in medical decisions are more likely to feel satisfied with their childbirth experience.
The survey was completed by 311 women at a median of 32 weeks gestation. Mean age was 30.9, and the majority of them identified as European/White-Caucasian. Most of them were married or in a common-law relationship and had received some level of post-secondary education. The majority of women who were told they were at increased risk of preterm labor (PTL) preferred close-monitoring rather then PTL prevention. Of interest is that the majority of women reported they would use other sources of information besides their primary provider, with the most reported source being the internet or family and friends. This point begs the question of how high is the quality level or accuracy of the available information on the internet or in the general public? Common available options for prevention included progesterone, cerclage, and pessary use. If a woman is not interested in using recommended prevention strategies, the goal of the rehabilitation clinician should be to, on a constant basis, monitor for symptoms and signs of early labor, and encourage the patient to keep any recommended provider appointments, and stay in close contact with her provider so that close-monitoring may be carried out.
An additional goal for rehabilitation is to provide the mother with strategies that may assist her in managing her anxiety, stress, movement dysfunctions, sleep, and other activities. Prior research has validated the benefits of relaxation training in pre-term labor: a cost-effective, low risk and easily implemented strategy. Training women in such a tool during pregnancy fits well into the rehab provider’s scope, and can be instructed in the clinic (or home!) for home program implementation. Larger newborns, longer gestations, and higher rates of prolonged gestations have been recorded when using relaxation training training for pre-term labor.Janke et al., 1999) Chuang et al. (2012) have documented fewer admissions to neonatal intensive care unit, decreased rates of extreme pre-term birth, and shorter stays in hospital with use of relaxation training. Meditation, mindfulness, deep breathing, visualization, and movement within recommend medical limits may all be valuable tools that make up a part of a patient’s rehabilitation experience. In an article describing how prenatal meditation influences infant behaviors, yoga, singing, and massage therapy are all cited methods for improving maternal and/or fetal health.Chan, 2014
The Herman & Wallace Institute offers a three part series on pregnancy and postpartum. Get started by attending either Care of the Pregnant Patient or Care of the Postpartum Patient. You may also be interested in any of the Mindfulness & Meditation courses, including Holistic Interventions and Meditation, Mindfulness-Based Pain Treatment, and Mindfulness for Rehabilitation Professionals.
Chan, K. P. (2014). Prenatal meditation influences infant behaviors. Infant Behavior and Development, 37(4), 556-561.
Chuang, L.-L., Lin, L.-C., Cheng, P.-J., Chen, C.-H., Wu, S.-C., & Chang, C.-L. (2012). The effectiveness of a relaxation training program for women with preterm labour on pregnancy outcomes: A controlled clinical trial. [Article]. International Journal of Nursing Studies, 49, 257-264. doi: 10.1016/j.ijnurstu.2011.09.007
Ha, V., & McDonald, S. D. (2017). Pregnant women’s preferences for and concerns about preterm birth prevention: a cross-sectional survey. BMC pregnancy and childbirth, 17(1), 49.
Janke, J. (1999). The effect of relaxation therapy on preterm labor outcomes. Journal Of Obstetric, Gynecologic, And Neonatal Nursing: JOGNN / NAACOG, 28(3), 255-263.
“To me it felt like I was just sitting on bed rest, waiting to have a seizure, you know, waiting to start circling the drain.” “Every time I went to the doctor I had this…anxiety attack.” These are the words of pregnant women diagnosed with preeclampsia and on bed rest. Other phrases reported by the authors who interviewed women on bedrest included “…an impending doom…”, “…meltdown…”, “nervous wreck.” A few of the major themes that emerged in the interviews was that of negative thoughts and feelings, family stressors, and not being heard. And while using the term “crazy” is not truly appropriate, women who are forced to abruptly stop interacting and participating in their typical life activities must be regarded as being very high risk for more than just physical issues. Kehler et al., 2016
In an ideal situation, bed rest during pregnancy is prescribed to help keep the mother and fetus healthy. Unfortunately, bed rest in itself is associated with potentially negative consequences in physical and mental health, and providers are not always up-to-date on changing recommendations for bedrest. Perhaps the cautious attitude of providers towards minimizing risk guides some choices. In addition, many women describe frustration about lack of clear guidelines, difficulty managing their stressful feelings, and varying degrees of support from medical providers.
During pregnancy-related bed rest, research has described how the entire family is affected. Physically, the mother may have changes in her circadian rhythms, increased anxiety, depression, and hostility. The rest of the family can also experience and demonstrate stress. Other children may act out, partners may be more stressed and worried, and financial strain may be a concern. Bigelow & Stone, 2011 Although we as rehab professionals may not have solutions for every issue, we may be able to facilitate accessing resources and at a minimum hear what a woman is dealing with during this stressful time. Many women, even when on bedrest, are allowed to attend medical appointments such as physical therapy, and should be provided with appropriate physical and mental activities to help minimize muscle atrophy and stress. Home health or hospital-based providers are also in a perfect position to educate providers on the value of referrals while the patient is at home or in the hospital.
We should keep these issues in mind during pregnancy as well as in the postpartum period. Maloni & Park (2005) measured postpartum symptoms in women who were on bedrest during pregnancy, and at 6 weeks postpartum, 40% of the 106 women (high-risk, singleton) complained of mood changes, difficulty concentrating, and other physical issues. Women who had a c-section had worsened symptoms, and the length of time on bed rest was highly correlated with the number of symptoms.
Bed rest affects a woman’s cognition, creates fear, a sense of lack of control, powerlessness, and even anger. “Because of this, Rodrigues and colleagues (Rodrigues et al., 2016) suggest that “…mental disorders should be routinely investigated during high-risk pregnancy, whenever possible with the use of specific instruments so that they can be detected early and so that interventions can be made in due time.” If you are interested in discussing this issue and many others, check out the Institute’s continuing education choices in peripartum health. The next Care of the Postpartum Patient course is taking place on September 16-17, 2017 in Nashville, TN.
Bigelow, C., & Stone, J. (2011). Bed rest in pregnancy. The Mount Sinai Journal Of Medicine, New York, 78(2), 291-302. doi: 10.1002/msj.20243
Kehler, S., Ashford, K., Cho, M., & Dekker, R. L. (2016). Experience of Preeclampsia and Bed Rest: Mental Health Implications. Issues in Mental Health Nursing, 37(9), 674-681.
Maloni, J. A., & Park, S. (2005). Postpartum Symptoms After Antepartum Bed Rest. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 34(2).
Meher, S., Abalos, E., & Carroli, G. (2005). Bed rest with or without hospitalisation for hypertension during pregnancy. Cochrane Database of Systematic Reviews, 4.
Rodrigues, P. B., Zambaldi, C. F., Cantilino, A., & Sougey, E. B. (2016). Special features of high-risk pregnancies as factors in development of mental distress: a review. Trends in psychiatry and psychotherapy, 38(3), 136-140.
Polycystic ovarian disease (PCOS), also known as Stein-Leventhal syndrome, is an endocrine system disorder that affects women of reproductive age. The disease is associated with some major adverse health issues including infertility, diabetes, metabolic syndrome (a cluster of conditions that increase risk for heart disease, stroke and diabetes), cardiovascular issues and endometrial carcinoma. Because, according to Okamura et al., those with PCOS share risk factors for endometrial cancer and atypical endometrial hyperplasia, early detection and treatment are critical for optimal health outcomes. Some of the primary shared risk factors include obesity, not bearing any children (nulliparity), infertility, hypertension, diabetes, chronic anovulation, and unopposed estrogen supplementation.
One study (Malcolm2017) that addressed reproductive health comparisons among young women with and without PCOS found that although women diagnosed with PCOS had significant concerns about their reproductive health, they were found to be as sexually active as young women without PCOS. Unfortunately, women with PCOS were more likely to have pelvic inflammatory disease (PID), which could increase the risk of infertility. In this study, the importance of counseling in safe sex practices such as condom use and sexually transmitted infection screening was highlighted.
As weight loss in women diagnosed with PCOS has been shown to improve blood sugar levels, exercise and healthy weight management strategies can also be keystones of care. Vasheghani-Farahani et al report on a home-based exercise program with positive outcomes in health for women with PCOS. The women in this study were ages 15-40, with 16 patients in the exercise group and 14 in the control group. Blood pressure, waist to hip ratio, BMI, blood tests for insulin factors, sex hormones, and markers of inflammation made up outcomes measures at baseline and again at 12 weeks following intervention. The active group completed aerobic and strengthening exercises and were found to have an improved waist to hip ratio as well as reductions in cardiovascular risk profiles.
The exercise instructed as home program is as follows: 30 minute walk at least 5 days per week at medium intensity (64%-76% max heart rate), strengthening exercises of biceps curl, wall push up, chair push up, single arm row, seated lower leg lift, seated straight leg lift, stair step and chair squat 10 times each. The participants were instructed to increase the exercise bouts per day from 1 to 3 by the end of the study. Participants were guided through the exercises at the beginning of the study, and exercise logs as well as phone calls were used to track progress, answer questions.
This study is an encouraging example of simple yet effective strategies to guide women diagnosed with PCOS. Although there are other equally valuable aspects of care that a pelvic health therapist can be involved in for women managing this challenging disease, the research presented reminds us that basic information on healthy sexual practices and provider follow-up, strengthening and aerobic exercise can have meaningful impact on quality of life. If you are interested in learning more about PCOS and other endocrine conditions, and ways to help manage pelvic pain, adhesions, and other symptoms, join us in Pelvic Floor Series Capstone: Advanced Topics in Pelvic Rehab, available twice more in 2017.
Malcolm, S., Tuchman, L., Cheng, Y. I., Wang, J., & Gomez-Lobo, V. (2017). Differences in Reproductive Health Issues in Adolescent Females With Polycystic Ovarian Syndrome Compared to Controls. Journal of Pediatric and Adolescent Gynecology, 30(2), 330-331.
Okamura, Y., Saito, F., Takaishi, K., Motohara, T., Honda, R., Ohba, T., & Katabuchi, H. (2017). Polycystic ovary syndrome: early diagnosis and intervention are necessary for fertility preservation in young women with endometrial cancer under 35 years of age. Reproductive Medicine and Biology, 16(1), 67-71.
Vasheghani-Farahani, F., Khosravi, S., Yekta, A. H. A., Rostami, M., & Mansournia, M. A. (2017). The Effect of Home based Exercise on Treatment of Women with Poly Cystic Ovary Syndrome; a single-Blind Randomized Controlled Trial. Novelty in Biomedicine, 5(1), 8-15.
In the world of pelvic health, we are constantly meeting patients who are surprised to learn about the scope of what we do. Oftentimes, it is because we mention the pelvic muscles’ roles in sexual health that a patient will offer up symptoms with their sexual health, or ask a few more questions. Outside of pelvic health professionals asking about sexual function, do men bring up these issues with anyone? Not usually. In Fisher and colleagues 2-part “Strike up a conversation” study (2005), the authors reported that men who have erectile dysfunction (ED) are worried about their partner’s reaction, don’t want to admit to having a chronic problem, and frankly, just don’t even know where to start. Unfortunately, the partners of men who have ED have the same concerns. In addition, partners are worried about bringing it up and “making their partners feel worse about it.” When men did bring up sexual concerns with their physician, although they reported feeling nervous and embarrassed, they also reported feeling hopeful and relieved.
This issue was highlighted in a recent interview and article published on National Public Radio. The article shares that for war veterans, sexual intimacy is often affected, and yet, is often ignored. A Marine who suffered PTSD after a head injury and shrapnel to the head and neck describes how he had to go to the doctor several times just to work up the nerve to ask for help for his sexual dysfunction. He also shared how it was difficult to talk about “…because it contradicts a self-image so many Marines have.” Apparently you don’t have to be a Marine to feel the same intense pressure related to talking about sexual issues. I have spent more time in the past year trying to better understand why men don’t discuss these issues, with a best friend or partner, and each time, my question of “what would that be like if you brought it up?” is met with near bewilderment, as if revealing this issue were akin to revealing your deepest, darkest secret. Apparently, it is. Telling a buddy you have erectile dysfunction, for men, seems to be like showing your enemy where the chink in your armor is, or like setting yourself up to be the center of every “getting it up” joke for the remainder of your life.
The bottom line is that we can be part of the solution to this problem, because men must be certain that their medical provider knows about any emerging or worsening erectile dysfunction. Loss of libido, or changes in erectile function can be associated with heart issues, with diabetes, or with other major medical concerns. Research such as the referenced “strike up a conversation study” has demonstrated that health care providers or partners may positively influence a patient’s access to care. Once medical evaluation has been completed, the role of the pelvic health provider is critical in improving sexual health for men with dysfunction. If you are interested in learning more about the role of the pelvic health provider for erectile dysfunction or pain related to sexual function, the Male Pelvic Health continuing education course will be offered 3 times this year through the Herman & Wallace Pelvic Rehabilitation Institute. Your next opportunity to learn about urinary and prostate conditions, male pelvic pain, sexual health and dysfunction is next month in Portland, Oregon.
Chang, A. (2016). For veterans, trauma of war can persist in struggles with sexual intimacy. Retrieved from http://www.npr.org/sections/health-shots/2017/01/01/507749611/for-veterans-trauma-of-war-can-persist-in-struggles-with-sexual-intimacy
Fisher, W. A., Meryn, S., Sand, M., Brandenburg, U., Buvat, J., Mendive, J., ... & Strike Up a Conversation Study Team. (2005). Communication about erectile dysfunction among men with ED, partners of men with ED, and physicians: The Strike Up a Conversation Study (Part I). The journal of men's health & gender, 2(1), 64-78.
Fisher, W. A., Meryn, S., Sand, M., & Strike up a Conversation Study Team. (2005). Communication about erectile dysfunction among men with ED, partners of men with ED, and physicians: the Strike Up a Conversation study (Part II). The journal of men's health & gender, 2(3), 309-e1.
With menopause and the hormonal shifts that take place, some women suffer more than others with symptoms such as hot flashes. If you have ever been near someone during a hot flash, you know that this curious condition is more than feeling a little hot under the collar. During a hot flash, women will suddenly disrobe, wake from a deep sleep covered in sweat (so much so that they have to change the sheets!), or otherwise appear distressed and oftentimes suffer interference in whatever activity in which they were engaging. As we reported in an earlier post, women on average may have hot flashes for 5 years after the date of her last period. Some women (up to 1/3 in the referenced study) will report hot flashes for 10 or more years after menopause.
Hot flashes and night sweats also significantly disrupt sleep, according to research by Baker and colleagues. Menopausal women with insomnia may also have higher levels of psychologic, somatic, vasomotor symptoms, and score lower on the Beck Depression Inventory, and sleep efficiency and duration scores. Poor sleep can be associated with morbidity such as hypertension, stroke, diabetes and depression, so interrupted sleep is more than an inconvenience, but potentially a serious health issue.
A more recent study linked anxiety as a potential risk factor for menopausal hot flashes. In 233 women who are premenopausal at baseline and who were followed for at least a year after their final menstrual cycle, anxiety symptoms, hormone levels, hot flashes and other psychosocial variables were assessed. During the 14 year follow-up 72% of the women reported having moderate to severe hot flashes, and the researchers correlated somatic anxiety as a potential predictive association with anxiety. Somatic anxiety refers to the physical symptoms of anxiety, such as stomach ache, increased heart rate, sweating, muscle aches.
In order to help a woman support her wellness during menopausal transitions, being able to address somatic anxiety and conditions like hot flashes is imperative. Teaching skills such as breathing, relaxation training, meditation, or mindfulness may positively impact the anxiety, and therefore have the potential to reduce hot flashes and other adverse symptoms. Herman & Wallace's Menopause Rehabilitation and Symptom Management course is an excellent opportunity to learn some of these valuable skills.
Baker, F. C., Willoughby, A. R., Sassoon, S. A., Colrain, I. M., & de Zambotti, M. (2015). Insomnia in women approaching menopause: beyond perception. Psychoneuroendocrinology, 60, 96-104.
Freeman, E. W., & Sammel, M. D. (2016). Anxiety as a risk factor for menopausal hot flashes: evidence from the Penn Ovarian Aging cohort. Menopause, 23(9), 942-949.
Freeman, E. W., Sammel, M. D., & Sanders, R. J. (2014). Risk of long term hot flashes after natural menopause: Evidence from the Penn Ovarian Aging Cohort. Menopause (New York, NY), 21(9), 924.
Upcoming Continuing Education Courses
Feb 22, 2019 - Feb 24, 2019
Location: Inova Physical Therapy Center
Feb 22, 2019 - Feb 24, 2019
Location: Rocky Mountain University of Health Professions
Feb 23, 2019 - Feb 24, 2019
Location: NorthBay HealthCare
Mar 1, 2019 - Mar 3, 2019
Location: Virginia Hospital Center
Mar 1, 2019 - Mar 3, 2019
Location: University of North Texas Health Science Center
Mar 1, 2019 - Mar 3, 2019
Location: Dignity Health Care of Stockton, CA
Mar 8, 2019 - Mar 10, 2019
Location: The Woman's Hospital of Texas
Mar 8, 2019 - Mar 10, 2019
Location: Bon Secours St. Francis Health System
Mar 8, 2019 - Mar 10, 2019
Location: Franklin Pierce University
Mar 8, 2019 - Mar 10, 2019
Location: Advocate Illinois Masonic Medical Center
Mar 15, 2019 - Mar 17, 2019
Location: Legacy Health System
Mar 15, 2019 - Mar 17, 2019
Location: Kinetic Kids Inc
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Location: Indiana University Health
Mar 22, 2019 - Mar 24, 2019
Location: Mount Saint Mary’s University
Mar 22, 2019 - Mar 24, 2019
Location: Tri-City Medical Center
Mar 23, 2019 - Mar 24, 2019
Location: Spooner Physical Therapy
Mar 23, 2019 - Mar 24, 2019
Location: Alta Bates Summit Medical Center
Mar 29, 2019 - Mar 31, 2019
Location: Marathon Physical Therapy
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Location: St. Joseph Mercy Ann Arbor
Mar 30, 2019 - Mar 31, 2019
Location: Core 3 Physical Therapy
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Location: Atlanta PT
Apr 5, 2019 - Apr 7, 2019
Location: Athletico Physical Therapy
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Location: Vanderbilt University Medical Center
Apr 6, 2019 - Apr 7, 2019
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Location: Cancer Treatment Centers of America - Chicago, IL
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Apr 12, 2019 - Apr 14, 2019
Location: Bon Secours St. Francis Health System
Apr 12, 2019 - Apr 14, 2019
Location: Mary Free Bed Rehabilitation Hospital
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Location: Mercy Hospital