Non-Internal Introductory Pelvic Health Course

Non-Internal Introductory Pelvic Health Course


This course includes

6:01:58 of Course Material (View)
Patient Exercises (View)
Lifetime access after purchase

The instructors

Pelvic Health Solutions (View bio)

Course Description
Pelvic floor dysfunction (PFD) can include overactive and weak pelvic floor muscles. It is not all about kegels! How can you tell if your patient is over-recruiting their pelvic floor if you cannot do an internal exam? Not all clinicians want to perform this type of exam, or it may not be in your scope of practice. Learn what the evidence says about linking pelvic floor dysfunction to chronic low back pain, pelvic girdle pain and hip pain, and learn what you can do about it in your practice. Help your patients to regain control of these important muscles! Sexual function and bladder/bowel function are arguably some of the most important activities of daily living that your patients need to recover. Don’t let your discomfort be the barrier for your patient’s recovery; we will make it fun and non-threatening!

This course is open to all health care professionals. No prerequisites required.

Course Objectives

  • Understand the relevance of Pelvic floor dysfunction (PFD) when treating orthopaedic conditions- specifically LBP, SIJ dysfunction, PGP and hip pain
  • Learn basic anatomy of the pelvic floor musculature and physiology of the lower urinary tract system (LUTS)
  • Understand pelvic floor conditions as they relate to a weak pelvic floor and an over active pelvic floor
  • Learn how to ask patients important questions about sexual function
  • Learn non-internal management strategies for pelvic floor retraining
  • Create a prescription and progression of pelvic floor exercises for an over active and under active pelvic floor
  • Use behavioural techniques to help retrain a variety of dysfunctions of the urinary and bowel system
  • Practice externally driven techniques for assessing and treating pelvic floor dysfunction
  • Understand when to refer to a specially trained physiotherapist for incontinence, prolapse and pelvic pain

This course is open to all health care professionals – licensed physiotherapists, physiotherapy students, physiotherapy assistants, occupational therapists, chiropractors, naturopathic doctors, massage therapists, registered kinesiologists, medical doctors, nurses and midwives.

Massage therapists – Please note that this course falls into Category A of the CEU requirements and guidelines set out by the CMTO. The CMTO does not pre-approve courses for CEU’s but you are welcome and responsible evaluating the criteria and determining how many CEU’s can be obtained by completing this course.

Carolyn Vandyken, BHSc (PT)

Carolyn is a Pelvic Health Physiotherapist who graduated from McMaster University in 1986 with a Bachelor’s Degree in Physiotherapy. She has spoken at over 50 conferences and grand round presentations throughout Canada and the United States. Carolyn co-authored the first book on patient-centred pain biology education for pelvic pain, Why Pelvic Pain Hurts, and also co-authored three peer-reviewed framework articles with Sandra Hilton on the assessment and treatment of persistent pelvic pain.

She co-owns a Canadian-based teaching company, Pelvic Health Solutions (PHS), and teaches internationally on the physiotherapy for pelvic floor problems. She also manages her own practice in Huntsville, Ontario.

   Nelly Faghani B.Sc. P.T., M.C.P.A.

She graduated from the University of Toronto in 1996. Nelly started to treat pelvic health in 1998 and continues to be actively involved in clinical practice, mentoring and teaching. She has helped develop Continence Programs that have been implemented in various long-term care facilities through Ontario. Nelly has been a spokesperson for the Canadian Physiotherapy Association, has co-authored a neuro-urology textbook chapter on incontinence and has hosted a round table at the International Pelvic Pain Society Conference.

Nelly is a member of the ICS Children and Young Adult’s Committee and the ICS Physiotherapy Committee. She regularly attends international conferences and prides herself on staying on top of the current pelvic health literature. 

The instructors
Pelvic Health Solutions

Pelvic Health Solutions is an evidence-based teaching company that was founded in 2010 by Nelly Faghani and Carolyn Vandyken, out of the need to develop pelvic health resources in Ontario, an under serviced health concern in this province. Since the inception of our teaching company, pelvic health physiotherapy has blossomed from a handful of physiotherapists to well over 300 therapists now rostered with the Ontario College of Physiotherapists. Pelvic Health Solutions provides continuing education courses for a variety of practitioners, including mentoring and clinical resources for therapists to utilize with their patients. Our mission is to provide evidence-based, biopsychosocial resources to patients and health care practitioners for the assessment and treatment of pelvic health problems in our province and abroad.


Downloadable Resources


Anatomy & Physiology

The Second Layer of the Pelvic Floor

The Third Layer of the Pelvic Floor

Anatomy of the Back Triangle

Pelvic Floor Anatomy Tutorial Video

Pelvic Floor Muscle Physiology


Functions of the Pelvic Floor

Five Functions of the Pelvic Floor: Support

Five Functions of the Pelvic Floor: Sphincter

Five Functions of the Pelvic Floor: Sexual

Five Functions of the Pelvic Floor: Sump-Pump

The Diaphragm and Our Internal Pressure System


Weakness vs. Tension

The McMaster Study

Screening for PFD

Weakness Vs. Tension

Muscle Tension & Visceral Sensitivity


Central Sensitization & Obturator Internus

Central Sensitization

Obturator Internus



Assessment: First Strategy

Assessment: Second Strategy

Assessment: Third Strategy, Bladder Diary

Assessment: Third Strategy, Fibre Diary



Tension, Hypersensitivity & Strength Assessment

Fecal Incontinence

Assessing Myofascial Tension


Strength Assessment: Pad Test


Bladder & Prolapse

Treatment: Bladder

UTI for Prevention

AIRBAG Meditation


Toileting Position: Squatty Potty




Lab 1: Testing for Pelvic Tenderness and Treatment Options

Lab 3: Variations of Obturator Internus Lengthening

Lab 4: Face the Day

Lab 5: Dynamic Exercises for the Pelvic Floor

Lab 6: Strengthening for the Weak Pelvic Floor

Lab 7: 8-Minute Core Challenge

Lab 8: Cat/Cow


Case Studies

Part 1 - Bernie

Part 2 - Diane

8-Minute Core Challenge

How to Use a Stick Roller

Acuball - Hip Flexor

Acuball - Abdominal Wall

Acuball - Gluteal

Pigeon Stretch

Cat/Dog Stretch

Piriformis Stretch

Obturator Internus Lengthening

Face the Day - Dynamic ROM Exercises