Male Pelvic Health for Rehabilitation Practitioners

Date and Location

April 22-23, 2023

Marquette University

Schroeder Complex, 560 N. 16th St., Milwaukee, WI

Instructors

Beth Bartelsen, PT, WCS
Chuck Schwiesow, DPT, CMTPT, ATC

Course Description

This two-day course is designed as an introduction to male pelvic health for rehabilitation professionals interested in learning to treat the male or those who are looking to gain a better understanding of this patient population. Participants will be provided with evidence-based content as it relates to anatomy, sexuality, continence, conditions of the prostate, and pain in the male pelvis. Therapeutic interventions to address male pelvic floor disorders will be provided including evaluation and treatment, a functional approach to exercise and strengthening, manual therapy, biofeedback, modalities, and dietary and lifestyle modifications. Though the course will cover both internal and external techniques, many of the interventions will be applicable to clinicians interested in applying a fully external based treatment approach.  Pre- and post- prostate cancer treatment rehabilitation concepts will be covered.

CEU's: 15 

Course Objectives

Upon completion of this course the participant will be able to:

  • Identify the musculoskeletal anatomy of the male pelvis
  • Understand the urinary physiology of the male
  • Understand the anatomy and physiology of the male reproductive system
  • Understand conditions specific to the prostate
  • Identify musculoskeletal &/or neurological conditions that may contribute to pelvic pain
  • Understand the components of a comprehensive evaluation of the male pelvic floor
  • Develop evidenced-based treatment plans for conditions specific to the male pelvic floor  
Course Content
  • The Men’s Health Crisis
  • Anatomy of the Musculoskeletal System
  • Anatomy of the Urinary System
  • Urinary Physiology and Pathology
  • The Prostate
    • Anatomy
    • Prostate Cancer
      • Active Surveillance of prostate cancer
      • Non-surgical treatments for prostate cancer (ADT, radiation therapy)
      • Pre-and post-prostatectomy rehabilitation (including the role of biofeedback)
      • Erectile dysfunction following prostatectomy
      • Brief overview of the anatomy of the bowel, defecation and symptoms following treatment for prostate cancer
    • Treatment For General Urinary Disorders (Including Incontinence, Urinary Urgency and Frequency and Voiding Dysfunction)
    • Anatomy And Physiology of The Male Reproductive System
    • Erectile dysfunction
    • Chronic Pelvic Pain Syndrome (CPPS)
      • Type 3 / Non-bacterial prostatitis
      • The Hypertonic Pelvic Floor
      • Coccydynia
      • Orchialgia / Spermatic Cord
      • Treatment Options for Chronic Pelvic Pain
    • The Flow of a Pelvic Floor Therapy Visit
    • How Clinicians Can Stay Current with Pelvic Research and Experts
Lab Description

This continuing education course includes several lab components. We will be conducting examinations of the abdominal and pelvic floor anatomy, both externally and internally. We will be approaching all techniques within the lens of trauma-informed care: consent for lab activities will be specific and ongoing, and we ask that attendees come prepared to participate as much as they are able to do so as both an examiner and as a model. The lab environment will include provisions for privacy, and we will make every effort to accommodate the specific needs and requests of course participants. Please contact Brenda Neumann for further information or with questions or concerns. 

Lab will include:

  • Palpation of the extrinsic muscles of the pelvic girdle and the superficial pelvic floor muscles externally
  • Palpation and strength testing of the superficial and deep pelvic floor muscles (internal and external palpation)
  • Palpation of the prostate, coccyx and spermatic cord (internal and external palpation)
  • Manual therapy treatment techniques to address symptoms of pelvic pain
  • Yoga poses and breathing techniques for facilitation of pelvic floor elongation, relaxation, and strengthening
Course Faculty

Beth Bartelsen, PT, WCS has been specializing as a pelvic floor physical therapist since 2002, providing pelvic health rehabilitation for both men and women. She graduated from Marquette University in 1995 with a degree in Physical Therapy. Beth earned a Certificate of Achievement (CAPP) in Pelvic Health Physical Therapy from the APTA in 2009 and Board Certification as a Women’s Health Clinical Specialist from the ABPTS in 2015. Beth has been active in teaching with Marquette’s Physical Therapy program since 2013 when she taught a men’s health course within the pelvic floor continuing education curriculum. She also holds an adjunct faculty role, teaching pelvic health to DPT students. Beth currently practices on a multidisciplinary team at ProHealth Care in Oconomowoc, WI, providing outpatient therapy for men and women with pelvic floor disorders. 

Chuck Schwiesow, DPT CMTPT ATC is a physical therapist at QuadMed in Sussex, Wisconsin where he treats outpatient male pelvic health, orthopedics, and sports medicine. He has served as a teaching assistant for the Herman and Wallace Pelvic Rehabilitation Institute and has completed Pelvic Floor YogaTM  Teacher Training. He is a former NFL Athletic Training intern (Tampa Bay Buccaneers). His other clinical interests include trigger point dry needling for pelvic and chronic pain, spinal manipulation, trauma-informed care, and mentorship of underrepresented students of physical therapy. Chuck graduated with a B.S. in Athletic Training from UW-La Crosse in 2008 and completed his DPT at Marquette University in 2011.

To reserve a spot (no commitment needed) please email diane.slaughter@marquette.edu