Hands on physiotherapy

Our team use their clinical expertise, wealth of practical knowledge and skills to provide the best physiotherapy treatment for our clients.

Manual therapy is a clinical approach based on skilled “hands on” therapy to manipulate muscles, ligaments, tendons, joints, and nerves. 

Hands on treatment decreases pain and improves mobility of joints that are not moving well, muscles, soft tissues and nerves that are tense. The aim of treatment is to achieve pain free movement by improving the range of motion and decreasing pain, stiffness and discomfort. There is an associated increase in blood flow and reduced inflammation to the treated area.

Early diagnosis and management of pain are essential to ensure recovery time is minimised and return to sport and daily activities is prompt. Pain relief is an important part of the initial treatment and hands on treatment is an effective way to achieve pain relief.

Combining hands on physiotherapy with corrective measures and specific exercise will ensure long-term recovery. Injury prevention is an important part of the treatment plan to help prevent recurrent or persisting problems.

We are passionate about helping you to return to pain-free, normal functioning and to get you back to doing what is most important to you – you will feel the difference!

Sports injury management

At our sports injuries clinic, we offer an accurate diagnosis of your sports injury. Our aim is to reduce downtime and speed up your recovery getting you back to your training and playing routine and helping prevent the risk of re-injury.

Sports physiotherapy treatment at Hurstville Physio Plus may involve:

decreasing inflammation and pain
assessing range of motion of the affected body part
assessing muscle strength to improve strength and mobility to enhance performance
protecting the area of injury with immobilisation, taping, bracing or using crutches
creating an individualised rehabilitation plan and helping your body adapt and recover from changes in movement.
educating the client on movement patterns involved in the specific sports injury and what treatment is needed to get back to preinjury performance and more.
preventing future injuries by analysing your movement patterns and posture to ensure your body is moving correctly, reducing the chances of future injuries.
holistic recovery: our comprehensive rehabilitation programs focus on improving your balance, coordination, strength and stability around the injured area for a complete recovery.
self-management strategies: we guide you through exercises, strapping/ bracing, learning how to modify your activity to reduce increased stresses on your injury.
Rehabilitation from a sports injury may only take a few days or can be a few weeks or even months depending on the type and severity of the injury. Our physiotherapists will work closely with you and we will get back to doing what you love without worry. We have direct referral pathways to local sports clinicians for prompt imaging and specialist review if needed.

Dry needling

Dry needling is often used as an additional treatment to relieve muscle spasm and pain, and restore function. Dry needling can decrease tightness of the muscles, increase blood flow, and improve movement.

What is dry needling and how does it work?

Dry needling releases myofascial trigger points, otherwise known as knots or spasm in the muscle that causes a pain. A sterile, single-use, fine filament needle (acupuncture needle) is inserted into the muscle. This technique allows muscle fibres, which have shortened when activated and have not been able to lengthen, to go back to a relaxed state. Dry needling resets the muscle and allows normal function and strength to be restored. The effect of dry needling can last up to 3 weeks.

When is dry needling used?

Dry needling can be used for many musculoskeletal conditions and is often used in addition to other treatment options. Some of the main conditions we treat with dry needling include:
acute and chronic back pain
neck pain
migraine and chronic tension-type headache
pelvic girdle pain
knee osteoarthritis
lateral elbow pain
shoulder conditions
Our physiotherapists Hurstville Physio Plus have been specifically trained in dry needling and have extensive experience utilising these techniques.

Pre & post-op rehabilitation

Post-surgery, physiotherapy plays a pivotal role in rehabilitation, to regain essential daily activities such as walking, muscle strength, and joint range of motion. Whether you are preparing for surgery or recovering from acute or chronic conditions requiring intervention, physiotherapy can contribute significantly to your overall well-being.

By fostering fitness and strength pre-surgery, physiotherapy sets the stage for improved surgical outcomes by addressing both the physical and functional aspects of the affected body part. Our physiotherapists are adept at tailoring exercise programs to keep you as active as possible and, if necessary, assist with weight management.

Our physiotherapists are dedicated to supporting your recovery and achieving your rehabilitation goals post-surgery. We focus on alleviating pain and swelling, stimulating and strengthening affected muscles, maintaining joint mobility, and improving overall flexibility for a smoother recovery process. We are committed to developing personalised exercise programs that empower you to regain function and movement.

We work collaboratively with your surgeon to ensure that your rehabilitation protocol aligns with the specific milestones tailored to your surgery and to get the best overall outcome from your surgery.

Exercise prescription

Exercise is integral to the physiotherapy rehabilitation process of an injury to sustain recovery in the longer term. Prevention of future injury is a major focus for our physiotherapists at Hurstville Physio Plus. Correct muscle identification and specific positioning during exercise is essential to ensure optimal technique, speedy recovery and prevent further injury.

Our physiotherapists will demonstrate exercise techniques and will get you to practice in our on-site gym and make modifications to position, type of muscle contraction and appropriate loading if needed. Correcting your exercise technique will ensure that the risk of repeat injury is minimised.

You will be provided with exercises to complete at home between sessions to get the best benefit from your treatment program. We have various products available to help you be able to replicate the exercises safely and confidently at home.

Casting & splinting

Our physiotherapists are fully trained in the application and removal of waterproof casts and splints.

Usually, we can fit you in for a same-day appointment. Just bring in your recent x-rays and reports to the clinic and you will be in safe hands.

Sometimes a cast is not the best option and a brace or boot/walker may be a better alternative. We stock a variety of products but we may need to order one especially for you to ensure the best fit, suitable immobilisation and of course your comfort.

We can remove any type of cast (whether we have fitted them or not). Once a cast I removed, rehabilitation is usually necessary and we can provide the necessary treatment and exercise program to get you back to full mobility and function

Men’s health

Men's health physiotherapy addresses the unique health concerns and conditions that specifically affect men. Our physiotherapists are also extremely knowledgeable about the male body across the whole lifespan. Their focus is on the pelvic, musculoskeletal and functional aspects of men's health to achieve optimal physical function and improve men’s quality of life.
Key aspects of men's health physiotherapy:
Pelvic floor rehabilitation - addressing problems such as urinary incontinenceand pelvic pain.
Pre- and post-prostate surgery care - pre-operative education and post-operative rehabilitation, helping to regain bladder control and managing pelvic floor issues.
Musculoskeletal conditions - providing active hands-on treatment, exercises and strategies to alleviate pain, often focusing on muscle strengthening and posture improvement.
Orthopedic rehabilitation - designing rehabilitation programs to restore mobility, strength and function.
Exercise prescription - tailoring exercise programs to address specific health goals, promoting heart health and overall fitness, and improving mobility and preventing injuries.
Injury prevention - education on proper body mechanics, injury prevention, and overall wellness to minimise the risk of future health issues.
Independence and functional mobility - improving overall functional mobility, helping individuals maintain independence in daily activities.
Men's health requires a highly individualized approach by our physiotherapists based on the specific needs and conditions of each client. Our physiotherapists will work closely with you to develop comprehensive treatment plans that address both current issues and long-term health goals. Often exercise is extremely therapeutic for men and getting back to being able to exercise is extremely important for their mental and emotional wellbeing.

Women’s health

Women's health physiotherapists are experts in assessing and treating conditions related to the pelvic floor and reproductive health. They address issues such as pelvic pain, incontinence, and pelvic organ prolapse.

General women’s health services currently offered at Hurstville Physio Plus include:

Pregnancy - guidance and exercises to maintain pelvic health, maintaining body strength and preparing for childbirth.
Postpartum care - addressing issues like diastasis recti (abdominal separation) and pelvic floor rehabilitation.
Pre- and post-surgical rehabilitation - helping with pre-operative education and post-operative rehabilitation to optimize recovery after gynecological or pelvic surgery.
Musculoskeletal issues - addressing back pain, hip pain, and pelvic girdle pain which may be associated with pregnancy, childbirth, or hormonal changes.
Education and lifestyle modification - education on proper pelvic health practices, including posture correction and exercises to promote overall well-being.
Biofeedback and electrical stimulation - helping to improve awareness and control of muscles particularly the core muscles and posture control.
Exercise prescription - specific exercise programs to strengthen or relax the pelvic floor muscles and overall wellbeing.
Our physiotherapists will collaborate with other healthcare professionals and refer for specialist review when required to optimise women’s health.

Healthy ageing / active ageing

Healthy ageing is the process of developing and maintaining the functional ability that enables wellbeing during ageing. Everybody deserves to experience healthy ageing and do what is most valuable to them throughout their lives.

At Hurstville Physio Plus we believe that early intervention is essential to reduce the effects of aging and is key to better outcomes for our clients.

Our physiotherapists are passionate about increasing the health and wellbeing of our clients and helping to maintain independence and quality of life. They will complete an initial assessment and develop meaningful goals based on your main concerns and limitations to get your body moving better functionally, and with reduced discomfort or pain. The physiotherapist will develop an exercise program tailored to your individual needs and relevant to any injuries while focusing on overall functional goals of strength, endurance and balance.

How does physiotherapy support health ageing?

improves flexibility, muscular strength, mobility and daily physical function to help reduce pain
prevents falls and subsequent hip fractures and hospitalisation, by improving balance and posture
promotes healthy joints and muscle to maintain mobility and strength particularly in the weight bearing joints like the hips and knees.
supports strengthening of muscles and joints due to natural aging processes and pre- and post-surgery rehabilitation
improves quality of life for those living with chronic or systemic disorders.

Sports taping

Traumatic and overuse injuries are common for many athletes and active people. Sports taping can be used in the rehabilitation process to enable a level of activity to be maintained during an injury. It can also enable early return to sport/training and minimise time lost for injury.

Sports taping involves the direct application of tape to the skin to stabilise joints and support surrounding ligaments. This technique helps maintain the muscles and tendons, contributing to the overall stabilisation and realignment of joints and ligaments.

Sometimes ongoing use of tape or braces, beyond rehabilitation periods, is used even if an injury as not been sustained. However, the evidence for the benefits of taping and bracing beyond rehabilitation is mixed but it can give a level of confidence, support and reassurance needed to stay playing and avoid ongoing niggling injuries.

Types of sports tape:

Rigid/ supportive tape – strong and rigid with minimal elastic properties - commonly used for ankles, knees, shoulders, elbows, wrists and fingers.
Kinesiology tape – thin, stretchy and moves with the body rather than restricting joint, ligaments or muscles. And often colourful!
Dependence on taping can lead to weakness, stiffness, decreased balance and reduced function which can increase injury risk. A structured rehabilitation program for injury recovery and improved performance is recommended by our physiotherapists.

We provide priority appointments for taping prior to training and game day for local athletes.


Ultrasound works by sending sound waves safely through the bodies tissue to create heat and massaging effect of cells in body tissue. Physiotherapists use ultrasound to treat various conditions, often in conjunction with other treatments.

Treatment with ultrasound can help relieve pain, increase blood flow, reduce swelling and inflammation, and promote tissue healing by pushing or moving tissue, and heating tissue.

Ultrasound is commonly used to treat acute soft tissue injuries (pulsed with a low intensity so as not to create a heating effect) such as ligament sprains or muscle tears. It speeds up the rate of healing, improves the quality of the repair and increases the strength of the soft tissue. Ultrasound also can positively impact the arrangement of collagen during tissue repair, leading to improved strength and increased flexibility in scars.

Chronic conditions also benefit from ultrasound (used in a continuous mode to create direct heat and massage effect) to boosts blood circulation to the affected region, initiating the healing process and alleviating pain.

Our physiotherapists most often use ultrasound to treat muscle strains and tears and reduce muscle spasm. It is also beneficial particularly after surgery to help break down scar tissue and improve the quality of repair.

EMG muscle biofeedback

EMG (electromyography) biofeedback has been shown to be useful in both musculoskeletal and neurological rehabilitation. EMG biofeedback can be used to either increase activity in weak or paretic muscle or it can be used to help reduce tone is a spastic one. It can be used for individuals of all ages and abilities.

Our physiotherapists use EMG biofeedback to reduce overactive muscles, reduce pain, and increase range of motion to reduce movement dysfunction. It is a safe and non-invasive treatment using electrical sensors, connected to a body part to measure muscle tightening, that sends information to a screen. that can be used for individuals of all ages and abilities.

The visual feedback gives awareness of muscle tension enabling active steps to be made to control it. The physiotherapist will help you to learn how activate and coordinate specific muscles and practice new ways to control your body. The data provided by the device is not only accurate but reliable

Benefits of EMG biofeedback:

assessing and retraining muscle activation in postures, gait, or/and movement
displaying dysfunctional patterns and helping create better functional movement patterns
offering effective training tools and assessment in pain, stress, etc
visualising the mind-body processes and connections
motivating clients to excel in rehabilitation and stay positive


Massage can be used in combination with or complementary to physiotherapy. Benefits of massage include reduced pain and inflammation, improved mobility and muscle function, better recovery and healing, lymphatic drainage and relaxation and stress relief.

There are a variety of massage techniques that can be used. Our physiotherapists are skilled din massage techniques and will assess your specific needs and recommend the most appropriate massage technique for you to achieve your goals.

Type of massage therapy, include:

Deep tissue massage – firm pressure to relax tight muscles and break up
scar tissue and adhesions - chronic pain, muscle tension, and injuries.
Trigger point therapy - pressure to release specific trigger points in the muscles to reduce pain and tension - headaches, carpal tunnel syndrome, and chronic pain in the neck, shoulders, and back.
Myofascial release - gentle pressure to release tension and restrictions in the fascia/connective tissue throughout the body - chronic pain, headaches, and fibromyalgia.
Sports massage - improves flexibility, reduces injury risk and accelerates recovery time after intense activity – preparation and recovery from high -intensity training or sports.
When massage is used in combination with other treatments massage can increase the recovery time of musculoskeletal injuries.

In-home physiotherapy

We have a dedicated team of physiotherapists who can provide in home physiotherapy service in St George and Sutherland Shire areas, especially for those with longer-term requirements. This service is provided by our sister company
Action Home Rehab Physiotherapy.

Many chronic health problems, acute injuries, post-surgery rehabilitation and stroke rehabilitation clients are managed more effectively when treated in the comfort of their own homes. Practical problems affecting everyday living in your home can be addressed with exercises and rehabilitation specifically tailored to your home environment.

Physiotherapy at home also enables other family members or careers to be involved in the development of management plans and helps gain a better understanding of the condition and how to help.

Our home visit service extends to visits to Aged Care facilities either during periods of respite or for longer-term care.

What home visit clients can expect from home visit physiotherapy:

one-on-one treatment sessions
tailored rehabilitation programs to suit each client’s needs
to gain confidence and mobility to stay living safely in their own home
regular updates to family, carer and GP/specialists.


Your journey to better movement and vitality starts here