A Comprehensive Look at Pelvic Venous Disorders

A clinical roadmap designed to enhance your ability to screen, assess, and comprehensively treat your clients with pelvic venous disorders (PeVD), a notoriously under-recognized and misdiagnosed cause of chronic pelvic pain.

Enroll in the self study course NOW! Approved for 3.75 CEUs!

Pelvic venous disorders are the second leading cause of chronic pelvic pain after endometriosis. One of the biggest risk factors for the development of PeVD is pregnancy. As physical therapists we are in a unique position to screen our patients for this entirely treatable, but often overlooked disease process. 


Some of the most common symptoms of PeVD include:

  • Chronic pelvic pain 
  • Pelvic floor ache/heaviness
  • Post-coital ache
  • Urinary urgency
  • Dysmenorrhea
  • Varicose veins

PeVD demands a comprehensive plan of care in collaboration with other medical providers. This includes providing high quality patient education, assessing and treating the entire body system with evidence-based techniques, understanding proper diagnostic test selection, and referring out for appropriate surgical interventions when necessary.  

In this class, you will learn to utilize special tests and evidence-based treatments to help identify and treat compensatory patterns found in the thorax and pelvis. These patterns often negatively impact a person’s ability to achieve maximal venous return and diaphragmatic excursion, ultimately exacerbating PeVD symptoms.

By Enrolling in this Course, You Will:

  • Learn to differentiate between venous pain and musculoskeletal pain in individuals.
  • Understand how anatomical abnormalities of venous obstruction and venous reflux (“RIGI”) manifest across genders and how that presentation changes if compensatory strategies are present.
  • Identify the four main clinical presentations of PeVD.
  • Understand how to cluster subjective and objective exam findings to guide skilled intervention.
  • Identify the significance of optimal diaphragmatic function and understand its systemic effect.
  • Identify four strategies needed to maximize venous return in this patient population and the exercises that will help achieve this.
  • Understand when to refer out for imaging and collaborate with other healthcare providers to provide the most comprehensive plan of care for the patient.

No secrets here, this is exactly what you'll get!

Course Content:

  • A Brief History of PeVD 
  • The Evolution Away from “Syndrome” Terminology 
  • Pathophysiology of PeVD
  • Hallmark Symptoms of PeVD 
  • Compensatory Strategies of Venous Reflux and Obstruction
  • The Four Clinical Presentations of PeVD
  • Medical History: Subjective Assessment
  • Physical Exam: Orthopedic Assessment
  • Internal/External Pelvic Exam Findings   
  • Clinical Nuances and Pearls 
  • Influence of the Diaphragm and Breathing Cues 
  • Four Ways to Maximize Venous Return
  • Patient Education & Referral Sources
  • Initial Exercises with Video Demos
  • Progression of Exercises with Video Demos
  • Medical Intervention Techniques and Post-Op Guidance

Bonus Content: 

  • Diagnostic Imaging with Dr. Kathleen Gibson, Vascular MD and President of the AVLS
  • Case Studies with Dr. Kathleen Gibson, Vascular MD and President of AVLS
  • S-V-P Classification System Review with Dr. Kathleen Gibson, Vascular MD and President of AVLS
  • Video Demonstrations of Special Tests 
  • Video Demonstrations of Exercise Progressions
  • Product Recommendations 
  • Reference List with 50+ sources 
  • Lifetime Access to Course Content (+ Updates!)
Enroll Now!

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3.75 CEUs awarded upon completion!

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Meet the Instructor

Dr. Julie Baron PT, DPT, CSCS, PCES is a pelvic floor physical therapist and the Director of the Pelvic Health and Performance Center in Bellevue, WA. Her commitment to treating patients with and educating others on pelvic venous disorders (PeVD) grew out of her own experience with misdiagnosed severe chronic pelvic pain.

Dr. Baron’s comprehensive, holistic approach to patient care is based on her extensive professional experience in prenatal/postpartum care, pelvic floor therapy, orthopedics, and principles of postural restoration. Her approach allows for the thorough identification of musculoskeletal issues and compensatory patterns in patients, with the goal of optimizing diaphragmatic excursion and maximizing venous return to improve patient outcomes.

Dr. Baron educates not only her patients, but also other healthcare providers on the role of pelvic PT in the treatment of PeVD. She has presented her original research at annual state conferences, led symposiums on various pelvic and orthopedic conditions, done educational webinars, and given presentations at global conferences. She is an active member of both the American Physical Therapy Association (APTA) Section on Pelvic Health and the National Strength and Conditioning Association.