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Our Treatments

Manipulative therapy has been part of our profession since 1981. Professionals who attain this post graduate qualification learn advanced skills in pain management, diagnosis and clinical reasoning.


At Pittwater Manipulative and Sports Injury Centre, we use a wide range of hands-on treatments including mobilisation which involves gently moving the joints, manipulation, stretches, massage and specific exercise regimes.


Manipulative physiotherapists, (now known as musculoskeletal), are trained to know when and where to use manipulation and are skilled in applying those techniques safely and effectively. If there are any indications of risk to a client, the physiotherapist will seek alternative methods.

Our services and treatments include:

 Sports and Musculoskeletal injuries

Acute, chronic or overuse injuries including:


Ankle and Foot

  • Sprains
  • Ligament, tendon and muscular tears
  • Avulsions
  • Fractures
  • Achilles
  • Peroneal Tendonitis
  • Plantar fasciitis
  • Heel spurs
  • Bunions
  • Compartment sydnrome



  • Anterior Cruciate Ligament (ACL)
  • Posterior Cruciate Ligament (PCL)
  • Medial/lateral collateral ligaments (MCL or LCL)
  • Medial/lateral Meniscus (cartilage)
  • Patellofemoral
  • Fat pad impingement
  • Bursitis
  • Patella tendon or Quadricep tendon inflammation or ruptures



  • Rotator cuff tears
  • A/C joint sprains and subluxations
  • Dislocations
  • Labral tears
  • Impingement
  • Adhesive Capsulitis (Frozen Shoulder)
  • Scapulohumeral rhythm
  • bursitis


Spine (neck, mid back and lower back)

  • Slipped Disc
  • Stenosis
  • Slipped Vertebrae eg, spondylolisthesis
  • Mechanical sprains and lock ups
  • Pinched nerve eg sciatica
  • Curvatures eg, scoliosis
  • SIJ dysfunction
  • Whiplash
  • Concussion



  • Impingement
  • Costovertebral sprains
  • Fractures



  • Tennis or Golfer’s (tendinopathy)
  • Muscle and ligament tears
  • Olecranon bursitis


Hip and Groin

  • Impingement
  • Bursitis
  • Dysplasia
  • Gluteal tendinopathies
  • Groin tears and strains

Pre and Post Natal

  • Symphysis Pubis Dysfunction
  • SIJ dysfunction


Overuse/ RSI

  • Lateral Epicondylitis (Tennis Elbow)
  • Medial Epicondylitis (Golfer’s Elbow)
  • Bursitis
  • Tendonitis
  • De Quervains
  • Tenosynovitis
  • Shin splints



  • Camboots
  • Waterproof plasters for upper and lower limbs
  • Crutches


Nerve Injuries

  • Pinched nerves eg, Sciatica
  • Thoracic Outlet Syndrome
  • Carpal Tunnel
  • Peripheral neuropathy
  • Morton’s Neuroma
  • Brachial Plexus


Adolescents Growth Plate Conditions

  • Severs
  • Osgood Schlatters
  • Sinding Larsen Johansson


Acupuncture & Dry Needling

  • Musculoskeletal conditions and injuries only

Private Patients

  • Home Visits upon request
  • Third Party MVA claims
  • Worker’s Compensation DVA and EPC patients

Pre and Post-Op rehabilitation

  • Joint Replacements
  • Arthroscopy
  • Tendon and Ligament Repairs
  • Shoulder and Elbow surgery
  • Back and hip surgery
  • Knee and ankle
  • Fractures
  • Trauma



  • Osteoarthritis
  • Rheumatoid
  • Spondylosis
  • Ankylosing Spondylitis
  • Juvenile
  • Gout
  • Fibromyalgia
  • Polymyalgia
  • Reactive
  • Psoriatic



  • Pneumonia
  • Cystic Fibrosis
  • Emphysema
  • Bronchitis
  • Bronchiectasis
  • Auscultation assessment
  • Postural Drainage
  • Active Cycle of Breathing Technique (ACBT)
  • Lateral Basal Expansion (LBE)
  • Percussion and Vibrations



  • Headaches, vertigo and TMJ
  • Massage
  • Falls prevention and balance
  • Injury prevention – Functional and Physical Assessments, Return to Sports strength and conditioning programs
  • Ergonomics, postural correction
  • Lower and upper limb biomechanics


Women’s pelvic health:

  • Urge urinary incontinence / Overactive bladder
  • Stress urinary incontinence
  • Pelvic pain – Pelvic floor muscle relaxation and down training for pelvic pain or pain during intercourse
  • Pelvic organ prolapse – exercises and lifestyle modifications to prevent worsening
  • Pregnancy/Antenatal care (pelvic girdle pain, round ligament pain, back/sciatic pain, pubic symphysis pain, pelvic floor muscle assessment and strengthening, exercise prescription)
  • Post natal recovery/Post partum recovery (pelvic floor muscle rehab, return to exercise guidance, Diastasis recti or abdominal separation rehab, perineal trauma due to assisted deliveries, episiotomy and/or tears, ongoing low back or sacroiliac joint dysfunction)
  • Pelvic floor muscle strengthening
  • Bladder retraining
  • Do’s and Don’ts for before and after urogenital surgery 

Same day bookings generally available