Optimum Health and Performance Logo Terrigal and North Wyong


Frequently Asked Questions

How quickly should I see a physio?

Our Physiotherapists are trained and well experienced in acute care, assessment, diagnosis and management of musculoskeletal and sporting injuries. As primary care providers we are part of a wider medical team that we will call on or refer you on to should this be clinically indicated. Early intervention and management is beneficial reducing the odds of you experiencing further complications or being in pain for longer than needed.

When to use heat or ice applications for therapy?
This is a difficult question to answer and is a case by case approach. First aid principles are RICE (Rest, Ice, Compress, Elevate) and POLICE (Protect, Optimum loading, Ice, Compress, Elevate). There are specific cases where heat and / or heat compression has been shown in studies to be more beneficial. So until you get in to see us apply the POLICE principle and do no HARM (No Heat products, Alcohol, Running, Massage). If you do not have any structural damage, meaning a break, torn muscle, torn tendon or ligament, or dislocated joint, the aim for the first 48 to 72 hours is to get a clear diagnosis of what your injury is, manage your pain, control the swelling, restore functional movement and load as tolerate.
Do I need a referral from a Doctor?

No referral from a doctor or specialist is needed to come and see one of our clinicians.

Only cases where you will need a referral from your doctor are:

  • If you have had a work place or work related injury
  • If you have sustained an injury following a car accident
  • If you have a DVA (Department of Veterans Affairs)
  • If you want Medicare support – CDM (Chronic Disease Management plan)

We work closely with local specialists, orthopaedic and neurosurgeons who refer their patients to our clinics for pre-operative, post-operative and conservative care.

What do I need to bring anything with me to my appointment?
  • Any medical referrals or reports
  • Any relevant scans or investigations, including but not limited to X-rays, Ultrasounds, MRI and CT scans
  • Any exercises or management plans you may have been given in the past
  • Any questions you have regarding your pain or injury
  • Suitable clothing – comfortable that will allow your clinician to assess and treat your injured body part effectively
What should I expect from my first appointment?

You will be greeted warmly by our reception team and will be asked to fill out your patient information sheets and will be provided with some of our policies. Your consult will take place in one of our private consult rooms with your clinician. We will listen to your story and ask you questions to get to know you better and obtain as much information as we need to enable us to provide you with the best level of care and the right advice. Our aim for your first session is to gain an understanding of your pain and injury, your needs and goals and following a thorough investigation provide with a diagnosis and a treatment plan that will start you off on your recovery process. We will do our best to create a change and relieve your symptoms and put together a clear treatment plan with you.

How many treatments/sessions will I need?

This will depend on a number of factors such as the nature, severity of your injury, the tissue or body part you injured (bone, muscle, tendon, ligament, nerve, etc), your current physical condition, what you need to return back to and your goals, to name a few. Your physiotherapist or clinician will provide education in regards to your condition, the recovery process, what you should do or avoid doing, and establish goals with you. A clear management plan will be given to you with estimated time frames. Your progress will continuously be guided by objectives and functional measures that we will re-assess over the course of your recovery process.

How long to I get better?

There are multiple factors that will determine how quickly you recover from your injury or pain.

A few of the common ones are:

  • The nature of the injury. The type of tissue you have injured:
    • bone
    • ligament
    • muscle
    • nerve
    • fascia or
    • a combination.
  • Your level of activity, whether this be physical activity, nature of your job, level of participation in sport.
  • Any past experience with a similar injury – have you had a similar injury before, has this injury been mismanaged or is recurrent?
  • The duration you have had your symptoms for – have you been battling with your current pain or injury for months or years?
  • Your internal health – tissue health, hydration, nutrition, inflammation and acidity have been shown to have significant effects on healing time frames.
  • Your mindset, understanding of your injury or pain, whether of not there is fear associated with movement and function.
  • Your understanding of your pain or injury – often uncertainty will lead to avoidance and not optimising your function in order to get full recovery.


Your Physiotherapist will go through all of these areas in depth in your first one or two consults an provide you with a diagnosis, a management plan and direction with what it will take to help you achieve your goals.

Fees and Charges

For any details on our fees and charges please contact our friendly staff and they will assist you.

We accept:

  • Private patients without private health funds
  • Private Health funds – (HICAPS) your gap will depend on your level of cover
  • DVA – Gold cards and white cards
  • CDM (Medicare plan) – Medicare pays $53.85 of your consult fee
  • Work Cover – Full cover by the insurance company
  • Third Party – Full cover if you are not at fault
Our Locations

Experience Our Clinics



Successful Treatments

Paul Jones
Paul Jones
Alex is extremely knowledgeable and helpful. Fixed my problem in no time.
TimandTorz Metcalfe
TimandTorz Metcalfe
The team were able to fit me in at short notice following a sports injury, Helen was great, knowledgeable and really helpful, I now have a plan to assist with recovery, even after one session have I much more mobility! Would definitely recommend!
lisa sturgiss
lisa sturgiss
I started seeing Alex in 2021 after being diagnosed with both Rheumatoid Disease and Bursitis in all my major joints. At the time I could not walk more then 10 meters due to the extreme pain I was experiencing from the Bursitis in my hips. My GP was pushing cortisone injections that absolutely terrified me... Alex had me walking again within only a few months and continues to treat me now. I can't thank Alex and his team enough for giving me some kind of life back. I'll always have both these diseases but knowing that i've holistic support and treatment (that isn't scary) is such a blessing.
John Mifsud
John Mifsud
After enjoying a life time of sports the injuries accumulate. Alex and the team at Optimum have done wonders to improve my quality of life. Regular visits has resolved the scar tissue from most of those injuries resulting in a remarkable difference to my range of movement, quality of sleep and clarity of mind. Best of all many aches and pains have disappeared. I highly recommend the team at Optimum Health and Performance.
Graeme Lowe
Graeme Lowe
Staff are highly respectful, helpful and professional.
Jelly Drops
Jelly Drops
I highly recommend seeing Alex, he's helped me so much. I had suffered chronic back pain for a year, before being recommended to Alex by my partner. After my first session, I went from getting 4-5 hours of sleep a night due to my back pain, to getting a full 8 hours. But since I've been seeing Alex at Optimum Health, my back has greatly improved. The staff are professional, and welcoming.
Anne Bailey
Anne Bailey
Alex is knowledgeable and professional and has definitely improved my hip and shoulder issues. He thinks outside the box when treating my issues
Hayley Charters
Hayley Charters
Great clinicians producing great results
Jonny Gloss
Jonny Gloss
I’ve been seeing Alex for over a year. He’s been very clear and effective at diagnosing what the problems are and has been extremely helpful with alleviating my pain, and is thoroughly nice chap!
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