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Advanced Dry Needling Concepts for the Pelvic Floor

Course Description:

In this 16 hour lab-based course, the clinician will learn both diagnosis-based and symptomatic approaches to management of pelvic health disorders in men and women. Dry needling strategies are presented that have shown favorable clinical outcomes in patients with urinary incontinence, fecal incontinence, pelvic organ prolapse, vulvodynia, constipation, urinary retention, dyspareunia, painful episiotomy scarring, and regional nerve involvement. Advanced mobilization lab will focus on coccyx mobilization and benefits of internal mobilization versus external, and incorporating pelvic floor release during a hip mobilization to correct range of motion restrictions that have occurred due to prolonged sacroiliac joint pathology. Lastly case studies will be presented and application of new skills taught will be applied in a special topics module.

Areas of the body to be covered in class include:

  • Dry Needling Pelvic Floor interventions - Vaginal Examination Approach
  • Dry Needling Pelvic Floor interventions - Rectal Examination Approach
  • Mobilization Lab

Upon completion of this module, the therapist will be able to:

  • Consider the patient’s mechanism of injury or surgical interventions to decide which interventions to deliver and a rationale for ordering them.
  • Effectively identify the muscular anatomy of the pelvic floor with both vaginal and rectal examination and determine muscular atrophy versus hypertonus dysfunction as contributing factors to patient complaints.
  • Understand visceral barriers for safety considerations when inserting a dry needle in-to a patient.
  • Consider structural and soft tissue anatomy to appropriately insert a dry needle and con-sider depth for application to achieve desired patient outcome.
  • Demonstrate manual therapy techniques to address coccyx deviations and muscle spasm in the pelvic floor.
  • Pass a Practical Exam

All supplies necessary for the course will be provided with the following exception:

  • If you have a latex allergy, it is recommended for you to bring your own gloves for use during lab. A latex free option is available for use, but supplies are limited based on the number of people with an allergy. Therefore, it is recommended to bring a box of latex free gloves with you for use.

Course Supplies Requirements:

  1. An anatomy reference
    1. Human Anatomy Atlas for iPad/iPhone/Android - $24.99 App Store
      1. You should have received the code for a free one-year download after taking the Foundations for Dry Needling.


  • Structure and Function’s Foundations in Dry Needling for Orthopedic Rehabilitation and Sports Performance
  • Other medical licensing per below
  • * please note it is strongly recommended that the Lumbo-Pelvic Hip course is taken prior to Pelvic Floor course due to flow of course content but it is NOT required

Professionals who may take this course include:

  • Physical Therapists - Preferably had taken at least one course with APTA Women’s Health or Herman Wallace Pelvic Rehabilitation.
  • Medical Doctors - Currently performing pelvic examinations in their practice.
  • Doctors of Osteopathic Medicine -Currently performing pelvic examinations in their prac-tice.
  • Physician Assistants - Currently performing pelvic examinations in their practice
  • Registered Nurses - Currently performing pelvic examinations in their practice.
  • Nurse Practitioners - Currently performing pelvic examinations in their practice.
  • If you do not see your health care profession listed, or practice outside of the United States, please contact Sue Falsone directly for more information.

Required Reading:

  1. Bergstrom K, Carlson CP, Lindholm C, Widengren R. Improvement of urge and mixed type incontinence after acupuncture treatment among elderly women - a pilot study. J Auton Nerv Syst. 2000;79(2-3):173-80
  2. Scagliaa, M, Delainib, G, Desteganoa, I, Hulten, L.Fecal incontinence treated with acupuncture - a pilot study. Auton Neuroscience 2009;145(1-2)89-92.
  3. Jhun H-J, Kang hn, Kim Y-J. Successful treatment of vulvodynia with dry needling using a specially designed needle. Ants Pain Med. 2012: 22-4.
  4. Si-you W, Guo-mei C, Li-hui L. “Four sacral needles” therapy for female stress incontinence. J Acupunct Tuina Sci. 2006;4(3):170-173.
  5. Bower WF, DIao M. Acupuncture as a treatment for nocturnal enuresis. Aton Neurosci. 2010;157(1-2):63-7

Suggested Reading:

  1. Dung, H. Acupuncture: An Anatomical Approach. 2nd Edition. CRC Press: Boca Raton, FL; 2014.
  2. Herrera, I. Ending Female Pain. 2nd Edition. Duplex Publishing: NY; 2014.
  3. Houser, E, Hahn, S. A Woman’s Guide to Pelvic Health. Johns Hopkins University Press: Baltimore, MD; 2012
  4. Stewart, E. V Book. Bantam Books, New York, NY; 2002.


Each Therapist is to bring a concise summary of a current or former challenging pelvic health patient that they have treated and will discuss alternative strategies for pain management and return to function.

You will receive an email 7-10 days prior to the course you register for with the following:

  1. Any course specific instructions such as location reminder, parking instructions etc.
  2. A code for the Visible Body App
    1. Instructions for the use of this code will be provided at that time. Please be sure to download and successfully access this app prior to class.
  3. Log-in information and instructions for the back end of
    1. This log in information will allow you to access power points, class forums, helpful forms, etc
    2. Please be sure to log in successfully to the back end of the website prior to class

For more information on CEU approval, please click here

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