Pelvic pain is a common, yet challenging area of practice. The contributing factors can be multiple and the presentation a complex puzzle. Patients are often embarrassed to speak about their symptoms. Allied health have a unique opportunity to spend more time with the patient to develop the rapport and trust required for this intimate area.
In this course you will review the embryology, anatomy, physiology and common presentations of the pelvic region to help unravel the pelvic pain puzzle for your patients.
Learn about the normal function of the female pelvis and organs and how dysfunction presents clinically. Conditions covered include pudendal neuralgia and visceral pain such as dysmenorrhea and endometriosis.
Liz Howard has been practicing as an osteopath and pain educator for over 20 years including at the Women’s Health and Research Institute of Australia since 2013. She has taught at multiple Australian universities and presented allied health CPD extensively in Australia, New Zealand and most recently in Ireland and Sweden.
The Pelvic Pain Puzzle follows on from Liz's popular Pain & Pregnancy course and will cover;
- Embryological review of the pelvis to understand normal functions such as walking, waste elimination and reproduction
- Normal sensory, motor and visceral function and the influence hormones have on the tissues of pelvis and perineum, including the skin
- Perineal functions and key clinical symptoms in the history to indicate when referral is required
- Pudendal neuralgia - managing musculoskeletal triggers; nerve glides; home care. Applicable to male and female patients
- Visceral pain (dysmenorrhea or endometriosis) - visceral hyperalgesia concept and how to manage with manual therapy, education and home care
This course has a strong practical focus and includes appropriate manual therapy techniques that you can use with confidence in your practice. Internal techniques will not be demonstrated. The Pelvic Pain Puzzle is an excellent continuation for those who have attended Liz’s Pain & Pregnancy course. Pelvic girdle pain will be reviewed but not addressed in depth.
- Recognize the key clinical signs and symptoms of endometriosis and pudendal neuralgia
- Confidently gain informed consent before treatment
- Apply conservative management models including manual therapy, pain education and home management for endometriosis and pudendal neuralgia
- Demonstrate manual techniques and for endometriosis and pudendal neuralgia
- Recognize when interventional management may be indicated and who to refer to
- Referral guidelines with tips for writing referral letters
- How to develop your interdisciplinary team (in-house or external)
The Pelvic Pain Puzzle course is applicable to allied health manual therapy practitioners. It includes practical examination and treatment protocols you will be able to use with confidence in your practice. Internal techniques will not be demonstrated.
The course will run from 8:30AM to 4PM. Places are limited to 20 attendees. It includes morning and afternoon tea, printed course notes and an e-certificate of attendance for your CPD records. The course can be counted as 6 hours CPD.
This course follows Liz Howard’s popular Pain & Pregnancy course which teaches practitioners to effectively help women during pregnancy (pelvic girdle pain etc), prepare for labour and recover efficiently from delivery or caesarean section. Completion of Pain & Pregnancy is highly recommended for registration in the Pelvic Pain Puzzle
For the this event to proceed in the current COVID environment attendees will be required to comply with the following:
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If this event is forced to be cancelled or postponed attendees will be offered a full refund.
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Sat, 12 August 2023
Lecture and Hands-on
Ara Institute of Canterbury Ltd, City Campus
130 Madras Street, Christchurch Central City,
BAppSc(Clin Sc) BOstSc MScMed(PainMgt) Advanced Pain Management Osteopath
Liz has over 20 years of experience as an Osteopath and has worked at the Women’s Health & Research Institute of Australia for over 5 years. Her main focus is the holistic management of complex pelvic pain with the interdisciplinary team, working closely with Professor Thierry Vancaillie (Gynaecologist and Pain Medicine Specialist).
Her roles include Osteopathic care, pain education, clinical specialist in sacral neuromodulation and facilitating group education for pelvic pain. Most recently she has been helping manage the women suffering from pelvic pain after mesh surgery for prolapse or incontinence at WHRIA and the Royal Hospital for Women, Randwick.
Liz has been involved in clinical research at WHRIA and in conjunction with the Royal Hospital for Women since joining WHRIA. In addition to numerous poster presentations, her work in major journals includes:
Vancaillie, T., Tan, Y., Chow, J., Kite, L., & Howard, L. (2018). Pain after vaginal prolapse repair surgery with mesh is a post‐surgical neuropathy which needs to be treated–and can possibly be prevented in some cases. Australian and New Zealand Journal of Obstetrics and Gynaecology. https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/ajo.12804
Vancaillie, T., Kite, L., Howard, E., & Chow, J. (2018). Sacral neuromodulation for pelvic pain and pelvic organ dysfunction: A case series. Australian and New Zealand Journal of Obstetrics and Gynaecology, 58(1), 102-107. https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/ajo.12752
Her teaching experience ranges from lectures and technique in Undergraduate and Master’s Osteopathic programs (University of Western Sydney, Southern Cross University), clinical supervision of Osteopathic students (UWS, SCU, SportsMed Mumbai), Osteopathy Australia National Conference presentation, Pelvic Floor Seminars, GP education evenings and Allied Health events.