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Digital Seminar

Demystifying the Coccyx: Gentle, Effective Treatment for Tailbone Pain


Speaker:
Jerry Hesch hesch, MHS, DPT, PT
Duration:
2 Hours 22 Minutes
Format:
Audio and Video
Copyright:
Aug 15, 2023
Product Code:
POS065356
Media Type:
Digital Seminar


Description

Difficult to access.  Limited palpation and visualization.  Complex pain patterns.  
Treating the coccyx is intimidating and many practitioners assume that it must be treated internally. 
But with the Hesch Method of correction, you’ll gain confidence in effective external strategies for evaluating and treating mechanical sacrococcygeal joint dysfunction. Developed over decades of clinical experience, it’s a brief and gentle treatment that can help even complex patterns of neuro-musculoskeletal dysfunction and immediately alleviate pain.  Explore:

  • External evaluation techniques for the 4 types of dysfunction
  • Proven tips for differential diagnosis that traditional evaluations are missing
  • Simple, gentle & effective manual techniques to restore micromotion and eliminate restrictions
  • Strategies to appropriately balance between rest and activity and improve sitting comfort
  • Understand two important x-ray protocols
  • Appreciate the multi-modal and inter-disciplinary approach for chronic coccydynia
  • Unique insights for left lower windswept pelvis, which is not recognized in the Muscle Energy Technique model

With the addition of this specialized training, there is great opportunity for physical therapy practices to attract a new patient population, create additional revenue streams and gain referrals as the trusted resource for treating tailbone pain. 
 

Credit

Planning Committee Disclosure - Relevant relationships

Dr. Danny Porcelli is an independent contractor presenter with RockTape USA. His relevant financial relationship with an ineligible company has been mitigated.
 
All other members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the remaining committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - ---

Earn up to 2.25 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 


Physical Therapists - Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This self-study course consists of 2.25 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Physical Therapists - Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This self-study activity consists of 2.25 clock hours of instruction applicable for physical therapists.


Physical Therapists - California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 2.25 continuing competency hours.


Physical Therapists - Physical Therapists & Physical Therapist Assistants

This self-study course consists of 2.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


Physical Therapists - Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 2.0 CE credit hours.


Physical Therapists - Kentucky Physical Therapists, Physical Therapist Assistants

This self-study course consists of 2.25 continuing education credit hours. For Kentucky licensees, according to 201 KAR 22:045, this self-study educational offering may be applied toward Category 2 continued competency requirements.  Please review the regulation to determine eligibility. 


Physical Therapists - New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 2.8 contact hours.


Physical Therapists - North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 2.0 continuing education hours.


Physical Therapists - Oklahoma Physical Therapists, Physical Therapist Assistants

CE credit is available. This asynchronous activity consists of 2.25 continuing education credit hours for Oklahoma Physical Therapists. Oklahoma Administrative Code 435:20-9-3.1 confirms acceptance of continuing education programs offered by providers approved by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 2.25 clock hours of instruction that is applicable for physical therapists.


Physical Therapists - Texas Physical Therapists & Physical Therapist Assistants

This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2406032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional Level: . This activity will provide 2.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Physical Therapists - Utah Physical Therapists And Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This self-study activity consists of 2.25 clock hours of continuing education instruction.


Physical Therapists - Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 2.25 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Physical Therapists - Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This self-study course consists of 2.25 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy. 


Chiropractors - Chiropractors

PESI is recognized by the PACE program of the Federation of Chiropractic Licensing Boards. This online course consists of 2.0 CE hours of instruction in the following subjects: Pain Management (0.5hours), Differential/Physical Diagnosis (0.5 hours) History and Exam (0.5 hours)Wellness/Supportive Care (0.5 hours) . Approval #. 

 

For a list of boards that accept PACE courses, please visit this website: https://pacex.fclb.org/pages/BoardRequirements.php

 

**Please note that Chiropractors and/or Chiropractor Assistants must complete the post-test and evaluation and answer yes to the PACE Chiropractor evaluation question if they would like their participation submitted to PACE.


Athletic Trainers - Athletic Trainers

PESI, Inc. is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This self-study program has been approved for a maximum of 2.25 hours of Category A continuing education.


Other Professions

This self-study activity qualifies for 2.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Speaker

Jerry Hesch hesch, MHS, DPT, PT's Profile

Jerry Hesch hesch, MHS, DPT, PT Related seminars and products

The Hesch Institute


For over 40 years, Jerry Hesch, DPT, MHS, PT, has specialized in treating individuals suffering from acute and chronic pain from hypomobility and dysfunction in joints throughout the body, integrating care within a BPS and Neuro-biomechanical framework. He founded The Hesch Institute for Treatment, Research, and Education in Aurora, CO to treat complex patients and share is evidence-based whole-body approach. A fundamental effort of the Institute is to demystify manual therapy providing simple, effective, user-friendly interventions. This practical approach is one of the safest, most effective methods you will find that dramatically improves cervical spine dysfunction with brief treatment.

Jerry has presented over 100 workshops in the USA, Canada, and Europe, including state, national, and international conferences. He has published books on treating the whole-body and the lumbopelvic complex. In 2020, he published a third book chapter on the upper cervical spine (in Human Movement, Lundgren, Johansson).

Speaker Disclosures:
Financial: Dr. Jerry Hesch is the president of the Hesch Institute. He is a published author and receives royalties. He receives a speaking honorarium from PESI, Inc. Dr. Hesch has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Jerry Hesch has no relevant non-financial relationships.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Integrate comprehensive and external coccyx evaluation techniques through patient history, imaging, and manual assessment to identify mechanical sacrococcygeal joint dysfunction and contraindications for evaluation and treatment.
  2. Apply appropriate manual therapy techniques for specific types of sacrococcygeal joint dysfunction to alleviate pain and restore micromotion.
  3. Recognize and differentiate between mechanical and non-mechanical coccydynia, understanding associated pathologies.

Outline

External Evaluation Strategies for Sacro-Coccygeal Joint Dysfunction

  • Function and assessing micromotion
  • Anatomy: boney, ligaments, neurology, muscle
  • Symptoms: pathology, infection, Tarlov cysts
  • Imaging
  • Differential diagnosis
    • SIJ pain
    • Pilonidal cyst
    • Sciatica
    • Hemorrhoids
    • Piriformis syndrome
    • Pelvic floor muscle pain
  • When to refer for testing/medical intervention
  • Contraindications for eval and treatment


The Hesch Method of Correction: Manual Mobilization, Manipulation and Soft Tissue Treatment:

  • Team approach to optimize care
  • Treatable positional and mobility dysfunctions
    • Side bent coccyx
    • Rotated coccyx
    • Bilateral anterior ilium/anterior pelvic tilt
    • Left lower wind-swept pelvis
    • Hyperflex coccyx
    • Hyperextended coccyx

Additional Conservative Therapies to Treat Coccydynia

  • Cushions and other tips to improve sitting comfort
  • Pelvic floor therapy
  • Postural correction
  • Balance of rest and activity 
  • Medication
     

Target Audience

  • PT
  • PTA
  • DC
  • ATC
  • LMT

Reviews

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