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Pudendal Neuralgia and Nerve Entrapment

Herman & Wallace Pelvic Rehabilitation Institute

Objectives

Upon completion of this continuing education seminar, participants will be able to:
Describe the differential diagnoses when a patient presents with a diagnosis of ‘pudendal neuralgia’
Review the neuro-anatomy of the pelvis
Explain the need for a multi-faceted approach to assess and treat the pudendal pain patient
Identify the medical and surgical treatment options available for the pudendal neuralgia patient
Describe integrative treatment approaches for the pudendal neuralgia patient
Recognise the need for addressing psychosexual health issues with this patient population
Develop an integrative approach for treatment that addresses the orthopaedic, pelvic rehab and psychosocial needs of the pudendal pain patient

Target 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.

Agenda

Day One:
7:30 Registration 8:00 Introduction, Goals & Objectives 8:30 Pudendal Dysfunction: Neuropathy, Neuralgia or Entrapment? 9:00 Pelvic Neuro-anatomy 10:30 Break 10:45 Lab: Lab: Neural Mapping, Assessing Neural Integrity and Neurodynamics 12:30 Lunch 1:30 Risk factors for developing Pudendal Problems 2:15 Lecture/Lab: Assessing the Pudendal pain patient – integrating orthopaedic, pelvic floor and biopsychosocial approaches into the subjective and objective assessment 4:30 Q and A, wrap up 5:00 Adjourn

Day Two:
8:00 Integrative approach to Pelvic Pain – nutrition, neuroscience and mindfulness as therapeutic interventions 9:30 Multi-disciplinary treatment: medical & surgical treatment options 10:45 Break 11:45 The role of Manual Therapy, Exercise Prescription & Lifestyle Advice 12:00 Lab: Therapeutic Options: Pelvic Rehab Treatment 1:00 Lunch 1:45 Psychosexual Health Issues 2:45 Case Studies, Clinical Reasoning and Treatment Planning 3:30 Q and A, wrap up 4:00 Adjourn

Description

Pudendal neuralgia is defined as ‘a painful neuropathic condition involving the dermatome of the pudendal nerve’ (Robert et al 1998) but there are few diagnoses that cause as much confusion and fear for both patient and provider. Simultaneously overused as a diagnosis for pelvic pain and yet misunderstood by both physicians and therapists, diagnosis (and differential diagnosis) of Pudendal Neuralgia can be a complex, chronic and often costly source of pelvic dysfunction for many of our patients, male and female, young and old. The aim of this course is to thoroughly engage the practitioner with the anatomy, physiology, function and dysfunctions of this condition and to provide a broad spectrum treatment approach using the best clinical evidence available

This continuing education course is a two-day seminar designed to provide a thorough introduction to evaluating and treating patients with Pudendal Dysfunction, including Neuropathy, Neuralgia and Entrapment. Lecture will include a review of pelvic neural anatomy, as well as a review of multi-disciplinary treatments, including medical & surgical treatment options. This course presents an integrative approach to pelvic pain; psychosexual health issues, nutrition, neuroscience and mindfulness will also be addressed. Labs will cover Neural Mapping Assessment, therapeutic options, and techniques which integrate orthopaedic, pelvic floor and biopsychosocial approaches into the subjective and objective assessment.

Special Considerations:
The labs for this course will involve external and internal hip and pelvic floor evaluation and treatment. Please wear black leggings or yoga pants for nerve mapping.

Date And Locations
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