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I have been seeing a client for LBP with severe pelvic floor tightness (she is seeing a pelvic health specialist for this) but all her pain presents as LBP otherwise. It's thought by pelvic health PT that she has pudental nerve entrapment. Do your courses teach how to treat this and are there things that I can focus more on that is taught in the 2 certification courses? L4-L5, inferior and superior cluneals.
She has pain down lateral leg to her knee occasionally.
Thank you in advance!
Hi Courtney, Thank you for your post. Yes, the Lumboplevic clinical integration course specifically teaches techniques effective for pudental nerve entrapment with IDN, cupping and manual techniques. If you've taken both cert courses, then you have an idea of what innervates the region. Consider starting central, at the B paraspinals and then identify homeostatic points that surround and may impact the innervation and muscles involved; you're thinking correctly with the cluneals and L5 B. You can also needle S1. The ITB point sounds like it would be very beneficial for her.
Have you cleared out her hip? The rotatores sometimes contribute to the entrapment and lateral discomfort; check those out as well.
Let me know if you have any additional questions,
Shani
LPH Instructor
Hi Courtney, Thank you for your post. Yes, the Lumboplevic clinical integration course specifically teaches techniques effective for pudendal nerve entrapment with IDN, cupping and manual techniques. If you've taken both cert courses, then you have an idea of what innervates the region. Consider starting central, at the B paraspinals and then identify homeostatic points that surround and may impact the innervation and muscles involved; you're thinking correctly with the cluneals and L5 B. You can also needle S1. The ITB point sounds like it would be very beneficial for her.
Have you cleared out her hip? The rotatores sometimes contribute to the entrapment and lateral discomfort; check those out as well.
Let me know if you have any additional questions,
Shani
LPH Instructor
Hi Courtney, Thank you for your post. Yes, the Lumboplevic clinical integration course specifically teaches techniques effective for pudendal nerve entrapment with IDN, cupping and manual techniques. If you've taken both cert courses, then you have an idea of what innervates the region. Consider starting central, at the B paraspinals and then identify homeostatic points that surround and may impact the innervation and muscles involved; you're thinking correctly with the cluneals and L5 B. You can also needle S1. The ITB point sounds like it would be very beneficial for her.
Have you cleared out her hip? The rotatores sometimes contribute to the entrapment and lateral discomfort; check those out as well.
Let me know if you have any additional questions,
Shani
LPH Instructor
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