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The Evil Triplets of Pelvic Pain (and their friends…) – November 2020

November 28, 2020 - November 29, 2020
Registration Information
  • Register before
    October 17th, 2020
    for early bird pricing

  • Regular Course Price:
    after October 17th, 2020


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.

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
Male Masterclass & Evil Triplets Nov 2020

Chung (2012) described the Evil Triplets of Pelvic Pain as Endometriosis, Interstitial Cystitis and Pudendal Neuralgia, but for three widely discussed diseases/syndromes in the literature, there is still a lot of misunderstanding, misdiagnosis and delayed or mis-treatment.

Endometriosis affects up to 15% of all women worldwide, but many women wait many years and see many different providers before arriving at accurate diagnosis and appropriate treatment (hint: it is not hysterectomy!). This means that for many women, disabling pain, dysmenorrhea, dyspareunia, digestive dysfunction and fertility issues become daily, weekly and monthly burdens. There is a good and growing body of evidence to support the role of pelvic rehab in optimizing function in all of these domains, as well as providing advice around exercise prescription, pain science education and generalized lifestyle medicine, after laparoscopic excision has been performed.

This course takes a deep dive on Endometriosis, Interstitial Cystitis/ Bladder Pain Syndrome and Pudendal Neuralgia, exploring anatomy and physiology, hormonal imbalances that can lead to other differential diagnoses such as dysmenorrhea, adenomyosis and PCOS, as well as an exploration of how best to utilize tools such as manual therapy, exercise prescription and a truly biopsychosocial approach to help women live well. We will look at the evidence around pelvic rehab strategies for working with mechanical infertility, the evidence for and strategies to include mindfulness, yoga, pilates and nutrition in dealing with pelvic pain, as part of a multidisciplinary approach.

Topics covered include:

  • Anatomy and physiology review of the female reproductive and neuromusculoskeletal systems
  • Understanding female hormonal functions and dysfunctions
  • Endometriosis presentations, and medical/ surgical treatment approaches
  • Moving from Interstitial Cystitis to Bladder Pain Syndrome – how best to treat
  • Occult hernias and pelvic pain
  • The evidence for pelvic rehab strategies for dysmenorrhea
  • Integrating manual therapy, exercise prescription, lifestyle medicine and pain science for endometriosis, bladder pain syndrome, pudendal neuralgia and friends
  • Pelvic Rehab and Mechanical Infertility
  • Sexual Rehab Strategies
  • Living well after Hysterectomy
  • Developing an anti-inflammatory lifestyle


Hours to be determined.

Registration begins on the first day 30 minutes prior to the start time.


Level 1 or equivalent to be approved


Early bird before 10/16/2020 Standard rate 10/16/2020
If registering for Male Masterclass $265 + HST ($299.45 incl. HST) $290 + HST ($327.70 incl. HST)
If registering for Evil Triplets $745 + HST ($841.85 incl. HST) $815 + HST ($920.95 incl. HST)
If registering for both courses $860 + HST ($971.80 incl. HST) $930 + HST ($1050.90 incl. HST)

This course really changed my approach to treating patients with endometriosis, IC and BPS, and pudendal neuralgia. Michelle Lyons is a wealth of knowledge and she spends the weekend first explaining the physiology behind these conditions so that as a treating practitioner you can understand what is happening at the tissue level. It is a course built on evidence on how to manage the changes these women are going through. After taking this course I feel confident making recommendations to these patients regarding diet, sleep and exercise. I also further understand what these diagnosis mean, what common treatments are and now feel like I can better empathize with these patients. It goes beyond pain science to confidently help these women take back control of their diagnosis and help them attain better quality of life.

– Amanda H

Michelle Lyons is a true gem! The Evil Triplets of Pelvic Pain is an incredible 2 day course. The amount of usable information that you walk away with after such a short time together is astounding. She provided practical and applicable information to help with some of the most common persistent pain that can be so difficult to treat. The pudendal nerve often feels daunting and confusing, Michelle did a wonderful job breaking it down and teaching us hands on skills that I was able to use on the Monday after the course. It also helps that Michelle is such a lovely speaker and keeps you engaged as she presents. I would highly recommend the Evil Triplets of Pelvic Pain to anyone hoping to further their skillset for working with persistent pain.

– Celeste C