Persistent pain doesn't have to run your life.

Evidence-based physiotherapy and exercise physiology for people living with pain that hasn't responded to rest, medication, or previous treatment. Three clinics across Melbourne. Longer consults. A different approach.

Think you have a back injury? A disc problem? A dodgy knee?

Maybe. But here's something most people don't hear: a lot of what gets labelled as an "injury" is actually persistent pain in disguise.

You might have been told you have a bulging disc, degenerative changes, or wear and tear. You might have had scans showing "something" and assumed that's the problem. But research consistently shows that many of these findings are normal, even in people with zero pain.

Here are some signs your pain might be more than a simple injury:

If any of that sounds familiar, the issue might not be what you think. And that's actually good news, because it means there's a clear, evidence-based path forward.

We understand what you've been through.

Maybe you've had scans that showed "nothing wrong." Maybe you've been told to rest, but resting made it worse. Maybe you've seen multiple practitioners and tried every treatment going, but the pain hasn't shifted.

If that sounds familiar, you're not alone, and there's nothing wrong with you. Persistent pain is one of the most common and most misunderstood health conditions in Australia. It affects 1 in 5 adults, and most people don't get the kind of support that actually helps.

That's where we come in. Our team works with people in exactly this situation, every single day. We don't promise quick fixes. We give you an honest assessment, a clear explanation of what's happening, and a plan that helps you get back to the life you want.

Luke Postlethwaite teaching pain science with anatomical model

Understanding persistent pain

Pain is your body's alarm system. When you're injured, pain tells you to protect the area while it heals. That's useful.

But sometimes the alarm keeps going long after the tissue has healed. This is persistent (or chronic) pain: pain that lasts beyond the normal healing time, usually longer than three months.

Here's what the research tells us: persistent pain is more about how sensitive your nervous system has become than about ongoing tissue damage. Your brain and nervous system have learned to be protective, even when there's no new threat. That's why scans often look normal, and why rest alone doesn't help.

This doesn't mean the pain isn't real. It is absolutely real. It just means the solution isn't more scans, more rest, or more medication. It's about retraining how your body responds to movement and activity, gradually, safely, and with support.

How we help

Our team uses a biopsychosocial approach. That means we look at the full picture, not just the sore bit.

Body

How your body moves and responds

Graded exercise and movement-based rehabilitation to rebuild confidence in your body. Both physiotherapists and exercise physiologists under one roof, so your care moves seamlessly from assessment to long-term rehab.

Mind

What you think and feel about your pain

Pain education is core to what we do. Our director Luke Postlethwaite is a NOI faculty lecturer, lectures in pain science at Victoria University, advanced functional anatomy at Deakin University, and is the lead educator for The Knowledge Exchange.

Life

How pain affects your daily world

Sleep, stress, work, relationships, and activity levels all play a role. We factor all of this into your plan, because a plan that ignores your life won't work in your life.

VR Health headset for pain management

Tools beyond the standard

We also use virtual reality (VR Health) as part of our pain management toolkit, one of the few clinics in Melbourne to offer this. VR-based graded exposure is supported by emerging evidence and gives us another way to help when traditional approaches have stalled.

Luke Postlethwaite leading a group exercise physiology session

Our persistent pain pathway

This isn't open-ended treatment. It's a structured, staged approach designed to get you moving forward.

1

Understand

Sessions 1-2

We take the time to hear your full story. Thorough assessment, clear explanation of what we think is happening, and collaborative goal setting.

2

Rebuild

Sessions 3-8

Graded exercise, pain education, and movement confidence. This is where most people start noticing change, not just in pain, but in what they're able to do.

3

Strengthen

Sessions 8+

Building resilience, independence, and long-term strategies. The goal is to give you the tools to manage flare-ups on your own.

4

Maintain

Ongoing, optional

Transition into our ongoing exercise sessions or Clinical S&C group, or check in quarterly. Your call.

Common presentations we work with

Persistent back, neck, hip, or shoulder pain
Pain that hasn't responded to previous treatment
Pain with no clear diagnosis
Post-surgical pain that hasn't resolved
Disc-related pain (bulges, herniations)
Sciatica and nerve pain
Fibromyalgia and widespread pain
Complex regional pain syndrome (CRPS)
Endometriosis and persistent pelvic pain
Chronic fatigue syndrome (CFS/ME)
Ehlers-Danlos syndrome and hypermobility
Osteoarthritis-related pain
Flare-ups that keep coming back
Fear of movement or re-injury
Pain affecting work, sleep, or daily life

You don't need a diagnosis or a referral. If you're unsure whether we can help, call us on 1300 920 520 and we'll give you an honest answer.

Common questions about persistent pain

Does persistent pain mean something is damaged?

Not usually. In most cases, the original tissue has healed. The pain persists because the nervous system has become more sensitive, not because there's ongoing damage. This is backed by decades of pain research.

My scan showed a disc bulge / arthritis / degeneration. Isn't that the problem?

Not necessarily. Research shows that disc bulges, arthritis, and degenerative changes are extremely common in people with no pain at all. They're often a normal part of ageing, like grey hair. Our assessment looks beyond the scan to understand what's actually driving your pain.

Will exercise make my pain worse?

It's common to worry about this. When done correctly, graded exercise is one of the most effective treatments for persistent pain. We start gently and progress based on how you respond, not on a fixed timeline.

Can persistent pain be managed without medication?

Yes. Exercise, pain education, and behavioural strategies are all supported by strong evidence. Many people reduce their reliance on medication over time, with guidance from their GP.

What is the biopsychosocial approach?

It's a framework that looks at the biological, psychological, and social factors that all contribute to your pain experience. Rather than treating just the body, we consider the full picture, including stress, sleep, beliefs about pain, and how pain affects your daily life.

Should I see a physiotherapist or an exercise physiologist?

It depends. Physiotherapists are well suited for initial assessment, hands-on treatment, and early-stage rehab. Exercise physiologists focus on longer-term exercise-based rehabilitation. We have both under one roof, so we'll match you with the right clinician.

Do I need a referral?

No. You can book directly. If you have a GP referral or chronic disease management plan (EPC/Team Care Arrangement), you may be eligible for Medicare rebates.

What does it cost?

Visit our services page for current pricing. We accept private health insurance, Medicare (with GP referral), TAC, WorkCover, NDIS, and DVA.

What is virtual reality pain management?

We use VR Health technology as part of our toolkit. VR-based graded exposure allows you to practice movements in a safe, controlled virtual environment, which can help reduce fear of movement and retrain your nervous system's response to activity.

Why people choose us for persistent pain

Find your clinic

All clinics: 1300 920 520 | Rated 4.9+ across 277 Google reviews

It starts with a conversation.

Ready to take the next step? Book your initial consultation online, or call us on 1300 920 520. Your first appointment is where we figure it out together.