Global Specialist Physiotherapy

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Global Specialist Physiotherapy

Non-surgical solutions to pain and injury

06/01/2026

Want to level-up you and your team's Continuous Professional Development (CPD) in 2026?

Global Specialist Physiotherapy has a large list of musculoskeletal pain and injury topics we can deliver live via Zoom, with theory and practical components and opportunity for you to interact and ask questions!

Here is our list of topics we can run live Via Zoom, wherever you are in Australia or around the world:

https://static1.squarespace.com/static/588809fb1b631bab19fb9ae1/t/692d406e4ae71e766e185cfe/1764573294092/Professional+Development+Topics+2025+2026.pdf

For more information, or to book a free initial consultation with us, comment "PD" below, direct message or go to our training website:
👇
https://globalspecialistphysio.com/training

05/01/2026

Lovely to have Marie share her story following her knee injury:

"It’s been just over a year since I tore my ACL while skiing and I’m happy to say my knee has been recovering well, and so far I have managed to avoid surgery.

A few weeks after I was towed down the mountain by ski patrol an MRI confirmed I had a high-grade (“full tear or hanging by a thread”) ACL tear and significant bone bruising. Multiple doctors told me if I ever wanted to run or do triathlon again, my only option was surgery. I felt confused - my knee had been feeling a bit better and I was starting to convince myself it was a minor injury and I’d be running again in a few weeks. In my head I felt I didn’t need or want surgery.

I spent the next few days researching — I joined Facebook groups, spoke to others with similar injuries, and connected with in Australia, who specialize in non-surgical ACL rehab. I worked with them and a local PT at on a rehab plan, and consulted with another doctor at who was open to a “rehab-first” approach. I treated it like I was on a six-month surgical waitlist and fully committed to the process.

I shifted the 7–8 hours/week of tri training into strength, stability, and progressive loading. I kept biking, until I ended up with some hip issues on the opposite leg (likely due to over compensating), and followed a strict low-HR running plan. Oddly swimming was the toughest - kicking felt unstable - so I focused on controlled, consistent run and strength work.
I am now at just over 12 months days post tear, and I managed to run a total of 1,041 (slow) miles in 2025, including a half marathon. My knee feels strong and stable and I am hoping to return to triathlon training soon.

I am sharing this in case it helps someone else consider their options before going under the knife. Surgery is right for many people, but it’s not the only path, and rehab-first can be a good first option to consider. Do your research, get other opinions and do what’s right for you. Could I re-injur it again? Sure, but the same could be said if I had surgery."

If you're dealing with an ACL injury, let's chat non-op options before rushing to surgery! Comment ACL below, direct message or go to the Global ACL website:
👇
globalspecialistphysio.com/acl-online-consults

02/01/2026

Don’t let a “Slip Catch” end your ski season before it even starts. ⛷️💥

The slip catch is one of the most common ways skiers tear their ACL. It happens in a split second: your weight shifts, your downhill ski catches an inside edge, and your knee is forced into a dangerous dynamic valgus position.

The good news? You can bulletproof your knees by strengthening your adductors🛡️

Try these 3 levels of the Copenhagen Plank:

• Level 1: Short lever (knee on bench) – Focus on the isometric hold.
• Level 2: Short lever with hip drops – Adding dynamic movement.
• Level 3: Long lever (foot on bench) – The ultimate functional challenge for your adductors.

Save this post to add to your next leg day and tag your favorite ski buddy! ❄️

If you want ACL injury prevention exercises, non-surgical opinion on your ACL tear or are struggling with your recovery post-surgery, omment ACL below, direct message or go to the Global Specialist Physiotherapy ACL website:

globalspecialistphysio.com/acl-online-consults

30/12/2025

Exciting new editorial out in the Clinical Journal of Sport Medicine: "Bracing for Nonsurgical Management of Acute Anterior Cruciate Ligament Tears" by Singh et al. (2025).

** Key highlights **

✅️ MRI evidence shows the majority of ACL continuity following protocols in acute ruptures – no surgery needed for many!
✅️ Proximal tears seem more likely to heal, and bracing in flexion may optimise the healing response
✅️ Better patient outcomes (Lysholm scores, ACL-QOL) linked to higher-grade healing on MRI
✅️ Healing can also occur without bracing, so personalised approaches as always are key

This reinforces what we've seen in the clinic and with the BLEX protocol: ACLs CAN heal without going under the knife!

Link to article:

https://journals.lww.com/cjsportsmed/fulltext/9900/bracing_for_nonsurgical_management_of_acute.352.aspx?fbclid=IwY2xjawOe5fxleHRuA2FlbQIxMABicmlkETFQaWdJMVYyV09vSmYyVXhFc3J0YwZhcHBfaWQQMjIyMDM5MTc4ODIwMDg5MgABHmRAikr4y29ozVzS-idDN8emFobekJIUYfRE47I5Z3XgpbhHx1vG9E7mq5RB_aem_6VLYyMVY_0qOiD0zbl3s3g

If you're dealing with an ACL injury, let's chat non-op options before rushing to surgery! Comment ACL below, direct message or go to the Global ACL website:
👇
globalspecialistphysio.com/acl-online-consults

28/12/2025

"Why rely on average treatment effects when patients respond so differently?

In MSK care, heterogeneity means one-size-fits-all often misses the mark. Individualized treatment effects help us predict what works best for this patient in front of us.

Individualised manual therapy and rehab over averages every time! 😉🙌

Excellent read unpacking why we need to consider these concepts more in clinic:
👇
https://sites.duke.edu/cemmt/2025/12/24/why-individualized-treatment-effects-matter-more-than-averages-in-musculoskeletal-care/

The Manual to Great Therapy 2-day workshop, which focuses on individualised care, is coming to a capital city near you in 2026, starting in Perth Saturday and Sunday 21st and 22nd of February!

For more information and to sign up go to:

globalspecialistphysio.com/manualtherapy

22/12/2025

Is surgery really the only path forward for an ACL tear? 🤔

Too often, patients are steered toward the operating room before they even hear about non-operative management—despite a growing body of research supporting it.

At Global Specialist Physiotherapy, we believe you deserve the full picture.

We don’t do “one-size-fits-all” protocols. Instead, our approach focuses on:

✅ True Autonomy: You lead your recovery.

️✅ Evidence-Based Rehab: Building elite strength, stability, and confidence without the rush to go under the knife.

️✅ Informed Choice: Understanding the “why” behind every step of your care.

Surgery has its place, but it isn’t the only way to return to the sports you love.

Want more info about ACL and meniscus tear non-surgical management? Comment 'ACL' below, direct message us or go to:

globalspecialistphysio.com/acl-online-consults

19/12/2025

** Sydney and New South Wales Physiotherapists! Cervical Spine 2-day Non-surgical Management Course: Saturday and Sunday March 14th and 15th 2026 **

Dr. Taishi Ezaki (Cairns Specialist Physiotherapy) and I are running our Cervical Spine 2-day Non-surgical management workshop in Sydney in March 2026, covering:

✅ Non-surgical and surgical management of neck and neck-arm pain disorders
✅ Manual therapy techniques for the neck and neck-arm
✅ Evidence-based exercise strategies
✅ Differential diagnosis of headache disorders
✅ Red flag pathology in the cervical spine
✅ Assessment and management of whiplash injuries
✅ Simplifying TMJ disorders
✅ Clinical reasoning in the complex cervical spine patient

The course will be research-bound with evidence-informed application, with practical, postgraduate-level strategies you can use with patients immediately!

Some previous attendee feedback:

“Thanks again for the weekend, I found the course thorough and broad reaching, and I particularly enjoyed the emphasis on clinical reasoning (something I find often missing in short courses). I liked the regular brief practical sessions, and found the case studies really helpful.”

“Thanks for the course this weekend it was great to review clinical skills and add to my toolbox. I found the content really useful and am looking forward to implementing some of the skills we reviewed into my clinical practice.”

Direct message for 2 or more attendee discount. Get tickets now through the link below!
👇
https://events.humanitix.com/practical-solutions-for-complex-neck-pain?_gl=1*19l60fd*_gcl_au*Mjc4OTE0MzkuMTc2NTE5NzI0OA..*_ga*OTEwMzQzNDQxLjE3Mjk1MTE4Nzk.*_ga_LHKW5FR9N6*czE3NjU3MTY1MzgkbzkzJGcxJHQxNzY1NzE4MTA0JGo1NiRsMCRoMA..

16/12/2025

Great to colab again with ATG science and share how you can return to high-level sports without ACL surgery!

Want more information for your own knee pain and injury, or training in this approach? Direct message us, comment BLEX below or go to the Global Specialist Physiotherapy ACL website:

globalspecialistphysio.com/acl-acl-online-consults

09/12/2025

We've known for > 30 years complete ACL ruptures can heal without surgery!

Check out this collaborative post with ATG science from instagram 👇💡

08/12/2025

Who can relate? 😆🙋‍♂️🙋‍♀️

04/12/2025

The second paper from the 1990's by Ihara and colleagues!

Many people are told a torn ACL can’t heal — but research suggests otherwise.

A study in 1996 by Ihara and colleagues on non-surgical ACL treatment found that after 3 months, around 74% showed healing ACL on MRI.

👉 For patients:

This means you may have more options than surgery alone. Some ACLs can heal with the right early management and progressive rehab. Decisions shouldn’t be rushed.

👉 For physios:

This supports growing evidence showing:
• ACL rupture ≠ automatic reconstruction
• Biological healing is possible in selected cases
• Function, strength, and stability should guide decision-making

Whether you’re recovering or supporting someone who is, remember:

🦵 The knee can be resilient.
🧠 Good information leads to better choices.
✨ And healing is more possible than many realise.

Want more information for your own knee pain and injury, or training in this approach? Direct message us, comment BLEX below or go to the Global Specialist Physiotherapy ACL website:

globalspecialistphysio.com/acl

01/12/2025

Despite the common belief that a torn ACL cannot heal, published evidence has been around since 1994 showing that this is not always the case.

One landmark study followed 25 people with acute ACL tears who were treated in a brace.

After three months, arthroscopy revealed that 20 out of 25 complete ACL tears had healed with good continuity — an incredible finding that challenges long-held assumptions about ACL management 🔥

Research like this highlights why it’s so important to stay open-minded about conservative ACL treatment and to follow the evolving science.

You can read the original article here:

👉 https://pubmed.ncbi.nlm.nih.gov/7924027/

Obviously every case is unique, and outcomes can never be 100% assured, but it is excellent to read the research showing patients having successful outcomes with Physiotherapy-led non-surgical management.

Want more information for your own knee pain and injury, or training in this approach? Direct message us, comment BLEX below or go to the Global Specialist Physiotherapy ACL website:
👇
globalspecialistphysio.com/acl

Address

50 Street Georges Terrace Suite #1035
Perth, WA
6000

Website

http://www.globalspecialistphysio.com/

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Our Story

Having worked in a hospital setting as a new graduate, Kieran encountered a system with many patients in severe pain, some who had sustained orthopaedic trauma and others who opted for elective procedures. He worked methodically to rehabilitate these patients back to their normal lives.

Later, working in private practice as a first-contact practitioner, Kieran further identified effective strategies and patterns of management that had not been widely explored or made known within the profession. Using them to treat patients' pain, he saw substantial improvements in their conditions.

This started a quest to find high-quality scientific evidence that validated the techniques and systems that he has used clinically to reduce patients pain, so they could avoid unnecessary imaging, medication, injection therapies and elective surgery.