
CHRONIC (ABDOMINOPELVIC) PAIN AND DYSFUNCTION – WHEN STRESS AND ANXIETY MAKE IT WORSE – A CORINA AVNI MASTERCLASS – via zoom meeting – a live stream stream course
with Corina Avni
Live stream time; Sunday 21st June from 10am – 1pm; SA time – please check your own local time.
Corina Avni Past Pax Feedback;
I thoroughly enjoyed Corina’s Womens Health Concepts course! It’s a great starting point for anyone wanting to start working in WH. Corina is an animated, enthusiastic and knowledgeable presenter. Her deep understanding and passion for women’s health is obvious. She has a knack for making complicated concepts understandable. Thanks to her and Club Physio for keeping us learning during lockdown! I’m excited to learn more and am looking forward to doing some face to face women’s health courses post-covid19 – Claire
This is the 2nd of Corina’s masterclasses I’ve done and I enjoyed it so much. She pushes you to thinking more laterally and wants you to be better in your field. She works really hard to give you up to date research and makes you laugh along the way. Highly beneficial and inspiring – Fiona
The Club-Physio Course by Corina Avni on Concepts in Pelvic Function and Women’s Health was absolutely incredible. Corina has such a beautiful way of simplifying and explaining concepts ensuring you will never forget what you have learnt. The course covered many various aspects of pelvic function and really broadened my knowledge. Thank you for producing such an amazing course and presenting it with such passion – Kara
It was great to have the opportunity to meet Corina in this online women’s health course. With a lot of irreverence she’s able to simplify and transmit her excellent knowledge in this field of physio, making you more and more interested in the topic! – Priscilla
To be honest this was my first online course . I am looking forward to taking more online women’s health courses. The experience of this class has been nothing but positive 😊 The course was everything you said it would be Corina – it was really fortunate for me to meet you through this course. Thanks Club physio. Shagufta
CHRONIC (ABDOMINOPELVIC) PAIN AND DYSFUNCTION – WHEN STRESS AND ANXIETY MAKE IT WORSE – A CORINA AVNI MASTERCLASS
Outline
Thoughts and beliefs are real things – measurable electrical impulses in the brain resulting in hormonal responses – they have an impact on a variety of ‘background’ functions e.g. sleeping, blood pressure, breathing and digestion. We find ourselves in unprecedented times – whilst pandemics have come and gone, hardly any have occurred in a digital age attracting the attention of social media (Ebola and Zika being obvious exceptions). This has resulted in a ‘shadow pandemic’ of misinformation, fear and anxiety with many scientists and healthcare professionals predicting a second wave of COVID related mental-health and associated co-morbidities.
In this Masterclass we will deconstruct the impact of stress and anxiety on autonomic nervous system function. Special mention will be made of adverse childhood experiences; the advent on nervous system dysregulation. No Masterclass on chronic pain and dysfunction would be complete without addressing post traumatic stress disorder (PTSD) and endometriosis.
Specific populations will be identified, including but not limited to i. irritative bladder symptoms (frequency, urgency, pain and night-time voiding) ii. abdominal pain, IBS and constipation and iii. chronic pelvic pain. Life events that contribute to chronic pain and dysfunction will be discussed, and we will examine how pathology elsewhere impacts on abdominopelvic function – especially for those treating constipation by ‘palpating psoas’. And as if that is not enough, we will also make mention of diet, obesity, chronic inflammation and the gut microbiome! As always, we will remain culturally relevant and sensitive, whilst identifying vulnerable populations.
Objectives
to appreciate the multi-systemic experience that results in normal function
to describe the likely presentation of 4 different autonomic nervous system dysregulations
to identify anxious patients with multi-systemic autonomic co-morbidity
to explain how co-morbidities can impact on anxiety
to understand cultural, religious and psycho-emotive impacts of chronic abdominopelvic pain and dysfunction
Take home messages
1. multi-systemic experience influences pain and dysfunction
2. autonomic nervous system dysregulation presents with a variety of symptoms, often co-morbid
3. anxiety impacts on multiple systems and can presents in the body as physical symptoms
4. co-morbid health issues can impact on anxiety
5. cultural, religious and psycho-emotive issues impact on chronic (abdominopelvic) pain and dysfunction
Timing
10am; Welcome and introduction
Anatomy and physiology (abdomen; pelvis including pelvic floor muscles, viscera, pelvic fascia, pudendal nerve; interstitium; autonomic nervous system and vagus; hypothalamic pituitary adrenal axis; microbiome)
Adverse childhood experiences – the advent of nervous system dysregulation
Post traumatic stress disorder
Endometriosis
11.30am; Tea
Populations – predicted presentations (irritative bladder symptoms, abdominal pain and IBS/constipation, chronic pelvic pain)
Life Events (tampons, sex, marriage, exercise, surgery, trauma – psyche/physical/MVA)
Co-morbid pathology impacting on pelvic function (diet, obesity, inflammation)
Cultural, religious and psycho-emotive considerations (diet/fasting, hygiene, abuse)
Questions
1pm Finish
Target Audience
Physiotherapists especially MSK physios; WH physios or general ‘i just wanna learn physios;’
Biokineticists / Athletic trainers / Sports and Rehab therapists / Osteos / Chiros / Physical Medicine doctors and other health and fitness professionals
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Live stream time; Sunday 21st June from 10am – 1pm; SA time – please check your own local time.
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