Finding the Driver in Pelvic Pain

Herman & Wallace Pelvic Rehabilitation Institute

Format(s):   Live Seminars
Discipline(s):   Physical Therapy / Occupational Therapy
Contact Hours:   21.75
Registration Fee:   $725.00

Objectives

Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:
1. Understand musculoskeletal contributing factors to pelvic pain and elimination disorders.
2. Perform a musculoskeletal scan exam to screen for red flags and contributing factors to pelvic pain
3. Understand neural, vascular and functional anatomy associated with musculoskeletal and pelvic pain co-morbidities.
4. Perform an external and internal intravaginal pelvic floor assessment and document findings with mapping tool.
5. Describe pelvic pain drivers including vulvodynia, interstitial cystitis (IC)/painful bladder syndrome (PBS), lichens sclerosis and post-partum perineal injuries.
6. Fill out a bowel and bladder diary and understand its role in evaluation and treatment of pelvic pain.
7. Dialogue through the clinical reasoning of multiple case studies regarding musculoskeletal and urogynecologic (Vulvodynia, IC, Dyspareunia, Incontinence) co-morbidities to pelvic floor dysfunction to design and prioritize evaluation and treatment interventions.
8. Discuss clinician and client treatment interventions including neural down regulation, client education resources and home self-treatment options.

Target Audience

Physical therapists, occupational therapists, advanced practice nurses and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics

Confirmation Notes

Agenda

Day One:
7:30 Registration and Continental Breakfast 8:00 Introductions, objectives and overview 8:15 Core Concepts 8:45 Pelvic Floor Anatomy 9:45 Pelvic Floor TheraBand Demo 10:00 Break 10:15 External Bony Landmark Palpation and Perineal Exam 11:00 Lab 1: External Bony Landmark and Perineal Exam 12:00 Lunch 1:00 Intrapelvic Structural Mapping of Muscles and Nerves 1:45 Lab 2: PFM Mapping, Pudendal Nerve Pathway Identification 3:00 Break 3:15 Bowel and Bladder Norms vs. Your B and B Diary findings 4:00 Case Study: Finding the Driver 4:30 Post test and review 5:00 Adjourn

Day Two:
7:30 Continental Breakfast and Registration 8:00 Questions and Answers 8:15 Pelvic Pain Drivers: Vulvodynia, IC/PBS, Pudendal Neuralgia 9:30 History Taking and FO Methods for Pelvic Pain 10:15 Break 10:30 Musculoskeletal Contributing Factors to Pelvic Pain 11:45 Musculoskeletal Scan Exam for Pelvic Pain 12:30 Lunch 1:30 Lab 3: Musculoskeletal Scan Exam for Pelvic Pain Lecture and Lab 3:00 Break 3:15 Case Study: Pelvic Pain with musculoskeletal condition as primary driver 4:30 Post Test and review 5:00 Adjourn

Day Three:
7:00 Continental Breakfast 7:30 Lab 5: Cumulative Lab practicum: History, B and B Diary, Musculoskeletal Scan Exam 8:45 Case Study: Finding the Driver 9:30 Break 9:45 Lab 6: Cumulative Lab Practicum: Musculoskeletal and Pelvic Floor Scan exam 10:15 Case Study: Vulvar Pain with multiple Co-morbidities 11:30 Lunch 12:15 Lab 7: External PFM Techniques: Manual Therapy to Pelvic Ring for PFM Release and Joint Mobilization 1:45 Case Presentations: Clinical Reasoning 2:45 Post-Test, Questions & Gratitude! 3:30 Adjourn

Description

Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.

This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.