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Clinical Practice Skills for Inflammatory Arthritis

Clinical Practice Skills for Inflammatory Arthritis (CPSIA) is a professional development program that has evolved with the evidence and the learning needs of today’s interprofessional team. The program progressively develops the participants’ clinical practice skills over a 5-day period through a blend of online, didactic, interactive and experiential learning on the most prevalent arthritis conditions.

Our rehab focused in-person program concentrates on applying assessment and treatment skills that build upon knowledge gained in the virtual program. There will be extensive opportunities to practice these skills with each other and with volunteer patients living with inflammatory arthritis.

CPSIA will support the learning of those who provide client-centred healthcare to people with arthritis across a continuum of settings and stages of disease. (The program does not address childhood arthritis.)

Many of the program’s graduates go on to successfully complete the Advanced Clinician Practitioner in Arthritis Care (ACPAC) program.

Pelvic Floor Physiotherapy: The Practice-Ready Intensive

Pelvic Floor Physiotherapy: The Practice-Ready Intensive

This practice-ready, entry-to-practice intensive is designed to equip clinicians with the foundational knowledge, hands-on skills, and clinical confidence needed to assess and treat patients presenting with common pelvic health conditions.

Led by an experienced FCAMPT physiotherapist, this course offers a unique approach by integrating pelvic health through an orthopaedic clinical lens. Participants will learn how to assess and treat the pelvic floor not in isolation, but as part of the entire musculoskeletal system – bridging the gap between orthopaedic and pelvic health practice.

This intensive combines essential theory with practical application, including pelvic floor anatomy, palpation skills, comprehensive subjective and objective assessment, and structured treatment planning. Emphasis is placed on clinical reasoning, patient communication, and real-world application, ensuring participants leave ready to begin building and treating a pelvic health caseload.

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

  • Describe pelvic floor anatomy and function across genders

  • Understand common pelvic floor conditions seen in clinical practice and correlation with orthopedic conditions if relevant.

  • Perform a comprehensive pelvic health subjective assessment

  • Demonstrate safe, ethical, and consent-based external and internal pelvic floor examinations.

  • Develop basic treatment plans using sound clinical reasoning.

Conditions covered:

  • Stress incontinence
  • Urge incontinence
  • Urinary urgency and frequency
  • Mixed incontinence
  • Pelvic organ prolapse
  • Vaginismus
  • Dyspareunia
  • Pudendal neuralgia
  • Interstitial Cystitis
  • Dysmenorrhea
  • Bladder Pain Syndrome
  • Male pelvic pain: Chronic pelvic pain syndrome, prostatitis, testicular pain, penile pain

Course Instructor: Jigisha Parekh, PT, FCAMPT, CFIMS, Pelvic Health Physiotherapist

Course Location: Triangle Physiotherapy Erin Mills, 2520 Eglinton Ave W, Unit 205, Mississauga ON L5M 0Y4

Course Date for in-person weekend: June 20, 21, 2026

Fee: $1695.00 plus HST

Early Bird Fee: $1595.00 plus HST – Sign up before April 23, 2026 Use code: EBPEL26

Level 1: The Physical Therapy Approach For Anyone Experiencing Urinary Incontinence – Hybrid (Live-Online/In-Person)

Two-part format course: 

The lecture component of the course will take place live-online July 3-4, 2026, from 10:30am to 7:00pm ET (Toronto). By attending live, you’ll be able to harness the benefits of live discussions, timely feedback, and a collaborative environment.

In-Person Labs – to be completed in-person on July 5, 2026, at various set locations. Attendance of both sessions (lecture and practical) is mandatory.

Course Description: 

This comprehensive course focuses on the assessment, treatment, and rehabilitation of adults experiencing incontinence and pelvic organ prolapse. Designed for physiotherapists and other health professionals seeking to expand their knowledge in pelvic health, this course will equip participants with Level 1, Grade A evidence-based strategies to properly rehabilitate the pelvic floor. The course will help participants gain skills, beyond teaching externally driven pelvic floor exercises, to help enhance client outcomes.

This 3-day course is designed to evaluate the pelvic floor by learning specific examination and treatment techniques for these conditions, including vaginal and anal palpation. This course begins with two-days of live-online online lecture, featuring comprehensive videos of all techniques, followed by an in-person practical session (practical locations available are listed above).

Support resources, including assessment forms and patient handouts are included in the course cost. 

Through completion of this course, participants will:

  • Acquire knowledge of anatomy and physiology of micturition, as well as pertinent pathologies for the different types of incontinence (stress, urge, mixed)
  • Acquire knowledge of the different types of pelvic organ prolapse (cystocele, rectocele, uterine/vaginal vault prolapse)
  • Acquire knowledge of the urodynamic and urological investigation procedures, as well as medical and surgical treatments for urinary incontinence and prolapse
  • Become familiar with the proper terminology used in assessment and treatment of the pelvic floor; learn to differentiate the difference between increased and decreased pelvic floor muscle tone
  • Incorporate informed consent, trauma-informed care, and a culturally sensitive approach into all patient interventions
  • Discuss proper infection control techniques involved in pelvic floor muscle evaluation
  • Incorporate outcome measures for various conditions
  • Discuss precautions and contraindications for specific modalities
  • Perform an evaluation of the pelvic floor vaginally and rectally
  • Establish appropriate patient centered goals and develop an evidence-based treatment plan and its progression for the management of incontinence and pelvic organ prolapse
  • Gain skills in a variety of treatment techniques, including patient education, pelvic floor exercises, functional training, biofeedback, neuromuscular electrical stimulation, manual therapy, behavioural interventions, and lifestyle modifications
  • Recognize the need for medical consultation and referral for conditions and presentations outside of your scope of practice
  • Integrate these learnt concepts with the use of case studies
  • All content covered will be immediately applicable in clinical practice

Join us for an immersive learning experience that will empower you to provide effective interventions for individuals dealing with incontinence and pelvic organ prolapse, ultimately enhancing their quality of life and overall well-being.

During the practical session, attendees will work in small groups, taking on roles as both the clinician and patient. With an excellent ratio of lab assistants to participants, attendees will receive guidance throughout the trauma informed practical portion in a safe and supportive environment. Lab assistants will be available to answer questions and ensure a supportive learning environment.

If you are unable or uncomfortable acting as a patient model for any reason, you are required to bring someone (such as a friend, family member, or colleague) to practice on, as there is no guarantee that another participant will volunteer to act as a model more than once. Please notify info@pelvichealthsolutions.ca if you will be bringing someone to practice on.

Audience: This course is open to physiotherapists, physiotherapy students, naturopathic doctors, naturopathic students, registered nurses, midwives and medical doctors. Labs include internal palpation.

Prerequisites: None – beginner level course

Level 1: The Physical Therapy Approach For Anyone Experiencing Urinary Incontinence – Hybrid (Live-Online/In-Person)

Two-part format course: 

The lecture component of the course will take place live-online May 22-23, 2026, from 10:30am to 7:00pm ET (Toronto). By attending live, you’ll be able to harness the benefits of live discussions, timely feedback, and a collaborative environment.

In-Person Labs – to be completed in-person on May 24, 2026, at various set locations – see website for details. Attendance of both sessions (lecture and practical) is mandatory.

Course Description: 

This comprehensive course focuses on the assessment, treatment, and rehabilitation of adults experiencing incontinence and pelvic organ prolapse. Designed for physiotherapists and other health professionals seeking to expand their knowledge in pelvic health, this course will equip participants with Level 1, Grade A evidence-based strategies to properly rehabilitate the pelvic floor. The course will help participants gain skills, beyond teaching externally driven pelvic floor exercises, to help enhance client outcomes.

This 3-day course is designed to evaluate the pelvic floor by learning specific examination and treatment techniques for these conditions, including vaginal and anal palpation. This course begins with two-days of live-online online lecture, featuring comprehensive videos of all techniques, followed by an in-person practical session (practical locations available are listed above).

Support resources, including assessment forms and patient handouts are included in the course cost. 

Through completion of this course, participants will:

  • Acquire knowledge of anatomy and physiology of micturition, as well as pertinent pathologies for the different types of incontinence (stress, urge, mixed)
  • Acquire knowledge of the different types of pelvic organ prolapse (cystocele, rectocele, uterine/vaginal vault prolapse)
  • Acquire knowledge of the urodynamic and urological investigation procedures, as well as medical and surgical treatments for urinary incontinence and prolapse
  • Become familiar with the proper terminology used in assessment and treatment of the pelvic floor; learn to differentiate the difference between increased and decreased pelvic floor muscle tone
  • Incorporate informed consent, trauma-informed care, and a culturally sensitive approach into all patient interventions
  • Discuss proper infection control techniques involved in pelvic floor muscle evaluation
  • Incorporate outcome measures for various conditions
  • Discuss precautions and contraindications for specific modalities
  • Perform an evaluation of the pelvic floor vaginally and rectally
  • Establish appropriate patient centered goals and develop an evidence-based treatment plan and its progression for the management of incontinence and pelvic organ prolapse
  • Gain skills in a variety of treatment techniques, including patient education, pelvic floor exercises, functional training, biofeedback, neuromuscular electrical stimulation, manual therapy, behavioural interventions, and lifestyle modifications
  • Recognize the need for medical consultation and referral for conditions and presentations outside of your scope of practice
  • Integrate these learnt concepts with the use of case studies
  • All content covered will be immediately applicable in clinical practice

Join us for an immersive learning experience that will empower you to provide effective interventions for individuals dealing with incontinence and pelvic organ prolapse, ultimately enhancing their quality of life and overall well-being.

During the practical session, attendees will work in small groups, taking on roles as both the clinician and patient. With an excellent ratio of lab assistants to participants, attendees will receive guidance throughout the trauma informed practical portion in a safe and supportive environment. Lab assistants will be available to answer questions and ensure a supportive learning environment.

If you are unable or uncomfortable acting as a patient model for any reason, you are required to bring someone (such as a friend, family member, or colleague) to practice on, as there is no guarantee that another participant will volunteer to act as a model more than once. Please notify info@pelvichealthsolutions.ca if you will be bringing someone to practice on.

Audience: This course is open to physiotherapists, physiotherapy students, naturopathic doctors, naturopathic students, registered nurses, midwives and medical doctors. Labs include internal palpation.

Prerequisites: None – beginner level course

The Pessary Course – Hybrid (Live-Online/In-Person)

The lecture component will take place live-online June 6, 2026, from 10:30am to 6:30pm ET (Toronto). By attending live, you’ll be able to harness the benefits of live discussions, timely feedback, and a collaborative environment.

In-person practical will be completed in-person on June 7, 2026 in Vaughan, ON. Attendance of both sessions (lecture and practical) is mandatory.

Course Description:

Pelvic organ prolapse and stress urinary incontinence are common concerns that Pelvic Health Physiotherapists and other health care providers see frequently with their clients who were assigned female at birth. As medical systems transition towards conservative management, pessary use is recommended as a first-line symptoms management option for those with POP and SUI both in Canada and internationally.

This course combines the most recent, evidence-based recommendations with hands-on and practical information for where pessaries fit into client care and how to integrate them into your clinical practice. Instructors Jenny and Cara have performed hundreds of pessary fittings and give in-depth, behind-the-scenes perspectives and clinical pearls to help you offer pessary care for your clients. Whether you want to offer pessary fittings in your clinic, work with clients for pessary maintenance after a fitting, or just learn more about pessaries so you can educate your clients who are suitable for pessary use, this course is for you.

Access a complimentary guide for pessary setup in the clinic here.

Course objectives:

  • Briefly review up-to-date management options for pelvic organ prolapse and stress urinary incontinence so you know where pessaries fit into recommended care pathways (see Clinical Update course for in-depth research review)
  • Overview of the POP-Q exam, how to perform the simplified POP-Q and vaginal tissue scan in clinic in a trauma-informed manner
  • Comprehensive, research-based summary regarding pessary recommendations, indications, contraindications, effectiveness and ongoing management
  • Overview of different pessary sizes and styles, clinical reasoning for which pessary size and styles to try with a given client
  • How to work with other health care providers to ensure adequate pessary clearance and ongoing care
  • Charting and interprofessional communication recommendations
  • Practical considerations for how to set up a pessary service in your clinic, including overview of single-patient disposable model or sterilization of pessary fitting kits with an autoclave
  • Lab will involve working in groups of 2-3 to do speculum exams, simplified POP-Q assessment, and pessary fittings for ring and cube on each other, and perform gellhorn insertion/removal on a pelvic model.

**Participants for this course are from different professions, provinces, and countries. It will be each registrant’s responsibility to look into prevention and infection control for their practice. You are encouraged to verify the legislation in your province or country to ensure that fitting pessaries is within your scope of practice as well as the specific regulations about infection control (cleaning and sterilizing in clinic or outside).

This course combines lecture-based instruction with hands-on practical labs. During the practical session, attendees will work in small groups, taking on roles as both the clinician and patient. With an excellent ratio of lab assistants to participants, attendees will receive guidance throughout the practical portion. Lab assistants will be available to answer questions and ensure a supportive learning environment.

If you are unable or uncomfortable acting as a patient model for any reason, you are required to bring someone (such as a friend, family member, or colleague) to practice on, as there is no guarantee that another participant will volunteer to act as a model more than once. Please notify info@pelvichealthsolutions.ca if you will be bringing someone to practice on.

Audience:

This course is recommended for experienced clinicians who have the ability to perform internal exams – Pelvic Health Physiotherapists, Occupational Therapists, Nurse Practitioners, Registered Nurses, Physicians, Physician Assistants, Naturopathic Doctors

Prerequisite: 

Prerequisite: Level 1 and experience/confidence in performing internal examinations. Pessary fitting is an advanced skill and it is not recommended to take the course if you are still becoming accustomed to performing internal exams.

Live-online lecture: Saturday, June 6, 2026, from 10:30am-6:30pm ET (Toronto)

Practical: Sunday, June 7, 2026, from 9:00am-4:00pm ET in Vaughan, ON. 

Integrated Dry Needling

Dry Needling can be an effective and useful adjunct to an overall treatment program for our neuro-orthopaedic patients. This course is designed to cover dry needling techniques for the whole body for varied musculoskeletal conditions. Learning will take place through a combination of synchronous online sessions and in person practical sessions. These sessions will prepare you for the application and integration of Dry Needling to your caseload.

The curriculum of this course meets the required competencies of the College of Physiotherapists of Ontario for a therapist to use dry needling in their practice and to roster for this skill set.  

Prior needling experience is not required but is an asset.

Note: This course is only open to Physiotherapists.

Mary Massery’s LINKED Breathing and Postural Control Part 1&2

Zen Physio Inc. is excited to host Mary Massery’s highly regarded LINKED Breathing and Postural Control Part 1 & 2 courses.

This is a unique opportunity for OT’s, PT’s, SLP’s, therapy assistants and students working with adults and children to learn directly from one of the leading voices in the field and deepen your clinical knowledge.

Course Details  

Instructor: Mary Massery, PT, DPT, DSc

Courses: LINKED Part 1 & LINKED Part 2

Date(s):

LINKED Part-1: Online (May, 2026)

LINKED Part-2: In Person, September 26th & 27th 2026

Location: Oakville, ON

Click on the course details link to learn more about pricing, learning objectives, schedule, and registration information. The LINKED Part-1 course may be taken individually and is especially relevant for therapists working in a consultative model with little to no hands-on intervention.

Registrations are now open for:  LINKED Part-1 LINKED Part-2  LINKED Part 1 & 2 (combined option)

Spots are limited, so we encourage you to register early.

If you have any questions, please don’t hesitate to reach out to us at zenphysioinc@outlook.com

We look forward to welcoming you to this exciting learning experience!

Acupuncture Canada’s Dry Needling Level 1

Plan now to add dry needling to your treatment toolbox.

Acupuncture Canada’s Dry Needling program is offered regularly in the Toronto area. Dry Needling training and certification starts with Acupuncture Canada’s Dry Needling Level 1 (DN1) course. Dry Needling Level 1 presents the concepts and theories regarding myofascial trigger points and the mechanism of action of dry needling from a clinical and evidence-informed approach. A selection of common conditions will be addressed with skills applications of selected muscles. Safety guidelines are emphasized throughout.

Using the trigger point approach, Dry Needling Level 1 addresses treatment of conditions including:

  • strain of hip flexors, rotators, piriformis syndrome, hamstring strain, Achille’s tendinitis, strain from immobilization in casts, posterior rotator cuff, ankle strain/sprain, shin splints, and knee strain.

The DN1 course starts with a 3-week online study component, including videos, narrated PPTs, quizzes and case management plans.

Online study is followed by a 3-day intensive in-person component where students work in small groups with experienced instructors, to learn safe, effective needling techniques. You will be able to start simple treatment of pain problems, with an emphasis on musculoskeletal pain, within your scope of practice.

2026 courses will be held in Toronto:

May 29-31, 2026 (online start date of May 8th)

October 23-25, 2026 (online start date of October 2nd)

What do our students say?

“I have taken many physio courses and do not always feel ready to implement the new technique. This course has left me feeling confident.”

“Pace of course facilitated learning very well – not overwhelming.”

“The one on one. Instructor/student ratio was excellent. Lots of time for practice/instruction.”

“I thought the course and instructors were great. Definitely worth it.”

Course fee: $1,499 plus tax ($1,399 for Acupuncture Canada members).

ON-based physio residents can register.

For more details visit www.acupuncturecanada.org or call 416-752-3988.

DN1 is the first of three courses in the Dry Needling Program.

The Acupuncture Canada curriculum has been carefully designed to incorporate on-line learning components along with hands-on skills sessions to provide the best opportunity for students to build their knowledge and their clinical skills.

DN1 is followed by Dry Needling Level 2 and Dry Needling Level 3: Advanced Techniques.