We have a diverse network of pelvic health physiotherapists
Please view our categorized listing by City. Each listing includes the company name, physiotherapists name, address, contact information and the specialized training they have completed.
Out Of Province Physiotherapists
Please see below for a description of each course. This is a guide for understanding what each physiotherapist should have knowledge of and be able to perform upon completion of a course.
Level I – The Physiotherapy Approach to Female and Male Urinary Incontinence
Clinicians that have completed this course are able to perform an evaluation of the pelvic floor vaginally and rectally, establish and create a treatment plan and it’s progression for incontinence and prolapse, and use manual and behavioural techniques during treatment. Clinicians have also been given knowledge of the urodynamic and urological investigation procedures, as well as medical and surgical treatments for urinary incontinence.
Level II – The Physiotherapy Approach to Female and Male Pelvic Pain
Clinicians that have completed this course understand a broad scope of pelvic pain conditions including vulvodynia, vaginismus, vestibulodynia, painful bladder syndrome, chronic non-bacterial prostatitis and chronic pelvic pain syndrome. Clinicians are taught the pathophysiology, and signs and symptoms that lead to these impairments, the functional limitations and disabilities they cause, and the outcome measures that can be used in the clinic to assess them. They are also taught the appropriate therapeutic interventions for each of these conditions. They are able to prescribe patient specific education and behavioural instructions relating to female and male pelvic pain conditions. Upon completion of this course, clinicians are capable of providing internal and external treatment of the pelvis and are able to recognize the importance of a multidisciplinary approach.
Level III: Treating Pain: A New Model Of Care
Clinicians that have completed this course understand how to use a biopsychosocial approach with persistent pain patients. They have extensive knowledge of central sensitization and how it presents in the clinic. Clinicians are taught how to integrate pain biology education with a variety of clinical tools to assess and treat persistent pain. Research demonstrates that many pelvic pain conditions have a strong underpinning of central sensitization. Without this piece, many pelvic pain conditions simply will not resolve.
Pregnancy And The Pelvic Floor
Clinicians that have completed this course understand the effect of pregnancy on the pelvic floor and the common impairments, functional limitations and problems associated with pregnancy. Preparation of the pelvic floor is reviewed for childbirth specifically. Clinicians work with patients to teach them how to relax the pelvic floor while maintaining the strength and integrity of these muscles during the pregnancy, delivery and postpartum phases. This is crucial for the well-being of pregnant women.
Pelvic Girdle Pain, Coccydynia And The Pelvic Floor
Pregnant women commonly struggle with SI joint dysfunction, commonly known as pelvic girdle pain. Coccydynia can occur with pelvic girdle pain, or after a fall or other form of trauma. Clinicians who have completed this course are able to perform treatment techniques both internal and external to the pelvis to treat these conditions. The treatment of pelvic girdle pain follows an evidence-based process, highlighting some of Cecile Rost’s techniques to give patients control of their own pelvic girdle pain.
Gastrointestinal Disorders And The Pelvic Floor
Clinicians that have completed this course are able to perform an evaluation of the musculoskeletal aspect of the GI system (including a focus on the lower GI region). They are able to create a treatment plan for GI dysfunction, as well as for movement impairments of the abdomen and pelvic region. The interventions will include manual therapy, movement/exercise, respiration and balloon catheter techniques to reduce ano-rectal and gastrointestinal dysfunction. Clinicians will have developed a foundational knowledge of the GI system including digestive disorders, basic nutritional contributions, abdominal and pelvic floor dysfunction, and psychosocial/behavioral contributions.
The Pelvic Floor Without Borders
Clinicians will understand how to integrate safe and non-threatening exercises, including imagery, meditation and yin yoga, to retrain movement of the low back, pelvis and hips. Clinicians will have a good understanding of when to use these treatment techniques to retrain the nervous system rather than treating the tight and weak tissues of the pelvic floor directly.
Clinicians that have completed this course are able to explain the position, function and relevance of the neural anatomy of the pelvis and pelvic region. They are able to perform non-provocative manual therapy techniques for the pelvic region with internal and external approaches for the sensory nerves of the pelvis, the pudendal nerves, iliohypogastric nerves, ilioinguinal nerves and genitofemoral nerves to name a few. They can explain the biological plausibility for the choice of techniques and exercises underpinning a neurodynamic treatment program ranging from acute to chronic conditions.
The Pressure System And The Pelvic Floor
Clinicians that have completed this course are able to understand how addressing dysfunctions of the thoracic spine, cervical spine, temperomandibular joint (TMJ) and glottis can positively affect lumbo/pelvic dysfunction. They have gained knowledge of evidence based and biologically plausible methods of examination and intervention of upper quarter dysfunctions to the lower quarter region. They are able to describe effects of intra-abdominal pressure with trunk/cervical/TMJ dysfunction results in decreased performance and fatigue of the pelvic floor musculature. They are also able to apply interventions to upper quarter regional dysfunctions in order to influence musculoskeletal dysfunction –especially – effects on diastasis rectus abdominus, episiotomy, prolapse, incontinence, GI dysfunction, and lumbo/abdomino/pelvic pain.
Pain Management In The Real World – Bronnie Thompson Course
Upon successful completion of this course clinicians will have developed confidence in integrating difficult psychosocial components into treatment strategies. Clinicians have learned to set goals that align with the patient’s values and strategies to minimize resistance and maximize motivation to engage in treatment. They have developed skills in using graded exposure treatment for pain-related fear and avoidance.
Relieving Sacro-Iliac And Pubic Pain During And After Pregnancy – Cecile Rost Course
Upon successful completion of this course, clinicians have the confidence and knowledge to treat patients with chronic back/pelvic pain, especially during pregnancy using a combination of evidence-based approaches. The techniques taught in this course can be used by clinicians to address acute and chronic sacro-iliac and pelvic pain in men and women who are not pregnant, including coccydynia.
Pain Care Yoga – Neil Pearson Course
Upon successful completion of this course, clinicians have gained a solid foundation in pain science, and in yoga philosophy related to pain and pain management. They have acquired skills to incorporate daily yoga practices and pain self-management skills into their clinical practice.
Understanding The Brain To Treat Persistent Pain – Debbie Patterson Course
Upon successful completion of this course, clinicians are able to effectively and confidently recognize and assess the persistent pain patient for early identification and appropriate treatment planning. They have an understanding of the anatomy and function of neuromatrix structures involved in pain modulation. Clinicians understand the clinical relevance of current research in the science of pain, neuroplasticity and positive neuroplastic changes to attenuate and eliminate persistent pain.
The Diaphragm/Pelvic Floor Piston For Adult Populations – Julie Wiebe Course
Upon successful completion of this course, clinicians will have knowledge of a clinical model that incorporates a neuromuscular-based core recruitment and an Intra-abdominal pressure balancing strategy, driven by external cueing of both the pelvic floor and diaphragm in optimized alignment. This provides a sturdy, yet flexible foundation that is responsive to the demands of function, movement, fitness and sport.
Trauma and the Pelvic Floor
Upon completion of this course, clinicians will have the knowledge and understanding of the impact of trauma on physical and emotional health, and understand the barriers that trauma may bring to a patient’s experience in healthcare, particularly pelvic health physiotherapy. Clinicians will be able to apply a trauma-informed lens to their practice resulting in greater awareness, understanding and sensitivity for patients who identify themselves as survivors of trauma, particularly childhood sexual abuse and birth trauma. As a result of taking this course, clinicians are able to better support their patients and in turn, observe higher levels of trust and adherence within the treatment experience.
Pessary and the Pelvic Floor
Upon completion of this course, pelvic health physiotherapists will be able to prescribe and fit pessaries for pelvic organ prolapse as a delegated act in Ontario. Clinicians will be able to determine the type and size of a pessary for a patient and how to insert and retrieve a pessary. They will be taught the skills necessary to use a speculum, and will teach patient self-management of the pessary. Clinicians will develop an understanding of the of indications and contraindications for pessaries, the sterilization procedures for temporary pessaries, the risks and benefits of pessary fitting and appropriate follow-up procedures. Pelvic health physiotherapists will be taught the legislation in their province about the use of pessary by a physiotherapist so that they can practice this skill within their scope of practice.