Live Online Course
The 7th Pelvic Health Solution’s Online Symposium will enrich your theoretical and practical knowledge of pelvic health.
If your patient has a pelvis, you will benefit from this online conference! You don’t have to be a practicing internal pelvic health therapist in order to profit from this.
Learn the science, critical reasoning and inter-disciplinary approaches needed to fully understand the direction that pelvic health is taking in your community, provincially, nationally and internationally.
10:00am – 5:00pm EST
Is Musculoskeletal Body Image Relevant For Pelvic Health? – Sean Gibbons
Various categories of therapeutic exercises have a strong evidence base in pelvic floor rehabilitation, including motor control exercise. Explicit motor skill learning principles are recommended to teach patients specific motor control exercise. This requires the participant to have adequate sensory motor function, working memory, attention and executive function. Motor Imagery is often used during the initial phase of motor skill learning, however some patient subgroups have deficits in motor imagery, sensory motor function and neurocognitive function.
This influences the ability of clients to learn the exercise and benefit from the therapy. Hence there is considerable variation in learning ability, which is likely involved in the time frame for rehabilitation and overall outcomes.
There is now a greater understanding of the virtual body in musculoskeletal dysfunction. One related topic is musculoskeletal body image. Body image is the way one’s body feels to its owner. This feeling includes, the shape, outline, alignment in space, weight, muscle tone and ownership. The feeling of one’s body is involved in producing an accurate image of their body to be used for motor skill learning.
This lecture will discuss our research on motor skill learning, body image and the implications for clinical practice.
At the end of this lecture, the learner will be able to:
- Recognize clients with poor motor skill learning abilities
- Reflect on motor skill learning ability in pelvic health clients
- Identify patients with body image deficits
- Consider rehabilitation options for clients with poor motor skill learning
Persistent Genital Arousal Disorder: When Sensations Of Genital Arousal Are Unwanted & Distressing – Dr. Caroline Pukall
Persistent genital arousal disorder (PGAD) is characterized by symptoms of physiological sexual arousal in the absence of feelings of subjective sexual arousal. PGAD is a highly distressing condition which is greatly misunderstood. This presentation consists of key topics related to PGAD, including its prevalence, diagnostic and assessment considerations, and novel research findings, in addition to a discussion of assumptions related to terms such as “arousal” and “orgasm.”
Mindfulness Is The New Black! – Dr. Sally Safa
In this lecture, we will delve into the science behind stress and the difference between acute and chronic stress and effects on the body and brain. We will discuss the difference between a Stress Response versus a Stress Reaction, what it means and which one is better. The science backing Mindfulness Based Stress Reduction (MBSR) will be discussed including tools taught in MBSR that can help the healthcare provider combat day to day stress in both our personal and professional lives.
- Define and outline difference between chronic and acute stress and effects of stress on the body and brain
- Differentiate between a stress response versus a stress reaction
- Define MBSR and how tools taught in MBSR can help manage and cope with stress
Trans Surgery & Pelvic Health – Dr. Yonah Krakowsky
This lecture will go over the explore procedures involved in transition related surgery and the implications to pelvic health and genitourinary function.
Pelvic Physiotherapy in Trans Health – Céleste Corkery
There are more surgeons performing Transition Related Surgeries than ever before, and as such, more patients undergoing these surgeries. The majority of these patients are left to navigate a healthcare system where few providers have experience and/or are comfortable caring for and addressing the possible complications of the surgeries. We need to ensure that these people are cared for in the best possible way.
In June of 2019, Women’s College Hospital was the first public hospital to perform vaginoplasties in Canada. This is the first program in Canada to include pelvic physiotherapy as part of their care team. There is a huge role for pelvic physiotherapy within the trans population, whether they are undergoing surgery or not. This lecture will provide an overview of the different surgeries available for trans people who choose to have surgery as well as the role physiotherapy can play in their pre-operative preparation and post-operative recovery.
Pelvic Floor Physiotherapy And Naturopathic Medicine: Comprehensive Collaborative Care – Dr. Crystal Chanderbhan
In order to support our patients towards their goal of pelvic health, collaboration with healthcare professionals in all realms is often warranted. In this presentation, ways in which naturopathic medicine can be integrated into care with your patients to support their pelvic health will be discussed.
- Basic overview of what naturopathic medicine is, modalities commonly used and scope of practice.
- Review common conditions that can complicate care with Pelvic Floor Physiotherapists:
- Trophic scar tissue from C-sections and episiotomies
- Vaginal thinning from hormonal imbalances that cause pain with internal work
- Recurrent yeast infections that cause patient discomfort
- Hormonal dysregulation causing an up-regulation of cytokines and inflammatory markers that up regulate the sympathetic nervous system
- Chronic constipation or diarrhea despite basic nutritional and lifestyle changes
- Common ways in which Naturopathic Medicine can collaborate with Pelvic Floor Physiotherapy to optimize patient’s pelvic health goals:
- Compound creams to aide in the breakdown of scar tissue from episiotomies, estrogen based creams for vaginal thinning
- Anti-fungal creams, probiotic suppositories & internal treatments for yeast infections
- Hormone testing and treatment for endometriosis, metrorrhagia, menorrhagia, peri-menopause & menopause
- Acupuncture to up regulate the para-sympathetic nervous system
- Re-establish a healthy gut microbiome
- Case studies
Sean Gibbons, BSc RPT, MSc Ergonomics, PhD, MCPA
Sean Gibbons graduated from Manchester University in 1995. He has been rehabilitating movement patterns and chronic pain for over 20 years. His PhD was on the development of a prescriptive clinical prediction rule for specific motor control exercises in low back pain. Key new sub-classifications were identified: Neurological Factors, which are related to extremely poor movement and the ability to learn to coordination exercises; Midline as a sensory system which is critical to Central Body Image Pain; and Neuro-Immune-Cardiometabolic-Endocrine dys-regulation, which is critical for Central Sensitization and Psychosocial Factors. His current work follows this and aims to further understand the mechanisms of non mechanical pain and the Individual Factors influencing treatment. His dissection and research into psoas major, gluteus maximus and other muscles has led to the development of new rehabilitation options. He has presented his research at national and international conferences and has several journal publications and book chapters on related topics. He is an Assistant Clinical Professor (Adjunct) at McMaster’s Advanced Orthopaedic Musculoskeletal / Manipulative Physiotherapy specialization and lectures at Manchester Metropolitan University’s Masters in Advanced Physiotherapy program.
Dr. Caroline Pukall
Dr. Caroline Pukall received her Ph.D. in Clinical Psychology from McGill University. She is currently Full Professor in the Department of Psychology and the Director of the Sex Therapy Service at the Psychology Clinic at Queen’s University. Caroline’s research lab—the Sexual Health Research Laboratory (SexLab)—brims with enthusiastic, collaborative, and keen students of all levels who work diligently on research projects examining various aspects of sexuality, including vulvodynia (i.e., chronic genital pain in women), persistent genital arousal, sexual arousal, women’s health issues (e.g., postpartum pain and sexuality), male circumcision, and various relationship configurations. Caroline is passionate about using multiple methodologies in her research and she has investigated numerous aspects of sexuality using brain imaging, psychophysics, psychophysiology, and blood flow imaging, relating the findings of these methods to a variety of self-report measures. She places great importance on knowledge translation and clinically relevant research, ensuring that the results of her research have positive effects on members of the public through numerous direct and indirect channels. Caroline’s research has been funded by several organizations including the Canadian Institutes of Health Research and the National Vulvodynia Association. Caroline is Associate Editor for Sexual Medicine Reviews and is on the editorial board of several journals, including The Archives of Sexual Behavior, The Journal of Sex and Marital Therapy, and The Canadian Journal of Human Sexuality. Recently, she was co-chair of the Women’s Sexual Pain Disorders Committee of the International Consultation of Sexual Medicine, and she is currently co-chair of the Persistent Genital Arousal Disorder Consensus Meeting (International Society of the Study of Women’s Sexual Health).
Dr. Yonah Krakowsky
Yonah Krakowsky is a urologist at Women’s College Hospital and Mount Sinai Hospital. He is the medical director of the transition related surgery program at Women’s College Hospital.
Dr. Sally Safa
Dr. Sally Safa is a board certified Periodontist. Alumnus of the University of Toronto where she maintain a teaching position as clinical instructor. She maintains a private practice in North York where she enjoys all aspects of Periodontal and Implant related patient care.
She is also a passionate advocate of wellness for healthcare providers. We don’t talk enough about healing the healer. It is often challenging to find a balance that allows for personal contentment and professional gratification. Dr’s Safa’s Masters research was in the field of Psychoneuroimmunology, understanding the effects of stress on the body. This background combined with her personal experience with stress and anxiety and using Mindfulness Based Stress Reduction to cope, led her to become a speaker on the topic.
With humour and enthusiasm she shares this knowledge with audiences of all healthcare backgrounds.
Céleste Corkery, Physiotherapist
Céleste Corkery earned her Physiotherapy degree from the University of Ottawa in 2008. She is passionate about advancing her knowledge and expertise through continuing education. This has led her to pelvic health physiotherapy. She believes in patient centered care and her focus is on empowering her patients through rehabilitation.
Céleste practices at Women’s College Hospital and is both a member of the chronic pain team with the Toronto Academic Pain Medicine Institute (TAPMI) and a member of the surgical team for the Transition Related Surgeries (TRS). In her free time, she can be found on or in any large body of water.
Dr. Crystal Chanderbhan – Naturopathic Doctor
Dr. Crystal Chanderbhan, ND is a board certified naturopathic doctor with a special interest in gut health, stress management and pelvic floor health. In addition to private practice, she teaches midwifery students at Ryerson University, medical doctors at University of Toronto, and nurses at the Women’s College Hospital how to conduct a well-person pelvic examination since 2007. She is also the founder of Durham region’s largest community acupuncture program, bringing accessible and sustainable community-centred healthcare to Pickering since 2017.
Having completed the McMaster Contemporary Medical Acupuncture program in 2015 and completion of level 1 and level 2 of pelvic floor therapy through Pelvic Health Solutions, common modalities that Dr. Chanderbhan, ND uses to restore balance to her patients include: acupuncture, pelvic floor therapy, dietary modifications, mindfulness, B12 injections, bio-identical hormones, neutraceuticals and pharmaceutical compounds.
Throughout the core of her practice, the focus is always patient- centered while ensuring evidence based practices are implemented. Dr. Chanderbhan, ND believes that all forms of healing have their time and place, and as such, collaboration with other healthcare practitioners frequently occurs to ensure that patients receive optimal care to help them achieve their health goals.