Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of recorded lecture videos followed by live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely. We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Level 1 - Grand Junction, CO - June 27-28, 2020 (SOLD OUT)
{dtregister}838{/dtregister}
Description
Schedule
Objectives
Location Lodging
Instructors
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
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. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location: (click here if no map appears below)
Tara Sullivan, PT, DPT, PRPC, WCS, IF
Tara Sullivan, PT, DPT, PRPC, WCS, IF started in the healthcare field as a massage therapist, practicing over ten years including three years of teaching massage and anatomy and physiology. During that time she attended college at Oregon State University earning her Bachelor of Science degree in Exercise and Sport Science, and continuing on to earn her Masters of Science in Human Movement and Doctorate in Physical Therapy from A.T. Still University. Tara has specialized exclusively in Pelvic Floor Dysfunction treating bowel, bladder, sexual dysfunctions and pelvic pain since 2012. She has studied through Herman and Wallace and earned her PRPC, as well as becoming a board certified clinical specialist in women’s health (WCS) through APTA and a fellow of the International Society for the study of Women Sexual Health (IF)
Tara established the pelvic health program at HonorHealth in Scottsdale and recently expanded the practice to 2 other locations across the valley. She continues to treat patients with her hands-on individualized approach, taking the time to listen and educate her patients, empowering them to return to a healthy and improved quality of life. She is adjunct faculty speaking at the annual conference for the International Society for the Study of Women’s Sexual Health (ISSWSH) and teaches an elective course at Northern Arizona University (NAU) and Franklin Pierce University on Pelvic Health. Tara is very passionate about creating awareness on Pelvic Floor Dysfunction and recently launched her website pelvicfloorspecialist.com to continue educating the public and other healthcare professionals.
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Start Date/Time and Time Zone:
Aug 27, 2022 9:30 AM America/New_York
Location
Venue: Community Rehab and Physical Therapy Hillsdale
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Pelvic Floor Level 1 - Salt Lake City, UT - September 12-13, 2020 (Rescheduled)
{dtregister}824{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
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. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location:
Tara Sullivan, PT, DPT, PRPC, WCS, IF
Tara Sullivan, PT, DPT, PRPC, WCS, IF started in the healthcare field as a massage therapist, practicing over ten years including three years of teaching massage and anatomy and physiology. During that time she attended college at Oregon State University earning her Bachelor of Science degree in Exercise and Sport Science, and continuing on to earn her Masters of Science in Human Movement and Doctorate in Physical Therapy from A.T. Still University. Tara has specialized exclusively in Pelvic Floor Dysfunction treating bowel, bladder, sexual dysfunctions and pelvic pain since 2012. She has studied through Herman and Wallace and earned her PRPC, as well as becoming a board certified clinical specialist in women’s health (WCS) through APTA and a fellow of the International Society for the study of Women Sexual Health (IF)
Tara established the pelvic health program at HonorHealth in Scottsdale and recently expanded the practice to 2 other locations across the valley. She continues to treat patients with her hands-on individualized approach, taking the time to listen and educate her patients, empowering them to return to a healthy and improved quality of life. She is adjunct faculty speaking at the annual conference for the International Society for the Study of Women’s Sexual Health (ISSWSH) and teaches an elective course at Northern Arizona University (NAU) and Franklin Pierce University on Pelvic Health. Tara is very passionate about creating awareness on Pelvic Floor Dysfunction and recently launched her website pelvicfloorspecialist.com to continue educating the public and other healthcare professionals.
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
Pelvic Floor Level 1 - Santa Cruz, CA - January 10-12, 2020 (SOLD OUT)
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Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price:$695 ($725 within one month of the course) Experience Level: Beginner
This continuing education course is comprised of 9 hours of prerecorded lectures followed by two-days of in-person learning, and was designed to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. It is geared to the physical therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination and SEMG biofeedback assessment. The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, SEMG biofeedback, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations: As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
The Herman & Wallace Institute welcomes all professionals who are appropriately licensed at our courses. Being born with a vagina and other female anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other one participant during labs.
Vaginal examination and internal myofascial manual therapy prior to 32 weeks gestation is not the common standard of medical practice. Participants who are pregnant who wish to participate fully in the entire course including in lab must bring a clearance letter from their physician allowing them to participate in the labs is required. Participants who are pregnant also have the option of bringing their own lab model for examination, or they have the option of working in a group of three during lab times.
This course instructs in the use of biofeedback equipment. Equipment at the course will be supplied by our biofeedback vendor, Current Medical Technologies. If you would like to contact them prior to the course to inquire about equipment purchases, you can do so using this link. A representative will be able to assist you if you tell them which Herman & Wallace course you will be taking.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
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. 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.
Assignments
In order to derive the most benefit from this course, we ask our participants to internalize the required reading materials and complete a diary assignment prior to attending. Please complete this assignment prior to the first day of the seminar. We ask that participants keep a personal bladder diary measuring and recording fluid intake and urine output for two days - one work day and one non-work day. Specific measurements (use a large measuring cup or urine collection “hat”) of urine output are needed for at least one day, and on the following day one can estimate by counting seconds while voiding.
7:30 Questions, Post-test Day 2 7:45 Pelvic Organ Prolapse 8:45 Lab 6: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:45 Break 10:00 Specific Diagnoses in Female Pelvic Pain 11:15 Managing Movement Part II: Pressures & Load Transfer 12:00 Lunch 1:00 Managing Movement Part II: Pressures & Load Transfer 1:45 Final Lab Preparation 2:00 Lab 7: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:15 Break 3:30 Case Studies 4:00 Questions (Resources, Billing, Marketing, Etc.), Wrap-up 4:15 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Dr. Jenni Gabelsberg, DPT, MSc, MTC is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Stacey Futterman Tauriello, PT, MPT, WCS, BCB-PMD, PPRC, received her Master’s Degree in Physical Therapy from Nova Southeastern University in South Florida in 1996. After graduation she relocated to Chicago where she began specializing in women’s health issues including the treatment of incontinence, pelvic pain and prenatal/postpartum musculoskeletal issues. She returned to the east coast in 2003 and is now the owner of 5 Point Physical Therapy, a specialty physical therapy clinic for male and female pelvic dysfunction in New York City. Stacey, along side Dr. Deborah Coady, recently presented for International Pelvic Pain Society’s annual meeting in Chicago on their research of hip pathology and its relationship to pelvic pain. She has been featured on CBS New York and has presented for the APTA National Conference 2007 for the treatment of male pelvic pain.
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location:
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
This continuing education course consists of pre-recorded lectures followed by live, interactive remote learning that will be completed by groups meeting at a specific satellite location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location. During labs, participants will pair up and be guided by the on-site lab assistants.
This course was designed to provide a thorough introduction to pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Presentation of evidence-based evaluation and treatment techniques will be emphasized. Outcome measures and quality of life questionnaires will be presented for both urinary incontinence and pain syndromes. Daily lab time allows for supervised instruction of pelvic floor muscle evaluation with external palpation and internal vaginal examination of pelvic floor musculature. For each condition the therapist will learn to: recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities; use an evaluation/outcome tool; and perform a suggested protocol of treatment interventions. Clinical treatment interventions will include therapeutic exercise, external manual therapy, patient related education/behavioral instructions and electrotherapeutic modalities.
Prerequisites
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom All pre-recorded lectures must be completed before attending the first day of class.
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 10 hours
1) Pelvic Floor Anatomy & Function (51 minutes) 2) Pelvic Floor Evaluation and Examination (1 hour 30 min) 3) Managing Movement (1 hour) 4) Urinary Incontinence (1 hour 30 min) 5) Introduction to Pelvic Pain (1 hour 10 min) 6) General Treatment of Pelvic Pain (1 hour) 7) Awareness of Trauma (1 hour) 8) Pelvic Organ Prolapse (1 hour 10 min) 9) Introduction to Biofeedback and Electrical Stimulation (46 min) 10) Additional Resources on Biofeedback and E-Stim from our Partners at CMT (Optional)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, goals, objectives, questions
6:45 - Pelvic Floor (PF) Anatomy and Evaluation 7:30 - Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 8:45 - Break 9:00 - Pelvic Floor Evaluation (Continued) 9:30 - Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 10:30 - Lunch 11:30 - Urinary Incontinence Examination & Interventions Part II 1:00 - Break 1:15 - Lab 3: Bladder Diary Activity 2:00 - Questions 2:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 4 Prep, Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 7:30 - Break 7:45 - Lab 5: Pelvic Floor Examination and Prolapse Exam, External Palpation 9:00 - Specific Diagnoses in Female Pelvic Pain 10:30 - Lunch 11:00 - Managing Movement Part II: Pressures & Load Transfer 12:45 - Final Lab Preparation Presentation 1:00 - Lab 6: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 2:00 - Break 2:15 - Case Studies 2:45 - Questions (Resources, Billing, Marketing, Etc.), Wrap-up 3:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify the muscle layers and specific muscles of the pelvic floor 2. List the pelvic floor muscle functions 3. Describe and perform pelvic floor muscle evaluation techniques utilizing observation, vaginal palpation, and SEMG biofeedback 4. List appropriate outcome measure tools for urinary incontinence, pelvic organ prolapse and pelvic pain 5. List indications, precautions, contraindications, and universal precautions for pelvic floor examination and treatment 6. Identify specific pelvic pain conditions (vulvodynia, IC and CPP) and common physical therapy interventions 7. Identify the various types of urinary incontinence and behavioral treatment options available to the physical therapist 8. List two diagnoses that would benefit from applications of electrotherapy 9. Describe the applications of SEMG biofeedback for the pelvic floor 10. Develop evidence-based treatment plans and progressive clinical goals for female pelvic floor dysfunctions
Directions from Recommended Lodging to Course Location
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
Pelvic Floor Function, Dysfunction and Treatment (Level 1)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 1. This continuing education course consists of 10 hours of recorded lecture videos followed by 14 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self-hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. Participants in this event will meet in person to watch the Zoom presentation in the same location and participate in labs together, with the instructor guiding remotely.
We designed this course to provide a thorough introduction to female pelvic floor function, dysfunction and treatment interventions. This course is geared to the therapist who wants to synthesize the information and apply it to individual treatment programs for urinary incontinence or the musculoskeletal components of urogynecologic pain syndromes such as chronic pelvic pain (CPP), vulvar pain, and interstitial cystitis/painful bladder syndrome (IC/PBS). This continuing education seminar teaches evaluation and treatment interventions by instructional assessment of the pelvic floor muscles with internal vaginal examination, and SEMG biofeedback assessment (please note that, for the time being, SEMG is being demonstrated in video lectures; for hands-on learning, consider attending Biofeedback for Pelvic Muscle Dysfunction). The information is immediately applicable to clinical practice.
Pelvic Floor Level 2A - San Diego, CA - February 7-9, 2020 (SOLD OUT)
{dtregister}823{/dtregister}
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $695 ($725 within one month of the course) Experience Level: Intermediate Contact Hours: 22.5
This continuing education course is a three-day (8 hours of online content, followed by a 2-day in-person course) intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect quality of life so dramatically. In the US, adult estimates of fecal incontinence is over 8%, and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included on Day 2 of this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. Day 3 of the course introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat. It is expected that participants will only register for satellites in which they are within driving distance, and adhere to all state and local COVID guidelines, including wearing a mask at all times during the course.
Special Considerations:
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
10-14 days before the course, participants will receive an invite to join Teachable, an online learning platform. Teachable is where you will find pre-recorded videos and other pre-requisite learning, manual files, your liability waiver you must sign in order to participate, and any links to Zoom (if the course is a remote option). After the course is over, Teachable is where you will find your post-test and evaluation form to tell us what you thought, as well as your certificate. It is required in Teachable that you complete all components in order. Pre-recorded videos that are required must be watched before going onto the next session.
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. 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.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence 2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation 3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE) 4. The European Urology Association'sGuidelines on Chronic Pelvic Pain 5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. 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.
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
Recorded Lecture: Watch Before the In-Person Component of the Course
7:30 Registration 8:00 Introduction, Goals, Objectives 8:30 Colorectal Anatomy and Physiology Review, Anorectal Examination 9:15 LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 10:15 Break 10:30 Fecal Incontinence, Case Study 11:15 Constipation, Case Study 12:00 Lunch 1:00 Pelvic Pain: Prostatitis, Scrotal Pain 2:00 Coccyx Dysfunction 3:00 Break 3:15 LAB 2: External Palpation & Intervention Posterior Pelvis 4:15 Prostatectomy Part I 5:15 Questions 5:30 Adjourn
Day Two:
7:45 Questions from Day 1, Post-test Day 1 8:00 Prostatectomy Part II 8:45 Pudendal 9:45 Break 10:00 LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 11:15 LAB 4: Inclusive Language 12:00 Lunch 12:45 Colorectal Conditions 2:00 Break 2:15 LAB 5: Final Pelvic Rehabilitation Examination, Evaluation, & Treatment 3:30 Questions 4:00 Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Dr. Jenni Gabelsberg, DPT, MSc, MTC is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, Goals, Objectives
6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep 7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 8:45 - Break 9:00 - Fecal Incontinence, Case Study 9:45 - Constipation, Case Study 10:45 - Lunch 11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord 12:45 - Coccyx Dysfunction 1:45 - Break 2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis 3:00 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Prostate & Prostatectomy Part II - Rehabilitation 7:45 - Pudendal Nerve Dysfunction Part II 8:30 - Break 8:45 - Pudendal Nerve Dysfunction Part II (Continued) 9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 10:45 - Lunch 11:30 - LAB 4: Inclusive Language 12:15 - Break 12:30 - Colorectal Conditions 2:00 - Questions 2:15 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, Goals, Objectives
6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep 7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 8:45 - Break 9:00 - Fecal Incontinence, Case Study 9:45 - Constipation, Case Study 10:45 - Lunch 11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord 12:45 - Coccyx Dysfunction 1:45 - Break 2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis 3:00 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Prostate & Prostatectomy Part II - Rehabilitation 7:45 - Pudendal Nerve Dysfunction Part II 8:30 - Break 8:45 - Pudendal Nerve Dysfunction Part II (Continued) 9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 10:45 - Lunch 11:30 - LAB 4: Inclusive Language 12:15 - Break 12:30 - Colorectal Conditions 2:00 - Questions 2:15 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, Goals, Objectives
6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep 7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 8:45 - Break 9:00 - Fecal Incontinence, Case Study 9:45 - Constipation, Case Study 10:45 - Lunch 11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord 12:45 - Coccyx Dysfunction 1:45 - Break 2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis 3:00 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Prostate & Prostatectomy Part II - Rehabilitation 7:45 - Pudendal Nerve Dysfunction Part II 8:30 - Break 8:45 - Pudendal Nerve Dysfunction Part II (Continued) 9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 10:45 - Lunch 11:30 - LAB 4: Inclusive Language 12:15 - Break 12:30 - Colorectal Conditions 2:00 - Questions 2:15 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Directions from Recommended Lodging to Course Location
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, Goals, Objectives
6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep 7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 8:45 - Break 9:00 - Fecal Incontinence, Case Study 9:45 - Constipation, Case Study 10:45 - Lunch 11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord 12:45 - Coccyx Dysfunction 1:45 - Break 2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis 3:00 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Prostate & Prostatectomy Part II - Rehabilitation 7:45 - Pudendal Nerve Dysfunction Part II 8:30 - Break 8:45 - Pudendal Nerve Dysfunction Part II (Continued) 9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 10:45 - Lunch 11:30 - LAB 4: Inclusive Language 12:15 - Break 12:30 - Colorectal Conditions 2:00 - Questions 2:15 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Directions from Recommended Lodging to Course Location
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, Goals, Objectives
6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep 7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 8:45 - Break 9:00 - Fecal Incontinence, Case Study 9:45 - Constipation, Case Study 10:45 - Lunch 11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord 12:45 - Coccyx Dysfunction 1:45 - Break 2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis 3:00 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Prostate & Prostatectomy Part II - Rehabilitation 7:45 - Pudendal Nerve Dysfunction Part II 8:30 - Break 8:45 - Pudendal Nerve Dysfunction Part II (Continued) 9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 10:45 - Lunch 11:30 - LAB 4: Inclusive Language 12:15 - Break 12:30 - Colorectal Conditions 2:00 - Questions 2:15 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Directions from Recommended Lodging to Course Location
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, Goals, Objectives
6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep 7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 8:45 - Break 9:00 - Fecal Incontinence, Case Study 9:45 - Constipation, Case Study 10:45 - Lunch 11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord 12:45 - Coccyx Dysfunction 1:45 - Break 2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis 3:00 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Prostate & Prostatectomy Part II - Rehabilitation 7:45 - Pudendal Nerve Dysfunction Part II 8:30 - Break 8:45 - Pudendal Nerve Dysfunction Part II (Continued) 9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 10:45 - Lunch 11:30 - LAB 4: Inclusive Language 12:15 - Break 12:30 - Colorectal Conditions 2:00 - Questions 2:15 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Directions from Recommended Lodging to Course Location:
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, Goals, Objectives
6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep 7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 8:45 - Break 9:00 - Fecal Incontinence, Case Study 9:45 - Constipation, Case Study 10:45 - Lunch 11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord 12:45 - Coccyx Dysfunction 1:45 - Break 2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis 3:00 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Prostate & Prostatectomy Part II - Rehabilitation 7:45 - Pudendal Nerve Dysfunction Part II 8:30 - Break 8:45 - Pudendal Nerve Dysfunction Part II (Continued) 9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 10:45 - Lunch 11:30 - LAB 4: Inclusive Language 12:15 - Break 12:30 - Colorectal Conditions 2:00 - Questions 2:15 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Directions from Recommended Lodging to Course Location
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, Goals, Objectives
6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep 7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 8:45 - Break 9:00 - Fecal Incontinence, Case Study 9:45 - Constipation, Case Study 10:45 - Lunch 11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord 12:45 - Coccyx Dysfunction 1:45 - Break 2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis 3:00 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Prostate & Prostatectomy Part II - Rehabilitation 7:45 - Pudendal Nerve Dysfunction Part II 8:30 - Break 8:45 - Pudendal Nerve Dysfunction Part II (Continued) 9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 10:45 - Lunch 11:30 - LAB 4: Inclusive Language 12:15 - Break 12:30 - Colorectal Conditions 2:00 - Questions 2:15 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Directions from Recommended Lodging to Course Location
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, Goals, Objectives
6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep 7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 8:45 - Break 9:00 - Fecal Incontinence, Case Study 9:45 - Constipation, Case Study 10:45 - Lunch 11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord 12:45 - Coccyx Dysfunction 1:45 - Break 2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis 3:00 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Prostate & Prostatectomy Part II - Rehabilitation 7:45 - Pudendal Nerve Dysfunction Part II 8:30 - Break 8:45 - Pudendal Nerve Dysfunction Part II (Continued) 9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 10:45 - Lunch 11:30 - LAB 4: Inclusive Language 12:15 - Break 12:30 - Colorectal Conditions 2:00 - Questions 2:15 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Directions from Recommended Lodging to Course Location
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, Goals, Objectives
6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep 7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 8:45 - Break 9:00 - Fecal Incontinence, Case Study 9:45 - Constipation, Case Study 10:45 - Lunch 11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord 12:45 - Coccyx Dysfunction 1:45 - Break 2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis 3:00 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Prostate & Prostatectomy Part II - Rehabilitation 7:45 - Pudendal Nerve Dysfunction Part II 8:30 - Break 8:45 - Pudendal Nerve Dysfunction Part II (Continued) 9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 10:45 - Lunch 11:30 - LAB 4: Inclusive Language 12:15 - Break 12:30 - Colorectal Conditions 2:00 - Questions 2:15 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Directions from Recommended Lodging to Course Location
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This is a self-hosted satellite offering of our PF2A course. A satellite course means that the instructor is presently live on Zoom and that participants are gathering in various locations in order to participate and practice labs with one another. Self-hosted means that participants must register in pairs or small groups and practice on each other during lab time.
This continuing education course is comprised of 7 hours and 45 minutes of prerecorded lectures followed by 14 hours of live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient.Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Please note, the Pelvic Floor series of courses typically fill up about 2-3 months before the scheduled course date. It is highly recommended that participants register well in advance to reserve their seats. If you need your employer to send a check for your registration payment, please click the Request Invoice button on the course event page to reserve your seat.
Special Considerations:
Please note, this is a full lab course that is done remotely. These guidelines represent how we feel you can best experience a remote course. If you feel you are unable to fulfill them then it is recommended that you not participate as a remote learner at this time.
You will need to register with a PT partner. The feedback of your lab partner is highly valuable, therefore you will need to collaborate with another clinician, preferably someone in your clinic or health system that you are currently working with and who is under the same guidelines and current precautions as your state leadership mandates. All participants will need to register for the course.
You will need to be able to access Zoom. The instructor will be teaching to all participants via this platform, including live lectures, offering real-time feedback, and answering your questions during lab sessions. Zoom is free to download. Each pair or small group will only need to log in with one device webcam (either laptop or tablet is fine) and will need to have working video and audio in order that the instructor can see you during lab time and hear your questions. Access to the meeting will be password protected and no genitalia will be displayed during the lab sessions.
You will need the following supplies to participate fully:
A treatment table or other solid surface on which a participant can lie during lab time. A hi-low table is ideal but not necessary, a yoga mat on the floor could work in a pinch.
One pillow per participant
One sheet per participant d
Lubricant and wipes
Each participant should bring their own gloves (one set for each lab).
Please treat this like any other live continuing education course. Test your ability to see and hear Zoom (audio and video) prior to the event. Come prepared, having completed the pre-course learning and with all props and supplies already gathered.
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Rectal pelvic floor muscle examinations will be taught in labs. Past participants have found that wearing comfortable clothing that is easy for changing (such as skirts or athletic shorts) is very useful for labs. Due to temperature variations from clinic to clinic we would recommend wearing comfortable layers.
PLEASE NOTE: This course includes internal assessment and exam techniques, which will be practiced in partnered pairs in lab time. H&W strives to foster an environment that is safe and supportive. Survivors of past trauma should be aware that performing or experiencing internal exam may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
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. 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.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
Required Readings:
1. The National Digestive Diseases Information Clearinghouse Handout on Fecal Incontinence 2. The National Institute of Diabetes and Digestive and Kidney Diseases Article on Constipation 3. The International Pelvic Pain Society Article on Pudendal Nerve Entrapment (PNE) 4. The European Urology Association'sGuidelines on Chronic Pelvic Pain 5. Principles of Biofeedback from Professor Tim Watson's website electrotherapy.org
6. 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.
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, Goals, Objectives
6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep 7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 8:45 - Break 9:00 - Fecal Incontinence, Case Study 9:45 - Constipation, Case Study 10:45 - Lunch 11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord 12:45 - Coccyx Dysfunction 1:45 - Break 2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis 3:00 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Prostate & Prostatectomy Part II - Rehabilitation 7:45 - Pudendal Nerve Dysfunction Part II 8:30 - Break 8:45 - Pudendal Nerve Dysfunction Part II (Continued) 9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 10:45 - Lunch 11:30 - LAB 4: Inclusive Language 12:15 - Break 12:30 - Colorectal Conditions 2:00 - Questions 2:15 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
This is a "self-hosted" option for attending a satellite lab course. Registrants who would like to pursue this option must:
Locate another therapist or small group of therapists who would like to register together as a unit. Individual registrations without a qualified and registered partner are not permitted.
Find a suitable location from which the pair/group can all view the zoom lectures together.
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.
Students are required to attend a hosted satellite course option and are not permitted to register for self-hosted events.
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
What to have on hand for self-hosted labs
Your partner! You will need at least one person to work with during labs. This person must be a licensed professional who is also registered for the course. The printable portion of your manual from Teachable if you choose to print. * You are not required to print your full manual, please check for any sections specifically asking you to print prior to the event. Your Mask- Please wear a mask while participating in this course to keep your colleagues safe. A computer with a Wifi connection that your group will be using to view the course. The following supplies: Non Latex, Non-Powder Vinyl Gloves MEDIUM (box of 100) Hand Sanitizer (8 fl. Oz.) Lube for labs
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, Goals, Objectives
6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep 7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 8:45 - Break 9:00 - Fecal Incontinence, Case Study 9:45 - Constipation, Case Study 10:45 - Lunch 11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord 12:45 - Coccyx Dysfunction 1:45 - Break 2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis 3:00 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Prostate & Prostatectomy Part II - Rehabilitation 7:45 - Pudendal Nerve Dysfunction Part II 8:30 - Break 8:45 - Pudendal Nerve Dysfunction Part II (Continued) 9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 10:45 - Lunch 11:30 - LAB 4: Inclusive Language 12:15 - Break 12:30 - Colorectal Conditions 2:00 - Questions 2:15 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Directions from Recommended Lodging to Course Location
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This is a satellite offering of our course, Pelvic Floor Level 2A. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This continuing education course is comprised of prerecorded lectures followed by live, interactive remote learning and is an intermediate-level seminar designed as a next step in completing the clinicians’ ability to more comprehensively evaluate and treat the female and male pelvic floor. The participant will have the opportunity to learn about two common bowel dysfunctions, fecal incontinence and constipation, and how the pelvic rehabilitation provider can play a crucial role in overcoming these issues that affect the quality of life so dramatically. In the US, the estimate of adult fecal incontinence is over 8% and greater than 15% in people over age 70. (Whitehead, 2010) According to the National Institutes of Health, constipation affects up to 15% of people, and is one of the most common gastrointestinal complaints that affects 42 million people. (Constipation, 2013) Pelvic rehabilitation providers are able to teach patients how to significantly improve quality of life through simple behavioral techniques and approaches that optimize abdominopelvic health.
Participants will learn how to evaluate the patient who presents with bowel dysfunction including fecal incontinence and constipation, and also with defecation disorders such as paroxysmal puborectalis, irritable bowel syndrome (IBS), and fecal urgency. Knowledge of pelvic anatomy expands into the gastrointestinal system with detailed instruction about the rectum and anal canal, anal sphincters, and with instruction in important physiologic principles such as the gastrocolic reflex, sampling response, and intrinsic defecation reflex. There are other conditions that can cause pain or bleeding such as hemorrhoids, fistulas, fissures, and proctalgia fugax; the clinician will learn how to apply skills of external and internal pelvic muscle assessment (via the anorectal canal) for these conditions.
Many pelvic rehabilitation providers attend this course to learn clinical skills for coccyx pain and for pudendal neuralgia, two conditions that are included in this continuing education course. As either condition can contribute to chronic pelvic pain, this course provides significant lab time so that participants will have the opportunity to practice any new skills. The course also introduces the participant to pelvic rehabilitation of the male patient with an emphasis on topics of male pelvic anatomy, urinary incontinence, prostatectomy, and male pelvic pain. The content in this course prepares the therapist to work with male pelvic conditions by reinforcing what is common to the care of both men and women, as well as teaching that which is unique for the male patient. Current medical evaluation (with tests such as defecography, manometry), medical management (for anorectal pain and for colorectal conditions), and evidence-informed clinical interventions will be instructed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Anorectal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
Constipation. (2013) National Institutes of Health. Retrieved January 22, 2014 from http://digestive.niddk.nih.gov/ddiseases/pubs/constipation Whitehead, W. E., Borrud, L., Gode, P. S., Meikle, S., Mueller, E. R., Tuteja, A.,...Ye, W. (2009). Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology, (137)2, 512-517
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction, Goals, Objectives
6:50 - Colorectal Anatomy and Physiology Review, Anorectal Examination Lab Prep 7:45 - LAB 1: Anorectal Evaluation: Sidelying Anorectal Examination & Muscle Mapping 8:45 - Break 9:00 - Fecal Incontinence, Case Study 9:45 - Constipation, Case Study 10:45 - Lunch 11:45 - Pelvic Pain: Prostatitis, Scrotal Pain & Spermatic Cord 12:45 - Coccyx Dysfunction 1:45 - Break 2:00 - LAB 2: External Palpation & Intervention Posterior Pelvis 3:00 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Prostate & Prostatectomy Part II - Rehabilitation 7:45 - Pudendal Nerve Dysfunction Part II 8:30 - Break 8:45 - Pudendal Nerve Dysfunction Part II (Continued) 9:15 - LAB 3: Internal Interventions for Coccyx, Pudendal and Pelvic Pain 10:45 - Lunch 11:30 - LAB 4: Inclusive Language 12:15 - Break 12:30 - Colorectal Conditions 2:00 - Questions 2:15 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Describe anatomy of the colorectal region. 2. Explain physiology of the gastrointestinal system including pathophysiology pertaining to bowel dysfunction. 3. Perform examination and evaluation of pelvic floor function related to anorectal structures. 4. Recognize types of fecal incontinence and develop plans of care for intervention including behavioral training and education. 5. Recognize and treat constipation, name the signs, symptoms, and interventions for hemorrhoids, fissures, fistulas, and other common colorectal conditions. 6. Identify specific pelvic floor muscles and key bony landmarks within the anorectal canal. 7. Perform external and internal rectal myofascial treatment techniques such as Thiele’s massage and trigger point release. 8. Perform patient education and behavioral training for constipation, fecal incontinence and pelvic pain syndromes. 9. Describe and teach three SEMG downtraining (relaxation) strategies for the overactive pelvic floor. 10. Describe and demonstrate coccyx evaluation and treatment using internal and external coccyx mobilizations. 11. Describe male urogenital and pelvic floor anatomy, identify signs and symptoms of prostatodynia 12. List key medical diagnostic procedures for colorectal conditions.
Directions from Recommended Lodging to Course Location
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Level 2B - Los Angeles, CA - July 25-26, 2020 (RESCHEDULED)
Update 06/10/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!
Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare. This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.
Practical, trauma aware, hands-on labs will include an external abdominal and pelvic and internal vaginal approach. Labs will focus on pelvic structures in relationship to the vaginal canal and surrounding structures such as the lumbopelvic nerves, the uterus, urethra, bladder, and rectum. Interventions instructed will include patient management of trunk and pelvic pressure, relaxation training, breathing, and manual therapies for a variety of pelvic dysfunctions. The information contained in this course is immediately applicable to clinical practice.
For pelvic conditions, the clinician will learn to: -- Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities for specific conditions -- Use an evaluation/outcome tool appropriate to the patient’s concerns -- Design a multi-modal plan of care for pelvic rehabilitation -- Perform clinical interventions based on the patient’s needs and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercisemanual therapy, therapeutic activities, instruction in self-care, and recommendations for relevant modalities
Prerequisites Our course Pelvic Function Level 1 or Pelvic PT 1 through the APTA, is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
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 recorded video lectures (all recorded video lectures must be completed before attending the first day of class), other pre-requisite 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. 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.
Special Considerations As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Read more aboutWhat to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Dr. Jenni Gabelsberg, DPT, MSc, MTC is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare. This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.
Practical, trauma aware, hands-on labs will include an external abdominal and pelvic and internal vaginal approach. Labs will focus on pelvic structures in relationship to the vaginal canal and surrounding structures such as the lumbopelvic nerves, the uterus, urethra, bladder, and rectum. Interventions instructed will include patient management of trunk and pelvic pressure, relaxation training, breathing, and manual therapies for a variety of pelvic dysfunctions. The information contained in this course is immediately applicable to clinical practice.
For pelvic conditions, the clinician will learn to: -- Recognize the key signs and symptoms that lead to impairment, functional limitations and disabilities for specific conditions -- Use an evaluation/outcome tool appropriate to the patient’s concerns -- Design a multi-modal plan of care for pelvic rehabilitation -- Perform clinical interventions based on the patient’s needs and goals
Clinical treatment interventions will include patient education, neuro re-education, therapeutic exercisemanual therapy, therapeutic activities, instruction in self-care, and recommendations for relevant modalities
Prerequisites Our course Pelvic Function Level 1 or Pelvic PT 1 through the APTA, is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
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 recorded video lectures (all recorded video lectures must be completed before attending the first day of class), other pre-requisite 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. 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.
Special Considerations As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Read more aboutWhat to Expect During Courses with Internal Lab Work.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Dr. Jenni Gabelsberg, DPT, MSc, MTC is a women's health physical therapist specializing in urinary incontinence and pelvic pain since 1994. She strives to empower patients through education and self-awareness to encourage them to take responsibility for their own health. She believes that a physical therapist's education forms the cornerstone of her care. She attended the University of Vermont and earned a Bachelor of Science, Physical Therapy, in 1994. She went on to earn a Manual Therapy Certification (MTC) awarded by the Institute of Physical Therapy in 1995. Dr. Gabelsberg next earned an Advanced Masters in Orthopedic Physical Therapy from the University of Saint Augustine for Health Sciences in 1999, and a Doctorate in Physical Therapy in 2003.
Destiny Bochinski, PT, DPT, PRPC
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
This is a satellite offering of our course Pelvic Floor Level 2B. A satellite means that participants will be gathering in a given location and watching the instructor present remotely on the same screen. During labs, participants at the satellite course locations will pair up and be guided by the local lab assistants. Self Hosted pairs and groups will not be provided a lab assistant and will instead be guided remotely by the course instructor..
This intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Instruction in female urogynecologic anatomy occurs throughout this continuing education course, along with education in current terminology and clinical models related to the trunk and pelvic control. Detailed internal vaginal and external perineal examinations are included in the practical lab activities, during which the participant will have several experienced lab assistants as guides. An entire lecture is dedicated to the management of prolapse and pelvic organ descent so that the pelvic rehabilitation provider will be able to develop clinical and home program strategies for the patient who presents with conditions such as rectocele, cystocele, or uterine prolapse.
Common conditions associated with female pelvic pain are included throughout the three days of education. Such diagnoses may include vulvar pain, vestibulitis, interstitial cystitis or bladder pain syndrome, episiotomy, dyspareunia, lichen sclerosis, lichen simplex, or lichen planus. Both abdominal and pelvic muscle tenderness is higher in patients who have chronic pelvic pain, and increased pelvic muscle tender points have been noted to correlate with higher rates of depression, dyspareunia (pain with sexual function), and bowel dysfunction. (Montenegro et al., 2009; Montenegro et al., 2010) Assessment and treatment of pelvic and abdominal wall tender points are instructed along with abdominopelvic nerve dysfunction and relaxation training- all are strategies that the clinician can employ immediately following completion of this continuing education course. The important and sensitive topic of sexual abuse and trauma as it relates to pelvic dysfunction and the care of the patient is discussed.
Prerequisites:
Pelvic Floor Level 1, through Herman & Wallace or Pelvic PT 1 through the APTA is required. Exceptions to this policy may be granted on a case-by-case basis, to inquire about such exceptions please contact us.
All pre-recorded lectures in Teachable for this course must be watched before the Live Component of the course and in order to earn a certificate of completion for this course. See the Schedule tab for the current list of pre-recorded videos
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. 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.
Special Considerations
As this continuing education course includes extensive lab work, all course attendees should come prepared to participate as both clinician and patient. Vaginal pelvic floor muscle examinations will be taught in labs. Labs will be conducted under the supervision of instructors and teaching assistants. There will be a ratio of at least one instructor/assistant for every ten participants.
Participation in Labs
H&W strives to foster an environment that is inclusive and welcomes all professionals who are appropriately licensed at our courses. Having any particular anatomy is not a prerequisite for attending or participating fully in our courses. No one participant will be required to partner with any other participant during labs. Survivors of past trauma should be aware that performing or experiencing internal exams may be triggering, and that many, regardless of their histories, feel strong emotions when practicing these techniques. In order to foster an environment that is non-triggering and safe for all participants, we recommend all participants consider the emotional impact they may experience during the course, and consider consulting a trauma counselor or therapist prior to attending. Read more about What to Expect During Courses with Internal Lab Work.
References
De Souza Montenegro, M. L. L., Mateus-Vasconcelos, E. C. L., Silva, J. C. R. E, Nogueira, A. A., Dos Reis, F. J. C.,& Poli Neto, O. B. (2010). Importance of pelvic muscle tenderness evaluation in women with chronic pelvic pain. Pain Medicine, 11(2), 224-228. Montenegro, M. L. L. S., Gomide, L. B., Mateus-Vasconcelos, E. L., Rosa-e-Silva, J. C., Candido-dos-Reis, F. J., Nogueira, A. A., & Poli-Neto, O. B. (2009). Abdominal myofascial pain syndrome must be considered in the differential diagnosis of chronic pelvic pain. European Journal of Obstetrics & Gynecology and Reproductive Biology, 147(1), 21-24.
============================= Before Day One
=============================
These video lectures in Teachable must be viewed in-full prior to the course Total video lecture time: 7 hours
1) Pelvic Rehab Concepts, Anatomy, & Specific Palpation (37 min) 2) Trauma-informed Care (55 min) 3) Prolapse (41 min) 4) Medical and Multidisciplinary Management of Pelvic Pain (38 min) 5) Specific Conditions: Vulvar Pain, Dyspareunia, Vaginismus (45 min) 6) Specific Conditions: Interstitial Cystitis/Painful Bladder Syndrome, UTI (43 minutes) 7) Specific Conditions: Endometriosis, PCOS (61 min) 8) Neuromuscular Relaxation Training (39 min) 9) Abdominal Neuromyofascial Anatomy (39 min) 10) Breathing and Pressure Management (31 min)
============================= Day One
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Introduction to abdominopelvic pain and urogynecologic conditions, goals & objectives
7:00 - Abdominopelvic pain and anatomical mapping 8:00 - Lab 1 Prep: Internal vaginal layer palpation and prolapse assessment 8:30 - Break 8:45 - LAB 1: Internal vaginal layer palpation and prolapse assessment 10:15 - Lab synthesis discussion 10:30 - Lunch/Meal Break 11:30 - Prolapse, recovery, and pessary referrals 12:15 - Lab 2 Prep: Breathing & Trunk Mobility, Stability 12:50 - LAB 2: Breathing & Trunk Mobility, Stability 1:30 - Break 1:45 - Vulvar skin conditions and topical medications 2:30 - Case Discussions Part I 3:30 - Adjourn
============================= Day Two
=============================
6:00 am PST - Zoom opens 30 mins before course for registration and setup 6:30 am PST - Course begins / Questions from Day 1 6:45 - Lab 3 Prep: Abdominal neuromyofascial techniques 7:15 - LAB 3: Abdominal neuromyofascial techniques 8:30 - Break 8:45 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions 9:30 - Lab 4: Relaxation techniques 10:30 - Lunch/Meal Break 11:15 - Lab 5: Abdominopelvic and Internal Vaginal Interventions 12:45 - Case Discussions Part II 1:45 - Course Synthesis Discussion 2:00 - Adjourn
Upon completion of this continuing education seminar, participants will be able to:
1. Identify anatomy, physiology, and pathophysiology of the urogynecologic systems with reference to specific vulvovaginal conditions, pelvic organ prolapse (POP), interstitial cystitis/painful bladder syndrome (IC/PBS), and urinary tract infections (UTIs), and polycystic ovarian syndrome (PCOS), and endometriosis
2. Perform detailed and specific pelvic anatomy mapping related to external and internal vulvovaginal conditions
3. Incorporate informed consent, trauma-informed care and an approach that is sensitive to culture and religious beliefs for evaluation and intervention skills.
4. Describe 3 theories of neuromuscular relaxation and how to perform guided relaxation techniques
5. Describe necessity of medical referral and screening as appropriate for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
6. Describe common medical testing, common medical procedures, and multidisciplinary care for vulvovaginal conditions, POP, IC/PBS, and UTIs, PCOS, and endometriosis
7. Perform examination, evaluation, and develop plan of care appropriate for pelvic dysfunctions including vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
8. Recognize signs, symptoms, and rehabilitation interventions for common colorectal conditions such as vaginismus, vulvodynia, dyspareunia, POP, PCOS, IC/PBS, UTI, and endometriosis
9. Identify patient selection criteria for pessary and identify the role of the rehabilitation provider in pessary fitting
10. Describe and demonstrate abdominal wall evaluation and treatment interventions of manual therapy, and specific therapeutic exercise for transversus abdominis, diastasis recti, nerve dysfunction, and myofascial pain
11. Perform internal vaginal myofascial and soft tissue treatment techniques to the pelvic floor and pelvic wall muscles
12. Recognize need for medical consultation for vulvar skin conditions including but not limited to vaginal atrophy, disease conditions, lesions, abnormal coloring and texture, genitourinary syndrome of menopause (GSM)
Destiny Bochinski, PT, DPT, PRPC (Encinitas, CA)
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace, teaching the pelvic floor series continuing education courses.
Destiny treats men and women with urinary, gynecologic, colorectal, and orthopedic dysfunctions as the lead pelvic health physical therapist at a hospital-based outpatient clinic in Encinitas, California. She believes her primary role is as an educator for her patients to empower them to become advocates for their own health and active participants in their rehabilitation.
Outside of work, Destiny enjoys spending time with her 2 children and husband, hiking, swimming, yoga, and tasting wine.
Holly Tanner, PT, DPT, MA, OCS, WCS, PRPC, LMP, BCB-PMB, CCI was born and raised in Duluth, Minnesota. At Herman & Wallace, Holly is a faculty member and the Director of Education. She owns a private practice that focuses on pelvic rehabilitation and on chronic myofascial pain. She graduated from the College of St. Scholastica in 1995 with a Masters of Arts degree in Physical Therapy and in 2013 she completed a Doctor of Physical Therapy degree. She is also a licensed massage practitioner, licensed in Washington since 2003. Prior experience includes working for Apple Physical Therapy where she developed and directed the Women's and Men's Health programs for the company’s many clinics. She is Board-certified in Orthopedics, Women's Health, and is also certified in Pelvic Rehabilitation and in Pelvic Muscle Dysfunction Biofeedback. Holly served as adjunct faculty at the University of Puget Sound in Tacoma, WA, and at the College of St. Scholastica in Duluth, MN, for whom she continues to teach in the transitional DPT program. Along with H&W faculty member Stacey Futterman she co-authored the "Male Pelvic Floor Function, Dysfunction, and Treatment" course. She is a member of the American Physical Therapy Association and the American Massage Therapy Association. Her physical therapy and massage practice, Flow Rehab, is located in the Fremont neighborhood of Seattle.
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.
Course discounts for the Pelvic Floor Series are capped at 10% no matter the group size or number of registrations
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.
Course discounts for the PF series are being capped at 10% no matter on group size or number of registrations - but will be staying the same for specialty courses.
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. Students are welcome to attend satellite and remote courses with H&W once they have reached their third year and/or completed a hands-on clinical in their second year. You may register while in your 2nd year for a course that is taking place by the time you have become a third-year student. However, students are not allowed to register or attend a self-hosted course.
To get this discount when checking out online, use the code STUDENT2023 for courses scheduled for 2023. (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).
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
Course Description
This is a satellite offering of our course Pelvic Floor Level 2B. This continuing education course consists of 8 hours of pre recorded lectures followed by 14.5 hours of live, interactive remote learning which will be completed by groups meeting at a specific satellite location OR self hosted location. The instructor will be presenting to all satellites from a remote location via Zoom. During labs, participants will pair up and be guided by the local lab assistants at the satellite course location.
This three-day (8 hours of online content, plus 2-days of in-person learning) intermediate-level continuing education course further defines skills and knowledge learned in the foundational Pelvic Floor Level One course. Specific, advanced examination techniques such as pelvic muscle mapping and interventions including down training of overactive muscles is instructed. With a specific focus on urogynecologic conditions including prolapse and pelvic organ descent, various pelvic pain diagnoses, and abdominal wall rehabilitation, the participant will be able to learn specific skills to treat these conditions that have a significant negative impact on a woman's health. Evidence-based references and case studies will be presented for a thorough understanding of current medical evaluation and management of each condition.
Start Date/Time and Time Zone:
Jul 23, 2022 9:30 AM America/New_York
Location
Venue: Hands of Hope Physical Therapy - Staten Island
Pelvic Function Level 2A (PF2A) is an intermediate-level course that will provide the pelvic health clinician with more tools to comprehensively evaluate and treat pelvic dysfunction. The participant will have the opportunity to learn about common functional gastrointestinal (GI) dysfunctions including irritable bowel syndrome, fecal incontinence and constipation. Participants will understand how diagnoses such as hemorrhoids, fistulas, fissures, and anorectal pain including pudendal neuralgia and coccygodynia may be improved with pelvic rehabilitation. Introduction to nutrition for bowel health, other colorectal conditions and oncology will be provided. Practical, hands-on, supervised labs will include an external perineal and internal anorectal approach as well as education in use of balloon re-training. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.
Course Start Date/Time and Time Zone:
Sep 14, 2024 7:30 AM America/Denver
Location
Venue: Rocky Mountain University of Health Professions
Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare. This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.
Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare. This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.
Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare. This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.
Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare. This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.
Course Start Date/Time and Time Zone:
Aug 17, 2024 6:30 AM America/Los_Angeles
Location
Venue: Water and Sports Physical Therapy - La Jolla
Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare. This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.
Pelvic Function Level 2B (PF2B) is an intermediate-level course which covers increased specificity of evaluation for urogynecologic conditions as well as an overview of medical management, and multi-disciplinary pelvic healthcare. This course is intended for the pelvic health clinician who treats patients with conditions including urinary incontinence, chronic pelvic pain (CPP), and pelvic organ prolapse. Participants will understand how diagnoses such as interstitial cystitis/painful bladder syndrome (IC/PBS), urinary tract infections, vaginismus, vulvar pain, dyspareunia, polycystic ovarian syndrome (PCOS), and endometriosis may be improved with pelvic rehabilitation. This course was designed as a progression of knowledge and skills learned in the foundational course of our Pelvic Function Series: Pelvic Function Level 1: Introduction to Pelvic Health. The information contained in this course is immediately applicable to clinical practice.
Destiny is originally from Oregon but relocated to southern California after earning her Bachelor’s in Biology from Linfield College, where she also minored in Theatre Arts. She then went on to earn her Doctor of Physical Therapy from Chapman University in 2008. She developed a passionate interest in pelvic health when she attended the midwife-assisted home births of her two nephews. Since then, she has enjoyed educating patients, colleagues, physicians, nurses, and the community through in-services, classes, and podcasts delivered in a variety of venues. She is thrilled to be part of the faculty at Herman & Wallace.
