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Lumbar Nerve Manual Assessment and Treatment - Seattle, WA - October 16-18, 2020

  • Description

  • Objectives

  • Schedule

  • Location/Lodging

  • Instructors

  • Discounts

Price: $695 (Early Registrant Price $675)
Experience Level: Intermediate
Contact Hours: 21

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 lumbar plexus to the pelvis in an organized, systematic fashion. 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 lumbar 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, treating the proximal spinal nerve for each peripheral nerve, 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.

Neural structures addressed in this course include the lumbar plexus nerves (Iliohypogastric, Ilioinguinal, Genitofemoral, Lateral Femoral Cutaneous Nerve, Femoral Nerve and Obturator Nerve and Foramen), This course will be very lab heavy, around 65% of the course will be interactive, hands-on learning.

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, groin pain, IT band pain, as well as many other syndromes and weakness, such as weakness in the transverse abdominus.


Participants must have prior experience with internal vaginal assessment. Pelvic Floor Level One or comparable experience is required. Additional intermediate coursework, Pelvic Floor Level 2A or 2B, is recommended. This is an excellent course to follow Capstone.

What to Bring:

Please click here to download a full list of items to bring with you to the course
Yoga Mat

Highly Suggested Text: Gray's Anatomy for Students - Available at a 20% Discount for Herman & Wallace registrants (use discount code ELS25OFF). Registrants who already own a copy are not required to purchase an additional one. For those who are interested in making the shift to digital, there is an ebook version of Gray's Anatomy for Students through the above link. You may wish to purchase the hard copy of the book to be able to take notes in class.


Upon completion of this course, participants will be able to:

  1. Describe symptoms (sensory vs motor) for each structure listed below
  2. Identify the anatomy and pathway of each nerve
  3. Perform neural tension test for differential diagnoses
  4. Perform mobilization of nerve
  5. Perform neural/fascial pathway to release surrounding peri-neural structures from common regions of entrapment
  6. Perform local balancing/integration of nervous system
  7. Perform neural gliding and sliding of nerve
  8. Prescribe a home program to maintain neural treatment
    • These objectives will focus on the following nerve structures:
    • Lumbar plexus and nerve roots
    • Ilioinguinal nerve
    • Iliohypogastric nerve
    • Genitofemoral nerve
    • Lateral femoral cutaneous nerve
    • Femoral nerve
    • Obturatur nerve
    • Abdominal wall mobilization

Day One

7:30-8:00 Registration
8:00-8:20 Introductions, Course Intro
8:20-9:45 Lecture: Anatomy/Physiology of the nervous system and Lumbar Plexus
9:45-10:15 Neural Tension Testing
10:15-10:30 Break
10:30-11:45 Neural Research
11:45-12:30 Lumbar Nerve Roots
12:30-1:30 Lunch
1:30-2:15 Femoral Nerve Lecture and Tracing
2:15-3:00 Lab: Drawing Anatomy
3:00-3:30 Femoral Nerve Lab: Part 1
3:30-3:45 Break
3:45-5:15 Femoral Nerve Lab: Part 2
5:15-5:30 Femoral Nerve Home Program
5:30 Adjourn

Day Two

8:00-8:30 Review and draw brachial plexus
8:30-9:30 Inguinal and Iliohypogastric Nerve Lecture
9:30-10:15 Iliohypogastric Nerve treatment: Part 1
10:15-10:30 Break
10:30-11:15 Iliohypogastric Nerve Treatment: Part 2
11:15-12:00 Ilioinguinal Lecture
12:00-12:30 Ilioinguinal Lab: Part 1
12:30-1:30 Lunch
1:30-2:15 Ilioinguinal Lab: Part 2
2:15-2:50 Genitofemoral Nerve Lecture and Tracing
2:50-3:30 Genitofemoral Lab: Part 1
3:30-3:45 Break
3:45-4:15 Genitofemoral Lab: Part 2
4:15-4:30 Inguinal Nerve Home Program
4:30-5:30 Abdominal wall/Diastasis Lab Treatment Sequence
5:30-6:00 Regional Integration Techniques
6:00 Adjourn

Day Three

7:15-7:35 Review
7:35-8:20 Obturator Nerve Lecture
8:20-10:15 Obturator Lab
10:15-10:30 Break
10:30-10:45 Obturator Home Program
10:45-11:30 Lateral Femoral Cutaneous Nerve Lecture
11:30-12:15 Lunch
12:15-1:30 Lateral Femoral Cutaneous Nerve Lab
1:30-1:50 Lateral Femoral Cutaneous Nerve Home Program
1:50-2:20 Nerve Medical Management
2:20-2:35 Break
2:35-3:15 Case Studies
3:15-3:30 Wrap up, Complete course/evals and certificates
3:30 Adjourn

 NameStreet Address (Links to Map)
Course Location

The Everett Clinic

7600 Evergreen Way
Everett, WA 98203
Recommended Lodging

Silver Cloud Inns & Hotels

718 Front St
Mukilteo, WA 98275
Nearest Airport

Seattle-Tacoma International Airport
Airport Code: SEA

17801 International Blvd
Seattle, WA 98158


Directions from Recommended Lodging to Course Location: (click here if no map appears below)

Nari Clemons, PT, PRPC

Nari Clemons

Nari Clemons was born and raised in the midwest before recently moving to Portland, Oregon. At Herman Wallace, Nari teaches the pelvic series (PF1, 2A, 2B, and PF Capstone) as well as the MPP (Meditation for Patients and Providers Course). She was one of three co-authors for the new final course in the pelvic series, PF Capstone, as well as the author for the meditation course. Her passion is taking difficult concepts and techniques and simplifying them, so that participants can leave courses with confidence, enthusiasm, and feeling empowered in their clinical practice.

Nari graduated from the Medical College of Ohio in consortium with the University of Toledo , with a degree in physical therapy. She owns a private practice, Portland Pelvic Therapy, where she focuses on pelvic, abdominal, and neural issues. Nari has studied visceral and neural manipulation extensively, traveling as far as France to take courses from Jean Pierre Barral. She is also a registered yoga teacher, having trained at the Yoga Center of Seattle and It’s Yoga. Additionally, she has accumulated months of time at intensive meditation retreats. Nari’s approach to the body is holistic and eclectic, while being well rooted in research.

Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

Multi-Course Discount

This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

Group Discount

This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.

Student Discount

This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.


To get this discount when checking out online, use the code Student2021. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

First-Time Registrant Discount

This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)

Referral Credit/Discount

Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".

Guest Blogger Credit/Discount

Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".