Dr. April Dominick // #ICEPelvic // www.ptonice.com  In today's episode of the PT on ICE Daily Show, #ICEPelvic faculty member April Dominick discusses how to navigate a pelvic PT eval when a “hands-on approach” for assessment & treatment may be off the table due to an individual comfort level with pelvic examinations or when trauma is on board. Take a listen to learn how to better serve this population of patients & athletes or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our live pregnancy and postpartum physical therapy courses or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. Are you looking for more information on how to keep lifting weights while pregnant? Check out the ICE Pelvic bi-weekly newsletter! EPISODE TRANSCRIPTION INTRODUCTION Hey everyone, this is Alan. Chief Operating Officer here at ICE. Before we get started with today’s episode, I want to talk to you about VersaLifts. Today’s episode is brought to you by VersaLifts. Best known for their heel lift shoe inserts, VersaLifts has been a leading innovator in bringing simple but highly effective rehab tools to the market. If you have clients with stiff ankles, Achilles tendinopathy, or basic skeletal structure limitations keeping them from squatting with proper form and good depth, a little heel lift can make a huge difference. VersaLifts heel lifts are available in three different sizes and all of them add an additional half inch of drop to any training shoe, helping athletes squat deeper with better form. Visit www.vlifts.com/icephysio or click the link in today’s show notes to get your VersaLifts today. APRIL DOMINICK Good morning, everyone. Welcome to the PT on Ice Daily Show. This is Dr. April Dominick here from the Ice Pelvic Faculty Division. And today we're discussing how to navigate a PT eval when hands-on treatment and assessment isn't an option. Psychiatrist Jacob Marino once said, the body remembers what the mind forgets. Why should we consider a hands-off approach during an eval for someone with pelvic floor symptoms? Maybe the client has some trauma, maybe they experienced nervousness about what a pelvic floor assessment is, or maybe they've had previous discomfort during other pelvic examinations with other medical providers or in a different setting. So for some of these folks, that hands-on assessment and manual treatment just is not going to be the best go-to during the evaluation and maybe even for some subsequent, if not all, follow-up visits. The idea that an internal or external exam is a requirement to make pelvic PT a success is just not true. Is it helpful? 100%. But we are the detectives of the musculoskeletal system. And we take into account the cognitive and emotional state into consideration of the human in front of us. just like all great sleuths like Nancy Drew, she's not making her next move based off of palpating the person in front of her, but she's taking cues from the person in front of her. So I'll give you some tips today for how to go about a hands-off assessment for an eval specifically, from the subjective to the objective, through the treatment, and then post-session. Pre-session, We want to make sure that your intake form has an area for a client to share some trauma or abuse that may have happened to them, whether that's current or they have a history of it, whether it's physical, emotional, whatever the case is. Whether they mark something on that intake form or not, as pelvic PTs, we are dealing with an extremely intimate part of the body. And that means that someone may not even realize that they're holding on to some trauma until maybe in session. They have some sort of traum