(646) 355-8777

Sacral Nerve Manual Assessment and Treatment - Remote Course - October 9-10, 2021

10:15am - 5:00pm Pacific Time

  • Description

  • Schedule

  • Objectives

  • Remote Course Info

  • Discounts

  • Instructor

Price: $450
Experience Level: Advanced
Contact Hours: 15.00

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

This class will be the pre-requisite for a future 2 day in-person advanced sacral nerve lab-intensive, which will be offered separately in 2021, or when travel is once again safe and possible. The second class will include internal and external labs.  A date has not been set for the second class.

Participants must have prior experience with internal vaginal assessment. Pelvic Floor Level One and intermediate coursework, Pelvic Floor Level 2A or other intra-rectal mapping course is a required pre-requisite.

Highly Suggested Text:
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.

Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 8.5 hours)

Intro Video: 9 minutes
Sacral Anatomy: 1 hour
Neural Research: 1 hour 15 minutes
Coccyx Lecture: 49 minutes
Uterus Lecture 17 minutes
SS & ST Ligaments 8 minutes
Deep Hip 8 minutes
Sciatic Nerve 9 minutes
Pudendal 24 minutes
Medical Management 45 minutes
Total Video Time: Around 5.5 hours

Pre-requisite Videos from other sources: 1 hour
Article Review: 2 hours

Day One:
10:00-10:15 Sign in to Zoom & Attendance
10:15-10:45 Introductions and Intro Slides
10:45-11:00 Questions from didaction pre-course material
11:00-11:30 Palpation Lab 1 (lab model required)*
11:30-12:00 External Coccyx Lab (lab model required)*
12:00-12:15 Questions
12:15-1:15 Lunch
1:15-1:45 Palpation Lab 2(lab model required)*
1:45-2:15 Deep Hip Lab (lab model required)*
2:15-3:30 Sacrospinous/Sacrotuberous Ligaments Lab (lab model required)
3:30-4:15Gluteal Nerve Lab (lab model required)*
4:15-4:45 Questions
5:00 Adjourn

Day Two:
10:00-10:15 Sign in to Zoom & Attendance
10:15-11:00 Palpation Lab 3 (lab model required)*
11:00-12:00Pudendal Lab (lab model required 11-11:45)*
12:00-12:15 Question
12:15-12:45 Lunch
12:45-1:45 Home Program for Sacral Nerves
1:45-2:15 Prepared Case Studies
2:15-3:00 Participant Case Questions
3:00 Adjourn

*Please note: labs are paced for one learning participant and a lay model to practice on. All labs for this class are external. It is ideal and helpful have different models to practice on during different labs, but it is not required.

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.

Attending a remote course is easy and safe, and you can do it entirely from the security and comfort of your own home or clinic without having to find a lab partner.


Important thing to note:

- Our policy for applying for continuing education credit for remote courses differs from that of our in-person and satellite lab courses. Read the specific language of the policy here. Depending on the state in which you practice, you may need to submit your own application to your state board or approving body should you wish that it be approved for continuing education credit in your state.

- To attend a remote Herman & Wallace course, registrants will need Zoom video conferencing software. This is a requirement. One can create an account and download the software to their computer at https://zoom.us/

- We use the Pacific Time Zone for all of our remote course start and end times (this is not the case for in-person and satellite lab locations). Please make a note of this and set your calendar accordingly.

- A Zoom account is free to create. Before the meeting, we recommend having a practice Zoom session with a friend or colleague so you can test your microphone, video, and internet connection. You can participate in any remote course from the comfort of your home, but will need a stable internet connection in order to participate. We recommend downloading the software and practicing a call with a friend or colleague prior to your course with us. Zoom also offers video tutorials on their website at https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials.

- Still have questions about Remote Courses? Check out our Frequently Asked Questions on Remote Courses

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".

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.