Access all classes
Free Trial

Class overview

Pelvic pain is a global problem that presents acutely after infection or injury, and in chronic conditions that are often slow to respond to treatment.

There is little consistency in how pelvic pain conditions are treated, and some of the older techniques are pain provoking to the point where patients will avoid care rather than endure the tears.

This Masterclass aims to provide a rationale for updating treatment practices and principles to follow based on current understanding of pain management. The lecture series covers a progression of treatment from desensitization to restoring tolerance to normal pressures.

There is more to recovery than “just not hurting” and in this Masterclass we go through the progression back to pleasure as a conscious pursuit.


4 modules

Start learning now


2 hours

In-depth learning like nowhere else


Class documents

Download lecture slides as PDF files & more

About the presenter

Sandra Hilton, PT, DPT, MS is a clinical therapist and co-owner of Entropy Physiotherapy and Wellness in Chicago, IL USA. Sandy has been practicing since 1988 in a variety of settings including acute and chronic neurological conditions for all ages, orthopedics, pelvic health for all genders, and the treatment of pain. She has written peer-reviewed articles, book chapters, and presented internationally on the treatment of pelvic pain to restore normal function and return to pleasure. Sandy is the co-host of the Pain Science and Sensibility podcast, a part of the PT Podcast Network.

private community

Private community group

For members only


Certificate of completion

Take our multiple choice exam & get a certificate for passing the class



Earn all your points in one place

Class modules


Pelvic Pain is Pain +++

Runtime: 37:58
Open Module

This introductory module established the foundation of the understanding of pain. The module begins the discussion of how to change pain based on self-efficacy.

Get instant access to this module

Start free trial


Runtime: 20:38
Open Module

This module discusses how to take advantage of techniques to calm a sensitized system down and why that is helpful for progression back to normal activities. These concepts are not well studied in the pelvic pain population. We draw on CRPS and other musculoskeletal conditions.

Get instant access to this module

Start free trial

Sensorimotor Re-education and Strength & Conditioning for the Pelvis

Runtime: 29:25
Open Module

After working to normalize sensation and tolerance to touch, pressure and movement as we discussed in Module 2, it is time to increase the challenge. In this module we address options for advancing input and adapting these techniques for pelvic function. We discuss the challenges of developing pelvic programs that can be carried out in home programs or in the community/workplace. This module will also cover options for return to regular exercise or sport program. Return to sufficient effort to build aerobic conditioning and strength training tolerance is covered for general pain conditions. The myths of frailty about pelvic pain and strengthening are addressed.

Individualized care is a catch phrase among rehabilitation plans, and rightly so. People experiencing pelvic pain are no less in need of a program that takes into account their social determinants of health as well as their access to time/equipment/safety for exercise and for work. We also discuss the importance of meaningful goals where the emphasis is on the meaning to the person in pain.

Get instant access to this module

Start free trial

Supported Independence

Runtime: 39:18
Open Module

The path to independence is not straight and it is unreasonable to expect that people work out modifications and adaptations on their own. This module sets parameters to address transition to independence and establish the confidence that care is available to update programs and support self-efficacy. As part of a healthy lifestyle, the pursuit of pleasure is also discussed.

Get instant access to this module

Start free trial

Access all Masterclasses

Masterclass membership

$99 per year (USD)

Try us for free for 7 days! Don’t worry, if you cancel during the trial period you will not be charged.

Start Free Trial

Clinic membership

From $184 per year (USD)
  • Keep your team up to date!
  • Individual accounts for each team member
  • Counts for CEUs/CPD points
Subscribe Now

Other masterclasses

Optimal loading of muscle injuries

With Dr Nicol van Dyk

Learn More

Sensorimotor Rehabilitation of the Neck

With Chris Worsfold

Learn More

Recognising and managing rheumatology

With Jack March

Learn More

Optimal loading for Achilles tendon rupture and tendinopathy

With Dr Karin Grävare Silbernagel

Learn More

Telehealth in the 21st Century; embracing the future of healthcare

With Connor Gleadhill

Learn More

Pain, movement and play: common sense for complex problems

With Todd Hargrove

Learn More

Assessing and managing radicular pain

With Tom Jesson

Learn More

The sporting shoulder

With Rod Whiteley

Learn More

Managing lower limb tendinopathy

With Dr Seth O’Neill

Learn More

Femoroacetabular Impingement Syndrome (FAIS)

With Dr Joanne Kemp

Learn More

Restoring load capacity in the injured runner

With Dr Rich Willy

Learn More

Groin pain in athletes: unraveling the mystery

With Dr Andrea Mosler

Learn More

Exercise and pain: exploring a complex relationship

With Ben Cormack

Learn More

Clinical reasoning in rehab

With Sam Blanchard

Learn More