Detailed and critically appraised consideration of osteopathic approaches  and evidence in complex and chronic pelvic pain.  10 sessions to explore how manual approaches are relevant across a range of problems such as endometriosis, bladder dyssynergia, pelvic prolapse, adhesions, inflammatory problems, scars, post partum injuries, post surgical and more.  Understand pain perception, trauma dynamics, social and emotional considerations and more.

Pre recorded lecture and series in complex and chronic pelvic pain.

ALL LECTURES ARE BETWEEN ONE AND TWO HOURS EACH.

Some additional articles and online resources are listed alongside some lectures, for added interest.

Each lecture contains links for many refences and you can follow each evidence link via the handouts and the slideshow that accompanies each video.

The videos cover osteopathic concepts, approaches and patient management, but do not include technique videos in this overview.

TO ACCESS VIDEOS OF TECHNIQUES ( A SEPARATE PRODUCT) YOU NEED TO BELONG TO THE WHOMBS MEMBERSHIP AREA, WHICH IS IN DEVELOPMENT. MORE INFORMATION COMING IN DUE COURSE.
ModulesIndicative content 
1)     LECTURE ONEComplexity in cavity dynamics, motor planning, abdominopelvic pressures, fluids and effects on physiology and inflammation
2)    LECTURE TWODevelopmental dynamics, consequences of endocrine and autonomic dysregulation of overtime – relevance for pelvic pain
3)     LECTURE THREESocial engagement, the poly vagal systems, pelvic parasympathetics and plexi, disentangling emotions, sexual interactions and tissue states
4)    LECTURE FOURPain perceptions, pain and illness behaviours, trauma dynamics, reducing vigilance and improving agency
5)     LECTURE FIVEConsidering organ movements in micturition and defaecation, integration of the pelvic floor and how problems arise. Bladder and bowel considerations
6)     LECTURE SIXEndometriosis, pathologies gynae system, surgeries, consequences
7)     LECTURE SEVENInter-organ dynamics, postsurgical, adhesions, management of the peritoneum, viscero-somatic reflexes
8)     LECTURE EIGHTPelvic floor and coccydynia problems, high tone and dyssynergia problems, and complex childbirth related problems
9)     LECTURE NINEOrgan support and prolapse management
10)  LECTURE TENConsenting, communication, risk management, limitations to care, health and hygiene, practice management considerations

This is a fabulous, extensive CPD series, with many hours of lectures and resources.  It is part of the various 'CPD' components of the cnmo.co.uk qualification in osteopathy and women's health.

There are several courses into the topic of 'women's health' you can take with Osteobitesize, and this one, Journeying, is designed to go through from puberty and the transition from being a girl to a woman, through ones female world and lifespan, and through many health challenges and also menopause and beyond.  It doesn't specifically include obstetrics and post partum, which is covered in a separate course, and doesn't include a description of internal techniques, which are covered elsewhere, but still gives much insight into how women function, the problems they can face and

This particular course does not cover the complexities of gender informed practice, nor does it include discussion of trans, gay, gender fluid, and issues of concern to those who do not identify as 'woman'.  My intention is to cover those important dynamics in a new forthcoming programme.

This particular course IS for all though, including women, and is about women.

CONTENTS IN DETAIL:

This course contains a series of 13 modules plus a series of Technique videos at the end of the course. The content of each module is outlined below:

Module 1: General lifespan issues - this gives a general perspective on issues across the lifespan

This module consists of a 4 -part lecture: Part 1: 1 hour, Part 2: 1 hour 33 min, 1 hour 27 min, Part 4: 42 min

plus:

  • downloadable handouts ( lecture notes with 26 links to articles/resources for further reading) and an online viewable slideshow of all the powerpoint slides of the lecture.

 

Module 2: Body compartments - whatever the 'problem' it is important to treat the whole person, and this starts with understanding the body compartment integration

This module consists of a 5-part lecture : Part 1: 1 hour 10 min, Part 2: 1 hour 26 min, Part 3: 52 min, Part 4: 1 hour 18 min,  Part 5: 17 min

plus:

  • downloadable handouts ( lecture notes with 5 links to articles/resources for further reading) and an online viewable slideshow of all the powerpoint slides of the lecture.

 

Module 3: Connective tissues in women and other endocrine considerations - this section is to inform your understanding of tissues, and by extension examination and 'treatment'

This module contains a 1 hour 27 min lecture.

  • plus:
  • 2 links to articles for further reading

 

Module 4: Pains, organ problems, being 'traumatised', balancing autonomics - now we have a broad perspective, we can appreciate that as many 'problems' involve pain and inflammation, we need to cover this topic

This module consists of  a 1 hour 47 min lecture plus a supplementary video of 17 min.

plus:

  • 3 links to articles/resources for further reading

 

Module 5: Visceral pain, microbiome, immunity, fluids and lymphatics - this continues our understanding of physiology, homeostasis and allostasis - all of which is relevant across the breadth of women's health issues

This module contains 2 videos of 15 min and 1 hour 39 min plus a visceral pain lecture.

plus:

  • 7 links to articles/resources for recommended reading

 

Module 6:Pelvic Floor, organs and cavities - now we can begin to revisit areas of the body, and focus in more detail - an important place to understand well is the pelvis

This module consists of 5 lectures: lecture 1: 1 hour 32 min, lecture 2: 1 hour 43 min, lecture 3: 13 min, lecture 4: 1 hour 43 min, lecture 5: 28 min

plus:

  • downloadable handouts ( lecture notes only) and an online viewable slideshow of all the powerpoint slides of the lectures.
  • 3 links to articles/resources for further reading

 

Module 7:Body changes over time, puberty, body image, mental health - it is important to contextualise physiological changes over time, especially for a sense of self.....

This module contains a 3-part lecture: Part 1: 33 min, Part 2: 1 hour 37 min, Part 3: 1 hour 24 min

plus:

  • 1 link to an article for further reading

 

Module 8:Women in osteopathic practice - this is a slight diversion in that it relates to women as practitioners as well as women in need of carers

This module contains a 57 min video

plus:

  • 1 link to an article for further reading

 

Module 9: Breast cancer commentary - as the lifespan continues, so do its health challenges - here is one example

This module consists of a 55 min lecture.

 

Module 10: Hormones and fertility issues - again, another challenge and one where the contribution of manual care is not often articulated

 

Module 11:Other videos - useful in general

This module contains a commentary by Caroline Stone on a selection of videos.

 

Module 12: Menopause

This module contains a 2-part lecture: Part A:  16 min, Part B: 1 hour 10 min, plus an additional lecture of 55 min.

plus:

  • downloadable handouts ( lecture notes only) and an online viewable slideshow of all the powerpoint slides of the lectures.

 

Technique videos

This section contains a 5 technique videos with a total viewing time of approximately 9 min.

 

This new course combines the ever popular paediatrics series with the obstetrics and post partum course.  Its not quite 2 whole separate courses put together, but it contains all the obs and post partum, and around half of the paeds series. Accordingly the price is adjusted reflects the extensive content but still cheaper than buying the 2 programmes separately. This is a huge resource for all things mum and bub, and looks at a whole range of osteopathic approaches and concepts for the care of mum through pregnancy, pain, movement and posture, general pregnancy ailments and problems, preparation for labour and delivery, post partum care, recovery from tissue injury and  returning to function, breastfeeding and settling into the new family role and dynamics..  For both it covers the materno-foetal interaction and which is so important - showing how their journey together through pregnancy, birth and beyond sets the scene for some many 'presentations'. For the babies it covers infant birth trauma, infant pain, unsettledness, autonomics, arousal, moulding, intraosseous strain, movement dynamics, neurosensory integration, feeding, ears, breathing, digestion, development, motor coordination, growth, red flags, risk assessment, examination and treatment considerations and loads more.  Long term access to online resources.

***************************

This extended and updated course is aimed at osteopaths who have a strong interest in supporting the mother-infant dyad, and families and mums who are struggling with feeding their babies in some way, or with babies who are not establishing feeding.

Osteopaths have many special skills to apply in a clinical context, at this critical time - with babies often just days or weeks old.

Understanding the development of the infant, the transition phase and perinatal dynamics, how primitive reflexes are related to feeding success and how the anatomy of the head, neck, face and body interact with the emergent physiology of suck-swallow-breathe is also essential.

What is also important is to appreciate how birth, tissue irritation, strain, injury to both MUM and BABY can impact on feeding success by causing sensory motor challenges, stress within the arousal and state regulation mechanisms within the infant, and movement and motor challenges within the infant as this then helps osteopaths and similar hands-on practitioners determine a treatment plan or a referral pathway.

Mum also needs particular support, and issues for her involve recovery from birth, bonding and mental health issues, breast-care and milk supply and general restoration of body posture and global cavity restoration.

This course leads into a particular consideration of risks ethics, roles boundaries, consenting and evidence all of which need to be carefully considered when working with this special group of people.

Assessment techniques and approaches for hands on care are discussed.  Please note that technical competence cannot be gained from an online programme and so this course cannot credential you for competence on its own.

If you wish to take your training further after completing this course, please contact the College of Non Musculoskeletal Osteopathy (www.cnmo.co.uk) where programmes that lead to a Certificate and can include practical sessions and clinical observation and practice are available in the near future.

CONTENTS IN DETAIL:

The course contains a series of 33 modules, and the content outline for each of these is:

Module 1 : Overview of latch, suck and swallow

This module contains a 33 minute lecture on latch, suck and swallow - an overview. It also contains a 2 minute youtube video on tongue movements, a 33 minute youtube video on Breastfeeding Self-Efficacy and LATCH Assessment.

plus:

  •  downloadable handouts (notes only) and an online viewable slideshow of all the powerpoint slides of the lecture.

 

Module 2: Movement and anatomy integration - smooth and rhythmic suck and swallowing

A module containing a series of resources, videos, articles, and links on the movement and anatomy integration of smooth and rhythmic suck and swallowing. Specifically: 20 sec video on normal swallowing in infants: 3 min video on fluoroscopic Swallowing Study; 30 sec video on Breastfeeding Ultrasound real time; 40 sec infant feeding video; 30 min video on a guide to Breastfeeding; 

plus:

  • a downloadable article

 

Module 3: Nutritive and non-nutritive sucking, suck-bursts and rhythms

This module contains no lecture but is for supplementary orientation: contains one short 2 min video on the different types of suck patterns and poses questions that will be explored in later modules.

 

Module 4:  Nutrition, metabolism, appetite - how the infant guides the feeding dynamic, plus other approaches to feeding

This module looks at maternal, infant and early childhood nutritional needs and  the nutritional components of breastmilk as well as other alternative feeding methods. There is  no lecture in this module  but a series of videos that include: 1 hour video on Maternal, Infant and Early Childhood Nutrition; 1 hour 20 min video on the chemistry of infant feeding; 3 min video on Syringe feeding; 40 sec video on cup feeding.

plus:

  •   a downloadable article

 

Module 5: Airflow and airway protection

This module contains a video link and discussion on how repositioning the chin-nose-breast relationship allows more airflow.

plus:

  • 2 downloadable articles

 

Module 6: Tensor veni palatini and the airway dilators

This module covers a lot of the relevant anatomy, and gives orientation to palpatory experiences during assessment and treatment. Video resources include: 25 min video on Anatomy of the soft palate

 

Module 7: Upper cervical spine dynamics, and the dural tube - combining spinal column and dural dynamics, with visceral tube and sliding surfaces in the throat / ventral fascias

This module contains no lecture but is for supplementary orientation

 

Module 8: Future changes to suck and swallow - the implications for speech and communication

This module includes 3 downloadable articles

 

Module 9: Intra-uterine dynamics

A module containing a 50 min lecture on Breastfeeding and Infant feeding -support for Osteopaths-Mother and Infant dynamics. Extra videos include a 40 sec video Ultrasound sucking baby, a 1hr, 4min video by  Dr Jack Newman on infant feeding, latch, milk flow, biological nursing and the breast crawl.

plus:

  • downloadable handouts ( lectures notes & 10 links for further reading) and an online viewable slideshow of all the powerpoint slides of the lecture.
  • 2 links to extra resources

 

Module 10: Where do I go next? - birth dynamics

This module contains a 1 hour 10 min lecture from the breastfeeding series: Birth Dynamics
plus:
  •  downloadable handouts (lecture notes & 9 links for further reading) and an online viewable slideshow of all the powerpoint slides of the lecture.
  • link to supplementary article

 

Module 11: The dynamic cranium, birth trauma

This module contains a 1 hour 12 min lecture from the breastfeeding series: dynamic cranium.

plus:

  • downloadable handouts (lecture notes & 6+ links for further reading) and an online viewable slideshow of all the powerpoint slides of the lecture.
  • a slideshow on vacuum delivery
  • downloadable article

 

Module 12: The moulded baby syndrome - osseous and sensory motor implications

This module contains a 2 hour lecture from the breastfeeding series: the moulded baby.

plus:

  • downloadable handouts (powerpoint notes & +6 links for further reading) and an online viewable slideshow of all the powerpoint slides of the lecture.
  • 4 links to articles for further reading

 

Module 13: Head shapes and other moulding and movement dynamics

There is no separate lecture in this module .

There are 2 links to resources support the module content

 

Module 14: Motor sensory development, the somatic and physiological bodies, primitive reflexes, patterns and rhythms, the self, and infant feeding

There are 2 lectures in this module: Motor Sensory Development for Feeding Success part 1 (1 hour 45 min)and part 2 (1 hour 30 min)

plus:

  • downloadable handouts ( lectures (part 1 & 2) notes & 30+ links for further reading ) and an online viewable slideshow of all the powerpoint slides of both lectures
  • links to 3 articles for further reading.

 

Module 15: Bonding, communication, social engagement, development and poly-vagal perspectives, oxytocin, neurohumoral and microbiome issues

This module consists of a 50 min lecture on bonding and other issues for feeding success. In addition, there is a short clip on Infant separation from mother after birth.
 
plus:
  • downloadable handouts (notes to lecture & 30+ links for further reading) and an online viewable slideshow of all the powerpoint slides of both lectures
  • 7 articles for downloading

 

Module 16:Understanding suck and swallow - Breastfeeding physiology and barriers to effecting integration
 
This module contains a 2 hour 35 min lecture: Maturity, transition, suck swallow breathe, biological oscillators-implications for feeding success. In addition there is 1 min 30 sec video on uncoordinated suck swallow breathe.
 
plus:
  • downloadable handouts (powerpoint notes & 16 links for further reading) and an online viewable slideshow of all the powerpoint slides of the lecture.
  • 8 articles to download

 

Module 17:Suckling is a vestibular friend! And other aspects of vestibular integration of suck-swallow-breathe

In this module there is  no separate lecture - just some additional resources:

  • 3 links to articles

 

Module 18: Eyes

In this module there is  no separate lecture - just some additional resources:

  • 3 links for further reading

 

Module 19: Other rhythms - sleep and circadian dynamics

This module contains a 7 min video.

 

Module 20: Pain, sensitisation, destabilisation, shock, stress, fear

This module contains 1 lecture of 1 hour 8 min . In addition there is a 1 hour 15 min video to watch.

plus:

  • downloadable handouts (lecture notes & 50+ links for further reading) and an online viewable slideshow of all the powerpoint slides of the lecture.
  • 3  downloadable articles

 

Module 21:Developmental anatomy, and implications for function and evaluation - the anatomy of suck

This module contains a combined lecture of 2 parts: Part 1 -  (2 hours)The Anatomy of suck; Part 2-The other end of swallowing breathe (1 hour 8 min).

plus:

  • downloadable handouts (notes forepart 1 & 2 of lecture + links to11 resources for further reading) and an online viewable slideshow of all the powerpoint slides of the lecture.
  • links to 6 articles plus 1 slideshow

 

Module 22: What about the rest of the gastro-intestinal tract and swallowing / breathing?

This module contains 1 downloadable article

 

Module 23:Tongue tie

This module contains 1 lecture of 1 hour 21 min in addition to a 4 min 30 sec video & a  5 min video on the embryology of the mouth and throat and tongue, plus a 2min video on aftercare post-frenotomy.

plus:

  • 4 links to articles for further reading

 

Module 24: Suck training and other rehabilitations

This module contains a 4 min 30 sec video

plus:

  • 1 downloadable article

 

Module 25:Maternal dynamics - being on the other side of the mouth

This module contains 1 lecture of 2 hours 45 min.

 

Module 26: Milk letdown and milk ejection, breasts, nipples and mum

There is no separate lecture in this module

 

Module 27: Nipples, teats, shields, nipple pain, and the view from mum's side of the tongue....

There is no separate lecture in this module.

Additional resources include:

 

Module 28:Osteopathic support

This module contains 1 lecture.
 
plus:
  • 2 downloadable articles

 

Module 29: Assessing, and treating upright

There is no separate lecture for this module.

 

Module 30: Accessing the cranial nerves

This module contains 2 videos of 12 min and 10 min.

 

Module 31 :Where ANATOMY TRAINS and TENSEGRITY models (including the dural reciprocal tension model) don't go far enough.

This module contains 1 lecture

 

Module 32:Co-regulation - the role of the therapist (all therapists)?

This module contains 3 videos: 3 min 30 sec; 4min 40 sec; & 2 hours.

 

Module 33: Assessment tools

There is 1 lecture in this module

plus:

  • 2 downloadable articles.

 

 


This is a great course that covers osteopathic approaches and concepts for helping pregnant women on their journey, and through the peri-and post-partum periods. It includes breastfeeding and bonding dynamics, and has a huge focus throughout on materno-foetal interaction and the implications this has for optimal foetal positioning, maternal pain and posture, infant behaviors and development, post partum recovery mental health, breastfeeding and more. It covers the biomechanics of pregnancy, other dynamics of pregnancy, reviews the 'ligament theory of foetal positioning' and gives enhanced, evidence based fuller visions of the osteopathic approach. Many other factors, such as physiological conditions in pregnancy, risk in pregnancy care and what can and can't be achieved with osteopathy are also discussed, plus lots on the pelvis and pelvic floor, body cavities, rehabilitation, and more. Great all round resource. Examination and assessment protocols are discussed, and some technique videos included.

It is part of the 'CPD' component of the cnmo.co.uk qualification in osteopathy and women's health - which also includes the women's health / journeying series above.