|Price: $475 (Early Registrant Price $450)
Experience Level: Beginner
Contact Hours: 15
Sacroiliac joint pain prevalence has been estimated to be as high as 30% in patients with low back and buttock pain. (Schwarzer et al., 1995) Local causes of sacroiliac joint pain can be created from the joint itself, the dense ligaments that cover the joint surfaces, surrounding muscles, or nerves. Pain in the sacroiliac region can also be referred from the low back, buttock muscles, abdominal organs, or the hips. The SI joint is frequently injured by a fall or trauma, and is at increased risk of dysfunction during pregnancy and postpartum. One in four women who have pelvic girdle pain (PGP) during pregnancy may develop chronic postpartum PGP. (Ostgaard, 1991)
This two-day course will present a reference-based, clinically applicable approach to the evaluation and treatment of the sacroiliac joint and pelvic ring. Pain in the lumbopelvic-hip complex can be challenging as there are many potential sources of biomechanical dysfunction and pain generation. The course will cover the direct and indirect anatomy that influences the sacroiliac joint, and provide a means of deducing the source of pain and dysfunction. Direct treatment of symptoms and techniques for symptom amelioration will be presented. During lecture and laboratory sessions, participants will have the opportunity to practice two different SIJ tests; movement impairment vs. symptom reproduction. The participants will also analyze which spinal joints may be referring pain, and assess the role that sacral discs play in initiating and perpetuating pain. The information presented is immediately applicable to the clinician's patient population and the techniques presented will be able to be incorporated seamlessly into the participant’s clinical practice.
An emphasis on specific exercise and stabilization approaches will be instructed throughout the course. As research by Hungerford et al (2003) has pointed out that patients who have sacroiliac joint pain have altered patterns of muscle recruitment that may affect load transfer strategies, movement re-training, muscle awareness training, and muscle activation strategies will be instructed for both clinical application and home program management..
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.
Required Readings: This course has no required readings, but a practitioner who is new to pelvic rehabilitation may find it useful to renew the anatomy and physiology of the pelvic floor/pelvic girdle prior to the course.
Lab Attire: Comfortable, loose-fitting clothes. Course attendees will be participating in labs as both practitioner and practice patient. There is no internal evaluation in this course.
What to bring: Mobilization Belt, Yoga Mat, Foam Roller
Are you treating patients with Sacroiliac Joint pain? Herman & Wallace's offers a Home Exercise Manual for Patients with Sacroiliac/Low Back Pain
Hungerford, B., Gilleard, W., & Hodges, P. (2003). Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine,28(14), 1593-1600.
Ostgaard, H. C., Anderson, G. B. J., & Karlson, K. (1991). Prevalence of back pain in pregnancy: A review. Spine, 16(5), 549-552.
Schwarzer AC, Aprill CN, Bogduk N. The sacroiliac joint in chronic low back pain. Spine. Jan 1 1995;20(1):31-7
Upon completion of this course, the participant will be able to:
1. Identify the unique anatomical and functional characteristics of the sacroiliac joints.
2. Describe the role of aging on the various epiphyseal joints of the innominate bones.
3. Perform movement impairment and pain provocation maneuvers for the SIJ and pelvic ring.
4. Perform clinical testing procedures used to rule in/out the SIJ and pelvic ring in a patient’s pain.
5. Perform joint specific mobilization techniques to address pain or dysfunctions.
6. Instruct patients on a series of SIJ- specific stabilization exercises.
7. Design a plan of care specific to a patient's dysfunction.
We always want to hear from those interested in hosting our courses. We work with healthcare organizations of all types, sizes, and locations. Please, Contact us about Hosting Sacroiliac Joint Evaluation and Treatment or any other course!
Wonderful course to challenge a pelvic health practitioner to grow in orthopedics and PF care.
-Jaclyn Napier PT, DPT - Virginia Beach, VA
This course exactly met my expectations for developing my skills in assessing/diagnosing the SI joint. I’ve treated SIJ dysfunction somewhat successfully in my career but now I feel like I have a logical framework for evaluating, diagnosing, and treating the SI joint.
-Angela Robertson, PT, DPT, OCS - Helena, MT
Peter's course blew my mind! He packages decades of advance practice and a synthesis of information into a two day course with detailed review of anatomy and didactic labs including evaluation and treatment techniques that are detailed and efficient
-Susannah Haarmann, PT, WCS, CLT - Durham, NC
This was an awesome course. Very fast paced, but he would slow down and make sure everyone understood. Great variety of stabilization exercises. I learned a lot! Thank you!
-Erica Tyler - Austin, TX
Great class! You can easily apply treatments to class participants and patients.
-Kyle Yamauchi, PT - Austin, TX
Peter was a SUPERB instructor. He was very approachable which made learning the material easier. He walked us through the lab material and ensured that we were all comfortable with the lab component. My colleagues and I had a very positive experience.
-Maryam Yasrebi, PT - Austin, TX
Peter was a very good instructor! Very approachable and made sure we understood concepts.
-Tami Faris, OTR/L, CLT-LANA - Kansas City, MO
Philip's knowledge is shared in a clear and concise manner. His techniques are easy to follow. A must-take course for the pelvic therapist!
-Kathe Wallace, PT, BCB-PMD - Seattle, WA
A wonderful course! I feel much better equipped to deferentially diagnose and treat SI Joint dysfunction.
-Taisa Skovorodko DPT - Santa Barbara, CA
Peter is brilliant, funny, devoted, and very professional!
-Jon Stange - Santa Monica, CA
Instructor was very knowledgable in all aspects of the program. Great communication of ideas/concepts - easy to understand, patient. Best CEU class I've ever taken since becoming a PTS (8 years).
- Tracy Casey, PTA - Akron, OH
[The] speaker [was] beyond an expert. Super excellent knowledge base and impecable ability to explain clearly.
I would love to attend any course that Peter would teach! This class is wonderful and really opened my eyes to how much it could be lumbar vs. SIJ.
-Jennifer K. Dustin, MS, PT, DPT - Chesapeake, VA
Instructors and Assistants very knowledgable in this area. Kept my interest for the entire weekend. Very mindful of modesty.
-Kyle W. Geese, PT - Cambridge, OH
Wouldn't Change a thing!
-Ann Feehan, PT - Arlington Heights, IL
The course was great! Very informative and can be used for all PT populations.
-Kylie Fulton, PT, DPT - Pheonix, AZ