PH – ART: Pelvic Health Anorectal Triangle

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This course is designed for PTs/PTAs/OTs/OTAs. In this course, clinicians will be introduced to gender-inclusive internal and external pelvic floor muscle (PFM) examination and treatment of dysfunctions commonly occurring the anorectal triangle. Participants will be instructed in, and have dedicated lab time to practice internal PFM assessment and soft tissue treatment. Clinicians will be encouraged to incorporate their manual orthopedic skills and knowledge into understanding the role of the PFM. More advanced skills for the physical therapy management of persons with overactive / non-relaxing PFM associated with pelvic pain and constipation will also be presented. Education regarding the use of biofeedback with surface EMG, rectal balloons, and real-time ultrasound imaging will be presented. The role of a dietician and food sensitivities affecting digestion and bowel function will be included. Pain neuroscience will be expanded upon as will techniques for examination and treatment of patients with coccydynia and pudendal neuralgia. Contemporary evidence to support physical therapy interventions will be presented. Participants should all bring a patient case that was / is a challenge in that the skills and knowledge gained from introductory curriculum did not adequately address patient’s impairments and goals. *This course includes internal assessment skills for pelvic floor musculature. *IAMT’s Orthopedic Intro to Pelvic Health is a pre-requisite for this course. *This course is required as a pre-requisite for the more advanced IAMT Pelvic Health course and must be taken prior to participation in PH3: Advanced Pelvic Health. *This course is a part of IAMT Pelvic Health CPHC certification series. *Participants of all genders are welcome. Prerequisites: PH:Ortho, Pelvic health clinical experience, or equivalent introductory training.