Pelvic Physiotherapy Course

Lesson 1 • Neurovascular Supply of the Pelvis

Covers pudendal and pelvic splanchnic nerves and vascular supply, linking pathways to sensory, motor, and autonomic functions. This aids neurogenic pain diagnosis, guides techniques, and supports education.

Lesson 2 • Pelvic Floor Muscle Layers

Details levator ani, coccygeus, and superficial perineal muscles by layer and fiber orientation. Links muscle anatomy to functional continence and support roles.

Lesson 3 • Pelvic Organ Anatomy

Describes bladder, urethra, uterus, vagina, rectum, and prostate in spatial relation. Establishes organ-support relationships critical for prolapse and dysfunction assessment.

Lesson 4 • Functional Anatomy in Motion

Explores pelvic behaviour during breathing, lifting, and posture shifts, linking anatomy to function. This guides exercise selection, adjustments, and retraining to optimise load distribution in daily tasks.

Lesson 1 • Clinical Reasoning and Diagnosis

Integrates subjective and objective findings into a working physiotherapy diagnosis. Applies hypothesis-driven reasoning to guide treatment prioritisation.

Lesson 2 • Outcome Measures and Questionnaires

Uses validated tools like ICIQ, PFDI, and PISQ to quantify symptoms, set baselines, and track progress. Selecting measures provides patient profiles, enables outcome comparison, and supports care.

Lesson 3 • Internal Pelvic Examination

Guides vaginal and rectal digital examination technique, consent, and grading. Develops palpation accuracy for tone, strength, and coordination deficits.

Lesson 4 • External Pelvic Observation

Teaches perineal inspection, scar assessment, and postural screening. Connects visible findings to underlying structural and neuromuscular impairments.

Lesson 1 • Voiding Dysfunction and Retention

Addresses incomplete bladder emptying, dyssynergia, and hesitancy. Applies relaxation, positioning, and biofeedback to restore normal voiding.

Lesson 2 • Stress Urinary Incontinence

Covers urethral sphincter insufficiency and pelvic floor weakness mechanisms. Applies progressive pelvic floor muscle training and load management strategies.

Lesson 3 • Mixed and Overflow Incontinence

Differentiates mixed incontinence presentations and overflow from incomplete emptying. Tailors combined behavioural and neuromuscular treatment approaches.

Lesson 4 • Urgency and Overactive Bladder

Explains detrusor overactivity, urgency triggers, and neural sensitisation. Applies bladder retraining, urge suppression, and behavioural interventions.

Lesson 1 • Bowel Retraining Programmes

Structures timed defecation, urge resistance, and habit training programmes. Integrates behavioural, dietary, and neuromuscular strategies for long-term bowel regularity.

Lesson 2 • Faecal Incontinence Assessment and Treatment

Applies Wexner and St. Mark's scales, digital rectal exam, and biofeedback. Develops individualised sphincter strengthening and sensory retraining programmes.

Lesson 3 • Constipation and Obstructed Defecation

Differentiates slow transit, outlet obstruction, and dyssynergic defecation. Applies defecation posture, abdominal massage, and biofeedback interventions.

Lesson 4 • Rectal Prolapse and Rectocele

Identifies internal and external rectal prolapse and posterior vaginal wall defects. Applies conservative management including splinting education and support strategies.

Lesson 1 • Vulvodynia and Vestibulodynia

Covers localised and generalised vulvar pain, allodynia, and provoked dyspareunia. Applies desensitisation, manual therapy, and graded exposure strategies.

Lesson 2 • Pudendal Neuralgia Management

Identifies pudendal nerve entrapment sites and diagnostic criteria using Nantes criteria. Applies nerve mobilisation, positioning, and load management strategies.

Lesson 3 • Chronic Pelvic Pain Mechanisms

Explains central sensitisation, peripheral sensitisation, and visceral-somatic convergence. Applies pain neuroscience education to reduce fear-avoidance and catastrophising.

Lesson 4 • Hypertonic Pelvic Floor Conditions

Identifies vaginismus, levator ani syndrome, and pelvic floor hypertonicity presentations. Applies manual therapy, stretching, and progressive desensitisation techniques.

Lesson 1 • Prolapse in Specific Populations

Adapts prolapse management for postmenopausal, athletic, and postpartum populations. Applies hormonal, activity, and recovery considerations to individualise care.

Lesson 2 • Prolapse Classification and Staging

Applies POP-Q system and simplified staging to anterior, posterior, and apical prolapse. Connects staging to symptom burden and treatment decision-making.

Lesson 3 • Conservative Prolapse Management

Applies pelvic floor muscle training, load management, and lifestyle modification. Establishes evidence-based conservative care as first-line prolapse treatment.

Lesson 4 • Pessary Fitting and Education

Covers ring, Gehrung, and Gellhorn pessary types, fitting principles, and care. Empowers patients with self-management and follow-up protocols.

Lesson 1 • Diastasis Recti Rehabilitation

Assesses inter-recti distance and linea alba function using palpation and ultrasound. Applies progressive loading to restore abdominal wall integrity and function.

Lesson 2 • Return to Sport and High-Impact Activity

Applies evidence-based return-to-running and high-impact guidelines post-delivery. Integrates pelvic floor load capacity with progressive sport-specific demands.

Lesson 3 • Antenatal Pelvic Floor Preparation

Applies antenatal PFMT, perineal massage, and birth preparation techniques. Reduces risk of perineal trauma and postpartum pelvic floor dysfunction.

Lesson 4 • Pelvic Changes During Pregnancy

Covers hormonal, biomechanical, and neuromuscular adaptations across trimesters. Connects physiological changes to common pelvic symptoms requiring physiotherapy.

Lesson 1 • Erectile Dysfunction Rehabilitation

Applies pelvic floor muscle training to improve erectile function and penile rehabilitation. Integrates lifestyle, vascular, and neuromuscular factors in treatment planning.

Lesson 2 • Post-Prostatectomy Incontinence

Covers sphincter damage mechanisms post-radical prostatectomy and recovery timelines. Applies pre- and post-operative PFMT to accelerate continence recovery.

Lesson 3 • Chronic Pelvic Pain in Males

Addresses chronic prostatitis, pelvic pain syndrome, and male hypertonic presentations. Applies manual therapy, pain education, and relaxation-based interventions.

Lesson 4 • Pelvic Radiation and Oncology Rehab

Manages pelvic floor dysfunction following radiation for prostate and colorectal cancers. Applies tissue-sensitive rehabilitation within oncology care frameworks.