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Level 2/3A: Female & Male Pelvic Pain – April 2020

April 2, 2020 - April 5, 2020
Registration Information
  • Regular Course Price:
    $1279
    after February 20th, 2020

Please note:

To register for this course, please download the following registration forms in pdf format and email it to info@pelvichealthsolutions.ca or fax it to 888-653-4533

download the PDF
Level 2 and 3 April 2020

Part A (3A):

Course Description:

Historically, physiotherapists have been trained from a biomedical approach.  Making the transition to a biopsychosocial approach has been a challenge for many clinicians because of our rich biomechanical training.  Over the past 15 years, research has been knocking on our cognitive door to embrace a biopsychosocial framework when treating persistent pain.  Pain Biology Education has been at the forefront of this practice shift; yet, many physiotherapists are left talking about pain from a biopsychosocial perspective, falling back on their biomechanical skills within their treatment approaches.  How do we truly incorporate a biopsychosocial approach?  A framework is needed to address the biological, tissue components of a persistent pain experience as well as the psychosocial distress components so that every patient can be addressed through a true biopsychosocial lens.  The use of distress questionnaires and skills training for the psychosocial components is lacking in many physiotherapy training programs.  This course will teach you how to use distress questionnaires to assess the drivers of a centrally sensitized state.  Matching treatment techniques such as pain biology education, yoga, qi gong, meditation, sensori-motor retraining, expressive writing exercises and cardiovascular exercise to each patient’s “driver” of their sensitized state will help to enhance treatment outcomes and streamline treatment.

This is a lecture-format and lab-based course. Included in the cost of the course are handouts and resources for each of the techniques learned.  The audio resources presented at the course for meditation, progressive relaxation exercises and qi gong can be purchased through an online app called Embodia. (www.embodiaacademy.com)

Course Objectives:

  • To move beyond “talking” about a biopsychosocial model of care to truly incorporating this model into your practice
  • To define central sensitization and how to measure it
  • To understand a clinical framework for treating persistent pain that expands on your current biomechanical skills (from new grad to seasoned clinician)
  • To learn how to assess various drivers of a sensitized nervous system and to “match” evidence-based psychosocial skills to these drivers
  • To learn how to incorporate pain biology education in to your practice using accurate language and metaphors; please note, this is NOT an Explain Pain course. This course is designed to teach you how and when to incorporate pain biology education within your practice.
  • To learn novel movement exercises including four qi gong routines for the upper body, lower body, breathing and organs to help to address sensori-motor smudging as well as generalized tension

Part B (2)

Course Description:

Many people experience pelvic pain and dysfunction which severely affects their quality of life. Topics covered on this course include the evaluation and hands-on treatment for the following conditions that contribute to pelvic pain: vulvodynia, vestibulodynia, persistent genital arousal disorder (PGAD), clitoral phimosis, dyspareunia, vaginismus, lichens sclerosis (LS), genitourinary syndrome of menopause (GSM), pudendal neuralgia (PN), bladder pain syndrome (BPS), interstitial cystitis (IC), chronic non-bacterial prostatitis, chronic pelvic pain syndrome (CPPS), dysmenorrhea, endometriosis and irritable bowel syndrome (IBS). Physiotherapists will learn how the recognize the pathophysiology, signs and symptoms that lead to these impairments, the functional limitations and disabilities they cause, outcome measures that can be used in the clinic and treatment interventions. This course is designed to teach physiotherapists how to evaluate the female and male pelvic floor by learning specific examination and treatments for these conditions. This is a lecture-format and lab-based course.

Support documents, including assessment forms and patient handouts are included in the course cost (see resources tab).

Through completion of this course, participants will:

  • Understand the conditions/definitions of vulvodynia, vestibulodynia, persistent genital arousal disorder, clitoral phimosis, dyspareunia, vaginismus, lichens sclerosis, genitourinary syndrome of menopause, pudendal neuralgia, bladder pain syndrome, interstitial cystitis, chronic non-bacterial prostatitis, chronic pelvic pain syndrome, dysmenorrhea, endometriosis and irritable bowel syndrome
  • Understand the common symptoms, impairments, functional limitations and disabilities associated in female and male pelvic pain
  • Review the literature supporting the role of physiotherapy in the treatment of female and male pelvic pain conditions
  • Review pelvic floor anatomy, particularly with regards to female and male pelvic pain conditions
  • Improve palpation skills, vaginally and rectally, of the specific pelvic floor muscles in all three layers
  • Perform internal and external, vaginal and rectal myofascial and soft tissue treatment techniques specific to pelvic pain conditions
  • Describe specific client related education and behavioural instruction related to female and male pelvic pain conditions
  • Understand and develop an appropriate treatment plan which includes a home exercise program for female and male pelvic pain
  • Recognize the importance of a multidisciplinary approach
  • Integrate concepts learned in four days during case studies

Audience:

This course is open to physiotherapists, physiotherapy students, naturopathic doctors, registered nurses, midwives and medical doctors. Labs include internal palpation.

Hours:

Thursday: 8:00am-5:00pm

Friday: 8:00am-5:00pm

Saturday: 8:30am-5:00pm

Sunday: 8:30am-5:00pm

Registration begins on the first day 15 minutes prior to the start time.

Prerequisite:

Level 1 course (or equivalent to be approved)

Please Note:

This course is both lecture format and practical labs with vaginal and rectal palpation

Resource Materials

The resources listed below are included in the cost of the course, and will be provided to each participant in electronic, PDF format upon successful completion of the course.

Documents:

Assessment

  • Persistent pain questionnaire
  • Pelvic Girdle Assessment Questions

Education and Tracking

  • Activity Monitor
  • Body Changes Secondary to Persistent Pain
  • Natural remedies for pelvic pain
  • Pain education in a nutshell
  • Power to change the nervous system
  • Urinary tract infection prevention

Exercises

  • Breathing in a non-exercise program
  • Breathing techniques
  • Calves on a stool with repetitive extension in lying
  • Calves on a stool
  • Circulation and the Pelvic Floor Muscles
  • Dynamic Pelvic Floor and Core Exercises
  • Dynamic stretching
  • Fab Five Pelvic Exercises
  • Foam Roller
  • Functional Activities for the Sacro-Iliac joint
  • General exercise and pelvic flexibility and strength
  • Levator Ani
  • Mobilizing
  • Office stretches
  • Pelvic floor lengthening
  • Pilates core program
  • Reverse Kegel down-training series
  • Yoga

Self-care

  • Choices to calm a sensitized nervous system
  • Connective tissue massage for symphysis pubis and bladder
  • External massage techniques
  • Internal pelvic muscle work
  • Internal trigger point release-self treatment
  • Scar tissue massage
  • Self connective tissue massage
  • Anterior trigger points
  • Side trigger points
  • Posterior trigger points
  • Vulvar care

Outcome and Communication

  • Chronic prostatitis Index
  • Diazepam research
  • Fibromyalgia Impact questionnaire
  • Vulvar pain functional questionnaire
  • Diazepam fax cover sheet

Level 2:

The level II course was a monumental supplement to my practice, and gave me more confidence in my ability to treat a dysfunctional pelvic floor altogether. The way this course built on the Level I course was a great natural progression. I also purchased the level II resource manual which I pull from daily, and the additional ‘tools’ are easy are for clients to understand and feel good about.

– Lindsay T


Pelvic pain is often an area of concern and questioning that has been overlooked in PT training. The level II Female and Male Pelvic Pain course has given me the tools to not only screen patients for need of pelvic assessment but also understand the various mechanisms involved in pelvic pain to properly assess and treat.

– Kelly S


Since applying techniques from the Level II course, 100% of my pelvic pain clients have improved. I am now treating these clients with confidence and grace. The holistic approach, wonderful analogies to use with clients, and dozens of hands on skills have dramatically altered my practice. I’m sure my clients would thank you if they could!

– Marika W


Level 3:

Not only should this course be mandatory for every physiotherapist to take, it should definitely be taught in our university programs. The majority of patients who we see have had pain for longer than three months. Chronic pain often exists with other co­ morbidities making these patients more complex. This course provides you with the knowledge and useful tools to help treat these patients more effectively and with increased satisfaction and innovation.

– Jill M


This course has changed the way I practice-not just pelvic health, but in orthopedics overall. They present the latest research findings in pain science with treatment techniques that you will use right away for all of your clients. And to top it off, they provide electronic files to share with your clients immediately. It’s so much more than tissue issues!!!

– Sheela Z


This course was a complete practice changer. In university we spent very little time learning about pain and what I did learn was not the current scientific knowledge. Our profession is centered around treating pain, which makes understanding the intricate nature of pain really important. This course taught me the current pain neuroscience and about the biopsychsocial model. Knowing this information helps me better identify who might be at risk of developing chronic pain and therefore educate them early about pain. I also feel more confident in treating patients with chronic pain, instead of feeling overwhelmed on how to approach treatment I now have skills to better understand and treat that patient’s pain and what might be contributing to it. I highly recommend any physiotherapist to take this course.

– Madelaine G


 

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