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Perimenopause + Pilates Cammeray, Physio On Miller

Physiotherapy for Perimenopause – Empowering Women Through This Stage

Physiotherapy for perimenopause offers targeted, evidence-based support to help women manage hormonal changes, reduce symptoms, and maintain long-term physical health.

Perimenopause marks a significant transitional stage in a woman’s life, typically beginning in the mid-40s and continuing for several years. Driven by fluctuating levels of estrogen and progesterone, this phase initiates a cascade of physiological changes—many of which go far beyond what can be seen or felt.

Women may experience joint pain, fatigue, sleep disturbances, pelvic floor dysfunction, and changes in cognitive clarity (often described as “brain fog”). Less visible, but equally important, are the declines in muscle mass, bone density, and connective tissue integrity—all of which can affect long-term health and function.

While these changes are natural, they are not inevitable in their impact. At our clinic, we specialise in physiotherapy for women navigating perimenopause designed to help you move with confidence, strength, and clarity. Our approach is evidence-based, holistic, and compassionate—helping you feel connected to your body and supported every step of the way.

Physiotherapy for Perimenopause – How We Can Help

Our experienced physiotherapists understand the wide-reaching effects of hormonal change during perimenopause. We provide personalised, clinical care focused on restoring strength, mobility, and balance—both physically and mentally.

Pelvic Floor Physiotherapy

Hormonal fluctuations can lead to weakening of the pelvic floor muscles, contributing to bladder changes, pelvic pressure, pain, or discomfort during intimacy. Our physiotherapists assess and treat these concerns with gentle, non-invasive techniques to:

  • Improve pelvic floor and core muscle function
  • Reduce urinary urgency or leakage
  • Support sexual and pelvic health
  • Re-establish confidence in daily movement and exercise

Whether symptoms are subtle or significantly affecting your quality of life, early intervention can restore control and function.

Strength & Resistance-Based Gym Programs

During perimenopause, estrogen decline accelerates sarcopenia (loss of muscle mass) and bone demineralisation, increasing the risk of osteoporosis, falls, and metabolic issues. Our physiotherapists create individualised gym programs that focus on:

  • Building and maintaining lean muscle
  • Improving joint stability and posture
  • Supporting cardiovascular health and metabolic resilience
  • Enhancing endurance, balance, and daily function

These one-on-one sessions are designed to meet you where you are, with tailored progressions that prioritise safety, motivation, and measurable results.

Clinical Pilates Classes

Our Clinical Pilates classes are taught by physiotherapists. With a focus on core control, breath, postural alignment, and spinal mobility, Pilates can help:

  • Address stiffness and joint discomfort
  • Improve balance and proprioception
  • Reduce injury risk during midlife transitions
  • Enhance mood, sleep, and body awareness

With small group sizes and clinical supervision, you’ll benefit from a personalised approach that nurtures both strength and recovery.

Bone & Postural Health Support

Estrogen decline directly affects bone remodeling, resulting in decreased bone mineral density, particularly in the spine and hips. Changes in collagen production can also impact tendon elasticity and joint stability. Our programs include:

  • Weight-bearing and resistance training to stimulate bone growth
  • Postural assessments and corrective exercises
  • Education on fracture prevention and joint protection
  • Early detection strategies for osteopenia and osteoporosis

By addressing these invisible changes now, we help reduce long-term risk and support healthy ageing.

You Deserve Support That Understands Your Changing Body

Perimenopause doesn’t just affect hormones—it influences nearly every system in the body. Our integrated approach considers both the visible and silent changes happening beneath the surface, with a focus on prevention, education, and empowerment.

You’re not alone in this transition. Our team is here to guide you with compassionate care, grounded in clinical expertise and tailored to your unique experience.

Ready to Move Through Perimenopause with Confidence?

Let’s create a plan that supports your strength, mobility, and well-being—today and into the future.
Book a consultation with our physiotherapy team and take the first step toward thriving through perimenopause—and beyond.

Physiotherapy and Strength training for osteoporosis

Strength Training and Osteoporosis: How Physiotherapy Helps You Stay Strong and Safe

Osteoporosis affects millions worldwide and is a leading cause of fractures in older adults—often occurring with little or no trauma.  Osteoporosis is often called the “silent disease” because it can progress without symptoms until a fracture occurs. At our clinic, we frequently see how the effects of low bone density can impact mobility, independence, and quality of life. Fortunately, one of the most effective ways to manage—and even prevent—osteoporosis is through strength training.

What Is Osteoporosis?

Osteoporosis is a condition where bones become weak and brittle due to a loss of bone mass and density. It primarily affects postmenopausal women and older adults, but it can occur in younger individuals as well. Common fracture sites include the spine, hip, and wrist—areas that are crucial for mobility and everyday function.

Why Strength Training?

While many people associate exercise with cardiovascular health or weight loss, strength training (also known as resistance training) plays a unique and essential role in bone health. Here’s why:

1. Stimulates Bone Growth

Bones are living tissue. Just like muscles, they respond to the stress of exercise. When you engage in strength training, your muscles pull on your bones, which signals your body to build stronger, denser bone tissue.

2. Improves Balance and Reduces Fall Risk

Falls are the leading cause of fractures in people with osteoporosis. Strength training enhances muscle control, balance, and coordination, reducing the risk of falls. Stronger muscles also provide better support and cushioning for bones.

3. Supports Joint Health and Posture

Resistance exercises help stabilize joints and improve posture, which is particularly important for individuals with spinal bone loss. Better posture also reduces the risk of vertebral compression fractures.

4. Boosts Confidence and Independence

Many patients tell us that as they get stronger, they feel more confident performing daily tasks—whether it’s carrying groceries, gardening, or playing with grandchildren. Strength training supports long-term independence.

Does Physiotherapy Help Osteoporosis?

Physiotherapy is essential in safely managing osteoporosis. Here’s how:

  • Individual Assessment
    A physiotherapist can evaluate your bone health, movement patterns, strength, and balance to identify risks and create a customized plan.
  • Safe Exercise Prescription
    Not all exercises are safe for those with low bone density. We guide you through the right types of movements for you.
  • Posture and Spinal Health Support
    We work on correcting posture, reducing spinal strain, and building core strength to prevent future vertebral fractures.
  • Fall Prevention Training
    Through balance exercises, functional movement training, and home safety advice, we reduce your risk of falls—which is one of the biggest concerns with osteoporosis.
  • Pain and Fracture Recovery
    If you’ve already suffered a fracture, physiotherapy plays a key role in recovery—helping restore movement, reduce pain, and improve mobility without putting your healing bones at risk.

What Kind of Strength Training Is Safe?

If you have osteoporosis or low bone density, it’s important to work with a trained physiotherapist to develop a safe, individualised program. Exercises we often recommend include:

  • Bodyweight movements like squats, wall push-ups, and step-ups
  • Resistance bands or light free weights to gradually increase load
  • Weight-bearing aerobic exercises like marching or stair climbing
  • Core strengthening to improve balance and spinal support

We also emphasise proper technique, posture, and progression to ensure exercises are both safe and effective.

Getting Started

At Physio On Miller, our physiotherapists are experienced in working with patients with osteoporosis. We offer:

  • Individual assessments to understand your current bone health, strength, and mobility
  • Personalised strength training programs tailored to your needs and goals
  • Supervised exercise classes to help with technique and the bonus of social connection
  • Ongoing support and progression tracking to help you safely build strength over time

Osteoporosis doesn’t have to mean giving up an active lifestyle. With the right guidance, strength training can help you build stronger bones, reduce your risk of fractures, and maintain control over your health.

If you or a loved one is dealing with osteoporosis, book today to schedule an assessment. Let’s build strength—and confidence—together.

Exercise based rehab

Why Exercise Based Rehab Is the Key to Long-Term Pain Relief

Ditch the quick fixes—let’s get to the root of your pain.

Wanting to know if exercise-based rehab is right for you? Firstly if you’re dealing with nagging back pain, a stiff shoulder, or recurring injuries that just won’t quit, you’re not alone—and you’re not stuck. However many people try to manage pain with rest, medications, or passive treatments like massage and heat therapy. These might help you feel better in the moment, but they don’t always keep the pain from coming back.

The real game-changer?
Exercise-based rehabilitation—an active, proven approach to lasting recovery and stronger movement.

What Is Exercise Based Rehab?

It’s exactly what it sounds like: a personalised program of therapeutic exercises designed by your physiotherapist to:

✅ Strengthen weak or injured muscles
✅ Improve joint mobility and flexibility
✅ Restore proper movement patterns
✅ Reduce inflammation and pain
✅ Prevent future injuries

In other words it’s not about pushing through pain—it’s about retraining your body so it moves better, feels stronger, and stays pain-free for the long haul.

Why Exercise Based Rehab Works – Backed by Research

Research consistently shows that exercise therapy is one of the most effective treatments for musculoskeletal pain—especially chronic conditions like low back pain, osteoarthritis, and tendon injuries.

For example:

  • A 2021 review in the British Journal of Sports Medicine confirmed that exercise is more effective than passive treatments for chronic low back pain.
  • The American College of Physicians recommends exercise as a first-line treatment for many pain conditions—before considering medications or surgery.
  • Studies show that strength training and mobility work reduce recurrence rates of injuries, particularly in the knees, shoulders, and spine

In other words, movement really is medicine—when it’s guided, progressive, and designed just for you.

Stronger Muscles = Less Pain

When muscles are weak or imbalanced, your joints, tendons, and ligaments end up doing all the heavy lifting. That’s a fast track to injury and chronic pain.

Therefore with a well-designed rehab program, we help:

  • Rebuild core and postural muscles to protect your spine
  • Strengthen glutes and legs to ease pressure on knees and hips
  • Restore shoulder mobility to reduce neck tension and headaches
  • Improve balance and coordination to reduce falls and strains

The goal? Empower your body to support itself—so you can get back to living life, not just managing symptoms.

It’s Personal (Just Like Your Pain)

No cookie-cutter workouts here. At Physio On Miller, we take a different approach. First, our physiotherapists carefully assess how your body moves. Then, we identify the true cause of your pain. From there, we create a customised exercise plan that fits your lifestyle and supports your goals.

But we don’t stop at just handing you a plan. Instead, we guide you through every step—safely and at your pace—so you feel confident, not confused. Whether you’re recovering from surgery, managing a chronic condition, or just want to stop that stubborn ache from coming back, we’ve got your back (and knees, shoulders, and hips too!).

Ready to Ditch the Pain and Move Forward?

It’s time to stop patching up pain and start fixing it at the source. Let’s build a stronger, more pain-free you—one movement at a time.

Book your assessment today and let’s get started on a rehab plan that actually works.

Dry needling

Dry Needling Physiotherapy: What It Is, How It Works & Why You Should Book Now

Do you feel stuck in a cycle of tight muscles, nagging pain, or reduced mobility — despite stretching, massage, or rest? Whether you’re stuck at a desk all day, pushing yourself in the gym, or recovering after childbirth, dry needling could be the breakthrough your body needs.

To begin with, dry needling is a modern, evidence-based technique used by physiotherapists to target myofascial trigger points — those tense, tender “knots” in your muscles that cause pain, stiffness, and sometimes referred discomfort. With a thin, sterile needle inserted directly into the muscle, dry needling works to release tension, restore mobility, and reboot your body’s natural healing response.

While it may look like acupuncture, which is rooted in traditional Chinese medicine, dry needling is based on Western anatomical science — and the results speak for themselves.

What Does It Feel Like?

At first, you may feel a quick twitch or dull ache, but it’s usually short-lived. Most clients report feeling looser, lighter, and more mobile within a day or two. In fact, many experience noticeable relief immediately after treatment.

Why Dry Needling Works (and Works Well!)

Now that we’ve covered what dry needling is, let’s look at why it’s so effective. When combined with physiotherapy exercises and hands-on treatment, dry needling can offer powerful benefits:

Relieves Pain: Say goodbye to chronic tension, sharp muscle pain, and postural aches.
Improves Movement: Tight, stiff muscles? Dry needling helps lengthen and release them.
Speeds Up Recovery: Ideal for athletes and active clients needing to bounce back faster.
Reduces Stress Tension: Targets muscles affected by emotional or work-related stress.
Boosts Healing: Increases circulation and tissue repair at a deep muscular level.

In other words, it helps you move better, feel stronger, and get back to doing what you love — faster.

Is Dry Needling Right for You?

So, how do you know if dry needling is a good fit? If any of these situations sound familiar, it might be time to book:

  • Office strain – Neck, shoulder or back tightness from hours at a desk? This treatment can ease tension and boost posture.
  • Active lifestyles – Whether you’re training for a marathon or hitting weekend workouts, tight hamstrings, calves, and hips can limit your performance. This technique helps you recover quicker, move better, and prevent overuse injuries.
  • Postnatal recovery – Tension in the back, hips, or pelvis after childbirth? Dry needling can relieve muscle pain and support a smoother recovery journey.

Still Not Sure? Here Are More Signs You Could Benefit:

  • You’ve tried stretching or massage, but nothing’s worked
  • You feel restricted or stiff in certain movements
  • You’re dealing with recurring injuries or overuse issues
  • You want to enhance your recovery and reduce soreness
  • You’re postpartum and need relief from tension or muscular imbalances

Ready to Move Freely, Feel Better & Live Pain-Free?

You don’t have to put up with nagging muscle pain or stiffness. Dry needling is a fast, effective, and powerful way to restore your body’s balance — and it could be the breakthrough your rehab or recovery needs.

Book your appointment with our expert physiotherapy team today. Let’s get you moving, pain-free and powerful again — your muscles will thank you!

Shoulder pain and rotator cuff injury Physio On Miller

Shoulder Pain: How Physiotherapy Can Help with Rotator Cuff Injuries

Whether you’re a weekend warrior, desk professional, or avid gym-goer, shoulder pain can be a major setback — especially when it stems from a rotator cuff injury. At Physio On Miller, we regularly work with clients who take ownership of their recovery, and one of the most common concerns we see is rotator cuff-related shoulder pain.

But what exactly is a rotator cuff injury, and how can physiotherapy make a measurable difference in your recovery? Let’s take a closer look.

Understanding the Rotator Cuff

The rotator cuff is a group of four small but powerful muscles and their tendons that surround the shoulder joint. They play a key role in stabilising your shoulder and allowing you to lift and rotate your arm.

Injuries can occur gradually from overuse — such as repeated overhead movements — or suddenly due to trauma or lifting something too heavy. Common types of rotator cuff injuries include:

  • Tendonopathy (inflammation of the tendons)
  • Tears (partial or full thickness)
  • Impingement (tendon gets pinched during shoulder movement)

Symptoms typically include shoulder pain (especially with lifting or reaching overhead), weakness, and limited range of motion.

How Physiotherapy Helps with shoulder pain

When it comes to healing and restoring shoulder function, physiotherapy offers a non-invasive, highly effective solution. Our approach combines hands-on treatment with individualised exercise programs to guide you through every phase of recovery.

1. Manual Therapy

Manual therapy can significantly reduce pain and improve joint mobility. This may include:

  • Soft tissue release to reduce muscle tension and improve circulation
  • Joint mobilizations to restore normal shoulder mechanics
  • Trigger point therapy including dry needling, to address referred pain patterns

These techniques are not just about temporary relief — they help create the right environment for healing and long-term function.

2. Tailored Exercise Programs

Once pain is managed, we focus on rebuilding strength, coordination, and endurance. This is where your proactive involvement is essential. Exercise programs are custom-designed based on your injury, goals, and lifestyle, and may include:

  • Range of motion exercises to restore flexibility
  • Strengthening exercises targeting the rotator cuff and scapular stabilisers
  • Neuromuscular control work to improve shoulder mechanics and prevent reinjury

Progress is carefully monitored and adjusted based on your response — keeping you engaged and empowered every step of the way.

Why Early Intervention Matters

The sooner you address a rotator cuff injury, the better your outcomes. Ignoring pain or pushing through can lead to more complex issues and longer recovery times. With physiotherapy, early and consistent care can:

  • Reduce pain and inflammation
  • Prevent further damage
  • Restore functional movement
  • Minimise downtime and avoid surgery in many cases

Take the First Step Toward Recovery

If shoulder pain is limiting your activities or affecting your performance, it’s time to take action. Our physiotherapists are here to guide you through a personalised treatment plan focused on long-term results — not just symptom relief.

Book an appointment today and get back to doing what you love, pain-free and stronger than ever.