RX Physiotherapy Shellharbour

For decades, we’ve believed the ACL cannot heal. But modern research is changing the narrative. In this episode, Trent Cooksley from RX Physiotherapy explores the healing potential of ACL injuries, why some knees recover without surgery, and how rehab-first approaches can guide smarter decisions. Learn why MRI appearance doesn’t tell the whole story, and how function, not perfection, determines long-term outcomes. If you or someone you know is navigating an ACL injury, this episode will help you make evidence-informed choices. 🎧 Tune in to learn how better testing and smarter rehab strategies can help athletes return to sport with greater confidence and lower risk of re-injury.Disclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website

Return-to-sport testing is often treated as the final checkpoint after an ACL injury. Pass the tests, get cleared, and return to competition. But is it really that simple?In this episode of the RX Physiotherapy Podcast, Trent Cooksley breaks down what return-to-sport (RTS) testing actually tells us — and more importantly, what it doesn’t.You’ll learn why many athletes still experience high re-injury rates after being cleared, and why passing a battery of tests doesn’t necessarily mean the knee is ready for the demands of sport.We explore key factors that influence safe return to sport including:• Quadriceps strength and why it matters more than you think• The limitations of hop tests and limb symmetry• Why athletes can “game” common testing protocols• How fatigue, time pressure, and real-game scenarios change movement patterns• The psychological side of returning to sport after injury• Why gradual exposure to training loads is criticalRather than acting as a simple green light, return-to-sport testing should be used as a risk-management tool to prepare athletes for the demands of sport.If you're recovering from an ACL injury, working with injured athletes, or simply want to understand how safe return-to-sport decisions are made, this episode is for you.🎧 Tune in to learn how better testing and smarter rehab strategies can help athletes return to sport with greater confidence and lower risk of re-injury.Disclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website

In this episode with Trent Cooksley, discover why not all ACL-deficient knees behave the same, and how modern evidence supports structured non-surgical rehabilitation as a valid, and sometimes optimal, pathway. Trent explains the principles of effective ACL rehab, from heavy quadriceps strengthening and posterior chain development to neuromuscular control, progressive running, and change-of-direction drills.This episode emphasises that non-surgical ACL rehab is not about minimal effort or toughness; it’s about building a knee capable of supporting the life and activities you want to enjoy.Tune in to understand when surgery may be necessary, when rehab alone is sufficient, and how evidence-based care can guide better outcomes for ACL injuries.Disclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

In this episode of the RX Physiotherapy Podcast, Trent Cooksley dives into the biomechanics behind ACL injuries and re-injuries.Drawing from landmark video analysis research and current return-to-sport evidence, we unpack:Why ACL injuries occur within 40–50 milliseconds of ground contactThe role of knee valgus, internal rotation, and near-full extensionWhy ACL injuries are often a system failure — not just a knee problemThe importance of quadriceps strength in reducing re-injury riskHow fatigue alters landing mechanics late in games and seasonsWhy young athletes are up to 15x more likely to sustain a second ACL injuryACL injuries are rarely random.They are predictable.And that means they are modifiable.If you’re an athlete, coach, parent, or clinician, this episode is essential listening.In our next episode, we’ll explore non-surgical ACL rehabilitation and what to expect from that pathway.Disclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

An ACL injury is one of the few injuries where people are asked to make a permanent decision within days — swollen knee, unclear scans, season pressure… and somehow you’re expected to already know if you want surgery. In this episode of the RX Physiotherapy Podcast, Trent Cooksley unpack what surgery actually does, and what it doesn’t. Because here’s the truth:Surgery restores anatomy.Rehab restores capacity. We explore the research behind immediate vs delayed reconstruction, why rehab quality matters more than surgical timing, and how strength, confidence, and knee stability should guide decision-making — not fear or urgency. This conversation isn’t about choosing sides. It’s about slowing the process down, understanding your options, and making an informed decision based on how your knee responds to structured rehab. If you or someone you know is navigating an ACL injury, this episode offers clarity grounded in evidence — not pressure. Disclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

An ACL injury can feel overwhelming. In the first few days, opinions come fast — you’ll need surgery, your season is over, your knee will never be the same. But the evidence tells a very different story.In this first episode of our ACL series, physiotherapist Trent Cooksley breaks down what actually happens during an ACL injury and why rushing decisions early can lead to poorer outcomes. We explore the true role of the ACL, how these injuries occur, and why the ligament alone does not determine your future function.Drawing on landmark research and modern rehabilitation frameworks, this episode explains:What the ACL actually does (and doesn’t do)Why ACL injuries aren’t “bad luck” but influenced by movement, load, and fatigueWhat matters most in the early stages after injuryWhy rehab-first approaches are evidence-based, not “second best”How strength, capacity, and confidence — not timelines — guide return to sportAn ACL injury is not a career-ending diagnosis, and surgery is not always inevitable. With the right information, time, and rehabilitation, outcomes improve — with or without surgery.This episode sets the foundation for the series. In Episode 2, we’ll explore surgical vs non-surgical management and how to decide which path is right for you.Disclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

If you have hypermobility and live with ongoing neck pain, it’s easy to feel confused, frustrated, or even afraid to move.In this episode, April and Laura unpack why neck pain is so common in people with hypermobility and why it doesn’t mean you’re fragile, broken, or destined for pain.They discuss how ligament laxity, reduced proprioception, muscle fatigue, posture, and nervous system sensitivity all contribute to neck symptoms, and why common advice like excessive stretching or neck cracking can sometimes make things worse.This conversation focuses on what actually helps long-term: ✔️ building strength and control ✔️ improving proprioception ✔️ understanding pain as a protective signal, not damage ✔️ using a graded, whole-body approach to rehab ✔️ recognising red flags and knowing when to seek further assessmentMost importantly, this episode reframes hypermobility from something to fear into something that can be managed — and even become a strength — with the right plan and support.If you’ve been told to “just be careful” or feel unsure about how to move safely with hypermobility, this episode is for you.Disclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

In this episode of the RX Physiotherapy Podcast, April Patterson sits down with physiotherapist and former competitive golfer Trent Cooksley to explore how physiotherapy can transform the way you play golf.From common golf injuries like back pain, golfer’s elbow, and shoulder strain to the science behind mobility, strength, and flexibility, Trent shares his expertise on how golfers can reduce pain, prevent injuries, and unlock their full potential on the course.Here’s what you’ll learn in this episode:What “golf physiotherapy” is and why it matters for both amateurs and prosThe most common golf injuries (lower back pain, golfer’s elbow, shoulder and wrist issues)The role of mobility, flexibility, and core stability in a powerful, pain-free swingWhy amateur golfers often neglect physical conditioning and how to fix itHow physiotherapists use TPI (Titleist Performance Institute) screening to assess swing mechanicsThe top 3 exercises every golfer should be doing for strength and injury preventionSimple warm-up routines that prime your body for golf and reduce injury riskHow often golfers should see a physiotherapist for injury recovery and performance check-insWhether you’re new to the sport or a seasoned player, this episode will help you understand the vital role physiotherapy plays in keeping your body strong, efficient, and injury-free so you can enjoy more time on the course.Disclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

Join April Patterson and Emily Yorkston on the RX Physiotherapy Podcast as they dive deep into women’s health, pregnancy, and postpartum recovery. In this episode, Emily, a women’s health physiotherapist, shares expert advice on managing pregnancy-related pelvic pain, diastasis recti, and core health.Discover practical tips for exercising safely during and after pregnancy, reducing discomfort from round ligament pain, lower back pain, and pelvic girdle pain, and returning to your pre-pregnancy fitness routine. Emily also explains what’s normal versus what’s not, including bladder leakage, posture changes, and core muscle separation, empowering women to advocate for their own health.Whether you’re pregnant, recently postpartum, or simply interested in understanding women’s musculoskeletal health, this episode is packed with actionable advice, evidence-based guidance, and practical strategies to support your body through pregnancy and beyond.Key topics covered:Pregnancy-related pelvic girdle and lower back painRound ligament pain and fetal positioningDiastasis recti: causes, prevalence, and postpartum managementSafe exercises during pregnancy and gradual return to activity postpartumTips for managing day-to-day pain and discomfortAdvocacy and self-care for women’s health concernsListen now for expert insights on supporting your body, reducing pain, and confidently navigating pregnancy and postpartum recovery!Disclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

Jaw pain can feel overwhelming — especially when it affects your ability to speak, eat, or focus. In this episode, April Patterson breaks down what TMJ (temporomandibular joint) dysfunction really is, why it happens, and most importantly — what actually helps.From muscle tension and poor posture to stress, hypermobility and compensatory movement patterns, we explore the many reasons why jaw pain can arise — and why treating it isn't just about the jaw.Learn how conservative care (no surgery, no injections) can lead to real results through manual therapy, exercise, posture support, and patient-centred education. April shares practical insights from clinical experience, pain science, and personal understanding to help you take back control — whether you’re living with TMD or supporting others who are.You’ll also hear tips on:How posture affects jaw stabilityWhy strengthening (not just stretching) mattersWhat to look for in a good practitionerThe link between stress, pain, and the jawAnd how to build long-term resilience, not just quick fixesThis episode is a must-listen for anyone dealing with persistent jaw pain — or wanting to better understand it from a whole-body, whole-person approach.Disclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

If you’ve ever felt like your EDS or hypermobility symptoms are “all over the place” — from joint pain to digestive issues to fatigue — this episode is for you.April Patterson dives into the SPIDER outcome measure, a powerful tool that captures the full-body impact of connective tissue disorders like Ehlers-Danlos Syndrome (EDS) and Hypermobility Spectrum Disorder (HSD). Unlike traditional assessments that focus only on joint flexibility, the SPIDER evaluates eight key systems including neuromuscular, cardiac, gastrointestinal, and psychological domains.Learn how this questionnaire helps identify symptom patterns, puts lived experience at the centre of care, and guides better treatment decisions — so patients and practitioners aren’t left guessing.Whether you’re a clinician, a patient, or supporting someone with EDS, this episode will help you better understand what’s really going on beneath the surface.Take the SPIDER test here: april-uqnuykdm.scoreapp.comDisclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

In this episode, we dive into the most common running injuries and the smarter strategies to overcome them. Whether you're training for your next race or just getting into running, understanding how to manage your load, strengthen your body, and avoid the common pitfalls can make all the difference. We explore everything from return-to-run progressions and biomechanical faults to the role of footwear, strength training, and the mental side of injury recovery. You'll also hear about real-world cases, practical advice on running technique, and how physiotherapists help both injured and uninjured runners stay at their best. If you're serious about running pain-free and performing at your peak, this is an episode you won’t want to miss.Chapters 1:15 - Most Common Running Injuries (and Why They Happen)5:05 - How We Guide Runners Back from Injury10:00 - Footwear’s Role in Injury Prevention & Performance11:00 - Helping Runners Mentally Through Long Rehab Periods13:00 - Why Physios Matter Even When You’re Not Injured16:00 - What We Look for in a Running Assessment20:15 - Top 3 Tips for Staying Injury-Free During a Training Block22:30 - When Should a Runner Actually See a Physio?23:50 - Why Do Injuries Keep Coming Back? Breaking the Cycle27:08 - Common Biomechanical Faults in Runners 29:40 - Balancing Strength Training with High Running Volume30:50 - What Does Good Running Technique Actually Look Like?32:03 - The #1 Mistake Runners Make When Increasing Mileage33:33 - How Often Should You Replace or Rotate Running Shoes?34:40 - Real Case Study: Overcoming Achilles Tendinopathy37:07 - Dealing with a Niggle Before Race DayDisclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

In this episode, we take a closer look at what causes knee pain and how physiotherapy can help ease that discomfort. Whether you’re facing a sudden injury or dealing with ongoing issues, it’s important to understand what’s really behind your knee pain to start the recovery process. We’ll share insights as physiotherapists along with practical tips for managing your pain and exercises to help improve your mobility. If you’re eager to regain your strength and enhance your quality of life, this episode is one you won't want to miss. Join us to learn how physiotherapy can play a vital role in your journey to moving pain-free! Chapters1:28 - Common Causes of Knee Pain4:20 - Is Knee Pain More Common in Women?7:07 - How Is Knee Pain Assessed?12:31 - How Do Biomechanics Affect Knee Pain?15:15 - How Do Age, Weight, and Activity Level Impact Knee Pain?21:31 - Strengthening Exercises for Knee Health32:05 - What About Surgery for Knee Pain?41:38 - Rehab Strategies for Different Knee Injuries44:45 - New Technologies in Physiotherapy for Knee Pain48:29 - Brendan’s Final Thoughts on Knee PainDisclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

Today, join us as we dive into TMJ pain and neck connections. Discover the intricacies of temporomandibular joint (TMJ) dysfunction, how it connects with neck issues and practical insights into managing jaw pain effectively.We explore TMJ anatomy, the impact of clenching, and crucial connections between jaw health and neck stability. Learn how posture influences TMJ function and gain insights into managing TMJ issues related to hypermobility.So, whether you're navigating everyday jaw discomfort or seeking deeper understanding, join us on this journey into TMJ health.Sit back, relax, and enjoy as we unravel the complexities of TMJ and its relationship with neck health.Chapters00:00 - Intro00:40 - What is TMJ?02:07 - How bad posture causes TMJ05:41 - People who suffered car accidents and assault08:34 - Can we self-manage TMJ?11:06 - Lockjaw story12:27 - How many people suffer from TMJ?13:17 - This is the hardest to treat TMJ issue!15:06 - Do you suffer from night clenching?16:45 - I wish everyone knew about this18:13 - How does the neck contribute to TMJ?20:47 - OutroDisclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

Today, we’re diving into lower back pain—a condition that nearly every physio sees on a daily basis. I remember no one at uni prepared us for just how many people would come in with back pain; it's almost a joke among physios. It can make up a huge part of our week. In this episode, we’re kicking off a series on back pain, starting with common issues like lower back spasms and overloads. We’ll chat about what signs and symptoms to look out for, and share our top physio tips and tricks to relieve pain. We’ll also touch on the red flags you should never ignore, and when to seek help from a GP or physio. Whether you’ve had a tiny flare-up or long-lasting pain, we’ve got advice that can help. So, join us as we break down everything from postural problems to muscle imbalances, and help you understand and manage your lower back pain better. Disclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

 In this episode, April Patterson and Brendan Casey dive deep into the common comorbidities of Hypermobility EDS.They discuss the various health challenges associated with hypermobility. From gastrointestinal issues to autonomic dysfunction and fibromyalgia, they shed light on the often-overlooked aspects of this condition.Learn about the importance of individualized treatment approaches and advocacy for proper diagnosis. April shares personal insights into her journey with hypermobility, emphasizing the significance of listening to your body and avoiding the "more is better" mentality.Tune in to gain valuable knowledge about managing hypermobility and advocating for your health. Chapters00:00 - Intro02:22 - What is the most common comorbidity?04:19 -  What do people with hypermobility use to manage their GI problems?06:55 - The second most common comorbidity08:48 - How does it affect someone with POTS11:24 -   Why is more not better when exercising, especially if you're hypermobile?13:20 -  The third most common comorbidity21:30 - Other common comorbidity23:34 -  Download the EDS checklist (Diagnosis Process)30:13 - Quick 60 *rapid fire question*34:17 - OutroDisclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

Join us as we dive into essential nutrition strategies for managing hypermobility and enhancing gut health with Gunny Wiken, a Dietitian (APD), Sports Nutritionist, and Weightlifting Coach, alongside me, April, your Doctor of Physiotherapy.In this episode, Gunny and I will share our expert insights on the best foods to support your digestive system, reduce inflammation, and boost overall well-being. Whether you're dealing with IBS, GERD, or other gastrointestinal issues, these tips are tailored to help you manage your symptoms effectively.Connect with Gunny Wiken:Website: www.thpd.auInstagram: @gunn_thpdChapters:Part 1 - Gut Health 00:00 - Intro02:41 - How does hypermobility affect the gut's functionality?07:17 - What are the specific gut problems that are associated with hypermobility?09:28 - What is the connection between hypermobility and dysmotility?11:06 - What role does hypermobility play in causing heartburn and reflux issues?13:39 - How does hypermobility contribute to bloating?15:05 - How does hypermobility relate to constipation?16:41 - What diagnostic tests are used to assess gut issues in people with hypermobility?17:58 - How does POTS impact the digestive system in individuals with hypermobility?Part 2 - Nutrition Tips24:13 - How to manage digestive symptoms in individuals with hypermobility?29:25 - What are the dietary interventions to implement with individuals with hypermobility to help reduce inflammation?31:52 - How do stress and mental health affect the gut symptoms with hypermobility35:42 - How to implement the meditative state or visualization for gut issues36:26 - What dietary modification is suggested for people with reflux and heartburn?40:26 - Tips to manage bloating and flatulence42:51 - Is there a difference in the symptoms for the large and small intestine issues?50:31 - Strategies for managing diarrhea and constipation59:56 - Are there any specific nutrients or supplements recommended for supporting gut health in individuals with hypermobility?01:41 - OutroDisclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

In this episode, we dive deep into effective strategies for managing pain in hypermobility. Whether you're dealing with joint pain, muscle discomfort, or stress-related symptoms, this episode offers practical advice and expert tips to help you find relief.We start with a quick recap of what hypermobility is and the common challenges faced by those who have it. Then, Brendan and April share their favourite pain management techniques, discussing both tried-and-true methods and innovative approaches. We also cover essential exercise concepts, including when to push forward with your routine and when it's crucial to take a break.Understanding the impact of stress hormones on people with hypermobility is another key topic we explore. Learn how to balance the benefits of exercise with the need to manage stress levels effectively.Tune in to gain valuable insights and improve your quality of life with practical tips from experienced physiotherapists.Chapters00:00 - Intro02:27 - Why every person with hypermobility is different04:02 - What strategies are best for chronic pain in hypermobility06:29 - Understanding treatments to manage hypermobility pain12:32 - Supported vs. unsupported exercises for hypermobility20:29 - Exercises affected by gravity that need to be considered for certain patients23:55 - Training or exercise frequency27:22 - The importance of diet in hypermobility30:08 - Advice for women during the menstrual cycle33:00 - If you have hypermobility, just don't compare yourself to anyone else36:14 - OutroDisclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

Welcome to the very first episode of the Rx Physiotherapy Podcast, where Brendan and April take you on a journey through all things health and wellness. In this kickoff episode, join them as they dive into a discussion about hypermobility and Ehlers-Danlos Syndrome (EDS). They break down these topics in easy-to-understand terms, covering symptoms, diagnosis, and helpful tips for managing these conditions. Tune in and start your wellness journey with Rx Physio Podcast today!Chapters00:00 - Intro01:58 - April's background in Physiotherapy05:06 - Signs and symptoms of hypermobility and Ehlers-Danlos Syndrome06:41 - When will you start experiencing signs and symptoms?08:08 - Which gender and age bracket are most affected by hypermobility?09:13 - What are the most affected areas in the body?10:45 - What are the long-term effects of hypermobility?12:40 - How do ASD, ADD, and neurodivergence correlate with hypermobility?20:13 - How to diagnose hypermobility and Ehlers-Danlos Syndrome (EDS)?22:40 - Learn more at https://www.ehlers-danlos.com24:49 - Final message from April29:10 - OutroDisclaimer: Before making any health changes, consult with a healthcare professional.Connect with us:Dive deeper into health tips and stay updated by following us on Instagram.Explore exclusive offers and discover additional resources on our website.

Welcome to the Rx Physiotherapy Podcast – your ultimate destination for expert insights on physio, rehab, health, and wellness. Join hosts Dr. April Patterson and Brendan Casey, seasoned physiotherapists as they dive deep into captivating topics each week, covering everything from physiotherapy essentials to nutritional secrets.Note: The music used in this podcast is Smack That by Matrika, available under a royalty-free license. You can find the original work https://uppbeat.io/....