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The 8th Pelvic Health Solution’s live-online symposium will enrich your theoretical and practical knowledge of pelvic health.
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.
10:15am – 6:00pm ET (Toronto) – please convert to your local time zone
Is The Bench Evidence (Research) Enough to Throw the BIO (Baby) Out With the Bathwater? – Diane Lee
The current research evidence for manual methods encourages a hands-off approach for chronic pain conditions. Many in our profession believe that the bio components to guide care for this group (posture and manual techniques) should be abandoned and to do so is ‘evidence-based. Is it? Let’s pause and reflect where we are at with the bio in biopsychosocial treatment of our pelvic pain patients. From the trenches, a discussion/conversation on the treatment modalities we use and why.
- Revisit the original definition of evidence-based practice and its 3 pillars ala Sackett.
- Discuss what the research says about pain and impairments.
- Present the current opinions about hands-on vs hands-off treatment.
- Discuss when not if, we should be using tools/treatment that lack bench evidence yet have shown successful outcomes in practice.
- Create a safe place to ask questions, be supported regardless of your opinion and hopefully understand that, at this point, we don’t have all the answers.
Diagnosing and Staging Endometriosis with Ultrasound: The Future is Now – Dr. Mathew Leonardi
This talk will update attendees on the potential for ultrasound to understand the reason behind common causes of pelvic pain, focusing on endometriosis and adenomyosis. Spoiler alert: both can be diagnosed on ultrasound. We will discuss details around the potential for ultrasound and why all patients suffering from pelvic pain warrant an advanced ultrasound to guide the diagnostic and treatment processes. Why is this relevant from a pelvic floor physiotherapist’s perspective? The treatments you offer may differ based on the diagnosis or severity of disease (e.g. extensive pelvic adhesions vs. normal pelvic organ mobility). Moreover, pelvic floor physiotherapist’s are an essential team member of a multidisciplinary endometriosis care team, providing education and counselling. It is paramount that all team members are updated and aligned regarding evidence-based practices.
- Summarize the utility of ultrasound to diagnose endometriosis
- Explain how ultrasound is used to provide patients with information to make informed consent regarding treatment options
- Provide attendees with the tools to educate their patients on the latest evidence-based practices
Sexual Function and Rehabilitation after Radiation Therapy for Prostate Cancer – Dr. Andrew Matthew
Radiation therapy is an effective treatment for localized prostate cancer with a cure rate of over 90% and a 5-year survival rate of 98.8%. The most prevalent long-term treatment related toxicity is sexual dysfunction. The objective of this presentation is to summarize the incidence of radiation-related sexual dysfunction, characterize the nature of the sexual dysfunction, describe a systematic approach to pro-erectile therapy, and outline a bio-psychosocial approach to sexual rehabilitation in this patient population.
De-mystifying Bladder Pain Syndrome/Interstitial Cystitis… – Michelle Lyons
Whether it’s called IC or BPS or PBS…this is a diagnosis that leaves many of us, both physiotherapist and patient, confused! Is it an infection, should we focus on the bladder, is there such a thing as an ‘IC diet’…? In this presentation, I’ll aim to de-mystify this troublesome diagnosis, look at the latest evidence and put it all together into a framework for successful outcomes, integrating pelvic health, movement strategies, manual therapies and education, building a better bladder toolbox AND looking outside the bladder for effective evidence-based approaches that provide long term efficacy in self-care and symptom management.
Objectives: Participants who attend this presentation will:
- Understand the complexity of this diagnosis and the importance of looking beyond the bladder with a ‘whole person’ approach.
- Learn how to bring a polyvagal approach to pelvic health.
- Expand your clinical toolbox as well as enabling patients to commit to their own self-care and recovery.
Chronic Vulvar Pain – A Basic Approach to a Complex Problem – Dr. Deborah Robertson
- To become familiar with the terminology and classification of persistent vulvar pain
- To understand causative factors associated with persistent vulvar pain (particularly modifiable ones)
- To develop an approach to the management of chronic vulvar pain with an understanding of when to suggest referral to a specialist
What’s Working Right Now in Virtual Care (And why You Should Care!) – Chana Ross
Virtual care was embraced as a Band-Aid solution for clinical care during the initial months of the lockdown. Now that the dust has settled and we have moved back into clinic, many therapist have abandoned this important offering. But, the pandemic has opened our eyes to the fact that we have more to offer our clients than we initially gave ourselves credit for!
During this session, we will cover:
- The importance of integrating virtual care for you and your clients (again!)
- Why the hybrid business model is important for the future of physiotherapy
- How to effectivity integrate virtual care into your current caseload
- How to move virtual care from a Band-Aid solution to a viable and effective clinical offering that both you and your clients love
- How to offer exceptional manual therapy in a virtual setting.
- The mindset shifts necessary to integrate a new business and clinical model
Pelvic Floor Physiotherapy after Female Pelvic Cancer: An Emerging Treatment Option for Dyspareunia and Urinary Incontinence – Marie-Pierre Cyr
There is a growing number of women living with dyspareunia and urinary incontinence following pelvic cancer. Although these conditions are highly prevalent in survivors, very few evidence-based treatment options are available. While the practice of pelvic floor physiotherapy is an emerging field in oncology, there is a need to understand the context of pelvic cancer in the management of dyspareunia and urinary incontinence.
1) To summarize the impacts of female pelvic cancer and its treatment.
2) To understand the role of pelvic floor physiotherapy in the context of female pelvic cancer.
3) To gain insight into a comprehensive patient-centered approach to optimize the management of dyspareunia and urinary incontinence aligned with evidence-based practices in pelvic floor physiotherapy.
Philippa Bridge-Cook will introduce EndoAct, an initiative aiming to improve the lives of people with endometriosis in Canada by driving policy action that is based on science and grounded in the needs of the endometriosis community. This initiative was co-founded by The Endometriosis Network Canada and the Canadian Society for the Advancement of Gynecologic Excellence. EndoAct is currently collecting and publishing stories about what it is like to live with endometriosis in Canada. By sharing these stories, EndoAct will bring a greater understanding of endometriosis to the general public, health care providers, and policy-makers.
Diane is a UBC graduate in the field of rehabilitation medicine. She is a fellow of the Canadian Academy of Manipulative Therapy (CAMT), certified practitioner of intramuscular stimulation (Gunn IMS) and certified by the Canadian Physiotherapy Association as a clinical specialist in Women’s Health. She was an instructor and chief examiner for CAMT for over 20 years. Diane is also the owner, director, and a practicing physiotherapist at Diane Lee & Associates, a private multi-disciplinary physiotherapy clinic in South Surrey, BC, Canada. In addition, she is the principle instructor of Learn with Diane Lee (www.learnwithdianelee.com).
She has been a keynote speaker at many conferences, has contributed chapters to several books and self-published the book Diastasis Rectus Abdominis – A Clinical Guide for Those Split Down the Middle (www.learnwithdianelee.com). Her book, The Pelvic Girdle, was first published by Churchill Livingstone in 1989, is now in its 4th edition (2011) and has been translated into multiple languages. The new edition of The Thorax – An Integrated Approach was released in 2018 by Handspring Publishing. She holds the North American patent for two sacroiliac belts, The Com-Pressor, and The Baby Belly Pelvic Support. With respect to research, she continues to investigate the behaviour of the abdominal wall in women with diastasis rectus abdominis.
Dr. Mathew Leonardi
Dr. Mathew Leonardi is an endometriosis expert, advanced gynaecological surgeon and sonologist (ultrasound specialist) at McMaster University Medical Centre in Hamilton, Canada. He is simultaneously finishing his PhD at the University of Sydney (Australia) which is focused on the utility of ultrasound in the diagnosis and surgical management of endometriosis. He provides a one-of-a-kind clinic experience best summarized as a “one-stop shop”. At an in-person consultation, Dr Leonardi and his team perform advanced ultrasound and examination to diagnose endometriosis (or other pathology) and understand disease severity. A comprehensive discussion about the findings and management strategy immediately follows the assessment. He believes in a patient-driven, holistic, and multidisciplinary approach, almost always involving pelvic floor physiotherapy.
Dr. Andrew Matthew
Dr. Andrew Matthew is a Lead Psychologist at Princess Margaret Cancer Centre, Toronto, Canada. He is Co-Lead of the Genito-Urinary Survivorship Program. He is an Associate Professor in the Faculty of Medicine, University of Toronto, in the Departments of Surgery and Psychiatry. Dr. Matthew is also Director at Navigate Clinic, a psychology practice located in downtown Toronto that provides assessment and treatment for individuals and families dealing with psychological issues arising from the diagnosis and treatment of serious illnesses.
Michelle Lyons has been a physiotherapist for over 23 years, with a focus on integrative women’s health. With additional training in mindfulness as a therapeutic intervention, nutrition therapy, herbal medicine, pilates and yoga as well as her clinical experience in pelvic health, orthopaedics and oncology rehab, Michelle is a firm believer in a whole body approach to health and wellness. She is licensed in both Ireland and the U.S., and teaches nationally, internationally and online. She is on the faculty of Herman & Wallace, The Pelvic Rehab Institute, The Integrative Women’s Health Institute, Medbridge Education and is clinical consultant for Burrell Education, as well as a former tutor for the Pelvic, Obstetric and Gynaecological Physiotherapy Association in the UK. She has presented at IPPS (2016), ICS (2017), the Klose Lymphedema Conference (2017) and the British Pelvic Floor Society conference (2017), as well as at national conferences for POGP, the Irish Society of Chartered Physiotherapists, Turkish Pelvic Health Academy and the UK Women’s Health Summit.
Dr. Deborah Robertson
Dr. Deborah Robertson is an assistant professor at the University of Toronto and a practicing obstetrician-gynecologist at Unity Health – St. Michael’s Hospital, Toronto. She is the Director of the Minimally Invasive Gynecological Surgery Fellowship at St. Michael’s hospital. Dr. Robertson completed medical school and residency training at McGill University in Montreal, and received a Masters degree in Studies in Law at the University of Toronto. Deborah pursued further training in minimally invasive gynecological surgery and pelvic floor reconstruction at St. Michael’s Hospital. She performs vaginal, laparoscopic, and robotic gynecological surgeries and has an interest in benign vulvar diseases and vulvar health.
Chana Ross is a passionate womxn’s health advocate. She is the clinic director and pelvic health physiotherapist at Vital Physiotherapy & Wellness, a womxn’s health and pelvic health physiotherapy clinic in midtown Toronto. Chana lives to empower her team, colleagues and clients by coaching them, mentoring and educating them to provide excellent care and live the lives of their dreams.
Chana provides prenatal and postpartum physiotherapy as well as rehabilitation for all forms of pelvic pain and dysfunction. She is a sought-after educator and teacher and regularly speaks about pelvic health, prenatal preparation and the realities of parenthood and loves to empower clients to take the lead in their health and lifestyle.
Most recently, Chana is using her expertise in the realm of Virtual Physiotherapy care to coach and empower manual health practitioners on how to provide exceptional virtual care to clients.
Marie-Pierre Cyr is a physiotherapist with expertise in pelvic health. She has clinical experience for treating patients affected by pelvic floor dysfunctions. She obtained her Master’s degree in physiotherapy from the Université de Sherbrooke along with certification for pelvic health practice from the Université de Montréal. She completed a Master’s degree in Health Sciences and she completes her PhD studies in 2021, for which she obtained scholarships from the Fonds de recherche du Québec – Santé. Marie-Pierre has conducted multidisciplinary research to better understand and address pelvic floor dysfunctions including dyspareunia in women after gynecological cancer. She is dedicated to advance and disseminate the knowledge produced by research. She received prestigious awards such as the Dean’s List, Dean’s Award and Forces AVENIR for her significant research and community contributions.