Persistent Pain Exercise Physiology Toowoomba

Rachel Niemann AEP walking with pep in her step

Let’s get some pep in your step

Pain doesn’t have to be constant, or debilitating to be considered chronic or persistent. 

You don’t have to put up with it. And it’s not “all in your head” 

So let’s give your body a break from pain using movement that gives you confidence and gets you back doing the things you love.

Without having to suffer later. 

“Rachel is thorough in her assessment and really makes the effort to understand the cause of symptoms ”

Are you ready for movement (and life) to feel like a hell yes? 

Exercise physiology for your persistent pain will have you:

💚 Remembering what a good night’s sleep feels like

💚 Being active without paying for it the next day

💚 Trusting that your body is capable of healing

💚 Exercising without pain flares

💚 Performing daily activities without causing symptoms

💚 Feeling strong and full of pep

💚 Saving money on manual therapy that only gives temporary relief

Women with a bicycle looking joyful and pain free

Pain can be complex but the solutions don’t have to be.

With persistent pain exercise physiology we’ll get your body moving in a way that doesn’t just feel good, it helps you manage your pain too.

Rachel sitting in her exercise physiology clinic holding a model pelvis

Hey, I’m Rach, your exercise physiologist next door.

I’m obsessed with women’s health.

Specifically persistent pain and pelvic floor health in any life stage.

Why these two aspects of women’s health in particular?

Because when women have persistent pain, it’s likely the pelvic floor is affected as well.

And it could even be contributing.

While it might feel like it’s letting you down, the human body is incredible.

And we can leverage that when managing persistent pain.

Who it’s for.

For women who:

🩷 Who are constantly worried about causing a pain flare

🩷 Who want to be able to participate fully in sport and exercise again

🩷 Who want to sleep without waking up from pain

🩷 Who are relying on pain medication to get them through their day

🩷 Who are worried that their pain is permanent and will only get worse with age.

🩷 Are unable to enjoy intimacy with their partner

🩷 Are feeling weak, unfit and disheartened about starting over

🩷 Say no to doing things because or their pain

🩷 Are feeling a loss of positive self-identity as a fit and active woman. 

Who it’s not for.

Men— babes only sorry.

NDIS participants without prior conversation regarding suitability

Services I provide for persistent pain:

Exercise physiology text books about persistent pain and pelvic pain

Exercise Physiology

Clinical Pilates can be good for persistent pain

Clinical Pilates

Home exercise app for chronic pain rehab exercises

Home Exercise Programs

Max and Hugo pain clinic dogs supervising your session

The process:

Book and attend your initial assessment in my home clinic

1

Attend in clinic exercise, complete your home program consistently, or both.

2

3

Get back to living your life.

Kind Words

  • After getting nowhere with other allied health professionals, I found Rachel at Ebb & Flow Exercise Physiology—and it was a game-changer. From the moment I walked in, I felt genuinely cared for. Rachel’s initial consultation was the most thorough I’ve ever experienced, and that level of detail gave me real confidence that we were finally going to get to the bottom of my concerns.

    What really sets Rachel apart is not just her expertise, but her warmth and sense of humour. She creates an environment that’s both professional and relaxed, which made me feel at ease and actually look forward to each session. And let’s not forget Max and Hugo—her two gorgeous dogs—who add an extra layer of joy to the experience. Their gentle presence and wagging tails always made my day a little brighter.

    I’ve come a long way since starting with Rachel. While I won’t go into clinical details, I feel stronger and more informed than I did before. I would absolutely recommend Rachel to anyone looking for a compassionate, skilled, and genuinely lovely exercise physiologist

    Alana M.

  • 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.

  • 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.

  • 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 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

Are you ready to take charge of your persistent pain?

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Frequently Asked Questions

  • My fees are set based on my expertise, qualifications, and experience.

    I have completed extensive additional training in pelvic floor function and exercise therapy, on top of my post-grad exercise physiology qualifications.

    To learn more about the session prices, duration and inclusions, please head to the Book Now page— or just click the appointment info button below.

  • The human body is incredible! The right movement can:

    • activate muscles that have checked out

    • calm down those that are overworking

    • provide stability to joints

    • Build strength to support all body functions reducing the load on weak links or injuries

    • Improve posture and joint alignment for optimal load distribution

    • Create length in tight muscles without stretching

    • Improve muscle activation patterns for optimal body system support

    • Improve endurance to get you through your exercise session or daily activities

    • I could go on and on and on…..

  • As an exercise physiologist, I focus on movement, exercise and education to treat or help you manage your persistent pain.

    This includes a whole body focus, rather than just looking at a specific area or joint.

    After all, everything is connected and persistent pain can be caused by compensations or weaknesses elsewhere in the body.

    While it is outside my scope to diagnose or perform manual therapy, I still perform tests, assessments and use my hands to assess or guide you in your movements.

  • No, you do not.

    But you may be able to access a referral from your GP under a management plan if your pelvic floor dysfunction is chronic or you have another chronic condition such as low back pain.

    This would qualify you for up to 5 sessions per calendar year, where you can claim a medicare rebate.