NEW ADVANCED COURSE: Introduction to pain management floor dysfunctionÂ
Part 1: Evening Online Module- delivered via zoom
Pelvic Anatomy- revision of external anatomy of lumbo-pelvic hip complex and internal pelvic anatomy.
Overview of Pelvic Conditions- this will include many of the common conditions associated with symptoms that present within   complex pelvic floor dysfunction including:-
- Vulval dermatoses (lichen sclerosis etc)
- Vulvodynia
- Dyspareunia (pain associated with sexual activity)
- Perineal trauma ( 3rd/4th degree tears)
- Endometriosis/adenomyosis
- Bladder Pain syndrome/interstitial cystitis
- Genitourinary syndrome of menopause
- Pelvic Organ Prolapse
- Fissure/fistula
Pain- in complex pelvic floor dysfunction
This will include an overview of pain science including the physiology of nociceptive/neuropathic/neuroplastic pain and central sensitisation.
Key features of pain mechanisms and how to recognise the specific mechanisms underpinning symptoms presenting in patients where pain is a significant component.
Part 2: Workshop- in person training
Assessment of complex pelvic floor dysfunction- theory/practical
Subjective/Objective
Focussing on techniques to elicit relevant information and where this fits into treatment planning/goal setting.
Management/treatment of chronic pain/ complex pelvic floor dysfunction- theory/practical
Principles of Management will be discussed with strong reference to the Biopsychosocial Model of management.
Techniques will include breathwork/external stretches/functional rehabilitation/nerve mobilisation/internal soft tissue release/external soft tissue release
There will be opportunity to discuss adjuncts to treatment available including educational resources etc
The practical sessions will include peer assessment subject to consent on the day and group work.
A comprehensive updated reference list will be provided with the learning pack.
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About your Tutor-Â Kate Walsh
Kate has been working as a specialist physiotherapist in pelvic health in Merseyside and London for 20 years. She is currently physiotherapy manager and clinical lead at the Liverpool Women’s Hospital and also runs her own private physiotherapy service on Wirral and Liverpool and London.
Kate has extensive experience in a wide spectrum of conditions within the field of pelvic health including incontinence (bladder and bowel), constipation, pelvic pain conditions, prolapse, postnatal rehabilitation including perineal trauma, sexual dysfunction (painful sex/vaginissimus) , vulvodynia .
Kate practises a holistic approach to managing pelvic health, creating a package of care that combines specific treatment techniques/modalities specifically tailored to the individual, their lifestyle, expectations and so on, using what’s known as the the biopsychosocial model.
Kate delivers upon the MMOT Pelvic Floor Assessment course amongst her other training adventures. An active involvement in education at all levels within the speciality ensures Kate’s clinical practice is both up to date and evidence based.
On a personal level Kate is a busy mum of three, and recognises the demands placed on women and men today.
What's this course all about?
This course is aimed at physiotherapists/osteopaths who have a significant level of experience in pelvic health and are fully competent/comfortable with internal vaginal assessments.
It’s a “next steps” workshop for clinicians who want to advance their practice, exploring how to consider the influence of a “Pain” component on assessment and management of more complex pelvic health patients.
This course is designed to offer an understanding of “Pain Science” with the focus less on daunting volumes of academic detail, more on a level that can be translated to clinical practice.
We will recap on pelvic anatomy, considering a deeper dive into the vaginal assessment, more specifically, on interpreting greater detail within these assessments and developing treatment plans from this.
One of the key concepts within this course is teaching the “principles” of managing more complex pelvic floor dysfunction where pain is a factor. Acknowledging there is no “one size fits all” model of management or list of “treatments”.
Once you accept this and recognise how to apply the principles, you can add to your toolbox and learn how to utilise existing tools within a different framework which will open up your scope of practice significantly.
The course will have a strong practical component with discussion around case studies to ensure a consistent focus on clinical application/relevance.
