Sydney Spine and Pelvis Physiotherapy Centre

Sydney Spine and Pelvis Physiotherapy Centre Situated in Drummoyne and St Leonards, SSPPhysio provides a unique service in the treatment of spinal, rib, pelvic and hip pain and dysfunction.

Sydney Spine & Pelvis Physiotherapy Centre was established by Dr Barbara Hungerford in 2003 to provide a centre of excellence in the assessment, diagnosis and treatment of pain or dysfunction in the cervical /cranial region, thoracic spine and rib cage and lumbo-pelvic-hip region. The team at SSPPhysio have all undergone extensive training to be at the forefront of the latest research and treatme

nt techniques. We consider your whole body upon assessment as we understand that pain and injury often affects your whole being, and that simply treating the pain does not ensure your return to good health. At SSPPhysio a number of treatment philosophies including muscle energy techniques, myo-fascial releases and craniosacral therapy are incorporated with postural re-education and exercise rehabilitation to really change and improve the way your body moves and feels.

04/03/2026

Sleep sets your baseline for optimal health

Here is an article from Jabe Brown: Melbourne Functional Medicine Founder, that I think anyone struggling with sleep issues will find useful!

Sleep is often the first thing we trade away when life gets full. An early start. A late workout. One more email. One more episode. We tell ourselves we’ll catch up later.
Sleep doesn’t feel ‘productive’, and in an output world, that means we often bump it to the end of the line. So we double down on effort. We train harder, eat cleaner, dial in supplements and improve hydration, and sleep becomes the leftover space at the end of the day.
But biologically, it doesn’t work like that.
Here’s the bit that many people miss, and it might be the best biohack you can opt in for. Sleep isn’t passive. It’s actually when the real work happens. It’s when your brain clears waste, hormones recalibrate, tissues repair and your nervous system resets. In many ways, it determines whether your daytime effort actually translates into results - particularly if your focus is health optimisation.
Sleep shapes cognition, metabolic health, immune resilience and emotional regulation. When sleep drops, performance drops with it. Recovery slows, and stress tolerance narrows. Even hydration and blood sugar control become less efficient. So what I’m really saying is, if you want the benefits of all of those daytime ‘efforts’, it is sleep that consolidates and reinforces those actions.
In clinic, I describe sleep as the multiplier. It doesn’t sit alongside your health habits; it amplifies or blunts them.
Let’s unpack why sleep has such a powerful influence on your health and how to improve it.
Why sleep matters for health optimisation
During the day, you create demand through training, thinking, working, digesting and responding to stress. Sleep is when the body turns that demand into repair, recovery and progress.
Here’s why that matters.
1. Sleep protects brain clarity and emotional stability
Deep sleep activates the brain’s glymphatic system - a clearance pathway that removes metabolic waste that builds up during waking hours. Without adequate sleep, that waste clearance becomes less efficient. Clogged drains, slow thinking, low comprehension.
Sleep is also when memory consolidates and learning integrates. Neural connections are strengthened and refined.
When sleep is consistently short (less than 6 hours, while the vast majority of us actually need 8) or fragmented:
• Reaction time slows
• Decision-making declines
• Emotional responses become less stable
Over time, cognitive performance and stress tolerance narrow - even if you don’t immediately feel exhausted. People often describe that they can’t find their words, they feel more irritable, and they feel ‘slow off the blocks’ cognitively. For those who pride themselves on performance, this can be a great challenge. Most never realise that sleep is a big part of the solution.
2. Sleep regulates hormones and metabolic control
Sleep plays a direct role in insulin sensitivity, appetite regulation and stress hormone balance.
Even modest sleep restriction can:
• Reduce insulin sensitivity
• Increase hunger and cravings (particularly for refined carbohydrates)
• Elevate cortisol
Growth hormone, essential for tissue repair and muscle recovery, is primarily released during deep sleep. Cortisol follows a circadian rhythm that depends on consistent sleep timing. When sleep timing shifts or shortens, that rhythm becomes disrupted.
The result? Blood sugar becomes harder to regulate, cravings increase, and resilience to stress decreases. In fact, numerous studies have shown that less than 6 hours of sleep impacts both leptin and ghrelin, having an immediate impact on both hunger and satiety. These same studies point to prediabetes in poor sleepers.
3. Sleep enables recovery and performance adaptation
Training, immune responses, and tissue repair create micro-damage, for which the body needs to allocate resources and attention to adapt and respond to. The body adapts to that demand during sleep.
Without adequate sleep, the body shifts from repair toward compensation. Ask any elite athlete and they will tell you that sleep is as vital for performance as time spent in the gym.
When sleep is consistent and restorative:
• Muscles repair more efficiently
• Immune signalling recalibrates
• Training adaptations consolidate
• Nutrition and hydration are utilised more effectively
Rather than chasing more hours in bed, the real leverage lies in influencing the signals that shape sleep quality.
How to optimise sleep
The great news is that sleep responds to signals - and most are within your control. While you can’t directly control some elements, most of the behaviours that matter to sleep will be in your direct influence.
1. Make hydration consistent - not reactive
Hydration shapes circulation, temperature regulation and stress hormone patterns. When it’s inconsistent, sleep often is too.
Common patterns I see:
• Under-hydration during the day
• Large fluid intake at night
• Fragmented sleep or early waking
A more supportive approach:
• Hydrate steadily throughout the day
• Support electrolyte balance, with quality electrolytes like Sodii (available at SSP Physio), where appropriate. These don’t have added sugar or fillers, but contain potassium, sodium and magnesium
• Taper fluids 1–2 hours before bed
When hydration is stable, the nervous system doesn’t have to compensate, and sleep tends to deepen naturally. And if you happen to have a little more than you expected and you’re woken through the night, keep the lights off for the toilet visit to ensure you’re able to fall back to sleep.
2. Use light to anchor your rhythm
Light is your circadian system’s primary timing cue.
Morning light:
• Signals wakefulness
• Sets the internal clock
• Influences melatonin timing later that night
Evening light:
• Bright overhead lighting delays melatonin
• Screens and stimulation extend “day mode”
Practical shifts:
• Get natural light within the first hour of waking
• Dim lights 1–2 hours before bed
• Reduce stimulating screen exposure late at night
Small adjustments here often create noticeable improvements.
3. Stabilise blood sugar before bed
Night waking can sometimes be driven by glucose dips that trigger stress signalling.
Patterns that disrupt sleep:
• Large late meals
• Refined carbohydrate snacks close to bedtime
• Irregular meal timing
• Insufficient glycogen stores - most commonly through low-carb/keto-style diets
More supportive patterns:
• Finish your main meal 2–3 hours before bed
• Include protein and healthy fats for stability
• Avoid late-night grazing
It’s rarely about restriction and more often about timing and balance.
4. Create a predictable wind-down rhythm
Sleep requires a shift from activation to recovery.
If the brain moves straight from problem-solving to bed, that transition can be rough.
Support the shift with:
• Dimming lights
• Slower breathing
• Gentle stretching
• Reading under soft light
• Reducing cognitive load
When repeated nightly, this sequence becomes a signal. The body learns it. And sleep follows more easily.
Sleep isn’t just another health box to tick - it’s the base that everything else sits on. When you support the simple things, your body responds to such as steady hydration, natural light, balanced meals and a calm wind-down sleep usually improves on its own. And as Matthew Walker says, consistency is key. In fact, it’s one of the key considerations for optimal sleep performance. Yes, you can now choose to put sleep in the same performance category as gym workouts and macro nutrients.
Small, consistent changes add up. And when sleep improves, so does your energy, focus and capacity to handle the day.

SSP Physio is offering a P/T role for a Women’s Health & Musculoskeletal Physiotherapist at our Drummoyne Private Practi...
25/02/2026

SSP Physio is offering a P/T role for a Women’s Health & Musculoskeletal Physiotherapist at our Drummoyne Private Practice
Are you keen to Integrate your Pelvic Health knowledge with Whole-Body Clinical Excellence with advanced musculoskeletal and movement-based care?
Our clinic is led by Dr Barb Hungerford, an internationally recognised educator and clinician with over 30 years’ experience mentoring physiotherapists. We are known for our Integrated Systems approach, combining whole body assessment with targeted manual therapy, movement retraining, exercise prescription, and deep clinical reasoning to deliver truly individualised care.
This role is ideal for a Women’s Health physio who wants to:
• Move beyond isolated pelvic floor treatment
• Confidently assess and treat the spine, pelvis and thorax in complex presentations
• Integrate pregnancy, postnatal and pelvic health care with whole-body biomechanics
• Strengthen diagnostic reasoning and hands-on manual skills
• Work in a clinic that values quality, collaboration and mentorship
We work with clients presenting with diverse presentations including :
• Pregnancy-related lumbopelvic pain
• Postnatal recovery and return to sport
• Persistent pelvic and low back pain
• Incontinence and prolapse
• Cervico-cranial presentations
• Complex spinal and thoracic dysfunctions in clients of all ages
We support our clinicians to connect pelvic health with internal vs musculoskeletal drivers — creating more sustainable, long-term outcomes for our clients.
What We Offer
• Part-time role in a respected private practice
• Direct mentorship from Dr Barb Hungerford & senior clinicians
• In-house professional development and case-based learning, plus P.D assistance
• Exposure to Integrated Systems / Connect Therapy clinical reasoning
• Strong referral networks with Sports Medicine, Orthopedic & Obstetric specialists
• A collaborative, learning-focused team culture
• The opportunity to grow a Women’s Health caseload within a strong MSK framework
About You
• Minimum 3 years’ physiotherapy experience (including private practice in Australia)
• Current AHPRA registration (required at time of application)
• Experience in Women’s & Pelvic Health physiotherapy
• A desire to integrate musculoskeletal and pelvic health treatment
• Interest in manual therapy of the spine, pelvis & thoracic rings
• Motivated, reflective, and committed to clinical excellence
Experience in Pilates-based rehabilitation, Muscle Energy Techniques, or Integrated Systems approaches is highly regarded but not essential.
So, If You’re Ready To…
✔ Elevate your pelvic health treatment with deeper biomechanical understanding
✔ Work in an environment that supports clinical curiosity and growth
✔ Deliver truly holistic care for your clients across their life stages
We would love to hear from you.
📧 Please email your application & CV to Dr Barbara Hungerford at: admin@sspphysio.com.au

Congratulations to Julie (SSP Physio reception) and Damian (SSP Grounds Maintenance) who both competed in the 2025 Triat...
17/10/2025

Congratulations to Julie (SSP Physio reception) and Damian (SSP Grounds Maintenance) who both competed in the 2025 Triathlon World Championships in Woolongong on Thursday. An amazing effort from 2 amazing people!

Wow, this course on Concussion assessment and treatment was detailed and long, but I am so excited to have done it and t...
24/09/2025

Wow, this course on Concussion assessment and treatment was detailed and long, but I am so excited to have done it and to start considering how to integrate this new knowledge into our practice, and our community!

Sydney Spine & Pelvis Centre is excited to welcome Florence Biancardi to our team. Florence joins our team with 20 years...
06/08/2025

Sydney Spine & Pelvis Centre is excited to welcome Florence Biancardi to our team. Florence joins our team with 20 years of experience as a remedial massage therapist, integrative therapist and dedicated Ayurvedic Practitioner. She provides Integrative myo-fascial and myotherapy massages for general wellbeing, sports injuries, pregnancy and post-partum, lymphedema massage and Ayurvedic Abhyanga.
Florence will be available at our Drummoyne rooms on Thursdays. Please call 02-97199114 for appointments

I am sharing part of a brilliant article that was in the Australian Financial review this week.. it is about stress rela...
27/06/2025

I am sharing part of a brilliant article that was in the Australian Financial review this week.. it is about stress related pelvic pain in men and this is something we unfortunately see too often in our clinic. Please contact us if you want to find help to get overactive pelvic floor muscles to relax as we use specific myo-fascial releases as well as teaching specific exercises that you can do (go to our website and scroll down through "what we treat" to find information about perineal pain and men's pelvic floor exercises). The link to the full article is at the end of this excerpt. Dr Barb Hungerford, Senior Musculo-skeletal physiotherapist

‘I was desperate’: the stress-related pain men don’t talk about
Men in high-stress, desk-bound jobs such as finance and corporate law are the fastest-growing group of patients for bladder problems.
by Madison Darbyshire:
Jun 25, 2025 – 2.16pm
There are two main drivers of those who come in with stress-related pelvic floor dysfunction: Are you Type A? And are you in a high-stress job?
Landon was working in client services at a large investment bank in New York when he felt a sudden, acute pain in his groin. It had been a bad day, and he was stressed.
“Everything just felt tight,” Landon (a pseudonym) said, and the “burning sensation, with sharp jolts” wouldn’t go away. S*x was painful, so he avoided it. It hurt to sit, so Landon stood at his desk on the trading floor. When his co-workers asked, he told them he had lower back pain. “They’d say, ‘Yeah man, me too’.”
The pain roamed – “some days left nut, some days right nut” – making it harder to explain to the specialists he saw. But doctor after doctor ran tests, each of which came back normal. “They all pushed me out the door, saying ‘You don’t have any infection, your prostate looks normal, you’re a healthy young man’,” Landon said.
Landon, 26, has always been a little bit anxious — a high achiever in school, he went straight into a demanding, high-pressure role in finance. “I spend all day delivering bad news to clients and getting chewed out,” he said. He thought about taking medical leave for the pain, but worried human resources wouldn’t believe him.
It wasn’t until Landon visited Pelvis NYC, a specialised physical therapy clinic, that he learned his pelvic floor – the group of muscles responsible for bladder control and holding multiple organs in place – was extremely tight. It’s a common problem among men, and yet Landon had thought only women had pelvic floors. But therapists who treat pelvic floor dysfunction say men – especially those in high-stress, desk-bound jobs such as finance and corporate law — are one of the fastest-growing groups of patients.
Many men don’t even know they have a pelvic floor, even though it controls basic functions including bowels, posture and sexual performance. Most don’t openly discuss their symptoms. Due to lingering stigma around pe**le pain and erectile dysfunction (ED), the men interviewed for this article agreed to speak on the condition of anonymity. ..
“Often the muscles of the pelvic floor have become overactive, and can’t relax,” said Chad Woodard, a researcher and doctor of physical therapy.

Men in high-stress, desk-bound jobs such as finance and corporate law are the fastest-growing group of patients for bladder problems.

27/04/2025
We are Hiring!Sydney Spine & Pelvis Physio is offering a unique opportunity for an experienced & dynamic physio to work ...
27/04/2025

We are Hiring!
Sydney Spine & Pelvis Physio is offering a unique opportunity for an experienced & dynamic physio to work alongside & be mentored by Barbara Hungerford & her experienced physiotherapy team in our inner west Sydney practice. Are you keen to expand your diagnostic & manual therapy skills for treating back, pelvic, hip, thoracic, Womens health and cranio-cervical/ concussion injuries while working in a supportive and inclusive environment?
The position can be P/T or F/T and offers:
1. An opportunity to undertake a mentorship program with Barb that will fast track your manual therapy, Musculo-skeletal & muscle re-education skills. Intensive 1:1 training is part of the package
2. expand your clinical reasoning, diagnostics & treatment for a variety of musculo-skeletal, sports, spinal, post-op, pregnancy related injuries, and concussion treatment.
3. Excellent wages & conditions
4. Regular In-services & Professional Development funding
Please email admin@sspphysio.com.au for more information or check out our website.

Our Sydney Spine & Pelvis team wish all our clients, Specialists and followers a restful and wondrous Festive Season! We...
18/12/2024

Our Sydney Spine & Pelvis team wish all our clients, Specialists and followers a restful and wondrous Festive Season! We will be open until mid day on Tuesday 24 December and then closed for 1 week. We will re-open on Thursday 2nd January 2025, and we will be refreshed and happy to help you if you need us. Best wishes for good health and lightness of movement as you move into 2025!

It was wonderful to catch up with Jay Cunningham at the Concussion Recovery & Treatment course run by Gail Wetzler in Ay...
09/09/2024

It was wonderful to catch up with Jay Cunningham at the Concussion Recovery & Treatment course run by Gail Wetzler in Ayr Scotland last week. Jay is enjoying living in the U.K but I know she misses all of us in Sydney as much as we miss her. The course was brilliant, and has given me an update into the latest research and treatment criteria for helping both kids and adults through acute and long term post-concussion issues. In the meantime, we just happened to be in Ayr as their annual Airshow happened, and we watched some amazing aerial stunts and WWII planes do a fly by!

01/08/2024

"Early Knee Osteoarthritis: Exercise Therapy's Golden Window"
This new research from the Netherlands gives a very simple message for all of us
- starting specific exercise therapy to strengthen gluteal and knee muscles within 1 (maximum 2 ) years of when symptoms started will significantly reduce your knee pain and improve function both in the short term and with longer term benefits

Knee pain slows you down and makes it hard for you to do the things you love. So if you have started to get knee pain and it is concerning you, come and see one of our physios so we can teach you the right exercises to do to make a difference!
written by Barb Hungerford

Address

101 Lyons Road
Drummoyne, NSW
2047

Opening Hours

Monday 8am - 6pm
Tuesday 8am - 6pm
Wednesday 8am - 6pm
Thursday 8am - 6pm
Friday 8am - 6pm

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