A (Much Needed) 2025 Update on a Biopsychosocial Approach in Pelvic Health

Overview

Many of you have already completed foundational training in the biopsychosocial approach through Level 3 (Pelvic Health Solutions) or Biopsychosocial Reframed (Reframe Rehab). Carolyn has been teaching this course for over 15 years, training more than 2,000 clinicians. Each year it has been significantly updated, reflecting the latest research and clinical practice.

If you completed this training before 2024, it’s time for an update—the content has changed dramatically.

Is it time for you to refresh your skills?

Ask yourself if you are still:

• Assessing pelvic floor muscle tension rather than tenderness on palpation

• Using the term “trigger points” in your clinical reasoning or patient discussions

• Referring to central sensitization instead of using IASP’s 2020 pain classifications (nociplastic, nociceptive, neuropathic)

• Relying on DASS21, PCS, TSK, or the Injustice Questionnaire instead of the more global 3PSQ (Persistent Pelvic Pain Questionnaire)

• Using the ACE questionnaire as a screening tool rather than adopting a softer, trauma-informed, patient-centered approach

If you answered yes to any of the above, this webinar will bring your biopsychosocial assessment skills up to date.

Why this matters

A 2024 systematic review (Starzec-Prosperpio) found that physiotherapists trained in multi-modal biopsychosocial approaches were more effective in treating persistent pelvic pain than psychotherapists or physiotherapists working alone.

As clinicians, we should feel confident using a lifestyle-based, non-pathology-focused approach to pelvic pain. Doing so benefits both patients and practitioners—improving outcomes while reducing burnout and the sense of burden in care.

Carolyn will guide you through the latest updates so you can stay current and confident. Pelvic health is at risk of falling into the same trap as low back pain (LBP)—getting bogged down in diagnostic pathology instead of embracing the biopsychosocial model. Now is the time for pelvic health clinicians to lead the way in physiotherapy.

Learning Objectives

By the end of this webinar, participants will be able to:

1. Assess pelvic floor tenderness, including allodynia, fascial hypersensitivity, and muscle tenderness

2. Replace pathological terminology, including the use of “trigger points”

3. Shift from the concept of central sensitization to the modern classification of nociplastic pain

4. Use the 3PSQ as a simple, effective screening tool, with further assessments as needed

5. Apply the RAMS framework (Relaxation, Activation, Mobility, Strength Training) for lifestyle-based care

6. Stay within scope as physiotherapists while delivering a biopsychosocial, multi-modal approach

Investment

We’ve kept the cost low to make this training widely accessible: $30 for a 3-hour webinar.

If the fee is a barrier, please email Carolyn directly at Carolyn@Reframerehab.com — she will ensure you can attend free of charge.

⚠️ Space is limited to 500 clinicians, so secure your spot early.

Recording and Replays

This webinar will be recorded and made available as a course on Embodia, free to webinar registrants. If you can’t attend live, don’t worry—you’ll receive access to the recording and any shared resources shortly after the session.