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Following this 2-day intensive you should have:
- An understanding of the key differences between CPP
and PGP, and why these distinctions have clinical
relevance.
- A realisation that PGP, which excludes gynaecological
and/or urological disorders, generally arises in relation
to pregnancy, trauma, arthritis and osteoarthritis, with
pain being experienced between the posterior iliac
crest and the gluteal fold, particularly in the vicinity of
the SIJ (Vleeming et al 2007).
- An awareness that CPP has been defined as non-
malignant pain perceived in structures relating to the
pelvis of either men or women, commonly with a
gynaecological and/or urological aetiology (European
Association of Urology 2008).
- An understanding of the widespread influences of
unbalanced breathing patterns, as well as postural
imbalances, on both pelvic floor function, and sacro-
iliac stability, thereby potentially affecting both PGP
and CPP (Chaitow 2004).
- The opportunity to evaluate and practice a variety of
evidence-based, clinically useful manual approaches to
management of pelvic dysfunction (both PGP and
CPP), including the use of soft-tissue (MET, PRT and
CTM#) as well as mobilisation and stabilisation
methods.
- An increased ability to teach, and explain to clients the
value of various regularly applied rehabilitation
exercises in the management of CPP & breathing
pattern disorders.
# Connective Tissue Manipulation
ASCT Presents: Advanced* Bodywork Series
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Dr Leon Chaitow is a practicing naturopath, osteopath, and acupuncturist, with over forty years clinical experience. He practices privately in the UK as well as in an NHS setting (at Marylebone Health Centre, London).
Leon is a Senior Lecturer for the University of Westminster's Complementary Health courses. He also lectures widely in the USA, Australia, and Europe on both bodywork and general health topics from integrated naturopathic & osteopathic perspectives (with fibromyalgia, chronic fatigue syndrome and breathing dysfunctions being his current primary focus), mainly to GPs, physiotherapists, osteopaths, chiropractors and massage therapists.
Leon is the author of more than 65 books, particularly focusing on aspects of osteopathy, soft tissue manipulation and neuromuscular techniques. He is the Editor in Chief of the Journal of Bodywork and Movement Therapies.
For further information about Dr Chaitow visit his website.
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In this cutting edge workshop Dr Leon Chaitow will explore the
aetiology and possible causes of Chronic Pelvic Pain (CPP) and will
discuss and demonstrate techniques for CPP relief.
This palpatory workshop explores such areas as the effect of
dysfunctional breathing patterns and unbalanced posture on
sacro-iliac stability and pelvic floor function, and approaches to the
management of CPP and Pelvic Girdle Pain (PGP).
Workshop
An Integrated Manual & Complementary Approach to the Treatment of Chronic Pelvic Pain & Associated Conditions
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The Active School of Complementary Therapy
© Copyright 2010 Active Recovery Ltd All Rights Reserved Gaia Centre for Holistic Therapy, 17 Frederick Street Loughborough, Leicestershire, LE11 3BH email: admin@activetherapyschool.co.uk Tel 1: 01509 556101 Tel 2: 07908 596673
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* PLEASE NOTE: This workshop is specifically designed for the advanced practitioner
(circa five years experience and familiarity with Muscle Energy and Positional Release
Techniques). Workshop topics and references are listed below.
Venue:
Investment:
Dates:
Times:
Bookings:
Contact:
Loughborough: Next dates to be arranged
- The background to the increasingly common conditions associated with CPP – including interstitial cystitis, stress incontinence, vestibulitis, and
dyspareunia (mainly affecting younger women) will be explained in an evidence informed presentation. In addition, male CPP strategies will be
outlined, relative to coccydinia and prostatitis.
- Breathing pattern disorders will receive attention (both aetiology/recognition and management/rehabilitation strategies) due to the importance of
the link between diaphragmatic and pelvic floor dysfunction.
- Discussion/demonstrations involving participants as to the established links between these conditions and sacroiliac instability (in some), as well as
breathing pattern disorders and postural imbalances (Chaitow 2007).
- Hands on class evaluation of both breathing patterns and ilio-sacral/sacroiliac status.
- Use of active SLR tests prone and supine to evaluate form and force closure efficiency.
- Functional assessments (Janda’s hip extension and hip abduction tests) - in order to identify the status of the muscular components of pelvic
dysfunction;, and of respiratory dysfunction.
- The mechanisms involved in Muscle Energy Techniques (MET), and Positional Release Techniques (PRT), will be explained, demonstrated and
practiced.
- MET and PRT treatment of short/tight psoas and quadratus lumborum (each being potentially associated with both respiratory and pelvic
dysfunction) will be demonstrated and practiced.
- Assessment and mobilisation approaches to SIJ. demonstrated and practiced.
- Sequential assessment of major muscles attaching to the pelvis will be combined with MET and PRT of these; plus MET/PRT to pelvic joints
demonstrated and practiced.
- Introduction to basics of Bindegewebmassage (connective tissue massage/manipulation - CTM) assessment and practice involving abdominal,
gluteal and thigh muscles.
- Discussion of pelvic floor manipulation, Thiele massage, and trigger point deactivation methods (internal and external), will be explained, discussed
and where possible demonstrated, based on current research evidence.
- Class practice of manual trigger point deactivation approaches.
- Research-based strategies will be outlined for safe and effective complementary (to standard care) treatment and management methods, including
nutritional, probiotic, botanical, psychosocial, respiratory, exercise, hydrotherapeutic and physical medicine approaches.
REFERENCES:
- Chaitow L 2004 Breathing pattern disorders, motor control, and low back pain. Journal of Osteopathic Medicine 7(1): 34-41
- Chaitow L 2007 Chronic pelvic pain: Pelvic floor problems, sacroiliac dysfunction and the trigger point connection. Journal of Bodywork and
Movement Therapies 11(4): 327–339
- European Association of Urology 2008 Fall M et al Guidelines on Chronic Pelvic Pain.
- Vleeming A 2007 European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine

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