(646) 355-8777

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

Pamela A. Downey, MSPT, DPT, BCIA-PMDB

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.

Courses Instructed by Pamela Downey

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    Care of the Pregnant Patient - Jupiter, FL - December 2-3, 2017 

    {dtregister}482{/dtregister}
    Jupiter FL

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

    • Description

    • Schedule

    • Objectives

    • Instructor

    • Location/Lodging

    • Discounts

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

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

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

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

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

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

    .

     

    Audience:

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

     

    Prerequisites: None

     

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


    References

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

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

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

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

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

     NameStreet Address (Links to Map)
    Course Location

    Saylor Physical Therapy

    345 Jupiter Lakes Blvd.
    Jupiter, Florida 33458
    Recommended Lodging

    Wyndham Grand Jupiter at Harbourside Place
    (561) 273-6600

    122 Soundings Ave
    Jupiter, FL 33477
    Nearest Airport

    Palm Beach International Airport
    Airport Code: PBI

    1000 James L Turnage Blvd
    West Palm Beach, FL 33415

     

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    First-Time Registrant Discount

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

    To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


    Referral Credit/Discount

    Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

    1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
    2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

    A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


    Guest Blogger Credit/Discount

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


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    Care of the Pregnant Patient - Washington, DC - April 13-14, 2019 (SOLD OUT)

    {dtregister}738{/dtregister}
    Washington
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

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

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

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

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

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

    .

     

    Audience:

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

     

    Prerequisites: None

     

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


    References

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

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

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

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

     NameStreet Address (Links to Map)
    Course Location

    Advantage Physical Therapy

    6565 Arlington Blvd #220
    Falls Church, VA 22042
    Recommended Lodging

    Hilton Garden Inn
    (703) 237-8700

    706 W Broad St
    Falls Church, VA 22046
    Nearest Airport

    Dulles International Airport
    Airport Code: IAD

    1 Saarinen Cir
    Dulles, VA 20166

     

    Directions from Hilton Garden Inn to Course Location: (click here if no map appears below)

     

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).


    First-Time Registrant Discount

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

    To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)


    Referral Credit/Discount

    Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

    1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
    2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

    A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".


    Guest Blogger Credit/Discount

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


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    Pelvic Floor Level 1 - Atlanta, GA - June 3-5, 2016

    {dtregister}328{/dtregister}
    Atlanta

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

    • Description

    • Schedule

    • Objectives

    • Instructors

    • Location/Lodging

    • Discounts

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

    This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

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

     

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

     

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

     

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

     

    Audience:

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

     

    Assignments

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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

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

    Day One:

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

    Day Two:

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

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.


    Susannah Haarmann, PT, CLT, WCS

    Susannah Haarmann

    Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.

      Name Street Address (Links to Map)
    Course Location

    Emory Healthcare

    2701 N Decatur Rd
    Decatur, GA 30033
    Recommended Lodging

    Courtyard Marriott Atlanta Decatur Downtown/ Emory
    (404) 371-0204

    130 Clairemont Ave
    Decatur, GA 30030
    Nearest Airport

    Hartsfield–Jackson Atlanta International Airport
    Airport Code: ATL

    6000 N Terminal Pkwy
    Atlanta, GA 30320

     

    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 Student2021. (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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      string(68) "Pelvic Floor Level 1 - Baltimore, MD - December 2-4, 2016 (SOLD OUT)"
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    Pelvic Floor Level 1 - Baltimore, MD - December 2-4, 2016 (SOLD OUT)

    {dtregister}405{/dtregister}
    Stockton

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

    • Description

    • Schedule

    • Objectives

    • Instructors

    • Location/Lodging

    • Discounts

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

    This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

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

     

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

     

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

     

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

     

    Audience:

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

     

    Assignments

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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

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

    Day One:

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

    Day Two:

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

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.


    Susannah Haarmann, PT, CLT, WCS

    Susannah Haarmann

    Susannah Haarmann, PT, CLT, WCS graduated from the University of Georgia with a Bachelor of Science degree in Psychology in 2003. In 2007 she attended North Georgia College and State University obtaining a masters degree in Physical Therapy. Before focusing her attention on the practice of women’s health, Susannah became a well-rounded therapist working in various settings from acute care to outpatient manual therapy. She completed a residency in women’s health at Duke University in 2012 and currently treats the women’s health, lymphedema and orthopedic populations at Mission Hospital in Asheville, North Carolina. Susannah’s passion for improving quality of life in cancer thrivers shows in her dedication to oncology rehabilitation program development at Mission Hospital and sharing her knowledge with other therapists via the course ‘Rehabilitation for the Breast Cancer Patient.’ Outside of being a dedicated therapist, Susannah enjoys traveling, the arts and is an outdoors woman.

     NameStreet Address (Links to Map)
    Course Location

    Johns Hopkins Hospital

    601 N. Caroline Street
    Baltimore, MD 21287
    Recommended Lodging

    Baltimore Marriott Waterfront
    Reference HOPKINS for a discount
    (410)385-3000

    700 Aliceanna St
    Baltimore, MD 21202
    Nearest Airport

    Baltimore/Washington International Thurgood Marshall Airport
    Airport Code: BWI

    Baltimore/Washington International Thurgood Marshall Airport
    Baltimore, MD 21240

     

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - Charlottesville, VA - June 19-21, 2020 (Rescheduled)

    Update 05/21/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

    {dtregister}912{/dtregister}
    Charlottesville
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Partiicipants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    Audience:

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

     

    Assignments

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

     NameStreet Address (Links to Map)
    Course Location

    UVA Health System

    1204 W Main St
    Charlottesville, VA 22908
    Recommended Lodging

    Hampton Inn & Suites Charlottesville-At The University
    (434)-923-8600

    900 W Main St
    Charlottesville, VA 22903
    Nearest Airport

    Charlottesville-Albemarle Airport
    Airport Code: CHO

    100 Bowen Loop #200
    Charlottesville, VA 22911

     

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

     

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.


    Instructors - Nazari

    Pany Nazari, PT, DPT, PRPC, BCB-PMD

     Pany Nazari, PT, DPT, BCB-PMDDr. Pany Nazari received her BS degree in 1994 from Howard University in Washington, D.C., and her doctorate degree in 2016 from Northeastern University in Boston, MA. For the first decade of her career she focused on mastering the assessment and treatment of a variety of orthopedic issues, with a focus on the spine, sacro-iliac joint, and pelvis. Since 2005, Pany has dedicated her educational and clinical concentration on pelvic floor rehabilitation. Her passion is to use various forms of biofeedback in conjunction with manual therapy along with a strong emphasis on patient education to facilitate optimal function for individuals. She is a fellow and is board certified in the use of Biofeedback for Pelvic Muscle Disorders and holds certification as a Pelvic Rehabilitation Practitioner from the Herman & Wallace Pelvic Rehabilitation Institute.

    Pany truly believes that knowledge is power; as mentioned, she has a strong focus on education and increasing awareness of the importance of pelvic health among the community, physicians and other practitioners. Aside from teaching for Herman and Wallace Rehab Institute, she has recently been appointed as a clinical instructor for George Washington University in the Department of Physical Therapy and Health Care Science. She is also continuously expanding her own knowledge by attending various conferences and is a member of the International Pelvic Pain Society and National Vulvodynia Association.

    Pany established a tremendously well respected pelvic rehab program at her local hospital from the ground up, where she worked for 18 years. She now works in a multidisciplinary wellness center in McLean, Virginia. Cooking while listening to music, reading, cross-training, and being with her family are some of Pany's other passions.

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - Nashville, TN - Nov. 6-8, 2015 (SOLD OUT!)

    {dtregister}319{/dtregister}
    Nashville

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

    • Description

    • Schedule

    • Objectives

    • Instructors

    • Location/Lodging

    • Discounts

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

    This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

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

     

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

     

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

     

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

     

    Audience:

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

     

    Assignments

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Day One:
    12:30 PM Registration
    1:00 Introductions, Goals, Objectives
    1:30 Female Pelvic Floor (PF) Anatomy and Function
    2:30 Break
    2:45 Pelvic Floor Evaluation
    4:15 Lab 1: Pelvic Floor Exam Techiques Part 1: Observation, Identification, Muscle layers, ICS Scoring*
    5:15 Dinner Break
    6:15 Pelvic Floor Evaluation (Continued)
    7:15 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus*
    8:15 Adjourn
     

    Day Two:
    8:00 AM Questions, Post-test from Day 1
    8:15 Functional Screening for Pelvic Rehab: ASLR, SLS, Diastasis Recti Abdominis

    Intro to Pelvic Dysfunctions, Urinary Incontinence 

    9:00 Lab 3: SLS, ASLR, Diastasis Assessment
    10:00 Break

    10:15 Behavioral Interventions for Urinary Dysfunction
    10:45 Lab 4: Bladder Diary Activity
    11:15 Lab 5: sEMG Biofeedback & Electrical Stimulation Application*
    1:00 Lunch
    2:00 Pelvic Organ Prolapse
    3:15 Break
    3:30 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation*
    4:45 Introduction to Female Pelvic Pain
    6:15 Adjourn

    Day Three:
    7:45 AM Questions, Post-test Day 2
    8:15 Sexuality & Trauma Issues in Female Pelvic Pain
    10:15 Break
    10:30 Specific Diagnoses in Female Pelvic Pain
    11:30 Therapeutic Exercise in Female Pelvic Floor Dysfunction
    12:30 Lunch
    1:15 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment*
    2:30 Break
    2:45 Case Studies
    3:30 Resources, Billing, Marketing
    4:00 Questions, Post-test Day 3
    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

    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.


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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

     NameStreet Address (Links to Map)
    Course Location

    Results Physiotherapy

    2001 Mallory Ln #204
    Franklin, TN 37067
    Recommended Lodging

    Drury Plaza Hotel Franklin
    (615) 771-6778

    1874 W McEwen Dr
    Franklin, TN 37067
    Nearest Airport

    Nashville International Airport
    Airport Code: BNA

    1 Terminal Dr
    Nashville, TN 37214

     

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - Phoenix, AZ - February 15-17, 2019 (SOLD OUT)

    {dtregister}789{/dtregister}
    Phoenix
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Partiicipants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    Audience:

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

     

    Assignments

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Franklin Pierce University

    14455 W. Van Buren Ste 100
    Goodyear, AZ 85338
    Recommended Lodging

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

    2000 N Litchfield Rd
    Goodyear, AZ 85395
    Nearest Airport

    Phoenix Sky Harbor International Airport
    Airport Code: PHX

    3400 E Sky Harbor Blvd
    Phoenix, AZ 85034

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

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - Phoenix, AZ - November 3-5, 2017 (Sold Out)

    {dtregister}471{/dtregister}
    Phoenix

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

    • Description

    • Schedule

    • Objectives

    • Instructors

    • Location/Lodging

    • Discounts

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

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Partiicipants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    Audience:

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

     

    Assignments

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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

    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.

     NameStreet Address (Links to Map)
    Course Location

    360 Sports Medicine & Aquatic Rehabilitation Centers

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

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

    1825 North Higley Road
    Gilbert, AZ 85234
    Nearest Airport

    Phoenix Sky Harbor International Airport
    Airport Code: PHX

    3400 E Sky Harbor Blvd
    Phoenix, AZ 85034

     

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

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


    Multi-Course Discount

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


    Group Discount

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

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


    Student Discount

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

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - Tallahassee, FL - December 12-13, 2020 (Postponed)

    {dtregister}955{/dtregister}
    Tallahassee
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Partiicipants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    Audience:

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

     

    Assignments

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

      Name Street Address (Links to Map)
    Course Location

    Tallahassee Memorial HealthCare

    1300 Miccosukee Rd
    Tallahassee Memorial Hospital
    Tallahassee FL, 32308
    Recommended Lodging

    Hotel Duval, Autograph Collection
    (850)-224-6000

    415 N Monroe St
    Tallahassee, FL 32301
    Nearest Airport

    Tallahassee International Airport
    Airport Code: TLH

    3300 Capital Cir SW
    Tallahassee, FL 32310

     

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

     

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.


    Heather S. Rader, PT, DPT, PRPC, BCB-PMD

    Heather Rader

    Dr. Heather Rader the owner of The OB PT Clinic, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain located in Eustis, FL. A physical therapist since 1994, she graduated from the University of Miami with a Master’s degree in Physical Therapy and she completed her Doctorate in Physical Therapy from the University of St. Augustine in 2011. She was board certified in the use of Biofeedback for Pelvic Muscle Disorders in 2006. She was awarded the Pelvic Rehabilitation Practitioner Certification in 2014 and served as a subject matter expert and question writer for the PRPC examination. She is on faculty with the Herman & Wallace Pelvic Rehabilitation Institute, teaching Pelvic Rehabilitation around the country several times a year, teaching courses in the Pelvic Floor Series and Pregnancy Series.

    Her mission as an educator is to assist in the national expansion of qualified pelvic floor therapists and promote awareness of pelvic floor dysfunction to medical professionals and the community at large. She runs a social media site on Facebook called “Team Pelvic Floor”, which posts articles and facts about pelvic floor rehab while promoting a team approach to treating pelvic dysfunction. She is a practice consultant and mentors therapists wishing to incorporate pelvic rehabilitation into their practice.

    Office: 352-585-9135 

    Email: This email address is being protected from spambots. You need JavaScript enabled to view it.     

    Web: www.theobptclinic.com

    Facebook: www.facebook.com/TeamPelvicFloor

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 1 - Tallahassee, FL - December 12-13, 2020 (Postponed)
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    Pelvic Floor Level 1 - Tampa, FL - February 5-7, 2016

    {dtregister}332{/dtregister}
    Tampa

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

    • Description

    • Schedule

    • Objectives

    • Instructors

    • Location/Lodging

    • Discounts

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

    This continuing education course is a three-day seminar designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

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

     

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

     

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

     

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

     

    Audience:

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

     

    Assignments

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code ELS25OFF. Registrants who already own a copy are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

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

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

    Day One:

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

    Day Two:

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

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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

    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.

     NameStreet Address (Links to Map)
    Course Location

    AdventHealth Wesley Chapel

    2600 Bruce B Downs Blvd
    Wesley Chapel, FL 33544
    Recommended Lodging

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

    2740 Cypress Ridge Blvd
    Wesley Chapel, FL 33544
    Nearest Airport

    Tampa International Airport
    Airport Code: TPA

    4100 George J Bean Pkwy
    Tampa, FL 33607

     

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

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


    Multi-Course Discount

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


    Group Discount

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

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


    Student Discount

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

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - Tampa, FL - January 6-8, 2017 (SOLD OUT!)

    {dtregister}425{/dtregister}
    Tampa

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

    • Description

    • Schedule

    • Objectives

    • Instructors

    • Location/Lodging

    • Discounts

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

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Partiicipants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    Audience:

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

     

    Assignments

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.


    Heather S. Rader, PT, DPT, PRPC, BCB-PMD

    Heather Rader

    Dr. Heather Rader the owner of The OB PT Clinic, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain located in Eustis, FL. A physical therapist since 1994, she graduated from the University of Miami with a Master’s degree in Physical Therapy and she completed her Doctorate in Physical Therapy from the University of St. Augustine in 2011. She was board certified in the use of Biofeedback for Pelvic Muscle Disorders in 2006. She was awarded the Pelvic Rehabilitation Practitioner Certification in 2014 and served as a subject matter expert and question writer for the PRPC examination. She is on faculty with the Herman & Wallace Pelvic Rehabilitation Institute, teaching Pelvic Rehabilitation around the country several times a year, teaching courses in the Pelvic Floor Series and Pregnancy Series.

    Her mission as an educator is to assist in the national expansion of qualified pelvic floor therapists and promote awareness of pelvic floor dysfunction to medical professionals and the community at large. She runs a social media site on Facebook called “Team Pelvic Floor”, which posts articles and facts about pelvic floor rehab while promoting a team approach to treating pelvic dysfunction. She is a practice consultant and mentors therapists wishing to incorporate pelvic rehabilitation into their practice.

    Office: 352-585-9135 

    Email: This email address is being protected from spambots. You need JavaScript enabled to view it.     

    Web: www.theobptclinic.com

    Facebook: www.facebook.com/TeamPelvicFloor

     NameStreet Address (Links to Map)
    Course Location

    AdventHealth Wesley Chapel

    2600 Bruce B Downs Blvd
    Wesley Chapel, FL 33544
    Recommended Lodging

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

    2740 Cypress Ridge Blvd
    Wesley Chapel, FL 33544
    Nearest Airport

    Tampa International Airport
    Airport Code: TPA

    4100 George J Bean Pkwy
    Tampa, FL 33607

     

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

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


    Multi-Course Discount

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


    Group Discount

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

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


    Student Discount

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

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 - Washington, DC - June 23-25, 2017 (SOLD OUT)

    {dtregister}481{/dtregister}
    WashingtonDC

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    • Description

    • Schedule

    • Objectives

    • Instructors

    • Location/Lodging

    • Discounts

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

    We have had to postpone many of our in-person Pelvic Floor Level 1 courses due to the COVID-19 Pandemic. In response, we are now sponsoring Pelvic Floor Level 1 as a Satellite Lab Course (our new format). Check it out!

     

    This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.

    Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.

     

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

     

    Special Considerations:
    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

     

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

     

    Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Partiicipants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.

     

    This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

     

    Audience:

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

     

    Assignments

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.

    1. Bladder Diary (Print two copies)
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

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

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

    Day One:

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

    Day Two:

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

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain
    5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 
    7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    8. List two diagnoses that would benefit from applications of electrotherapy
    9. Describe the applications of SEMG biofeedback for the pelvic floor
    10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.


    Jessica Reale, PT, DPT, WCS

    jessica reale

    Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with men and women with pelvic floor disorders. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica is active in the American Physical Therapy Association and the Section on Women’s Health, having served on the educational review committee and the functional outcome measures taskforce. In addition, she is passionate about educating the community and current practitioners on pelvic floor disorders and has taught seminars locally as well as presented at conferences, as adjunct faculty in physical therapy orthopedic and sports residency programs, and as a guest lecturer for multiple graduate programs in physical therapy and medical residency programs. Jessica also teaches regular live webinars on topics related to pelvic health through Therapy Network Seminars. Jessica treats patients at One on One Physical Therapy in Atlanta, GA and runs an online educational blog on pelvic health at www.jessicarealept.com. Outside of work, Jessica enjoys spending time with her family and friends, staying active and traveling.

     

      Name Street Address (Links to Map)
    Course Location

    GWUH Outpatient Rehabilitation Center

    2131 K St. NW

    Washington, DC 20037
    Recommended Lodging

    Avenue Suites Georgetown
    (202)333-8060

    2500 Pennsylvania Ave NW
    Washington, DC 20037
    Nearest Airport

    Washington Dulles International Airport
    Airport Code: IAD

    Dulles International Airport, 1 Saarinen Cir
    Dulles, VA 20166

     

    Directions from Recommended Lodging to Course Location

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


    Multi-Course Discount

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


    Group Discount

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

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


    Student Discount

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

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 1 Part 1 - Remote Course - June 13-14, 2020 9:00am - 2:00pm Pacific Time

    {dtregister}1091{/dtregister}
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    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    Price: $250
    Experience Level: Beginner
    Contact Hours: 8.75

    This remote continuing education course provides live instruction in foundational content in pelvic floor rehabilitation physical therapy. This course consists of the same content contained in the pre-recorded lectures of Pelvic Floor Level 1. Participants who join us for this remote course will have a chance to experience these lectures live with an HW faculty member, who will answer questions in real time.

    Participants may choose to take this course and then sign up for the full-length Pelvic Floor Level 1 course, which includes labs, and is offered in both In-Person and Satellite formats. Participants who sign up for the full Pelvic Floor Level 1 course will receive the pre-recorded lectures of the content contained in this course, which they may use to review. It is therefore NOT required that one take Pelvic Floor Level 1 Part 1 prior to taking the full-length Pelvic Floor Level 1 course. However, this is the perfect option for a therapist who has yet to find a Pelvic Floor Level 1 in their region, and who wants to begin their pelvic rehab training while practicing strict social distancing, or the therapist who is curious to learn more about pelvic rehab but is not yet ready to attend a course inclusive of labs. 

    Included in the remote course is a thorough overview of pelvic anatomy, concepts and techniques in trunk and pelvic evaluation and examination including the observation and retraining of movement patterns. Lectures will cover specific conditions including urinary incontinence and pelvic pain. Concepts related to trauma-informed care will also be included in this comprehensive introduction. Participants are encouraged to come with questions about starting their journey becoming pelvic rehab practitioners for the instructor. 

    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.

    Please Note: Those who were registered for a Pelvic Floor 1 course which was postponed due to Covid-19, and whose course has not been rescheduled yet, are invited to attend this remote Pelvic Floor 1 Part 1 course at no additional fee. Please contact us to verify eligibility and register if you would like to take advantage of this offer.

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. IUGA/ICS report on female pelvic floor terminology
    4. Many participants find it helpful to review the anatomy of the pelvis and perineum
    5. 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.

     

    Special Considerations:
    This course will be offered as a live, interactive remote course on Zoom, taught by an instructor who will teach introductory didactic lectures and answer questions.

     

     

    The times listed are for the morning offerings of PF1.1 All times are Pacific Time. 

    Day One:

    9:00 Log on, Zoom basics, introductions, goals, objectives
    9:30 Pelvic Floor Anatomy & Function
    10:15 Pelvic Floor Evaluation and Examination
    11:45 Break
    12:00 Managing Movement
    1:00 Awareness of Trauma in Pelvic Rehab
    2:00 Adjourn

    Day Two:

    9:00 Questions from Day 1
    9:15 Urinary Incontinence
    10:45 Break
    11:00 Introduction to Pelvic Pain
    12:00 General Treatment of Pelvic Pain
    1:00 Questionns
    1:15 Adjourn

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    5. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    6. Begin to develop evidence-based treatment plans and progressive clinical goals for pelvic floor dysfunctions
    7. Recognize key components of trauma-based care

    Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.

     

    Important thing to note:

    - Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.

    - To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/

    - We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.

    - A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.

    - Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

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    Pelvic Floor Level 1 Part 1 - Remote Course - June 6-7, 2020 9:00am - 2:00pm Pacific Time

    {dtregister}1079{/dtregister}
    Part One
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    Price: $250
    Experience Level: Beginner
    Contact Hours: 8.75

    This remote continuing education course provides live instruction in foundational content in pelvic floor rehabilitation physical therapy. This course consists of the same content contained in the pre-recorded lectures of Pelvic Floor Level 1. Participants who join us for this remote course will have a chance to experience these lectures live with an HW faculty member, who will answer questions in real time.

    Participants may choose to take this course and then sign up for the full-length Pelvic Floor Level 1 course, which includes labs, and is offered in both In-Person and Satellite formats. Participants who sign up for the full Pelvic Floor Level 1 course will receive the pre-recorded lectures of the content contained in this course, which they may use to review. It is therefore NOT required that one take Pelvic Floor Level 1 Part 1 prior to taking the full-length Pelvic Floor Level 1 course. However, this is the perfect option for a therapist who has yet to find a Pelvic Floor Level 1 in their region, and who wants to begin their pelvic rehab training while practicing strict social distancing, or the therapist who is curious to learn more about pelvic rehab but is not yet ready to attend a course inclusive of labs. 

    Included in the remote course is a thorough overview of pelvic anatomy, concepts and techniques in trunk and pelvic evaluation and examination including the observation and retraining of movement patterns. Lectures will cover specific conditions including urinary incontinence and pelvic pain. Concepts related to trauma-informed care will also be included in this comprehensive introduction. Participants are encouraged to come with questions about starting their journey becoming pelvic rehab practitioners for the instructor. 

    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.

    Please Note: Those who were registered for a Pelvic Floor 1 course which was postponed due to Covid-19, and whose course has not been rescheduled yet, are invited to attend this remote Pelvic Floor 1 Part 1 course at no additional fee. Please contact us to verify eligibility and register if you would like to take advantage of this offer.

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. IUGA/ICS report on female pelvic floor terminology
    4. Many participants find it helpful to review the anatomy of the pelvis and perineum
    5. 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.

     

    Special Considerations:
    This course will be offered as a live, interactive remote course on Zoom, taught by an instructor who will teach introductory didactic lectures and answer questions.

     

     

    The times listed are for the morning offerings of PF1.1 All times are Pacific Time. 

    Day One:

    9:00 Log on, Zoom basics, introductions, goals, objectives
    9:30 Pelvic Floor Anatomy & Function
    10:15 Pelvic Floor Evaluation and Examination
    11:45 Break
    12:00 Managing Movement
    1:00 Awareness of Trauma in Pelvic Rehab
    2:00 Adjourn

    Day Two:

    9:00 Questions from Day 1
    9:15 Urinary Incontinence
    10:45 Break
    11:00 Introduction to Pelvic Pain
    12:00 General Treatment of Pelvic Pain
    1:00 Questionns
    1:15 Adjourn

     

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

    1. Identify the muscle layers and specific muscles of the pelvic floor
    2. List the pelvic floor muscle functions
    3. Describe pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback
    4. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment
    5. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist
    6. Begin to develop evidence-based treatment plans and progressive clinical goals for pelvic floor dysfunctions
    7. Recognize key components of trauma-based care

    Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.

     

    Important thing to note:

    - Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.

    - To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/

    - We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.

    - A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.

    - Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

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    Pelvic Floor Level 1 Satellite Lab Course - Athens GA - March 6-7, 2021 (SOLD OUT)

    Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 7:45pm

    {dtregister}1676{/dtregister}

    Athens

    • Description

    • Schedule

    • Objectives

    • Location

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the 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 (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). 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, 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. Satelllite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a 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. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    Audience:

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

     

    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 (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

    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

    Thrive Integrated Medicine

    2080 Prince Ave
    Athens, GA 30606
    Recommended Lodging

    Hilton Garden Inn Athens Downtown
    (706)-353-6800

    390 E Washington St
    Athens, GA 30601
    Nearest Airport

    Athens-Ben Epps Airport - AHN
    Airport Code: AHN

    1010 Ben Epps Dr
    Athens, GA 30605

     

    Directions from Recommended Lodging to Course Location

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 1 Satellite Lab Course - Athens GA - March 6-7, 2021
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    Pelvic Floor Level 1 Satellite Lab Course - LaCrosse, WI - March 6-7 2021(SOLD OUT)

    Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 6:45pm

    {dtregister}1544{/dtregister}

    La Crosse

    • Description

    • Schedule

    • Objectives

    • Location Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the 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 (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). 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, 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. Satelllite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a 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. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    Audience:

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

     

    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 (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

    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

    Palm + Pine Yoga Studio

    500 N Holmen Dr #519
    Holmen, WI 54636
    Recommended Lodging

    Holiday Inn Express Onalaska (la Crosse Area)
    (608)-783-6555

    9409 WI-16
    Onalaska, WI 54650
    Nearest Airport

    La Crosse Regional Airport
    Airport Code: LSE

    2850 Airport Dr
    La Crosse, WI 54603

     

    Directions from Recommended Lodging to Course Location

     

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 1 Satellite Lab Course - LaCrosse, WI - March 6-7 2021 (SOLD OUT)
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    Pelvic Floor Level 1 Satellite Lab Course - Los Angeles, CA - March 6-7 2021 (SOLD OUT)

    Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 4:45pm

    {dtregister}1599{/dtregister}

    Los Angeles

    • Description

    • Schedule

    • Objectives

    • Location Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the 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 (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). 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, 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. Satelllite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a 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. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    Audience:

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

     

    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 (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

    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

    Origin Physical Therapy

    11980 San Vicente Blvd
    Suite 100
    Los Angeles, CA 90049
    Recommended Lodging

    Holiday Inn Express West Los Angeles
    (310)-478-1400

    11250 Santa Monica Blvd
    Los Angeles, CA 90025
    Nearest Airport

    Los Angeles International Airport
    Airport Code: LAX

    1 World Way
    Los Angeles, CA 90045

     

    Directions from Recommended Lodging to Course Location

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 1 Satellite Lab Course - Los Angeles, CA - March 6-7 2021 (SOLD OUT)
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    Pelvic Floor Level 1 Satellite Lab Course - March 6-7, 2021

    Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 4:45pm

    • Description

    • Schedule

    • Objectives

    • Instructors

    Price: $645 
    Experience Level: Beginner
    Contact Hours: 23.75 hours

    This is a satellite offering of our course, Pelvic Floor Level 1. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the on-site lab assistants at the satellite course location. 

    This continuing education course is comprised of 10 hours of prerecorded lectures followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

    This course was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the 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 (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). 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, 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. Satelllite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a 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. Read more about What to Expect During Courses with Internal Lab Work.

     

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos (all 10 hours of prerecorded lectures must be completed before attending the first day of class) and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if you choose the self hosted option.) After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    Audience:

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

     

    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 (We will complete this as a group activity on the first day of the course) 
    2. Bladder Diary Assignment Instructions
    3. Patient History Form
    4. Biofeedback Video - Please download and listen to the presentation

     

    Required Readings

    1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
    2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
    3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
    4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
    5. IUGA/ICS report on female pelvic floor terminology
    6. Many participants find it helpful to review the anatomy of the pelvis and perineum
    7. Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link.

     

    Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 10 hours)

    1. Pelvic Floor Anatomy & Function (45 minutes)
    2. Pelvic Floor Evaluation and Examination (1 hour 30 min)
    3. Managing Movement (1 hour)
    4. Awareness of Trauma in Pelvic Rehab (1 hour)
    5. Urinary Incontinence (1 hour 30 min)
    6. Introduction to Pelvic Pain (1 hour)
    7. General Treatment of Pelvic Pain (1 hour)
    8. Electrical Muscle Stimulation and Biofeedback (1 hour 15 minutes)
    9. Pelvic Organ Prolapse (1 hour)

     

     "Relative" Hourly schedule of live Zoom meetings. 

    Day One (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Log on to Zoom meeting and call roll 
    0:30 Introductions
    0:45 Pelvic Floor (PF) Anatomy and Evaluation
    1:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring
    2:45 Break
    3:00 Pelvic Floor Evaluation (Continued)
    3:30 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus
    4:30 Lunch
    5:30 Urinary Incontinence Examination & Interventions Part II
    7:00 Break
    7:15 Lab 3: Bladder Diary Activity
    8:00 Questions
    8:30 Adjourn

     

    Day Two (includes lab learning - meet at a satellite location or in pairs/triples):

    0:00 Questions from Day 1
    0:15 Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction
    1:00 Break
    1:15 Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation
    2:30 Specific Diagnoses in Female Pelvic Pain
    3:45 Managing Movement Part II: Pressures & Load Transfer
    4:30 Lunch
    5:30 Managing Movement Part II (Continued): Pressures & Load Transfer
    6:30 Final Lab Preparation
    6:45 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:45 Break
    8:00 Case Studies
    8:30 Questions (Resources, Billing, Marketing, Etc.), Wrap-up
    8:45 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. Below is an hourly schedule breakdown for each of the 4 main US time zones.

     

    Hourly Schedule - Pacific Time

    Day Component Name Start Time End Time
    1 Registration 7:30 AM 8:00 AM
    1 Lecture: Introduction, goals, objectives, questions 8:00 AM 8:15 AM
    1 Lecture: Pelvic Floor (PF) Anatomy and Evaluation 8:15 AM 8:45 AM
    1 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 AM 10:15 AM
    1 Break 10:15 AM 10:30 AM
    1 Lecture: Pelvic Floor Evaluation (Continued) 10:30 AM 11:00 AM
    1 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 11:00 AM 12:00 PM
    1 Lunch 12:00 PM 1:00 PM
    1 Lecture: Urinary Incontinence Examination & Interventions Part II 1:00 PM 2:30 PM
    1 Break 2:30 PM 2:45 PM
    1 Lab 3: Bladder Diary Activity 2:45 PM 3:30 PM
    1 Questions 3:30 PM 4:00 PM
    2 Questions, Post-test Day 2 7:30 AM 7:45 AM
    2 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:45 AM 8:30 AM
    2 Break 8:30 AM 8:45 AM
    2 Lab 5: Pelvic Floor Examinsation and Prolapse Exam, External Palpation 8:45 AM 10:00 AM
    2 Lecture: Specific Diagnoses in Female Pelvic Pain 10:00 AM 11:15 AM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 11:15 AM 12:00 PM
    2 Lunch 12:00 PM 1:00 PM
    2 Lecture: Managing Movement Part II: Pressures & Load Transfer 1:00 PM 1:45 PM
    2 Lecture: Final Lab Preparation 1:45 PM 2:00 PM
    2 Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 PM 3:15 PM
    2 Break 3:15 PM 3:30 PM
    2 Lecture: Case Studies 3:30 PM 4:00 PM
    2 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:00 PM 4:15 PM

     

     

     

     

     

     

    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, MSPT, DPT, BCIA-PMDB

    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.

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  • Pelvic Floor Level 1 Satellite Lab Course - March 6-7, 2021
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    Pelvic Floor Level 2A - Atlanta, GA - December 8-10, 2017 (SOLD OUT)

    {dtregister}460{/dtregister}
    Atlanta

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

    • Description

    • Schedule

    • Objectives

    • Instructors

    • Location/Lodging

    • Discounts

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

    This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the In-Person Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

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

    Day Two:

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

     

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

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

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.


    Jessica Reale, PT, DPT, WCS

    jessica reale

    Jessica is a board-certified specialist in Women’s Health (WCS) and is passionate about working with men and women with pelvic floor disorders. She is a graduate of Gordon College with a B.S. in Kinesiology and of Duke University where she received her Doctor of Physical Therapy degree. Jessica is active in the American Physical Therapy Association and the Section on Women’s Health, having served on the educational review committee and the functional outcome measures taskforce. In addition, she is passionate about educating the community and current practitioners on pelvic floor disorders and has taught seminars locally as well as presented at conferences, as adjunct faculty in physical therapy orthopedic and sports residency programs, and as a guest lecturer for multiple graduate programs in physical therapy and medical residency programs. Jessica also teaches regular live webinars on topics related to pelvic health through Therapy Network Seminars. Jessica treats patients at One on One Physical Therapy in Atlanta, GA and runs an online educational blog on pelvic health at www.jessicarealept.com. Outside of work, Jessica enjoys spending time with her family and friends, staying active and traveling.

     

      Name Street Address (Links to Map)
    Course Location

    Emory Healthcare

    2701 N Decatur Rd
    Decatur, GA 30033
    Recommended Lodging

    Courtyard Marriott Atlanta Decatur Downtown/ Emory
    (404) 371-0204

    130 Clairemont Ave
    Decatur, GA 30030
    Nearest Airport

    Hartsfield–Jackson Atlanta International Airport
    Airport Code: ATL

    6000 N Terminal Pkwy
    Atlanta, GA 30320

     

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A - Baltimore, MD - November 9-11, 2018 (SOLD OUT)

    {dtregister}545{/dtregister}
    Baltimore
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the In-Person Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

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

    Day Two:

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

     

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

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

     NameStreet Address (Links to Map)
    Course Location Johns Hopkins Hospital 1800 Orleans street
    Baltimore, MD 21287
    Recommended Lodging Residence Inn Baltimore at The Johns Hopkins Medical Campus
    (410)385-3000
    800 N Wolfe St
    Baltimore, MD 21205
    Nearest Airport Baltimore/Washington International Thurgood Marshall Airport
    Airport Code: BWI
    Baltimore/Washington International Thurgood Marshall Airport
    Baltimore, MD 21240

     

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

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.


    Heather S. Rader, PT, DPT, PRPC, BCB-PMD

    Heather Rader

    Dr. Heather Rader the owner of The OB PT Clinic, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain located in Eustis, FL. A physical therapist since 1994, she graduated from the University of Miami with a Master’s degree in Physical Therapy and she completed her Doctorate in Physical Therapy from the University of St. Augustine in 2011. She was board certified in the use of Biofeedback for Pelvic Muscle Disorders in 2006. She was awarded the Pelvic Rehabilitation Practitioner Certification in 2014 and served as a subject matter expert and question writer for the PRPC examination. She is on faculty with the Herman & Wallace Pelvic Rehabilitation Institute, teaching Pelvic Rehabilitation around the country several times a year, teaching courses in the Pelvic Floor Series and Pregnancy Series.

    Her mission as an educator is to assist in the national expansion of qualified pelvic floor therapists and promote awareness of pelvic floor dysfunction to medical professionals and the community at large. She runs a social media site on Facebook called “Team Pelvic Floor”, which posts articles and facts about pelvic floor rehab while promoting a team approach to treating pelvic dysfunction. She is a practice consultant and mentors therapists wishing to incorporate pelvic rehabilitation into their practice.

    Office: 352-585-9135 

    Email: This email address is being protected from spambots. You need JavaScript enabled to view it.     

    Web: www.theobptclinic.com

    Facebook: www.facebook.com/TeamPelvicFloor

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A - Boston, MA - September 20-22, 2019 (SOLD OUT)

    {dtregister}694{/dtregister}
    Boston
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the In-Person Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

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

    Day Two:

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

     

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

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

      Name Street Address (Links to Map)
    Course Location

    Marathon Physical Therapy

    99 Vanderbilt Ave
    Norwood MA 02062
    Recommended Lodging

    Courtyard Boston Norwood
    (781) 762-4700

    300 River Ridge Dr
    Norwood, MA 02062
    Nearest Airport

    Logan International Airport
    Airport Code: BOS

    1 Harborside Dr
    Boston, MA 02128

     

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

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.


    Instructors - Nazari

    Pany Nazari, PT, DPT, PRPC, BCB-PMD

     Pany Nazari, PT, DPT, BCB-PMDDr. Pany Nazari received her BS degree in 1994 from Howard University in Washington, D.C., and her doctorate degree in 2016 from Northeastern University in Boston, MA. For the first decade of her career she focused on mastering the assessment and treatment of a variety of orthopedic issues, with a focus on the spine, sacro-iliac joint, and pelvis. Since 2005, Pany has dedicated her educational and clinical concentration on pelvic floor rehabilitation. Her passion is to use various forms of biofeedback in conjunction with manual therapy along with a strong emphasis on patient education to facilitate optimal function for individuals. She is a fellow and is board certified in the use of Biofeedback for Pelvic Muscle Disorders and holds certification as a Pelvic Rehabilitation Practitioner from the Herman & Wallace Pelvic Rehabilitation Institute.

    Pany truly believes that knowledge is power; as mentioned, she has a strong focus on education and increasing awareness of the importance of pelvic health among the community, physicians and other practitioners. Aside from teaching for Herman and Wallace Rehab Institute, she has recently been appointed as a clinical instructor for George Washington University in the Department of Physical Therapy and Health Care Science. She is also continuously expanding her own knowledge by attending various conferences and is a member of the International Pelvic Pain Society and National Vulvodynia Association.

    Pany established a tremendously well respected pelvic rehab program at her local hospital from the ground up, where she worked for 18 years. She now works in a multidisciplinary wellness center in McLean, Virginia. Cooking while listening to music, reading, cross-training, and being with her family are some of Pany's other passions.

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A - Chicago, IL - August 1-2, 2020 (SOLD OUT)

    {dtregister}886{/dtregister}
    Chicago
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the In-Person Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

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

    Day Two:

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

     

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

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

     NameStreet Address (Links to Map)
    Course Location

    Midwestern Regional Medical Center

    2520 Elisha Ave
    Zion, IL 60099
    Recommended Lodging

    The Inn at Market Square, Zion
    (800)-997-9148

    2723 Sheridan Rd
    Zion, IL, 60099
    Nearest Airport

    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)

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

    Christine Stewart, PT, CMPT

    Christine Stewart

    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.

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A - Clearwater, FL - January 24-26, 2020 (SOLD OUT)

    {dtregister}813{/dtregister}
    Clearwater
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the In-Person Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

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

    Day Two:

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

     

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

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

     NameStreet Address (Links to Map)
    Course Location

    Nova Southeastern University

    3400 Gulf to Bay Boulevard
    Clearwater, FL 33759
    Recommended Lodging

    Fairfield Inn & Suites by Marriott Clearwater
    (727)-724-6223

    3070 Gulf to Bay Blvd,
    Clearwater, FL 33759
    Nearest Airport

    St. Pete–Clearwater International Airport
    Airport Code: PIE

    14700 Terminal Blvd #221,
    Clearwater, FL 33762

     

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

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.


    Heather S. Rader, PT, DPT, PRPC, BCB-PMD

    Heather Rader

    Dr. Heather Rader the owner of The OB PT Clinic, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain located in Eustis, FL. A physical therapist since 1994, she graduated from the University of Miami with a Master’s degree in Physical Therapy and she completed her Doctorate in Physical Therapy from the University of St. Augustine in 2011. She was board certified in the use of Biofeedback for Pelvic Muscle Disorders in 2006. She was awarded the Pelvic Rehabilitation Practitioner Certification in 2014 and served as a subject matter expert and question writer for the PRPC examination. She is on faculty with the Herman & Wallace Pelvic Rehabilitation Institute, teaching Pelvic Rehabilitation around the country several times a year, teaching courses in the Pelvic Floor Series and Pregnancy Series.

    Her mission as an educator is to assist in the national expansion of qualified pelvic floor therapists and promote awareness of pelvic floor dysfunction to medical professionals and the community at large. She runs a social media site on Facebook called “Team Pelvic Floor”, which posts articles and facts about pelvic floor rehab while promoting a team approach to treating pelvic dysfunction. She is a practice consultant and mentors therapists wishing to incorporate pelvic rehabilitation into their practice.

    Office: 352-585-9135 

    Email: This email address is being protected from spambots. You need JavaScript enabled to view it.     

    Web: www.theobptclinic.com

    Facebook: www.facebook.com/TeamPelvicFloor

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A - Durham, NC - September 30 - October 2, 2016

    {dtregister}356{/dtregister}
    Durham

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

    • Description

    • Schedule

    • Objectives

    • Instructors

    • Location/Lodging

    • Discounts

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

    This continuing education course is a three-day intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessement (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

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

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Read more about What to Expect During Courses with Internal Lab Work.

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the In-Person Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

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

    Day Two:

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

     

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

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

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    Pamela A. Downey, PT, DPT, WCS, BCB-PMB, is a Board Certified Clinical Specialist in Women’s Health Physical Therapy and Board Certified in Biofeedback for Pelvic Muscle Dysfunction. Owner of Partnership in Therapy, a private practice in Coral Gables, Florida, she treats women and men with pelvic floor dysfunction, related urogynecological and colorectal issues, spine dysfunction, osteoporosis and complaints associated with pregnancy and the postpartum period. Her mission is to educate and integrate healthy lifestyles for patients on the road to wellness.

    Dr. Downey has been honored to teach with the Herman and Wallace Institute since 2006. She is an Adjunct Professor in the Physical Therapy Program at the University Of Miami Miller School of Medicine in Coral Gables, Florida, and Nova Southeastern University in Fort Lauderdale, Florida. A certified Polestar Pilates Educator, she utilizes Pilates and therapeutic exercise interventions specifically designed for patients with pre/post-natal, pelvic floor muscle and other lumbo-pelvic pain-related dysfunctions.

    Dr. Downey received her Bachelor of Arts from Sarah Lawrence College and her Master of Science and Doctorate in Physical Therapy from the University of Miami School Of Medicine. She is actively involved in professional activities of the Section on Women’s Health of the American Physical Therapy Association, presently sitting as Coordinator of Research Submissions for annual meetings and as a manuscript reviewer for the Journal of Women’s Health. Dr. Downey has lectured nationally and internationally at professional conferences and is the author of multiple published research articles and a book chapter on chronic pelvic pain in the medical text, Women’s Health in Physical Therapy.

    She can be reached at 305 666-3232 or This email address is being protected from spambots. You need JavaScript enabled to view it.


    Elizabeth Hampton PT, DPT, WCS, PRPC, BCB-PMD

    Elizabeth Hampton PT, DPT, WCS, PRPC, BCB-PMD

    Elizabeth Hampton PT, DPT, WCS, PRPC, 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!

     NameStreet Address (Links to Map)
    Course Location

    Duke University Medical Center
    Suite A-210 Wing A

    2200 W Main St
    Durham, NC 27705
    Recommended Lodging

    Hilton Garden Inn Durham/University Medical Center
    (919) 286-0774

    2102 W Main St
    Durham, NC 27705
    Nearest Airport

    Raleigh–Durham International Airport
    Airport Code: RDU

    2400 John Brantley Blvd
    Morrisville, NC 27560

     

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

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


    Multi-Course Discount

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


    Group Discount

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

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


    Student Discount

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

     

    To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A - Maywood, IL - July 19-21, 2019 (SOLD OUT)

    {dtregister}705{/dtregister}
    Maywood
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the In-Person Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

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

    Day Two:

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

     

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

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

     NameStreet Address (Links to Map)
    Course Location

    Maguire Center

    2160 S 1st Ave
    Maywood, IL 60625
    Recommended Lodging

    Residence Inn Chicago Oak Brook
    (630)568-2342

    790 Jorie Blvd
    Oak Brook, IL 60523
    Nearest Airport

    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)

     

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.


    Heather S. Rader, PT, DPT, PRPC, BCB-PMD

    Heather Rader

    Dr. Heather Rader the owner of The OB PT Clinic, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain located in Eustis, FL. A physical therapist since 1994, she graduated from the University of Miami with a Master’s degree in Physical Therapy and she completed her Doctorate in Physical Therapy from the University of St. Augustine in 2011. She was board certified in the use of Biofeedback for Pelvic Muscle Disorders in 2006. She was awarded the Pelvic Rehabilitation Practitioner Certification in 2014 and served as a subject matter expert and question writer for the PRPC examination. She is on faculty with the Herman & Wallace Pelvic Rehabilitation Institute, teaching Pelvic Rehabilitation around the country several times a year, teaching courses in the Pelvic Floor Series and Pregnancy Series.

    Her mission as an educator is to assist in the national expansion of qualified pelvic floor therapists and promote awareness of pelvic floor dysfunction to medical professionals and the community at large. She runs a social media site on Facebook called “Team Pelvic Floor”, which posts articles and facts about pelvic floor rehab while promoting a team approach to treating pelvic dysfunction. She is a practice consultant and mentors therapists wishing to incorporate pelvic rehabilitation into their practice.

    Office: 352-585-9135 

    Email: This email address is being protected from spambots. You need JavaScript enabled to view it.     

    Web: www.theobptclinic.com

    Facebook: www.facebook.com/TeamPelvicFloor

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A - Satellite Lab Course Hinsdale, IL - April 24-25 2021 (SOLD OUT)

    Central Time - Day 1: 10:00am - 6:30pm / Day 2: 10:00am - 5:30pm

    {dtregister}1696{/dtregister}
    Hinsdale
    • Description

    • Schedule

    • Objectives

    • Location

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. 

    This continuing education course is comprised of 7 hours and 45 minutes of prerecorded lectures followed by 14 hours of live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in 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. The course also 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. Satelllite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

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

     

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the Live Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

    15 min. prior to start-time: Log in to Zoom Meeting, Zoom basic and etiquette, roll call
    0:00 Introduction, Goals, Objectives
    0:30 Colorectal Anatomy and Physiology Review, Anorectal Examination
    1:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    2:15 Break
    2:30 Fecal Incontinence, Case Study
    3:15 Constipation, Case Study
    4:00 Lunch
    5:00 Pelvic Pain: Prostatitis, Scrotal Pain
    6:00 Coccyx Dysfunction
    7:00 Break
    7.15 LAB 2: External Palpation & Intervention Posterior Pelvis
    8;15 Prostatectomy Part I
    9.15 Questions
    9:30 Adjourn

    Day Two:

    0:00 Questions from Day 1, Post-test Day 1
    0:15 Prostatectomy Part II
    0:45 Pudendal Nerve
    1:45 Break
    2:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    3:15 LAB 4: Inclusive Language
    4:00 Lunch
    4:45 Colorectal Conditions
    6:15 Break
    6:30 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:30 Questions
    8:00 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. The actual start time of this a given day's Zoom meeting of this course will appear in the title of the remote course page on our website, as well as in the Teachable sections of the course in which you are registered.

    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

    Ivy Rehab Physical Therapy

    100 Chestnut St
    Hinsdale, IL 60521
    Recommended Lodging

    Best Western Plus Oakbrook Inn
    (630)-323-1515

    669 Pasquinelli Dr
    Westmont, IL 60559
    Nearest Airport

    O'Hare International Airport
    Airport Code: ORD

    10000 W O'Hare Ave
    Chicago, IL 60666

     

    Directions from Recommended Lodging to Course Location

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 2A - Satellite Lab Course Hinsdale, IL - April 24-25 2021
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    Pelvic Floor Level 2A - Satellite Lab Course Jacksonville, FL - April 24-25 2021

    Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 6:30pm

    {dtregister}1662{/dtregister}
    Jacksonville
    • Description

    • Schedule

    • Objectives

    • Location

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. 

    This continuing education course is comprised of 7 hours and 45 minutes of prerecorded lectures followed by 14 hours of live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in 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. The course also 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. Satelllite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

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

     

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the Live Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

    15 min. prior to start-time: Log in to Zoom Meeting, Zoom basic and etiquette, roll call
    0:00 Introduction, Goals, Objectives
    0:30 Colorectal Anatomy and Physiology Review, Anorectal Examination
    1:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    2:15 Break
    2:30 Fecal Incontinence, Case Study
    3:15 Constipation, Case Study
    4:00 Lunch
    5:00 Pelvic Pain: Prostatitis, Scrotal Pain
    6:00 Coccyx Dysfunction
    7:00 Break
    7.15 LAB 2: External Palpation & Intervention Posterior Pelvis
    8;15 Prostatectomy Part I
    9.15 Questions
    9:30 Adjourn

    Day Two:

    0:00 Questions from Day 1, Post-test Day 1
    0:15 Prostatectomy Part II
    0:45 Pudendal Nerve
    1:45 Break
    2:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    3:15 LAB 4: Inclusive Language
    4:00 Lunch
    4:45 Colorectal Conditions
    6:15 Break
    6:30 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:30 Questions
    8:00 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. The actual start time of this a given day's Zoom meeting of this course will appear in the title of the remote course page on our website, as well as in the Teachable sections of the course in which you are registered.

    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

    Summit Physical Therapy

    2219 County Rd 220
    Ste 304
    Middleburg, FL 32068
    Recommended Lodging

    Holiday Inn Express & Suites Fleming Island
    (904)-215-8900

    1815 E West Pkwy
    Fleming Island, FL 32003
    Nearest Airport

    Jacksonville International Airport
    Airport Code: JAX

    2400 Yankee Clipper Dr
    Jacksonville, FL 32218

     

    Directions from Recommended Lodging to Course Location

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 2A - Satellite Lab Course Jacksonville, FL - April 24-25 2021
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    Pelvic Floor Level 2A - Satellite Lab Course New York City, NY - April 24-25 2021 (SOLD OUT)

    Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 6:30pm

    {dtregister}1725{/dtregister}
    New York City
    • Description

    • Schedule

    • Objectives

    • Location

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. 

    This continuing education course is comprised of 7 hours and 45 minutes of prerecorded lectures followed by 14 hours of live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in 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. The course also 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. Satelllite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

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

     

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the Live Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

    15 min. prior to start-time: Log in to Zoom Meeting, Zoom basic and etiquette, roll call
    0:00 Introduction, Goals, Objectives
    0:30 Colorectal Anatomy and Physiology Review, Anorectal Examination
    1:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    2:15 Break
    2:30 Fecal Incontinence, Case Study
    3:15 Constipation, Case Study
    4:00 Lunch
    5:00 Pelvic Pain: Prostatitis, Scrotal Pain
    6:00 Coccyx Dysfunction
    7:00 Break
    7.15 LAB 2: External Palpation & Intervention Posterior Pelvis
    8;15 Prostatectomy Part I
    9.15 Questions
    9:30 Adjourn

    Day Two:

    0:00 Questions from Day 1, Post-test Day 1
    0:15 Prostatectomy Part II
    0:45 Pudendal Nerve
    1:45 Break
    2:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    3:15 LAB 4: Inclusive Language
    4:00 Lunch
    4:45 Colorectal Conditions
    6:15 Break
    6:30 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:30 Questions
    8:00 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. The actual start time of this a given day's Zoom meeting of this course will appear in the title of the remote course page on our website, as well as in the Teachable sections of the course in which you are registered.

    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

    KNOSIS Center for Physiotherapy & Wellness

    7 West 22nd St
    8th Floor
    New York, NY 10010
    Recommended Lodging

    Clarion Hotel Park Avenue
    (646)-604-6212

    429 Park Ave S
    New York, NY 10016
    Nearest Airport

    John F. Kennedy International Airport
    Airport Code: JFK

    Queens, NY 11430

     

    Directions from Recommended Lodging to Course Location

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 2A - Satellite Lab Course New York City, NY - April 24-25 2021
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    Pelvic Floor Level 2A - Tampa, FL - February 8-10, 2019 (SOLD OUT)

    {dtregister}725{/dtregister}
    Tampa
    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

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

    This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.

     

    Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

    Special Considerations:

    As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.

    PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.

    10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the In-Person Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

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

    Day Two:

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

     

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

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

     NameStreet Address (Links to Map)
    Course Location

    AdventHealth Wesley Chapel

    2600 Bruce B Downs Blvd
    Wesley Chapel, FL 33544
    Recommended Lodging

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

    2740 Cypress Ridge Blvd
    Wesley Chapel, FL 33544
    Nearest Airport

    Tampa International Airport
    Airport Code: TPA

    4100 George J Bean Pkwy
    Tampa, FL 33607

     

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

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.


    Heather S. Rader, PT, DPT, PRPC, BCB-PMD

    Heather Rader

    Dr. Heather Rader the owner of The OB PT Clinic, a practice devoted to the treatment of pregnancy-related pain and dysfunction, incontinence, pelvic organ prolapse, and complex pelvic pain located in Eustis, FL. A physical therapist since 1994, she graduated from the University of Miami with a Master’s degree in Physical Therapy and she completed her Doctorate in Physical Therapy from the University of St. Augustine in 2011. She was board certified in the use of Biofeedback for Pelvic Muscle Disorders in 2006. She was awarded the Pelvic Rehabilitation Practitioner Certification in 2014 and served as a subject matter expert and question writer for the PRPC examination. She is on faculty with the Herman & Wallace Pelvic Rehabilitation Institute, teaching Pelvic Rehabilitation around the country several times a year, teaching courses in the Pelvic Floor Series and Pregnancy Series.

    Her mission as an educator is to assist in the national expansion of qualified pelvic floor therapists and promote awareness of pelvic floor dysfunction to medical professionals and the community at large. She runs a social media site on Facebook called “Team Pelvic Floor”, which posts articles and facts about pelvic floor rehab while promoting a team approach to treating pelvic dysfunction. She is a practice consultant and mentors therapists wishing to incorporate pelvic rehabilitation into their practice.

    Office: 352-585-9135 

    Email: This email address is being protected from spambots. You need JavaScript enabled to view it.     

    Web: www.theobptclinic.com

    Facebook: www.facebook.com/TeamPelvicFloor

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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    Pelvic Floor Level 2A Satellite Lab Course - April 24-25 2021

    Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 3:30pm

    • Description

    • Schedule

    • Objectives

    • Instructors

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. 

    This continuing education course is comprised of 7 hours and 45 minutes of prerecorded lectures followed by 14 hours of live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in 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. The course also 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. Satelllite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

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

     

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the Live Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

    15 min. prior to start-time: Log in to Zoom Meeting, Zoom basic and etiquette, roll call
    0:00 Introduction, Goals, Objectives
    0:30 Colorectal Anatomy and Physiology Review, Anorectal Examination
    1:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    2:15 Break
    2:30 Fecal Incontinence, Case Study
    3:15 Constipation, Case Study
    4:00 Lunch
    5:00 Pelvic Pain: Prostatitis, Scrotal Pain
    6:00 Coccyx Dysfunction
    7:00 Break
    7.15 LAB 2: External Palpation & Intervention Posterior Pelvis
    8;15 Prostatectomy Part I
    9.15 Questions
    9:30 Adjourn

    Day Two:

    0:00 Questions from Day 1, Post-test Day 1
    0:15 Prostatectomy Part II
    0:45 Pudendal Nerve
    1:45 Break
    2:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    3:15 LAB 4: Inclusive Language
    4:00 Lunch
    4:45 Colorectal Conditions
    6:15 Break
    6:30 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:30 Questions
    8:00 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. The actual start time of this a given day's Zoom meeting of this course will appear in the title of the remote course page on our website, as well as in the Teachable sections of the course in which you are registered.

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

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

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

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  • Pelvic Floor Level 2A Satellite Lab Course - April 24-25, 2021
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    Pelvic Floor Level 2A Satellite Lab Course - Charlottesville, VA - April 24-25, 2021 (SOLD OUT)

    Eastern Time - Day 1: 11:00am - 7:30pm / Day 2: 11:00am - 6:30pm

    {dtregister}1484{/dtregister}

    Charlottesville

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructor

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. 

    This continuing education course is comprised of 7 hours and 45 minutes of prerecorded lectures followed by 14 hours of live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in 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. The course also 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. Satelllite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

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

     

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the Live Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

    15 min. prior to start-time: Log in to Zoom Meeting, Zoom basic and etiquette, roll call
    0:00 Introduction, Goals, Objectives
    0:30 Colorectal Anatomy and Physiology Review, Anorectal Examination
    1:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    2:15 Break
    2:30 Fecal Incontinence, Case Study
    3:15 Constipation, Case Study
    4:00 Lunch
    5:00 Pelvic Pain: Prostatitis, Scrotal Pain
    6:00 Coccyx Dysfunction
    7:00 Break
    7.15 LAB 2: External Palpation & Intervention Posterior Pelvis
    8;15 Prostatectomy Part I
    9.15 Questions
    9:30 Adjourn

    Day Two:

    0:00 Questions from Day 1, Post-test Day 1
    0:15 Prostatectomy Part II
    0:45 Pudendal Nerve
    1:45 Break
    2:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    3:15 LAB 4: Inclusive Language
    4:00 Lunch
    4:45 Colorectal Conditions
    6:15 Break
    6:30 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:30 Questions
    8:00 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. The actual start time of this a given day's Zoom meeting of this course will appear in the title of the remote course page on our website, as well as in the Teachable sections of the course in which you are registered.

    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

    Ivy Rehab Physical Therapy
    Spectrum Physical Therapy

    2050 Abbey Rd Ste B
    Charlottesville, VA 22911
    Recommended Lodging

    Hilton Garden Inn Charlottesville
    (434)-979-4442

    1793 Richmond Rd
    Charlottesville, VA 22911
    Nearest Airport

    Richmond International Airport
    Airport Code: RIC/p>

    1 Richard E Byrd Terminal Dr
    Richmond, VA 23250

     

    Directions from Recommended Lodging to Course Location

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 2A Satellite Lab Course - Charlottesville, VA - April 24-25, 2021
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    Pelvic Floor Level 2A Satellite Lab Course - Truckee, CA - April 24-25, 2021

    Pacific Time - Day 1: 8:00am - 4:30pm / Day 2: 8:00am - 3:30pm

    {dtregister}1649{/dtregister}

    Truckee

    • Description

    • Schedule

    • Objectives

    • Location/Lodging

    • Instructors

    • Discounts

    Price: $645 
    Experience Level: Intermediate
    Contact Hours: 21 hours

    This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location. 

    This continuing education course is comprised of 7 hours and 45 minutes of prerecorded lectures followed by 14 hours of live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.

    Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.

    Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in 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. The course also 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. Satelllite lab courses are often limited to very small groups of around ten, meaning seats are scarce. It is highly recommended you sign up as soon as you are able so you do not miss out on a seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course. 

     

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

     

     

    Audience:

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

     

    Prerequisites:

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

     

    Required Readings:

    1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence
    2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation
    3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE)
    4. The European Urology Association'sGuidelines on Chronic Pelvic Pain
    5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link (use discount code ELS25OFF). Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.

     

    Additional Helpful Resources:

    1. Male Pelvic Pain - go to malepelvicfloor.com
    2. Many participants also find it helpful to review the anatomy of the pelvis and perineum


    References

    Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation
    Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517

    Recorded Lecture: Watch Before the Live Component of the Course

    1. Colorectal Anatomy & Physiology (75 Min)

    2. Medical Testing & Rehab Examination (45 Min.)

    3. Fecal Incontinence (60 Min.)

    4. Constipation (60 Min.)

    5. Anatomy: Pelvic Floor, Penis, Scrotum & Contents (60 Min.)

    6. Pudendal Nerve Dysfunction (45 Min.)

    7. Topics in Inclusive Care (60 Min.)

    8. Colorectal Conditions (45 Min.) 

    Day One:

    15 min. prior to start-time: Log in to Zoom Meeting, Zoom basic and etiquette, roll call
    0:00 Introduction, Goals, Objectives
    0:30 Colorectal Anatomy and Physiology Review, Anorectal Examination
    1:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping
    2:15 Break
    2:30 Fecal Incontinence, Case Study
    3:15 Constipation, Case Study
    4:00 Lunch
    5:00 Pelvic Pain: Prostatitis, Scrotal Pain
    6:00 Coccyx Dysfunction
    7:00 Break
    7.15 LAB 2: External Palpation & Intervention Posterior Pelvis
    8;15 Prostatectomy Part I
    9.15 Questions
    9:30 Adjourn

    Day Two:

    0:00 Questions from Day 1, Post-test Day 1
    0:15 Prostatectomy Part II
    0:45 Pudendal Nerve
    1:45 Break
    2:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain
    3:15 LAB 4: Inclusive Language
    4:00 Lunch
    4:45 Colorectal Conditions
    6:15 Break
    6:30 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment
    7:30 Questions
    8:00 Adjourn

     

    Notice this schedule starts each day at 0:00. The course does not start at mid-night! This schedule is meant to show the duration of each component of the course, not the actual start-time of each lecture. The actual start time of this a given day's Zoom meeting of this course will appear in the title of the remote course page on our website, as well as in the Teachable sections of the course in which you are registered.

    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

    Tahoe Forest Center for Health and Sports
    Performance / Alliance Therapy Partners

    10121 Pine Ave,
    Truckee, CA 96161
    Recommended Lodging

    SpringHill Suites by Marriott Truckee
    (530)-563-9500

    10640 E Jibboom St
    Truckee, CA 96161
    Nearest Airport

    Reno-Tahoe International Airport
    Airport Code: RNO

    2001 E Plumb Ln
    Reno, NV 89502

     

    Directions from Recommended Lodging to Course Location

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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.

    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 Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

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  • Pelvic Floor Level 2A Satellite Lab Course - Truckee, CA - April 24-25, 2021
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    Pelvic Floor Level 2B - Atlanta, GA - October 28-30, 2016

    {dtregister}340{/dtregister}
    Atlanta

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

    • Description

    • Schedule

    • Objectives

    • Instructors

    • Location/Lodging

    • Discounts

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

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

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

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

     

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

     

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

     

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

     

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

     

    Prerequisites:

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

     

    Audience:

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

     

    Assignments:

    In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar.

    Prerequisite Skills Review

     

    Required Readings

    1. Stress Urinary Incontinence and Pelvic Load Transfer by Diane Lee and Linda-Joy Lee
    2. Read the articles from the National Vulvodynia Association website on vulvodynia and its diagnosis
    3. Painful Bladder Syndrome/Interstitial Cystitis by Jane M. Meijlink
    4. Review the anatomy of the pelvis and perineum
    5. The Standardization of Terminology of Pelvic Floor Muscle Function and Dysfunction Report from the Pelvic Floor Clinical Assessment Group of the ICS
    6. Gray's Anatomy for Students - Ebook available at a 20% discount at the preceding link. Use discount code GR56R4W59Q. Registrants who already own a copy, are not required to purchase an additional one. Please Contact Us with any questions about the use of this text as a required reading in this course.


    References

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

    Recorded Lecture: Watch Before the In-Person Component of the Course

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

    Timing listed below reflects Pacific Standard Time

    Day One:

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

     

    Day Two:

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

     

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

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

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

    Pamela A. Downey, MSPT, DPT, BCIA-PMDB

    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

    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

    Emory Healthcare

    2701 N Decatur Rd
    Decatur, GA 30033
    Recommended Lodging

    Courtyard Marriott Atlanta Decatur Downtown/ Emory
    (404) 371-0204

    130 Clairemont Ave
    Decatur, GA 30030
    Nearest Airport

    Hartsfield–Jackson Atlanta International Airport
    Airport Code: ATL

    6000 N Terminal Pkwy
    Atlanta, GA 30320

     

    Directions from Recommended Lodging to Course Location: (click