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Finding the Driverin Pelvic Pain: Musculoskeletal Factors, Clinical Reasoning and Treatment Prioritization in the Treatment of Pelvic Floor Dysfunction

April 23 - 25, 2015
Marquette University, Milwaukee, WI

Logo Herman and Wallace

Co-Sponsored by Herman & Wallace Pelvic Rehabilitation Instittute.


Course description

Clinical Reasoning is an essential tool in the evaluation and treatment of clients with pelvic floor dysfunction as it enables differential diagnosis and prioritization of treatment interventions. The majority of clients with pelvic floor dysfunction have associated co-morbidities which may include labral tear, femoral acetabular impingement (FAI), discogenic low back pain (LBP), altered respiratory patterns, nerve entrapments, fascial incompetence or coccygeal dysfunction. These complex clients require the clinician to have a comprehensive toolbox to screen musculoskeletal, neurologic as well as pelvic floor dysfunctions in order to design an effective treatment regimen. This intermediate level 3-day course is designed for physical therapists treating pelvic pain and elimination disorders who seek additional skills in the evaluation and treatment of musculoskeletal co-morbidities as well as clinical reasoning with prioritization of interventions. Evidence based test item clusters for all associated contributing factors will be covered, including urogynecologic, sexual, colorectal, orthopedic, key history taking questions as well as direct perineal and pelvic floor assessment. Participants will be provided with differential diagnosis and clinical reasoning that can be applied to their clients immediately. Internal and external pelvic floor assessment is critical for evidence based evaluation and treatment of pelvic pain and elimination disorders. This data, along with the musculoskeletal screening, can determine if the pelvic floor dysfunction is the outcome or the cause of the problem.

This intermediate level course is an excellent adjunct for clinicians interested in learning how to evaluate and prioritize the treatment interventions of clients with pelvic floor associated musculoskeletal dysfunction.

Intended Audience

Physical therapists, occupational therapists and physical therapist assistants with a foundational knowledge of pelvic floor disorders and orthopedics.

Course Prerequisite

Consent of instructor or clinicians will have completed a minimum of one pelvic floor evaluation and treatment course including external and internal assessment of pelvic floor anatomy.  [Prerequisite Course options include Herman and Wallace PF 1, APTA SOWH PF 1 course and Marquette University’s 4 Day Treatment of Bowel, Bladder and Pelvic Floor Disorders.]

Course objectives

Following the course which will utilize Sackett's definition of evidence-based medicine, participants will be able to describe and/or integrate the following in the treatment of their clients:


Course schedule and content

Day 1 (7:30 - 5:00)
7:30 Registration and Continental Breakfast
8:00 Objectives, Introductions and Overview
8:15 Core Concepts
8:45 Pelvic Floor Anatomy
9:45 Pelvic Floor TheraBand Demo
10:00 Break
10:15 External Bony Landmark Palpation and Perineal Exam
11:00 Lab 1: External Bony Landmark and Perineal Exam
12:00 Lunch
1:00 Intrapelvic Structural Mapping of Muscles and Nerves
1:45 Lab 2: PFM Mapping, Pudendal Nerve Pathway Identification
3:00 Break
3:15 Bowel and Bladder Norms vs. Your B and B Diary findings
4:00 Case Study: Finding the Driver
4:30 Post-Test and Review


Day 2: (7:30 - 5:00)
7:30 Continental Breakfast and Registration
8:00 Questions and Answers
8:15 Pelvic Pain Drivers: Vulvodynia, IC/PBS, Pudendal Neuralgia
9:30 History Taking and FO Methods for Pelvic Pain
10:15 Break
10:30 Musculoskeletal Contributing Factors to Pelvic Pain
11:45 Musculoskeletal Scan Exam for Pelvic Pin
12:30 Lunch
1:30 Lab 3: Musculoskeletal Scan Exam for Pelvic Pain Lecture and Lab


3:15 Case Study: Finding the Driver
4:30 Post-test & Review


Day 3: (7:00 - 3:30)
7:00 Continental Breakfast
7:30 Lab 5: Cumulative Lab practicum: History, B and B Diary, Musculoskeletal Scan Exam
8:45 Case Study: Finding the Driver
9:30 Break

Lab 6: Cumulative Lab Practicum: External and Internal PFM Exam


Case Study: Finding the Drivers and Treatment Plan

11:30 Lunch
12:15 Lab 7: External PFM Techniques: Manual Therapy to Pelvic Ring for PFM Release and Joint Mibilization

Case Presentations: Find the Driver, Plan of Care

2:45 Post-Test, Questions & Gratitude!


21.75 contact hours approval pending WPTA



Elizabeth Hampton, P.T., WCS, BCB-PMD

Ms. Hampton is a physical therapist in practice since 1987 and owner of CorePhysio in Bellingham, Washington. A 1987 graduate of Marquette University's program in physical therapy, she earned specialized certifications in Women's Health Physical Therapy (TWU), childbirth & doula education, Polestar Pilates Rehabilitation, as well as Board Certification in Pelvic Muscle Dysfunction Biofeedback through the Biofeedback Certification Institute of America (BCIA). Hampton earned her Board Certification in Women’s Health Clinical Specialist through the American Board of Physical Therapy Specialties in 2009. Since 2006, Hampton has been faculty for the Herman and Wallace Pelvic Rehabilitation Institute, providing continuing education courses on pelvic floor dysfunction to health care providers across the United States. She is presently enrolled in the Evidence in Motion Private Practice Management and DPT Program. Elizabeth is a published author in the field of pelvic health rehabilitation. She is a member of the American Physical Therapy Association, the Sections on Women's Health, Orthopedics & Private Practice, the Private Practice Special Interest Group (PPSIG) as well as the Washington State Physical Therapy Association. She lives with her family in Bellingham, WA.

Click here to register on line or call (646)355-8777. Courses are filled on a first come, first serve basis. H&W accepts Visa and Mastercard. There are instructions for checks as well.

Please make sure to read Herman & Wallace terms and conditions.

Tuition: $695

For more information about:

Course logistics or general information, contact: Diane Slaughter at (414) 288-3097 or

Information on accommodations

Course Testimonials

Marquette University is also sponsoring:

Treatment of Bowel, Bladder and Pelvic Floor Disorders: Anatomical, Physiological, and Behavioral Foundations for Clinical Practice
June 17 20, 2015

Behavioral and Rehabilitation Treatment of Bowel Disorders - An Advanced Course - October 15-17, 2015

Sexual Health and Pelvic Pain-Rehabilitation Strategies for Pelvic Floor Clinicians - November 12-14, 2015

Contact the College of Health Sciences