Pudendal Neuralgia and Complex Pelvic Pain
with Tracy Sher, PT, DPT, CSCS
in Dartmouth, NS
Pudendal Neuralgia and Complex Pelvic Pain
Course description
Pudendal neuralgia and pudendal nerve entrapment. These diagnoses are often confusing to both patients and healthcare providers. Additionally, there are numerous differential diagnoses to consider with pelvic neuralgia symptoms.
Patients seek out the answers to these questions and often find there’s a wide variability in answers and level of expertise or understanding from health care providers:
· Do I have pudendal nerve neuralgia or entrapment?
· What are the best diagnostic tests for an accurate diagnosis?
· What type of treatment options are there?
· Is it worth getting blocks and injections?
· If so, what should I consider?
· What exercises are safe?
· Do I need surgery for this and what’s the best type of surgery?
Pelvic physiotherapists should be at the forefront of critical thinking, evaluation and treatment for these conditions.
This unique two-day course will provide the clinician with a better understanding of discerning the differential diagnosis of pudendal neuralgia and other conditions related to chronic pelvic pain. The focus will be on current diagnosis, evaluation and treatment techniques both from a physician perspective as well as a physiotherapy perspective.
The labs will focus on palpation and treatment skills with regard to the pudendal nerve and surrounding structures that may be contributing to symptoms. This course will also highlight the various patient complaints/symptoms and provide tools and knowledge to treat patients along the continuum of care- surgery prevention to post-operative cases/protocols. This typically involves an eclectic, multi-modal, and multidisciplinary approach.
There are key elements of this course that will positively impact the clinician's clinical thinking and hands-on skills:
1. Clinical pearls and functional anatomy tips that can be applied immediately.
2. Practical explanations and examples of how to integrate the latest in pain science research into the full continuum of care for these types of patients. This involves much more than simply "explaining pain." Integrating language, actions, and home programs to facilitate this effect.
3. Case study discussions and longer lab times.
Pudendal Neuralgia and Complex Pelvic Pain
(Dartmouth, NS)
The Physical therapy approach to female urinary incontinence
(or equivalent Entry Level course in uro-gynecology)
IN PERSON (2 days) : Sat. 24 & Sun. 25 August 2024
ONLINE portion will consist of 9 hours of self-paced (asynchronous) modules
Practical sessions held in Dartmouth, NS
The Pelvic Health Clinic by Erika Burger
$1095 CAD (+ applicable taxes)
Course Objectives
Participants will:
1. Understand what patients are seeking and their primary concerns when they have symptoms of pudendal neuralgia
2. Learn and identify important pelvic neuroanatomical and musculoskeletal structures related to pudendal neuralgia and other pelvic neuralgias
3. Become clear on how to use effective language throughout the entire course of care that integrates the latest pain science research and motivational interviewing..
4. Develop a strong understanding of tests and treatment options available to patients from physicians and physiotherapists and the risks and efficacy involved.
5. Develop confidence and a larger armamentarium of hands-on skills to help patients with pelvic neuralgias.
The course will have two components - live and online.
The live portion will consist of 14 hours of teaching on Saturday, August 24, and Sunday, August 25, 2024.
The online portion will consist of 9 hours of self-paced (asynchronous) modules to view prior to attending the live course. While the live course will highlight and review pieces of these modules, you will learn best if you have already seen the modules. After the course, additional lab modules will likely be released as a bonus to participants. This enhances your experience - please don’t stress over it.
Course Schedule
(Can be modified as needed)
Day One:
08:30 - Registration
09:00 - Intro, Terminology, and Patient and Clinician "Pain Points"
09:30 - Functional Pelvic Nerve Anatomy. What Landmarks are Important to Know and Why.
10:30 - Break
10:45 - Highlights of Integrating Pain Research that Makes an Impact: Practical Examples
11:15 - Palpation/Initial Assessment Lab
01:15 - Lunch
02:15 - Highlights of Assessment and Differentials - Physician and Physio Perspectives
03:15 - Break
03:30 - Treatment Lab Initiated
05:30 - Q and A
06:00 - Day End
Day Two:
09:00 - Medical Treatment and Surgery: Identifying Best Approaches vs. Least Effective
10:00 - Physio Treatment Options and Clinical Pearls - Beyond Manual Therapy
10:45 - Break
11:00 - Anorectal Lab - A Missing Link
01:00 - Lunch
02:00 - Physio Treatment- Case Studies and Home Programs
03:00 - Final Treatment Lab and Clinical Hot Seats
05:00 - Putting it all together Q and A
06:00 - Day End
The online portion will consist of 9 hours of self-paced (asynchronous) modules to view prior to attending the live course. While the live course will highlight and review pieces of these modules, you will learn best if you have already seen the modules. After the course, additional lab modules will likely be released as a bonus to participants. This enhances your experience - please don’t stress over it.
Your Instructor
Dr. Tracy Sher, PT, DPT, CSCS is Founder/CEO of the global platform, Pelvic Guru, LLC/Pelvic Global and the Global Pelvic Health Alliance Membership (GPHAM). She is also the Owner/Clinical Director of the private practice, Sher Pelvic Health and Healing in Orlando.
Orlando Family Magazine named Tracy as one of a select few “Readers’ Choice for Best Doctor for Women 2016” in the area of female pelvic medicine. She is a pelvic physiotherapist, sex counselor, and strength and conditioning specialist.
Tracy has a passion for treating complex pelvic health cases relating to pelvic pain, sexual pain, and postpartum changes. As a leader in the area of pelvic health therapy with a biopsychosocial approach, she travels across the US and the world sharing her expertise, teaching courses, and speaking to the community and professionals. Tracy thrives on being a connector to unite people and improve how healthcare providers learn and help others.
- Founder/CEO of Pelvic Guru, LLC/Pelvic Global
- Owner and Clinical Director of Sher Pelvic Health and Healing, LLC. Orlando, FL.
- Clinical physical therapy practice in pelvic health and orthopedics since 2000 (outpatient hospital and private practice).
- Specializes in complex pelvic pain, genital pain, sexual pain and dysfunction, pregnancy, and postpartum.
- International educator and speaker on pelvic pain, postpartum, and pelvic health integration and critical thinking courses
- Current faculty for Pelvic Global Academy. Former faculty for Herman and Wallace Pelvic Health Rehabilitation Institute for four years, teaching PF1 nationally.
- Sees complex patients from the Orlando area and from around the world who seek her expertise, critical thinking, and hands-on skills.
- B.A., Emory University, MPT, Northwestern University, DPT, College of St. Scholastica
- Former Board Member of the International Pelvic Pain Society (IPPS); member of the International Society for the Study of Women’s Sexual Health (ISSWSH) and the American Association of Sexuality Educators, Counselors, and Therapists (AASECT).
Tracy Sher PT, DPT, CSCS
Testimonials about the course:
“Thank you for providing a quality course with evidence based research and molding it together with years of clinical experience.
Tracy is like our fairy godmother, creating us into beautiful pelvic floor princes & princesses’ with the wave of her dilators and sending us off to the pudendal neuralgia ball.”
“Never have I felt so exhilarated after a pelvic floor course! I am so fortunate to have had the opportunity to learn from Tracy Sher and am absolutely planning on taking more of her courses. She perfectly integrated the bio psychosocial approach to complex pelvic pain. Total game changer!”
“This course is great in giving you a broader scope to explore with your pelvic pain patients. It helps you think outside the box and gives you the tools and understanding to tackle these more challenging clients. I love Tracy’s approach to treatment and hearing her case studies and reviewing case studies of us students was really helpful too.”
“I thought this course would be a good review of basic pelvic PT. It exceeded my expectations. Tracy is a wealth of knowledge and is more than willing to share her techniques to help make us all better practitioners. I highly recommend this course no matter what level of experience you have.”
“Tracy has a way of teaching combining research and clinical experience that provides so much insight and knowledge that you feel so much more confident in your own practice. Tracy is amazing. Thank you for sharing your wisdom!”