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Non-Internal Introductory Pelvic Health Course: Live-Online – January 2023

Non-Internal Introductory Pelvic Health Course: Live-Online – January 2023

Sheela Zelmer and Michelle Vanderpol
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This course offering will be recorded and all registrants will receive a link to access the course recording for a 2-week period following each session. Please mark on your registration form if you will not be attending live (and watching the recording instead) for attendance-taking purposes.

To Kegel or Not: That is the Question!!

Pelvic floor problems are prevalent in more than 2/3 of women with LBP/PGP, and 1/3 of men with LBP

Is this an important fact affecting your outcomes for chronic LBP?

Course Description

Pelvic floor dysfunction (PFD) can include hypertonic and hypotonic muscle problems. 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 to your patient’s recovery; we will make it fun and non-threatening!

Upon completion of this course, participants will be able to:

  • 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 overactive 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 overactive and underactive 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

Audience: This course is open to all healthcare and wellness professionals.

Prerequisites: None

Please note:

This course does NOT include internal palpation.

This course includes lecture and lab-format.

Registration Form

Non-Internal January 2023


Date /Time: January 29, 2023, from 10:30 am-6:30 pm ET (Toronto). Please convert to your local time zone.


The resources listed below are included in the cost of the course and will be provided to each participant in electronic, PDF format upon successful completion of the course.


  • Bladder diary
  • Breathing techniques
  • Chronic prostatitis syndrome
  • Constipation
  • Dynamic pelvic floor and core exercises for the tight weak pelvic floor
  • Dynamic pelvic floor and core exercises
  • Dynamic ROM program for pelvic pain and generalized tension
  • Fibre diary
  • Flexibility for your core
  • ILU massage
  • Incontinence identifiers
  • Instructions for the management of urge incontinence
  • Prolapse education
  • Rectus diastasis correction
  • Screening questionnaire
  • Strengthening exercises for the pelvic floor
  • Urinary incontinence assessment in older adults
  • UTI prevention


Sheela Zelmer

Sheela graduated from the Physical Therapy program at the University of Toronto in 1995 and has spent over 20 years working with her patients to improve their pain, become more active, and increase their quality of life. Her career has taken her from the beautiful Maritimes to Ottawa, and most recently, to the Greater Toronto Area.

A strong proponent of continuing education, Sheela has successfully completed several post-graduate courses in manual therapy, McKenzie Spinal Rehabilitation, acupuncture, chronic pain, and pain science. Sheela has developed a special interest in Pelvic Health and has furthered her education with courses in incontinence, pelvic pain, pre/postnatal care, as well as gastrointestinal and bowel dysfunction. Sheela is honoured to be a part of the Pelvic Health Solutions team, partnering with health professionals and patients to foster wellness.

Michelle Vanderpol (MscPT, B.Kin)

Michelle graduated from Queens University with a Masters of Science Degree in Physical Therapy in 2012. Since the beginning of her physiotherapy career, Michelle has been driven to excel in her professional development, a self-proclaimed lifelong learner. She was immediately drawn to Pelvic Health, after feeling like there was a gap in conservative management of so many pelvic health disorders, early on in her career.

As Michelle committed to further advancing in the realm of Pelvic Health, she also went on to attain her Diploma of Advanced Manual and Manipulative Physiotherapy through the Orthopaedic Division of the Canadian Physiotherapy Association and is a CAMPT Certified Physiotherapist with the Canadian Academy of Manual and Manipulative Physiotherapy.

Michelle strongly believes in the need to treat the whole person, and the amalgamation of her Pelvic Health and Orthopaedic training are complementary in assessing and treating pelvic health concerns from a biopsychosocial approach.

Michelle practices out of Rise Physiotherapy, a clinic she owns in Shelburne ON. Michelle has also had the privilege of working with Pelvic Health Solutions for several years, working in the capacity as an assistant lecturer and lab assistant.

When she is not working, she is often enjoying the great outdoors with her husband, daughter, and dog.



What people are saying

The Non-Internal Introductory Pelvic Floor Course is a key, clinically applicable course for all orthopaedic physiotherapists.  This course has changed how I address low back and pelvic girdle issues in typical orthopaedic clients, as well as high level athletes. This is knowledge we should all be graduating with.

– Nicole H

I am impressed with the supportive evidence provided during the course for the Physiotherapy management of pelvic floor issues and incontinence. Although I personally do not wish to do internal work, I am now more confident in referring my patients to a pelvic floor PT who does internal work. Thank you.

– Bahram J

I am a physical therapist and took your one-day Non-Internal Introductory Pelvic Health course. I wanted to say thank you as I have truly been inspired by this course and what I have been able to achieve for several people…friends/family and patients with the resources you shared and taught. The effect on QOL with just a few changes has been truly remarkable. And I am asking the right questions now!

– Maria B

I took the Non-Internal Introductory Pelvic Health course, and the content was fantastic with current research, videos, handouts and demonstrations. Internal Pelvic floor is out of the scope of practice for Massage Therapists, but having tools to help a client with their pelvic floor concerns and to know when to refer them to a Pelvic Floor Physiotherapist so clients do not have to suffer in silence and embarrassment is invaluable.

– Catrina T