EIM Pelvic Health Specialist Certification
Evidence In Motion's Pelvic Health Specialist Certification is a hybrid (online didactic plus in-person/virtual lab) post-professional program of roughly 7-9 months, comprising 7 required courses plus 2 electives, including in-depth internal (intravaginal/intrarectal) and external evaluation and treatment, therapeutic neuroscience education, and capstone examinations.
Base tuition is approximately $4,950 (with an optional post-professional DPT add-on of ~$6,300), and it is open to PT, PTA, OT, and OTA.
It is a rigorous certificate of competency rather than an ABPTRFE-accredited fellowship or ABPTS board certification; the strongest accredited pathways remain ABPTRFE pelvic/women's-health residencies and the ABPTS Women's Health (WCS) board certification.
The underlying clinical domain has strong, high-quality evidence: Cochrane reviews show pelvic floor muscle training is effective first-line treatment for urinary incontinence (Dumoulin 2018) and improves prolapse symptoms (Hagen 2011; POPPY 2014), and multimodal pelvic PT outperforms topical lidocaine for provoked vestibulodynia (Morin 2021). The EIM certificate teaches these full-body, internal/external techniques in depth; however, no study compares EIM-certified versus non-certified clinicians, so credential-specific outcome evidence is sparse.
Directly applicable to a high-prevalence caseload (postpartum, menopause, incontinence, prolapse, pelvic pain, and men's pelvic dysfunction); requires a private treatment room and internal-exam competency but otherwise transfers immediately to outpatient practice.
Pelvic floor PT is billed under standard PT codes with growing commercial coverage; the certificate supports building a billable women's/pelvic health service line, though much of the niche's value is realized through cash-pay.
A 7-9 month hybrid pathway of 7 required courses plus 2 electives at ~$4,950 is a substantial time and money investment, but it is faster and cheaper than an accredited residency/fellowship or ABPTS WCS while still building hands-on internal-exam competency.
Employer demand is strong and growing as pelvic health becomes mainstream; reporting cites a shortage of trained pelvic clinicians, long patient wait times, and rising postpartum/maternal-health attention driving hiring.
Outcomes for incontinence, prolapse, and dyspareunia are high when achieved and patients are highly motivated; stigma and reluctance to seek care remain the main barriers.
Pelvic health is arguably the strongest cash-pay niche in PT; patients routinely pay $150-$250+/session out of pocket, and private-pay pelvic practices are proliferating in urban and affluent markets.
A documented shortage of trained pelvic clinicians plus high patient motivation supports premium and concierge pricing; the EIM credential's depth (internal techniques, capstone exams) reinforces a premium positioning.
EIM is a well-known post-professional brand and the certificate is differentiating in most markets, though it is less of a household credential among patients than Herman & Wallace's series or the WCS board cert.
Pelvic-focused clinics scale by training and hiring additional certified clinicians with consistent internal/external protocols; the structured EIM curriculum aids standardization across hires.
Consumer demand is strong and growing, driven by postpartum recovery, menopause, perimenopause, and increasing men's pelvic-health awareness.
Tuition (~$4,950) is meaningful and the program spans 7-9 months, but ROI per training dollar is exceptional given premium cash-pay rates and scarcity of providers.
Recognized as a legitimate specialty competency and EIM has strong academic ties, but a certificate of completion carries less academic weight than ABPTS WCS or completion of an ABPTRFE-accredited residency/fellowship.
The pelvic health literature is expanding rapidly with active researchers, but holding the EIM certificate is not itself a scholarship marker.
Pelvic health is increasingly required content in DPT curricula and trained faculty are in short supply; the certificate's breadth (including internal-exam instruction) makes holders valuable lab/clinical instructors.
The clinical domain rests on robust Cochrane-level evidence for PFMT in incontinence, prolapse, antenatal/postnatal prevention, fecal incontinence, and pelvic pain, giving the taught content a strong evidentiary base.
Programs actively recruit pelvic-trained faculty; EIM-certified clinicians help meet that demand, though programs prefer WCS or residency-trained faculty when available.
Faster and cheaper than achieving WCS or completing an accredited residency while still covering most curricular pelvic-health content.
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- 01DOI ↗Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in womenDumoulin C, Cacciari LP, Hay-Smith EJC · Cochrane Database of Systematic Reviews · 201831 trials (1817 women); PFMT cures or improves urinary incontinence and supports PFMT as first-line treatment for women.Meta-analysisdoi:10.1002/14651858.CD005654.pub4
- 02DOI ↗Does it work in the long term? A systematic review on pelvic floor muscle training for female stress urinary incontinenceBø K, Hilde G · Neurourology and Urodynamics · 2013Reviews long-term effectiveness of PFMT for female stress urinary incontinence, supporting durable benefit when training is adhered to.Systematic reviewdoi:10.1002/nau.22292
- 03DOI ↗Conservative prevention and management of pelvic organ prolapse in womenHagen S, Stark D · Cochrane Database of Systematic Reviews · 2011PFMT reduces prolapse symptoms and severity versus control in women with pelvic organ prolapse.Systematic reviewdoi:10.1002/14651858.CD003882.pub4
- 04DOI ↗Individualised pelvic floor muscle training in women with pelvic organ prolapse (POPPY): a multicentre randomised controlled trialHagen S, Stark D, Glazener C, Dickson S, Barry S, Elders A, et al. · The Lancet · 2014One-to-one PFMT produced significantly greater reduction in prolapse symptom score at 12 months than lifestyle-advice control.RCTdoi:10.1016/S0140-6736(13)61977-7
- 05DOI ↗Pelvic floor muscle training for preventing and treating urinary and faecal incontinence in antenatal and postnatal womenWoodley SJ, Lawrenson P, Boyle R, Cody JD, Mørkved S, Kernohan A, Hay-Smith EJC · Cochrane Database of Systematic Reviews · 2020Antenatal/postnatal PFMT prevents and treats urinary incontinence in pregnant and postpartum women.Systematic reviewdoi:10.1002/14651858.CD007471.pub4
- 06DOI ↗Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trialMørkved S, Bø K, Schei B, Salvesen KÅ · Obstetrics & Gynecology · 2003Intensive antenatal PFMT significantly reduced urinary incontinence in late pregnancy and postpartum.RCTdoi:10.1016/s0029-7844(02)02711-4
- 07DOI ↗Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adultsNorton C, Cody JD · Cochrane Database of Systematic Reviews · 2012Biofeedback and sphincter/pelvic floor exercises may improve outcomes in adults with fecal incontinence.Systematic reviewdoi:10.1002/14651858.CD002111.pub3
- 08DOI ↗Multimodal physical therapy versus topical lidocaine for provoked vestibulodynia: a multicenter, randomized trialMorin M, Dumoulin C, Bergeron S, Mayrand MH, Khalifé S, Waddell G, Dubois MF · American Journal of Obstetrics and Gynecology · 2021Multimodal pelvic floor physical therapy produced greater reductions in pain and dyspareunia than topical lidocaine, sustained at 6 months.RCTdoi:10.1016/j.ajog.2020.08.038
- 09DOI ↗Interventions for preventing and treating low-back and pelvic pain during pregnancyLiddle SD, Pennick V · Cochrane Database of Systematic Reviews · 2015Exercise and tailored interventions reduce pregnancy-related low-back and pelvic girdle pain.Systematic reviewdoi:10.1002/14651858.CD001139.pub4
- 10DOI ↗Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work?Bø K · International Urogynecology Journal and Pelvic Floor Dysfunction · 2004Reviews mechanisms by which PFMT improves stress urinary incontinence, underpinning the physiological rationale taught in pelvic-health curricula.Narrative reviewdoi:10.1007/s00192-004-1125-0
- 11DOI ↗Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a Cochrane systematic review abridged republicationDumoulin C, Cacciari LP, Hay-Smith EJC · Brazilian Journal of Physical Therapy · 2019Republished Cochrane evidence reaffirming PFMT as effective first-line treatment for female urinary incontinence.Systematic reviewdoi:10.1016/j.bjpt.2019.02.012
- 12DOI ↗Efficacy of pelvic floor muscle training with physical therapy for low back pain: A systematic review and meta-analysisY. Lim; Y. Do; S. H. Lee; H. Lee · Clin Rehabil · 2024Meta-analysisdoi:10.1177/02692155241287766
- 13DOI ↗Physiotherapy for endometriosis-associated pelvic pain: a systematic review and meta-analysisG. Can; I. P. A. das Virgens; B. Fehér; E. P. Orbán; P. Fehérvári; F. Bánhidy; P. Hegyi; Á. A. Mayer; N. Ács · Pain Med · 2026Meta-analysisdoi:10.1093/pm/pnaf083
- 14DOI ↗Efficacy of pelvic floor physiotherapy intervention for stress urinary incontinence in postmenopausal women: systematic reviewA. P. Malinauskas; E. F. M. Bressan; A. M. Z. R. P. de Melo; C. A. Brasil; P. Lordêlo; L. Torelli · Arch Gynecol Obstet · 2023Meta-analysisdoi:10.1007/s00404-022-06693-z
- 15DOI ↗Effectiveness of nonpharmacological conservative therapies for chronic pelvic pain in women: a systematic review and meta-analysisM. Starzec-Proserpio; H. Frawley; K. Bø; M. Morin · Am J Obstet Gynecol · 2025Meta-analysisdoi:10.1016/j.ajog.2024.08.006
- 16DOI ↗Pelvic floor muscle training with biofeedback or feedback from a physiotherapist for urinary and anal incontinence after childbirth - a systematic reviewA. Höder; J. Stenbeck; M. Fernando; E. Lange · BMC Womens Health · 2023Systematic reviewdoi:10.1186/s12905-023-02765-7
- 17DOI ↗Pelvic floor physical therapy for functional constipation in children: a systematic review and meta-analysisJ. Hao; A. Remis; Y. Tang; B. Huang; Y. Pu; Y. Sun; Y. Yao · Pediatr Surg Int · 2025Meta-analysisdoi:10.1007/s00383-025-06029-3
- 18DOI ↗Traditional Biofeedback vs. Pelvic Floor Physical Therapy-Is One Clearly Superior?S. S. Ladi-Seyedian; L. Sharifi-Rad; B. Nabavizadeh; A. M. Kajbafzadeh · Curr Urol Rep · 2019Narrative reviewdoi:10.1007/s11934-019-0901-9
- 19DOI ↗Pelvic floor muscle training with feedback or biofeedback for urinary incontinence in womenA. C. N. Fernandes; C. H. Jorge; M. Weatherall; I. V. Ribeiro; S. A. Wallace; E. J. C. Hay-Smith · Cochrane Database Syst Rev · 2025Meta-analysisdoi:10.1002/14651858.CD009252.pub2
- 20DOI ↗Classic papers on pelvic floor physiotherapy: the most frequently cited articles in three decades (1983-2013)A. Fornari; C. Carboni · Int Urogynecol J · 2018Narrative reviewdoi:10.1007/s00192-018-3573-y
- 21DOI ↗Effect of pelvic floor muscle training on urinary incontinence symptoms in postmenopausal women: A systematic review and meta-analysisE. G. Marcellou; S. Stasi; V. Giannopapas; K. Bø; D. Bakalidou; M. Konstadoulakis; G. Papathanasiou · Eur J Obstet Gynecol Reprod Biol · 2025Meta-analysisdoi:10.1016/j.ejogrb.2024.11.040
- 22DOI ↗International Continence Society supported pelvic physiotherapy education guidelineE. Bakker; B. Shelly; F. H. Esch; H. Frawley; D. McClurg; P. Meyers · Neurourol Urodyn · 2018Clinical guidelinedoi:10.1002/nau.23350
- 23DOI ↗Pelvic floor muscle training as treatment for female sexual dysfunction: a systematic review and meta-analysisC. H. Jorge; K. Bø; C. Chiazuto Catai; L. G. Oliveira Brito; P. Driusso; M. Kolberg Tennfjord · Am J Obstet Gynecol · 2024Meta-analysisdoi:10.1016/j.ajog.2024.01.001
- 24DOI ↗Physiotherapy interventions for pelvic floor dysfunctions in stroke survivors - a scoping review of literatureS. Anklesaria; R. Padiyar; J. M. Solomon; K. Bø; A. R. Pai; C. R. Rao; S. Umakanth; P. Ramachandra · Top Stroke Rehabil · 2025Systematic reviewdoi:10.1080/10749357.2025.2463284
- 25DOI ↗Pelvic floor muscle training for urinary symptoms, vaginal prolapse, sexual function, pelvic floor muscle strength, and quality of life after hysterectomy: a systematic review with meta-analysesN. F. F. de Oliveira; C. H. Santuzzi; T. V. da Conceição; J. M. V. Freitas; F. M. G. Liberato; L. R. Nascimento · Braz J Phys Ther · 2024Meta-analysisdoi:10.1016/j.bjpt.2024.101122
- 26DOI ↗Physiotherapy interventions in the treatment of pelvic floor dysfunctions after gynaecological oncology procedures: a systematic reviewS. Tim; A. I. Mazur-Bialy · J Gynecol Obstet Hum Reprod · 2023Systematic reviewdoi:10.1016/j.jogoh.2023.102688
- 27DOI ↗Influence of pelvic floor muscle training alone or as part of a general physical activity program during pregnancy on urinary incontinence, episiotomy and third- or fourth-degree perineal tear: Systematic review and meta-analysis of randomized clinical trialsD. Zhang; K. Bo; R. Montejo; M. Sánchez-Polán; C. Silva-José; M. Palacio; R. Barakat · Acta Obstet Gynecol Scand · 2024Meta-analysisdoi:10.1111/aogs.14744
- 28DOI ↗Preoperative pelvic floor physiotherapy improves continence after radical retropubic prostatectomyM. I. Patel; J. Yao; A. D. Hirschhorn; S. F. Mungovan · Int J Urol · 2013doi:10.1111/iju.12099
- 29DOI ↗Comparisons of approaches to pelvic floor muscle training for urinary incontinence in womenE. J. C. Hay-Smith; M. Starzec-Proserpio; B. Moller; D. Aldabe; L. Cacciari; A. C. R. Pitangui; G. Vesentini; S. J. Woodley; C. Dumoulin; H. C. Frawley; C. H. Jorge; M. Morin; S. A. Wallace; M. Weatherall · Cochrane Database Syst Rev · 2024Meta-analysisdoi:10.1002/14651858.CD009508.pub2
- 30DOI ↗Pelvic Health Content in Canadian Entry-To-Practice Physiotherapy Programs: An Online SurveyS. Scodras; E. Yeung; H. Colquhoun; S. B. Jaglal; N. M. Salbach · Physiother Can · 2024Cross-sectionaldoi:10.3138/ptc-2023-0030
- 31DOI ↗Pelvic Floor Muscle Training Interventions in Female Athletes: A Systematic Review and Meta-analysisC. Rodríguez-Longobardo; O. López-Torres; A. Guadalupe-Grau; M. Á. Gómez-Ruano · Sports Health · 2024Meta-analysisdoi:10.1177/19417381231195305
- 32DOI ↗Adherence to Pelvic Floor Physical Therapy Referrals in Women With Fecal IncontinenceJ. H. Ross; A. Sinha; K. Propst; C. A. Ferrando · Female Pelvic Med Reconstr Surg · 2022Cohort studydoi:10.1097/SPV.0000000000001140
- 33DOI ↗Effectiveness of physical therapy interventions in women with dyspareunia: a systematic review and meta-analysisP. Fernández-Pérez; R. Leirós-Rodríguez; M. P. Marqués-Sánchez; M. C. Martínez-Fernández; F. O. de Carvalho; L. Y. S. Maciel · BMC Womens Health · 2023Meta-analysisdoi:10.1186/s12905-023-02532-8
- 34DOI ↗Which symptoms of pelvic floor dysfunction does physiotherapy improve after an OASI?G. Blades; C. Simms; H. Vickers; V. Kershaw; S. Jha · Eur J Obstet Gynecol Reprod Biol · 2021Cohort studydoi:10.1016/j.ejogrb.2021.07.048
- 35DOI ↗Pelvic floor physical therapy and mindfulness: approaches for chronic pelvic pain in women-a systematic review and meta-analysisC. C. Bittelbrunn; R. de Fraga; C. Martins; R. Romano; T. Massaneiro; G. V. P. Mello; M. Canciglieri · Arch Gynecol Obstet · 2023Meta-analysisdoi:10.1007/s00404-022-06514-3
- 36DOI ↗Effectiveness of Pelvic Physiotherapy in Children With Functional Constipation Compared With Standard Medical CareM. L. van Engelenburg-van Lonkhuyzen; E. M. Bols; M. A. Benninga; W. A. Verwijs; R. A. de Bie · Gastroenterology · 2017RCTdoi:10.1053/j.gastro.2016.09.015
- 37DOI ↗Effectiveness of Pelvic Floor Muscle Training on Quality of Life in Women with Urinary Incontinence: A Systematic Review and Meta-AnalysisC. A. Curillo-Aguirre; E. Gea-Izquierdo · Medicina (Kaunas) · 2023Meta-analysisdoi:10.3390/medicina59061004
- 38DOI ↗Postoperative Physiotherapy in Women Undergoing Pelvic Floor Reconstructive Surgery: A Randomized Controlled Clinical TrialC. Brandt; E. C. J. van Vuuren · Physiother Can · 2022RCTdoi:10.3138/ptc-2020-0053
- 39DOI ↗What is the evidence for abdominal and pelvic floor muscle training to treat diastasis recti abdominis postpartum? A systematic review with meta-analysisS. Gluppe; M. E. Engh; K. Bø · Braz J Phys Ther · 2021Meta-analysisdoi:10.1016/j.bjpt.2021.06.006
- 40DOI ↗Point of care ultrasound in pelvic health: scope of practice, education and governance for physiotherapistsM. Smith; G. M. Donnelly; L. Berry; S. Innes; J. Dixon · Int Urogynecol J · 2022doi:10.1007/s00192-022-05200-x