Clinical Pilates

Not just another reformer Pilates class.

Improve pelvic health, relieve chronic pain and enhance your posture and mobility

What is Clinical Pilates?

Clinical Pilates has been around for decades and is a form of rehabilitation and exercise therapy that is low impact, supported and appropriate for any age and fitness level.

I’m sure by now you’ve heard of, and probably even tried reformer Pilates classes using large numbers of Pilates reformers in a group class setting.

And while this hugely popular group class is likely fun and challenging it is not to be confused with clinical Pilates.

Instead, clinical Pilates is highly individualised and focuses on programming involving precise, targeted and controlled movements to suit your body.

This is why clinical Pilates is so effective for people with:

pelvic floor dysfunction
persistent pain
hypermobility or stiffness
pregnancy or postpartum

Book your initial assessment

How Clinical Pilates can help you

Pilates for Pelvic Health

I combine my pelvic health training with clinical Pilates to provide sessions that optimise your pelvic floor function and give you an understanding of why you’re experiencing symptoms such as urine leakage and prolapse.
Pilates for Persistent Pain

Chronic pain can leave us feeling vulnerable and nervous to move our bodies in case it makes things worse.
Many chronic pain conditions can benefit from clinical Pilates, from chronic injury to hypermobility, fibromyalgia or arthroses.
Pregnancy & Postpartum

As a pregnancy and postpartum corrective exercise specialist I help you manage pain or pelvic floor dysfunction, prepare for birth and recover postpartum.
If you need exercise that is low impact and individualised due to pain or discomfort then clinical Pilates is excellent for this stage of life.
Posture & Biomechanics

Our posture and ability to move through different positions can play a huge part in pelvic floor dysfunction, pain and stiffness.
I use Clinical Pilates to enable your body to let go of muscle tension and move through many different postures in a way that feels good.

How I use clinical Pilates at Ebb & Flow

I create highly personalised Pilates plans

At Ebb & Flow Exercise Physiology, every client begins with an initial assessment including your current health status, your posture, a movement assessment (nothing strenuous) and your goals.

This allows me to tailor your exercises to your individual circumstances including any pelvic floor dysfunction, chronic pain, or pregnancy-related discomfort.

I aim to identify the cause of your symptoms and not just provide a bandaid solution to them.

I’ll be honest, this can take time to get to the bottom of. Our bodies are complex and often have many layers of compensations due to all our life experiences.

The good news is that our bodies are also wonderful and I lean into that complexity to find ways to get you moving that feel good and address the root cause of your concerns.

I use Pilates equipment in a way that suits every body

This is where clinical Pilates really shines. The equipment is incredibly versatile and when used well, it provides controlled, adjustable resistance to aid in both rehabilitation and strengthening.

It can also provide a novel way to move for your body and brain that helps unravel those compensations by activating the muscles and connective tissue that might have gotten a bit lazy, while calming down those that are doing too much.

This is super effective when managing

Poor posture
Areas of stiffness
Persistent pain
Aches, pains and niggles
Pelvic floor dysfunction

Why choose Ebb & Flow?

I am a university qualified Clinical Exercise Physiologist and a Certified Pilates Instructor

And you know exactly who you’ll see when you come to my clinic- me!

As an Accredited Allied Health Professional, I use a combination of scientific evidence, my clinical expertise and your experiences to inform your exercise prescription.

With a strong foundation of knowledge in the human body and exercise for clinical conditions I have further developed my skills with training in Pilates, pelvic health, biomechanics and corrective exercise.

My clinic is in a quiet leafy street with easy access and parking. Plus I have two clinic sausage dogs to keep you company.

Kind Words

As someone who works in the Allied Health Industry myself,
when the need arises to refer my clients to other health professionals
it is very important to me to have a practitioner I know and trust to look after them.
Without hesitation I confidently refer them to Rachel as an Exercise Physiologist.
I have personally used her services and found her knowledge and techniques brilliant.
Her expertise is extensive, and her approach is both professional and welcoming. I thoroughly recommend her.
-Sharon L.
I can’t thank Rachel from Ebb & Flow Exercise Physiology enough!
She truly listened and got to the heart of my issue.
Rachel created a simple yet effective individualised exercise program to strengthen my Pelvic Floor, Core, and hip stability,
and I already feel confident that I’ll be in top condition for the 100km walk I’m planning later this year.
Her clinic is warm and welcoming, and her two adorable sausage dogs make the sessions even more enjoyable.
I highly recommend Rachel to anyone looking for expert help with core and hip stability.
Her approach is thoughtful, professional, and results-driven.
-Katie Z
I was referred to Rachel Niemann at Ebb & Flow Exercise Physiology by my Remedial Massage Therapist 10 months ago. She wanted me to build my strength up as I had been bedridden for over 3 years. This was due to …. I also had neuropathic pain over my entire body due to….. I am getting stronger now thanks to Rachel and the exercise programs she creates for me. I look forward to my sessions with Rachel - she is a lot of fun to be with and she makes the whole experience very enjoyable. Rachel plans the exercises so they strategically go at my pace and target the areas that need building up. As a result, I'm finding I am getting stronger and my nerve pain is slowly reducing. I can't believe how much progress I've made with Rachel and highly recommend her to anyone suffering chronic pain. Also, it's wonderful doing this with her gorgeous therapy dogs - Max and Hugo!
—Lara C.
I have been seeing Rachel at Ebb and Flow for approx 6 months.
She provides excellent and easy to understand one on one support.
Rachel has helped me understand how specific muscles work and structures my sessions for maximum benefit.
Additionally she has provided online resources for regular at home exercises sessions for me between one on one appointments.
Rachel is helping me to improve my health and lifestyle. She also has a vast knowledge of ways to improve women's health.
I would definitely recommend Rachel to potential clients.
-Wendy T
Rachel is fantastic!
She is thorough in her assessment and really makes the effort to understand the cause of symptoms
where other allied health practitioners have just shrugged it off.
Strongly recommend!
— Annabel F.