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Seminar Detail

Manual Therapy for the Piriformis & Quadratus Lumborum: The Solution to Back & Pelvic Pain You Are Missing

Friday, November 22, 2019 at 8:00 AM - 4:00 PM

This event is not currently available for purchase.

For more information: Call (800) 844-8260
Course Description:

Your work with lower back pain can give patients their lives back, allowing them to once again enjoy the things that debilitating pain had taken from them.

The piriformis and quadratus lumborum, often-missed muscles in back and pelvic pain, can mimic other dysfunctions frustrating your ability to identify the root of your patients’ problem. Not only that, the piriformis and quadratus lumborum are difficult muscles to palpate, leaving you feeling hesitant and uncertain in your treatment plan.

Don’t go down the wrong treatment path, feeling defeated and worried that your client will face surgery that you can help them avoid.

Feel your confidence grow and your skills sharpen as you gain new, evidence-based strategies to release the quadratus Lumborum and piriformis and stop the pain in as little as 4 to 6 sessions.

Identify the root of the problem the first time by using special assessment tests and measures, so you can address the pain and restore function quicker. Utilizing case studies and demonstration lab time, you will walk away from this workshop immediately ready to confidently tackle low back and pelvis pain in your patients.

Peggy Lamb, LMT, has spent the last 30 plus years as a manual therapist. In that time, she has treated numerous low back and pelvic dysfunctions by effectively releasing these two difficult and often overlooked muscles, giving her patients a new lease on life. Her experience and knowledge will allow you to do the same for your patients.

So sign up today to confidently and effectively treat low back and pelvic pain in your patients!
  1. Classify the anatomy of the low back and pelvis and what roles the piriformis and quadratus lumborum play.
  2. Identify assessment tests for a short piriformis and piriformis syndrome.
  3. Examine trigger point referral patterns of the piriformis and quadratus lumborum.
  4. Practice techniques for palpating, stretching, and releasing the piriformis and lateral rotators.
  5. Create plan of care using standing, prone, and side-lying techniques to gently and effectively release the quadratus lumborum and ultimately save your hands.
  6. Discuss strategies for avoiding reoccurring injuries of the low back and pelvis.

  • How the piriformis and the quadratus lumborum impact the SIJ
  • The biomechanics of the pelvis
  • Why low back pain is simple yet complex
  • Impact of spinal curves and coupled spinal movement
  • Sacral movement and its relationship to the piriformis
  • Importance of patient education and safety
  • Muscle swimming – unique combination of several manual therapies
  • Positional release: a safe alternative to direct palpation
  • Muscle Energy Techniques (MET)
  • Case studies


  • Short piriformis
  • Piriformis syndrome
  • Positional release
  • MEG technique for short piriformis
  • Demonstration and practice: LAB
  • Pin and rock technique
  • Pin and move technique on trigger points
  • Cupping
  • Assisted table stretch for piriformis
  • Demonstration and practice: LAB


  • High iliac crest
  • MET corrects for high iliac crest
  • Positional release for short quadratus lumborum
  • Demonstration and practice: LAB
  • Standing techniques
    • Assessment of QL length from side-bending
    • Standing papation
    • Demonstration and practice: LAB
  • Prone techniques
    • Skin rolling
    • Warming the tissue
    • Assessing the tissue
    • Cupping
    • Demonstration and practice: LAB
  • Side-lying techniques
    • Fascial lengthening
    • Warming the tissue
    • Practice muscle swimming strategies for release
    • Pin and rock
    • Cupping
    • Pin and move technique on TP’s
    • Demonstration and practice: LAB
  • Additional techniques to create new neuromuscular pathways
    • Stretching techniques
    • Demonstration and practice: LAB
Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Massage Therapists
  • Occupational Therapists
  • Certified Occupational Therapy Assistants
  • Athletic Trainers
  • Certified Strength and Conditioning Specialists
  • Exercise Physiologists
  • Personal Trainers
  • Rehab Nurses
What You Should Wear/Bring
  • Participants should bring a massage table (if available), a yoga mat, and wear comfortable clothing for lab


Peggy Lamb, MA, LMT, BCTMB, has been practicing massage since 1986 and is certified through the National Certification Board for Therapeutic Massage and Bodywork. She currently owns a private massage and movement therapy business, where she practices when she’s not touring the country speaking. Ms. Lamb received her initial training at the New Mexico Academy of Massage and Advanced Healing Arts in Santa Fe, New Mexico, and at Wellness Skills, Inc., in Dallas, Texas. She taught clinical anatomy and physiology, trigger point therapy, and Swedish techniques at Wellness Skills, Inc., in Dallas and at Texas Healing Arts Institute in Austin. In addition to her extensive training in massage therapy, Ms. Lamb holds a master’s degree in dance from American University in Washington, DC, where the concepts to body movement have been instrumental in her work with the core and low back. She also teaches dance and yoga and is a personal trainer. She is the author of Releasing the Rotator Cuff, The Core of the Matter: Releasing the Iliopsoas and Quadratus Lumborum, and Stretch Your Clients: The Bodyworker’s Guide to Client Table Stretches. Ms. Lamb brings her eclectic and extensive background into her teaching for an enlightening and enjoyable learning experience.

Speaker Disclosures:

Financial: Peggy Lamb maintains a private practice. She receives a speaking honorarium from PESI, Inc.

Non-financial: Peggy Lamb has no relevant non-financial relationships to disclose.
Credits listed below are for full attendance at the live event only. After attendance has been verified, pre-registered attendees will receive an email from PESI Customer Service with the subject line, “Evaluation and Certificate” within one week. This email will contain a link to complete the seminar evaluation and allow attendees to print, email or download a certificate of completion if in full attendance. For those in partial attendance (arrived late or left early), a letter of attendance is available through that link and an adjusted certificate of completion reflecting partial credit will be issued within 30 days (if your board allows). Please see “live seminar schedule” for full attendance start and end times. NOTE: Boards do not allow credit for breaks or lunch.

If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, or questions on home study credit availability, please contact or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

The planning committee and staff who controlled the content of this activity have no relevant financial relationships to disclose. For speaker disclosures, please see speaker bios.

PESI, Inc. offers continuing education programs and products under the brand names PESI, PESI Healthcare, PESI Rehab and Psychotherapy Networker.

Athletic Trainers
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PESI, Inc. is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This program has been approved for a maximum of 6.25 hours of Category A continuing education.

Exercise Physiologists
ASEP members will earn 5.0 CECs for full attendance at this seminar. The ASEP allows members to earn a maximum of 10 CECs in any one 5 year period.

Personal Trainers
This course has been approved by the National Academy of Sports Medicine (NASM-BOC) for 0.6 CEUs. PESI, Inc. Provider Number is 544.

Massage Therapists
PESI, Inc. is approved by the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) as a continuing education Approved Provider. Provider #1808. This course is offered for 7.0 CE hours. 100% attendance is required for a Certificate of Completion to be issued, no variable credit is given.

Nurses, Nurse Practitioners, and Clinical Nurse Specialists
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PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses in full attendance will earn 6.3 contact hours. Partial contact hours will be awarded for partial attendance.

Occupational Therapists & Occupational Therapy Assistants
PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. Full attendance at this course qualifies for 6.0 contact hours or .6 CEUs in the Category of Domain of OT and Occupational Therapy Process. Partial credit will be issued for partial attendance. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level: Intermediate.

Physical Therapists & Physical Therapist Assistants
This activity consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary per state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

Michigan Physical Therapists & Physical Therapist Assistants: PESI, Inc. is an approval provider by the Michigan Physical Therapy Association. This activity qualifies for 6.5 contact hours.

Other Professions
This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific requirements.

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