This course will examine, in an evidenced based approach, the presentation, pathophysiology, and physical therapy evaluation and interventions for dyspareunia through the life span, including, but not limited to, the most common cause for painful intercourse, vulvar vestibulodynia. Pain pathophysiology and the impact of dyspareunia on relationships, sexual response, conception, and anxiety as well as evidence informed specific treatments to address these concerns within a physiotherapy scope of practice will be included. Specific cognitive behavioral (CBT) and mindfulness techniques for use directly in physiotherapy treatment are also taught. A basic introductory pelvic floor course with instruction in vaginal exams is required. Courses in central and peripheral pain pathophysiology and treatment are an asset, but not mandatory. The physiotherapist will leave the course with new skills to use immediately on return to their office the next day!
There will be a demonstration of a subjective and objective assessment and treatment with a client who has dyspareunia. If a patient cannot be found, an actor will represent a client. Objective assessment and initial treatment can be included if the patient is comfortable. Understandably, assessment and treatment interventions demonstrated will be dependent on patient presentation, ability and consent.* Course participants also participate in the lab/practical sessions. This may involve perineal, vaginal and/or rectal exam.
EMG biofeedback units will be available for each group of 2-3 physical therapists throughout the course for all lab sessions. Prior experience using biofeedback is not required. Learning this skill is another good reason to take this course!
* Dayan Werner Pelvic Rehab reserves the right to make changes to client participation prior to the course date.
This course is open to Registered Physical Therapists or physical therapy students who have completed a basic introductory pelvic floor course with instruction in internal exams.
Dayan Werner Pelvic Rehab
Shelbourne Physiotherapy Clinic
3200 Shelbourne St #100b
Victoria BC V8P 5G8