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Special Topics in Women's Health

Herman & Wallace Pelvic Rehabilitation Institute

Objectives

Upon completion of this course, the participant will be able to:
1. Describe the etiology, prevalence and implications of endometriosis, PCOS, Adenomyosis and Dysmennorhea
2. Identify the consequences of the ‘Evil Triplet Syndrome’ of Endometriosis, Pudendal Neuralgia and Interstitial Cystitis
3. Describe and provide patients with information and resources on a multi-disciplinary approach to hormonally driven gynecologic dysfunction
4. Explore the evidence for yoga as a therapeutic intervention for pelvic pain and dysfunction
5. Discuss the role of manual therapy and exercise prescription in working with fertility issues
6. Define the role of the Pelvic Therapist as part of a multi-disciplinary approach to sexual dysfunction
7. Demonstrate an understanding of the indications and precautions regarding exercise prescription post- hysterectomy

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.

Confirmation Notes

What to bring:
Participants should feel free bring lap tops or tablets for use during marketing and documentation labs.

Agenda

Day One:
7:30 Registration 8:00 Introduction, goals and objectives 8:30 Hormonally driven dysfunctions: understanding PCOS, Adenomyosis and Dysmennorhea 9:30 Endometriosis – what is it, who does it affect and how? 10:15 Break 11:15 The role of the Pelvic Rehab Therapist in Endometriosis 12:00 Lunch 1:00 Lab: Assessment and treatment skills: from manual therapy to exercise prescription 2:00 Chronic Pelvic Pain – a biopsychosocial integrative approach 3:00 Lab: Yoga as a therapeutic intervention for endometriosis, dysmennorhea and fertility 4:00 Q & A, wrap up 4:30 Adjourn

Day Two:
8:00 Review Day 1, Preview Day 2 8:30 Understanding fertility & infertility, and the role of the Pelvic Rehab Therapist 10:20 Break 10:30 Lab: Integrative approaches for fertility promotion 11:30 Hysterectomy: Approaches & Implications 12:15 Lunch 1:15 Lab: Rehab strategies post hysterectomy 2:15 Sex and Sexuality: Sexual Interviewing & Sexual Ergonomics 3:45 Q&A, wrap-up 4:00 Adjourn

Description

This two-day, intermediate course covers special topics in women's health, for therapists who wish to expand and deepen their knowledge of gynecologic dysfunction including hormonal disorders - PCOS, Adenomyosis, Dysmennorhea and Endometriosis. Day 1 looks at the pathophysiology of these disease processes and the evidence for a conservative integrative approach, led by the pelvic rehab therapist. Day 2 addresses the evidence for the role of the pelvic rehab specialist in working with issues such as sexual dysfunction, infertility and hysterectomy.
Writing about an Integrated Approach to Pelvic Pain’, Robert J. Echenberg, MD states: ‘The pelvic region is the busiest region of the body, both functionally and mechanically. We constantly use our pelvic region with all of the obvious bodily functions of elimination, reproduction, sexual pleasure—and we really can’t do any other activities without structurally using our pelvis as well. Plus the stats are astounding—estimates of up to 30 million women and an unknown number of men suffer from CPP in the U.S. alone. Because there are so many conditions that overlap within the pelvis and elsewhere in the body, the biggest challenge to our system itself is that we are not training pelvic pain specialists who look at the whole person and know how to “connect the dots” regarding pain management expertise.’ (ICA Spring Update 2015)
It is estimated that polycystic ovarian syndrome affects about 8-10% of women of reproductive age. The infertility rate with polycystic ovaries is very high - women usually will have difficulty getting pregnant - and usually require treatment to improve chances for pregnancy, as well as dealing with metabolic disorders such as Type 2 Diabetes. Endometriosis is most common in women in their 30s and 40s, but it can affect any female; current estimates suggest that 6% to 10% of women of reproductive age have endometriosis, or approximately 5 million women in the United States. (nih.gov). Endometriosis may occur in about 75% of women with pelvic pain. Among women with fertility issues, endometriosis may occur in as many as 50%. Other common symptoms of endometriosis include: painful, even debilitating, menstrual cramps, which may get worse over time, dyspareunia (pain with intercourse), colorectal and urinary dysfunction.
Many of the treatment approaches for pelvic pain and dysfunction are unilateral, invasive and unsatisfactory. Pelvic rehab providers can provide conservative treatment approaches which are low risk and with good outcomes, particularly in the multi-disciplinary management of pelvic pain, urinary and colorectal dysfunction, post-hysterectomy sexual dysfunction, and even in some cases infertility.
This course is designed to give pelvic rehab providers a depth of knowledge regarding pathophysiology and treatment of these disorders, but also to explore and implement the evidence that an integrative approach, with a focus on pelvic health as the foundation for establishing a healthy lifestyle, is the gold standard for empowering women to live healthy lives

Date And Locations
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