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Mobilization of Visceral Fascia: The Reproductive System of Men and Women - Self-Hosted Course - August 21-23, 2020

Aug 21st: 1:30pm-6:30pm / Aug 22nd: 8:00am-6:00pm / Aug 23rd: 8:00am-3:30pm

*Times listed in Pacific Time

  • Description

  • Schedule

  • Objectives

  • Instructor

  • Self-Hosted Course Info

  • Discounts

Price: $575
Experience Level:Advanced
Contact Hours: 18.25

This remote continuing education course, offered via Zoom, is designed to expand on the therapist's existing knowledge concerning the relationship between the endopelvic fascia and the connective tissue surrounding the urogenital viscera as it relates to mechanical dysfunctions within the musculoskeletal system. The course includes extensive lectures on anatomical structures as well as visceral mobilization theory and techniques. Participants will learn a variety of avenues for mobilizing the fascial structures of the male and female reproductive and lymphatic system within the scope of pelvic physiotherapy practice.

This manual therapy course emphasizes science and clinical reasoning with the goal of immediate implementation of the material into an existing musculoskeletal and pelvic health practice. Information presented has applications for a variety of diagnoses related to pelvic health to include: Pregnancy related pelvic girdle pain, SI joint dysfunction, coccydynia, dysmenorrhea, prostadynia, orchialgia, mechanical infertility, and chronic pelvic pain.

Lab sections include both external abdominal, pelvic as well as internal vaginal and anal techniques. Attendees should come prepared to participate as both clinician and patient. Male course attendees may participate in the entire course and will be expected to model for gender specific anatomy. Pregnant attendees may participate in a very limited capacity owing to obvious limitations. Seminar content is targeted to licensed health care professionals working within the field of pelvic health. Content is not intended for use outside the scope of the learner's license or regulation


Special Considerations:

As this continuing education course includes extensive lab work, which will be demo'd and guided by the instructor. Participants should plan on partner with another registered therapist or a small group in order to get the full learning experience from this course. More information on partnered and group labwork can be found here: Guidelines for Remote Learning for Visceral/Fascial Manual Therapy Courses.


This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.



1. Minimum of Pelvic Floor Level 1 training or other coureswork inclusive internal vaginal examinations and relative clinical experience

2. Mobilization of the Visceral Fascia: The Urinary System taught by Ramona Horton

Required Readings:

1. Horton (2015) Clinical Review: Visceral Mobilization for Pelvic Dysfunction 

2. Kramp (2012) Combined manual therapy for infertility at http://jaoa.org/article.aspx?articleid=2094508

3. Review the anatomy of the pelvis and perineum

4. Visceral Anatomy Review

5. Participants should bring an anatomy atlas (preferably Netter) for reference of the visceral anatomy.

Recorded video lectures to be viewed in-full prior to the course: 

    Three hours of pre-recorded lectures and additional anatomy study will be sent to participants prior to the course and should be completed prior to the course.

 Hourly schedule of live Zoom meetings. All times are in Pacifc Standard Time:

Day One:

1:30 Registration, Welcome and Zoom setup
2:00 Review of recorded lectures and questions
2:30 Lab 1 -Selected VTUS technique review
4:15 Uterus Lecture
5:30 Lab II - External Uterus Techniques: Pelvic Decompression, Broad ligament, Rectouterine pouch, Vesicouterine pouch
6:30 Adjourn

Day Two:

8:00 Lab III -External Uterus Techniques: Uterosacral Ligament, Round Ligament, Fundus Mobilization
9:30 Cervix Lecture
10:30 Lab IV - Internal Uterus/Cervix Techniques: Fornices, Os, Uterovesical pouch, Transverse cervical ligament
12:00 Lunch
1:00 Lab V -Internal Uterus/Cervix Techniques: Uterosacral ligament, Balancing fundus and cervix, Uterine motility
2:30 Ovaries & Tubes Lecture
3:30 Lab VI-Ovaries/Tubes Technique
Cervical-Ovarian mobilization, Tubal roll, Ovary induction
4:30 Prostate & Testicle Lecture
6:00 Adjourn


Day Two:

8:00 Review of Day 2 & Questions
8:30 Lab VII -Testicle Techniques: Inguinal ligament, Suprapubic Fascia, Inguinal Canal, Spermatic Cord
10:00 Lab VIII-Prostate Techniques Central tendon, Prostate, Puboprostatic ligament, Prostate motility
11:30 Break
12:00 Brunch and Lymphatic Technique Lecture
1:00 Lab IX -Lymphatic Techniques Node pumping, Cisterna chyli, para-aortic nodes, pelvic viscera
2:30 Infertility Lecture and discussion
3:30 Adjourn



Upon completion of this continuing education seminar, participants will be able to:

1. Complete review of the osteopathic theories of fascial mobilization
2. List the known mechanisms of fascial based manual therapy, the somato-visceral and viscero-somato reflex
3. Review basic structures of the urinary system covered in level 1 and their treatment approaches
4. Cite potential causes for development of restrictions in the connective tissue of visceral structures of the reproductive system and potential causes of lymphatic congestion.
5. Identify specific visceral structures with relation to the reproductive system via external as well as internal vaginal and anal landmarks
6. Recognize abnormal tissue mobility of visceral structures within the male and female reproductive system
7. Apply the technique of three-dimensional fascial mobilization to visceral structures, utilizing external body and internal vaginal and anal approaches
8. Treat basic lymphatic congestion within the pelvis, as it relates to symptoms of pelvic pain and dysfunction for the male and female patient
9. Implement visceral fascia mobilization techniques into a comprehensive treatment program for the patient with varied pelvic health diagnoses to include pelvic girdle pain, prostadynia, dysmenorrhea, anorgasmia, mechanical infertility, dyspareunia, and pelvic/abdominal pain as they relate to physical therapy practice

Ramona Horton, MPT, DPT

Ramona Horton

Ramona C. Horton MPT, DPT completed her graduate training in the US Army–Baylor University Program in Physical Therapy in San Antonio, TX. She exited the army at the rank of Captain and applied her experience with the military orthopedic population in the civilian sector as she developed a growing interest in the field of pelvic dysfunction. A desire to expand her knowledge of evidence-based practice and research was the impetus to further her academic pursuits, receiving a post-professional Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. In 2020, Ramona received the prestigious Academy of Pelvic Health Elizabeth Noble Award for her contributions to the field of pelvic health.

Ramona serves as the lead therapist for her clinics pelvic dysfunction program in Medford, OR. Her practice focuses on the treatment of men, women, and children with urological, gynecological, and colorectal issues. Ramona has completed advanced studies in manual therapy with an emphasis on spinal manipulation, and visceral and fascial mobilization. She developed and instructs the visceral and fascial mobilization courses for the Herman & Wallace Pelvic Rehabilitation Institute, presenting frequently at local, national, and international venues on topics relating to women’s health, pelvic floor dysfunction, and manual therapy.

This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:

  1. Locate another therapist or small group of therapists who would like to register together as a unit
  2. Find a suitable location from which the pair/group can all view the zoom lectures together
  3. Practice hands-on lab techniques on the other therapists in their pair/group without a lab assistant or instructor physically present at their self-hosted location. The instructor will provide remote direction via zoom.


Those who wish to take this course, but cannot meet the above requirements should register for a satellite location or in-person version of this course

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 2020Student. (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".