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This three-day course is designed for the physical therapist interested in learning how to work with women with pelvic pain, urinary and sexual dysfunction.  The course will introduce participants to the functional anatomy of pelvic pain and the pelvic floor.  Students will learn how to perform an internal vaginal and rectal exam, while mapping out the various structures and gaining a thorough understanding of the pelvic floor muscles, including the lumbo-pelvic cylinder.

Students will learn various reliable pain provocation and load transfer tests, identify dysfunction, and examine for under- and over activity.  Through a Movement System Balance system, students will uses a structured movement system assessment and formulate effective and evidence-informed treatment strategies. This course has immediate clinical applicability

Learning Outcomes

  • Assess and rehabilitate the lumbar pelvic spine applying movement analysis & correction.
  • Being confident in the assessment of the pelvic floor including differentiation of superficial and deep pelvic floor muscles
  • Recognize potential disorders of pelvic floor muscle over and under-activity
  • Develop effective treatment strategies for women with chronic pelvic pain, bladder and bowel dysfunction, prolapse and sexual dysfunction.
  • Improve understanding of female anatomy & physiology including urinary & sexual function
  • Learn advanced manual therapy techniques for the pelvic floor muscles and neural tissue, including the pudendal nerve
  • Develop relevant assessment and clinical reasoning skills
  • Learn advanced movement integration and pain treatment techniques
  • Be familiar with the current clinical literature review
  • Understand the current medical management




The course is designed for physical therapists, physicians and physician assistants, and nurse practitioners.  All participants are expected to participate in the hands-on portion of the course.


8:30 – Registration
9:00 – Course outline, Functional anatomy of the Pelvic floor, Pelvic Pain, Urinary & Sexual Dysfunction- Theory
10:45 – Break
11:00 – Internal vaginal (+/-rectal) exam & mapping out of structures – Practical
11:45 – Internal vaginal exam continued with functional evaluation of PFM including cylinder-Practical
12:45 – Lunch
1:30 – Case study & pain, “trigger points” & neural differentiation – Theory
3:00 – Break
3:30 – Reliable pain provocation/load transfer tests (with internal vaginal/ rectal examination continued)- Practical
4:45 – 5:00 – Questions & finish

9:00 – Questions
9:15 – Identifying dysfunction, palpation for under/over activity and neural differentiation- Practical
10:45 – Break
11:00 – Treatment for Sexual Dysfunction, including dilators- Practical and Theory
12:45 – Lunch
1:30 – Movement System Balance- Theory
3:00 – Break
3:15 – Assessment movement system  -Practical
4:30 – Questions
4:45 – 5:00 – Close

9:00 – Assessment movement system  -Practical
10:45 – Break
11:00 – Making the changes- Treatment doses including case study putting together treatment techniques exam in clinical settings, indications/ application Theory & Practical
12:45 – Lunch
1:30 – Free Practical
3:30 – Break
3:45 – Free Practical/ Questions
4:45 – 5:00 Questions & finish

Private Detective Course Description for PP-2

Click Here to learn more about PP-2 – The Private Detective… a closer look at physiotherapy for male pelvic pain, urinary, and sexual dysfunction.