Physio on Ross Annandale

21/03/2026

Physio on Ross would like to welcome Billie La Rosa to their rooms. She runs her own Clinical Psychology business and as a point of interest, her mother Sally used to lease the rooms before her. Billie is extremely approachable and comes with a great reputation. She is a clinical psychologist offering neurodevelopmental assessment from age 5 to adulthood. Billie assesses a range of conditions including autism, ADHD, FASD, intellectual disability and learning disorders. She also provides therapy for adults only. See website for more details

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16/03/2026

Meet our Team's Physiotherapists.

After years of staffing shortages, at last I have a full team. With the correct staffing we can now get your acute injuries in as quick as possible rather than wait for days on a waiting list. This promotes better and quicker results. My goal is to try an offer an appointment time within 24 hours of your enquiry.
Pictured is Jared in the centre ( newly engaged-congrats to him and Jasmine), with Nathan on the right and yours truly making up the numbers.
Best wishes to all
Brett, Nathan and Jared

13/03/2026

The Ghost in the Consultation Room

The patient arrives with an MRI report in one hand and a smartphone in the other. Before you’ve even performed a single provocation test, they present you with a neatly bulleted ‘recovery road map’.

This isn’t a collection of disparate Google searches. It is the output of ChatGPT: a conversational artificial intelligence (AI) chatbot that allows users to upload their medical documents and receive a bespoke, albeit automated, management plan.

As the Royal Australian College of General Practitioners recently highlighted, we have reached a crossroads where innovation meets significant clinical risk. For the physiotherapist, this shift represents a fundamental challenge to our role as the primary architects of physical rehabilitation.

The algorithm knows the average; we know the exception.

The Royal Australian College of General Practitioners’ recent analysis of ChatGPT sparked a necessary debate: is this a digital assistant or a ‘Dr Google 2.0’? While our GP colleagues are primarily concerned with diagnostic errors, the threat to physiotherapy is more subtle and existential.

It is the threat of de-contextualised prescription.

Consider Sarah, a 34-year old office worker with chronic lower back pain. Her ChatGPT-generated plan recommends a progressive loading program based on her uploaded MRI showing ‘mild L4-L5 disc bulge’ and her self-reported pain scores. The protocol is evidence based and the exercise selection is textbook. The periodisation follows current best practice.

It is also completely wrong for Sarah.

The algorithm cannot see that Sarah guards into extension because of a previous pregnancy-related diastasis. She catastrophises every twinge because her father was disabled by back surgery. Her workstation set-up loads her spine asymmetrically for nine hours daily. Most critically, she is three weeks away from a work deadline and psychologically incapable of adhering to anything that requires more than ten minutes.

ChatGPT knows that, statistically, loading is the gold standard for disc pathology. But it cannot palpate the protective muscle spasm, observe the kinetic chain compensation at the hip or read the anxiety in her face when mentioning the word ‘deadlift’.

The algorithm has read thousands of papers. We have read thousands of bodies.

Physiotherapists spend years mastering the art of therapeutic language: explaining that a disc bulge is as normal at 45 as grey hair, degeneration is correlation rather than causation and pain rarely maps neatly onto structural findings.

ChatGPT, by contrast, inadvertently practises the opposite. It validates the client’s worst fears by treating every radiological finding as a structural problem requiring a structural solution. The AI-generated plan for that degenerative disc often includes phrases like ‘to address the severe degeneration’ or ‘targeting the damaged area’ language that embeds a pathoanatomical narrative we’ve spent two decades trying to dismantle.

We are now treating not just the injury, but the AI’s nocebo effect.

Client’s return to physiotherapists as they need someone who can answer the question the algorithm cannot. ‘Will this work for me?’

That question requires pattern recognition across ten thousand previous clients. It requires reading facial expressions during movement. It demands knowing when to push and when to reassure, when evidence supports aggression and when clinical experience counsels patience.

A physiotherapist's value is no longer in knowing what to prescribe. It is in the irreducible judgement of knowing when, how and why to prescribe it for the specific person in front of us.

In an era where information is infinite and free, context is the scarcity.

Barry Nguyen - Physiotherapist & software engineer

26/02/2026

LYMPHOEDEMA

Most people have heard the word but are not quite sure what it actually means. In simple terms, lymphoedema is persistent swelling that happens when the lymphatic system is not working effectively. This system helps move fluid, waste and proteins around the body. When it becomes overloaded or damaged, fluid can build up in areas like the arms, legs, chest or face.

For some people it develops after cancer treatment such as lymph node removal or radiation. For others it can occur due to trauma, infection or even without a clear cause. It is more common than many realise.

The good news is that lymphoedema can be managed very effectively with the right treatment and education.

What does lymphoedema therapy involve?

Lymphoedema therapy is not just about massage. It is a comprehensive approach that may include:

- Manual lymphatic drainage which is a gentle hands on technique designed to encourage fluid movement

- Compression therapy using bandaging or garments to help prevent fluid from re accumulating

- Exercise programs tailored to safely stimulate lymphatic flow

- Skin care education to reduce the risk of infection

- Self management strategies so you feel confident controlling symptoms long term

Treatment is individualised. Every body is different and every plan should reflect that.

As an accredited lymphoedema therapist, I am proud to provide evidence based care and to support patients through every stage of their management. I am also currently the only male accredited lymphoedema therapist in the region, which gives patients additional choice and comfort when seeking care.

If you or someone you know has ongoing swelling that has not settled, it is worth having it assessed. The earlier we address it, the better the outcomes tend to be.

If you would like to learn more about lymphoedema therapy or book an assessment, feel free to reach out. I am here to help you move comfortably and confidently again.

- Jared Evans

11/02/2026

Hi all, Nathan George here this is my third week working at Physio on Ross. I look forward to meeting you all at the clinic. Please find below my article on frozen shoulder, which is a term that gets thrown around far too often. (The actual incidence of true frozen shoulder in the general population is only around 3-5%). If you have any queries or comcerns don't hesistate to reach out to us at (07) 47282116

FROZEN SHOULDER

If you find your shoulder has become stiff, painful, and hard to move, you might be dealing with frozen shoulder, also known as adhesive capsulitis. Many people describe it as feeling like their shoulder is “stuck” or “locked,” especially during simple tasks like reaching overhead or getting dressed. Though it can be frustrating, frozen shoulder is treatable, and physio plays a vital role in recovery.
Frozen shoulder occurs when the joint capsule (the soft tissue around your shoulder) becomes inflamed, thickened, and tight, limiting movement in all directions. However, it’s often misdiagnosed or confused with other shoulder issues, which is why seeing your physio is essential for differentiating frozen shoulder from similar problems like rotator cuff injuries or arthritis. and making an accurate diagnosis.

Who’s at Risk?
Frozen shoulder tends to affect people between the ages of 40 and 60, with a higher incidence in women. It’s also more common in people who have certain medical conditions like diabetes, thyroid disorders, and heart disease. It can often develop after an injury or extended periods of shoulder immobility, such as after surgery or an illness that limits movement.

The Stages of Frozen Shoulder
Though the timelines aren’t always fully clear cut, frozen shoulder generally progresses through three stages:
Freezing Stage (3–9 months): Pain increases, often worse at night, and movement becomes more limited. Many people start using the shoulder less during this stage.
Frozen Stage (4–12 months): Pain may ease, but stiffness becomes the dominant issue. Reaching or lifting becomes difficult, impacting daily activities.
Thawing Stage (6 months–2 years): Gradual improvement in movement and a return to normal function. But recent research shows that not everyone regains full movement without treatment.

How Physiotherapy Helps
Physiotherapy supports your shoulder’s recovery in a safe, gradual way, no pushing through pain. Physios will use gentle exercises to encourage movement and hands-on techniques like joint mobilisation to reduce pain and improve function at the right time.
As movement improves, strengthening exercises are introduced to help stabilise the shoulder and prevent future issues. Research shows that no single treatment works best, but a combination of tailored exercises, manual therapy, and clear guidance gives the best outcomes. Consistency is key — small, regular improvements add up over time.

When Should I See a Physio?
You don’t have to wait until your shoulder is “frozen.” If movement is gradually becoming more limited, or affecting daily activities like brushing your hair, dressing, putting on a seatbelt, it’s a good idea to see a physiotherapist. Shoulder pain throughout the night is also a good indicator that you might have a frozen shoulder. Early assessment can help identify the stage of frozen shoulder, make sure it isn’t another condition, and ensure the right treatment plan.

Do I Need Injections?
There are a few different injections that are used to help with frozen shoulder such as corticosteroids, platelet rich plasma, and hydrodilatation. injections can help reduce inflammation and pain, especially in the early stages. However the latest research shows that you get the best outcomes through physiotherapy supported by adjunct therapies like injections when appropriate. Each case is specific and will be guided by your Physio and GP working together to ensure you have the best outcome.

Frozen shoulder can be a challenging condition, but with the right treatment and guidance, most people can improve their pain, movement, and quality of life.

02/02/2026

Meet Townsville's David Steel.

I've known David for over 25 years but he's one of Townsville's cultural elite in that he is an author. At present he is writing his 3rd book of a trilogy that probably interests female young readers the most. It's about Destiny-a 12 year old in a wheelchair who experiences the "dreamworld". The thousands of hours he has worked through-all having experienced himself tumours, serious motor vehicle accidents, spinal fusions etc without whinging about the unfairness of his ailments. All of his profits of sales will ultimately go to charity so if you'd like to support a real artistic battler please consider DJ Steele-"Destiny's Journey"(the second book of the trilogy). Best of luck David!!

20/01/2026

🎯 Sudden Vertigo? The Room Spinning? It Might Be BPPV — And Physio Can Fix It Fast

If you’ve ever rolled over in bed or looked up at a shelf and suddenly felt the room spin, you’re not alone. Vertigo affects up to 30% of adults over 60, and one of the most common causes is something called Benign Paroxysmal Positional Vertigo (BPPV).

The good news? It’s one of the most treatable causes of dizziness.

👉 What Is BPPV?
Inside your inner ear are tiny crystals that help your brain sense movement and balance. Sometimes these crystals become dislodged and drift into the wrong canal. When this happens, simple head movements trigger sudden, intense spinning sensations.

👉 Fast Facts:
✔ BPPV can last weeks or months if untreated — but often improves in 1–2 physio sessions
✔ More common in women and adults 50+
✔ Episodes usually last 10–30 seconds
✔ Vertigo increases risk of falls by 2–3 times in older adults

👉 Common Symptoms:
• Spinning when lying down, rolling over, looking up, or bending forward
• Nausea or unsteadiness
• Sensitivity to quick head movements
• Brief episodes that settle once you keep still

👉 How Physio Helps:
Specialised vestibular physiotherapy uses gentle repositioning techniques (such as the Epley manoeuvre) to guide the crystals back where they belong. Most people feel dramatically better immediately—or within just a few days.

If dizziness has been making you cautious or worried, you don’t have to put up with it.
💬 Send us a message — we can help you get your balance and confidence back quickly and safely.

P: (07) 4728 2116
E: admin@physioonross.com.au

16/01/2026

UPDATE ON WAITING TIMES

Now that Physio on Ross is finally fully staffed we can normally offer appointments within the 24 hours. As many of you know, Jared Evans (a senior physiotherapist from another local practice ) has joined our ranks so there is now more choice of appointment times. Should any queries arise dont hesitate to make contact on 47282116 or email admin@physioonross.com.au
Best wishes for 2026.
Brett

16/01/2026

🦵
Knee Osteoarthritis: Why It Happens — And Why It’s NOT “Just Age”

Did you know knee osteoarthritis affects 1 in 5 adults over 50? But here’s the good news: it’s not simply “wear and tear,” and it’s absolutely not a condition you need to just accept or live with.

👉 What Actually Causes It?
Knee osteoarthritis happens when the joint becomes irritated, the cartilage thins slightly, and the surrounding muscles weaken. But interestingly, research shows cartilage is living tissue that can adapt and stay healthy when the joint is moved and strengthened regularly. This means the knee isn’t “wearing out”—it’s often just underprepared for the loads of daily life.

👉 Quick Facts:
✔ People with stronger legs have up to 40% less pain from knee OA
✔ Walking actually lubricates the knee and reduces stiffness
✔ Exercise is the most effective long-term treatment, more than injections or pain meds
✔ Symptoms often improve in as little as 4–6 weeks with the right program

👉 Common Signs:
• Morning stiffness that eases once you’re moving
• Pain when standing up from a chair
• Clicking or grinding
• Swelling after activity
• Difficulty kneeling, squatting, or climbing stairs

👉 How Physio Helps:
We target the exact muscles that support your knee, improve joint mobility, reduce stiffness, and guide you through safe, progressive strengthening. Most people notice clearer movement, improved confidence, and less daily pain.

If your knees have been slowing you down, now is the perfect time to take control.
💬 Send us a message — we’re here to help you keep moving, confidently and pain-free.
Phone: (07) 4728 2116
Email: admin@physioonross.com.au

- Posted by Jared, your newest POR physiotherapist.

13/01/2026

SCHOOL BACKPACKS

School Backpack Tips – Set Your Child Up for Success At School


As the new school year begins, choosing the right backpack is crucial for your child's posture and wellbeing.
Research shows that over 80% of children carry backpacks exceeding the recommended 10% of body weight threshold, which can lead to musculoskeletal discomfort and postural changes (PMC Studies, 2024).


Choosing the Right Backpack:

• Wide, cushioned shoulder straps to spread weight evenly

• Adjustable straps so the bag sits close to the body

• Multiple compartments for even weight distribution

• Lightweight construction

• Both straps worn at all times


Smart Habits for Parents:

• Keep total weight below 10% of your child's body weight

• Do weekly bag clean-outs to remove unnecessary items

• Place heavier items closest to your child's back


Why This Matters

Children's physiotherapy professionals stress that good posture helps improve focus, reduce tiredness, and increase comfort during learning and play. By choosing a supportive backpack and encouraging healthy habits, you are giving your child a strong foundation for the school year.



Questions about your child's posture? Call 4728 2116

01/01/2026

JARED EVANS-Physiotherapist

Physio on Ross would like to welcome it's newest physiotherapist, Jared Evans to it's team. Jared is locally schooled and JCU trained, and has been working the last couple of years at another Townsville private Practice. We wish him all the best and look forward to him establishing himself in The Townsville/Annandale region. Appointments can be made from 12 Jan 2026 online ( search Physio on Ross) or by contacting the practice directly 47282116.

Below is Jared's profile.

Born and raised in Townsville, Jared attended Ignatius Park College before completing his Bachelor of Physiotherapy at JCU in 2022. Jared was an avid sportsman who would be found across multiple codes including rugby league, rugby union, and oztag. Following a short stint in kickboxing and jiu jitsu, you may now spot Jared at Strand Fitness, Kinetic CrossFit or running the hill. Jared's strong connection to the local community underpins his commitment to providing high-quality, personalised care for people across Townsville. His approach is grounded in strong clinical reasoning, up-to-date research, and a clear understanding that no two bodies - or injuries - are the same.

To ensure his patients receive the highest standard of care, Jared has completed postgraduate training including:
• APA Sports Physiotherapy Level 1 & 2
• Vestibular rehabilitation for adults of all ages
• Lymphoedema Therapy
• Dry Needling Certification
This additional training allows Jared to bridge the gap between rehabilitation and performance, whether the goal is returning to sport, reducing pain, or simply moving better in everyday life.

Jared has worked with athletes at Brothers League Club, Mendi 9's and the National Masters Cricket Competition, giving him valuable insight into sports injuries, load management and performance-focused rehabilitation. However, his experience extends well beyond the sporting field.

He has strong interest in:
• Orthopaedic rehabiliation (post-surgery and injury recovery)
• Neurological & Vestibular rehabiliation
• Geriatric physiotherapy
• Lymphoedema Therapy
This broad clinical exposure allows Jared to confidently treat everyone from competitive athletes to older adults wanting to maintain independence and quality of life.

01/01/2026

Best wishes for 2026 from Physio on Ross. We're hoping it's a year of happiness, less stress and good health for you and your family.