Menopause and the Pelvic Floor

Credit

Handouts/Brochure

Speaker

Elizabeth Frey, FCAMPT, MCISC (MANIP), MSc. PT, MSc, BPHE, BSc, MCPA Related seminars and products

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Elizabeth Frey, FCAMPT, MCISC (MANIP), MSc. PT, MSc, BPHE, BSc, MCPA

Liz holds a BSc and BPHE from Queen’s University; a MSc in Exercise Physiology from the University of Toronto, a MSc (PT) from McMaster University, and a MCISC (Manip) from University of Western Ontario. She is a member of the CPA and a fellow of the Canadian Academy of Manipulative Physical Therapists (FCAMPT). Liz is also a Contemporary Medical Acupuncture provider.

Liz is a clinic owner and practicing physiotherapist with a specialty in pelvic health physiotherapy. She is an instructor for Rocktape® Canada, a clinical lab facilitator at the University of Toronto, and a clinical supervisor for physiotherapy students.

As an orthopaedic and pelvic health physiotherapist, Liz integrates her over 10 years of clinical expertise to provide a unique whole-body approach to wellness. Liz’s practice focuses on helping women navigate pregnancy, menopause, and everything in between. Her care model addresses the underlying dysfunction causing injury and provides education to help prevent future re-injury. Her patient-centered approach empowers her patients to set goals, balance muscular dysfunction, and work toward optimal health. She does all of this through hands-on techniques, comprehensive education, and tailored progressive exercise programs.

Personally, as a busy mother of three children, the health habits that don’t slip for Liz are mindset and exercise – it is her positive outlook and passion to stay strong and mobile as she ages that are a few of her defining features.
 

Speaker Disclosures:
Financial: Elizabeth Frey is the owner of PhysioPlus Health Group, an instructor with Rock Tape, and has an employment relationship with Fringe. She is a mentor with Orthopedic Division. She receives a speaking honorarium and recording royalties from PESI, Inc.
Non-financial: Elizabeth Frey is a member of the Canadian Academy of Manipulative Physiotherapy and the Women’s Health Division of the CPA.

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Objectives

1. Recognize common signs and symptoms of pelvic floor dysfunction in menopausal patients, including incontinence, prolapse, and sexual discomfort.
2. Apply movement-based and lifestyle strategies that support pelvic floor health across scopes of practice, including breath mechanics, posture, and load management.
3. Identify when to refer patients for specialized pelvic health services and how to communicate about sensitive topics in a patient-centered manner.

Outline

Foundations: Menopause & the Pelvic Floor

• Discover the inner core's "missing piece"—and why it matters more in menopause
• Understand how estrogen loss reshapes tissue integrity, collagen, and reflexive support
• Recognize whole-body contributors that either protect or compromise pelvic function

More Than Just Kegels: Breath, Posture, and Movement

• Master intra-abdominal pressure management—the key to symptom control
• Learn diaphragm-pelvic floor coordination that restores reflexive function
• Identify postural patterns that silently sabotage your patients' progress
• Apply breath-based strategies that work without internal assessment

Incontinence, Prolapse, and Sexual Discomfort

• Decode stress incontinence: pressure mismanagement meets tissue change
• Navigate prolapse presentations—from subtle heaviness to functional impact
• Address dyspareunia with confidence: tissue, tension, and therapeutic options
• Implement evidence-based interventions appropriate to every scope of practice

Tailored Tools for Your Scope of Practice

• Educate powerfully using external cues, postural awareness, and habit modification
• Deploy permission-based language that builds trust and promotes agency
• Recognize red flags requiring referral—and confidently manage everything else
• Use research-backed education strategies that improve outcomes without hands-on treatment

Real-World Application: Case Study

• Walk through Helen's journey from leakage and heaviness to functional confidence
• See how breath training, load management, and education combine for real results
• Learn when to empower and when to refer in complex presentations

Target Audience

• Doctors of Chiropractic
• Registered Nurses
• Nurse Practitioners
• Physician Assistants
• Physical Therapists