Rectal Evaluation and Treatment

Integrating rectal evaluation and treatment into clinical practice to "find the why" for patients of all diagnoses
Sound Familiar?
  • I'm not sure how to integrate rectal evaluation and treatment into my clinical practice
  • I do rectal evaluations for "obvious" issues like GI or coccyx pain but don't know about using it for other patients
  • How do I bring up rectal treatment with my patients?  
  • My patient is hitting a plateau and I don't know where to go next
  • I'm not sure how to integrate rectal evaluation and treatment into my clinical practice
You're not alone!  Rectal evaluation and treatment is a hugely important tool for pelvic PTs, and one that we aren't using as often or as well as we need to be to help our patients!
Rectal Course for Pelvic PTs

Rectal Course Contents

Confidently incorporate rectal evaluation and treatment into your clinical practice to find the "missing piece" for your patients 

✔️️ Clinical Reasoning with Rectal - Evaluating the importance of rectal treatment for your patient.

✔️ Rectal Decision Tree - Determining "reasons to rectal" for patients who can benefit.

✔️ The "Obvious" GI Issues - Considerations for treating constipation, fecal incontinence, coccydynia and post-proctectomy surgery. 

✔️ Post-Natal Symptoms -  Rectal considerations for prolapse, painful intercourse, urinary incontinence, perineal tears and other post-natal issues.

✔️ Pelvic Pain - Rectal considerations for IC, pudendal neuralgia, painful intercourse, endometriosis, vulvodynia, vaginismus and other pelvic pain.

✔️ "How To" Rectal - Bimanual treatment, positioning (not just side-lying!), draping, and other techniques.

✔️Rectal Anatomy Review - Anatomy is Evidence!  Review the connections and anatomy better treated with rectal techniques. 

✔️Discussing Rectal with Patients - Don't be uncomfortable bringing up the topic with patients and educating appropriately about rectal treatment.

✔️Teaching Rectal Self-Care Techniques - Working with patients who can benefit from a home self-care program. 

✔️BONUS - Practice Assessment - Determine how well you're currently using rectal treatments in your practice.

✔️BONUS - Measurement Techniques - Discussion of the most important outcome measures for rectal issues. 

"The BEST pelvic health course I've ever taken!" - Judy R. (IC Course)
"I can not recommend this course enough. Nicole includes tremendous value in this course (way beyond the cost)." - Erin A. (IC Course)

Rectal Evaluation & Treatment

In looking at our field, I believe one of our biggest limitations is how many of us aren't comfortable evaluating and treating rectally.  It's literally half of the pelvic floor!

When I work with out-of-town patients or do remote consultations, I often find patients have been seeking treatment for years without a rectal exam!  Or, if they've had one, it was a 'quick check' and never addressed again.  For so many of our patients, this is a huge missing piece!

At best, we've taken something like H&W 2A or APTA 2, which focus almost exclusively on "obvious" uses of rectal in GI and colorectal issues.  While this is important, it doesn't answer many of the most important questions:

Questions this course will answer include:

👉 Which of our 'non-obvious' patients can benefit from rectal evaluation and treatment?

👉 What are the unique considerations for pelvic pain diagnoses?  Post-partum issues?  "Orthopedic" complaints?

👉 How do we actually perform a rectal evaluation and treatment?  How do we use bimanual treatment to maximize effectiveness?  How do we drape?  How do we perform rectal treatment in more than just side-lying position?
👉 How do we bring this up with patients?  How do we educate properly?
👉 How do we teach home care programs that incorporate rectal treatment?

"The demos done on a real patient and on a model were so thorough that I could easily translate that over to patient care

Frequently Asked Questions

Is Herman & Wallace 2A or APTA 2 a prerequisite to this course?

Not at all!  They have very different goals and information.  Both H&W and APTA courses focus on how to treat GI and colorectal conditions, which does involve rectal treatment.

However, this course focuses on how we can integrate rectal treatment for ALL diagnoses (when appropriate), not just the "obvious" cases.  This will teach you rectal considerations for pelvic pain, post-partum issues and orthopedic pain as well as for GI conditions.

This course also has specific and practical rectal treatment techniques like bi-manual treatment, different positions for your patient (not just treating everyone in side-lying), draping techniques, how to bring up rectal treatment with your patient, and more!  It's a comprehensive guide to integrating rectal evaluation and treatment into your practice.

How is the course administered?

The entire course is done online and at your own pace.  You have lifetime access to the material to review and reference as well!  You can watch on either the computer or phone.

How much experience do I need to take the course?

You don't need a certain amount of experience to get the most out of this course - w
e've had participants ranging from just a few months in pelvic health to participants with 10+ years and a WCS. 


Remember, you'll also have lifetime access to the content, so if you want to go back and revisit it later, you always can!

Why is the course online instead of in-person?

We've taught the course in-person before, but doing so limits the number of people who can access the material!


Keeping the course online also makes it more financially accessible.  With more than 12 hours of content, this course (including travel, hotel and the course cost) would likely be more than $3,000 to take in-person.

Pelvic PT Rising

Course Testimonials

Judy R. (IC Course)

This was the BEST pelvic health class I've ever taken! Even though I couldn't get live lab time, I thought the demos done on a real patient and on a model were so thorough that I could easily translate that over to patient care.

Amy H. (IC Course)

Nicole provides organized and digestible information, which I was able to access evenings after work, and immediately incorporate into practice. The best value for my continuing education budget this year!

Brittany H. (Essentials)

Nicole has a great way of explaining concepts and giving input that allows you to learn and apply them yourself. I learned so much I want to treat from this course. It has reignited my confidence and love of pelvic PT.