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This three-day course is designed for the physical therapist interested in learning how to work with women with pelvic pain, urinary and sexual dysfunction.  Taught by renowned instructor Dr. Ruth Jones, Ph.D., MCSP, a Chartered physiotherapist from the UK, the course will introduce participants to the functional anatomy of pelvic pain and the pelvic floor.  Students will learn how to perform an internal vaginal and rectal exam, while mapping out the various structures and gaining a thorough understanding of the pelvic floor muscles, including the lumbo-pelvic cylinder.

Students will learn various reliable pain provocation and load transfer tests, identify dysfunction, and examine for under- and over activity.  Through a Movement System Balance system, students will uses a structured movement system assessment and formulate effective and evidence-informed treatment strategies. This course has immediate clinical applicability

Learning Outcomes

  • Assess and rehabilitate the lumbar pelvic spine applying movement analysis & correction.
  • Being confident in the assessment of the pelvic floor including differentiation of superficial and deep pelvic floor muscles
  • Recognize potential disorders of pelvic floor muscle over and under-activity
  • Develop effective treatment strategies for men and women with chronic pelvic pain, bladder and bowel dysfunction, prolapse and sexual dysfunction.
  • Improve understanding of female anatomy & physiology including urinary & sexual function
  • Learn advanced manual therapy techniques for the pelvic floor muscles and neural tissue, including the pudendal nerve
  • Develop relevant assessment and clinical reasoning skills
  • Learn advanced movement integration and pain treatment techniques
  • Be familiar with the current clinical literature review
  • Understand the current medical management


Ruth JonesRuth Jones, Ph.D., MCSP is a Chartered Physiotherapist, clinician, researcher, lecturer and writer. She works clinically and consults to elite sports bodies and athletes including the Football Association and professional teams. Ruth is a frequent speaker at national and international conferences and workshops related to movement, pelvic floor function and pain.

Ruth completed her PhD in 2010 at Southampton University, UK in collaboration with Stanford University, California, USA. In her dissertation, she focused on the evaluation of dynamic pelvic floor muscle function. The team developed software for use with dynamic ultrasound, in order to promote further understanding of pelvic floor muscle function. Ruth has a special interest in chronic pelvic pain and related movement dysfunction. She is the co-editor with Leon Chaitow of “Chronic Pelvic Pain and Dysfunction: Practical Physical Medicine”  published by Elsevier in 2012.




The course is designed for physical therapists, physicians and physician assistants, and nurse practitioners.  All participants are expected to participate in the hands-on portion of the course.




8.30 Registration

9.00 Course outline, Functional anatomy of the Pelvic floor, Pelvic Pain, Urinary & Sexual Dysfunction- Theory

Break 10.45

11.00 Internal vaginal (+/-rectal) exam & mapping out of structures – Practical

11.45 Internal vaginal exam continued with functional evaluation of PFM including cylinder-Practical

Lunch 12.45

1.30 Case study & pain, “trigger points” & neural differentiation – Theory

Break 3.00

3.30 Reliable pain provocation/load transfer tests (with internal vaginal/ rectal examination continued)- Practical

4.45 – 5.00 Questions & finish


9.00 Questions

9.15 Identifying dysfunction, palpation for under/over activity and neural differentiation- Practical

10.45 Break

11.00 Treatment for Sexual Dysfunction, including dilators- Practical and Theory

Lunch 12.45

1.30 Movement System Balance- Theory

3.00 Break

3.15 Assessment movement system  -Practical

4.30 Questions

4.45 / 5.00 Close


9.00 Assessment movement system  -Practical

Break 10.45

11.00 Making the changes- Treatment doses including case study putting together treatment techniques exam in clinical settings, indications/ application Theory & Practical

Lunch 12.45

1.30 Free Practical

Break 3.30

3.45 Free Practical/ Questions

4.45 – 5.00 Questions & finish