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Level III Online Audit Course

Course Date To Be Announced

Please check back or email info@pelvichealthsolutions.ca for more information

What does using a biopsychosocial approach mean?


This course is only open to those that have previously completed their level III course with us. We are offering this audit version at 1/2 price!


When clinicians are asked if they use a biopsychosocial approach with persistent pain, they often say yes. When asked to expand on what that means to them, they state that they refer to a psychologist and often prescribe yoga and/or meditation.


What it should mean is that they use psychosocial questionnaires with every patient, and those psychosocial questionnaires are used to inform their treatment approach with every patient. Pain is highly individualized, and unless you measure it, you cannot treat it.


Researchers like Dr. Caroline Pukall, Dr. Melissa Farmer and others are doing a fantastic job of quantifying the presence of central pain mechanisms in persistent pelvic pain, underlying its significant presence in vulvar pain syndromes, bladder pain syndromes and gynecological pain syndromes. Researchers like Dr. Clifford Woolf (2012) and Dr. K. Phillips (2011) have also demonstrated the significant prevalence of central pain mechanisms in common orthopaedic conditions that have traditionally been assigned to orthopaedic “drivers” or causes such as osteoarthritis, rheumatoid arthritis, whiplash-associated disorders, headaches, TMJ and chronic low back pain.


At Pelvic Health Solutions, we made it mandatory in 2016 for all clinicians who wish to do internal work to take the first three levels in the order that they are presented. Sandy Hilton and Carolyn Vandyken published a brand new article on Central Pain Mechanisms which has been published in the Journal for Sexual Medicine this year (2016). The simplified framework published in this article forms the basis of the new approach to level III. It is clear and concise. If you would like to see this article, just ask Sandy or Carolyn for a copy and they are happy to share it.


The level III course has been completely revamped based on fine-tuning the framework used; as well, we added Debbie Patterson as a guest lecturer to increase the content of neuroanatomy. This has been a welcome addition. We need to have a deeper understanding of the areas that we target in our treatment, including the brain and the nervous system. You wouldn’t treat the shoulder without fully understanding the anatomy. The same should be true for the sensitive nervous system.


If you took your level III prior to 2016 but are having a hard time integrating these new concepts into your treatment approach, then the level III audit course may be for you.


You will have the brand-new up-to-date research, framework and clinical tools to treat persistent pain with all of your patients. You will get the full level III course at 1/2 price, with a significant case study component as well.


Perhaps this is the clinical piece that you have been missing. Join us for the audit course and learn to work smarter and more efficiently with your pelvic pain patients.



Saturday – 9:00am-5:00pm EST

Sunday – 9:00am-5:00pm EST



Please note:

  • You must have access to speakers/web camera
  • There will be a 2 hour follow-up call (date to be announced during the course)
  • This course is limited to a maximum of 15 registrants
Resource Materials
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
  • What is laterality training
  • Central sensitization inventory part A
  • Central sensistization inventory part B
  • Core beliefs inventory
  • DASS – Depression, Anxiety, Stress Scales
  • DASS scoring
  • Pain disability index
  • PCS – Pain Catastrophizing Scale
  • Learning styles questionnaire
  • PSOCQ – Pain Stages Of Change Questionnaire
  • Screening questionnaire
  • TSK – Tampa Scale for Kinesiophobia
  • Change your brain, change your pain booklet
  • Air bags and potty talk
  • Alternate nose breathing
  • Ball and imagery exercises for flexible shoulders
  • Body changes secondary to persistent pain
  • Gratitude training and its importance
  • Pain processing areas in the neuromatrix
  • Persistent pain – how do I get started
  • Resilience building

Audio Files

  • Body scan
  • Therapeutic Three and Six Pose (plus handouts)
  • Savasana
  • Imagery for sleep and relaxation
  • 4 Qi gong tracks (plus handouts)