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Oncology and the Female Pelvic Floor - Tampa, FL - March 3-4, 2018


  • Description

  • Schedule

  • Objectives

  • Instructor

  • Location/Lodging

  • Discounts

Price: $495 (Early Registrant Price $475)
Experience Level: Intermediate
Contact Hours: 14

This is a two day course designed to give the pelvic floor practitioner an understanding of the impact of gynecological cancers on a woman’s health and quality of life, and an insight into the important role we play as members of the gynecological oncology multidisciplinary healthcare team. Many pelvic rehabilitation practitioners have developed expert skills in evaluation and treatment of pelvic dysfunctions, including musculoskeletal conditions and neurological impairments. Oncology-related dysfunctions create unique challenges including injury to the lymphatic system, anatomical excisions or anastamoses, tissue injury from radiation, and systemic issues from chemotherapy. Pelvic rehabilitation providers will find that the contents of this continuing education course prepare the therapist to approach pelvic floor dysfunction with appropriate skills directed towards oncology-related issues.

The therapist will gain an understanding of the diagnosis and treatment of gynecological cancers, and will also appreciate the long term implications of these treatments, especially pelvic floor & lymphatic function, cancer related fatigue and bone density issues. Common female gynecologic cancers including ovarian, uterine, cervical, vaginal, and vulvar cancer will be covered. The therapist will better understand the valuable role that they play as a front-line member of the healthcare team, not only towards primary care of the musculoskeletal system, but also as in terms of prevention, self-care, and referral. The lymphatic system will be discussed and specific interventions will be instructed for the lymphatic system including, but not limited to, genital lymphedema. An evidence-based approach for treating cancer-related fatigue and osteopenia/osteoporosis will be instructed.

Throughout this course, strategies for clinical programs and home programs will be developed, so that conditions such as sexual dysfunction and pelvic pain can be effectively treated by the pelvic rehabilitation therapist. The therapist’s repertoire of clinical reasoning, manual therapies and exercise prescription will be developed, along with an exploration of psycho-oncology, especially as it pertains to female sexual function. This course will incorporate lecture, hands-on lab activities, and case examples.



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.


Prerequisites: None


Pre-Readings: None

Day One:

7:30 Registration
8:00 Introduction, Goals, Objectives
8:30 Lecture: Overview of common gynecologic (GYN) cancers
9:30 Lecture: Treatment options: local (surgery), regional (radiation), systemic (chemotherapy), and hormonal & targeted therapies
10:30 Break
10:45 Lecture: Sequelae of GYN cancer treatments – implications for the therapist
11:30 Lecture: Manual therapy techniques for the GYN cancer patient
12:30 Lunch
1:30 Lab: External: abdominal and pelvic manual therapies for scar tissue and adhesions
2:00 Lecture: Cancer and the pelvic floor: bladder, bowel & sexual dysfunction
3:30 Lab: Assessment and treatment of the pelvic floor
4:30 Discussion, Q&A session
5:00 Adjourn



Day Two:

8:00 Review, Q & A, Preview of Day 2
8:15 Lecture: Overview of lymphatic system; integrating the neuro-musculo-skeletal-lymphatic systems
9:15 Lecture: Understanding lymphedema & lymphedema prevention
10:15 Break
10:30 Lab: Manual therapy techniques to enhance function of the lymphatic system
11:30 Lecture: Cancer and sexuality
12:30 Lunch
1:30 Lecture: Exercise prescription & precautions for the GYN oncology patient: pelvic floor dysfunction, core stability, lumbopelvic pain, CRF, bone density issues
2:45 Lab: Exercise program design pelvic floor dysfunction, core stability, lumbopelvic pain, CRF, bone density issues
3:30 Wrap up, Q & A
4:00 Adjourn


Upon completion of this continuing education seminar, participants will be able to:
1. Describe the diagnosis, treatment and sequelae of treatment of gynecological cancers.
2. Describe the role of the therapist as a front line member of the oncological healthcare team.
3. Perform manual therapy techniques to enhance the function of the lymphatic system.
4. Identify the early signs and symptoms of lymphedema; be able to advise the patient on prevention, self -management and when to seek specialized treatment.
5. Design an appropriate exercise program for the gyn oncology survivor, inclusive of pelvic floor dysfunction/ pelvic pain, and with respect to the systemic effects of chemotherapy and radiation.
6. Identify the challenges to a cancer survivor’s sexual function and be able to offer treatment strategies for same.
7. Recognize some of the early signs and symptoms of gynecologic cancers in our role as promoters of pelvic health, and guide our patients towards seeking early intervention.
8. Describe the long-term effects of cancer-related treatments such as chemotherapy and radiation.

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!

  Name Street Address (Links to Map)
Course Location

Florida Hospital Wesley Chapel

2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Recommended Lodging

Hampton Inn & Suites Tampa-Wesley Chapel
(813) 973-2288

2740 Cypress Ridge Blvd
Wesley Chapel, FL 33544
Nearest Airport

Tampa International Airport
Airport Code: TPA

4100 George J Bean Pkwy
Tampa, FL 33607


Directions from Recommended Lodging to Course Location: Click here if map is not shown 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.