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Menopause: A Rehabilitation Approach - Charlotte, NC - October 6-7, 2018


  • Description

  • Schedule

  • Objectives

  • Instructor

  • Location/Lodging

  • Discounts

Price: $495 (Early Registrant Price $475)
Experience Level: Intermediate
Contact Hours: 15

Many women experience symptoms during the menopause transition that may impact their quality of life. The majority of literature focuses on identification and medical management of symptoms that women experience during menopause (McGinnis et al 2008). Many of these symptoms can be addressed by skilled and integrative pelvic rehab, including vaginal atrophy, sexual health and pelvic organ prolapse, as well as the many musculo-skeletal health issues that may present during peri-menopause.

We will explore the research which supports the use of bespoke exercise prescription for preventing, managing and possibly even reversing some of the symptoms of bone density loss experienced during menopause (Sinaki 2010, Presinger 2009). We will also look at some menopausal health issues not traditionally in the remit of rehab, but where forward thinking therapists can provide an integrative, safe and effective/evidence based approach, such as menopausal weight loss, cardiovascular health promotion and mind body awareness.

Many women will turn to CAM (Complementary & Alternative Medicine) during menopause and may ask questions of their rehab providers - this course will discuss the evidence base and efficacy of the more common answers.

In this two day course, the therapist’s repertoire of clinical reasoning, manual therapies and exercise prescription will be developed, along with an exploration of integrative approaches, including CAM, yoga and nutrition pertaining to the management of menopausal symptoms. Participants will gain an understanding of the changing hormonal profiles of the menopausal woman, but will also appreciate the long term implications of these changes, especially pelvic floor & sexual health and function, musculo-skeletal and bone density issues.

'Identifying the relationship of physical and psychosocial factors impacting quality of life will permit health care professionals to gain a richer appreciation of how a woman's life is affected by the menopause transition.' (McGinnis et al 2008)



This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by individuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.



Participants should have completed Pelvic Floor Level One or equivalent coursework including internal vaginal exams. No prior yoga experience is necessary


Special Considerations:

Participants should come prepared to act as both clinician and model. Comfortable clothes suitable for exercise are recommended. Participants should bring a yoga mat.

Day One:

7:30 Registration
8:00 Introduction, goals, objectives
8:15 Lecture: Menopause 101: the multiple roles of our hormones
9:30 Lecture: Bone and joint health peri and post menopausally: women and back pain
10:30 Break
10:45 Lecture: Bone and joint health peri and post menopausally : Osteoporosis and osteopenia
11:30 Lab: designing an osteoporosis and osteopenia intervention programm
12:30 Lunch
1:30 Lecture: Pelvic health for the Menopausal woman
2:45 Sexuality in menopause
3:15 Break
3:30 Lab: Pelvic assessment: internal and external. Pelvic floor awareness techniques
4:30 Discussion, Q and A
5:00 Adjourn

Day Two:

8:00 Review
8:15 Lecture: Digestive health and Weight management post menopause
9:15 Lecture: Integrative therapies for managing menopausal symptoms: using food as medicine
10:30 Lecture: Hysterectomy: implications for therapists
11:30 Lab: Manual therapy techniques & exercise prescription post- hysterectomy
12:30 Lunch
1:30 Lecture: Yoga for menopausal symptom relief
2:30 Yoga for menopause - program design: strength, flexibility, balance, relaxation
3:15 Break
3:30 Lecture: Integrative medicine: using CAM for menopausal symptom relief
4:30 Wrap up/ Q and A
5:00 Adjourn

Upon completion of this continuing education seminar, participants will be able to:

1. Describe the multiple hormonal and systemic changes of menopause
2. Design an appropriate bone health exercise program for the peri- to post-menopausal woman, at risk for osteopenia or osteoporosis
3. Understand the precautions that must be undertaken when prescribing exercise to an osteoporotic woman
4. Perform manual therapy techniques to enhance the mobility of connective tissue following hysterectomy 
5. Identify the early signs and symptoms of peri-menopausal pelvic floor dysfunction; be able to advise the patient on prevention, self -management and when to seek specialised treatment
6. Identify the challenges to a woman’s sexual function and be able to offer treatment strategies for same
7. Recognize the challenges menopause can present to digestive health and weight management
8. Demonstrate simple, safe and effective yoga poses shown to be helpful in managing menopausal symptoms

Michelle Lyons, PT, MISCP

Michelle Lyons

Michelle Lyons, MISCP PT, has over twenty years of experience as a chartered physiotherapist. She has recently returned to live in Ireland after a number of years in the US.

As well as developing numerous speciality courses for Herman & Wallace (Oncology and the Female Pelvic Floor, Oncology and the Male Pelvic Floor, The Athlete & the Pelvic Floor, Menopause Rehabilitation and Symptom Management, and Special Topics: Endometriosis, Infertility & Hysterectomy), she is also a tutor on the Pelvic Floor Series and the Pregnancy/Post-partum Series. Michelle was also proud to be an item writer for the PRPC certification exam.

With additional training in nutrition therapy, herbal medicine, pilates and yoga as well as her clinical training and experience in pelvic health and oncology rehab, Michelle is a firm believer in integrative medicine and a whole body approach to health and wellness.

She is also a lecturer for the Pelvic Obstetric & Gynaecological Physiotherapy Association in the U.K. on their pregnancy/MSK courses and will be Clinical Lead on their new advanced pelvic floor course and their male pelvic health coursework. She blogs and teaches online (available late 2015) for Medbridge Education and has collaborated with the Integrative Women's Health Institute and Burrell Education on a number of live and online women’s health educational programs.

As a social media advocate, in 2013 she co-founded the Women’s Health Physiotherapy Facebook group, which now has over 3000 members from all over the world. A poster presentation looking at the role of the group/social media in promoting women’s health was presented at WCPT in 2015.

She also offers consulting/ mentoring service to clinicians internationally who wish to develop pelvic rehab, integrative health or oncology rehab programs. With a busy international teaching schedule, she also finds time to indulge her passion for reading, shopping for more books and reading some more!

 NameStreet Address (Links to Map)
Course Location

Carolinas Healthcare System-Union

600 Hospital Drive
Monroe, NC 28112
Recommended Lodging

Holiday Inn Express & Suites Monroe

2505 W Roosevelt Blvd
Monroe, NC 28110
Nearest Airport

Charlotte Douglas International Airport
Airport Code: CLT

5501 R C Josh Birmingham Pkwy
Charlotte, NC 28208


Directions from Recommended Lodging to Course Location: (click here if no map appears below)


Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

Multi-Course Discount

This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one check or one envelop with multiple checks.

Group Discount

This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.

Student Discount

This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.


To get this discount when checking out online, use the code Student2018. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

First-Time Registrant Discount

This $50.00 discount is available to any therapist that has never taken a Herman & Wallace course. This discount may be used towards a registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

Referral Credit/Discount

Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".

Guest Blogger Credit/Discount

Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".

JTA Survey Credit/Discount

Any therapist who completed our PRPC JTA survey in the spring of 2012 earned a $50.00 credit to use towards any future course. A therapist who earned this credit may only use it once. If you completed the JTA survey, you should have received an email of having done so. If you are not sure if you earned a JTA survey discount, contact us and we'll check for you.