Advanced Manual Therapy for the Pelvic Floor is a manual therapy course for physiotherapists who already have experience in treating the pelvic floor.
Physiotherapists should have basic knowledge of the pelvic floor anatomy and already be working with pelvic floor dysfunction
This advanced course will further skills in pelvic floor evaluation and manual techniques
Courses are on going at intervals in Milltown Physiotherapy, Dublin (Ireland)

Course Description

This two-day course is for physiotherapists already working in the field of obstetrics and gynaecology and with experience of internal vaginal examinations.
Experience of internal rectal examinations is not essential to attend the course

The course will provide insight into the complex anatomy of the female and to a lesser extent the male pelvic floor anatomy and has a large practical component, where participants through their knowledge of anatomy will acquire skills and techniques to treat a wide variety of pelvic floor dysfunctions. Many of the techniques are muscle and fascia specific and are based on the principles of trigger point therapy described by Travell and Simons.

Participants are encouraged to practice techniques on each other in order to learn the techniques but also to experience the sensation of being palpated and to experience the changes in their own pelvic floors under the hands of the participating therapists.

Course Objectives

The aim of the course:
To provide participants with the evidence to enhance clinical reasoning in the management of all pelvic floor dysfunction
To provide participants with news manual skills to enhance current practice
To challenge participants to re-examine their clinical practice in the light of the presented techniques and evidence

On completion of this course participants will have an understanding of:
Detailed pelvic floor anatomy with ability to differentiate between superficial and deep pelvic floor muscles
Theories of pelvic floor muscle dysfunction in bladder and bowel control, pelvic organ prolapse and chronic pelvic pain
Vaginal muscle / fascial / organ examination and ability to differentiate between overactive and underactive pelvic floor
Rectal muscle / fascial / organ examination and ability to differentiate between overactive and underactive pelvic floor
Vaginal manual therapy techniques to treat pelvic floor muscle imbalance
Rectal manual therapy techniques to treat pelvic floor muscle imbalance
Self help techniques for pelvic floor release including “Sniff, Flop & Drop”
Long term rehabilitation and home programmes
The use of realtime ultrasound to evaluate the changes over a session of pelvic floor manual therapy (where available)

Course Content

Theory of pelvic floor anatomy and differentiation of superficial and deep structures
Guided practical sessions of internal vaginal examination and mapping out of structures
Theory of vaginal defects and pelvic floor dysfunction where manual therapy techniques may be applied
Guided practical session of vaginal manual therapy techniques
Theory of rectal defects and dysfunction where manual therapy techniques may be applied
Guided practical session of rectal manual therapy techniques
Introduction to connective tissue manipulation and other manual therapy techniques
Practical session of connective tissue manipulation techniques
Documentation of findings, techniques and changes
Theory and practice of breathing release techniques (“Sniff, Flop and Drop”)
Exercise progression
Case studies
Realtime Ultrasound to demonstrate changes before and after pelvic floor manual therapy (where available)


“This course has dramatically improved my anatomy and my approach to pelvic floor dysfunction”

“My confidence has increased and it has changed the way I think about pelvic floor dysfunction”

“It was a huge help being talked through the anatomy and mapping out sections and finally having the confidence to know which structures I am on”

“The practical application of techniques with specific reference to anatomical landmarks was invaluable”

“It was invaluable to learn how the deep breathing relaxes the pelvic floor during treatment”

“This course will be beneficial for nearly all my patients – I got so many new ideas for patients with chronic low back pain, sacroiliac joint dysfunction, butt-grippers, hip and joint pain as well as chronic pelvic pain”

“It is refreshing to go on a course and really have it so knowledge based and applicable to practice”

“An excellent course; I feel so much more prepared for my patients tomorrow morning”

“I didn’t get bored for even a second!”

“What a great course! I have a much deeper understanding of the assessment and treatment of the pelvic region”

“This course really explains a grey area in an over-lap between musculoskeletal and chronic pelvic pain I now know how much pressure I can apply”

“Maeve has exceptional clinical experience and knowledge and it is clear that she is passionate about sharing her expertise”