Nelly graduated from the University of Toronto Physiotherapy Program in 1996 and has been exclusively treating pelvic dysfunction since 1998. She currently co-owns and operates seven physiotherapy clinics in Toronto, Ontario, Canada and is an ongoing mentor to many physiotherapists. Nelly co-developed a post-graduate educational company in 2009 called Pelvic Health Solutions that is now the largest private pelvic health teaching company in Canada. She speaks at numerous local and international conferences, has developed continence programs, contributed to chapters of textbooks and continues to be involved in research.