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PINC & STEEL is more than just helping people after cancer, it is about giving hope, strength and courage.


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PINC & STEEL is more than just helping people after cancer, it is about giving hope, strength and courage.



Cancer Rehabilitation provides so many benefits to people affected by cancer. It reduces unnecessary disability & loss of function, however, the frailty of patients, co-morbid conditions, advanced cancer, side effects of cancer treatments, and a host of other factors contribute to making this one of the most medically complex populations that physiotherapists and occupational therapists treat.

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There are numerous important rehab considerations that are unique to this population. In addition, cancer treatments and protocols are constantly advancing, therefore cancer rehab therapists need to keep up to date to ensure the safety of the patients they treat.
Assessing each patient through the lens of providing safe rehabilitation interventions in a medically supervised setting is required.

12-Week Certification Program

for selected Physiotherapists and Occupational Therapists

The PINC & STEEL International Education Academy was established in 2008 after the success of the PINC & STEEL Pilot Program running in Auckland, New Zealand.  The Education Academy expanded the course delivery into a comprehensive cancer rehabilitation certification which is now recognised around the world.  The certification courses cover all phases of treatment and recovery for all types of cancer.   The online delivery has been designed to fit around a busy allied healthcare professional's schedule to ensure they can still work full time and complete the course. 

There have been many advances in online learning forums and the presentations are videoed and webinars are interactive. Online learning allows our students to be exposed to a wider range of highly qualified expert lecturers. We believe this platform delivers better content, better learning experience, wider range of expert lecturers and is less expensive for the participant.

The Course Curriculum plus
  • The course curriculum is divided into four modules of three weeks each, and comprising of eight units of learning per module.  Each module consists of lectures, presentations, and case studies followed by an interactive webinar. 
  • Module One - Pre and Postoperative phase (including surgery for breast, head and neck, colorectal, gynaecological, and prostate cancers and reconstruction surgeries)
  • Module Two-  Medical management phase (including presentations from oncologists and physicians, chemotherapy, radiation therapy, hormone treatments, and immunotherapy)
  • Module Three - Recovery and Fitness and Survivorship Phase (including information on late effects of cancer treatment and the latest evidence-based best practice on exercise and fatigue management)
  • Module Four – Advanced cancers / Palliative care and Marketing information to increase referrals  

Links to the week's presentations will be sent by email every Wednesday – for 12 weeks. You just need to click on the links and you will be able to view the presentations in your own time during the week.    The course content would not exceed more than 2 hours per week.

After you have reviewed all the presentations in the module an interactive webinar will be scheduled – which is essentially an 'online meeting' where we can discuss the course content and answer questions about the more practical aspects of treating cancer patients.  We have therapists on our courses from several different countries and you will get to meet and hear from some of them during the interactive webinars throughout the course.  

Why the move to online training? plus

Advances in diagnosis and medical treatments for cancer patients and research into cancer rehabilitation have led to more course content being necessary to ensure our certified therapists are adequately trained.   

Our online certification forum was established in 2014 and has been hugely popular with our therapists as they can still work full-time and still complete the course.  There are no travel or accommodation expenses and the interactive webinars mean you still get face-to-face practical advice and discussion with other therapists.   It also allows PINC & STEEL International to access a wide range of experts in the Oncology medical field to deliver presentations in the certification course.  

10 reasons why healthcare professionals should be more involved

in helping people recover better and live well after a cancer diagnosis

1) Help prevent unnecessary disability plus

The number of people living longer and surviving cancer is growing, however these people may be living with long-term side effects of the disease and treatment (both physical and emotional), which make them feel they haven’t ‘beaten’ cancer at all.    Side effects may be visible during or very soon after treatment, or they may take months and years to be seen. Many of these side effects can significantly affect quality of life. Cancer Rehabilitation Physiotherapists can help minimise the risk of short and long-term side effects and help prevent unnecessary disability.

2) Provide support for the whole patient, not just their cancer plus

The primary focus of oncology medical professionals is to eliminate or control disease by suppressing cancer cell growth (chemo, radiation) or directly removing the tumour (surgery). These treatments are increasingly successful but they also damage ‘normal’ tissue. While oncology specialists seek the best possible outcomes, i.e. the absence of any residual cancer – this does not mean genuine, meaningful recovery is complete. The Cancer Rehab Physiotherapists’ focus is on supporting the whole patient, not just addressing their cancer. 

3) Support effective self-management strategies plus

Physiotherapists have a very important educational role during and after cancer treatments to help people understand how they can help themselves. Cancer treatments are tough but are more manageable when people know what to expect and are given good advise on all the things they can do to maximise their own recovery. Ongoing education throughout cancer treatment is also vital to heighten the patient’s awareness of the potential late effects from treatment and to promote a proactive approach to their diagnosis and treatment. In addition, Physiotherapists work to reinforce health-promoting behaviours such as exercise, weight control and physical activity and help their patients take positive steps for their future health and wellbeing.

4) Restore movement and function plus

Cancer Rehabilitation Physiotherapists are experts in restoring movement and function to people affected by cancer. However, it doesn't stop there. There is also strong evidence supporting rehabilitation and exercise not only help people physically but also emotionally, vocationally and socially. 

5) Help Manage fatigue, during and after treatment plus

Cancer Rehabilitation Physiotherapists are experienced in the management of fatigue during and after cancer treatment. It is very important to manage fatigue symptoms; to provide adequate support for people remaining at work as well as returning to work. There is also an abundance of evidence that regular moderate exercise can decrease feelings of tiredness, lack of energy and fatigue. During cancer treatment it is often possible to continue exercising if it is carefully prescribed by a Cancer Rehabilitation Physiotherapist.

6) Assist the psychological recovery plus

There is an emotional toll that cancer survivors face in addition to the physical one. A cancer diagnosis can cause depression, anger, anxiety, fear and stress. Proper breathing techniques, stretching, reassurance and education can help improve psychological recovery. 

7) Prevent further degeneration of health plus

If symptoms are not managed throughout treatment there is a greater risk a patient will have problems coping. The combined burden from treatments and lack of physical activity can cause de-conditioning, which can further exacerbate fatigue and lead to a longer road to recovery. Cancer Rehabilitation Physiotherapists can help patients overcome the significant physical and functional impairments suffered after cancer surgery and treatments that act as major barriers to resuming physical activity.

8) Assist, treat and support patients through every stage of their treatment and recovery plus

Opportunities for physiotherapists to screen for and treat impairments in cancer patients begin shortly after diagnosis and continue even years after the completion of cancer treatment. Our care continuum includes prehabilitation (interventions designed to increase function prior to surgery or treatment), rehabilitation during acute cancer care, rehabilitation after acute cancer care and rehabilitation of patients with cancer as a chronic condition.

9) Deliver safe and effective exercise programs plus

The thought of exercise can be overwhelming to people affected cancer, but a well-designed exercise program may help them feel better physically and mentally, and it may also decrease the risk of further disease. Numerous studies show that being physically active appears to improve survival and quality of life. Patients are at increased risk of osteoporosis, cardiovascular disease, diabetes, functional decline and cancer recurrence. 


10) Reduce and decelerate the impact of a range of symptoms plus

Physiotherapy rehabilitation services can help patients:

  • maintain their independence; 
  • increase their strength, range of motion, functional status, and physical activity levels;    
  • manage their fatigue, and pain;       
  • restore bowel and bladder function, and
  • help people return to work, sport and activities they love.


Cancer Rehabilitation is very rewarding work for healthcare professionals to be involved in and you can truly make a big difference to people's lives. 
Cancer patients endure a huge amount and their journey is long and uncertain. I have been privileged to meet many inspiring people through my work and observe their strength and uncommon wisdom. It is not simply that they see the big picture, if you spend long enough with them they help you see it too.   
Lou James, Pinc & Steel Founder 

Move Over Cancer T-shirt

Women's and Man’s Move Over Cancer T-shirts are white and black and come in all sizes

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365 Survive to Thrive Journal

Helps motivate, encourage and support women to start on a path to recovery and good health.