Printer Friendly Copy

Sacral Nerve Manual Assessment and Treatment

Herman & Wallace Pelvic Rehabilitation Institute

Objectives

Upon completion of this course, participants will be able to:
Describe symptoms (sensory vs motor) for each peripheral sacral nerve: pudendal (dorsal, perineal, and rectal branches), sciatic, superior and inferior gluteal, coccygeal nerves
Name common causes of injury for each nerve
Identify the anatomy and pathway of each nerve
Perform neural tension test for differential diagnoses when applicable
Perform mobilization of nerve
Perform neural/fascial pathway to release surrounding peri-neural structures from common regions of entrapment
Perform local balancing/integration of nerve
Perform neural gliding and sliding of nerve when applicable
Prescribe a home program to maintain neural mobility or improve brain to nerve pathway
Address local osseous and visceral restrictions that can be directly affecting the nerve, including the following relationships
Uterus and sacrum
Sacrum and coccyx
Sacro/coccygeal region with sacrotuberous and sacrospinous ligaments
Coccyx torsion and malposition
Deep and superficial fascial restrictions in the ischiorectal fossa
Inferior dural tube and anococcygeal ligament

Agenda

Day One: (more details soon)
7:30 Registration 8:00 Introductions, objectives and overview 5:30 Adjourn
Day Two: (more details soon)
8:00 Class begins 5:30 Adjourn
Day Three: (more details soon)
7:00 Class begins 3:00 Adjourn

Description

This three-day course for the experienced pelvic rehab therapist will address manual treatments and problem-solving assessments for the major contributory nerves from the sacral plexus to the pelvis in an organized, systematic fashion. Peripheral sacral plexus nerves included in this course are (sciatic, superior and inferior gluteal, coccygeal nerves, inferior dural tube, pudendal nerve, dorsal clitoral/penile branch, perineal branch, and inferior rectal or hemorrohoidal nerves), which run anterior to the sacrum and coccyx. To effectively decompress the pathway of these nerves, one must also precisely address the torsional patterns of the sacrum with the uterus, the sacro-coccygeal transition, torsional patterns or misalignment within the coccyx, the interplay of the sacrospinus and sacrotuberous ligaments along common sites of neural entrapment, as well as the position of the sacrum. Assessment and treatment of all the above structures will be address and combined into a usable clinical package with problem solving and manual and therapeutic solutions. Clinical assessment and differential diagnosis will include history, symptoms, strength and sensation changes, and differential neural tension testing for each major peripheral nerve of the sacral plexus. Students will practice interactively mapping the pathway of each nerve and neuro-fascial techniques to decompress the nerve along the path, including common sites of entrapment and impingement. Treatments will encompass manually releasing the specific fascial pathway of each nerve, decompressing the peripheral plexus, and direct neural manipulation. Once the nerve path is addressed, neural mobilization with movement (gliding), manual regional integration with the nervous system, and home program to maintain neural strength and mobility will provided in easy to use handouts for your patients (when applicable).
This course will be very lab heavy, around 65% of the course will be interactive, hands-on learning. PF2A or another intra-rectal pelvic mapping course is a pre-requisite for this course, and this course is an excellent course to follow Capstone.
Nerves transmit pain messages. When nerves are compressed they can cause pain or weakness. Pelvic rehab is traditionally centered around muscles, but muscles are at the will of the innervating nerve. Frequently the nerve is overlooked as the source of pain or weakness. Unfortunately, the patients who receive diagnoses such as neuropathic pain or nerve entrapment are presented with few options. Pelvic neural pain can be mimic or be the actual cause of vulvodynia, labial pain, gluteal and low back pain, SI pain, lower abdominal and bladder pain, pubic symphysis pain, as well as many other syndromes and weakness, such as hypertonicity in the pelvic floor or anorgasmia.

Date And Locations
Provider does not currently list available courses on RehabEdge.