Own Your Best. 03 9744 5066


Are you in self- isolation? While at Sunbury Physiotherapy we continuing to offer consultations at our Sunbury, Gisborne and Kyneton locations, we are also offering an alternative; Telehealth Consultations, for those who are unable to come into the clinic or who would be more comfortable with a bit of social distance.

it is important, more than ever now, to look after yourself both physically and mentally. We don't want your injury management becoming derailed due to COVID-19. Please read through the infographic below to find out more about Telehealth and how it may benefit you.

We wish you all the very best in staying healthy and navigating through this extraordinary time. Please call our reception team on 97445066 regarding Telehealth and how it can work for you.


Welcoming Andrew Pool to the Sunbury Physiotherapy Team


Adam joins our team of physiotherapists graduating from the University of Melbourne with a Doctor of Physiotherapy degree. Prior to this he completed a Bachelor of Science, also from the University of Melbourne, and it was during this time in which he developed his passion for fitness, well-being and exercise rehabilitation. Adam has experience across many different physiotherapy settings including the acute, subacute and rehabilitation sectors and  including post-operative orthopaedic and neurological populations.

Adam has a keen interest in the management of shoulder and back injuries, with a passion for exercise rehabilitation. Adam believes that exercise rehabilitation is key to generating the robust musculoskeletal system required to enable you to take control of your condition and prevent future injury.

Outside of physiotherapy, Adam enjoys watching soccer, basketball, AFL and college sports. Adam also enjoys learning about history and spending time with friends and family.


To book your appointment with Adam today you can contact our friendly reception team on 9744 5066 or book via our website!






Introducing a new member to the Sunbury Physiotherapy Team: - Adam Sicari!

Adam initially graduated with a Bachelor of Science degree and through this, his love of health and well-being was realised, leading him down the path of obtaining a Doctor of Physiotherapy degree. His time at university was highlighted by volunteering in Vietnam, providing physiotherapy to young children with developmental conditions. Adam also worked with a football club in the Essendon District Football League, driving his passion for rehabilitation in an elite sporting environment. Adam knows that combining exercise and manual therapy optimises rehabilitation, returning people back to doing what they love most in the best and fastest manner.

Outside of physiotherapy, Adam enjoys watching AFL, especially when Essendon are playing. Aside from sports, Adam can be found at a local café, eating out, spending time with friends, or at a live music gig.

You can book your appointment with Adam today via our website or by calling our friendly reception team on 9744 5066.







Did you know, people with cancer are recommended to do the same amount of exercise as those without?

Exercise has been shown to be safe and improve health outcomes for people with cancer.


The Australian Physiotherapy Association (APA) has embraced the latest recommendations from The American College of Sports Medicine (ACSM) that promote the systemic use of an ‘exercise prescription’ to combat the effects of cancer treatment and improve survival rates.

The guidelines recommend that health professionals such as physiotherapists design and deliver bespoke exercise programs for people living with and beyond cancer to support their recovery and ability to deal with the debilitating side effects of cancer treatment.

The evidence based guidance suggests that prescribed exercise that best meets the needs, preferences and abilities of the individual will improve physical function, fatigue, anxiety, depression and quality of life of cancer sufferers. Importantly, exercise has been shown not to exacerbate lymphoedema symptoms – an important factor for the almost 20,000 Australians1 diagnosed with breast cancer each year, of whom one in five will develop lymphoedema2

APA chair of cancer, lymphoedema and palliative care group, Dr Elise Gane, says that physiotherapists working with patients with a cancer diagnosis are highly experienced in designing and managing tailored exercise programs. “We’ve always known that exercise is important, but the growing evidence base for the benefits of participation in moderate intensity aerobic exercise and resistance training for better outcomes is spurring us to find new ways to motivate and support our patients with programs that best fit their needs.”

The new ACSM guidance includes:

  • Exercise lowers the risk of seven types of cancer: colon, breast, endometrial, kidney, bladder, oesophagus and stomach
  • For cancer survivors, exercise improves survival after diagnosis for breast, colon and prostate cancer
  • Exercise during and after cancer treatment improves quality of life
  • Recommendation includes moderate intensity aerobic training at least three times per week for a minimum 30 minutes; plus resistance training at least twice a week.


Source link - Australian Physiotherapist Association


To coincide with Movember, held to raise awareness about prostate cancer, testicular cancer, men’s mental health and suicide prevention throughout November, APA Women’s, Men’s and Pelvic Health group members Dr Jo Milios and Jason Crow present five facts about men’s health.


1. Pelvic floor exercises

Australia wide, one in seven men will be diagnosed with prostate cancer, and there is a strong link to a positive family history of cancers in both the male and female genetic pathways ( In fact, there is a one in two risk a man will be diagnosed with prostate cancer should a first-line male relative have the disease, and a one in four risk should there be any breast, ovarian or uterine cancer in the female line (Mitra et al 2011). Talking about it and knowing your family history is imperative to early diagnosis, with 97 per cent of men diagnosed early expected to survive at least five years.

Pelvic floor exercises, both prior to and following a radical prostatectomy or radiation treatment, may greatly assist in the recovery of continence (Patel et al 2013) and erectile function (Prota et al 2012). Start by relaxing the belly and buttock muscles, then gently squeeze the front urinary passage as if stopping the flow of urine. Next, try to gently lift the testicles and retract the penis (Stafford et al 2015). Repeat this 10 times quickly for one second each, and then 10 times slowly up to 10 seconds each, with a similar rest period to assist with both reflexive and endurance tasks required of the pelvic floor. Try three sets per day initially. This will help to enhance continence control during sit to stand, cough (Miller et al 1998), bend and also to ‘hold on’ for bladder, bowel and sexual function. With three months of training, the pelvic floor muscles should improve, but if after 12 months the issues remain, further advice should be sought.


2. Erectile dysfunction

Erectile dysfunction (ED) is described as the persistent inability to achieve or maintain an erection firm enough or lasting long enough for sexual performance (Hackett et al 2017). In 1995, it was estimated to affect 152 million men worldwide, with the prevalence expected to double by 2025 (Aytac et al 1999). Several studies have assessed the epidemiology of ED, with the renowned Massachusetts Aging Study demonstrating ‘increased age’ as the most significant factor. At age 40 years, approximately 40 per cent of men are affected, a rate that increases by 10 per cent every decade to age 70 (Feldmann 2000).

Increasingly, a younger generation of males are seeking advice and treatment for ED as they battle with issues of self-esteem and anxiety, often leading to chronic pelvic pain syndrome and hypertonicity of the pelvic floor muscles (Cohen et al 2016). Pelvic physiotherapy can be prescribed to any male suffering with ED, with a combination of either strengthening and/or relaxing of the pelvic floor muscles as these are all part of the normal erection and ejaculatory cycles. Remember, too, that ‘heart health’ and ‘hard health’ are linked, and being aware of what’s normal for each individual is paramount.


3. Peyronie’s disease

Peyronie’s disease (PD), or curvature of the penis, is a disorder that affects at least nine per cent of the male population and may be another early warning sign of cardiovascular disease (Mulhall et al 2004). Thought to arise due to formation of inelastic scar tissue that creates plaques in genetically susceptible individuals, some men are able to pinpoint an incident relating to onset (eg, sexual activity causing trauma). But for most men, the first sign of any issue may be a palpable area of scar tissue in the flaccid penis which results in pain, penile deformities and shortening that is generally only seen in the erect state (Kalokairinou et al 2018).

Probable causes include infection, autoimmune diseases, local trauma and generalised arterial disease. The peak incidence of PD occurs around 55–60 years of age and two-thirds of men with PD possess risk factors for arterial disease (Love et al 2017). Unfortunately, most men with the condition will find their symptoms worsening over time, with only 12 per cent expected to improve without treatment. Given the embarrassment and challenge of seeking help, many men leave the opportunity for diagnosis too late, after which time only surgical treatment may be an option for cure.

Early diagnosis, confirmed with Doppler scans, will help determine treatment options with physiotherapy applications such as therapeutic ultrasound and the provision of vacuum pumps providing helpful options in the early stages.


4. Chronic pelvic pain syndrome

‘Prostatitis’ was the term used for way too long when it came to diagnosing pain in men’s private parts. For decades, any problem linked to the male pelvis was described as exactly this and was thought to be caused by infection or inflammation of the prostate gland. However, with only three per cent of men responding to antibiotics for the condition and an average 87-month wait between the onset of symptoms and an accurate diagnosis, prostatitis has been very much misunderstood (McNaughton Collins et al 2001).

For a problem that affects two to 16 per cent of males and is the most common urological condition in men under 50 years (Krieger et al 1999, Smith 2016), it is surprising that prostatitis has only recently been accurately defined and classified.

For those working in male pelvic health, the National Institutes of Health’s chronic prostatitis symptom index (NIH-CPSI) provides a helpful diagnostic tool when patients arrive with a vast range of sensory, motor and autonomic presentations, resulting in pain and dysfunction of the urogenital area (Litwin et al 1999). Significantly, more than 90 per cent of all prostatitis cases are now diagnosed as chronic pelvic pain syndrome (CPPS) (Smith 2016), for which a combination of pelvic health and musculoskeletal physiotherapy can offer a range of treatment options.

Physiotherapists treating this condition typically employ strategies including manual therapies, pain science, yoga-based gentle exercise and breath work. CPPS is a condition all physiotherapists should look out for, as too many patients suffer needlessly for far too long.


5. Urinary urgency

Many men can experience urgency symptoms post-prostatectomy. This can be caused by tissue irritation or altered urinary habits because of postoperative incontinence (eg, adopting a ‘just in case’ voiding strategy). Urinary urgency is described as a strong and sudden desire to urinate and can be associated with needing to go to the toilet more frequently. Physiotherapy management, including bladder retraining, simple lifestyle modifications and pelvic floor exercises may help decrease these symptoms.

The goal of bladder retraining is to increase the time between voids—starting with five minutes at first. Simple strategies include:

  • contracting pelvic floor muscles. Lift and imagine stopping the flow of urine and hold until the urge to void ceases
  • distraction. Direct attention away from the bladder such as doing a crossword or checking emails
  • positional changes. Curling toes or crossing legs can occupy the same nerve pathway to the brain as the bladder, providing a distraction to decrease the urge.

Other lifestyle changes include trying to store more urine in the bladder, maintaining appropriate fluid intake (1.5L H2O/day) and moderating bladder irritants such as caffeine and alcohol. Through these options, men can improve their symptoms and find ways to improve and maintain quality of life.




Source Link - Men's Health

What is it?

Plantar fasciitis is a common condition of the foot and heel affecting both athletes and members of the general public. The plantar fascia is a fibrous band of tissue that attaches to the base of the heel and supports the muscles and arch on the base of the foot. When the plantar fascia becomes chronically irritated, it is referred to as plantar fasciitis. 

What are the symptoms?

Plantar fasciitis is characterised by pain at the base of the heel. The pain is usually noticed upon waking when people take their first steps of the day. The pain usually settles down after walking around, yet may reappear after sitting for a while and getting up again. The pain can usually be reproduced when the inside of the heel is pressed, and the calf muscles might be noticeably less flexible. 

Plantar fasciitis can usually be diagnosed with a physical assessment by a physiotherapist. Left untreated, plantar fasciitis can lead to chronic heel pain, which can have a significant impact on quality of life, interfering with day to day activities. 

What are the causes?

The plantar fascia supports the arches in the foot during weight-bearing and acts as a shock absorber. Small tears can appear in the fascia when it is exposed to excess tension and stress over time. While the exact cause is unknown, there are several risk factors that can increase the risk of this condition developing.

These include obesity, excessive foot pronation, inadequate shoe support, prolonged standing and excessive running. It has previously been thought that plantar fasciitis is linked to or caused by heel spurs. However, this has been shown to be untrue, and many people have heel spurs without any symptoms. 

How can physiotherapy help?

The goal of physiotherapy is to reduce symptoms and support the fascia to reduce and repair any tissue damage. This is done through short term pain reduction strategies such as ice application, rest, activity modification and gentle stretches.

To help reduce the tension on the fascia, lower leg strengthening and balance exercises will be implemented along with orthotics, night splinting and in some cases, corticosteroid injections. A night splint can be helpful in keeping the calf muscles lengthened as they often rest in a shortened position overnight. 

Other treatment options include extracorporeal shockwave therapy and endoscopic plantar release. However, these interventions will also be coupled with physiotherapy treatment for best results. Patients who are not responding to physiotherapy and other conservative management are candidates for surgical release of the plantar fascia. 


None of the information in this newsletter is a replacement for proper medical advice. Always see a medical professional for advice on your individual injury. 

One of the most challenging aspects of living with an injury or chronic pain is how it can quickly impact your exercise routine. If you have been working towards a fitness or weight goal, this can be
extremely demoralizing. Here are a few tips that can help to keep you on track while you recover. Staying as active as possible during this time can mean you’re in the best position to reach your goals again
once your injury has healed.


1. Try a new activity.

When injury strikes, it can be tempting to stop exercising altogether and rest while you recover. An injury can be frustrating, but it can also be an opportunity to try out a different sport.
If you’re a runner with an ankle injury, you can keep up your fitness by swimming instead. Cycling can be an excellent option for people for dealing with knee pain, and if you’re a swimmer with shoulder pain, maybe
switch to running for a while. Check with your physiotherapist for some ideas to keep you moving.

2. Exercise within your limits.

If you’re getting pain at 5km, this doesn’t always mean you should give up running altogether. Your physiotherapist can help you monitor your symptoms carefully and plan an exercise routine that keeps your
fitness up while reducing symptom flare-ups. Staying as active as possible throughout your recovery can also mean that you a better placed to get back to your best performance.


3. Take the opportunity to improve your footwear and equipment.

Injury and pain can be a great prompt to look at your equipment and technique. For example, with hip and knee pain, the type of shoes you wear can have a significant difference.
Often pain has more than once cause, with technique and equipment more often than not having a substantial impact on the stress placed on your body. Your physiotherapist is an
excellent source of advice in this area, don’t hesitate to ask for an assessment.

4. Take to the water.

Hydrotherapy has long been used to help patients with joint pain or muscle weakness exercise. The water helps reduce joint stress and provide extra sensory input that can reduce pain.
Exercising in water can be especially helpful for sufferers of chronic pain or those who have pain with weightbearing. Speak to your physio for a hydrotherapy program if you’re not
sure how to approach exercise in water. Our physiotherapists are happy to discuss your condition with you and share their tips to help you stay pain-free.






We are pleased to advise that we are now open for consultations on Saturdays at Campaspe Family Practice 7-25 Caroline Chisholm Drive, Kyneton Vic 3444.

We have available appointments this Saturday. Please phone our friendly staff on 9744 5066 if you require an appointment




We often hear from patients that they have put off seeking treatment following an injury because they have previously tried physiotherapy and found that it didn’t work. Understandably, this can lead to a reluctance to invest time and money into future treatments. While there are never any guarantees in healthcare, in this article we highlight a few reasons why your treatment may not have worked in the past and why it may be worth trying again. 
1. You couldn’t commit to your exercise program.
With our busy modern lives, finding time to make an appointment with your physiotherapist can be hard enough, let alone making time to complete the exercises they prescribe. The tasks set for you at a home by your therapist are often actually more important than the treatment time and are highly targeted for your individual needs. Ensuring you are performing your exercises correctly as well as frequently enough are other factors that might leave you seeing little to no improvement. 
2. You weren’t able to continue physiotherapy for long enough. 
While very occasionally, an issue can be resolved within 1-2 visits, most conditions will require at least 5-6 visits for a significant change to be made. Chronic pain and injuries often need much longer still to make an impact. There are many reasons for not being able to return for treatment, however this is one of the most common reasons physiotherapy fails,  t
here’s simply not enough of it to be successful. It is important to discuss with your physio at the beginning of treatment how much time may be needed for a full and effective treatment program. Even once pain and symptoms have resolved, it is still important to complete a full rehabilitation to help prevent future injuries. 

 3.  Your injury required medical or surgical intervention. 
There are a small percentage of injuries that will require more intensive treatment to heal fully. It is often recomended that physiotherapy be trialled before attempting more invasive treatments. Your physiotherapist and medical team often work together to evaluate your injury and decide the best course of treatment. 
4. Your physiotherapist was simply not the right fit. 
While all physiotherapists are trained to an excellent standard, occasionally you might find that the treatment style of one therapist works better for you than another. It can be worth working with a new therapist before giving up on the idea of physiotherapy altogether. Often physiotherapists within the same clinic are happy to collaborate and offer new perspectives. 
Our physiotherapists are happy to discuss any concerns you have regarding your treatment, including issues with previous treatments. 



We are pleased to welcome Mark to the Sunbury and Campaspe Physiotherapy team.

Mark holds a Doctor of Physiotherapy degree from The University of Melbourne, and a Bachelor of Science majoring in Human Anatomy and Physiology. His genuine passion for holistic health, fitness and helping achieve a positive change in his clients drives his love for physiotherapy.

Mark trained at the Royal Melbourne Hospital, working with individuals in subacute rehabilitation, gerontology and acute trauma wards. He has worked in rural Vietnam, providing physiotherapy treatment to children with neurological disabilities. Mark’s work has also included consulting with several football clubs in the Essendon District Football League and Victorian Soccer State League managing various acute and chronic musculoskeletal injuries.

Mark’s clinical interest includes treating back and neck pain as well as managing lower limb injuries through strength and conditioning rehabilitation. In his spare time, Mark leads an active lifestyle, and enjoys catching up with friends, sports, and finding Melbourne’s best cup of coffee.

Mark consults at Sunbury on Monday to Saturday ( with the exception of Thursday) and at Campaspe Family Medical on Wednesdays. You can call on 9744 5066 to book your consultation with Mark.






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