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Remedial Massage for cyclists at Clifton Hill Physiotherapy with Lisa Jackson

Clifton Hill Physiotherapy’s remedial massage therapist, Lisa Jackson, has a special interest in cycling having competed as both a track and road cyclist. She has also competed as a triathlete at both national and international levels.


Lisa knows that cycling is a particularly physically demanding sport that often involves the athlete spending many hours in the saddle followed by very short recovery periods. It is also an extremely repetitive sport and may require the athlete to adopt an aerodynamic position which in itself can place significant demands on the body. Consequently many cyclists suffer overuse injuries that can range from muscle fatigue to damaged muscle tissue.


Overuse injuries in cyclists can commonly be contributed to one or more of the following:

1/Poor posture on the bike (often due to poor posture off the bike, incorrect bike set up and/or lack of core strength): When in the saddle cyclists tend to be in a forward flexed position, a position that can place constant strain on the lower back. A flexed lumbar spine may also mean that the cyclist is unable to utilise everything in the hip complex the way it is meant to be utilised and this too can lead to various imbalances and injuries. The neck and upper back may be bent over causing tightness in these muscles along with tightness in the chest muscles. The repetitive nature of cycling may also place stresses on the wrists, shoulders, hips and knees.


2/Lack of core strength: training tends to be just riding which is great for strengthening the legs but does little to strengthen the core muscles (abdominals, obliques, lats and muscles around the spine). It is these muscles that help a cyclist maintain a strong posture throughout their ride, provide a stable platform for the hips, thighs and knees to work from and help minimise discomfort and injury in the back.


3/Incorrect bike set up: this can mean poor cycling technique and the inability to activate key muscles groups. This can lead to both acute and chronic pain and injuries as well as decreased cycling performance.


Regular remedial massage can play a significant role in managing and preventing overuse injuries in cyclists as well as improving cycling performance.


Postural observations and the correction of poor posture are both significant parts of a remedial massage treatment plan particularly where pain and/or injury is involved. Lisa can identify any musculoskeletal imbalances that may exist and can identify any noticeable strengths and weaknesses (including core strength). They can also make observations regarding possible neuromuscular holding patterns caused by poor posture on the bike and use techniques such as PNF stretching to change/correct these patterns. Through hands on treatment Lisa can also bring an awareness to the areas of the body that are not functioning or responding as efficiently as possible.


Combining the above information with a sound understanding of the nature of the injury or dysfunction, Lisa can devise a treatment and/or management plan for the cyclist accordingly, or make the appropriate referral to another healthcare professional if deemed necessary.


Lisa Jackson

Dip Rem Massage

B Eng (Hons)


Lisa is a qualified Sports and Remedial Massage Therapist with many years of experience and is a member of the Australian Association of Massage Therapists (AAMT).

Lisa has competed as an athlete at both a national and international level and understands the stresses the body is put under while training for and competing in elite sport.

As a mother of two active young boys Lisa also understands the demands and pressures placed on the body in performing everyday tasks, and understands that massage isn’t just for elite athletes.





Would you like to improve your core muscle strength, endurance, posture and flexibility?

Clifton Hill Physiotherapy is excited to offer group Pilates matwork classes on Tuesday evenings from 630-730pm and individual pilates assessments by appointment.

We are also taking expressions of interest for Pilates matwork classes on Tuesday evenings from 530pm-630pm.

Pilates is a body conditioning program founded in the early 20th century by Joseph H. Pilates, a physical culturalist from Germany .  Pilates is practiced by millions of people around the world and it is part of the training programs for many sports teams including The Australian and American Rules Football teams, the New York City School of Ballet and the Australian National Rugby Team to name a few.

Pilates promotes strength development and endurance of core muscles, scapula stabilizers, and pelvic muscles while enhancing flexibility and correct posture, improving mind-body awareness and general well being.

Modern Pilates matwork exercises have been shown to improve abdominal and lower back muscular strength, abdominal muscular endurance and trunk flexibility.



If you are interested in obtaining more information about Pilates at Clifton Hill Physiotherapy, please contact us to see Julianne Pegler at Clifton Hill Physiotherapy on 9486 1918 for a Pilates assessment or make an enquiry



“To achieve the highest accomplishments within the scope of our capabilities in all walks of life we must constantly strive to acquire strong, healthy bodies and develop our minds to the limits of our ability.”  Joseph H. Pilates


“Physical fitness is the first requisite of happiness.”  Joseph H. Pilates


Julianne Pegler

Bachelor of Physiotherapy

Post Grad Cert Paediatric Orthopaedic Physiotherapy

Level 1 & 2 Dance Medicine Australia Pilates

Currently studying Certificate in Polestar Pilates

Student Member of Pilates Alliance Australia

Member of APA



WELCOME DEBBIE RECHTMAN (Paediatric, Women’s and Men’s Health Physiotherapist ) TO CLIFTON HILL PHYSIOTHERAPY


We are delighted to introduce Debbie Rechtman to our Women’s and Men’s health team and Paediatric team at Clifton Hill Physiotherapy. Debbie has a wealth of experience having worked as a physiotherapist since 1985. She completed post graduate qualifications in continence and pelvic floor rehabilitation in 1998 and has worked as a senior clinician in the adult and paediatric Continence Clinics at Monash Health for the past 14 years.  Debbie is known throughout Victoria for her special expertise in Paediatric Bladder and Bowel dysfunction in the private and public sectors.

Debbie lectures to post graduate physiotherapy students in paediatric continence. She is a clinical supervisor and involved in the education of medical students.

Debbie has extensive experience working with children, women and men. She is committed to preventing the progression of continence issues into adolescence and adulthood and recommends early assessment and treatment to reduce the negative impact of incontinence in children and families.  Debbie is a mother of 3 children and approaches these complex issues in a sensitive manner working with the family and other health professionals to provide comprehensive care.

In addition to adult male and female continence issues including urinary urgency, frequency, stress and urge incontinence, prolapse, pre and postop surgery, bowel issues (constipation, obstructed defecation, faecal urgency and incontinence), Debbie has a particular interest in the following conditions in children –


  • Bedwetting/enuresis
  • Day time wetting
  • Urinary urgency
  • Recurrent UTIs
  • Faecal incontinence/soiling/encopresis
  • Constipation/ withholding/toilet refusal



Clifton Hill Physiotherapy is an innovative private practice offering state of the art technology to compliment our skilled assessment and treatment. Patients will benefit from access to Real Time Ultrasound and we are one of the few physiotherapy practices to be able to offer Uroflow assessment onsite.

Debbie’s paediatric continence experience compliments our comprehensive paediatric service. Follow the links to view Brendan Egan and Julianne Pegler’s paediatric expertise.

To make an appointment with Debbie or any of our other physiotherapist  call the clinic on 03 94861918.



Its HOT out there !

Check out this article for advice about exercising in the heatbeat-the-heat-2014



Sensory retraining at Clifton Hill Physiotherapy

Clifton Hill Physiotherapy is excited to announce that we are now able to offer sensory retraining as part of our physiotherapy service.

Utilizing the evidenced based SENSe approach developed by Professor Leeanne Carey, of the Florey Institutes of Neuroscience and Mental Health here in Melbourne; we can now set up a structured sensory retraining rehabilitation program, utilizing equipment developed for Prof Carey’s study.

SENSe has been shown to significantly enhance sensory function in stroke survivors upper limb and hand, enabling greater functional outcomes in stroke rehabilitation.

If you are interested in obtaining more information about the SENSe approach, the ongoing research or attending a physiotherapy assessment appointment looking at sensory abilities of the hand, please contact us to see Brendon Haslam at Clifton Hill Physiotherapy on 94861918 or make an enquiry

Brendon Haslam
BAppSci (Physio)
M (Physio) Neurological
PhD Candidate Florey Institiute


Clifton Hill Physiotherapy Technology (helping the Fitzroy Football Club)

Hamstring injuries are commonly an issue in Australian football. I have had to work with a number of Fitzroy Football Club (FFC) players over the season who  sustained hamstring strains this season.  Using evidence based practice, Josh Heerey and I  have spent time developing a hamstring rehabilitation program  using myphysioapp. This allows the players to quickly download the free myphysioapp and then upload a program that has been tailored for them and designed by either Josh or myself.

Rehabilitation for a hamstring strain  encompasses a number of areas such as strength, neuromuscular control and a running program, just to name a few. It is essential that these exercises are done with the correct technique. Our key focus has been end stage rehabilitation and ongoing maintenance to reduce the recurrence of hamstring injuries.

The Nordic exercise is one example of an exercise we use in the strengthen phase post a hamstring strain. As seen below, the player has their legs supported, they then lower to the ground as slowly as possible.


This is  eccentric muscle contraction, which means the muscle lengthens under tension. It is believed that specific eccentric exercises can change were the muscle develops torque, allowing the muscle to develop more torque in a lengthened position. In other words, your hamstring muscle will have the ability to develop more rotational force when the muscle is lengthened. These exercises are not only important in conditioning the hamstring prior to return, they are also used as a preventative measures for those players who have sustained a hamstring strain.

We have also been using the advanced ViPerform to assess for return to sport following hamstring injury.

If you have a hamstring injury or are struggling to return to your sport you will benefit from a tailored exercise program and advanced screening by one of our Physiotherapists.

Paul Jackson

M Physio B App Sci (Human Movement)




Are you an avid swimmer?  If you are then the chance is that at some point you have had shoulder pain.  The stats say that up to 91% of competitive swimmers will have shoulder pain.  So you are probably asking why does it happen and how can I reduce or fix the problem and even more importantly stop it from returning.  Shoulder pain is a complex problem and can originate from many different structures in and around the shoulder joint.  To delve into that would require a more extensive post.  In light of this I thought a more relevant discussion might be how do you prevent it from happening in the first place.

An interesting fact for the swimmers amongst us:

-       Training load is a big predictor for developing shoulder pain, if you are training >15hrs a week you are twice as likely to develop shoulder pain.  This increases up to four times more likely if your training load increases above 35hrs a week, which is probably unlikely for most of us but demonstrates that the amount of swimming you are doing can predispose you to injury.

-       So this means that as part of prevention and management of shoulder pain is to be disciplined and calculated with your training load.  This can be done through consultation with a swimming coach or through a discussion with your physiotherapist


Other things that can contribute to developing shoulder pain can include:

-       Shoulder strength and flexibility

-       Hip flexibility

-       Thoracic spine flexibility

-       Core muscle strength and control

-       Swimming technique

Many of the factors mentioned above can be altered or affected by our occupations or from swimming itself.  The good news is that they can also be altered with the correct intervention and or exercise program

As you can see shoulder pain in swimmers can result from factors around and well away from the shoulder.   So to keep yourself swimming well throughout the summer months consult with one of our highly skilled physiotherapists at Clifton Hill Physiotherapy to see if physiotherapy can improve your performance and reduce your risk of injury.


Joshua Heerey is completing Post Graduate Studies in Sports Physiotherapy and has a keen interest in the sporting shoulder.



Welcome to our new Massage Therapist Lisa Jackson

We are very lucky to welcome experienced massage therapist Lisa Jackson to our team at CHP. Lisa despite training as an engineer, developed a passion for massage during many years competing as an athlete at both a national and international level and understands the stresses placed on the body whilst training and competing. Being a mum of two Lisa also understands the demands and pressures placed on the body in performing everyday tasks, and understands that massage isn’t just for elite athletes. Welcome Lisa


CHP’s website goes Mobile

We are excited to reveal the new mobile version of our website. Now when you visit CHP via a smartphone or tablet device you will be redirected to our new mobile-friendly site. Making it easier for you to find the information you need quickly. Let us know what you think by sending us an email (


Clifton Hill Physiotherapy – The Vestibular System, Dizziness, and Benign Paroxysmal Positional Vertigo-BPPV)

The vestibular system of the inner ear is made of five sensory organs.

The purpose of the vestibular system is to monitor the position and motion of your head in space. The semi-circular canals are responsible for detecting rotation and angular acceleration, for example when you nod or shake your head. The otolith organs are responsible for detecting motion along a line, for example when your car stops suddenly, or when you lean to one side.

The inner ear structures send signals into areas of the brain, which subsequently are involved in co-ordinating movements of your eyes and your head, and in maintaining balance.


There are a variety of symptoms associated with disorders of the vestibular system. These include:
• dizziness;
• vertigo (an illusion of motion);
• blurred vision;
• impaired balance;
• unsteady walking;
• reduced concentration; and
• increased fatigue.
These types of symptoms may subsequently lead to :
• loss of confidence
• frequent falls,
• work-related issues,
• headaches,
• difficulties with driving,
• depression and feelings of significant anxiety and fear.
Commonly people with suspected disorders of the vestibular system are referred for diagnostic testing (also known as vestibular function testing). This type of testing can help to diagnose the cause of your specific vestibular problem.
Vestibular Rehabilitation

Vestibular Rehabilitation – Why is therapy needed?
If the brain cannot rely on the information it receives from the vestibular system, a person’s ability to maintain posture and co-ordinate balance can become overly dependent on vision or on the information received from the muscles and joints (proprioception).

This can lead to developing new patterns of movement to compensate for the change and to avoid head movements that are apt to create symptoms of dizziness and nausea.
For example, a person might swivel the entire body rather than just the head in turning to look at something, or might always look down at the floor to avoid what appears as a confusing swirl of activity.
Unfortunately, these types of adaptation can result in headache, neck pain, muscle stiffness, general fatigue, and a decrease in the ability to retrain the brain to adjust to the vestibular problem, hence making the symptoms much worse.

The goal of Vestibular physiotherapy rehabilitation iat Clifton Hill Physiotherapy s to retrain the brain to recognize and process signals from the vestibular system in coordination with information from vision and proprioception. This often involves desensitizing the balance system to movements that provoke symptoms; also known as habituation training.

What happens during vestibular therapy at Clifton Hill Physiotherapy?

One of our physiotherapist trained in vestibular rehabilitation will first perform a thorough assessment of the 3 sensory components of balance ie visual, vestibular, proprioception. This includes performing visual testing, observing posture, balance, movement & gait & doing some specific tests for BPPV (Benign Paroxysmal Positional Vertigo).

The assessment has 3 purposes:

1. To identify between a central (and refer onto a neurologist or Ear Nose & Throat specialist) or peripheral problem– & help determine the best treatment based on the assessment findings.
2. To educate the client re their symptoms and causes, to identify the main problem and how to treat & resolve the symptoms of dizziness.
3. To develop an individualized treatment plan incorporating balance exercises, habituation exercises, gaze stabilisation exercises, retraining the proprioceptors of the neck and improving vestibular function.

With BPPV this may also warrant treatment using the Epley manoeuvre (canalith repositioning technique).

Some of the exercise and activities may at first increase the symptoms, as the body and brain attempt to sort out the new pattern of movements. But with time and consistent work, the coordination signals from the eyes, proprioception, and vestibular system will occur.

How does therapy help?

1. Improved balance- if the exercises are correctly and faithfully performed.

2. Reduced tension of muscles , headaches and more energy.

3. Symptoms of dizziness and vertigo and nausea will decrease or disappear

Many times, vestibular physiotherapy is so successful that no other treatment is required.


Nevine Eskander

BAppSci (Physio)

Post Grad (Pelvic Floor Rehab)

If you suffer from symptoms, there is help! Make an appointment today with one of our specially trained Physiotherapists (Nevine Eskander, Sallie Cowan and Brendon Haslam) at Clifton Hill Physiotherapy.

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and service every visit

We Can Help

  • Sports injuries
  • Back and neck pain
  • Complex knee pain
  • Womens and mens health
  • Paediatrics
  • Neurology
  • Chronic pain /persistent pelvic pain
  • Headaches
  • Vertigo
  • Manipulative

About chp

Clifton Hill Physiotherapy is an innovative physiotherapy prac- tice offering comprehensive services by experienced and highly-qualified physiothera- pists.

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Contact us

111 Queens Parade
Clifton HIll 3068
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Tel: 9486 1918
Fax: 9486 5650