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Developing a Clinical Framework for Treating Persistent Pain (level III): Thursday Evenings – November 2019

November 7, 2019
Registration Information
  • Register before
    September 26th, 2019
    for early bird pricing

  • Regular Course Price:
    after September 26th, 2019

Please note:

To register for this course, please download the following registration forms in pdf format and email it to info@pelvichealthsolutions.ca or fax it to 888-653-4533

download the PDF
Level III Online November 2019

4 Thursday evening sessions In November/December 2019 from 6-10pm Toronto time


  • November 7
  • November 14
  • November 28
  • December 5

Join this unique venue for learning one of the most important skills that physiotherapists can learn in today’s evidence-based landscape. If you treat people who have pain for more than 12 weeks, this course is for you. This course is 100% required for anyone who treats pelvic pain because every pelvic pain condition has significant central pain mechanisms.

This is not a Graded Motor Imagery course. This is not a pain education course. This is a course to teach you how to integrate those skills and so much more into your every day practice providing an evidence-informed framework for the treatment of pain.

Join us on this small group, interactive, computer-based course where you can learn, interact with the group, and do the labs by video-based instruction all from the comfort of your home.  Get your colleagues at your office involved. Receive a 10% discount on your registration if you recruit a non-pelvic health physiotherapist from your clinic to register for the course with you! It also gives you the added bonus of an instant partner to practice the labs with. Save on travel and accommodation costs if you are outside the GTA and have always wanted to do this course.

You must have access to speakers/web camera!

Course Description:

Historically, physiotherapists have been trained from a biomedical approach.  Making the transition to a biopsychosocial approach has been a challenge for many clinicians because of our rich biomechanical training.  Over the past 15 years, research has been knocking on our cognitive door to embrace a biopsychosocial framework when treating persistent pain.  Pain Biology Education has been at the forefront of this practice shift; yet, many physiotherapists are left talking about pain from a biopsychosocial perspective, falling back on their biomechanical skills within their treatment approaches.  How do we truly incorporate a biopsychosocial approach?  A framework is needed to address the biological, tissue components of a persistent pain experience as well as the psychosocial distress components so that every patient can be addressed through a true biopsychosocial lens.  The use of distress questionnaires and skills training for the psychosocial components is lacking in many physiotherapy training programs.  This course will teach you how to use distress questionnaires to assess the drivers of a centrally sensitized state.  Matching treatment techniques such as pain biology education, yoga, qi gong, meditation, sensori-motor retraining, expressive writing exercises and cardiovascular exercise to each patient’s “driver” of their sensitized state will help to enhance treatment outcomes and streamline treatment.

This is a lecture-format and lab-based course. Included in the cost of the course are handouts and resources for each of the techniques learned.  The audio resources presented at the course for meditation, progressive relaxation exercises and qi gong can be purchased through an online app called Embodia. (www.embodiaacademy.com)

Course Objectives:

  • To move beyond “talking” about a biopsychosocial model of care to truly incorporating this model into your practice
  • To define central sensitization and how to measure it
  • To understand a clinical framework for treating persistent pain that expands on your current biomechanical skills (from new grad to seasoned clinician)
  • To learn how to assess various drivers of a sensitized nervous system and to “match” evidence-based psychosocial skills to these drivers
  • To learn how to incorporate pain biology education in to your practice using accurate language and metaphors; please note, this is NOT an Explain Pain course. This course is designed to teach you how and when to incorporate pain biology education within your practice.
  • To learn novel movement exercises including four qi gong routines for the upper body, lower body, breathing and organs to help to address sensori-motor smudging as well as generalized tension


This course is open to all health care professionals – licensed physiotherapists, physiotherapy students, physiotherapy assistants, occupational therapists, chiropractors, naturopathic doctors, massage therapists, registered kinesiologists, medical doctors, nurses and midwives.


Four Thursday evening sessions in November/December from 6-10pm Toronto time

Dates: November 7, November 14, November 28 & December 5

Please note:

  • You must have access to speakers/web camera
  • There are no prerequisites for this course
  • This course does not involve any internal palpation of the pelvic floor and is not specific to pelvic pain only
Resource Materials

The resources listed below are included in the cost of the course, and will be provided to each participant in electronic, PDF format upon successful completion of the course.


  • PANAS – Positive And Negative Affect Schedule
  • Central sensitization inventory part A
  • Central sensitization inventory part B
  • DASS – Depression, Anxiety, Stress Scales
  • DASS scoring
  • Pain disability index
  • PCS – Pain Catastrophizing Scale
  • PSOCQ – Pain Stages Of Change Questionnaire
  • Screening questionnaire
  • TSK – Tampa Scale for Kinesiophobia
  • Air bags and potty talk
  • Alternate nose breathing

Not only should this course be mandatory for every physiotherapist to take, it should definitely be taught in our university programs. The majority of patients who we see have had pain for longer than three months. Chronic pain often exists with other co­ morbidities making these patients more complex. This course provides you with the knowledge and useful tools to help treat these patients more effectively and with increased satisfaction and innovation.

– Jill M

This course has changed the way I practice-not just pelvic health, but in orthopedics overall. They present the latest research findings in pain science with treatment techniques that you will use right away for all of your clients. And to top it off, they provide electronic files to share with your clients immediately. It’s so much more than tissue issues!!!

– Sheela Z

This course was a complete practice changer. In university we spent very little time learning about pain and what I did learn was not the current scientific knowledge. Our profession is centered around treating pain, which makes understanding the intricate nature of pain really important. This course taught me the current pain neuroscience and about the biopsychsocial model. Knowing this information helps me better identify who might be at risk of developing chronic pain and therefore educate them early about pain. I also feel more confident in treating patients with chronic pain, instead of feeling overwhelmed on how to approach treatment I now have skills to better understand and treat that patient’s pain and what might be contributing to it. I highly recommend any physiotherapist to take this course.

– Madelaine G