Private Health Rebates for Exercise Physiology: You May Qualify!

How Exercise Can Reduce Chronic Pain—and Help You Feel Better Every Day

Picture of Chris Dounis

Chris Dounis

Chris is an accredited exercise physiologist with over 15 years professional experience working with a wide range of clients.
Learn more about Chris here.

If you’re living with chronic pain, chances are you’ve been through the wringer. Scans, scripts, conflicting advice, and the occasional “just rest” from someone who means well but doesn’t get it. Maybe medication didn’t help. Maybe it helped but came with side effects. Or maybe you’ve just hit a wall and thought, “Surely there’s got to be something else.”

There is. And it starts with how you move.

What Exactly Is Chronic Pain?

Chronic pain is pain that sticks around for longer than expected—usually more than three months. It can start from an injury or illness, or pop up with no obvious cause. Common types include:

Over time, the nervous system can become hypersensitive, sending pain signals even when there’s no injury. This is called central sensitisation and it’s recognised in pain science (Nijs et al., 2014).

Why Exercise Can Help

Research shows that gentle, consistent movement can reduce chronic pain and improve quality of life (Ambrose & Golightly, 2015).

  • Reduces nervous system sensitivity – Exercise helps your brain and body feel safe again (Geneen et al., 2017).
  • Improves mobility and blood flow – Prevents stiffness and guarding behaviours.
  • Boosts endorphins – Natural chemicals that reduce pain and lift mood.
  • Builds confidence – Gradual exposure rebuilds trust in your body.
  • Strengthens supportive muscles – Helps reduce strain in painful areas.

Even large-scale reviews support this. A Cochrane Review found that exercise improves pain severity and function across multiple conditions (Geneen et al., 2017).

The EP360 Difference

We’ve supported locals across Sydney’s Inner West for over a decade. Many of our clients come to us after other options haven’t worked.

  • We listen first – Your story and your goals matter.
  • We meet you where you’re at – No judgement. Just support.
  • We work in real gyms – Friendly spaces that feel practical and welcoming.
  • We go gradually – No bootcamps. Just steady progress.

We work with Medicare, NDIS, WorkCover, and private clients across Five Dock and St Peters. Mobile sessions available too.

Inner West Sydney Exercise Physiologist

What to Expect in Your First Session

  • We chat – About your history and what you want to achieve.
  • We assess – Gently observing movement patterns.
  • We plan – A starting point that feels doable.
  • We support – Regular check-ins, always adjusting as needed.

The Science: Simplified

Chronic pain isn’t always about damage. It’s about an over-sensitive alarm system. Exercise helps “turn the volume down” on pain by teaching your nervous system what safe movement feels like again (Blyth et al., 2019).

Common Presentations We See

  • Low back pain – Often made worse by fear or inactivity.
  • Osteoarthritis – Strength training supports joint health.
  • Fibromyalgia – Graded activity helps energy and resilience.
  • Chronic neck/shoulder pain – Often posture- or stress-related.
  • Post-injury/surgery pain – Especially when other rehab has plateaued.

Common Questions We Hear

“I’m not fit enough to exercise.”
No worries. We start where you’re at and go from there.

“Exercise made things worse before.”
That’s common. We adjust the type, dose, and intensity safely.

“I hate gyms.”
That’s okay! Our spaces are low-pressure and friendly.

“Do I need a referral?”
Nope. You can come directly. We’ll guide you if a care plan applies.

Final Thought: You Don’t Have to Do It Alone

Living with chronic pain doesn’t mean you’re broken. With the right support, movement can become part of your path to feeling better. If you’re ready to give something new a go—or want to refer someone else—let’s have a chat.

EP360 Exercise Physiology. Helping you feel stronger, move better, and get back to doing what you love.

Disclaimer

This series does not serve as specific medical advice, and should be viewed as educational ONLY. Chronic pain is an individual and complex experience, and as such, any treatment needs to be tailored to the individual. Always seek advice from a relevant medical professional before undertaking any treatment or exercise program.

 

Struggling with pain, weakness, balance or other physical issues holding you back?

We should talk.

Got Back Pain?

Download our guide: 5 quick and easy exercises to reduce back pain.

Related articles

Chronic Fatigue Syndrome: My Story – Early Days

Knee Osteoarthritis & Exercise - does it help?

Knee Osteoarthritis and Exercise: Why Movement Is the Best Medicine

Osteoarthritis vs Rheumatoid Arthritis

Osteoarthritis vs. Rheumatoid Arthritis: What’s the Difference?

Hip Osteoarthritis can be treated with exercise

Hip Osteoarthritis: How Exercise Can Help with Pain – Routines and Tips

Exercise for Osteoarthritis - is it safe?

How Exercise for Osteoarthritis Can Help You Manage Your Condition

Impact loading can help osteoporosis

Using Impact Loading to Strengthen Bones with Osteoporosis

Download your free eBook

Back on Track: 5 quick and easy exercises to reduce back pain

Download Back on Track eBook about exercises to reduce back pain

Back on Track: 5 quick and easy exercises to reduce back pain

Download now, for free