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Continuing Education Courses Sacral Nerve Manual Assessment and Treatment - Remote Course

Upcoming Events of this Course

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Sacral Nerve Manual Assessment and Treatment - Remote Course - May 31 - June 1 2025

May 31 2025 - Jun 1 2025

Sacral Nerve Manual Assessment and Treatment - Remote Course - October 25 - 26 2025

Oct 25 2025 - Oct 26 2025

Sacral Nerve Manual Assessment and Treatment - Remote Course

Differential Diagnosis, Concepts and Fundamental Techniques

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  • Description

  • Objectives

  • Schedule

  • Testimonials

Price: $450
Experience Level: Advanced
Contact Hours: 17.25

This two-day online course for the experienced pelvic rehab therapist will address problem-solving assessments for the major contributory nerves from the sacral plexus to the pelvis in an organized, systematic fashion. Peripheral sacral plexus nerves included in this course are (sciatic, superior and inferior gluteal, coccygeal nerves, inferior dural tube, pudendal nerve, dorsal clitoral/penile branch, perineal branch, and inferior rectal or hemorrhoidal nerves), which run anterior to the sacrum and coccyx.

This course will cover extensive anatomy and differential diagnosis and objective findings for specific nerves of the sacral plexus. It will also include around 30 key lab techniques to launch your journey into manually treating the nerves of the sacral plexus, with research-based approaches to manual nerve treatment. Significant time will be devoted to mapping nerves and refined, precise palpatory techniques to find and assess the nerve.

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, as well as many other syndromes and weakness, such as hypertonicity in the pelvic floor or anorgasmia.

Participants will need to have a model/person to practice on who is not in the class, as the pacing is designed for one learner and one non-learning model. Please see the schedule below for which sections will require a live model

Note: all labs for this class are external.

This first sacral course will be around 45% Lab and 55% lecture and pre-study. It is a modification of the prior 3-day sacral nerve class to allow for distance learning during Covid. All lab techniques for this class are external. The didactic approach will be self-paced in the two weeks prior to class (8 hours), and the live zoom class time will be two partial days of lab and discussion Q and A

Prerequisites
Participants must have prior experience with internal vaginal assessment. Pelvic Function Level 1 and intermediate coursework, Pelvic Function Level 2A or other intra-rectal mapping course are required prerequisites.

Pre-Course Learning Requirements
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. In Teachable, registrants will find video lectures, other pre-course learning materials, course manual files, mandatory liability waiver, and URLs for any Zoom meetings. We require registrants to complete teachable components in sequential order. Videos lectures are required and must be completed in-full before proceeding to the next Teachable section. At the conclusion of the course, registrants can access their post-test and course evaluation form to provide our curriculum team feedback on their experience, as well as download their certificate of completion - all via Teachable.

Audience
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.

Recommended Readings
Gray's Anatomy for Students - Available at a 25% Discount for Herman & Wallace registrants with promo code 70484. Registrants who already own a copy of this or a corresponding textbook are not required to purchase an additional one.

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

  1. Describe symptoms (sensory vs motor) for each peripheral sacral nerve: pudendal (dorsal, perineal, and rectal branches), sciatic, superior and inferior gluteal, coccygeal nerves.
  2. Name common causes of injury for each nerve.
  3. Identify the anatomy and pathway of each nerve
  4. Perform neural tests for differential diagnoses when applicable
  5. Perform 12 key neural/fascial manual release surrounding peri-neural structures from common regions of entrapment
  6. Perform neural gliding and sliding of nerve when applicable
  7. Prescribe a home program to maintain neural mobility or improve brain to nerve pathway
  8. Understand the scientific basis for the neural manual treatment techniques they have learned.

NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html

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Before Day One
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These video lectures in Teachable must be viewed in-full prior to the course
Total video lecture time: 5 hours

1) Introduction (8 min)
2) Sacral Anatomy (53 min)
3) Neural Research: (74 min)
4) Coccyx Lecture: (47 min)
5) Uterus Lecture (16 min)
6) SS & ST Ligaments (7 min)
7) Deep Hip (7 min)
8) Sciatic Nerve (9 min)
9) Pudendal (24 min)
10) Medical Management (44 min)

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Day One
=============================

7:30 am PST - Zoom opens 15 mins before course for registration and setup
8:00 am PST - Course begins / Introductions and Intro Slides
8:30 - Questions from didactic pre-course material
8:45 - Palpation Lab 1 (lab model required)*
9:45 - Break
10:00 - External Coccyx Lab (lab model required)*
11:00 - Questions
11:15 - Lunch
12:00 - Palpation Lab 2(lab model required)*
12:45 - Deep Hip Lab (lab model required)*
1:30 - Sacrospinous/Sacrotuberous Ligaments Lab (lab model required)
2:00 - Break
2:15 - Sciatic nerve lab
3:30 - Adjourn

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Day Two
=============================

7:30 am PST - Zoom opens 15 mins before course for registration and setup
8:00 am PST - Course begins / Review
8:15 - Gluteal Nerves Lecture
8:45 - Palpation Lab 3 (lab model required)*
9:30 - Gluteal Nerves Lab
10:15 - Break
10:30 - Pudendal Lab (lab model required)*
11:30 - Lunch
12:15 - Home Program for Sacral Nerves
1:00 - Prepared Case Studies
2:00 - Participant Case Questions
3:00 - Adjourn

"I will take any course Nari teaches for the rest of forever. She is a wealth of knowledge, incredibly supportive, and amazingly humble. Often, highly intelligent people come off as unapproachable and she is the opposite. I have never met another PT who I think could even rival the combination of approachable, subject matter expert, and supportive. I put Nari in the class of people I want to be when I grow up."
Desiree Pabin, PT, DPT, WCS, PRPC | Sacral Nerve Manual Assessment and Treatment - September 23-24 2023

"Thank you Nari! I always enjoy learning from you! You inspire me every time I take you courses! The way you present helps me to retain the information! Plus you always make me laugh! Thank you for always making me feel like enough! You are such a blessing!"
Emily Hills, PT, DPT | Sacral Nerve Manual Assessment and Treatment - May 11-12 2024

List of articles in category Sacral Nerve Manual Assessment and Treatment - Remote Course
Title
Sacral Nerve Manual Assessment and Treatment - Remote Course - October 25 - 26 2025
Sacral Nerve Manual Assessment and Treatment - Remote Course - May 31 - June 1 2025

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