Back pain can be crippling. It can be annoying. It can impact your quality of life. Back pain can be the thing that makes you stop playing the sport you love, the thing that makes you wince when you pick your kids up or it can just be that nagging pain that is always there. Back pain can also impact your ability to concentrate and perform your job to the best of your abilities.

The experience of back pain can be quite different for each person. You might suffer from a brief episode or from constant unrelenting pain every day but it’s important to understand why you have pain.

What We Do

At Sydney Advanced Physio we pride ourselves on the results we get treating spinal issues.

When you come in to see one of our physios we will do a head to foot alignment check and have a look at how your spine is working. When you have leg pain or pins and needles, we will also likely need to check for tension in your nervous system.

It’s important to understand that your back is impacted by your entire body. Your nervous system runs from your head to your toes. Your feet are the foundation for your entire body. Your connective tissue links one muscle to the next and if one area isn’t working well it makes it extremely difficult the rest of your body to work well. When an area of your body is struggling to function normally it can increase the load on other joints, on your discs or on your nervous system. This can mean your muscles are turning on in the wrong order, some muscles are overworking and some are barely working at all. Looking at the way your whole body works as a unit, the way you use your muscles, and looking at the way your joints move (or don’t move) when you do a task helps us work out what’s going wrong, and what we need to do to help you.

Frequently for patients with back pain we will also do a Real Time Ultrasound assessment. This allows us to have a look at what is actually happening when you try and engage your pelvic floor or when you try and engage your ‘core’ (your transversus abdominus). This helps us establish if we need to help you retrain the way your muscles are working. This will often occur in a follow up appointment and in order for us to be as accurate as possible when doing the scan you need to make sure your bladder is not empty – it doesn’t have to be full, just not empty.

The spine is quite a complex structure and every persons problem is different. Our physios understand that everyones situation and injury are different and we’ll work with you to try and help you get the result you want so that you can sit comfortably at work, run a marathon, pick up your kids without worrying about your back – whatever it is that you want to do.

We believe that understanding what is going on with your back is a key part of truly fixing the issue rather than simply putting a band-aid over the problem. To try and help with this, we have made a series of videos about back pain that are attached to this page. For more videos, up to date information and pictures, check out our Facebook page.


During the COVID crisis our priority is keeping you and our team as safe as possible while you’re in the clinic. This means we have made a number of adjustments. Our therapists are switching rooms after each treatment to allow time for the rooms to be thoroughly disinfected after each use. All common surfaces, pens etc are being disinfected after each use. Our treatment rooms at 8sqm and wherever possible we have staggered our treatment times to minimise the number of people crossing over in the waiting room.

Prior to entering the clinic we ask that you wash your hands in the bathrooms near the lift. We also ask that you call as early as possible to reschedule your appointment if you have recently travelled or are feeling unwell in anyway. Upon entering the clinic we will be temperature testing our clients before their session begins. You may be asked to wait for your therapist in a treatment room to maximise social distancing.

While we are normally a very child friendly clinic we ask at this time that you do not bring your children with you to the clinic for classes. We ask that for private sessions you only bring your child with you if they are an infant or they are dependent on you due to special needs, or if they are receiving treatment themselves. We understand that this can complicate things for some patients but we are trying to make the clinic environment as safe as possible for our staff and other community members. We appreciate your understanding and respect as this is a challenging time for everyone.