Dutch Manual physiotherapist Cecile Röst experienced first-hand the difficulties of pregnancy related pelvic girdle pain (PGP). During her third pregnancy she developed a program of exercises and treatment techniques which dramatically improved her ability to perform her activities of daily living, something she was not able to do with her first two pregnancies. The program was also effective for other pregnant and postpartum women who tried them. To satisfy her desire to know why these exercises worked, Cecile completed her manual therapy training, and completed and published two studies in Spine and Acta Obstetrica and Gynecologica Scandinavia. Cecile wrote her book “Relieving Pelvic Pain During and After Pregnancy” to help give women access her treatment approach. Cecile has shared her assessment and treatment techniques with thousands of women and has taught courses in Europe and Canada so that other physiotherapists can do the same.
Susannah Britnell has treated hundreds of women with PGP in the last ten years and took Cecile’s course in 2008. She was amazed at how effective the program was and she now uses the program with women with persistent pelvic pain. Together they have been teaching physiotherapists in Canada.
Relevance to health care professionals
In the literature, treatment methods to relieve pelvic girdle pain include manual therapy and exercise, although there are few studies guiding us with specific, effective approaches. Cecile Röst has developed a very practical approach, initially based on personal experience, then consolidated through research, which has helped thousands of women with PGP. Although Cecile Röst’s research focused on peri-partum patients, this approach is also helpful clinically when addressing acute and chronic sacro-iliac and pubic pain in men, and in women who are not pregnant.
It is often difficult to know where to start when working with someone with very acute back/pubic pain, especially in pregnancy. Many women are told by their health professional, including physiotherapists, that back pain is a normal part of pregnancy, or that there is nothing much that can be done because they are pregnant. Not only that, but they are told that their pelvis is “unstable”, that they should “be careful”, and that they should “limit their activity and avoid painful movements”, all of which perpetuate fear and pain. This course will give participants the confidence to treat these patients. The techniques are easy to integrate into clinical practice and participants will be able to start practicing this approach immediately.
Through completion of this course, participants will:
- Discuss and take into account the multiple factors that contribute towards PGP, including local, regional and central components when assessing patients
- Perform an assessment to identify PGP using validated functional and pain provocation tests
- Practice the Rost therapy treatment program
- Describe the impact of body mechanics, how movement patterns may perpetuate PGP, and how to change these to improve PGP
- Strategies to decrease fear of pain and movement, which have both been shown to limit function and perpetuate pain.
This course is open to physiotherapists, physiotherapy students, naturopathic doctors, registered nurses, midwives and medical doctors.
Day 1 – 8:30am-4:30pm
Day 2 – 8:30am-4:30pm
Registration begins on the first day 30 minutes prior to the start time.
This course does not involve internal palpation