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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.
Courses Instructed by Nari Clemons
- List and describe several meditation techniques and which techniques are effective with different patient types
- Demonstrate manual techniques for facilitating autonomic down training
- Understand 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
- Boundaries, Self-Care, and Meditation - Columbus, OH - May 29-31, 2020
- List and describe several meditation techniques and which techniques are effective with different patient types
- Demonstrate manual techniques for facilitating autonomic down training
- Understand 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
- List and describe several meditation techniques and which techniques are effective with different patient types
- Demonstrate manual techniques for facilitating autonomic down training
- Understand 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
- Boundaries, Self-Care, and Meditation - Princeton, NJ - October 9-11, 2020
- List and describe several meditation techniques and which techniques are effective with different patient types
- Demonstrate manual techniques for facilitating autonomic down training
- Understand 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
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- 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 spinal nerves
- Ilioinguinal nerve
- Iliohypogastric nerve
- Genitofemoral nerve
- Femoral nerve
- Obturatur nerve
- Lumbar Nerve Manual Assessment and Treatment - Madison, WI - April 24-26, 2020
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- 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 spinal nerves
- Ilioinguinal nerve
- Iliohypogastric nerve
- Genitofemoral nerve
- Femoral nerve
- Obturatur nerve
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- 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 spinal nerves
- Ilioinguinal nerve
- Iliohypogastric nerve
- Genitofemoral nerve
- Femoral nerve
- Obturatur nerve
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-
-
- 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 spinal nerves
- Ilioinguinal nerve
- Iliohypogastric nerve
- Genitofemoral nerve
- Femoral nerve
- Obturatur nerve
- Lumbar Nerve Manual Assessment and Treatment - Seattle, WA - October 16-18, 2020
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- Pelvic Floor Capstone - Carlsbad, CA - November 6-8, 2020
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- Pelvic Floor Level 1 - Corvallis, OR - March 27-29, 2020
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- Pelvic Floor Series Capstone - Phoenix, AZ - March 6-8, 2020 (SOLD OUT)
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- Pelvic Floor Series Capstone - Salt Lake City, UT - June 5-7, 2020
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- lumbar plexus
- sacral plexus
- Illioinguinal nerve
- Illiohypogastric nerve
- genitofemoral nerve
- femoral nerve
- sciatic nerve
- pudendal nerve
- obturator nerve
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- 5 colored markers or felt tip pens
- 4 colored permanent markers (not black)
- 2 old washcloths that you can cut up (to make a treatment tool)
- 2 old hand towels (to make a treatment prop you will take home)
- One pair of scissors (strong enough to cut washcloth)
- Masking tape or athletic tape
- A soft tissue treatment tool or cupping set
- A pen
- Nailclippers, as you will need very short nails for this class
- Optional: Yoga Mat and pillow for your lab table (we have a LOT of lab in this class and laying on desks can be quite painful for such long periods of time). The pillow and yoga mat can make you more comfortable.
- Describe symptoms (sensory vs motor) for each peripheral sacral nerve: pudendal (dorsal, perineal, and rectal branches), sciatic, superior and inferior gluteal, coccygeal nerves
- Name common causes of injury for each nerve
- Identify the anatomy and pathway of each nerve
- Perform neural tension test for differential diagnoses when applicable
- Perform mobilization of nerve
- Perform neural/fascial pathway to release surrounding peri-neural structures from common regions of entrapment
- Perform local balancing/integration of nerve
- Perform neural gliding and sliding of nerve when applicable
- Prescribe a home program to maintain neural mobility or improve brain to nerve pathway
- Address local osseous and visceral restrictions that can be directly affecting the nerve, including the following relationships
- Uterus and sacrum
- Sacrum and coccyx
- Sacro/coccygeal region with sacrotuberous and sacrospinous ligaments
- Coccyx torsion and malposition
- Deep and superficial fascial restrictions in the ischiorectal fossa
- Inferior dural tube and anococcygeal ligament
- Sacral Nerve Manual Assessment and Treatment - Fairlawn, NJ - May 1-3, 2020
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- 5 colored markers or felt tip pens
- 4 colored permanent markers (not black)
- 2 old washcloths that you can cut up (to make a treatment tool)
- 2 old hand towels (to make a treatment prop you will take home)
- One pair of scissors (strong enough to cut washcloth)
- Masking tape or athletic tape
- A soft tissue treatment tool or cupping set
- A pen
- Nailclippers, as you will need very short nails for this class
- Optional: Yoga Mat and pillow for your lab table (we have a LOT of lab in this class and laying on desks can be quite painful for such long periods of time). The pillow and yoga mat can make you more comfortable.
- Describe symptoms (sensory vs motor) for each peripheral sacral nerve: pudendal (dorsal, perineal, and rectal branches), sciatic, superior and inferior gluteal, coccygeal nerves
- Name common causes of injury for each nerve
- Identify the anatomy and pathway of each nerve
- Perform neural tension test for differential diagnoses when applicable
- Perform mobilization of nerve
- Perform neural/fascial pathway to release surrounding peri-neural structures from common regions of entrapment
- Perform local balancing/integration of nerve
- Perform neural gliding and sliding of nerve when applicable
- Prescribe a home program to maintain neural mobility or improve brain to nerve pathway
- Address local osseous and visceral restrictions that can be directly affecting the nerve, including the following relationships
- Uterus and sacrum
- Sacrum and coccyx
- Sacro/coccygeal region with sacrotuberous and sacrospinous ligaments
- Coccyx torsion and malposition
- Deep and superficial fascial restrictions in the ischiorectal fossa
- Inferior dural tube and anococcygeal ligament
- Sacral Nerve Manual Assessment and Treatment - Phoenix, AZ - January 17-19, 2020
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-
-
-
- 5 colored markers or felt tip pens
- 4 colored permanent markers (not black)
- 2 old washcloths that you can cut up (to make a treatment tool)
- 2 old hand towels (to make a treatment prop you will take home)
- One pair of scissors (strong enough to cut washcloth)
- Masking tape or athletic tape
- A soft tissue treatment tool or cupping set
- A pen
- Nailclippers, as you will need very short nails for this class
- Optional: Yoga Mat and pillow for your lab table (we have a LOT of lab in this class and laying on desks can be quite painful for such long periods of time). The pillow and yoga mat can make you more comfortable.
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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:
Name Street Address (Links to Map)
Course Location
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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
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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:
Name Street Address (Links to Map)
Course Location
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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
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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:
Name
Street Address (Links to Map)
Course Location
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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
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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:
Name Street Address (Links to Map)
Course Location
5677 Oberlin Drive, Suite 106
San Diego, CA 92121
Recommended Lodging
Holiday Inn Express Sorrento Valley
(858) 731-0100
5925 Lusk Blvd
San Diego, CA 92121
Nearest Airport
San Diego International Airport
Airport Code: SAN
3225 N Harbor Dr
San Diego, CA 92101
Directions from Recommended Lodging to Course Location:click here if no map appears below)
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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
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string(78) "Care of the Postpartum Patient - Somerset, NJ - April, 22-23, 2017 (SOLD OUT!)"
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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
10:00 Break
10:15 General Examination Considerations for the Postpartum Client
10:45 General Treatment Considerations for the Postpartum Client
11:15 Abdominal Wall Rehabilitation: Diastasis Rectus Abdominis and Post-Cesarean
12:00 Lunch
1:00 Pelvic Floor Postpartum
1:45 LAB: Pelvic Floor (external), Abdominal Wall, and DRA
3:00 Break
3:15 Examination, Evaluation, and Treatment of Cervical and Thoracic Spine in the Postpartum Client
4:45 Examination and Evaluation of Lumbar Spine and Pelvic Girdle in the Postpartum
5:30 Day 1 Post Test and Wrap Up
6:00 Adjourn
Day Two:
8:00 LAB: Lumbar Spine and Review of Pelvic Girdle Testing
9:00 Lower Quarter Concerns in the Postpartum
9:45 Break
10:00 LAB: Lower Quarter Treatment Techniques
11:00 Upper Quarter Concerns in the Postpartum
11:30 LAB: Upper Quarter Treatment Techniques
12:00 Lunch
1:00 Psychosocial Considerations During Postpartum
2:00 Postpartum Exercise and Fitness
2:45 Marketing and Billing
3:15 Postpartum Cases and Wrap Up, Day 2 Post Test
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Define common terminology of the labor and delivery and the postpartum period.
2. Describe the physiologic changes in the postpartum period that assist a woman's body in returning to pre-pregnancy state.
3. List the endocrine system changes, including the risk for thyroid dysfunction, that influence the female patient during the postpartum period.
4. Define the stages of labor, common complications of labor and delivery, and the postpartum red flags.
5. Describe common clinical presentations for perineal trauma and pelvic floor dysfunction.
6. List indications and potential complications of c-section deliveries, as well as principles of c-section recovery.
7. List 2 common conditions and recommended treatment for the spine and trunk, abdomen, pelvic floor, pelvic girdle, upper and lower extremities during the postpartum period.
8. Instruct the postpartum patient in safe return to fitness activities.
9. Describe the challenges that new mothers face and instruct in practical strategies for body mechanics, sleep hygiene, and time management for postpartum recovery.
10. Complete medical screening for conditions in postpartum that require referral.
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
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
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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:
Day One
7:30 Registration
8:00 Introductions, Course Intro
8:30 Anatomy/Physiology of the nervous system and Lumbar Plexus Lecture
9:30 Neural Tension Testing
10:00 Break
10:15 Femoral Nerve Lecture
11:00 Femoral Nerve Lab Part One
12:00 Lunch
1:00 Femoral Nerve Lab Part Two
3:00 Break
3:15 Femoral Nerve Home Program
3:45 Regional Integration
5:00 Adjourn
Day Two
8:00 Review
8:45 Inguinal Nerve Lecture, Iliohypogastric
9:45 Iliohypogastric Nerve treatment Part One
10:15 Break
10:30 Iliohypogastric Nerve Treatment Part Two
11:30 Ilioinguinal Lecture
12:00 Lunch
1:00 Ilioinguinal Lab
12:45 Genitofemoral Nerve Lecture and Lab
1:45 Home Program Inguinal Nerves
2:15 Abdominal Wall Part one
3:00 Break
3:45 Abdominal Wall Part two
4:45 Regional Integration Techniques
5:15 Adjourn
Day Three
7:30 Review
8:00 Obturator Nerve Lecture
9:00 Obturator Lab Part One
10:15 Break
10:30 Obturator Lab Part Two
11:15 Obturator Home Program
11:45 Lunch
12:30 Lateral Femoral Cutaneous Nerve
2:00 Regional Integration
2:15 Break
2:30 Lateral Femoral Cutaneous Home Program
2:50 Neural Research and Management
3:50 Wrap up, Complete course/evals and certificates, Dismissal
Name Street Address (Links to Map)
Course Location
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
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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:
Day One
7:30 Registration
8:00 Introductions, Course Intro
8:30 Anatomy/Physiology of the nervous system and Lumbar Plexus Lecture
9:30 Neural Tension Testing
10:00 Break
10:15 Femoral Nerve Lecture
11:00 Femoral Nerve Lab Part One
12:00 Lunch
1:00 Femoral Nerve Lab Part Two
3:00 Break
3:15 Femoral Nerve Home Program
3:45 Regional Integration
5:00 Adjourn
Day Two
8:00 Review
8:45 Inguinal Nerve Lecture, Iliohypogastric
9:45 Iliohypogastric Nerve treatment Part One
10:15 Break
10:30 Iliohypogastric Nerve Treatment Part Two
11:30 Ilioinguinal Lecture
12:00 Lunch
1:00 Ilioinguinal Lab
12:45 Genitofemoral Nerve Lecture and Lab
1:45 Home Program Inguinal Nerves
2:15 Abdominal Wall Part one
3:00 Break
3:45 Abdominal Wall Part two
4:45 Regional Integration Techniques
5:15 Adjourn
Day Three
7:30 Review
8:00 Obturator Nerve Lecture
9:00 Obturator Lab Part One
10:15 Break
10:30 Obturator Lab Part Two
11:15 Obturator Home Program
11:45 Lunch
12:30 Lateral Femoral Cutaneous Nerve
2:00 Regional Integration
2:15 Break
2:30 Lateral Femoral Cutaneous Home Program
2:50 Neural Research and Management
3:50 Wrap up, Complete course/evals and certificates, Dismissal
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
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
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{dtregister}669{/dtregister}
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:
Day One
7:30 Registration
8:00 Introductions, Course Intro
8:30 Anatomy/Physiology of the nervous system and Lumbar Plexus Lecture
9:30 Neural Tension Testing
10:00 Break
10:15 Femoral Nerve Lecture
11:00 Femoral Nerve Lab Part One
12:00 Lunch
1:00 Femoral Nerve Lab Part Two
3:00 Break
3:15 Femoral Nerve Home Program
3:45 Regional Integration
5:00 Adjourn
Day Two
8:00 Review
8:45 Inguinal Nerve Lecture, Iliohypogastric
9:45 Iliohypogastric Nerve treatment Part One
10:15 Break
10:30 Iliohypogastric Nerve Treatment Part Two
11:30 Ilioinguinal Lecture
12:00 Lunch
1:00 Ilioinguinal Lab
12:45 Genitofemoral Nerve Lecture and Lab
1:45 Home Program Inguinal Nerves
2:15 Abdominal Wall Part one
3:00 Break
3:45 Abdominal Wall Part two
4:45 Regional Integration Techniques
5:15 Adjourn
Day Three
7:30 Review
8:00 Obturator Nerve Lecture
9:00 Obturator Lab Part One
10:15 Break
10:30 Obturator Lab Part Two
11:15 Obturator Home Program
11:45 Lunch
12:30 Lateral Femoral Cutaneous Nerve
2:00 Regional Integration
2:15 Break
2:30 Lateral Femoral Cutaneous Home Program
2:50 Neural Research and Management
3:50 Wrap up, Complete course/evals and certificates, Dismissal
Name Street Address (Links to Map)
Course Location
5677 Oberlin Drive, Suite 106
San Diego, CA 92121
Recommended Lodging
Holiday Inn Express Sorrento Valley
(858) 731-0100
5925 Lusk Blvd
San Diego, CA 92121
Nearest Airport
San Diego International Airport
Airport Code: SAN
3225 N Harbor Dr
San Diego, CA 92101
Directions from Recommended Lodging to Course Location:click here if no map appears below)
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
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{dtregister}891{/dtregister}
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:
Day One
7:30 Registration
8:00 Introductions, Course Intro
8:30 Anatomy/Physiology of the nervous system and Lumbar Plexus Lecture
9:30 Neural Tension Testing
10:00 Break
10:15 Femoral Nerve Lecture
11:00 Femoral Nerve Lab Part One
12:00 Lunch
1:00 Femoral Nerve Lab Part Two
3:00 Break
3:15 Femoral Nerve Home Program
3:45 Regional Integration
5:00 Adjourn
Day Two
8:00 Review
8:45 Inguinal Nerve Lecture, Iliohypogastric
9:45 Iliohypogastric Nerve treatment Part One
10:15 Break
10:30 Iliohypogastric Nerve Treatment Part Two
11:30 Ilioinguinal Lecture
12:00 Lunch
1:00 Ilioinguinal Lab
12:45 Genitofemoral Nerve Lecture and Lab
1:45 Home Program Inguinal Nerves
2:15 Abdominal Wall Part one
3:00 Break
3:45 Abdominal Wall Part two
4:45 Regional Integration Techniques
5:15 Adjourn
Day Three
7:30 Review
8:00 Obturator Nerve Lecture
9:00 Obturator Lab Part One
10:15 Break
10:30 Obturator Lab Part Two
11:15 Obturator Home Program
11:45 Lunch
12:30 Lateral Femoral Cutaneous Nerve
2:00 Regional Integration
2:15 Break
2:30 Lateral Femoral Cutaneous Home Program
2:50 Neural Research and Management
3:50 Wrap up, Complete course/evals and certificates, Dismissal
Name Street Address (Links to Map)
Course Location
7600 Evergreen Way
Everett, WA 98203
Recommended Lodging
Silver Cloud Inns & Hotels
(425)423-8600
718 Front St
Mukilteo, WA 98275
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Blvd
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
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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
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
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Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Day One:
7:30 Registration
8:00 Introductions, objectives and overview
8:30 Anatomy and Function of Abdominopelvic Connective Tissues
10:00Break
10:15 LAB Activity 1: Working with fascia: abdomen
11:15 Endocrine changes throughout the Lifespan
12:30 Lunch
1:30 Endocrine changes throughout the Lifespan (continued)
2:30 LAB Activity 2: Advanced vaginal muscle techniques
3:45 Break
4:00 Endometriosis
4:45 Questions/Test
5:00 Adjourn
Day Two:
8:00 Questions and Answers from Day One/Test Review
8:15 PCOS & Fibroids
9:15 Vulvar skin and connective tissue dysfunctions
10:15 Break
10:30 LAB Activity 3: Perineal release techniques
12:00 Lunch
1:00 Common Female Pelvic Surgeries
2:15 Special Topics in Surgeries
3:15 Break
3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
5:00 Questions/Test
5:15 Adjourn
Day Three:
7:30 Questions from Day Two/Test Review
7:45 Gynecological Oncology
9:00 Break
9:15 Gynecological Oncology Treatment Procedures
10:30 LAB Activity 5: Oncology considerations and Lymphedema
12:00 Lunch
12:45 Nutritional Approaches to Decrease Inflammation
2:15 Pharmacologic Considerations in Pelvic Rehab
3:15 Break
3:30 Putting it all together
4:00 Questions/Test
4:15 Ajourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
2. Describe the common vulvar skin and connective tissue dysfunctions
3. List the common female pelvic surgery complications
4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
5. List the female gynecologic oncology conditions
6. Demonstrate three manual techniques for common oncology complications
7. Describe the hormonal dysfunction considerations throughout the life cycle
8. Demonstrate perineal release techniques
9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
10. Describe nutritional approaches to decrease inflammation
Name
Street Address (Links to Map)
Course Location
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: (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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Day One:
7:30 Registration
8:00 Introductions, objectives and overview
8:30 Anatomy and Function of Abdominopelvic Connective Tissues
10:00Break
10:15 LAB Activity 1: Working with fascia: abdomen
11:15 Endocrine changes throughout the Lifespan
12:30 Lunch
1:30 Endocrine changes throughout the Lifespan (continued)
2:30 LAB Activity 2: Advanced vaginal muscle techniques
3:45 Break
4:00 Endometriosis
4:45 Questions/Test
5:00 Adjourn
Day Two:
8:00 Questions and Answers from Day One/Test Review
8:15 PCOS & Fibroids
9:15 Vulvar skin and connective tissue dysfunctions
10:15 Break
10:30 LAB Activity 3: Perineal release techniques
12:00 Lunch
1:00 Common Female Pelvic Surgeries
2:15 Special Topics in Surgeries
3:15 Break
3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
5:00 Questions/Test
5:15 Adjourn
Day Three:
7:30 Questions from Day Two/Test Review
7:45 Gynecological Oncology
9:00 Break
9:15 Gynecological Oncology Treatment Procedures
10:30 LAB Activity 5: Oncology considerations and Lymphedema
12:00 Lunch
12:45 Nutritional Approaches to Decrease Inflammation
2:15 Pharmacologic Considerations in Pelvic Rehab
3:15 Break
3:30 Putting it all together
4:00 Questions/Test
4:15 Ajourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
2. Describe the common vulvar skin and connective tissue dysfunctions
3. List the common female pelvic surgery complications
4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
5. List the female gynecologic oncology conditions
6. Demonstrate three manual techniques for common oncology complications
7. Describe the hormonal dysfunction considerations throughout the life cycle
8. Demonstrate perineal release techniques
9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
10. Describe nutritional approaches to decrease inflammation
Name
Street Address (Links to Map)
Course Location
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15 Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00 General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00 Break
2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15 Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Name Street Address (Links to Map)
Course Location
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: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15 Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00 General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00 Break
2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15 Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Name Street Address (Links to Map)
Course Location
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15 Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00 General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00 Break
2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15 Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Name
Street Address (Links to Map)
Course Location
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form<
4. Biofeedback Video - Please download and listen to the presentation
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15 Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00 General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00 Break
2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15 Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
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
4210 E. Baseline Rd. Ste 106
Mesa, AZ 85206
Recommended Lodging
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15 Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00 General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00 Break
2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15 Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
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
2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Recommended Lodging
Hampton Inn & Suites Tampa-Wesley Chapel
(813) 973-2288
2740 Cypress Ridge Blvd
Wesley Chapel, FL 33544
Nearest Airport
Tampa International Airport
Airport Code: TPA
4100 George J Bean Pkwy
Tampa, FL 33607
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $725 (Early Registrant Price of $695 ends one month before the first day of the course).
Experience Level: Beginner
Contact Hours: 22.5
This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Pregnant women course attendees may participate fully in the entire course if they bring their own lab model for examination, or if the attendee insists on lab participation then a clearance letter from their physician allowing them to participate in the labs is required. We strongly recommend that pregnant attendees bring a model as vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. If pregnant participants cannot bring a model, they have the option of working in a group of three during lab times.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Day One:
7:30 Registration
8:00 Introductions, Goals, Objectives
8:30 Pelvic Floor (PF) Anatomy and Function
9:30 Break
9:45 Pelvic Floor Evaluation
11:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
12:15 Lunch
1:15 Pelvic Floor Evaluation (Continued)
2:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
3:15 Break
3:30 Managing Movement Part I: Pressure Systems, Breathing & Load Transfer
4:15 Lab 3: Screening Breathing and Load Transfer Strategies, Abdominal Wall Dysfunction
5:15 Adjourn
Day Two:
8:00 Questions from Day 1, Post-test Day 1
8:15 Urinary Incontinence Examination & Interventions
10:00 Break
10:15 Urinary Incontinence (Continued)
10:45 Electrical Stimulation (ES), sEMG Biofeedback Lecture
11:15 Lab 4: sEMG Biofeedback & Electrical Stimulation Applications*
12:15 Lunch
1:15 Lab 5: Bladder Diary Activities
2:00 Pelvic Organ Prolapse
3:00 Break
3:15 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation
4:15 Introduction to Pelvic Pain
5:15 Adjourn
Day Three:
7:45 Questions, Post-test Day 2
8:00 Sexuality & Trauma Issues in Female Pelvic Pain
9:00 General Treatment of Female Pelvic Pain
10:15 Break
10:30 Specific Diagnoses in Female Pelvic Pain
11:45 Lunch
12:30 Managing Movement Part II: Pressures & Load Transfer
2:00 Break
2:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
3:30 Case Studies
4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
4:15 Adjourn
*Lab includes internal evaluations
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor
2. List the pelvic floor muscle functions
3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions
7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
8. List two diagnoses that would benefit from applications of electrotherapy
9. Describe the applications of SEMG biofeedback for the pelvic floor
10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
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
2000 Pennsylvania Avenue, NW
Suite 2000
Washington, DC 20006
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: Click here if map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
2. Many participants also find it helpful to review the anatomy of the pelvis and perineum
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Day One:
8:00 Objectives & Course Introduction
8:15 Colorectal anatomy
9:15 Colorectal Physiology
10:00 Break
10:15 Colorectal Medical Testing
10:45 Anorectal Examination & Muscle Mapping
11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
12:00 Fecal Incontinence Evaluation & Interventions
12:30 Lunch
1:30 Fecal Incontinence Evaluation & Interventions Continued
2:45 Case Study: Fecal Incontinence
3:30 SEMG Lecture
4:00Lab: Pelvic Floor Uptraining
4:30 Post-test, Questions
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Constipation Evaluation & Interventions
10:00 Break
10:15 SEMG Lecture
Lab: Pelvic Floor Downtraining
11:30 Case Study: Constipation
11:45 Colorectal Conditions and the Pelvic Floor
12:45 Lunch
1:45 Coccyx dysfunctions
2:45 Break
3:00 Lab: External & Internal Interventions for Coccyx Pain
4:30 Post-test and Questions
5:00 Adjourn
Day Three:
8:00 Questions
8:30 Pudendal Nerve Dysfunction
9:30 Male Pelvic Anatomy
10:15 Break
10:30 Male Pelvic Anatomy
11:30 Male Pelvic Pain
12:30 Case Study: Male Pelvic Pain
12:45 Lunch
1:30 Final Lab: Pudendal Palpation, Muscle Releases
2:15 Post-Prostatectomy Dysfunction
3:15 Marketing, Business, Program Development
3:30 Post-test & Questions
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region.
2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3. Perform examination and evaluation of pelvic floor function related to anorectal structures.
4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.
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
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
2. Many participants also find it helpful to review the anatomy of the pelvis and perineum
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Day One:
8:00 Objectives & Course Introduction
8:15 Colorectal anatomy
9:15 Colorectal Physiology
10:00 Break
10:15 Colorectal Medical Testing
10:45 Anorectal Examination & Muscle Mapping
11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
12:00 Fecal Incontinence Evaluation & Interventions
12:30 Lunch
1:30 Fecal Incontinence Evaluation & Interventions Continued
2:45 Case Study: Fecal Incontinence
3:30 SEMG Lecture
4:00Lab: Pelvic Floor Uptraining
4:30 Post-test, Questions
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Constipation Evaluation & Interventions
10:00 Break
10:15 SEMG Lecture
Lab: Pelvic Floor Downtraining
11:30 Case Study: Constipation
11:45 Colorectal Conditions and the Pelvic Floor
12:45 Lunch
1:45 Coccyx dysfunctions
2:45 Break
3:00 Lab: External & Internal Interventions for Coccyx Pain
4:30 Post-test and Questions
5:00 Adjourn
Day Three:
8:00 Questions
8:30 Pudendal Nerve Dysfunction
9:30 Male Pelvic Anatomy
10:15 Break
10:30 Male Pelvic Anatomy
11:30 Male Pelvic Pain
12:30 Case Study: Male Pelvic Pain
12:45 Lunch
1:30 Final Lab: Pudendal Palpation, Muscle Releases
2:15 Post-Prostatectomy Dysfunction
3:15 Marketing, Business, Program Development
3:30 Post-test & Questions
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region.
2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3. Perform examination and evaluation of pelvic floor function related to anorectal structures.
4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.
Name
Street Address (Links to Map)
Course Location
Asante Rogue Regional Medical Center
Smullen Health Education Center
2825 E Barnett Rd
Medford, OR 97504
Recommended Lodging
Homewood Suites by Hilton Medford
(541) 779-9800
2010 Hospitality Way
Medford, OR 97504
Nearest Airport
Rogue Valley International – Medford Airport
Airport Code: MFR
1000 Terminal Spur Rd
Medford, OR 97504
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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{dtregister}740{/dtregister}
Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
2. Many participants also find it helpful to review the anatomy of the pelvis and perineum
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Day One:
8:00 Objectives & Course Introduction
8:15 Colorectal anatomy
9:15 Colorectal Physiology
10:00 Break
10:15 Colorectal Medical Testing
10:45 Anorectal Examination & Muscle Mapping
11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
12:00 Fecal Incontinence Evaluation & Interventions
12:30 Lunch
1:30 Fecal Incontinence Evaluation & Interventions Continued
2:45 Case Study: Fecal Incontinence
3:30 SEMG Lecture
4:00Lab: Pelvic Floor Uptraining
4:30 Post-test, Questions
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Constipation Evaluation & Interventions
10:00 Break
10:15 SEMG Lecture
Lab: Pelvic Floor Downtraining
11:30 Case Study: Constipation
11:45 Colorectal Conditions and the Pelvic Floor
12:45 Lunch
1:45 Coccyx dysfunctions
2:45 Break
3:00 Lab: External & Internal Interventions for Coccyx Pain
4:30 Post-test and Questions
5:00 Adjourn
Day Three:
8:00 Questions
8:30 Pudendal Nerve Dysfunction
9:30 Male Pelvic Anatomy
10:15 Break
10:30 Male Pelvic Anatomy
11:30 Male Pelvic Pain
12:30 Case Study: Male Pelvic Pain
12:45 Lunch
1:30 Final Lab: Pudendal Palpation, Muscle Releases
2:15 Post-Prostatectomy Dysfunction
3:15 Marketing, Business, Program Development
3:30 Post-test & Questions
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region.
2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3. Perform examination and evaluation of pelvic floor function related to anorectal structures.
4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.
Name Street Address (Links to Map)
Course Location
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
Additional Helpful Resources:
1. Male Pelvic Pain - go to malepelvicfloor.com
2. Many participants also find it helpful to review the anatomy of the pelvis and perineum
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Day One:
8:00 Objectives & Course Introduction
8:15 Colorectal anatomy
9:15 Colorectal Physiology
10:00 Break
10:15 Colorectal Medical Testing
10:45 Anorectal Examination & Muscle Mapping
11:15 Lab: Sidelying Assessment: Visual Inspection, Pelvic floor Muscle Testing
12:00 Fecal Incontinence Evaluation & Interventions
12:30 Lunch
1:30 Fecal Incontinence Evaluation & Interventions Continued
2:45 Case Study: Fecal Incontinence
3:30 SEMG Lecture
4:00Lab: Pelvic Floor Uptraining
4:30 Post-test, Questions
5:00 Adjourn
Day Two:
8:00 Questions
8:15 Constipation Evaluation & Interventions
10:00 Break
10:15 SEMG Lecture
Lab: Pelvic Floor Downtraining
11:30 Case Study: Constipation
11:45 Colorectal Conditions and the Pelvic Floor
12:45 Lunch
1:45 Coccyx dysfunctions
2:45 Break
3:00 Lab: External & Internal Interventions for Coccyx Pain
4:30 Post-test and Questions
5:00 Adjourn
Day Three:
8:00 Questions
8:30 Pudendal Nerve Dysfunction
9:30 Male Pelvic Anatomy
10:15 Break
10:30 Male Pelvic Anatomy
11:30 Male Pelvic Pain
12:30 Case Study: Male Pelvic Pain
12:45 Lunch
1:30 Final Lab: Pudendal Palpation, Muscle Releases
2:15 Post-Prostatectomy Dysfunction
3:15 Marketing, Business, Program Development
3:30 Post-test & Questions
4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region.
2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction.
3. Perform examination and evaluation of pelvic floor function related to anorectal structures.
4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education.
5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions.
6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal.
7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release.
8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes.
9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor.
10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations.
11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia
12. List key medical diagnostic procedures for colorectal conditions.
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
4444 Forest Park Avenue
, Saint Louis, MO
Recommended Lodging
The Parkway Hotel
(314) 256-7777
4550 Forest Park Ave
St Louis, MO 63108
Nearest Airport
Lambert–St. Louis International Airport
Airport Code: STL
10701 Lambert International Blvd
St. Louis, MO 63145
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
Day One:
7:30 Registration
8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
9:15 Prolapse anatomy, evaluation and treatment
10:00 Break
10:15 Prolapse anatomy, evaluation and treatment (continued)
11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
1:15 Medical and multidisciplinary management of pelvic pain
2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
5:00 Summary and Questions, post-test
5:15 Adjourn
Day Two:
8:00 Questions from Day 1
8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
9:45 Break
10:00 Neuromuscular relaxation training
11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn
Day Three:
8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
12:15 Lunch
1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break
2:30 Case studies, treatment progressions, resources
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Name Street Address (Links to Map)
Course Location
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
Day One:
7:30 Registration
8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
9:15 Prolapse anatomy, evaluation and treatment
10:00 Break
10:15 Prolapse anatomy, evaluation and treatment (continued)
11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
1:15 Medical and multidisciplinary management of pelvic pain
2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
5:00 Summary and Questions, post-test
5:15 Adjourn
Day Two:
8:00 Questions from Day 1
8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
9:45 Break
10:00 Neuromuscular relaxation training
11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn
Day Three:
8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
12:15 Lunch
1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break
2:30 Case studies, treatment progressions, resources
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Name
Street Address (Links to Map)
Course Location
Asante Rogue Regional Medical Center
Smullen Health Education Center
2825 E Barnett Rd
Medford, OR 97504
Recommended Lodging
Homewood Suites by Hilton Medford
(541) 779-9800
2010 Hospitality Way
Medford, OR 97504
Nearest Airport
Rogue Valley International – Medford Airport
Airport Code: MFR
1000 Terminal Spur Rd
Medford, OR 97504
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
Day One:
7:30 Registration
8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
9:15 Prolapse anatomy, evaluation and treatment
10:00 Break
10:15 Prolapse anatomy, evaluation and treatment (continued)
11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
1:15 Medical and multidisciplinary management of pelvic pain
2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
5:00 Summary and Questions, post-test
5:15 Adjourn
Day Two:
8:00 Questions from Day 1
8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
9:45 Break
10:00 Neuromuscular relaxation training
11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn
Day Three:
8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
12:15 Lunch
1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break
2:30 Case studies, treatment progressions, resources
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Nari Clemons, PT, PRPC
Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.
Jennafer Vande Vegte, MSPT, BCB-PMD, PRPC
After graduating from Ithaca College Jennafer began her career as a PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Name Street Address (Links to Map)
Course Location
4050 Coon Rapids Blvd
Coon Rapids, MN 55433
Recommended Lodging
Best Western Plus
(763)576-0700
3420 Northdale Blvd NW
Coon Rapids, MN 55448
Nearest Airport
Minneapolis Saint Paul International Airport
Airport Code: MSP
4300 Glumack Drive
St. Paul, MN 55111
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
Day One:
7:30 Registration
8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
9:15 Prolapse anatomy, evaluation and treatment
10:00 Break
10:15 Prolapse anatomy, evaluation and treatment (continued)
11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
1:15 Medical and multidisciplinary management of pelvic pain
2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
5:00 Summary and Questions, post-test
5:15 Adjourn
Day Two:
8:00 Questions from Day 1
8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
9:45 Break
10:00 Neuromuscular relaxation training
11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn
Day Three:
8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
12:15 Lunch
1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break
2:30 Case studies, treatment progressions, resources
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Name Street Address (Links to Map)
Course Location
1111 E. McDowell Rd ,
Phoenix, AZ 85006
Recommended Lodging
Hampton Inn Phoenix Biltmore
(602) 956-5221
2310 E Highland Ave
Phoenix, AZ 85016
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)
Christine Stewart, PT, CMPT
Christine graduated from Kansas State University in 1992 and went on to pursue her master’s degree in physical therapy from the University of Kansas Medical Center graduating in 1994. She began her career specializing in orthopedics and manual therapy. She became interested in women’s health after the birth of her second child developing a women’s health practice in Ottawa Kansas with a focus on urinary incontinence and prolapse. She left the practice in 2010 to work at Olathe Medical Center to further focus on women’s health and obtain her CMPT from the North American Institute of Manual Therapy. She will begin pursuing a certification with Diane Lee in the fall.
Christine’s passion is empowering her patients to join in their treatment through education and self-awareness.
She has been a lab instructor with the institute since early 2017 and was asked to join the faculty in July. She is an avid runner who loves to hike through National parks with her husband and two children.
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
Day One:
7:30 Registration
8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
9:15 Prolapse anatomy, evaluation and treatment
10:00 Break
10:15 Prolapse anatomy, evaluation and treatment (continued)
11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
1:15 Medical and multidisciplinary management of pelvic pain
2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
5:00 Summary and Questions, post-test
5:15 Adjourn
Day Two:
8:00 Questions from Day 1
8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
9:45 Break
10:00 Neuromuscular relaxation training
11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn
Day Three:
8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
12:15 Lunch
1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break
2:30 Case studies, treatment progressions, resources
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
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.
Name Street Address (Links to Map)
Course Location
16251 Sylvester Rd SW
Burien, WA 98166
Recommended Lodging
Hampton Inn & Suites Seattle-Airport/28th Ave
(206) 244-5044
18850 28th Ave S
SeaTac, WA 98188
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Blvd
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
<
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Intermediate
Contact Hours: 22.5
This three day intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including downtraining of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. . Evidence-based references and case studies will be presented for thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have two instructors and several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points is instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and to care of the patient is discussed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Assignments:
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.
Required Readings
1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
4. Review the anatomy of the pelvis and perineum
5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228.
Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J.,
Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
Day One:
7:30 Registration
8:00 Objectives, introductions, overview
8:15 Pelvic rehab oncepts, anatomy, and specific palpation
9:15 Prolapse anatomy, evaluation and treatment
10:00 Break
10:15 Prolapse anatomy, evaluation and treatment (continued)
11:15 Lab 1: Specific layer palpation and prolapse
12:15 Lunch
1:15 Medical and multidisciplinary management of pelvic pain
2:15 Examination skills pelvic pain
3:15 Break
3:30 Lab 2: Examination techniques for pelvic pain
4:30 Mini prolapse & pain case discussions
5:00 Summary and Questions, post-test
5:15 Adjourn
Day Two:
8:00 Questions from Day 1
8:15 Specific conditions: vulvar pain, dyspareunia and vaginismus
9:45 Break
10:00 Neuromuscular relaxation training
11:00 Lunch
12:45 Specific conditions: Interstitial cystitis, endometriosis, PCOS, UTI
2:30 Break
2:45 Pelvic pain manual skills
3:45 Lab 4: Pelvic pain manual skills
5:00 Summary and questions, post-test
5:15 Adjourn
Day Three:
8:00 Questions
8:15 Trauma Informed Care
9:15 Breathing and pressure management
10:15 Break
10:30 Lab 5A: Breathing and pressure management
11:15 Abdominal neuromyofascial techniques
12:15 Lunch
1:00 Lab 5B: Abdominal neuromyofascial techniques
2:15 Break
2:30 Case studies, treatment progressions, resources
3:15 Post-test, course evaluations, questions and course summary, wrap-up
3:30 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy/pathophysiology of the female reproductive and urologic systems with reference to vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
2. Identify specific pelvic floor muscle locations with external and internal vaginal examinations.
3. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic muscles.
4. Describe and teach three neuromuscular relaxation training techniques for the pelvic muscles.
5. Perform an SEMG pelvic floor muscle assessment and interpretation for appropriate treatment intervention.
6. Perform external perineal examinations appropriate for vaginismus, vulvodynia, dyspareunia, pelvic organ prolapse and interstitial cystitis/painful bladder syndrome.
7. Perform patient related education and behavioral instruction pertaining to discussed urogynecologic conditions.
8. Demonstrate muscle assessment tests to identify anterior and posterior vaginal wall relaxation (pelvic organ prolapse).
9. Develop treatment plans for pelvic pain syndromes.
10. Complete appropriate screening and referral as needed for patients who are healing from sexual trauma.
Nari Clemons, PT, PRPC
Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.
Elizabeth Hampton PT, DPT, WCS, BCB-PMD
Elizabeth Hampton PT, DPT, WCS, BCB-PMD is a Board Certified Women's Health Clinical Specialist in practice since 1987, specializing in pelvic ring dysfunction and movement-education. Elizabeth earned her BS in physical therapy from Marquette University in 1987. She earned her post-bac Certificate in Women's Health Physical Therapy in 2002 and is also a trained childbirth educator and doula. Elizabeth earned the Rehabilitation Certification in Pilates through Polestar Pilates Education in 2003 and integrates the Pilates method into manual therapy and rehabilitation. She earned certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America in 2005. She has designed and instructed continuing education courses relating to pelvic floor dysfunction and Pilates- based rehabilitation. She is a member of the APTA, the Orthopedic section, the Section on Women's Health as well as the Washington State Physical Therapy Association. Elizabeth is a SACE item writer for the APTA Board Certification Clinical Specialist Exam in Women's Health.
Elizabeth's professional publications include: "Use of Transabdominal Ultra Sound Imaging in Retaining the Pelvic Floor Muscles of a Woman Postpartum" (Ariail,A, SearsT, Hampton E, PT Journal October 2008), The Journal of the Sectionon Women's Health "The Relationship Between Pelvic Floor and Abdominal Musculature: Clinical Recommendations for Rehabilitation based on Emerging Literature,"(Hampton E, April 2003) and The Gynecological Manual, APTA, Section on Women's Health, 2002, contributing editor of "Clinical Applications of SEMG Biofeedback of the Pelvic Floor."
Elizabeth owns CorePhysio in Bellingham, Washington. She is married to Mike and they have two kids who are amazing individuals!
Name Street Address (Links to Map)
Course Location
564 E Cleveland St
Stockton, CA 95204
Recommended Lodging
University Plaza Waterfront Hotel
(209) 944-1140
110 W Fremont St
Stockton, CA 95202
Nearest Airport
Sacramento International Airport
Airport Code: SMF
6900 Airport Blvd
Sacramento, CA 95837
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Day One:
7:30 Registration
8:00 Introductions, objectives and overview
8:30 Anatomy and Function of Abdominopelvic Connective Tissues
10:00Break
10:15 LAB Activity 1: Working with fascia: abdomen
11:15 Endocrine changes throughout the Lifespan
12:30 Lunch
1:30 Endocrine changes throughout the Lifespan (continued)
2:30 LAB Activity 2: Advanced vaginal muscle techniques
3:45 Break
4:00 Endometriosis
4:45 Questions/Test
5:00 Adjourn
Day Two:
8:00 Questions and Answers from Day One/Test Review
8:15 PCOS & Fibroids
9:15 Vulvar skin and connective tissue dysfunctions
10:15 Break
10:30 LAB Activity 3: Perineal release techniques
12:00 Lunch
1:00 Common Female Pelvic Surgeries
2:15 Special Topics in Surgeries
3:15 Break
3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
5:00 Questions/Test
5:15 Adjourn
Day Three:
7:30 Questions from Day Two/Test Review
7:45 Gynecological Oncology
9:00 Break
9:15 Gynecological Oncology Treatment Procedures
10:30 LAB Activity 5: Oncology considerations and Lymphedema
12:00 Lunch
12:45 Nutritional Approaches to Decrease Inflammation
2:15 Pharmacologic Considerations in Pelvic Rehab
3:15 Break
3:30 Putting it all together
4:00 Questions/Test
4:15 Ajourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
2. Describe the common vulvar skin and connective tissue dysfunctions
3. List the common female pelvic surgery complications
4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
5. List the female gynecologic oncology conditions
6. Demonstrate three manual techniques for common oncology complications
7. Describe the hormonal dysfunction considerations throughout the life cycle
8. Demonstrate perineal release techniques
9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
10. Describe nutritional approaches to decrease inflammation
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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Name Street Address (Links to Map)
Course Location
1701 N George Mason Dr
Arlington, VA 22205
Recommended Lodging
Hilton Arlington
(703) 528-6000
950 N Stafford St
Arlington, VA 22203
Nearest Airport
Washington Dulles International Airport
Airport Code: IAD
1 Saarinen Cir
Dulles, VA 20166
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Price changes in 2017
Experience Level: Advanced
Contact Hours: 22
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Day One:
7:30 Registration
8:00 Introductions, objectives and overview
8:30 Anatomy and Function of Abdominopelvic Connective Tissues
10:00Break
10:15 LAB Activity 1: Working with fascia: abdomen
11:15 Endocrine changes throughout the Lifespan
12:30 Lunch
1:30 Endocrine changes throughout the Lifespan (continued)
2:30 LAB Activity 2: Advanced vaginal muscle techniques
3:45 Break
4:00 Endometriosis
4:45 Questions/Test
5:00 Adjourn
Day Two:
8:00 Questions and Answers from Day One/Test Review
8:15 PCOS & Fibroids
9:15 Vulvar skin and connective tissue dysfunctions
10:15 Break
10:30 LAB Activity 3: Perineal release techniques
12:00 Lunch
1:00 Common Female Pelvic Surgeries
2:15 Special Topics in Surgeries
3:15 Break
3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
5:00 Questions/Test
5:15 Adjourn
Day Three:
7:30 Questions from Day Two/Test Review
7:45 Gynecological Oncology
9:00 Break
9:15 Gynecological Oncology Treatment Procedures
10:30 LAB Activity 5: Oncology considerations and Lymphedema
12:00 Lunch
12:45 Nutritional Approaches to Decrease Inflammation
2:15 Pharmacologic Considerations in Pelvic Rehab
3:15 Break
3:30 Putting it all together
4:00 Questions/Test
4:15 Ajourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
2. Describe the common vulvar skin and connective tissue dysfunctions
3. List the common female pelvic surgery complications
4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
5. List the female gynecologic oncology conditions
6. Demonstrate three manual techniques for common oncology complications
7. Describe the hormonal dysfunction considerations throughout the life cycle
8. Demonstrate perineal release techniques
9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
10. Describe nutritional approaches to decrease inflammation
Name Street Address (Links to Map)
Course Location
1700 Union Blvd. Room 327
Bay Shore, New York 11706
Recommended Lodging
Hampton Inn at Commack
(631)462-5700
680 Commack Rd.
Commack, New York 11725
Nearest Airport
LaGuardia Airport
Airport Code: LGA
New York, NY 11371
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Day One:
7:30 Registration
8:00 Introductions, objectives and overview
8:30 Anatomy and Function of Abdominopelvic Connective Tissues
10:00Break
10:15 LAB Activity 1: Working with fascia: abdomen
11:15 Endocrine changes throughout the Lifespan
12:30 Lunch
1:30 Endocrine changes throughout the Lifespan (continued)
2:30 LAB Activity 2: Advanced vaginal muscle techniques
3:45 Break
4:00 Endometriosis
4:45 Questions/Test
5:00 Adjourn
Day Two:
8:00 Questions and Answers from Day One/Test Review
8:15 PCOS & Fibroids
9:15 Vulvar skin and connective tissue dysfunctions
10:15 Break
10:30 LAB Activity 3: Perineal release techniques
12:00 Lunch
1:00 Common Female Pelvic Surgeries
2:15 Special Topics in Surgeries
3:15 Break
3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
5:00 Questions/Test
5:15 Adjourn
Day Three:
7:30 Questions from Day Two/Test Review
7:45 Gynecological Oncology
9:00 Break
9:15 Gynecological Oncology Treatment Procedures
10:30 LAB Activity 5: Oncology considerations and Lymphedema
12:00 Lunch
12:45 Nutritional Approaches to Decrease Inflammation
2:15 Pharmacologic Considerations in Pelvic Rehab
3:15 Break
3:30 Putting it all together
4:00 Questions/Test
4:15 Ajourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
2. Describe the common vulvar skin and connective tissue dysfunctions
3. List the common female pelvic surgery complications
4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
5. List the female gynecologic oncology conditions
6. Demonstrate three manual techniques for common oncology complications
7. Describe the hormonal dysfunction considerations throughout the life cycle
8. Demonstrate perineal release techniques
9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
10. Describe nutritional approaches to decrease inflammation
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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Name Street Address (Links to Map)
Course Location
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)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Price changes in 2017
Experience Level: Advanced
Contact Hours: 22
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Day One:
7:30 Registration
8:00 Introductions, objectives and overview
8:30 Anatomy and Function of Abdominopelvic Connective Tissues
10:00Break
10:15 LAB Activity 1: Working with fascia: abdomen
11:15 Endocrine changes throughout the Lifespan
12:30 Lunch
1:30 Endocrine changes throughout the Lifespan (continued)
2:30 LAB Activity 2: Advanced vaginal muscle techniques
3:45 Break
4:00 Endometriosis
4:45 Questions/Test
5:00 Adjourn
Day Two:
8:00 Questions and Answers from Day One/Test Review
8:15 PCOS & Fibroids
9:15 Vulvar skin and connective tissue dysfunctions
10:15 Break
10:30 LAB Activity 3: Perineal release techniques
12:00 Lunch
1:00 Common Female Pelvic Surgeries
2:15 Special Topics in Surgeries
3:15 Break
3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
5:00 Questions/Test
5:15 Adjourn
Day Three:
7:30 Questions from Day Two/Test Review
7:45 Gynecological Oncology
9:00 Break
9:15 Gynecological Oncology Treatment Procedures
10:30 LAB Activity 5: Oncology considerations and Lymphedema
12:00 Lunch
12:45 Nutritional Approaches to Decrease Inflammation
2:15 Pharmacologic Considerations in Pelvic Rehab
3:15 Break
3:30 Putting it all together
4:00 Questions/Test
4:15 Ajourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
2. Describe the common vulvar skin and connective tissue dysfunctions
3. List the common female pelvic surgery complications
4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
5. List the female gynecologic oncology conditions
6. Demonstrate three manual techniques for common oncology complications
7. Describe the hormonal dysfunction considerations throughout the life cycle
8. Demonstrate perineal release techniques
9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
10. Describe nutritional approaches to decrease inflammation
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.
Nari Clemons, PT, PRPC
Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.
Name Street Address (Links to Map)
Course Location
12401 E. 17th Ave
Aurora, CO 80045
Recommended Lodging
SpringHill Suites Denver at Anschutz Medical Campus
(720)859-1100
13400 E Colfax Ave
Aurora, CO 80011
Nearest Airport
Denver International Airport
Airport Code: DEN
8500 Pena Blvd.
Denver, CO 80249
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Day One:
7:30 Registration
8:00 Introductions, objectives and overview
8:30 Anatomy and Function of Abdominopelvic Connective Tissues
10:00Break
10:15 LAB Activity 1: Working with fascia: abdomen
11:15 Endocrine changes throughout the Lifespan
12:30 Lunch
1:30 Endocrine changes throughout the Lifespan (continued)
2:30 LAB Activity 2: Advanced vaginal muscle techniques
3:45 Break
4:00 Endometriosis
4:45 Questions/Test
5:00 Adjourn
Day Two:
8:00 Questions and Answers from Day One/Test Review
8:15 PCOS & Fibroids
9:15 Vulvar skin and connective tissue dysfunctions
10:15 Break
10:30 LAB Activity 3: Perineal release techniques
12:00 Lunch
1:00 Common Female Pelvic Surgeries
2:15 Special Topics in Surgeries
3:15 Break
3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
5:00 Questions/Test
5:15 Adjourn
Day Three:
7:30 Questions from Day Two/Test Review
7:45 Gynecological Oncology
9:00 Break
9:15 Gynecological Oncology Treatment Procedures
10:30 LAB Activity 5: Oncology considerations and Lymphedema
12:00 Lunch
12:45 Nutritional Approaches to Decrease Inflammation
2:15 Pharmacologic Considerations in Pelvic Rehab
3:15 Break
3:30 Putting it all together
4:00 Questions/Test
4:15 Ajourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
2. Describe the common vulvar skin and connective tissue dysfunctions
3. List the common female pelvic surgery complications
4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
5. List the female gynecologic oncology conditions
6. Demonstrate three manual techniques for common oncology complications
7. Describe the hormonal dysfunction considerations throughout the life cycle
8. Demonstrate perineal release techniques
9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
10. Describe nutritional approaches to decrease inflammation
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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Name Street Address (Links to Map)
Course Location
4050 Coon Rapids Blvd
Coon Rapids, MN 55433
Recommended Lodging
Best Western Plus - Coon Rapids North Metro Hotel
(763)576-0700
3420 Northdale Boulevard NW
Coon Rapids, MN 55448-6704
Nearest Airport
Minneapolis St Paul International Airport
Airport Code: MSP
Minneapolis - St. Paul Airport
Minnesota
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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{dtregister}815{/dtregister}
Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Day One:
7:30 Registration
8:00 Introductions, objectives and overview
8:30 Anatomy and Function of Abdominopelvic Connective Tissues
10:00Break
10:15 LAB Activity 1: Working with fascia: abdomen
11:15 Endocrine changes throughout the Lifespan
12:30 Lunch
1:30 Endocrine changes throughout the Lifespan (continued)
2:30 LAB Activity 2: Advanced vaginal muscle techniques
3:45 Break
4:00 Endometriosis
4:45 Questions/Test
5:00 Adjourn
Day Two:
8:00 Questions and Answers from Day One/Test Review
8:15 PCOS & Fibroids
9:15 Vulvar skin and connective tissue dysfunctions
10:15 Break
10:30 LAB Activity 3: Perineal release techniques
12:00 Lunch
1:00 Common Female Pelvic Surgeries
2:15 Special Topics in Surgeries
3:15 Break
3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
5:00 Questions/Test
5:15 Adjourn
Day Three:
7:30 Questions from Day Two/Test Review
7:45 Gynecological Oncology
9:00 Break
9:15 Gynecological Oncology Treatment Procedures
10:30 LAB Activity 5: Oncology considerations and Lymphedema
12:00 Lunch
12:45 Nutritional Approaches to Decrease Inflammation
2:15 Pharmacologic Considerations in Pelvic Rehab
3:15 Break
3:30 Putting it all together
4:00 Questions/Test
4:15 Ajourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
2. Describe the common vulvar skin and connective tissue dysfunctions
3. List the common female pelvic surgery complications
4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
5. List the female gynecologic oncology conditions
6. Demonstrate three manual techniques for common oncology complications
7. Describe the hormonal dysfunction considerations throughout the life cycle
8. Demonstrate perineal release techniques
9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
10. Describe nutritional approaches to decrease inflammation
Name Street Address (Links to Map)
Course Location
4210 E. Baseline Rd. Ste 106
Mesa, AZ 85206
Recommended Lodging
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)
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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Day One:
7:30 Registration
8:00 Introductions, objectives and overview
8:30 Anatomy and Function of Abdominopelvic Connective Tissues
10:00Break
10:15 LAB Activity 1: Working with fascia: abdomen
11:15 Endocrine changes throughout the Lifespan
12:30 Lunch
1:30 Endocrine changes throughout the Lifespan (continued)
2:30 LAB Activity 2: Advanced vaginal muscle techniques
3:45 Break
4:00 Endometriosis
4:45 Questions/Test
5:00 Adjourn
Day Two:
8:00 Questions and Answers from Day One/Test Review
8:15 PCOS & Fibroids
9:15 Vulvar skin and connective tissue dysfunctions
10:15 Break
10:30 LAB Activity 3: Perineal release techniques
12:00 Lunch
1:00 Common Female Pelvic Surgeries
2:15 Special Topics in Surgeries
3:15 Break
3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
5:00 Questions/Test
5:15 Adjourn
Day Three:
7:30 Questions from Day Two/Test Review
7:45 Gynecological Oncology
9:00 Break
9:15 Gynecological Oncology Treatment Procedures
10:30 LAB Activity 5: Oncology considerations and Lymphedema
12:00 Lunch
12:45 Nutritional Approaches to Decrease Inflammation
2:15 Pharmacologic Considerations in Pelvic Rehab
3:15 Break
3:30 Putting it all together
4:00 Questions/Test
4:15 Ajourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
2. Describe the common vulvar skin and connective tissue dysfunctions
3. List the common female pelvic surgery complications
4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
5. List the female gynecologic oncology conditions
6. Demonstrate three manual techniques for common oncology complications
7. Describe the hormonal dysfunction considerations throughout the life cycle
8. Demonstrate perineal release techniques
9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
10. Describe nutritional approaches to decrease inflammation
Name Street Address (Links to Map)
Course Location
122 E 1700 S
Provo, UT 84606
Recommended Lodging
Hampton Inn Provo
(801) 377-6396
1511 S 40 E St
Provo, UT 84601
Nearest Airport
Salt Lake City International Airport
Airport Code: SLC
776 N Terminal Dr
Salt Lake City, UT 84122
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Price changes in 2017
Experience Level: Advanced
Contact Hours: 22
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Day One:
7:30 Registration
8:00 Introductions, objectives and overview
8:30 Anatomy and Function of Abdominopelvic Connective Tissues
10:00Break
10:15 LAB Activity 1: Working with fascia: abdomen
11:15 Endocrine changes throughout the Lifespan
12:30 Lunch
1:30 Endocrine changes throughout the Lifespan (continued)
2:30 LAB Activity 2: Advanced vaginal muscle techniques
3:45 Break
4:00 Endometriosis
4:45 Questions/Test
5:00 Adjourn
Day Two:
8:00 Questions and Answers from Day One/Test Review
8:15 PCOS & Fibroids
9:15 Vulvar skin and connective tissue dysfunctions
10:15 Break
10:30 LAB Activity 3: Perineal release techniques
12:00 Lunch
1:00 Common Female Pelvic Surgeries
2:15 Special Topics in Surgeries
3:15 Break
3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
5:00 Questions/Test
5:15 Adjourn
Day Three:
7:30 Questions from Day Two/Test Review
7:45 Gynecological Oncology
9:00 Break
9:15 Gynecological Oncology Treatment Procedures
10:30 LAB Activity 5: Oncology considerations and Lymphedema
12:00 Lunch
12:45 Nutritional Approaches to Decrease Inflammation
2:15 Pharmacologic Considerations in Pelvic Rehab
3:15 Break
3:30 Putting it all together
4:00 Questions/Test
4:15 Ajourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
2. Describe the common vulvar skin and connective tissue dysfunctions
3. List the common female pelvic surgery complications
4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
5. List the female gynecologic oncology conditions
6. Demonstrate three manual techniques for common oncology complications
7. Describe the hormonal dysfunction considerations throughout the life cycle
8. Demonstrate perineal release techniques
9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
10. Describe nutritional approaches to decrease inflammation
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD, PRPC
Allison Ariail, PT, DPT, CLT-LANA, BCB-PMD has been a physical therapist since 1999. She graduated with a BS in physical therapy from the University of Florida and earned a Doctor of Physical Therapy from Boston University in 2007. Also in 2007, Dr. Ariail qualified as a Certified Lymphatic Therapist. She became board certified by the Lymphology Association of North America in 2011, and board certified in Biofeedback Pelvic Muscle Dysfunction by the Biofeedback Certification International Alliance in 2012. In 2014, Allison earned her board certification as a Pelvic Rehabilitation Practitioner.
Allison specializes in treatment of the pelvic ring and back using manual therapy and ultrasound imaging for instruction in a stabilization program. She also specializes in women’s and men’s health including conditions of chronic pelvic pain, bowel and bladder disorders, and coccyx pain. Lastly, Allison has a passion to help oncology patients, particularly gynecological, urological, and head and neck cancer patients.
In 2009, Allison collaborated with the Primal Pictures team for the release of the Pelvic Floor DVD program. Allison publications include: “The Use of Transabdominal Ultrasound Imaging in Retraining the Pelvic-Floor Muscles of a Woman Postpartum.” Physical Therapy. Vol. 88, No. 10, October 2008, pp 1208-1217. (PMID: 18772276), “Beyond the Abstract” for Urotoday.com in October 2008, “Posters to Go” from APTA combined section meeting poster presentation in February 2009and 2013. She co-authored a chapter Healing in Urology: Clinical Guidebook to Herbal and Alternative Therapies.
Allison works in the Denver metro area in her practice, Inspire Physical Therapy and Wellness, where she works in a more holistic setting than traditional therapy clinics. In addition to instructing for Herman and Wallace on pelvic floor related topics, Allison lectures nationally on lymphedema, cancer related changes to the pelvic floor, and the sacroiliac joint. Allison serves as a consultant to medical companies, and physicians.
Outside of work, Allison enjoys cooking, reading, exercising and most importantly of all, being a mom! She lives in the Denver metro area with her family.
Nari Clemons, PT, PRPC
Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.
Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.
Name Street Address (Links to Map)
Course Location
5300 Tallman Ave. NW
Seattle, WA 98107-3932
Recommended Lodging
The Ballard Inn
(206)789-5011
5300 Ballard Avenue NW
Seattle, WA, 98107, USA
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Blvd
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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{dtregister}563{/dtregister}
Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Day One:
7:30 Registration
8:00 Introductions, objectives and overview
8:30 Anatomy and Function of Abdominopelvic Connective Tissues
10:00Break
10:15 LAB Activity 1: Working with fascia: abdomen
11:15 Endocrine changes throughout the Lifespan
12:30 Lunch
1:30 Endocrine changes throughout the Lifespan (continued)
2:30 LAB Activity 2: Advanced vaginal muscle techniques
3:45 Break
4:00 Endometriosis
4:45 Questions/Test
5:00 Adjourn
Day Two:
8:00 Questions and Answers from Day One/Test Review
8:15 PCOS & Fibroids
9:15 Vulvar skin and connective tissue dysfunctions
10:15 Break
10:30 LAB Activity 3: Perineal release techniques
12:00 Lunch
1:00 Common Female Pelvic Surgeries
2:15 Special Topics in Surgeries
3:15 Break
3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
5:00 Questions/Test
5:15 Adjourn
Day Three:
7:30 Questions from Day Two/Test Review
7:45 Gynecological Oncology
9:00 Break
9:15 Gynecological Oncology Treatment Procedures
10:30 LAB Activity 5: Oncology considerations and Lymphedema
12:00 Lunch
12:45 Nutritional Approaches to Decrease Inflammation
2:15 Pharmacologic Considerations in Pelvic Rehab
3:15 Break
3:30 Putting it all together
4:00 Questions/Test
4:15 Ajourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
2. Describe the common vulvar skin and connective tissue dysfunctions
3. List the common female pelvic surgery complications
4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
5. List the female gynecologic oncology conditions
6. Demonstrate three manual techniques for common oncology complications
7. Describe the hormonal dysfunction considerations throughout the life cycle
8. Demonstrate perineal release techniques
9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
10. Describe nutritional approaches to decrease inflammation
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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Name Street Address (Links to Map)
Course Location
16251 Sylvester Rd SW
Burien, WA 98166
Recommended Lodging
Hampton Inn & Suites Seattle-Airport/28th Ave
(206) 244-5044
18850 28th Ave S
SeaTac, WA 98188
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Blvd
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
<
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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{dtregister}563{/dtregister}
Price: $695 ($725 within one month of the course)
Experience Level: Advanced
Contact Hours: 22.5
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
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.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Day One:
7:30 Registration
8:00 Introductions, objectives and overview
8:30 Anatomy and Function of Abdominopelvic Connective Tissues
10:00Break
10:15 LAB Activity 1: Working with fascia: abdomen
11:15 Endocrine changes throughout the Lifespan
12:30 Lunch
1:30 Endocrine changes throughout the Lifespan (continued)
2:30 LAB Activity 2: Advanced vaginal muscle techniques
3:45 Break
4:00 Endometriosis
4:45 Questions/Test
5:00 Adjourn
Day Two:
8:00 Questions and Answers from Day One/Test Review
8:15 PCOS & Fibroids
9:15 Vulvar skin and connective tissue dysfunctions
10:15 Break
10:30 LAB Activity 3: Perineal release techniques
12:00 Lunch
1:00 Common Female Pelvic Surgeries
2:15 Special Topics in Surgeries
3:15 Break
3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
5:00 Questions/Test
5:15 Adjourn
Day Three:
7:30 Questions from Day Two/Test Review
7:45 Gynecological Oncology
9:00 Break
9:15 Gynecological Oncology Treatment Procedures
10:30 LAB Activity 5: Oncology considerations and Lymphedema
12:00 Lunch
12:45 Nutritional Approaches to Decrease Inflammation
2:15 Pharmacologic Considerations in Pelvic Rehab
3:15 Break
3:30 Putting it all together
4:00 Questions/Test
4:15 Ajourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
2. Describe the common vulvar skin and connective tissue dysfunctions
3. List the common female pelvic surgery complications
4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
5. List the female gynecologic oncology conditions
6. Demonstrate three manual techniques for common oncology complications
7. Describe the hormonal dysfunction considerations throughout the life cycle
8. Demonstrate perineal release techniques
9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
10. Describe nutritional approaches to decrease inflammation
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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Name Street Address (Links to Map)
Course Location
16251 Sylvester Rd SW
Burien, WA 98166
Recommended Lodging
Hampton Inn & Suites Seattle-Airport/28th Ave
(206) 244-5044
18850 28th Ave S
SeaTac, WA 98188
Nearest Airport
Seattle-Tacoma International Airport
Airport Code: SEA
17801 International Blvd
Seattle, WA 98158
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
<
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 (Early Registrant Price of $675 ends one month before the first day of the course). Price changes in 2017
Experience Level: Advanced
Contact Hours: 22
This three-day, advanced-level course is intended for the therapist who is experienced in treating the pelvic floor patient, has a strong understanding of pelvic anatomy including muscles and nerves, and strong pelvic floor palpation skills. Lab work instructed will cover manual therapy treatments addressing fascia and nerves.
This course is designed to build on the skills learned in Pelvic Floor Levels 1, 2A, and 2B and covers advanced topics in women’s health including endometriosis, infertility, and polycystic ovarian syndrome (PCOS). Day one lecture includes discussions on the endocrine system and an advanced discussion on pelvic anatomy, focusing on connective tissues (organ ligamentous support and the endopelvic fascia). Day two lecture and lab topics includes surgery complications and gynecological cancers, as well as the role of pharmacology and nutrition in pelvic health/pelvic pain. Labs include hands-on manual therapy techniques to address complications from surgery or oncology treatments. On day three, participants will have the opportunity to discuss case studies and complex patients with the instructors on the final day of the course.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
As this continuing education course includes extensive lab work, all attendees should come prepared to participate as both clinician and patient unless medically contraindicated (if unsure please check with your physician prior to attending the course). Internal pelvic floor muscle examinations will be taught in labs.
Audience:
This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.
Prerequisites:
This advanced-level course assumes a working knowledge and anatomical understanding of material presented in Pelvic Floor Levels 1, 2A, and 2B, and it will build from that knowledge. Please take time to review those course manuals before attending.
Day One:
7:30 Registration
8:00 Introductions, objectives and overview
8:30 Anatomy and Function of Abdominopelvic Connective Tissues
10:00Break
10:15 LAB Activity 1: Working with fascia: abdomen
11:15 Endocrine changes throughout the Lifespan
12:30 Lunch
1:30 Endocrine changes throughout the Lifespan (continued)
2:30 LAB Activity 2: Advanced vaginal muscle techniques
3:45 Break
4:00 Endometriosis
4:45 Questions/Test
5:00 Adjourn
Day Two:
8:00 Questions and Answers from Day One/Test Review
8:15 PCOS & Fibroids
9:15 Vulvar skin and connective tissue dysfunctions
10:15 Break
10:30 LAB Activity 3: Perineal release techniques
12:00 Lunch
1:00 Common Female Pelvic Surgeries
2:15 Special Topics in Surgeries
3:15 Break
3:30 LAB Activity 4: Rehabilitation techniques for common female surgery complications
5:00 Questions/Test
5:15 Adjourn
Day Three:
7:30 Questions from Day Two/Test Review
7:45 Gynecological Oncology
9:00 Break
9:15 Gynecological Oncology Treatment Procedures
10:30 LAB Activity 5: Oncology considerations and Lymphedema
12:00 Lunch
12:45 Nutritional Approaches to Decrease Inflammation
2:15 Pharmacologic Considerations in Pelvic Rehab
3:15 Break
3:30 Putting it all together
4:00 Questions/Test
4:15 Ajourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe the connective tissue of the pelvic floor (organ ligamentous supports and fascia-scarpa’s, camper’s, endopelvic fascia)
2. Describe the common vulvar skin and connective tissue dysfunctions
3. List the common female pelvic surgery complications
4. Demonstrate three manual therapy techniques for common female pelvic floor surgery complications
5. List the female gynecologic oncology conditions
6. Demonstrate three manual techniques for common oncology complications
7. Describe the hormonal dysfunction considerations throughout the life cycle
8. Demonstrate perineal release techniques
9. Describe the role of pharmacology and nutrition in pelvic health/ pelvic pain
10. Describe nutritional approaches to decrease inflammation
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 PT at Spectrum Health in Grand Rapids MI. Since 2002 Jen has focused her professional attention on treating women, men and children with pelvic floor disorders. She is energized through education and enjoys guest teaching at a local college, speaking at community events, organizing a regional pelvic floor study group, and part time home schooling her two daughters. She has been faculty for Herman and Wallace Pelvic Rehabilitation Institute since 2009 and loves to inspire other rehabilitation professionals with her knowledge and experience in treating pelvic floor dysfunction. She is certified in pelvic floor physical therapy and biofeedback for pelvic floor disorders. Outside of PT, She loves to read, run, cook, travel, do yoga and spend time with her family.
Name Street Address (Links to Map)
Course Location
2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Recommended Lodging
Hampton Inn & Suites Tampa-Wesley Chapel
(813) 973-2288
2740 Cypress Ridge Blvd
Wesley Chapel, FL 33544
Nearest Airport
Tampa International Airport
Airport Code: TPA
4100 George J Bean Pkwy
Tampa, FL 33607
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
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Price: $695 (Early Registrant Price $675)
Experience Level: Advanced
Contact Hours: 21
This three-day course for the experienced pelvic rehab therapist will systematically address assessment and manual treatments for the major contributory nerves of the pelvis in an organized fashion. Clinical assessment and differential diagnosis will include symptomology and differential neural tension testing for each major pelvic neural structure. Students will practice interactively mapping the pathway of each nerve and neurofascial techniques to decompress the nerve in common sites of entrapment and impingement. Treatments will encompass manually treating the proximal plexus for each nerve, direct neural manipulation, and releasing surrounding fascial pathways. Once the nerve path is addressed, neural mobilization with movement, manual regional integration, and home program to maintain neural health and mobility will all be instructed.
Nerves transmit pain messages. When nerves are compressed they can cause pain or weakness. Pelvic rehab was 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 pudendal neuralgia or neuropathic pain pain 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, pain in sittng, as well as many other syndromes and unilateral muscle weakness.
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), as well as addressing key areas of compression of the sciatic nerve and pudendal nerve (all three branches, with emphasis on the anterior portions). This course will be very lab heavy, around 80% of the course will be interactive, hands-on learning.
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.
What to Bring:
Please click here to dowload a full list of items to bring with you to the course
Recommended Reading
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.
Upon completion of this course, participants will be able to:
1. Describe symptoms (sensory vs motor) for each structure listed below
2. Identify the anatomy and pathway of each nerve
3. Perform neural tension test for differential diagnoses
4. Perform mobilization of nerve/p>
5. Perform neural/fascial pathway to release surrounding peri-neural structures from common regions of entrapment
6. Perform local balancing/integration of nerve
7. Perform neural gliding and sliding of nerve
8. Perscribe a home program to maintain neural treatment
These objectives will be met while studying the following nerve structures:
Day One:
7:30 Registration
8:00 Introductions, Setting expectations and tone
8:30 Lecture: Anatomy/Physiology of the nervous system and Lumbar Plexus
10:00 Break
10:15 Concepts of working with nerves and Lumbar Nerve Root Mobs
11:00 Femoral Nerve testing and fascial pathways
12:00 Lunch
1:00 Femoral nerve Lab/Lecture
3:00 Break
3:15 Femoral Nerve Home Program
4:15 Lateral Femoral Cutaneous Nerve
5:15 Adjourn
Day Two:
8:00 Inguinal Nerve Lecture, Iliohypogastric
8:45 Iliohypogastric Nerve treatment
10:00 Break
10:15 Ilioinguinal Lecture and Lab
11:30 Mobilizing the nerves of the posterior lumbar plexus
11:45 Lunch
12:45 Genitofemoral Nerve Lecture and Lab
1:45 Home Program Inguinal Nerves
2:15 Obturator Nerve Lecture
2:45 Break
3:00 Obturator Nerve Lab
4:15 Obturator Nerve Home Program
4:45 Regional Balancing Techniques
5:15 Adjourn
Day Three:
7:00 Pudendal nerve review: anatomy, entrapment symptoms, neural tension
8:00 Lab: Fascial pathway for pudendal part one: trunk, dorsal clitoral/penile branch, perineal branch, inferior rectal branch (includes internal/vaginal work)
9:30 Break
9:45 Continue Part Two: Lab Fascial pathway for pudendal trunk and branches and mobilize pudendal nerve
11:15 Nerve mobilization and HEP for pudendal nerve
12:00 Lunch
1:00 Sciatic Nerve lecture and lab
3:00 Break
3:15 Integration techniques
3:45 Wrap up, Complete course/evals and certificates
4:00 Adjourn
Name Street Address (Links to Map)
Course Location
5677 Oberlin Drive, Suite 106
San Diego, CA 92121
Recommended Lodging
Holiday Inn Express Sorrento Valley
(858) 731-0100
5925 Lusk Blvd
San Diego, CA 92121
Nearest Airport
San Diego International Airport
Airport Code: SAN
3225 N Harbor Dr
San Diego, CA 92101
Directions from Recommended Lodging to Course Location:click here if no map appears below)
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
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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 sacral plexus to the pelvis in an organized, systematic fashion. Peripheral sacral plexus nerves included in this course are (sciatic, superior and inferior gluteal, coccygeal nerves, inferior dural tube, pudendal nerve, dorsal clitoral/penile branch, perineal branch, and inferior rectal or hemorrohoidal nerves), which run anterior to the sacrum and coccyx. To effectively decompress the pathway of these nerves, one must also precisely address the torsional patterns of the sacrum with the uterus, the sacro-coccygeal transition, torsional patterns or misalignment within the coccyx, the interplay of the sacrospinus and sacrotuberous ligaments along common sites of neural entrapment, as well as the position of the sacrum. Assessment and treatment of all the above structures will be address and combined into a usable clinical package with problem solving and manual and therapeutic solutions. 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 sacral 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, decompressing the peripheral plexus, 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 (when applicable).
This course will be very lab heavy, around 65% of the course will be interactive, hands-on learning. PF2A or another intra-rectal pelvic mapping course is a pre-requisite for this course, and this course is an excellent course to follow Capstone.
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, as well as many other syndromes and weakness, such as hypertonicity in the pelvic floor or anorgasmia.
Prerequisites:
Participants must have prior experience with internal vaginal assessment. Pelvic Floor Level One and intermediate coursework, Pelvic Floor Level 2A or other intra-rectal mapping course is a required pre-requisite.
What to Bring to Class:
Please note: on day 3, it will be helpful if you can pack a lunch.
Required Readings:
Sacral Nerve Pre-Course Videos
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.
Day One:
8:00 Intro
8:30 Anatomy, Sacral Plexus
9:45 Palpation Lab(Partner 1)
10:15 Break
10:30 Palpation Lab (Partner 2)
11:00 Coccygeal lecture
11:30 Internal coccyx lab
12:30 Lunch
1:30 External Coccyx Lab
3:30 Sacrum Lecture
4:00 Sacrum Lab
5:30 Class Adjourns
Day Two:
8:00 Questions
8:15 Uterus Anatomy
8:45 Uterus pre-lab and lab
10:00 Deep hip lecture
10:15 Break
10:30 Deep hip Lab
11:30 Palpation Lab 2
12:00 Lunch
1:00 Sacrospinous and Sacrotuberous Ligaments Lecture and Lab
2:30 Neural Research Lecture
3:15 Break
3:30 Sacral Trunk
4:00 Sciatic Nerve Lecture and Lab
6:00 Class Adjourns
Day Three:
7:30 Gluteal Nerves Lab and Lecture
9:00 Pudendal Lecture and Yarn Demo
9:45 Break
10:00 Pudendal Lecture
10:45 Pudendal Lab 1 (external)
11:45 Lunch
12:30 Pudendal Lab Part 2 (internal and genital)+ Coccygeal N Internal Rectal
2:00 Posterior Femoral Cutaneous Nerve Lecture
2:10 Palpation Lab 3
2:45 Break
3:00 PFC Nerve Lab
3:15 Feeling the pull of tissue
3:30 Medical Management Highlights
3:45 Case studies/Putting it all together
4:15 Wrap up, course evals, and certificates
4:30: Class Adjourns
Upon completion of this course, participants will be able to:
Name Street Address (Links to Map)
Course Location
39-40 Broadway, Suite 4
Fair Lawn NJ 07410
Recommended Lodging
Hyatt Place Fair Lawn
(201)475-3888
41-01 Broadway
Fair Lawn, NJ 07410
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 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.
Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.
Multi-Course Discount
This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.
Group Discount
This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.
Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.
Student Discount
This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.
To get this discount when checking out online, use the code Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
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{dtregister}829{/dtregister}
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 sacral plexus to the pelvis in an organized, systematic fashion. Peripheral sacral plexus nerves included in this course are (sciatic, superior and inferior gluteal, coccygeal nerves, inferior dural tube, pudendal nerve, dorsal clitoral/penile branch, perineal branch, and inferior rectal or hemorrohoidal nerves), which run anterior to the sacrum and coccyx. To effectively decompress the pathway of these nerves, one must also precisely address the torsional patterns of the sacrum with the uterus, the sacro-coccygeal transition, torsional patterns or misalignment within the coccyx, the interplay of the sacrospinus and sacrotuberous ligaments along common sites of neural entrapment, as well as the position of the sacrum. Assessment and treatment of all the above structures will be address and combined into a usable clinical package with problem solving and manual and therapeutic solutions. 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 sacral 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, decompressing the peripheral plexus, 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 (when applicable).
This course will be very lab heavy, around 65% of the course will be interactive, hands-on learning. PF2A or another intra-rectal pelvic mapping course is a pre-requisite for this course, and this course is an excellent course to follow Capstone.
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, as well as many other syndromes and weakness, such as hypertonicity in the pelvic floor or anorgasmia.
Prerequisites:
Participants must have prior experience with internal vaginal assessment. Pelvic Floor Level One and intermediate coursework, Pelvic Floor Level 2A or other intra-rectal mapping course is a required pre-requisite.
What to Bring to Class:
Please note: on day 3, it will be helpful if you can pack a lunch.
Required Readings:
Sacral Nerve Pre-Course Videos
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.
Day One:
8:00 Intro
8:30 Anatomy, Sacral Plexus
9:45 Palpation Lab(Partner 1)
10:15 Break
10:30 Palpation Lab (Partner 2)
11:00 Coccygeal lecture
11:30 Internal coccyx lab
12:30 Lunch
1:30 External Coccyx Lab
3:30 Sacrum Lecture
4:00 Sacrum Lab
5:30 Class Adjourns
Day Two:
8:00 Questions
8:15 Uterus Anatomy
8:45 Uterus pre-lab and lab
10:00 Deep hip lecture
10:15 Break
10:30 Deep hip Lab
11:30 Palpation Lab 2
12:00 Lunch
1:00 Sacrospinous and Sacrotuberous Ligaments Lecture and Lab
2:30 Neural Research Lecture
3:15 Break
3:30 Sacral Trunk
4:00 Sciatic Nerve Lecture and Lab
6:00 Class Adjourns
Day Three:
7:30 Gluteal Nerves Lab and Lecture
9:00 Pudendal Lecture and Yarn Demo
9:45 Break
10:00 Pudendal Lecture
10:45 Pudendal Lab 1 (external)
11:45 Lunch
12:30 Pudendal Lab Part 2 (internal and genital)+ Coccygeal N Internal Rectal
2:00 Posterior Femoral Cutaneous Nerve Lecture
2:10 Palpation Lab 3
2:45 Break
3:00 PFC Nerve Lab
3:15 Feeling the pull of tissue
3:30 Medical Management Highlights
3:45 Case studies/Putting it all together
4:15 Wrap up, course evals, and certificates
4:30: Class Adjourns
Upon completion of this course, participants will be able to:
Name Street Address (Links to Map)
Course Location
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.
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 Student2019. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).
First-Time Registrant Discount
This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).
To apply this discount, please use the code FirstTimer2019 during check out. (H&W will check records to verify past attendance.)
Referral Credit/Discount
Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:
1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.
A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".
Guest Blogger Credit/Discount
Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".
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{dtregister}727{/dtregister}
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 sacral plexus to the pelvis in an organized, systematic fashion. Peripheral sacral plexus nerves included in this course are (sciatic, superior and inferior gluteal, coccygeal nerves, inferior dural tube, pudendal nerve, dorsal clitoral/penile branch, perineal branch, and inferior rectal or hemorrohoidal nerves), which run anterior to the sacrum and coccyx. To effectively decompress the pathway of these nerves, one must also precisely address the torsional patterns of the sacrum with the uterus, the sacro-coccygeal transition, torsional patterns or misalignment within the coccyx, the interplay of the sacrospinus and sacrotuberous ligaments along common sites of neural entrapment, as well as the position of the sacrum. Assessment and treatment of all the above structures will be address and combined into a usable clinical package with problem solving and manual and therapeutic solutions. 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 sacral 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, decompressing the peripheral plexus, 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 (when applicable).
This course will be very lab heavy, around 65% of the course will be interactive, hands-on learning. PF2A or another intra-rectal pelvic mapping course is a pre-requisite for this course, and this course is an excellent course to follow Capstone.
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, as well as many other syndromes and weakness, such as hypertonicity in the pelvic floor or anorgasmia.
Prerequisites:
Participants must have prior experience with internal vaginal assessment. Pelvic Floor Level One and intermediate coursework, Pelvic Floor Level 2A or other intra-rectal mapping course is a required pre-requisite.
What to Bring to Class:
Please note: on day 3, it will be helpful if you can pack a lunch.
Required Readings:
Sacral Nerve Pre-Course Videos
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.
Day One:
8:00 Intro
8:30 Anatomy, Sacral Plexus
9:45 Palpation Lab(Partner 1)
10:15 Break
10:30 Palpation Lab (Partner 2)
11:00 C