Welcome to Ebb & Flow Exercise Physiology Toowoomba

Accredited Exercise Physiologist Rachel in her home clinic

Information for Referrers

I’m Rachel Niemann, AES, AEP and Clinical Pilates instructor.

I work with women with persistent pain, pelvic floor dysfunction or other musculoskeletal concerns.

My mission is to provide human first EP services, in a relaxed but professional environment, for women who want to take charge of how their body feels.

I work from home in a quiet street next to Downlands College.

I have two *clinic sausage dogs who are a much loved part of my services.

*not therapy dogs

Ebb and Flow Exercise Physiology clinic Toowoomba

My areas of interest:

I see clients who need help with:

  • Persistent pain

  • Pelvic floor dysfunction

  • Hypermobility and hEDS

  • Fibromyalgia

  • Arthropathies

  • Menopause: osteopenia, osteoporosis, musculoskeletal syndrome of menopause

  • Pregnancy and postpartum corrective exercise

  • Pre & post gynaecological surgery

  • Pelvic pain with or without endometriosis or adenomyosis

Qualifications & CPD:

Accredited Exercise Physiologist & ESSA Member

Masters in Clinical Exercise Physiology

Bachelors in Exercise and Sport Science.

CertIV in Contemporary Pilates Methodology

Primary Certificate in Menopause and Women’s Health

Pre & Postpartum Corrective Exercise Certification

Pelvis Pro: for hip, and pelvic pain and dysfunction

And more….

Methods I use:

Clinical Pilates

Comprehensive and personalised home exercise programs

Biomechanical principles to change muscle activation patterns, joint alignment and posture

A whole body and brain focus on pain and dysfunction

Exercises that consider connective tissue stiffness and ability to yield as needed by each individual

Strength, power and agility training for muscle building, bone loading, reactiveness, strength and balance.

The clinical Pilates and exercise physiology studio

Important to know:

Clients I see:

  • Private clients

  • Medicare referrals

  • Women aged 13+

  • Women who are interested in learning about their body and health

Clients I don’t see:

  • NDIS without prior conversation for suitability

  • Women who use walking aids: I have no accessible facilities due to being a home business

  • Children or men

Appointment costs:

  • Initial Consultation $220

  • Subsequent 30 minutes $100

  • Subsequent 45 minutes $130

  • Subsequent 60 minutes $160

Full fee’s are payable through direct debit and applicable rebates can then be claimed by the client.

For more information regarding appointment inclusions, click the button below:

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.

  • 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.

  • 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

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