Exercise - Physiologist

Exercise Physiologists are university-trained experts in using exercise to help people with muscle and joint conditions (arthritis, joint pain, osteoporosis) and chronic health conditions such as diabetes, cardiovascular disorders, and weight loss.

These conditions can severely impact the quality of people’s lives by leading to pain and inactivity which causes more pain and inactivity. The cycles perpetuates and things go from bad to worse before you know it.  Left untreated, these chronic conditions can dramatically reduce your lifespan.

Exercise physiologists understand it can be hard to break the cycle by yourself.

They will work with you to help you identify and overcome barriers to great health and help you live a full and active life without pain.  No matter where you are starting, you will find working with an EP will help turn back the clock and reverse the effects these chronic health conditions have had on you.  It’s not too late to start today.

Our Exercise Physiologists at PSSM are experts in these conditions and can help you turn your life around.  They work closely with our team of physiotherapists, osteopaths, podiatrists and massage therapists to help people feel great in their body no matter what age you are.

The team at Premier Sports Medicine has helped over 20,000 people find great health.  Our expert team and fully equipped gym are all you need to get started today as well.

Your First Session

On your first session, the Exercise Physiologist will ask you about your overall medical history, any chronic injuries or conditions you may have.

They will also ask you about your current exercise routine and any goals you may have (these may be related to a specific injury or just a lifestyle-related goal).

Then, they will conduct a comprehensive movement screen which looks at how your body is moving. This is important as it allows them to prescribe exercises that will benefit you in the fastest time with less risk.

Exercise - Physiologist 2

Conditions we help:

Exercise - Physiology

Conditions like arthritis, osteoporosis are common as we get older. In fact, most people over the age of 45 will have some form of joint “wear and tear”. Things disc bulges, arthritis, bone loss, muscle weakness/imbalances increase as we age.

All too often, people are told that it’s a normal part of ageing to be stiff, sore and in pain, and are simply told to take pain killers, anti-inflammatories and just put up with it until surgery is required.

So people put up with pain for years, affecting their quality of life. Their ability to be active in their prime diminishes, their ability to chase the grandkids around, or play sports or simply garden around the home becomes increasingly difficult.

Putting up with pain and stiffness in muscles and joints can be a real drag on life.

But it doesn’t have to be this way.

The good news is that you can do something about it to end the pain and get back to living life.

We have helped thousands of people reverse the symptoms of joint and muscle pain, and actually avoid surgery altogether. They get back to waking up fresh in the morning without pain, able to be active as much as they want, without their knees or backs hurting.

Our Exercise Physiologists at PSSM are experts in these conditions and can help you turn your life around. They work closely with our team of physiotherapists, osteopaths, podiatrists and massage therapists to help people feel great in their body no matter what age you are.

Exercise Prescription can reduce symptoms such as pain, stiffness and inflammation. It can also improve your joint mobility and strength.

At Premier Sports & Spinal Medicine we can prescribe exercise according to your musculoskeletal condition. This is done by collecting a medical history, setting goals, conducting an assessment and tailoring an exercise program towards each individual. Exercise helps restore range of motion, improve muscular strength/power/endurance, improve gait, improve flexibility, improve functional mobility, keep you performing activities of daily living and return to sport. As Exercise Physiologist we can regress and progress exercise prescription accordingly and have a strong understanding of the rehabilitation process physiologically and physically.

Book in with Exercise Physiologist at Premier Sports and Spinal Medicine to have the best rehabilitation management.

-Joint and Spinal Pain/arthritis
A combination of massage, physiotherapy and Exercise Physiology will reduce pain, restore spinal mobility and function. Scientific research has shown that this approach is more effective than surgery in improving symptoms long term for patients. A comprehensive program designed to strengthen muscles around the joints can effectively relieve pain and stiffness and allow you to get back to living life free of pain.

-Osteopenia/Osteoporosis
Defined as low bone mineral density resulting in the bones being weak and easily prone to fractures with minor falls. The single best way to reverse the effects of bone loss is through a specific exercise to stimulate bone regeneration. Improvement in muscular strength, mobility and balance can improve the quality of life and reduce the risk of fall and therefore fracture.

-Arthritis (rheumatoid and osteoarthritis)
Most people have been led to believe that once you have arthritis, you have to put up with pain and stiffness until it gets bad enough to warrant surgery. Nothing could be further from the truth. Age-related changes in your joints such as wear and tear or degeneration are normal and DO NOT CAUSE PAIN. The pain comes from gradual deconditioning or weakening of the muscles that support the joints. The latest scientific research proves that an active rehabilitation approach works.

-Pre-Rehabilitation prior to surgery
Doing exercise prescription prior to surgery will allow for management of the current condition and prepare for the trauma of surgery. Pre-rehabilitation can reduce hospitalisation stay, reduce complications during surgery (if you have many chronic conditions), reduce the likelihood of a large amount of muscular atrophy and speed along the post surgery rehabilitation. Exercise Prescription intervention can in some cases restore movement and function without the need of surgical intervention, this is referred to as conservation management.
and Post Rehabilitation from surgery

Exercise is prescribed prior surgery to allow for optimal results post-surgery, keeping you up and about and maintain functional mobility. Exercise prescription prior to surgery can also prepare individuals for the upcoming expectations after surgery. Exercise Prescription can in some cases also restore movement and function without the need of surgery.

Shin splints/tendinopathy/bursitis/plantar fasciitis

Exercise Physiology - Diabetes

Diabetes is a chronic metabolic disease characterized by an elevated fasting blood glucose level due to defects in insulin secretion or inability to use insulin. There are many different forms but the main forms of Diabetes are Type 1 Diabetes, Type 2 Diabetes and Gestational Diabetes.

Diabetes is all too common with over 415 million people suffering from some form of diabetes. 642 million people will be diagnosed with diabetes by 2040! Significantly impacting your quality of life and reducing life expectancy. Experiencing symptoms such as increased thirst, extreme hunger, unexplained weight loss (type 1)/gain (type 2), cuts healing slowly, feeling tired and lethargic, itching/infections, feeling dizzy, unexplained mood swings, headaches, leg cramps and frequent urination.

These are not things that you put up with because diabetes if not managed can lead to serious health complications such as, blindness, kidney failure and lower limb/extremity amputation. Every six seconds a person dies from diabetes complications.

Exercise plays a vital role in managing your diabetes. Exercise cannot reverse the damage to the cells in the pancreas that leads to the decreased production of insulin. However, exercise can improve the way the muscles respond to insulin which in turn helps regulate the blood glucose level for some hours after exercise. Exercise also increases glucose uptake by the muscles in other ways, that do not depend on insulin. In addition, exercise can lower the dose of insulin required by improving the body’s response to insulin. It is important to exercise right for diabetes however, as those with this condition may have an increased risk of complications.

Our Exercise Physiologist at PSSM can tailor exercise to help with better management of your Diabetes. Firstly through further education about your condition, checking your blood sugar levels before, during and after exercise. Advising not to inject insulin into exercising limbs and prevent foot ulcers by wearing supportive shoes and socks. Strongly advising regular foot check with our Podiatrist at PSSM.

Book with a Exercise Physiologist at Premier Sport & Spinal Medicine for your Diabetes management.

Feeling tired, fatigued, breathless, less energetic or unable to cope with physical activity. Commonly it is known that we should be physically active, eat the right foods and have adequate sleep. Though our change in lifestyle has greatly impacted our health. Human evolution started with us being hunters, gathers, builders of shelter and now we have minimal physical output day to day. Not only reducing our physical activity but also our incidental activity. Want to feel energetic, have greater functional capacity and a greatly improved mood, then being physically active will improve your quality of life.

Obesity and being overweight is having a significant impact on the Australian population. Over half the adult population and a quarter of the children population is impacted by this epidemic. It is also known that being overweight or obese is paired with diabetes, hypertension, hypercholestrolemia, coronary artery disease, cardiovascular/arterial disease, sleep apnea, heart attack and stroke.

Exercise Physiologists at Premier Sports and Spinal Medicine have superior knowledge in achieving healthy weight loss through exercise prescription and give general advice about nutrition. Taking into consideration current medication and possible future Bariatric surgery. Setting expectations prior and post Bariatric surgery. Gradually building individuals exercise routine to meet the national physical activity guidelines.

Book with our Exercise Physiologists for continued support towards creating a healthy lifestyle and reducing your comorbidity risk.

-Endometriosis
One in ten women are diagnosed with Endometriosis and the number is growing. A gynaecological condition where endometrial-like tissue grows outside the uterine cavity. This condition aetiology is still relatively unknown and is diagnosed through a laparoscopy or key-hole surgery. This condition can cause bloating, inflammation, pelvic pain and cramping.

Suffering with Endometriosis you brace the body to help cope with pain. This though can cause muscular imbalances in the pelvic floor, abdominal wall and hip flexors. Exercise can increase the anti-inflammatory and antioxidant markers in the body and reduces oestrogen levels.

Our Exercise Physiologist at Premier Sport & Spinal Medicine are experts with pilates and range of motion exercise prescription which reduces pain symptoms for those suffering Endometriosis. Avoiding exercises such as sit up/crunches and high impact which will place more stress on the body. Our Exercise Physiologist will initially lengthen the overactive structures and gradually strengthen the structures that will help in long management of the condition and pain management.
-Polycystic Ovarian Syndrome (PCOS)

Experiencing unexplained weight gain, irregular or absent periods or is your skin breaking out? Exercise and diet can combat these signs of PCOS. PCOS has significant effects on your body such as insulin resistance requiring the body to produce more insulin to keep blood sugar levels stable and this in also leads to increased testosterone. Having PCOS you are already producing too much testosterone and this causes changes to your menstrual cycle. Other effects to your body are reduced fertility, excess body hair (body and face), hair loss on head and changes to your skin.

Our Exercise Physiologist at Premier Sports & Spinal Medicine will use a mixture of cardiovascular, strength, interval and core training to reduce insulin resistance, reduce waist circumference/achieve healthy BMI/improving body composition, increasing metabolic rate, boost fertility, stabilising mood and strengthen pelvic floor.

Cardiovascular disease accounts for 15% of the total disease burden in Australia.

Chronic Heart Failure occurs when the heart no longer pumps blood effectively to the lungs and rest of the body. Common causes of chronic heart failure are heart attack, diabetes and high blood pressure.

Coronary Heart Disease is typically caused by the fatty deposit build up in the vessels. Affecting the blood flow of coronary arteries around the heart which supply oxygen and nutrients to the heart muscle

Risk factors for cardiovascular diseases include high blood pressure, high cholestrol, diabetes, kidney disease, smoking, overweight/obese and sendetary behaviours.

Exercise does not only reduce the development of cardiovascular disease it can also alleviate symptoms of a number of cardiovascular conditions. Exercise prevents blood vessels narrowing further, prevents blood clotting, increases delivery of blood to the heart and helps maintain a normal heart rhythm. This in turn reduces the load on the heart during rest, reduces bad cholesterol and increases good cholesterol.

Those with chronic lung condition are less active, reduce cardiovascular fitness and muscular strength. People who exercise with a cardiopulmonary condition are less likely for an extended hospital admission. Exercise helps improve breathing, clear mucus from the chest, reduce breathlessness during daily activities, improve cardiovascular endurance and improve independence.

Chronic Obstructive Pulmonary Disease, Lung Cancer, Asthma, Cystic Fibrosis and Pulmonary Arterial Hypertension.

Are frequently experiencing nausea/vomiting, fatigue, pain, bladder/bowel incontinence, involuntary body weight loss, neuropathy, lymphedema and infection. Whilst experiencing these symptoms you are probably thinking the last thing you want to do is Exercise. Exercise is widely seen to prevent common cancers and also combat the negative physical and psychological effects of cancer and its treatment.

1 in 2 Australian men and women are being diagnosed with cancer by the age of 85. There are one million people alive in Australian who are living with cancer or have had or been previously diagnosed with cancer.

Benefits of Exercise for those with Cancer
-Improved functional to help with daily activities -Improved immune function -Improved chemotherapy completion rates (physical activity reduces side effects and enabling to handle full completion rates of treatments) -Reduce hospitalisation rates -Reduced psychological and emotional stress, including depression and anxiety -Reduce number, side effects and severity of symptoms (pain, fatigued, nausea) -Reduced chance of number of new cancers and other chronic conditions

Cancer Recovery and Exercise Prescription

Exercise Prescription can also improve energy levels, minimise side effects of treatments and enhance the recovery process.

-Reduce long term heart problems after having radiation and chemotherapy treatment -minimise loss in bone strength -Reduce risk of developing lymphedema -Improve anemia -Enhance quality of life

Our Exercise Physiologist at Premier Sports & Spinal Medicine can tailor exercise towards each individual taking into consideration the type of cancer diagnosis, individuals response to exercise, symptoms currently experiencing, treatment cycles and planned surgery. They will collect your diagnosis, current/planned treatment cycles, side effects of the respective treatment undertaken, individuals current and overall movement, previous injury history and assist in developing individualised goals. Our Exercise Physiologists will fully support you in every step of the way.

Constantly feeling pain so debilitating to you is unable to go about daily activities of daily living. The last thing you want to do is be active. But recent research has shown that being physically active can improve your symptoms.

-Fibromyalgia
Importantly we need to understand your pain levels and know that moving will not cause damage. Our body is made up of muscles, ligaments, tendons and tissues are designed to move. Exercise helps improve the functionality of the body and feels better after movement.

-Chronic Fatigue Syndrome
Exercise is probably one of the last things you would be thinking of doing but has been seen in research to help reduce fatigue symptoms. Chronic Fatigue syndrome greatly impacts cognitive function, quality sleep, mental health and pain symptoms. Graded exercise therapy is the best approach in managing chronic fatigue. Completing exercise without “crashing” and managing a steady threshold. Gradually increasing exercise time and then gradually increasing intensity.

-Chronic Pain
Is pain that persists beyond the expected healing time of an injury. Chronic pain refers to the sensitivity of the nervous system and non-tissue related factors. When experiencing chronic pain, physical activity is avoided in the attempt to not cause pain flare ups. Over time though due to not being physically active we become less able to do activities of daily living and activities that we previously enjoyed.

You don’t need to fear about your pain and symptoms being aggravated. Our Exercise Physiologists are experts in pain and chronic condition management. Exercise is always seen to be intense and high intensity but it doesn’t need to be. Our Exercise Physiologists can prescribe low intensity, low impact and stretching exercises to combat pain symptoms. Exercise will help you reclaim your life and improve functionality.

Getting into retirement and feeling your best days are behind you? Or going from appointment to appointment to discuss and manage your chronic health, instead of enjoying your retirement? Wanting to keep up with your grandchildren and feel you are unable too so saying no to looking after them for a couple of hours?

As we get yes we do experience age related effects on the body but doesn’t mean we stop being physically active. Being physically active greatly reduces the physiological changes of aging that impair exercise capacity, optimizing age-related changes to body composition, improved mental health and more importantly managing our chronic health.

Health Benefits include:
-Reduce progression of current chronic conditions
-Reduce frailty and falls risk
-Improve balance

1 in 3 people aged 65 years older have a fall each year. Once you have a fall once you are 50% more likely to fall again.
-Become more independent and reliant on help
-Globally strengthening on the body
-Improve grip strength
-Increased ability to complete activities of daily living
-Reduce number of medications
-Reduce neurological deficits and improved cognitive function
-Improved social engagement

Feeling regret? Wished we kept being physically active and unsure how to get back to exercise or how to exercise safely. Our Exercise Physiologists at Premier Sports & Spinal Medicine are experienced in prescribing exercise for older adults. We can prescribe exercise for those with numerous chronic health concerns.