Title: The pelvis - an integrative approach

Dates: 5-6 December 2020

Course leader: Valeria Ferreira

Cost: £218-£270


About the course

This workshop is designed to assist the participant to appreciate their findings of the pelvic cavity, including the assessment of its fascial and visceral contents. Participants will be encouraged to explore ways of improving their body positioning to enhance their proprioception during examination and treatment. A  similar approach will be used when applying visceral and fascial techniques to optimise the mobilisation of the sacrum, bladder, uterus, obturator membrane, pelvic floor, Kidneys, etc. Indications and contra-indications will be discussed throughout the weekend. 

This course is aimed at developing a high level of integration and knowledge. Attendees will refine and critically appraise their experiences of osteopathic approaches, taking into account all aspects of professional practice.

This course will also provide an opportunity to look at the ranges of visceral osteopathic management, including techniques, lifestyle, advice and how and when these may need to be altered.

Summary of Osteopathic Practice Standards (updated) covered in this course

A Communication and patient partnership - A1, A2, A3, A4, A6,

B Knowledge, skills and performance - B1, B2, B3

C Safety and quality in practice - C1


Learning outcomes

Improvement palpation skills
Understand the range of visceral osteopathic management, including techniques, lifestyle advice and how and when these may need to be altered.
Learn how to perform competently a variety of osteopathic techniques and be able to design adaptations that are appropriate to the patient’s needs and justified by knowledge of the relevant principles.
Gain an integrated knowledge of human biomechanics and how dysfunction in one area may lead to altered function elsewhere in the body.
Learn how to integrate current models of healthcare in order to reach a diagnosis, plan and justify an effective management programme for the patient across a variety of clinical presentations. 
Learn to evaluate the patient-practitioner relationship and the importance of the responsibilities implicit in the relationship.



Day 1

09:00 - 09:30   Registration

09:30 - 09:45   Introduction and expectations

09:45 - 10:00   Principles behind visceral osteopathy

10:00 - 10:45   Fascial assessment of the pelvis – Iliac positioning, sacrum and pelvic floor

10:45 - 11:00   break

11:00 - 12:30   Functional release of the Sacrum & pelvic floor.

                        Pubic symphysis

                        Fascial mobilisation of the gluteus

                        Mobilisation of sacrospinous and sacro-tuberous ligaments

                        Pudendal nerve

12:30 - 13:30   Lunch break

13:30 - 15:40   Bladder – anatomy and technique                          

                        Pubo-vesico-uterus- sacral ligament assessment and technique

                        Suspensory ligaments of the Bladder

                        Obturator membrane technique                  

15:40 - 16:00   Break

16:00 - 17:30:  Uterus – anatomy and techniques


Day 2

09:30 - 10:15   Clinical presentations of urinary-gynaecologic dysfunctions and discussions

10:15 - 11:00   Ovaries & Fallopian Tubes     

11:00 - 11:20   Break

11:20 - 12:30   Kidneys and Ureter – Anatomy and techniques

12:30 - 13:30   Lunch

13:30 - 15:30   Osteopathic integration: what to consider when treating the pelvis in relation to the lower and upper extremities  

15:30 - 15:50   Break

15:50 - 16:50   Palpation of the whole pelvis going from one organ to another: use of the different techniques for specific structures, such as ligaments to enhance participants’ palpation.           

16:50 - 17:30  Q & A


Course suitability

The course is suitable for qualified osteopaths and final year osteopathic students.


Equipment needed

Please bring your Laptops or iPads


Recommended reading

Hebgen, E. U. (2011). Visceral Manipulation in Osteopathy. Thieme.

Barral, J. P. and P. Mercier (2006). Visceral Manipulation. Eastland Press.

About the course leader

Valeria A Ferreira (DO  MSc Ost  PGCAP) was born in Brazil and has been a resident in London for the past 28 years. She is an enthusiastic and committed lecturer at the UCO and practicing osteopath in London.

Valeria completed her osteopathic training at the COET (2000) and the MSc in Osteopathy (2006) at the ESO, where she conducted a research project investigating the effectiveness of osteopathic treatment on patients with endometriosis.

Valeria is an associated fellow of the Higher Education Academy (HEA), who teaches at the UCO, leading the fourth year Visceral Osteopathic module. She was also a member of the final year technique team between 2009 – 2017.

Valeria delivers various CPD courses in osteopathic integration in the UK, Europe and Brazil, exploring the application of the structural, fascial, visceral and cranial approaches and techniques.  She runs a very successful practice in the City of London, where she has worked for the last 19 years and in Lewisham (SE London). 

In 2014 Valeria became the founder and director of "COBRA" (Brazilian Osteopathic Centre for Research and Advanced Techniques), while promoting the first Osteopathic Research conference in São Paulo (ICAOR10) and actively working as a member of the Brazilian osteopathic committee for the Rio Olympic Games during its initial phase.

In 2017 Valeria joined an NHS practice in East Dulwich. She also teaches on her own series of courses ‘A Different Health’ specifically designed to support osteopaths who are struggling with their clinical assessments and practice.