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122 E 1700 South Building #3 Room 212
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Pelvic Floor Function, Dysfunction and Treatment (Level 2A)
Course Description
This is a satellite offering of our course, Pelvic Floor Level 2A. This continuing education course consists of 7.5 hours of pre recorded lectures followed by 13.5 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 continuing education course 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.
Start Date/Time and Time Zone:
Jun 25, 2022 11:00 AM America/New_York
Location
Venue: Bloom Pelvic Therapy
Address:
16540 Pointe Village Dr Ste 209
Lutz, FL 33558
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Course Title
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:
Aug 20, 2022 9:30 AM America/New_York
Location
Venue: Compass Physical Therapy
Address:
2170 Hendersonville Rd
Arden, NC 28704
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string(1549) "Pelvic Floor Level 2B - Maywood, IL - May 29-31, 2020 (Rescheduled)
Update 4/17/2020: 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!
Description
Schedule
Objectives
Location/Lodging
Instructors
Discounts
Price: $695 Experience Level: Intermediate Contact Hours: 21.15 |
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
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.
NOTE: Times below are listed in Pacific time zone
For assistance converting the times below to your local time zone, use this link:
https://www.timeanddate.com/worldclock/converter-classic.html
|
=============================
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 - Case Discussions Part I
2:45 - Lab 3: Relaxation Lab
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 - Vulvar skin conditions and topical medications
7:45 - Lab 4 Prep: Abdominal neuromyofascial techniques
8:15 - LAB 4: Abdominal neuromyofascial techniques
9:15 - Break
9:30 - Lab 5 Prep: Abdominopelvic and Internal Vaginal Interventions
10:15 - Lunch/Meal Break
11:00 - Lab 5: Abdominopelvic and Internal Vaginal Interventions
12:30 - Case Discussions Part II
1:30 - 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)
Directions from Recommended Lodging to Course Location: Click here if map is not shown below.
Holly Tanner, PT, DPT, MA, OCS, WCS, LMP, BCB-PMD, CCI, PRPC (Seattle, WA)
Holly Tanner was born and raised in Duluth, Minnesota, and has lived in Washington state for most of her adult life. 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. 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 in Pelvic Rehabilitation. She teaches continuing education courses nationally, teaches in the transitional Doctor of Physical Therapy program for the College of St. Scholastics, and serves as a consultant for practice and program development. She is a member of the American Physical Therapy Association and the American Massage Therapy Association.
Practice Information:
Flow Rehab
Meghan Rietschel, MPT, PRPC

Meghan Rietschel, MPT, PRPC (she/her) originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for all genders over the past several years.
Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students and is on faculty for the MHealth Fairview Women’s Health Residency Program.
Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and educate all on the importance of pelvic health.
Meghan is a Clinic Supervisor and Clinical Specialist at MHealth Fairview Sports and Physical Therapy in Fridley, MN. She primarily treats patients of all genders with chronic pelvic pain, incontinence, and complex colorectal conditions.
In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, quilting, camping, and being outdoors!
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 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 3-6 receive a 10% discount off the combined price of their group's registrations.
Groups of 7 or more should contact us to inquire about additional available discounts.
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).
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Course Title
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.
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Start Date/Time and Time Zone:
Aug 20, 2022 9:30 AM America/New_York
Location
Venue: His Therapy Pelvic Health and Wellness Center
Address: 2 Parkway Commons Way
Greer, SC 29650
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Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
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Aug 20, 2022 6:30 AM America/Los_Angeles
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Venue: Core Pelvic Floor therapy
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Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
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Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
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Pelvic Floor Function, Dysfunction and Treatment (Level 2B)
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Course Start Date/Time and Time Zone:
Jan 25, 2025 7:30 AM America/Chicago
Location
Venue: St Catherine University
Address:
2004 Randolph Avenue
Mendel Hall 213
Saint Paul, MN 55105
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Pelvic Function Level 1
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Oct 5, 2024 9:30 AM America/New_York
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Venue: Metro Physical & Aquatic Therapy
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Oct 5, 2024 9:30 AM America/New_York
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Address:
99 Vanderbilt Ave.
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Nov 2, 2024 6:30 AM America/Los_Angeles
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Address:
340 W. East Ave
Chico, CA 95926
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Location
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Address:
29605 US Highway 19 N
Suite 150
Clearwater, FL 33761
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Address:
63 North Quebec Street
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Nov 2, 2024 7:30 AM America/Denver
Location
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Address:
8550 West 38th Avenue
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Course Start Date/Time and Time Zone:
Apr 27, 2024 9:30 AM America/New_York
Location
Venue: Metro Physical & Aquatic Therapy
Address:
4080 Hempstead Tpke
Bethpage, NY 11714
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Pelvic Function Level 2A
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Course Start Date/Time and Time Zone:
Apr 11, 2026 8:30 AM America/Chicago
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Venue: CC's Physical Therapy
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207 W Front Ave
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Pelvic Function Level 2A
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Course Start Date/Time and Time Zone:
Apr 11, 2026 9:30 AM America/New_York
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Venue: Orchard Park Progressive Physical Therapy
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1086B Union Rd
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Pelvic Function Level 2A
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Course Start Date/Time and Time Zone:
Apr 27, 2024 9:30 AM America/New_York
Location
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Address:
6801 River Road
Columbus, GA 31904
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Course Start Date/Time and Time Zone:
Apr 11, 2026 8:30 AM America/Chicago
Location
Venue: Mercy I-35 Outpatient Rehabilitation Services
Address:
2017 West I-35 Frontage Road
Edmond, OK 73013
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Pelvic Function Level 2A
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8550 Naab Road
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Indianapolis, IN 46260
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Pelvic Function Level 2A
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Pelvic Function Level 2B
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Course Start Date/Time and Time Zone:
Nov 22, 2025 9:30 AM America/New_York
Location
Venue: Cornerstone Physical Therapy of North Carolina
Address:
600 Julian Lane
Suite 660
Arden, NC 28704
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Pelvic Function Level 2C
Course Description
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Course Start Date/Time and Time Zone:
Nov 22, 2025 9:30 AM America/New_York
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Venue: Trinity Health Probility Physical Therapy
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180 South Lilley Road
Canton, MI 48188
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Pelvic Function Level 2C
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Address:
1600 E. Broadway
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Pelvic Function Level 2C
Course Description
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63 North Quebec Street
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Pelvic Function Level 2C - Satellite - Denver CO - March 14 - 15 2026
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Course Title
Pelvic Function Level 2C
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1125 N. College Ave
Fayetteville, AR 72703
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Course Title
Pelvic Function Level 2C
Course Description
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Nov 22, 2025 8:30 AM America/Chicago
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Address:
20500 S La Grange
Frankfort, IL 60423
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Pelvic Function Level 2C
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Nov 22, 2025 6:30 AM America/Los_Angeles
Location
Venue: Asante Health Systems
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781 Black Oak Dr.
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Pelvic Function Level 2C
Course Description
Pelvic Function Level 2C - Men’s Pelvic Health and Rehabilitation (PF2C) is an intermediate-level course designed to provide critical detailed information to providers interested in working with men and men’s pelvic health conditions. This course is intended for the pelvic health clinician who treats patients with conditions including post-prostatectomy urinary incontinence, erectile dysfunction, and chronic pelvic pain (CPP). Participants will understand how diagnoses such as hard/flaccid, urgency/frequency, scrotal, testicular, and penile pain may be improved with pelvic rehabilitation. Practical, hands-on labs will include an external abdominal, gluteal, perineal and internal anorectal approach. The information contained in this course is immediately applicable to clinical practice. This course was born out of the former “Male Pelvic Floor” and 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.
Start Date/Time and Time Zone:
Mar 14, 2026 6:30 AM America/Los_Angeles
Location
NA - Registrants Attend this course via Zoom
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Pelvic Function Level 2C - Self-Hosted - March 14 - 15 2026
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string(73) "Rescheduled! - Pelvic Floor Level 1 - Kansas City, MO - April 17-19, 2020"
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string(1557) "Rescheduled! - Pelvic Floor Level 1 - Kansas City, MO - April 17-19, 2020
Update 3/12/2020: 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!
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.
1. Bladder Diary (Print two copies)
2. Bladder Diary Assignment Instructions
3. Patient History Form
4. Biofeedback Video - Please download and listen to the presentation
Required Readings
1. Diagnosis, Treatment, and Prevention of Urinary Incontinence
2. The International Pelvic Pain Society Patient's Booklet on Chronic Pelvic Pain
3. Principles of Biofeedback from Professor Tim Watson's website- an incredible resource!
4. Neuromuscular Electrical Stimulation (a download from Tim Watson's site: electrotherapy.org.)
5. IUGA/ICS report on female pelvic floor terminology
6. Many participants find it helpful to review the anatomy of the pelvis and perineum
7. 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 text book are not required to purchase an additional one.
Please Contact Us with any questions about the use of this text as a required reading in this course.
Recorded video lectures to be viewed in-full prior to the Day One of the course (Total video lecture time 9 hours)
- Pelvic Floor Anatomy & Function (45 minutes)
- Pelvic Floor Evaluation and Examination (1 hour 30 min)
- Managing Movement (1 hour)
- Awareness of Trauma in Pelvic Rehab (1 hour)
- Urinary Incontinence (1 hour 30 min)
- Introduction to Pelvic Pain (1 hour)
- General Treatment of Pelvic Pain (1 hour)
- Electrical Muscle Stimulation (1 hour 15 min)
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Day One:
7:30 Registration 8:00 Introduction, goals, objectives, questions 8:30 Pelvic Floor (PF) Anatomy and Evaluation 9:15 Lab 1: PF Exam Techniques Part 1: Observation, Identification, Muscle layers, ICS Scoring 10:15 Break 10:30 Pelvic Floor Evaluation (Continued) 11:00 Lab 2: PF Exam Techniques Part 2: PF MMT, Laycock Exam, Pelvic Clock, Obturator Internus 12:00 Lunch 1:00 Urinary Incontinence Examination & Interventions Part II 1:45 Lab 3: Bladder Diary Activity 2:30 Break 2:45 Lab 4: Screening of Breathing & Load Transfer Strategies, Abdominal Wall Dysfunction 3:30 Electrical Stimulation (ES), sEMG Biofeedback Lecture 4:00 Lab 5: sEMG Biofeedback & Electrical Stimulation Applications 5:00 Questions 5:15 Adjourn
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Day Two:
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
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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)
Meghan Rietschel, MPT, PRPC

Meghan Rietschel, MPT, PRPC (she/her) originally from the heart of Packer country in Eastern Wisconsin, Meghan graduated from The College of St Scholastica in Duluth, MN in 2000 with her Master of Arts in Physical Therapy and relocated to the Twin Cities area. Initially, an orthopedic therapist, Meghan wanted nothing to do with pelvic health, nor knew much about it! After the birth of her own children, she developed pelvic pain and was on a quest to find a path of healing for herself and realized what a profound impact her pelvic health therapist had on getting her life back! These experiences opened her up to a whole new passion and dedication she never imagined that would also have such an impact on the patients she serves. She has been an advocate for pelvic health for all genders over the past several years.
Meghan has presented to several community groups, doctors’ groups, as well as other therapists on pelvic health treatment, differential diagnosis, and chronic pelvic pain. Additionally, she serves as a clinical instructor for DPT students and is on faculty for the MHealth Fairview Women’s Health Residency Program.
Meghan believes in educating and empowering patients to get better, live a more active and healthier lifestyle, and educate all on the importance of pelvic health.
Meghan is a Clinic Supervisor and Clinical Specialist at MHealth Fairview Sports and Physical Therapy in Fridley, MN. She primarily treats patients of all genders with chronic pelvic pain, incontinence, and complex colorectal conditions.
In her spare time, she enjoys spending time with her husband, 3 kids, 2 dogs, quilting, camping, and being outdoors!
Christine Stewart, PT, CMPT

Christine Stewart, PT, CMPT (she/her) graduated from Kansas State University in 1992 and went on to pursue her master’s degree in physical therapy from the University of Kansas Medical Center graduating in 1994. She began her career specializing in orthopedics and manual therapy then became interested in women’s health after the birth of her second child.
Christine developed her pelvic health practice in a local hospital with a focus on urinary incontinence and prolapse. She left the practice in 2010 to work at Olathe Health to further focus on pelvic rehabilitation for all genders and obtain her CMPT from the North American Institute of Manual Therapy. She completed Diane Lee’s Integrated Systems Model education series in 2018. Her passion is empowering patients through education and treatment options for the betterment of their health throughout their lifespan. She enjoys speaking to physicians and to community-based organizations on pelvic health physical therapy.
Christine has been part of the Herman & Wallace faculty since 2017. She recently developed and authored a two-day course entitled Menopause Transitions and Pelvic Rehab. She is an avid runner who loves to hike through National parks with her family.
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 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 3-6 receive a 10% discount off the combined price of their group's registrations.
Groups of 7 or more should contact us to inquire about additional available discounts.
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).
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