The Evolution of Pelvic Floor Management in a Chiropractic Setting

Assessing and diagnosing pelvic floor conditions appropriately in a chiropractic office is often the missing link associated with stubborn low back, pelvic or hip pain. Learn the basics of pelvic floor dysfunction, associated symptoms, an appropriate pelvic health screening, treatment basics and when to refer to another healthcare provider. Management of pelvic floor symptoms during exercise will also be addressed, specifically regarding running and strength training.

Course Learning Outcomes: 1. Understand the prevalence of pelvic floor disorders and the general functions of the pelvic floor. 2. Identify pelvic floor symptoms associated with common conditions, such as urinary incontinence and pelvic organ prolapse. 3. Learn to develop a differential diagnosis by using a pelvic health subjective questionnaire and objective assessment. 4. Understand different treatment in-office approaches for urinary incontinence and pelvic organ prolapse. 5. Learn how to support and manage pelvic floor concerns during exercise, specifically running and strength training.

• •Understand the prevalence, anatomy, and physiological functions of the pelvic floor to recognize its role in managing low back, pelvic, and hip pain
• •Identify and differentiate pelvic floor dysfunction symptoms including urinary incontinence, pelvic organ prolapse, and associated pain patterns
• •Conduct a comprehensive pelvic health assessment using validated screening questionnaires and appropriate objective examination techniques
• •Apply evidence-based in-office treatment approaches for urinary incontinence and pelvic organ prolapse within the scope of chiropractic practice
• •Develop appropriate referral pathways and recognize when co-management with pelvic floor physical therapists or other specialists is indicated
• •Educate patients on pelvic floor management strategies during functional activities, specifically running and strength training exercises