About the course

Pelvic floor dysfunction frequently underlies the hip, back, and pelvic pain cases you see every day. This course is designed to help orthopedic clinicians confidently screen for pelvic involvement, perform external assessment and treatment techniques, and determine when conservative management is appropriate versus when specialist referral is needed. You'll learn how to integrate pelvic floor considerations into your standard evaluations, understand the relationship between respiration and core stability, and apply evidence-based interventions for conditions like stress urinary incontinence and diastasis recti. The focus is on practical, external techniques and clinical reasoning rather than requiring specialized certification. The course combines podcast episodes, peer-reviewed literature, and study questions covering everything from clinical screening to pain referral patterns and pudendal neuralgia. You'll complete a pre-course assessment to identify your starting point, then progress through content addressing respiratory dysfunction, postpartum presentations, and exercise integration. Everything is designed to be immediately applicable using external techniques appropriate for general orthopedic practice.

Dr. Nick Rainey

Meet Your Instructor: Dr. Nick Rainey

I'm a physical therapist, clinic owner, and educator who regularly works with complex pelvic floor issues in real clinical practice. Pelvic floor involvement in orthopedic cases often goes unrecognized by clinicians. Early in my career, the challenge wasn't a lack of treatment techniques for hip or back pain, but knowing when pelvic dysfunction was contributing to those presentations, how to screen appropriately without internal examination, and how to integrate external pelvic floor work into standard care. Through years of clinical experience, mentoring clinicians, and teaching residents, I've learned that recognizing pelvic floor involvement and using external techniques can dramatically improve outcomes for patients who've plateaued with traditional orthopedic care alone. My goal with this course is to help you feel confident screening for pelvic floor dysfunction, applying external treatment techniques, and knowing when specialist referral is warranted.