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Boundaries, Self-Care, and Meditation - Columbus, OH - May 29-31, 2020(Rescheduled)
Update 04/10/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discount



Price: $695 (Early Registrant Price $675)
Experience Level: Beginner
Contact Hours: 22




This 3 day course will address research based holistic approaches for the practitioner wishing to broaden their approach to wellness and pain management in their practice. Participants will learn manual techniques that broaden the intuitive and receptive use of their hands. Learning new strategies to preserve their own energy, wellness and passion while practicing appropriate self- care and boundaries will lead to helpful relationships with complex patients.
This course will decipher what is anecdotal and what the research supports. This course will focus on: mind-body medicine, meditation, neural down regulation, increasing patient’s perceived locus of control, essential oils, yoga, external manual techniques to support and regulate the nervous system, pain theory, cognitive reframing and how to talk to patients about pain, provider boundaries and self- care. Providers will learn techniques to address the whole patient: mind, body, and spirit.
Instruction will include decision making strategies to decide which intervention is most likely to be received well with different types of patients. The course will be a balance of lecture and labs. Lab activities will include meditation and mindfulness activities, dialogue practice, manual techniques and practice instructing and integrating techniques effectively within a treatment session, in a timely manner.
Please begin the pre-course reading and home program of meditation exercises at least one month prior to the course, as listed in the course assignments attached. Participants who do the reading in advance and take time to begin the meditation work two months prior the course experience a deeper, richer, transformative experience prior to and during the weekend experience.
 
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:
Please begin your meditation practice.  You will need to download the CD, “Meditations for Pelvic Health” from google play or itunes.  You can also search “Nari Clemons”. The CD is also available at Amazon, Current Tech, or Current Medical Technologies.  The downloaded form makes it easier to catch your 10 minute daily meditation during lunch at work, or wherever you have your phone.  Using earbuds will enhance the experience, as the music has binary beats that balance the two sides of the brain.  Please find the self practice logs at this link.   We would like you to use tracks 1-7 each three times before the course.  This way, at the course, we can dive deeper and work more on application into your practice, as you will have familiarity with each technique and how it affects you.  Please start sooner than later, trying to get a sitting in each day. 
 

Please order Self Care for the Self Aware by David Markowitz.  It is around $9 from online retailers.  Please read pages 3- 40.   We will use this pre-reading as a jumping point for conversations and discussions.  As you read, please take a few notes on whose stuff you are owning and what comes up when you think of giving it back to them.  Again, please enjoy the experience and read slowly enough to process the information and let it work through you, rather than doing it all the night before.  Let the transformation process begin now!




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:15 Meditation
 8:30 Neuroanatomy
 10:00 Break
 10:15 Meditation practical experience
 11:00 Meditation types, reframing
 12:00 Lunch
 1:00 Essential oils
 2:00 Diaphragm release lab
 3:15 Break
 3:30 Meditation lab
 4:30 Yoga
 5:15 Questions/wrap up
 5:30 Adjourn


Day Two:
 8:00 Meditation
 8:15 Brain, trauma, and pain
 10:00 Break
 10:15 Explain pain lab
 11:15 Affirmation meditation
 11:30 Cardio
 12:00 Lunch
 1:00 MMP self-care
 2:15 Self-care lab
 3:15 Break
 3:30 Occipital release lab
 4:45 Relaxation meditation
 5:00 Questions/wrap up
 5:15 Adjourn


Day Three: 8:00 Morning yoga, meditation, intention setting
 9:00 Burnout and Empathy
 10:15 Break
 10:30 Burnout assessment/problem solving lab
 11:30 Lunch
 12:15 Prescribing meditation
 1:00 Quick shifters/emotions
 2:15 Break
 2:30 Case studies: Putting it all together
 3:45 Questions/evaluations
 4:00 Adjourn
 
*note: the instructors continually update this course and the schedule may shift somewhat between now and the beginning of the event.



Upon completion of this program, participants will be able to:

List and describe several meditation techniques and which techniques are effective with different patient types
Demonstrate manual techniques for facilitating autonomic down training
Discuss neuroscience of pain and effects of meditation
Describe the current concepts of chronic pain neurophysiology
Discuss the contributing role of trauma and stress to persistent pain
Discuss the evidence for the cognitive and emotional modulation of pain
Explain pain and stress-induced hyperalgesia to patients with simple language.
Practice techniques to center and stay grounded at work with detached compassion
Understand and develop strategies to prevent burnout
Instruct a patient in the basic qualities of meditation
Understand and implement healthy boundary setting
Experience the benefits of breath, exercise and movement on mood
Experience essential oils and their potential role in self-care and patient care
Incorporate these techniques into their current model of treatment and reimbursement


 
Name
Street Address (Links to Map)

Course Location

 Ohio State University
School of health and Rehab Sciences

453 W 10th Ave
Columbus, OH 43210


Recommended Lodging

 SpringHill Suites Columbus OSU
(614) 297-9912

 1421 Olentangy River Rd
Columbus, OH 43212


Nearest Airport

Port Columbus International Airport
Airport Code: CMH

4600 International Gateway
Columbus, OH 43219



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


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College, Jennafer began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is an author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jen was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jen loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".




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Boundaries, Self-Care, and Meditation - Portland, OR - March 1-3, 2019
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Description
Schedule
Objectives
Location/Lodging
Instructors



Price: $695 (Early Registrant Price $675)
Experience Level: Beginner
Contact Hours: 22




This 3 day course will address research based holistic approaches for the practitioner wishing to broaden their approach to wellness and pain management in their practice. Participants will learn manual techniques that broaden the intuitive and receptive use of their hands. Learning new strategies to preserve their own energy, wellness and passion while practicing appropriate self- care and boundaries will lead to helpful relationships with complex patients.
This course will decipher what is anecdotal and what the research supports. This course will focus on: mind-body medicine, meditation, neural down regulation, increasing patient’s perceived locus of control, essential oils, yoga, external manual techniques to support and regulate the nervous system, pain theory, cognitive reframing and how to talk to patients about pain, provider boundaries and self- care. Providers will learn techniques to address the whole patient: mind, body, and spirit.
Instruction will include decision making strategies to decide which intervention is most likely to be received well with different types of patients. The course will be a balance of lecture and labs. Lab activities will include meditation and mindfulness activities, dialogue practice, manual techniques and practice instructing and integrating techniques effectively within a treatment session, in a timely manner.
Please begin the pre-course reading and home program of meditation exercises at least one month prior to the course, as listed in the course assignments attached. Participants who do the reading in advance and take time to begin the meditation work two months prior the course experience a deeper, richer, transformative experience prior to and during the weekend experience.
 
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:
Please begin your meditation practice.  You will need to download the CD, “Meditations for Pelvic Health” from google play or itunes.  You can also search “Nari Clemons”. The CD is also available at Amazon, Current Tech, or Current Medical Technologies.  The downloaded form makes it easier to catch your 10 minute daily meditation during lunch at work, or wherever you have your phone.  Using earbuds will enhance the experience, as the music has binary beats that balance the two sides of the brain.  Please find the self practice logs at this link.   We would like you to use tracks 1-7 each three times before the course.  This way, at the course, we can dive deeper and work more on application into your practice, as you will have familiarity with each technique and how it affects you.  Please start sooner than later, trying to get a sitting in each day. 
 

Please order Self Care for the Self Aware by David Markowitz.  It is around $9 from online retailers.  Please read pages 3- 40.   We will use this pre-reading as a jumping point for conversations and discussions.  As you read, please take a few notes on whose stuff you are owning and what comes up when you think of giving it back to them.  Again, please enjoy the experience and read slowly enough to process the information and let it work through you, rather than doing it all the night before.  Let the transformation process begin now!




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:15 Meditation
 8:30 Neuroanatomy
 10:00 Break
 10:15 Meditation practical experience
 11:00 Meditation types, reframing
 12:00 Lunch
 1:00 Essential oils
 2:00 Diaphragm release lab
 3:15 Break
 3:30 Meditation lab
 4:30 Yoga
 5:15 Questions/wrap up
 5:30 Adjourn


Day Two:
 8:00 Meditation
 8:15 Brain, trauma, and pain
 10:00 Break
 10:15 Explain pain lab
 11:15 Affirmation meditation
 11:30 Cardio
 12:00 Lunch
 1:00 MMP self-care
 2:15 Self-care lab
 3:15 Break
 3:30 Occipital release lab
 4:45 Relaxation meditation
 5:00 Questions/wrap up
 5:15 Adjourn


Day Three: 8:00 Morning yoga, meditation, intention setting
 9:00 Burnout and Empathy
 10:15 Break
 10:30 Burnout assessment/problem solving lab
 11:30 Lunch
 12:15 Prescribing meditation
 1:00 Quick shifters/emotions
 2:15 Break
 2:30 Case studies: Putting it all together
 3:45 Questions/evaluations
 4:00 Adjourn
 
*note: the instructors continually update this course and the schedule may shift somewhat between now and the beginning of the event.



Upon completion of this program, participants will be able to:

List and describe several meditation techniques and which techniques are effective with different patient types
Demonstrate manual techniques for facilitating autonomic down training
Discuss neuroscience of pain and effects of meditation
Describe the current concepts of chronic pain neurophysiology
Discuss the contributing role of trauma and stress to persistent pain
Discuss the evidence for the cognitive and emotional modulation of pain
Explain pain and stress-induced hyperalgesia to patients with simple language.
Practice techniques to center and stay grounded at work with detached compassion
Understand and develop strategies to prevent burnout
Instruct a patient in the basic qualities of meditation
Understand and implement healthy boundary setting
Experience the benefits of breath, exercise and movement on mood
Experience essential oils and their potential role in self-care and patient care
Incorporate these techniques into their current model of treatment and reimbursement


 
Name
Street Address (Links to Map)

Course Location

Sunset Athletic Club

13939 NW Cornell Road
Portland, OR 97229


Recommended Lodging

DoubleTree by Hilton Hotel Portland/Beaverton
503-614-8100

15402 NW Cornell Rd
Beaverton, OR 97006, USA


Nearest Airport

Portland International Airport
Airport Code: PDX

7000 NE Airport Way
Portland, OR 97218, USA



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


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College, Jennafer began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is an author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jen was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jen loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.


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Boundaries, Self-Care, and Meditation - Princeton, NJ - October 9-11, 2020 (Postponed)
Update 6/29/2020: As a precaution against the spread of COVID-19, this course has been postponed. It has been rescheduled to a remote course option, which is available for registration here.
 
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discount



Price: $695 (Early Registrant Price $675)
Experience Level: Beginner
Contact Hours: 22




This 3 day course will address research based holistic approaches for the practitioner wishing to broaden their approach to wellness and pain management in their practice. Participants will learn manual techniques that broaden the intuitive and receptive use of their hands. Learning new strategies to preserve their own energy, wellness and passion while practicing appropriate self- care and boundaries will lead to helpful relationships with complex patients.
This course will decipher what is anecdotal and what the research supports. This course will focus on: mind-body medicine, meditation, neural down regulation, increasing patient’s perceived locus of control, essential oils, yoga, external manual techniques to support and regulate the nervous system, pain theory, cognitive reframing and how to talk to patients about pain, provider boundaries and self- care. Providers will learn techniques to address the whole patient: mind, body, and spirit.
Instruction will include decision making strategies to decide which intervention is most likely to be received well with different types of patients. The course will be a balance of lecture and labs. Lab activities will include meditation and mindfulness activities, dialogue practice, manual techniques and practice instructing and integrating techniques effectively within a treatment session, in a timely manner.
Please begin the pre-course reading and home program of meditation exercises at least one month prior to the course, as listed in the course assignments attached. Participants who do the reading in advance and take time to begin the meditation work two months prior the course experience a deeper, richer, transformative experience prior to and during the weekend experience.
 
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:
Please begin your meditation practice.  You will need to download the CD, “Meditations for Pelvic Health” from google play or itunes.  You can also search “Nari Clemons”. The CD is also available at Amazon, Current Tech, or Current Medical Technologies.  The downloaded form makes it easier to catch your 10 minute daily meditation during lunch at work, or wherever you have your phone.  Using earbuds will enhance the experience, as the music has binary beats that balance the two sides of the brain.  Please find the self practice logs at this link.   We would like you to use tracks 1-7 each three times before the course.  This way, at the course, we can dive deeper and work more on application into your practice, as you will have familiarity with each technique and how it affects you.  Please start sooner than later, trying to get a sitting in each day. 
 

Please order Self Care for the Self Aware by David Markowitz.  It is around $9 from online retailers.  Please read pages 3- 40.   We will use this pre-reading as a jumping point for conversations and discussions.  As you read, please take a few notes on whose stuff you are owning and what comes up when you think of giving it back to them.  Again, please enjoy the experience and read slowly enough to process the information and let it work through you, rather than doing it all the night before.  Let the transformation process begin now!




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:15 Meditation
 8:30 Neuroanatomy
 10:00 Break
 10:15 Meditation practical experience
 11:00 Meditation types, reframing
 12:00 Lunch
 1:00 Essential oils
 2:00 Diaphragm release lab
 3:15 Break
 3:30 Meditation lab
 4:30 Yoga
 5:15 Questions/wrap up
 5:30 Adjourn


Day Two:
 8:00 Meditation
 8:15 Brain, trauma, and pain
 10:00 Break
 10:15 Explain pain lab
 11:15 Affirmation meditation
 11:30 Cardio
 12:00 Lunch
 1:00 MMP self-care
 2:15 Self-care lab
 3:15 Break
 3:30 Occipital release lab
 4:45 Relaxation meditation
 5:00 Questions/wrap up
 5:15 Adjourn


Day Three: 8:00 Morning yoga, meditation, intention setting
 9:00 Burnout and Empathy
 10:15 Break
 10:30 Burnout assessment/problem solving lab
 11:30 Lunch
 12:15 Prescribing meditation
 1:00 Quick shifters/emotions
 2:15 Break
 2:30 Case studies: Putting it all together
 3:45 Questions/evaluations
 4:00 Adjourn
 
*note: the instructors continually update this course and the schedule may shift somewhat between now and the beginning of the event.



Upon completion of this program, participants will be able to:

List and describe several meditation techniques and which techniques are effective with different patient types
Demonstrate manual techniques for facilitating autonomic down training
Discuss neuroscience of pain and effects of meditation
Describe the current concepts of chronic pain neurophysiology
Discuss the contributing role of trauma and stress to persistent pain
Discuss the evidence for the cognitive and emotional modulation of pain
Explain pain and stress-induced hyperalgesia to patients with simple language.
Practice techniques to center and stay grounded at work with detached compassion
Understand and develop strategies to prevent burnout
Instruct a patient in the basic qualities of meditation
Understand and implement healthy boundary setting
Experience the benefits of breath, exercise and movement on mood
Experience essential oils and their potential role in self-care and patient care
Incorporate these techniques into their current model of treatment and reimbursement



 
Name
Street Address (Links to Map)


Course Location

Princeton Healthcare System

 1315 Whitehorse Mercerville Rd 
outpatient clinic Suite 100, 
 Hamilton, NJ 08619 


Recommended Lodging

Residence Inn by Marriott Hamilton
(609)-585-2111

559 Route 130 North,
 Hamilton, 08620


Nearest Airport

Newark 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)
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College, Jennafer began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is an author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jen was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jen loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".




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Boundaries, Self-Care, and Meditation - San Diego, CA - November 9-11, 2019
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discount



Price: $695 (Early Registrant Price $675)
Experience Level: Beginner
Contact Hours: 22




This 3 day course will address research based holistic approaches for the practitioner wishing to broaden their approach to wellness and pain management in their practice. Participants will learn manual techniques that broaden the intuitive and receptive use of their hands. Learning new strategies to preserve their own energy, wellness and passion while practicing appropriate self- care and boundaries will lead to helpful relationships with complex patients.
This course will decipher what is anecdotal and what the research supports. This course will focus on: mind-body medicine, meditation, neural down regulation, increasing patient’s perceived locus of control, essential oils, yoga, external manual techniques to support and regulate the nervous system, pain theory, cognitive reframing and how to talk to patients about pain, provider boundaries and self- care. Providers will learn techniques to address the whole patient: mind, body, and spirit.
Instruction will include decision making strategies to decide which intervention is most likely to be received well with different types of patients. The course will be a balance of lecture and labs. Lab activities will include meditation and mindfulness activities, dialogue practice, manual techniques and practice instructing and integrating techniques effectively within a treatment session, in a timely manner.
Please begin the pre-course reading and home program of meditation exercises at least one month prior to the course, as listed in the course assignments attached. Participants who do the reading in advance and take time to begin the meditation work two months prior the course experience a deeper, richer, transformative experience prior to and during the weekend experience.
 
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:
Please begin your meditation practice.  You will need to download the CD, “Meditations for Pelvic Health” from google play or itunes.  You can also search “Nari Clemons”. The CD is also available at Amazon, Current Tech, or Current Medical Technologies.  The downloaded form makes it easier to catch your 10 minute daily meditation during lunch at work, or wherever you have your phone.  Using earbuds will enhance the experience, as the music has binary beats that balance the two sides of the brain.  Please find the self practice logs at this link.   We would like you to use tracks 1-7 each three times before the course.  This way, at the course, we can dive deeper and work more on application into your practice, as you will have familiarity with each technique and how it affects you.  Please start sooner than later, trying to get a sitting in each day. 
 

Please order Self Care for the Self Aware by David Markowitz.  It is around $9 from online retailers.  Please read pages 3- 40.   We will use this pre-reading as a jumping point for conversations and discussions.  As you read, please take a few notes on whose stuff you are owning and what comes up when you think of giving it back to them.  Again, please enjoy the experience and read slowly enough to process the information and let it work through you, rather than doing it all the night before.  Let the transformation process begin now!




Day One:
 7:30 Registration
 8:00 Introductions, objectives and overview
 8:15 Meditation
 8:30 Neuroanatomy
 10:00 Break
 10:15 Meditation practical experience
 11:00 Meditation types, reframing
 12:00 Lunch
 1:00 Essential oils
 2:00 Diaphragm release lab
 3:15 Break
 3:30 Meditation lab
 4:30 Yoga
 5:15 Questions/wrap up
 5:30 Adjourn


Day Two:
 8:00 Meditation
 8:15 Brain, trauma, and pain
 10:00 Break
 10:15 Explain pain lab
 11:15 Affirmation meditation
 11:30 Cardio
 12:00 Lunch
 1:00 MMP self-care
 2:15 Self-care lab
 3:15 Break
 3:30 Occipital release lab
 4:45 Relaxation meditation
 5:00 Questions/wrap up
 5:15 Adjourn


Day Three: 8:00 Morning yoga, meditation, intention setting
 9:00 Burnout and Empathy
 10:15 Break
 10:30 Burnout assessment/problem solving lab
 11:30 Lunch
 12:15 Prescribing meditation
 1:00 Quick shifters/emotions
 2:15 Break
 2:30 Case studies: Putting it all together
 3:45 Questions/evaluations
 4:00 Adjourn
 
*note: the instructors continually update this course and the schedule may shift somewhat between now and the beginning of the event.



Upon completion of this program, participants will be able to:

List and describe several meditation techniques and which techniques are effective with different patient types
Demonstrate manual techniques for facilitating autonomic down training
Discuss neuroscience of pain and effects of meditation
Describe the current concepts of chronic pain neurophysiology
Discuss the contributing role of trauma and stress to persistent pain
Discuss the evidence for the cognitive and emotional modulation of pain
Explain pain and stress-induced hyperalgesia to patients with simple language.
Practice techniques to center and stay grounded at work with detached compassion
Understand and develop strategies to prevent burnout
Instruct a patient in the basic qualities of meditation
Understand and implement healthy boundary setting
Experience the benefits of breath, exercise and movement on mood
Experience essential oils and their potential role in self-care and patient care
Incorporate these techniques into their current model of treatment and reimbursement


 
Name
Street Address (Links to Map)

Course Location

Comprehensive Therapy Services

5677 Oberlin Drive, Suite 106 
San Diego, CA 92121


Recommended Lodging

Holiday Inn Express Sorrento Valley 
(858) 731-0100

5925 Lusk Blvd 
San Diego, CA 92121


Nearest Airport

San Diego International Airport
Airport Code: SAN

3225 N Harbor Dr
San Diego, CA 92101



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


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College, Jennafer began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is an author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jen was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jen loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".




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Boundaries, Self-Care, and Meditation - May 22 11:30am - 5:00 pm Pacific, May 24 8:00am - 2:00 pm Pacific, May 29 11:30am - 4:30 pm Pacific, and May 31 8:00am - 11:45 am Pacific, 2020

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Description
Schedule
Objectives
Remote Coures Info
Instructors



Price: $595
Format: Remote Course
Experience Level: Beginner
Contact Hours: 19.5




This live remote course will be split up over four days and will address research- based holistic approaches for practitioners wishing to broaden their approach to wellness and pain management in their practice, while maintaining good boundaries and mental/emotional health for themselves. The course also includes prerecorded lectures and activities to do before circling up with the group in order to discuss. Participants will begin their process of study, meditation, and self reflection in the week prior to the start of the class. This class is designed to help therapist develop a shared responsibility model in their practice, but also to feel more joy, energy and balance in their own lives. Lectures will focus on research based holistic approaches for the practitioner wishing to broaden their approach to wellness and pain management in their practice. Learning new strategies to preserve their own energy, wellness and passion while practicing appropriate self-care and boundaries will lead to helpful relationships with complex patients. This course will decipher what is anecdotal and what the research supports. This course will focus on: mind-body techniques, multiple therapeutic meditation techniques, neural down regulation, increasing patient’s perceived locus of control, essential oils, yoga, pain theory, cognitive reframing and how to talk to patients about pain, provider boundaries and self-care. Providers will learn techniques to address the whole patient: mind, body, and spirit. Instruction will include decision making strategies to decide which intervention is most likely to be received well with different types of patients. The course will be a balance of lecture and labs. Lab activities will include meditation and mindfulness activities, self introspection (empathic tendencies, self care assessments, coping skills inventories, burnout assessments), dialogue practice, manual techniques and practice instructing and integrating techniques effectively within a treatment session, in a timely manner.
 
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:
Please begin your meditation practice.  You will need to download the CD, “Meditations for Pelvic Health” from google play or itunes.  You can also search “Nari Clemons”. The CD is also available at Amazon, Current Tech, or Current Medical Technologies.  The downloaded form makes it easier to catch your 10 minute daily meditation during lunch at work, or wherever you have your phone.  Using earbuds will enhance the experience, as the music has binary beats that balance the two sides of the brain.  Please find the self practice logs at this link.   We would like you to use tracks 1-7 each three times before the course.  This way, at the course, we can dive deeper and work more on application into your practice, as you will have familiarity with each technique and how it affects you.  Please start sooner than later, trying to get a sitting in each day. 
 

Please order Self Care for the Self Aware by David Markowitz.  It is around $9 from online retailers.  Please read pages 3- 40.   We will use this pre-reading as a jumping point for conversations and discussions.  As you read, please take a few notes on whose stuff you are owning and what comes up when you think of giving it back to them.  Again, please enjoy the experience and read slowly enough to process the information and let it work through you, rather than doing it all the night before.  Let the transformation process begin now!




Day One:
Pre-Recorded lectures sent out prior to the course (3 hours 30 min)
Introduction, Meditation Practice, Meditation Types and Tips, Coping styles self-test, Brain Pain Lecture, Burnout Assessment, Self Care Questions, Empathy
11:30 Log on, Zoom Basics, Questions from Prerecorded Activiities 
 12:00 Intro/Welcome/Objectives
 12:30 Neuroscience: Meditation as Modulator of Stress Lecture
 2:15 Break
 3:15 Longer Meditaiton: Overcoming Pain
 4:00 Brain Pain (Pain Neuroscience) Lab
 5:00 Adjourn


Day Two:
8:00 Log on, Questions from Day 1
 8:30 Meditation practice: Body scan and Affirmations (Lab)
 9:00 Daily Intention Practice: Sculpting your life (Interactive Lecture/Lab)
 10:30 Prescribing Meditation (Lecture)
 11:00 Break and Cardio
 12:00 Burnout and Empathy (Lecture)
 1:00 Boundaries with Patients (Discussion-ish Lecture)
 1:30 Visualization Exploration: Bring on your dreams
 2:00 Adjourn


Day Three:
Pre-Recorded lectures sent out prior to the course 
Daily Meditation, Daily Intention-Setting, Spiritual Inventory, Essential Oils lecture, Visualization Homework, Time Chart Homework
 11:30 Questions and Meditation
 12:00 Prior week and visualization share
 1:00 Gratitude
 1:30 Managing You: part one
 2:00 Break and restorative yoga
 3:00 Managing You: Self Care Lecture
 4:15 Relaxation Meditation
 4:30 Adjourn
 



Day Four:
8:00 Questions and discussion from Day 3
8:15 Spirit Circle: Meditation, Day Starters for Caregivers
9:15 Self Care Lab
10:15 Break
 10:30 Case Studies
 11:15 Wrap up and Closing Circle 
11:45 Adjourn




Upon completion of this program, participants will be able to:

List and describe several meditation techniques and which techniques are effective with different patient types/li>
Discuss neuroscience of pain and the effects of meditation
Describe the current concepts of chronic pain neurophysiology
Discuss the contributing role of trauma and stress to persistent pain
Discuss the evidence for the cognitive and emotional modulation of pain
Explain pain and stress-induced hyperalgesia to patients with simple language.
Practice techniques to center and stay grounded at work with detached compassion
Discuss and develop strategies to prevent burnout
Instruct a patient in the basic qualities of meditation
Describe and implement healthy boundary setting
Experience the benefits of breath, exercise and movement on mood
Experience essential oils and their potential role in self-care and patient care
Incorporate these techniques into their current model of treatment and reimbursement
Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.
 
Important thing to note: 
- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/
- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.
- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.
- Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College, Jennafer began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is an author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jen was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jen loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.


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Boundaries, Self-Care, and Meditation - September 12 8:00am - 1:00 pm Pacific, September 13 8:00am - 2:00 pm Pacific, October 10 8:00am - 1:30 pm Pacific, and October 11 8:00am - 1:30 am Pacific, 2020

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Description
Schedule
Objectives
Remote Coures Info
Instructors



Price: $625 ($650 within one month of the course)
Format: Remote Course
Experience Level: Beginner
Contact Hours: 24.75




This live remote course will be split up over four days and will address research- based holistic approaches for practitioners wishing to broaden their approach to wellness and pain management in their practice, while maintaining good boundaries and mental/emotional health for themselves. The course also includes prerecorded lectures and activities to do before circling up with the group in order to discuss. Participants will begin their process of study, meditation, and self reflection in the week prior to the start of the class. This class is designed to help therapist develop a shared responsibility model in their practice, but also to feel more joy, energy and balance in their own lives. Lectures will focus on research based holistic approaches for the practitioner wishing to broaden their approach to wellness and pain management in their practice. Learning new strategies to preserve their own energy, wellness and passion while practicing appropriate self-care and boundaries will lead to helpful relationships with complex patients. This course will decipher what is anecdotal and what the research supports. This course will focus on: mind-body techniques, multiple therapeutic meditation techniques, neural down regulation, increasing patient’s perceived locus of control, essential oils, yoga, pain theory, cognitive reframing and how to talk to patients about pain, provider boundaries and self-care. Providers will learn techniques to address the whole patient: mind, body, and spirit. Instruction will include decision making strategies to decide which intervention is most likely to be received well with different types of patients. The course will be a balance of lecture and labs. Lab activities will include meditation and mindfulness activities, self introspection (empathic tendencies, self care assessments, coping skills inventories, burnout assessments), dialogue practice, manual techniques and practice instructing and integrating techniques effectively within a treatment session, in a timely manner.
 
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:
Please begin your meditation practice.  You will need to download the CD, “Meditations for Pelvic Health” from google play or itunes.  You can also search “Nari Clemons”. The CD is also available at Amazon, Current Tech, or Current Medical Technologies.  The downloaded form makes it easier to catch your 10 minute daily meditation during lunch at work, or wherever you have your phone.  Using earbuds will enhance the experience, as the music has binary beats that balance the two sides of the brain.  Please find the self practice logs at this link.   We would like you to use tracks 1-7 each three times before the course.  This way, at the course, we can dive deeper and work more on application into your practice, as you will have familiarity with each technique and how it affects you.  Please start sooner than later, trying to get a sitting in each day. 
 

Please order Self Care for the Self Aware by David Markowitz.  It is around $9 from online retailers.  Please read pages 3- 40.   We will use this pre-reading as a jumping point for conversations and discussions.  As you read, please take a few notes on whose stuff you are owning and what comes up when you think of giving it back to them.  Again, please enjoy the experience and read slowly enough to process the information and let it work through you, rather than doing it all the night before.  Let the transformation process begin now!




Day One:
Pre-Recorded lectures and activities (3 hours 30 min of learning, plus meditation and self assessments)
Meditation Practice Neuroscience: Meditation as Modulator of Stress Lecture, Dave Reading, coping styles self test, Brain Pain Lectures, Burnout Assessment, Self Care, Questions, Empath quiz and score sheet, Jen's New burnout assessment, Time Chart Homework, "Is Work a Source of Burnout?" quiz
8:00 Log in, Zoom, HW Slides, Objectives
 8:30 Welcome, Personal Intros
 9:45 Brain Pain part two
 10:45 Break
 11:00 Zumba 
 12:00 Longer Meditaiton: Overcoming Pain
 12:45 Brain Pain (Pain Neuroscience) Lab
 1:30 Adjourn


Day Two:
8:00 Discussion, "We thought it was them"
 8:30 Meditation: Body scan and Affirmations 
 9:00 Daily Intention Practice: Sculpting your life (Interactive Lecture/Lab)
 9:30 Book Discussion: Not owning others
 11:00 Break and Exercise 
 12:00 Burnout and Empathy (Lecture)
 1:00 Boundaries with Patients (Discussion-ish Lecture) 
 1:30 Visualization Exploration: Bring on your dreams
 2:00 Adjourn
 



Day Three:
Pre-Recorded lectures sent out prior to the course 
Daily Meditation, Daily Intention-Setting, Spiritual Inventory, Essential Oils lecture, Visualization Homework, Time Chart Homework
 8:00 Questions and Chakra Meditation 
 8:45 Prior week share, drama triangle, daily intentions
 9:30 Gratitude
 10:15 Managing You: part one
 10:45 Break (20) and Chakra Yoga (40)
 11:45 Managing You: Self Care Lecture
 12:15 Visualization for life and work 
12:45 Relaxation Meditation
1:00 Adjourn
 



Day Four:
8:00 Log in, Questions 
8:15 Spirit Discussion
9:15 Morning meditation for caregivers (break) 
9:145 Return to sender exercise 
 10:15 Break and restorative yoga. (30 yoga, 30 break)
 11:15  Self care Lab
11:45 Action Plan (small groups) 
 11:45  Action Plan (small groups)
 12:30 Case Studies
 1:15 Wrap up and Closing Circle 
1:30 Adjourn



Upon completion of this program, participants will be able to:

List and describe several meditation techniques and which techniques are effective with different patient types/li>
Discuss neuroscience of pain and the effects of meditation
Describe the current concepts of chronic pain neurophysiology
Discuss the contributing role of trauma and stress to persistent pain
Discuss the evidence for the cognitive and emotional modulation of pain
Explain pain and stress-induced hyperalgesia to patients with simple language.
Practice techniques to center and stay grounded at work with detached compassion
Discuss and develop strategies to prevent burnout
Instruct a patient in the basic qualities of meditation
Describe and implement healthy boundary setting
Experience the benefits of breath, exercise and movement on mood
Experience essential oils and their potential role in self-care and patient care
Incorporate these techniques into their current model of treatment and reimbursement
Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.
 
Important thing to note: 
- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/
- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.
- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.
- Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College, Jennafer began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is an author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jen was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jen loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.


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Care of the Postpartum Patient - Somerset, NJ - April, 22-23, 2017 (SOLD OUT!)
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $495 (Early Registrant Price $475)
Experience Level: Beginner
Contact Hours: 15




The postpartum woman may be one of the most overlooked clients in health care. Knowing the specific rehabilitation needs to help with common problems and to prevent future problems is the goal of this 2-day beginner level course. For the orthopedic-based practitioner, this course will solidify awareness of common orthopedic needs for the postpartum client. For the non-orthopedic practitioner, this course will provide a foundation for working with the client experiencing common postpartum-related musculoskeletal conditions. The course will open with brief case scenarios that highlight the difference between examination/evaluation in the postpartum vs. non-postpartum population. Labor and birth, birth complication and injuries, postpartum stages and concerns, and Cesarean birth all set the stage for the postpartum client and will be reviewed. Understanding typical hormonal and systemic recovery and return to “normal” during postpartum will be provided, including early postpartum changes in the endocrine, metabolic, cardiovascular, pulmonary, immune, neurologic/sensory, integumentary, gastrointestinal, urinary/renal, reproductive, and musculoskeletal systems.
This course will cover examination considerations and modifications specific to postpartum, as well as specific questions to ask during history taking and methods for identifying red flags in postpartum. More comfortable positions during the examination/treatment and common posture/gait/balance changes during postpartum are covered. The participant at this course will understand necessary biomechanics training for daily activities, child care, and breastfeeding. As an expansion from the pregnancy rehabilitation course, participants will be taken through progression in diastasis rectus abdominis (DRA) assessment and rehabilitation, including DRA exercises in lecture and lab. Additionally, addressing abdominal wall lengthening and Cesarean scars will be discussed and practiced in lab.
Overview of pelvic floor dysfunction in the postpartum after vaginal birth with external examination techniques will be expanded from the techniques taught during the pregnancy course. Basic bladder and bowel instructions/education for the postpartum client will be provided, along with guidance on when to refer to a pelvic physical therapist. As an advancement from the pregnancy rehabilitation course, progression in assessment and cueing of pelvic floor, transverse abdominis, and multifidus (deep core) muscle activity will be covered in lecture and lab. Lecture and lab will also address assessing and treating abdominal wall trigger points. Providing instruction and treatment in functional use of abdominal muscles with motor control and functional activities and progression of DRA/abdominal wall rehabilitation exercises will be incorporated into lecture and lab activities.
Basic orthopedic focus on common thoracic and cervical/head complaints in the postpartum will be explored during lecture and lab. This course will also briefly review breathing techniques covered during the pregnancy course. Additionally, discussion and lab practice of lumbar and pelvic girdle examination and treatment techniques in the postpartum will expand on topics covered during the pregnancy rehabilitation course. Review and lab practice will be provided for basic examination and treatment of lower and upper extremity birth and labor injuries.
Psychosocial considerations during postpartum will be explored: the “typical” postpartum patient; postpartum depression, anxiety, and psychosis; postpartum recovery after bedrest; collision of reality and expectations; and maternity leave and return to work decisions. Postpartum exercise, fitness, and wellness will ponder the topics of body image and return to fitness and starting exercise in the postpartum. The course concludes with discussion of marketing and billing needs for providing care for the postpartum population.
 
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 Introduction, Goals, and Objectives 
 8:15 Overview of the Postpartum Client
 9:00 Hormonal and System Changes and Recovery During Postpartum
9:45 Break 
 10:00 Abdominal Wall: Diastasis Rectus Abdominis and Post-Cesarean
 11:00 LAB: Abdominal Wall Assessment and Scar Treatment
12:00 Lunch
 1:00 General Examination Considerations for the Postpartum Client
1:30 General Treatment Considerations for the Postpartum Client
2:15 Pelvic Floor Postpartum
3:15 Break
 3:30 LAB: Deep Core and DRA Rehabilitation Progression
 4:45 Upper and Lower Quarter Concerns in the Postpartum
 5:30 Day 1 Post Test and Wrap Up
6:00 Adjourn


Day Two:
 8:00 Examination and Evaluation of Lumbar Spine and Pelvic Girdle in the Postpartum
9:00 LAB: Lumbar Spine and Review of Pelvic Girdle Testing and Treatment
10:00 Break
10:15 Examination, Evaluation, and Treatment of Cervical and Thoracic Spine in the Postpartum Client
 11:00 LAB: Cervical and Thoracic Spine Examination and Treatment in the Postpartum Client
 11:45 Lunch
 12:30 Psychosocial Considerations During Postpartum
 1:30 Postpartum Exercise and Fitness 2.06
2:30 Interactive Case Studies
3:15 Marketing and Billing
3:45 Day 2 Post Test and Wrap Up
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.
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


 
Name
Street Address (Links to Map)

Course Location

Sports Medicine Institute
Saint Peter's HealthCare System

562 Easton Ave
 Somerset NJ 08873


Recommended Lodging

Homewood Suites by Hilton
(732) 868-9155

101 Pierce St
Somerset, NJ 08873


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


First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".




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Lumbar Nerve Manual Assessment and Treatment - Madison, WI - April 24-26, 2020 (Rescheduled) 
Update 3/16/2020: As a precaution against the spread of COVID-19, this course has been postponed. We are actively working to reschedule this event and wil annouce new datses when they become available. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!
{dtregister}919{/dtregister}




    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    




Description
Objectives
Schedule
Location/Lodging
Instructors
Discounts



Price: $695 (Early Registrant Price $675)
Experience Level: Intermediate
Contact Hours: 21




This three-day course for the experienced pelvic rehab therapist will address manual treatments and problem-solving assessments for the major contributory nerves from the lumbar plexus to the pelvis in an organized, systematic fashion. Clinical assessment and differential diagnosis will include history, symptoms, strength and sensation changes, and differential neural tension testing for each major peripheral nerve of the lumbar plexus. Students will practice interactively mapping the pathway of each nerve and neuro-fascial techniques to decompress the nerve along the path, including common sites of entrapment and impingement. Treatments will encompass manually releasing the specific fascial pathway of each nerve, treating the proximal spinal nerve for each peripheral nerve, and direct neural manipulation. Once the nerve path is addressed, neural mobilization with movement (gliding), manual regional integration with the nervous system, and home program to maintain neural strength and mobility will provided in easy to use handouts for your patients.
Neural structures addressed in this course include the lumbar plexus nerves (Iliohypogastric, Ilioinguinal, Genitofemoral, Lateral Femoral Cutaneous Nerve, Femoral Nerve and Obturator Nerve and Foramen), This course will be very lab heavy, around 65% of the course will be interactive, hands-on learning.
Nerves transmit pain messages. When nerves are compressed they can cause pain or weakness. Pelvic rehab is traditionally centered around muscles, but muscles are at the will of the innervating nerve. Frequently the nerve is overlooked as the source of pain or weakness. Unfortunately, the patients who receive diagnoses such as neuropathic pain or nerve entrapment are presented with few options. Pelvic neural pain can be mimic or be the actual cause of vulvodynia, labial pain, gluteal and low back pain, SI pain, lower abdominal and bladder pain, pubic symphysis pain, groin pain, IT band pain, as well as many other syndromes and weakness, such as weakness in the transverse abdominus.
Prerequisites:
Participants must have prior experience with internal vaginal assessment. Pelvic Floor Level One or comparable experience is required. Additional intermediate coursework, Pelvic Floor Level 2A or 2B, is recommended. This is an excellent course to follow Capstone.
What to Bring:
Please click here to download a full list of items to bring with you to the course
 Yoga Mat
Highly Suggested Text: 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. You may wish to purchase the hard copy of the book to be able to take notes in class.

 
Upon completion of this course, participants will be able to:

Describe symptoms (sensory vs motor) for each structure listed below
Identify the anatomy and pathway of each nerve
Perform neural tension test for differential diagnoses
Perform mobilization of nerve
Perform neural/fascial pathway to release surrounding peri-neural structures from common regions of entrapment
Perform local balancing/integration of nervous system
Perform neural gliding and sliding of nerve
Prescribe a home program to maintain neural treatment

These objectives will focus on the following nerve structures:
Lumbar plexus and nerve roots
Ilioinguinal nerve
Iliohypogastric nerve
Genitofemoral nerve
Lateral femoral cutaneous nerve
Femoral nerve
Obturatur nerve
Abdominal wall mobilization






Day One
7:30-8:00 Registration
 8:00-8:20 Introductions, Course Intro
 8:20-9:45 Lecture: Anatomy/Physiology of the nervous system and Lumbar Plexus
 9:45-10:15 Neural Tension Testing
 10:15-10:30 Break
 10:30-11:45 Neural Research
 11:45-12:30 Lumbar Nerve Roots
 12:30-1:30 Lunch
 1:30-2:15 Femoral Nerve Lecture and Tracing
 2:15-3:00 Lab: Drawing Anatomy
 3:00-3:30 Femoral Nerve Lab: Part 1
 3:30-3:45 Break
 3:45-5:15 Femoral Nerve Lab: Part 2
 5:15-5:30 Femoral Nerve Home Program
 5:30 Adjourn


Day Two
8:00-8:30 Review and draw brachial plexus
 8:30-9:30 Inguinal and Iliohypogastric Nerve Lecture
 9:30-10:15 Iliohypogastric Nerve treatment: Part 1
 10:15-10:30 Break
 10:30-11:15 Iliohypogastric Nerve Treatment: Part 2
 11:15-12:00 Ilioinguinal Lecture 
 12:00-12:30 Ilioinguinal Lab: Part 1
 12:30-1:30 Lunch
 1:30-2:15 Ilioinguinal Lab: Part 2
 2:15-2:50 Genitofemoral Nerve Lecture and Tracing
 2:50-3:30 Genitofemoral Lab: Part 1
 3:30-3:45 Break
 3:45-4:15 Genitofemoral Lab: Part 2
 4:15-4:30 Inguinal Nerve Home Program
 4:30-5:30 Abdominal wall/Diastasis Lab Treatment Sequence
 5:30-6:00 Regional Integration Techniques
 6:00 Adjourn


Day Three
7:15-7:35 Review
 7:35-8:20 Obturator Nerve Lecture
 8:20-10:15 Obturator Lab
 10:15-10:30 Break
 10:30-10:45 Obturator Home Program
 10:45-11:30 Lateral Femoral Cutaneous Nerve Lecture
 11:30-12:15 Lunch
 12:15-1:30 Lateral Femoral Cutaneous Nerve Lab
 1:30-1:50 Lateral Femoral Cutaneous Nerve Home Program
 1:50-2:20 Nerve Medical Management
 2:20-2:35 Break
 2:35-3:15 Case Studies
 3:15-3:30 Wrap up, Complete course/evals and certificates
 3:30 Adjourn





 
Name
Street Address (Links to Map)

Course Location

 UW Health at The American Center

4602 Eastpark Blvd
Madison, WI 53718


Recommended Lodging

 Cambria Hotel and Suites
(608) 241-7070

 5045 Eastpark Blvd
Madison, WI 53718


Nearest Airport

Dane County Regional Airport
Airport Code: MSN

4000 International Ln
Madison, WI 53704



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".




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Lumbar Nerve Manual Assessment and Treatment - Phoenix, AZ - January 11-13, 2019 
{dtregister}676{/dtregister}




    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    




Description
Objectives
Schedule
Instructors
Location/Lodging
Discounts



Price: $695 (Early Registrant Price $675)
Experience Level: Intermediate
Contact Hours: 21




This three-day course for the experienced pelvic rehab therapist will address manual treatments and problem-solving assessments for the major contributory nerves from the lumbar plexus to the pelvis in an organized, systematic fashion. Clinical assessment and differential diagnosis will include history, symptoms, strength and sensation changes, and differential neural tension testing for each major peripheral nerve of the lumbar plexus. Students will practice interactively mapping the pathway of each nerve and neuro-fascial techniques to decompress the nerve along the path, including common sites of entrapment and impingement. Treatments will encompass manually releasing the specific fascial pathway of each nerve, treating the proximal spinal nerve for each peripheral nerve, and direct neural manipulation. Once the nerve path is addressed, neural mobilization with movement (gliding), manual regional integration with the nervous system, and home program to maintain neural strength and mobility will provided in easy to use handouts for your patients.
Neural structures addressed in this course include the lumbar plexus nerves (Iliohypogastric, Ilioinguinal, Genitofemoral, Lateral Femoral Cutaneous Nerve, Femoral Nerve and Obturator Nerve and Foramen), This course will be very lab heavy, around 65% of the course will be interactive, hands-on learning.
Nerves transmit pain messages. When nerves are compressed they can cause pain or weakness. Pelvic rehab is traditionally centered around muscles, but muscles are at the will of the innervating nerve. Frequently the nerve is overlooked as the source of pain or weakness. Unfortunately, the patients who receive diagnoses such as neuropathic pain or nerve entrapment are presented with few options. Pelvic neural pain can be mimic or be the actual cause of vulvodynia, labial pain, gluteal and low back pain, SI pain, lower abdominal and bladder pain, pubic symphysis pain, groin pain, IT band pain, as well as many other syndromes and weakness, such as weakness in the transverse abdominus.
Prerequisites:
Participants must have prior experience with internal vaginal assessment. Pelvic Floor Level One or comparable experience is required. Additional intermediate coursework, Pelvic Floor Level 2A or 2B, is recommended. This is an excellent course to follow Capstone.
What to Bring:
Please click here to download a full list of items to bring with you to the course
 Yoga Mat
Highly Suggested Text: 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. You may wish to purchase the hard copy of the book to be able to take notes in class.

 
Upon completion of this course, participants will be able to:

Describe symptoms (sensory vs motor) for each structure listed below
Identify the anatomy and pathway of each nerve
Perform neural tension test for differential diagnoses
Perform mobilization of nerve
Perform neural/fascial pathway to release surrounding peri-neural structures from common regions of entrapment
Perform local balancing/integration of nervous system
Perform neural gliding and sliding of nerve
Prescribe a home program to maintain neural treatment

These objectives will focus on the following nerve structures:
Lumbar plexus and nerve roots
Ilioinguinal nerve
Iliohypogastric nerve
Genitofemoral nerve
Lateral femoral cutaneous nerve
Femoral nerve
Obturatur nerve
Abdominal wall mobilization






Day One
7:30-8:00 Registration
 8:00-8:20 Introductions, Course Intro
 8:20-9:45 Lecture: Anatomy/Physiology of the nervous system and Lumbar Plexus
 9:45-10:15 Neural Tension Testing
 10:15-10:30 Break
 10:30-11:45 Neural Research
 11:45-12:30 Lumbar Nerve Roots
 12:30-1:30 Lunch
 1:30-2:15 Femoral Nerve Lecture and Tracing
 2:15-3:00 Lab: Drawing Anatomy
 3:00-3:30 Femoral Nerve Lab: Part 1
 3:30-3:45 Break
 3:45-5:15 Femoral Nerve Lab: Part 2
 5:15-5:30 Femoral Nerve Home Program
 5:30 Adjourn


Day Two
8:00-8:30 Review and draw brachial plexus
 8:30-9:30 Inguinal and Iliohypogastric Nerve Lecture
 9:30-10:15 Iliohypogastric Nerve treatment: Part 1
 10:15-10:30 Break
 10:30-11:15 Iliohypogastric Nerve Treatment: Part 2
 11:15-12:00 Ilioinguinal Lecture 
 12:00-12:30 Ilioinguinal Lab: Part 1
 12:30-1:30 Lunch
 1:30-2:15 Ilioinguinal Lab: Part 2
 2:15-2:50 Genitofemoral Nerve Lecture and Tracing
 2:50-3:30 Genitofemoral Lab: Part 1
 3:30-3:45 Break
 3:45-4:15 Genitofemoral Lab: Part 2
 4:15-4:30 Inguinal Nerve Home Program
 4:30-5:30 Abdominal wall/Diastasis Lab Treatment Sequence
 5:30-6:00 Regional Integration Techniques
 6:00 Adjourn


Day Three
7:15-7:35 Review
 7:35-8:20 Obturator Nerve Lecture
 8:20-10:15 Obturator Lab
 10:15-10:30 Break
 10:30-10:45 Obturator Home Program
 10:45-11:30 Lateral Femoral Cutaneous Nerve Lecture
 11:30-12:15 Lunch
 12:15-1:30 Lateral Femoral Cutaneous Nerve Lab
 1:30-1:50 Lateral Femoral Cutaneous Nerve Home Program
 1:50-2:20 Nerve Medical Management
 2:20-2:35 Break
 2:35-3:15 Case Studies
 3:15-3:30 Wrap up, Complete course/evals and certificates
 3:30 Adjourn



Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


 
Name
Street Address (Links to Map)

Course Location

Spooner Physical Therapy

15255 North 40th Street
Phoenix, AZ 85032


Recommended Lodging

Holiday Inn Express & Suites Phoenix North-Scottsdale
 480-473-3400

4575 E Irma Ln
Phoenix, AZ 85050, USA


Nearest Airport

Phoenix Sky Harbor International Airport
Airport Code: PHX

3400 E Sky Harbor Blvd
Phoenix, AZ 85034



 
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".




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Lumbar Nerve Manual Assessment and Treatment - San Diego, CA - May 3-5, 2019
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Description
Objectives
Schedule
Location/Lodging
Instructor
Discounts



Price: $695 (Early Registrant Price $675)
Experience Level: Intermediate
Contact Hours: 21




This three-day course for the experienced pelvic rehab therapist will address manual treatments and problem-solving assessments for the major contributory nerves from the lumbar plexus to the pelvis in an organized, systematic fashion. Clinical assessment and differential diagnosis will include history, symptoms, strength and sensation changes, and differential neural tension testing for each major peripheral nerve of the lumbar plexus. Students will practice interactively mapping the pathway of each nerve and neuro-fascial techniques to decompress the nerve along the path, including common sites of entrapment and impingement. Treatments will encompass manually releasing the specific fascial pathway of each nerve, treating the proximal spinal nerve for each peripheral nerve, and direct neural manipulation. Once the nerve path is addressed, neural mobilization with movement (gliding), manual regional integration with the nervous system, and home program to maintain neural strength and mobility will provided in easy to use handouts for your patients.
Neural structures addressed in this course include the lumbar plexus nerves (Iliohypogastric, Ilioinguinal, Genitofemoral, Lateral Femoral Cutaneous Nerve, Femoral Nerve and Obturator Nerve and Foramen), This course will be very lab heavy, around 65% of the course will be interactive, hands-on learning.
Nerves transmit pain messages. When nerves are compressed they can cause pain or weakness. Pelvic rehab is traditionally centered around muscles, but muscles are at the will of the innervating nerve. Frequently the nerve is overlooked as the source of pain or weakness. Unfortunately, the patients who receive diagnoses such as neuropathic pain or nerve entrapment are presented with few options. Pelvic neural pain can be mimic or be the actual cause of vulvodynia, labial pain, gluteal and low back pain, SI pain, lower abdominal and bladder pain, pubic symphysis pain, groin pain, IT band pain, as well as many other syndromes and weakness, such as weakness in the transverse abdominus.
Prerequisites:
Participants must have prior experience with internal vaginal assessment. Pelvic Floor Level One or comparable experience is required. Additional intermediate coursework, Pelvic Floor Level 2A or 2B, is recommended. This is an excellent course to follow Capstone.
What to Bring:
Please click here to download a full list of items to bring with you to the course
 Yoga Mat
Highly Suggested Text: 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. You may wish to purchase the hard copy of the book to be able to take notes in class.

 
Upon completion of this course, participants will be able to:

Describe symptoms (sensory vs motor) for each structure listed below
Identify the anatomy and pathway of each nerve
Perform neural tension test for differential diagnoses
Perform mobilization of nerve
Perform neural/fascial pathway to release surrounding peri-neural structures from common regions of entrapment
Perform local balancing/integration of nervous system
Perform neural gliding and sliding of nerve
Prescribe a home program to maintain neural treatment

These objectives will focus on the following nerve structures:
Lumbar plexus and nerve roots
Ilioinguinal nerve
Iliohypogastric nerve
Genitofemoral nerve
Lateral femoral cutaneous nerve
Femoral nerve
Obturatur nerve
Abdominal wall mobilization






Day One
7:30-8:00 Registration
 8:00-8:20 Introductions, Course Intro
 8:20-9:45 Lecture: Anatomy/Physiology of the nervous system and Lumbar Plexus
 9:45-10:15 Neural Tension Testing
 10:15-10:30 Break
 10:30-11:45 Neural Research
 11:45-12:30 Lumbar Nerve Roots
 12:30-1:30 Lunch
 1:30-2:15 Femoral Nerve Lecture and Tracing
 2:15-3:00 Lab: Drawing Anatomy
 3:00-3:30 Femoral Nerve Lab: Part 1
 3:30-3:45 Break
 3:45-5:15 Femoral Nerve Lab: Part 2
 5:15-5:30 Femoral Nerve Home Program
 5:30 Adjourn


Day Two
8:00-8:30 Review and draw brachial plexus
 8:30-9:30 Inguinal and Iliohypogastric Nerve Lecture
 9:30-10:15 Iliohypogastric Nerve treatment: Part 1
 10:15-10:30 Break
 10:30-11:15 Iliohypogastric Nerve Treatment: Part 2
 11:15-12:00 Ilioinguinal Lecture 
 12:00-12:30 Ilioinguinal Lab: Part 1
 12:30-1:30 Lunch
 1:30-2:15 Ilioinguinal Lab: Part 2
 2:15-2:50 Genitofemoral Nerve Lecture and Tracing
 2:50-3:30 Genitofemoral Lab: Part 1
 3:30-3:45 Break
 3:45-4:15 Genitofemoral Lab: Part 2
 4:15-4:30 Inguinal Nerve Home Program
 4:30-5:30 Abdominal wall/Diastasis Lab Treatment Sequence
 5:30-6:00 Regional Integration Techniques
 6:00 Adjourn


Day Three
7:15-7:35 Review
 7:35-8:20 Obturator Nerve Lecture
 8:20-10:15 Obturator Lab
 10:15-10:30 Break
 10:30-10:45 Obturator Home Program
 10:45-11:30 Lateral Femoral Cutaneous Nerve Lecture
 11:30-12:15 Lunch
 12:15-1:30 Lateral Femoral Cutaneous Nerve Lab
 1:30-1:50 Lateral Femoral Cutaneous Nerve Home Program
 1:50-2:20 Nerve Medical Management
 2:20-2:35 Break
 2:35-3:15 Case Studies
 3:15-3:30 Wrap up, Complete course/evals and certificates
 3:30 Adjourn





 
Name
Street Address (Links to Map)

Course Location

Comprehensive Therapy Services

5677 Oberlin Drive, Suite 106 
San Diego, CA 92121


Recommended Lodging

Holiday Inn Express Sorrento Valley 
(858) 731-0100

5925 Lusk Blvd 
San Diego, CA 92121


Nearest Airport

San Diego International Airport
Airport Code: SAN

3225 N Harbor Dr
San Diego, CA 92101



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


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".




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{dtregister}891{/dtregister}




    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    




Description
Objectives
Schedule
Location/Lodging
Instructors
Discounts



Price: $695 (Early Registrant Price $675)
Experience Level: Intermediate
Contact Hours: 21




This three-day course for the experienced pelvic rehab therapist will address manual treatments and problem-solving assessments for the major contributory nerves from the lumbar plexus to the pelvis in an organized, systematic fashion. Clinical assessment and differential diagnosis will include history, symptoms, strength and sensation changes, and differential neural tension testing for each major peripheral nerve of the lumbar plexus. Students will practice interactively mapping the pathway of each nerve and neuro-fascial techniques to decompress the nerve along the path, including common sites of entrapment and impingement. Treatments will encompass manually releasing the specific fascial pathway of each nerve, treating the proximal spinal nerve for each peripheral nerve, and direct neural manipulation. Once the nerve path is addressed, neural mobilization with movement (gliding), manual regional integration with the nervous system, and home program to maintain neural strength and mobility will provided in easy to use handouts for your patients.
Neural structures addressed in this course include the lumbar plexus nerves (Iliohypogastric, Ilioinguinal, Genitofemoral, Lateral Femoral Cutaneous Nerve, Femoral Nerve and Obturator Nerve and Foramen), This course will be very lab heavy, around 65% of the course will be interactive, hands-on learning.
Nerves transmit pain messages. When nerves are compressed they can cause pain or weakness. Pelvic rehab is traditionally centered around muscles, but muscles are at the will of the innervating nerve. Frequently the nerve is overlooked as the source of pain or weakness. Unfortunately, the patients who receive diagnoses such as neuropathic pain or nerve entrapment are presented with few options. Pelvic neural pain can be mimic or be the actual cause of vulvodynia, labial pain, gluteal and low back pain, SI pain, lower abdominal and bladder pain, pubic symphysis pain, groin pain, IT band pain, as well as many other syndromes and weakness, such as weakness in the transverse abdominus.
Prerequisites:
Participants must have prior experience with internal vaginal assessment. Pelvic Floor Level One or comparable experience is required. Additional intermediate coursework, Pelvic Floor Level 2A or 2B, is recommended. This is an excellent course to follow Capstone.
What to Bring:
Please click here to download a full list of items to bring with you to the course
 Yoga Mat
Highly Suggested Text: 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. You may wish to purchase the hard copy of the book to be able to take notes in class.

 
Upon completion of this course, participants will be able to:

Describe symptoms (sensory vs motor) for each structure listed below
Identify the anatomy and pathway of each nerve
Perform neural tension test for differential diagnoses
Perform mobilization of nerve
Perform neural/fascial pathway to release surrounding peri-neural structures from common regions of entrapment
Perform local balancing/integration of nervous system
Perform neural gliding and sliding of nerve
Prescribe a home program to maintain neural treatment

These objectives will focus on the following nerve structures:
Lumbar plexus and nerve roots
Ilioinguinal nerve
Iliohypogastric nerve
Genitofemoral nerve
Lateral femoral cutaneous nerve
Femoral nerve
Obturatur nerve
Abdominal wall mobilization






Day One
7:30-8:00 Registration
 8:00-8:20 Introductions, Course Intro
 8:20-9:45 Lecture: Anatomy/Physiology of the nervous system and Lumbar Plexus
 9:45-10:15 Neural Tension Testing
 10:15-10:30 Break
 10:30-11:45 Neural Research
 11:45-12:30 Lumbar Nerve Roots
 12:30-1:30 Lunch
 1:30-2:15 Femoral Nerve Lecture and Tracing
 2:15-3:00 Lab: Drawing Anatomy
 3:00-3:30 Femoral Nerve Lab: Part 1
 3:30-3:45 Break
 3:45-5:15 Femoral Nerve Lab: Part 2
 5:15-5:30 Femoral Nerve Home Program
 5:30 Adjourn


Day Two
8:00-8:30 Review and draw brachial plexus
 8:30-9:30 Inguinal and Iliohypogastric Nerve Lecture
 9:30-10:15 Iliohypogastric Nerve treatment: Part 1
 10:15-10:30 Break
 10:30-11:15 Iliohypogastric Nerve Treatment: Part 2
 11:15-12:00 Ilioinguinal Lecture 
 12:00-12:30 Ilioinguinal Lab: Part 1
 12:30-1:30 Lunch
 1:30-2:15 Ilioinguinal Lab: Part 2
 2:15-2:50 Genitofemoral Nerve Lecture and Tracing
 2:50-3:30 Genitofemoral Lab: Part 1
 3:30-3:45 Break
 3:45-4:15 Genitofemoral Lab: Part 2
 4:15-4:30 Inguinal Nerve Home Program
 4:30-5:30 Abdominal wall/Diastasis Lab Treatment Sequence
 5:30-6:00 Regional Integration Techniques
 6:00 Adjourn


Day Three
7:15-7:35 Review
 7:35-8:20 Obturator Nerve Lecture
 8:20-10:15 Obturator Lab
 10:15-10:30 Break
 10:30-10:45 Obturator Home Program
 10:45-11:30 Lateral Femoral Cutaneous Nerve Lecture
 11:30-12:15 Lunch
 12:15-1:30 Lateral Femoral Cutaneous Nerve Lab
 1:30-1:50 Lateral Femoral Cutaneous Nerve Home Program
 1:50-2:20 Nerve Medical Management
 2:20-2:35 Break
 2:35-3:15 Case Studies
 3:15-3:30 Wrap up, Complete course/evals and certificates
 3:30 Adjourn





 
Name
Street Address (Links to Map)

Course Location

The Everett Clinic

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)


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".




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Meditation for Patients and Providers - Grand Rapids, MI - October 29-30, 2016
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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



Price: $495 (Early Registrant Price $475)
Experience Level: Beginner
Contact Hours: 15




This lab-intensive continuing medical education course prepares the learner to implement more integrative patient care with meditation and to discern how and why to approach various patient populations. Participants will leave the course ready to implement meditation instruction when they return to the clinic. Attention will be given to neuropsychiatry anatomy and function and what research reveals the impact is with trauma, stress, pain, and meditation. Health care providers will also learn the benefits of self-practice and how to quickly ground and center between patients, how to create appropriate boundaries, and to prevent burnout This course integrates the science and research of mind body medicine and meditation with practical experience. The lab-intensive segments will allow practitioners to experience several types of meditation, including walking meditation and integration of breath-linked-movement, such as yoga. Attention will be given to neuropsychiatry anatomy and function and what the research reveals in regard to trauma, stress, pain and the impact of meditation. Because the field of mind-body integration is vast, participants will leave with an understanding of how to choose the right technique for patients and how to integrate this instruction into a standard treatment session. No prior experience with meditation or yoga is necessary. In this age of changing healthcare dynamics and dealing with chronic pain, many therapists are struggling with burnout, or compassion fatigue. This course provides participants with tools and strategies for the work day to maintain boundaries, self-care, and self-awareness during the work day.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, psychologists, pain managment specialists, 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
 
What to bring:
Yoga mat or blanket, sweater/sweatshirt




Day One:
 8:00 Introductions, Practice Breath Observation
 9:00 Introduction Lecture (Meditation, Re-framing)
 10:00 Break
 10:15 Body Observation Lab, Pain Observation, Metta
 11:00 Interactive Lecture/Lab on Mechanics of Meditation
 11:30 Practice Instruction
 12:00 Lunch
 1:00 Lecture: Neuroanatomy and Research Review
 2:30 Lab: Pranayama, Breath Counting, and Contract Relax
 3:30 Break
 3:45 Interactive Lecture/Lab on Meditation for Care Providers
 4:45 Lab for Down-training Breath Work, Guided Relaxation
 5:15 Adjourn


Day Two:
 7:30 Questions
 7:45 Lecture: How to Implement, Bill, and Explain Meditation to Patients
 8:45 Lab: Quick Shifters and Dialogue Practice
 9:45 Break
 10:45 Lab: Practice Instructing Techniques with Case Studies
 12:30 Lunch
 1:30 Interactive Lecture/Lab on Visualization, Affirmation, Prayer
 2:00 Finish Practice with Case Studies, Final Questions
 3:00 Adjourn




 
Upon completion of this continuing education seminar, participants will be able to:
1. Integrate mind-body principles and practices into patient care

2. Identify the appropriate mind-body technique for patient situation and presentation


3. Describe breathing, meditation, and guided imagery techniques for pain and stress management
4. Describe the role of meditation and visualization in healing with patients
5.  Ground themselves with one-minute techniques in between patients

6. Describe neuropsychological brain function and how it is altered by stress, abuse, and meditation

7. List and describe research regarding the effect of meditation on physiology and brain functioning

8.  Communicate with patients regarding history of abuse and trauma


9. Appropriately refer patients who need additional psychologic/psychiatric intervention
You can not load Article(ID:1648) into itself


 
Name
Street Address (Links to Map)

Course Location

Spectrum Health System

100 Michigan St NE
Grand Rapids, MI 49503


Recommended Lodging

Amway Grand Plaza
(616) 774.200

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


First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".




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Pelvic Floor Capstone - Greenville, SC - September 6-8, 2019 (SOLD OUT)
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $725 ($750 within one month of the course)
Experience Level: Advanced
Contact Hours: 26




This three-day (8 hours of online lecture plus 2 days of in-person learning), advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
 
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
 
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times. Read more about What to Expect During Courses with Internal Lab Work.
 
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and  other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
 
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
 
 

 





Prerecorded lectures - sent 7-10 days prior to the course
Anatomy and function of abdominopelvic connective tissues – 90 mins
 The Endocrine System and Sex Hormones part 1-60
 The Endocrine System: Changes Throughout the life span part 2- 60
 Endometriosis : 90 mins
 PCOS & Fibroids: 60
 Special topics in surgery: 60
 Gynecological Oncology Intro: 75
 Pharmacologic considerations in pelvic rehab: 60
 Nutritional approaches to decrease inflammation 90


Day One
8:30 Anatomy review and working with connective tissues – Part 2, prelab 
 9:00 LAB Activity 1: Working with fascia: abdomen
 10:00 Break
 10:15 Scar demo and lab 45 mins
 11:00 Endocrine changes highlights and Case Study Thyroid, Adrenal Fatigue– Endocrine Red Herrings 
 11:45 Lunch
 12:45 LAB Activity 2: Prelab: (anatomy, lab instruction, patient applications)
 2:45 Break
 3:00 Vulvar skin and connective tissue dysfunctions 60
 4:00 Lab 3 Perineal release techniques 
 5:45 Adjourn


Day Two:
8:00 Questions and test from day 1, online portion 8:30 
Common female pelvic surgeries – add C-Section, Case Studies?
10:00 Break
 10:15 Lab 4: Rehabilitation techniques for common female surgery complications 
 11:45 Lunch
 12:45 Gynecological Oncology Treatment Procedures Part 2 
 1:45 Lab 5: Pre lab with Positional release external pelvic floor 75 
 3:00 Break
 3:15 LAB 6 Oncology considerations & lymphedema 
4:30 Putting it all together 
5:15 Wrap up,
5:30 Adjourn



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



 
Name
Street Address (Links to Map)


Course Location

Bon Secours St. Francis Health System

 1 St. Francis Drive,
 Greenville, SC 29601 


Recommended Lodging

Aloft Greenville Downtown
(864) 297-6100

5 N Laurens St.
 Greenville, SC 29601 


Nearest Airport

Greenville–Spartanburg International Airport
Airport Code: GSP

2000 GSP Dr 
Greer, SC 29651



 
Directions from Recommended Lodging to Course Location:

 
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College, Jennafer began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is an author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jen was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jen loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).



 
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Pelvic Floor Capstone - Carlsbad, CA - November 14-15, 2020 (SOLD OUT)
{dtregister}946{/dtregister}



    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    



Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $725 ($750 within one month of the course)
Experience Level: Advanced
Contact Hours: 26




This three-day (8 hours of online lecture plus 2 days of in-person learning), advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
 
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
 
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times. Read more about What to Expect During Courses with Internal Lab Work.
 
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and  other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
 
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
 
 

 





Prerecorded lectures - sent 7-10 days prior to the course
Anatomy and function of abdominopelvic connective tissues – 90 mins
 The Endocrine System and Sex Hormones part 1-60
 The Endocrine System: Changes Throughout the life span part 2- 60
 Endometriosis : 90 mins
 PCOS & Fibroids: 60
 Special topics in surgery: 60
 Gynecological Oncology Intro: 75
 Pharmacologic considerations in pelvic rehab: 60
 Nutritional approaches to decrease inflammation 90


Day One
8:30 Anatomy review and working with connective tissues – Part 2, prelab 
 9:00 LAB Activity 1: Working with fascia: abdomen
 10:00 Break
 10:15 Scar demo and lab 45 mins
 11:00 Endocrine changes highlights and Case Study Thyroid, Adrenal Fatigue– Endocrine Red Herrings 
 11:45 Lunch
 12:45 LAB Activity 2: Prelab: (anatomy, lab instruction, patient applications)
 2:45 Break
 3:00 Vulvar skin and connective tissue dysfunctions 60
 4:00 Lab 3 Perineal release techniques 
 5:45 Adjourn


Day Two:
8:00 Questions and test from day 1, online portion 8:30 
Common female pelvic surgeries – add C-Section, Case Studies?
10:00 Break
 10:15 Lab 4: Rehabilitation techniques for common female surgery complications 
 11:45 Lunch
 12:45 Gynecological Oncology Treatment Procedures Part 2 
 1:45 Lab 5: Pre lab with Positional release external pelvic floor 75 
 3:00 Break
 3:15 LAB 6 Oncology considerations & lymphedema 
4:30 Putting it all together 
5:15 Wrap up,
5:30 Adjourn



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



 
Name
Street Address (Links to Map)


Course Location

 Tri-City Medical Center

 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)
<p
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC

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

Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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Pelvic Floor Level 1 - Akron, OH - June 24-26, 2016 (SOLD OUT)
{dtregister}351{/dtregister}

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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



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




This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
 
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
 
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
 
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
 2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
 3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource! 
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

Pelvic Floor Anatomy & Function (45 minutes)
Pelvic Floor Evaluation and Examination (1 hour 30 min)
Managing Movement (1 hour)
Awareness of Trauma in Pelvic Rehab (1 hour)
Urinary Incontinence (1 hour 30 min)
Introduction to Pelvic Pain (1 hour)
General Treatment of Pelvic Pain (1 hour)
Electrical Muscle Stimulation (1 hour 15 min)





Day One:
7:30 Registration
8:00 Introduction, goals, objectives, questions
8:30 Pelvic Floor (PF) Anatomy and Evaluation 
9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
10:15 Break
10:30 Pelvic Floor Evaluation (Continued) 
11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
12:00 Lunch
1:00 Urinary Incontinence Examination & Interventions Part II
1:45 Lab 3: Bladder Diary Activity
2:30 Break
2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
 4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications 
 5:00 Questions 
 5:15 Adjourn


Day Two:
7:30 Questions, Post-test Day 2
7:45 Pelvic Organ Prolapse
8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 9:45 Break
10:00 Specific Diagnoses in Female Pelvic Pain
 11:15 Managing Movement Part II: Pressures & Load Transfer
 12:00 Lunch
 1:00 Managing Movement Part II: Pressures & Load Transfer 
 1:45 Final Lab Preparation 
 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:15 Break
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 



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
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College, Jennafer began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is an author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jen was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jen loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.



 
Name
Street Address (Links to Map)


Course Location

Summa Health Wellness Center in Green


3838 Massillon Rd.
 Uniontown, OH 44685


Recommended Lodging

Cambria Suites in Green
 (330) 899-1990

1787 Thorn Drive
Uniontown, OH 44685 


Nearest Airport

Akron-Canton Airport
Airport Code: CAK

5400 Lauby Road
Canton, OH 44720



 
Directions from Recommended Lodging to Course Location:

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

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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Pelvic Floor Level 1 - Corvallis, OR - March 27-29, 2020 (Rescheduled)
Update 3/19/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 24.0




This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was 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.
 
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Partiicipants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
 
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
 
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
 
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. Read more about What to Expect During Courses with Internal Lab Work.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
 
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
 
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
 2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
 3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource! 
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
 
Please Contact Us with any questions about the use of this text as a required reading in this course.

 
Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

Pelvic Floor Anatomy & Function (45 minutes)
Pelvic Floor Evaluation and Examination (1 hour 30 min)
Managing Movement (1 hour)
Awareness of Trauma in Pelvic Rehab (1 hour)
Urinary Incontinence (1 hour 30 min)
Introduction to Pelvic Pain (1 hour)
General Treatment of Pelvic Pain (1 hour)
Electrical Muscle Stimulation (1 hour 15 min)





Day One:
7:30 Registration
8:00 Introduction, goals, objectives, questions
8:30 Pelvic Floor (PF) Anatomy and Evaluation 
9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
10:15 Break
10:30 Pelvic Floor Evaluation (Continued) 
11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
12:00 Lunch
1:00 Urinary Incontinence Examination & Interventions Part II
1:45 Lab 3: Bladder Diary Activity
2:30 Break
2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
 4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications 
 5:00 Questions 
 5:15 Adjourn


Day Two:
7:30 Questions, Post-test Day 2
7:45 Pelvic Organ Prolapse
8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 9:45 Break
10:00 Specific Diagnoses in Female Pelvic Pain
 11:15 Managing Movement Part II: Pressures & Load Transfer
 12:00 Lunch
 1:00 Managing Movement Part II: Pressures & Load Transfer 
 1:45 Final Lab Preparation 
 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:15 Break
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 



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

Albany Sport & Spine Physical Therapy

617 NW Hickory St #160
 Albany, OR 97321


Recommended Lodging

Holiday Inn Express & Suites Albany
(541) 928-8820

 105 Opal Court Ne
 Albany, OR 97322


Nearest Airport

Eugene Airport
Airport Code: EUG

28801 Douglas Dr
 Eugene, OR 97402



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Dana Reid, DPT

Dana Reid, DPT graduated from the University of Puget Sound in 2009 with her Doctorate in Physical Therapy.  Dana’s interest with pelvic rehab started in school where she was fortunate enough to have a Women’s Health elective to start her journey. She has enjoyed pursuing continuing education with the aim to be able to treat a wide array of pelvic health conditions and looks forward to helping spark interest in this field in more practitioners through Herman & Wallace.  She currently owns her own physical therapy practice in Hood River Oregon, focusing on the wholistic treatment of all genders with pelvic health concerns.
Dana enjoys taking advantage of the outdoor recreation her Columbia River Gorge home has to offer.  She has participated in triathlons nationally and internationally as part of Age Group Team USA and enjoys running marathons as well.  At home, Dana and her partner enjoy working with their dogs and livestock on their sustainable farm and vineyard.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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Pelvic Floor Level 1 - Phoenix, AZ - February 15-17, 2019 (SOLD OUT)
{dtregister}789{/dtregister}



    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    



Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 24.0




This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was 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.
 
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Partiicipants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
 
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
 
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
 
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. Read more about What to Expect During Courses with Internal Lab Work.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
 
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
 
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
 2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
 3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource! 
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
 
Please Contact Us with any questions about the use of this text as a required reading in this course.

 
Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

Pelvic Floor Anatomy & Function (45 minutes)
Pelvic Floor Evaluation and Examination (1 hour 30 min)
Managing Movement (1 hour)
Awareness of Trauma in Pelvic Rehab (1 hour)
Urinary Incontinence (1 hour 30 min)
Introduction to Pelvic Pain (1 hour)
General Treatment of Pelvic Pain (1 hour)
Electrical Muscle Stimulation (1 hour 15 min)





Day One:
7:30 Registration
8:00 Introduction, goals, objectives, questions
8:30 Pelvic Floor (PF) Anatomy and Evaluation 
9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
10:15 Break
10:30 Pelvic Floor Evaluation (Continued) 
11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
12:00 Lunch
1:00 Urinary Incontinence Examination & Interventions Part II
1:45 Lab 3: Bladder Diary Activity
2:30 Break
2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
 4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications 
 5:00 Questions 
 5:15 Adjourn


Day Two:
7:30 Questions, Post-test Day 2
7:45 Pelvic Organ Prolapse
8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 9:45 Break
10:00 Specific Diagnoses in Female Pelvic Pain
 11:15 Managing Movement Part II: Pressures & Load Transfer
 12:00 Lunch
 1:00 Managing Movement Part II: Pressures & Load Transfer 
 1:45 Final Lab Preparation 
 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:15 Break
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 



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

Franklin Pierce University

14455 W. Van Buren Ste 100
Goodyear, AZ 85338


Recommended Lodging

Hampton Inn & Suites Phoenix-Goodyear
(623)-536-1313

2000 N Litchfield Rd
Goodyear, AZ 85395


Nearest Airport

Phoenix Sky Harbor International Airport
Airport Code: PHX

 3400 E Sky Harbor Blvd
Phoenix, AZ 85034



Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Pamela Downey, MSPT, DPT, WCS, BCB-PMD

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


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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Pelvic Floor Level 1 - Phoenix, AZ - November 3-5, 2017 (Sold Out)
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 24.0




This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was 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.
 
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Partiicipants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
 
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
 
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
 
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. Read more about What to Expect During Courses with Internal Lab Work.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
 
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
 
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
 2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
 3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource! 
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
 
Please Contact Us with any questions about the use of this text as a required reading in this course.

 
Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

Pelvic Floor Anatomy & Function (45 minutes)
Pelvic Floor Evaluation and Examination (1 hour 30 min)
Managing Movement (1 hour)
Awareness of Trauma in Pelvic Rehab (1 hour)
Urinary Incontinence (1 hour 30 min)
Introduction to Pelvic Pain (1 hour)
General Treatment of Pelvic Pain (1 hour)
Electrical Muscle Stimulation (1 hour 15 min)





Day One:
7:30 Registration
8:00 Introduction, goals, objectives, questions
8:30 Pelvic Floor (PF) Anatomy and Evaluation 
9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
10:15 Break
10:30 Pelvic Floor Evaluation (Continued) 
11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
12:00 Lunch
1:00 Urinary Incontinence Examination & Interventions Part II
1:45 Lab 3: Bladder Diary Activity
2:30 Break
2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
 4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications 
 5:00 Questions 
 5:15 Adjourn


Day Two:
7:30 Questions, Post-test Day 2
7:45 Pelvic Organ Prolapse
8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 9:45 Break
10:00 Specific Diagnoses in Female Pelvic Pain
 11:15 Managing Movement Part II: Pressures & Load Transfer
 12:00 Lunch
 1:00 Managing Movement Part II: Pressures & Load Transfer 
 1:45 Final Lab Preparation 
 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:15 Break
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 



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
Pamela Downey, MSPT, DPT, WCS, BCB-PMD

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


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

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


 
Name
Street Address (Links to Map)

Course Location

360 Sports Medicine & Aquatic Rehabilitation Centers

4210 E. Baseline Rd. Ste 106
Mesa, AZ 85206


Recommended Lodging

Hampton Inn & Suites Phoenix East Mesa
(480) 654-4000

1825 North Higley Road
 Gilbert, AZ 85234


Nearest Airport

Phoenix Sky Harbor International Airport
Airport Code: PHX

3400 E Sky Harbor Blvd
 Phoenix, AZ 85034



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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Pelvic Floor Level 1 - Tampa, FL - February 5-7, 2016
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



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




This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
 
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
 
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
 
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
 2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
 3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource! 
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

Pelvic Floor Anatomy & Function (45 minutes)
Pelvic Floor Evaluation and Examination (1 hour 30 min)
Managing Movement (1 hour)
Awareness of Trauma in Pelvic Rehab (1 hour)
Urinary Incontinence (1 hour 30 min)
Introduction to Pelvic Pain (1 hour)
General Treatment of Pelvic Pain (1 hour)
Electrical Muscle Stimulation (1 hour 15 min)





Day One:
7:30 Registration
8:00 Introduction, goals, objectives, questions
8:30 Pelvic Floor (PF) Anatomy and Evaluation 
9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
10:15 Break
10:30 Pelvic Floor Evaluation (Continued) 
11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
12:00 Lunch
1:00 Urinary Incontinence Examination & Interventions Part II
1:45 Lab 3: Bladder Diary Activity
2:30 Break
2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
 4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications 
 5:00 Questions 
 5:15 Adjourn


Day Two:
7:30 Questions, Post-test Day 2
7:45 Pelvic Organ Prolapse
8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 9:45 Break
10:00 Specific Diagnoses in Female Pelvic Pain
 11:15 Managing Movement Part II: Pressures & Load Transfer
 12:00 Lunch
 1:00 Managing Movement Part II: Pressures & Load Transfer 
 1:45 Final Lab Preparation 
 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:15 Break
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 



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
Pamela Downey, MSPT, DPT, WCS, BCB-PMD

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


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


 
Name
Street Address (Links to Map)

Course Location

AdventHealth Wesley Chapel

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544


Recommended Lodging

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

 2740 Cypress Ridge Blvd
 Wesley Chapel, FL 33544 


Nearest Airport

Tampa International Airport
Airport Code: TPA

4100 George J Bean Pkwy
Tampa, FL 33607



 
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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Pelvic Floor Level 1 - Washington, DC - March 18-20, 2016
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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



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




This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
 
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
 
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
 
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
 
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
 
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
 
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
 2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
 3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource! 
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)

Pelvic Floor Anatomy & Function (45 minutes)
Pelvic Floor Evaluation and Examination (1 hour 30 min)
Managing Movement (1 hour)
Awareness of Trauma in Pelvic Rehab (1 hour)
Urinary Incontinence (1 hour 30 min)
Introduction to Pelvic Pain (1 hour)
General Treatment of Pelvic Pain (1 hour)
Electrical Muscle Stimulation (1 hour 15 min)





Day One:
7:30 Registration
8:00 Introduction, goals, objectives, questions
8:30 Pelvic Floor (PF) Anatomy and Evaluation 
9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
10:15 Break
10:30 Pelvic Floor Evaluation (Continued) 
11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
12:00 Lunch
1:00 Urinary Incontinence Examination & Interventions Part II
1:45 Lab 3: Bladder Diary Activity
2:30 Break
2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture
 4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications 
 5:00 Questions 
 5:15 Adjourn


Day Two:
7:30 Questions, Post-test Day 2
7:45 Pelvic Organ Prolapse
8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
 9:45 Break
10:00 Specific Diagnoses in Female Pelvic Pain
 11:15 Managing Movement Part II: Pressures & Load Transfer
 12:00 Lunch
 1:00 Managing Movement Part II: Pressures & Load Transfer 
 1:45 Final Lab Preparation 
 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:15 Break
 3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
 4:15 Adjourn
 



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
 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.


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.



 
Name
Street Address (Links to Map)


Course Location

GWUH Outpatient Rehabilitation Center

2131 K St. NW

Washington, DC 20037


Recommended Lodging

Avenue Suites Georgetown 
(202)333-8060

2500 Pennsylvania Ave NW
Washington, DC 20037


Nearest Airport

Washington Dulles International Airport
Airport Code: IAD

Dulles International Airport, 1 Saarinen Cir
Dulles, VA 20166



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

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



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




This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) 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 assessment (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. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
 
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




Recorded Lecture: Watch Before the In-Person Component of the Course
1. Colorectal Anatomy & Physiology (75 Min)
2. Medical Testing & Rehab Examination (45 Min.)
3. Fecal Incontinence (60 Min.)
4. Constipation (60 Min.)
5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)
6. Pudendal Nerve Dysfunction (45 Min.)
7. Topics in Inclusive Care (60 Min.)
8. Colorectal Conditions (45 Min.) 


Day One:
7:30 Registration
8:00 Introduction, Goals, Objectives
8:30 Colorectal Anatomy and Physiology Review, Anorectal Examination 
 9:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 
 10:15 Break 
 10:30 Fecal Incontinence, Case Study
 11:15 Constipation, Case Study
 12:00 Lunch 
 1:00 Pelvic Pain: Prostatitis, Scrotal Pain 
 2:00 Coccyx Dysfunction 
 3:00 Break
 3:15 LAB 2: External Palpation & Intervention Posterior Pelvis
 4:15 Prostatectomy Part I
 5:15 Questions
 5:30 Adjourn


Day Two:
7:45 Questions from Day 1, Post-test Day 1
 8:00 Prostatectomy Part II
 8:45 Pudendal
 9:45 Break
 10:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
 11:15 LAB 4: Inclusive Language 
 12:00 Lunch 
 12:45 Colorectal Conditions
 2:00 Break
 2:15 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 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.
Jake Bartholomy, PT, DPT

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

Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.



 
Name
Street Address (Links to Map)


Course Location

 Tri-City Medical Center

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

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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Pelvic Floor Level 2A - Medford, OR - November 1-3, 2019 (SOLD OUT)
{dtregister}791{/dtregister}



    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    



Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



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




This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) 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 assessment (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. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
 
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




Recorded Lecture: Watch Before the In-Person Component of the Course
1. Colorectal Anatomy & Physiology (75 Min)
2. Medical Testing & Rehab Examination (45 Min.)
3. Fecal Incontinence (60 Min.)
4. Constipation (60 Min.)
5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)
6. Pudendal Nerve Dysfunction (45 Min.)
7. Topics in Inclusive Care (60 Min.)
8. Colorectal Conditions (45 Min.) 


Day One:
7:30 Registration
8:00 Introduction, Goals, Objectives
8:30 Colorectal Anatomy and Physiology Review, Anorectal Examination 
 9:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 
 10:15 Break 
 10:30 Fecal Incontinence, Case Study
 11:15 Constipation, Case Study
 12:00 Lunch 
 1:00 Pelvic Pain: Prostatitis, Scrotal Pain 
 2:00 Coccyx Dysfunction 
 3:00 Break
 3:15 LAB 2: External Palpation & Intervention Posterior Pelvis
 4:15 Prostatectomy Part I
 5:15 Questions
 5:30 Adjourn


Day Two:
7:45 Questions from Day 1, Post-test Day 1
 8:00 Prostatectomy Part II
 8:45 Pudendal
 9:45 Break
 10:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
 11:15 LAB 4: Inclusive Language 
 12:00 Lunch 
 12:45 Colorectal Conditions
 2:00 Break
 2:15 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Questions 
 4:00 Adjourn
 



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



 
Name
Street Address (Links to Map)


Course Location

Asante Rogue Regional Medical 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:
 
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Dana Reid, DPT

Dana Reid, DPT graduated from the University of Puget Sound in 2009 with her Doctorate in Physical Therapy.  Dana’s interest with pelvic rehab started in school where she was fortunate enough to have a Women’s Health elective to start her journey. She has enjoyed pursuing continuing education with the aim to be able to treat a wide array of pelvic health conditions and looks forward to helping spark interest in this field in more practitioners through Herman & Wallace.  She currently owns her own physical therapy practice in Hood River Oregon, focusing on the wholistic treatment of all genders with pelvic health concerns.
Dana enjoys taking advantage of the outdoor recreation her Columbia River Gorge home has to offer.  She has participated in triathlons nationally and internationally as part of Age Group Team USA and enjoys running marathons as well.  At home, Dana and her partner enjoy working with their dogs and livestock on their sustainable farm and vineyard.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



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




This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) 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 assessment (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. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
 
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




Recorded Lecture: Watch Before the In-Person Component of the Course
1. Colorectal Anatomy & Physiology (75 Min)
2. Medical Testing & Rehab Examination (45 Min.)
3. Fecal Incontinence (60 Min.)
4. Constipation (60 Min.)
5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)
6. Pudendal Nerve Dysfunction (45 Min.)
7. Topics in Inclusive Care (60 Min.)
8. Colorectal Conditions (45 Min.) 


Day One:
7:30 Registration
8:00 Introduction, Goals, Objectives
8:30 Colorectal Anatomy and Physiology Review, Anorectal Examination 
 9:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 
 10:15 Break 
 10:30 Fecal Incontinence, Case Study
 11:15 Constipation, Case Study
 12:00 Lunch 
 1:00 Pelvic Pain: Prostatitis, Scrotal Pain 
 2:00 Coccyx Dysfunction 
 3:00 Break
 3:15 LAB 2: External Palpation & Intervention Posterior Pelvis
 4:15 Prostatectomy Part I
 5:15 Questions
 5:30 Adjourn


Day Two:
7:45 Questions from Day 1, Post-test Day 1
 8:00 Prostatectomy Part II
 8:45 Pudendal
 9:45 Break
 10:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
 11:15 LAB 4: Inclusive Language 
 12:00 Lunch 
 12:45 Colorectal Conditions
 2:00 Break
 2:15 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 Questions 
 4:00 Adjourn
 



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


 
Name
Street Address (Links to Map)

Course Location

Legacy Health System

2801 N. Gattenbein Emanuel
Portland, OR 97227


Recommended Lodging

Crowne Plaza Hotel Portland - Downtown Conv Ctr 
(503) 233-2401

1441 NE 2nd Ave
Portland, OR 97232


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)
 
Tina Allen, PT, PRPC, BCB-PMD

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


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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Pelvic Floor Level 2A -St. Louis, MO - October 23-25, 2015
{dtregister}226{/dtregister}

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Description
Schedule
Objectives
Instructor
Location/Lodging
Discounts



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




This 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. Read more about What to Expect During Courses with Internal Lab Work.
 
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




Recorded Lecture: Watch Before the In-Person Component of the Course
1. Colorectal Anatomy & Physiology (75 Min)
2. Medical Testing & Rehab Examination (45 Min.)
3. Fecal Incontinence (60 Min.)
4. Constipation (60 Min.)
5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)
6. Pudendal Nerve Dysfunction (45 Min.)
7. Topics in Inclusive Care (60 Min.)
8. Colorectal Conditions (45 Min.) 


Day One:
7:30 Registration
8:00 Introduction, Goals, Objectives
8:30 Colorectal Anatomy and Physiology Review, Anorectal Examination 
 9:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 
 10:15 Break 
 10:30 Fecal Incontinence, Case Study
 11:15 Constipation, Case Study
 12:00 Lunch 
 1:00 Pelvic Pain: Prostatitis, Scrotal Pain 
 2:00 Coccyx Dysfunction 
 3:00 Break
 3:15 LAB 2: External Palpation & Intervention Posterior Pelvis
 4:15 Prostatectomy Part I
 5:15 Questions
 5:30 Adjourn


Day Two:
7:45 Questions from Day 1, Post-test Day 1
 8:00 Prostatectomy Part II
 8:45 Pudendal
 9:45 Break
 10:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
 11:15 LAB 4: Inclusive Language 
 12:00 Lunch 
 12:45 Colorectal Conditions
 2:00 Break
 2:15 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
 3:30 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.
Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Brandi Kirk, PT, CVPT, PRPC

Brandi began her undergraduate work at Ohio State University and she completed her studies at Finch University of Health Sciences/Chicago Medical School, graduating from their acclaimed Physical Therapy program in 1996. She started practicing women’s health in 1997 and became a women’s health coordinator in 2003. Brandi created the Women’s Health program at Northwest Community Hospital’s Wellness Center in Arlington Heights, Illinois. In 2004 and 2005, she was the Women’s Health Specialist at Women’s Physical Therapy Institute in Lake Zurich, Illinois. In 2006, Brandi founded Kirk Center for Healthy Living in Homer Glen, Illinois (www.kc4hl.com). Her professional role at Kirk Center for Healthy Living is the women’s health coordinator and pelvic floor specialist. Kirk Center for Healthy Living specializes in treating men, women and children for pelvic pain, gastro-intestinal disorders, incontinence and pelvic dysfunction. Since its inception in 2006, Kirk Center for Healthy Living continues to grow rapidly and is always looking for highly-skilled pelvic health professionals.
 
Brandi earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2009. She is a member of the APTA Section on Women’s Health, the APTA Private Practice Section, the APTA Research Section, the International Pelvic Pain Society, and is a current board member for the Chicagoland Pelvic Floor Research Consortium.
Brandi is currently conducting multiple research projects with Dr Denise Elser ofIllinois Urogynecology Ltd, for future publication. Outside of work, she enjoys working in her yard, kayaking and spending time with her family.


 
Name
Street Address (Links to Map)

Course Location

Washington University School of Medicine

4444 Forest Park Avenue 
, Saint Louis, MO


Recommended Lodging

The Parkway Hotel 
(314) 256-7777

4550 Forest Park Ave 
St Louis, MO 63108


Nearest Airport

Lambert–St. Louis International Airport
Airport Code: STL

10701 Lambert International Blvd
St. Louis, MO 63145



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
 
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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Pelvic Floor Level 2B - Chicago, IL - May 31 - June 2, 2019 (SOLD OUT)
{dtregister}786{/dtregister}



    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    



Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



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




This three day (8 hours of online content, plus 2-days of in-person learning) 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.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times. 
 
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 

 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:
Prerequisite Skills Review
 
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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

 




Recorded Lecture: Watch Before the In-Person Component of the Course
Pelvic rehabilitation concepts, anatomy (30 mins)
Prolapse Part 1  (45 mins)
Medical and multidisciplinary management of pelvic pain (1 hour)
Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
Neuromuscular relaxation (1 hour)
Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
Breathing and pressure management (45 minutes)
Abdominal and neuromyofascial techniques (1 hour)


Day One:
7:30 Registration
8:00 Objectives, introductions, overview 
8:30 Pelvic rehabilitation concepts, anatomy and specific palpation 
9:00 Prolapse anatomy, evaluation and treatment (Part 2)
10:00 Break 
10:15 Lab 1: Specific layer palpation and prolapse 
11:15 Examination skills pelvic pain
12:15 Lunch 
1:15 Lab 2: Examination techniques for pelvic pain
2:15 Trauma-Informed Care
3:15 Break
3:30 Lab 3: Thermistor activity & restorative practices
4:15 Mini prolapse & pain case discussions
4:45 Summary & questions, post-test
 5:30 Adjourn


Day Two:
8:00 Questions from Day 1, review post-test 
8:30 Pelvic pain manual skills
9:30 Lab 4: Pelvic pain manual skills
10:45 Break
11:00 Abdominal neuromyofascial techniques lab prep
11:15 Lab 5B: Abdominal neuromyofascial techniques
12:30 Lunch 
1:15 Breathing & pressure management lab prep 
1:30 Lab 5A: Breathing and pressure management
2:15 Case studies, treatment progressions, resources 
3:00 Post-test, course evaluations, questions and 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

Advocate Illinois Masonic Medical Center

836 W Wellington Ave
Chicago, IL 60657


Recommended Lodging

City Suites Hotel
(773)-404-3400

933 W Belmont Ave
Chicago, IL 60657


Nearest Airport

Chicago O'Hare International Airport
Airport Code: ORD

 10000 W O'Hare Ave
Chicago, IL 60666



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


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Tina Allen, PT, PRPC, BCB-PMD

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

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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Pelvic Floor Level 2B - Chicago, IL - September 12-13, 2020 (RESCHEDULED)
Update 07/13/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!
{dtregister}883{/dtregister}



    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    



Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts



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




This three day (8 hours of online content, plus 2-days of in-person learning) 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.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times. 
 
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 

 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:
Prerequisite Skills Review
 
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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

 




Recorded Lecture: Watch Before the In-Person Component of the Course
Pelvic rehabilitation concepts, anatomy (30 mins)
Prolapse Part 1  (45 mins)
Medical and multidisciplinary management of pelvic pain (1 hour)
Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
Neuromuscular relaxation (1 hour)
Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
Breathing and pressure management (45 minutes)
Abdominal and neuromyofascial techniques (1 hour)


Day One:
7:30 Registration
8:00 Objectives, introductions, overview 
8:30 Pelvic rehabilitation concepts, anatomy and specific palpation 
9:00 Prolapse anatomy, evaluation and treatment (Part 2)
10:00 Break 
10:15 Lab 1: Specific layer palpation and prolapse 
11:15 Examination skills pelvic pain
12:15 Lunch 
1:15 Lab 2: Examination techniques for pelvic pain
2:15 Trauma-Informed Care
3:15 Break
3:30 Lab 3: Thermistor activity & restorative practices
4:15 Mini prolapse & pain case discussions
4:45 Summary & questions, post-test
 5:30 Adjourn


Day Two:
8:00 Questions from Day 1, review post-test 
8:30 Pelvic pain manual skills
9:30 Lab 4: Pelvic pain manual skills
10:45 Break
11:00 Abdominal neuromyofascial techniques lab prep
11:15 Lab 5B: Abdominal neuromyofascial techniques
12:30 Lunch 
1:15 Breathing & pressure management lab prep 
1:30 Lab 5A: Breathing and pressure management
2:15 Case studies, treatment progressions, resources 
3:00 Post-test, course evaluations, questions and 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

Advocate Illinois Masonic Medical Center

836 W Wellington Ave
Chicago, IL 60657


Recommended Lodging

City Suites Hotel
(773)-404-3400

933 W Belmont Ave
Chicago, IL 60657


Nearest Airport

Chicago O'Hare International Airport
Airport Code: ORD

 10000 W O'Hare Ave
Chicago, IL 60666



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


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Dana Reid, DPT

Dana Reid, DPT graduated from the University of Puget Sound in 2009 with her Doctorate in Physical Therapy.  Dana’s interest with pelvic rehab started in school where she was fortunate enough to have a Women’s Health elective to start her journey. She has enjoyed pursuing continuing education with the aim to be able to treat a wide array of pelvic health conditions and looks forward to helping spark interest in this field in more practitioners through Herman & Wallace.  She currently owns her own physical therapy practice in Hood River Oregon, focusing on the wholistic treatment of all genders with pelvic health concerns.
Dana enjoys taking advantage of the outdoor recreation her Columbia River Gorge home has to offer.  She has participated in triathlons nationally and internationally as part of Age Group Team USA and enjoys running marathons as well.  At home, Dana and her partner enjoy working with their dogs and livestock on their sustainable farm and vineyard.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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Pelvic Floor Level 2B - Medford, OR - April 26-28, 2019
{dtregister}795{/dtregister}


Description
Schedule
Objectives
Location/Lodging
Instructor
Discounts



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




This three day (8 hours of online content, plus 2-days of in-person learning) 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.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times. 
 
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 

 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:
Prerequisite Skills Review
 
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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

 




Recorded Lecture: Watch Before the In-Person Component of the Course
Pelvic rehabilitation concepts, anatomy (30 mins)
Prolapse Part 1  (45 mins)
Medical and multidisciplinary management of pelvic pain (1 hour)
Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
Neuromuscular relaxation (1 hour)
Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
Breathing and pressure management (45 minutes)
Abdominal and neuromyofascial techniques (1 hour)


Day One:
7:30 Registration
8:00 Objectives, introductions, overview 
8:30 Pelvic rehabilitation concepts, anatomy and specific palpation 
9:00 Prolapse anatomy, evaluation and treatment (Part 2)
10:00 Break 
10:15 Lab 1: Specific layer palpation and prolapse 
11:15 Examination skills pelvic pain
12:15 Lunch 
1:15 Lab 2: Examination techniques for pelvic pain
2:15 Trauma-Informed Care
3:15 Break
3:30 Lab 3: Thermistor activity & restorative practices
4:15 Mini prolapse & pain case discussions
4:45 Summary & questions, post-test
 5:30 Adjourn


Day Two:
8:00 Questions from Day 1, review post-test 
8:30 Pelvic pain manual skills
9:30 Lab 4: Pelvic pain manual skills
10:45 Break
11:00 Abdominal neuromyofascial techniques lab prep
11:15 Lab 5B: Abdominal neuromyofascial techniques
12:30 Lunch 
1:15 Breathing & pressure management lab prep 
1:30 Lab 5A: Breathing and pressure management
2:15 Case studies, treatment progressions, resources 
3:00 Post-test, course evaluations, questions and 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

Asante Rogue Regional Medical 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:
 
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.


Nari Clemons, PT, PRPC

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).




    

        

        	

          		          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                          			

          					            											
															
															
					
                        	
        
                    


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Pelvic Floor Level 2B - Minneapolis, MN - March 17-19, 2017 (SOLD OUT!)
{dtregister} 402 {/dtregister}

{gallery width=181}course_images/pf2b{/gallery}

Description
Schedule
Objectives
Instructors
Location/Lodging
Discounts



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




This three day (8 hours of online content, plus 2-days of in-person learning) 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.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times. 
 
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. 
 

 
 
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
 
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to be sure to internalize the material and to review any areas of knowledge that are recommended as foundational and prerequisite skills:
Prerequisite Skills Review
 
 
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
 6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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

 




Recorded Lecture: Watch Before the In-Person Component of the Course
Pelvic rehabilitation concepts, anatomy (30 mins)
Prolapse Part 1  (45 mins)
Medical and multidisciplinary management of pelvic pain (1 hour)
Specific conditions: vulvar pain, dyspareunia, vaginismus (1.5 hours)
Neuromuscular relaxation (1 hour)
Specific conditions (IC, endometriosis, PCOS, UTI) (1.5 hours)
Breathing and pressure management (45 minutes)
Abdominal and neuromyofascial techniques (1 hour)


Day One:
7:30 Registration
8:00 Objectives, introductions, overview 
8:30 Pelvic rehabilitation concepts, anatomy and specific palpation 
9:00 Prolapse anatomy, evaluation and treatment (Part 2)
10:00 Break 
10:15 Lab 1: Specific layer palpation and prolapse 
11:15 Examination skills pelvic pain
12:15 Lunch 
1:15 Lab 2: Examination techniques for pelvic pain
2:15 Trauma-Informed Care
3:15 Break
3:30 Lab 3: Thermistor activity & restorative practices
4:15 Mini prolapse & pain case discussions
4:45 Summary & questions, post-test
 5:30 Adjourn


Day Two:
8:00 Questions from Day 1, review post-test 
8:30 Pelvic pain manual skills
9:30 Lab 4: Pelvic pain manual skills
10:45 Break
11:00 Abdominal neuromyofascial techniques lab prep
11:15 Lab 5B: Abdominal neuromyofascial techniques
12:30 Lunch 
1:15 Breathing & pressure management lab prep 
1:30 Lab 5A: Breathing and pressure management
2:15 Case studies, treatment progressions, resources 
3:00 Post-test, course evaluations, questions and summary, wrap-up
 3:30 Adjourn
 



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

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.


Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC

After graduating from Ithaca College, Jennafer began her career as a physical therapist at Spectrum Health in Grand Rapids, MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic health disorders. She is energized through education and enjoys her position as adjunct faculty at Grand Valley University, speaking at community events, organizing a regional pelvic floor mentorship and study group, and didn’t necessarily enjoy but survived part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehab professionals treating pelvic floor dysfunction. She is an author of the chapter, “Manual Therapy for the Pelvic Floor” which was published in the book, “Healing in Urology.” Jen was a contributing writer for the Pelvic Floor Capstone curriculum and also co-authored the continuing education course, “Boundaries, Self-Care and Meditation” with Nari Clemons. She is certified in pelvic floor rehabilitation and biofeedback for pelvic floor disorders. Outside of teaching and treating patients, Jen loves to spend time with family and friends, run, cook, travel, do yoga and snuggle with her doggo.


 
Name
Street Address (Links to Map)

Course Location

Mercy Hospital - Coon Rapids

4050 Coon Rapids Blvd
Coon Rapids, MN 55433


Recommended Lodging

Best Western Plus
(763)576-0700

3420 Northdale Blvd NW
Coon Rapids, MN 55448


Nearest Airport

Minneapolis Saint Paul International Airport
Airport Code: MSP

4300 Glumack Drive
St. Paul, MN 55111



 
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
 
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

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


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

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


Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
 
To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


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