One stop from Caringbah

Caringbah physio for necks, pinched nerves and runners

Get on at Caringbah station each morning and get off with a stiff neck or a tingling arm, and it deserves a proper look rather than another week of hoping it settles. PACT Physio & Rehab is one stop down the line in Miranda, open seven days.

Open 7 days AHPRA registered, SIRA approved Dry needling since 2012
PACT Physio & Rehab clinic at Unit 1, 196 Sylvania Road, Miranda, the clinic for Caringbah Close to Caringbah
Our clinic
Unit 1, 196 Sylvania Road, Miranda NSW 2228
From Caringbah: a short drive along Port Hacking Road.
60 minUnhurried first visit
Same dayInsurer reports
14+ yrsDry needling focus
7 daysOpen across the week
Around Caringbah

Caringbah, the train and a sore neck

Caringbah sits on the train line, and plenty of locals spend the day at a city desk before the ride back to Caringbah station. Hours in a chair, then a train seat with the phone out. Necks, lower backs and shoulders wear it.

The clinic is one stop down the line in Miranda, on Sylvania Road, a short walk from Westfield Miranda. From the Kingsway shops in Caringbah it is a short drive, or one stop on the train.

Andrew has been a physiotherapist since 2010, with about a decade of occupational rehabilitation alongside the clinic, so desk setups and return to work are familiar ground. The first appointment is 60 minutes, enough to find what is driving the pain and plan around it.

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Andrew Ellis, Principal Physiotherapist | PACT Physio Miranda
Andrew Ellis
Founder & Principal Physiotherapist
  • Graduate Entry Master of Physiotherapy (USyd)
  • AHPRA registered physiotherapist
  • SIRA approved physiotherapist
  • Trigger point dry needling a core focus since 2012
One physiotherapist, one clinic, and the time each appointment actually needs.

Pinched nerve treatment for Caringbah, explained plainly

A pinched nerve in the neck usually shows as pain from the neck into the shoulder blade or down one arm, often with pins and needles, numbness or a weak grip. Looking up, turning the head, or a long stretch on the train with the chin down can set it off.

At the assessment Andrew checks how the neck moves, which movements bring the arm symptoms on and which ease them, and arm strength, reflexes and sensation. That shows whether the nerve root, a stiff joint or tight muscle is responsible. Treatment pairs mobilisation, soft tissue release and dry needling with movements that take pressure off the nerve, and changes to the desk and the commute.

If the arm is getting weaker, say so when you book.

Neck pain from the desk and the commute

Neck pain for Caringbah commuters often follows one pattern: a day at a screen, then the train, then the phone. We look at the whole chain, the upper back that stiffens, the shoulders that creep up, and the suboccipital muscles at the base of the skull behind so many headaches.

Sessions mix hands on treatment with a short set of exercises that fit a working day. Follow ups run 40 minutes, time to treat and to fix the setup.

Running physio for Caringbah

Running injuries are mostly load problems: kneecap pain, shin splints, a calf that keeps pulling, an Achilles stiff first thing. Rest alone rarely sorts them, because the same load is waiting when you start again.

Andrew looks at how you run, how much and how fast, and what the tissue can handle right now, then builds a rehabilitation program that keeps you running where possible while capacity catches up.

Services

What we treat with

Trigger point dry needling | PACT Physio Miranda

Trigger point dry needling

Thin needles into trigger points within muscles to ease pain, release tension and improve mobility.

Soft tissue release physiotherapy | PACT Physio Miranda

Soft tissue release

Skilled work through muscles, tendons and ligaments to ease pain, reduce tension and improve flexibility.

Spinal joint mobilisation | PACT Physio Miranda

Spinal joint mobilisation

Gentle, controlled movement to improve joint mobility and reduce stiffness through the neck and back.

Exercise and rehabilitation programs | PACT Physio Miranda

Exercise & rehab

Tailored plans designed to improve mobility, strength and function, at home or in the gym.

Chronic pain physiotherapy | PACT Physio Miranda

Chronic pain physiotherapy

Holistic management through personalised exercise, manual therapy and education for pain that has not settled.

Workers compensation physiotherapy | PACT Physio Miranda

Workers comp & CTP

Focused care for people injured at work or on the road, with same day reporting that keeps your claim moving.

Claims handled

Workers comp and CTP, billed directly

For Caringbah workers with an approved claim, we bill the insurer directly, so there is nothing for you to pay. We handle the paperwork and the reporting.

Fees and rebates

What you will actually pay

The full fee is $165 for an initial visit and $142 for a follow up, and every appointment is a full, unhurried session with the time to work through complex, persistent problems. Once your cover is applied, here is what you actually pay.

Full fee, no cover
Initial · 60 min $165
Follow up · 40 min $142

Before any rebate. Private paying is welcome, and your fee buys the whole session, never a rushed 20 minutes.

$165
$142
Initial
Follow up
With a Medicare plan
Initial $103.20
Follow up $80.20

A GP Chronic Disease Management referral rebates $61.80 on every visit, up to 5 a year.

$103.20
$80.20
Initial
Follow up
With private health extras
Initial $60 to $100
Follow up $40 to $80

The usual out of pocket once you claim on the spot, depending on your level of cover.

$60 to $100
$40 to $80
Initial
Follow up
Workers comp & CTP
No out of pocket
Initial $0
Follow up $0

Nothing for you to pay at any visit. Accepted workers compensation and CTP motor accident claims are billed straight to your insurer, and we handle the paperwork.

$0
$0
Initial
Follow up

The bars compare what an initial and a follow up visit cost you on each pathway.

See full fees and rebates. Telehealth with PACT Virtual Care is charged at the same rates, Australia wide.

Getting here

Getting here from Caringbah

We are at Unit 1, 196 Sylvania Road, Miranda NSW 2228.

  • One stop on the train from Caringbah to Miranda, or a short drive along Port Hacking Road or the Kingsway.
  • Unit 1, 196 Sylvania Road, Miranda, a short walk from Westfield Miranda, with street parking right at the front door.
  • One small step at the entry and an accessible bathroom on site.
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Nearby areas

The suburbs closest to the clinic

Miranda, Gymea, Kirrawee, Caringbah, Sylvania, Sutherland and Jannali are all a short trip to Sylvania Road. Each has its own page.

Frequently asked questions

Questions people in Caringbah ask us

Is there a PACT clinic in Caringbah?
No. There is one clinic, in Miranda, one stop down the line from Caringbah station or a short drive along Port Hacking Road or the Kingsway. Workers compensation and CTP appointments happen there too, and telehealth through PACT Virtual Care suits some follow ups.
Pins and needles in my arm on the train from Caringbah, is that a pinched nerve?
It can be, especially if the neck is sore and looking down at a phone makes it worse. It can also come from the shoulder or wrist. The assessment tests neck movement, arm strength, reflexes and sensation, and treatment follows what those tests show.
Can I fit physio around a city commute from Caringbah?
Yes. Weekdays run 7:30am to 9pm and weekends 8:30am to 6pm, so the opening hours cover before the train in, after the ride home, and weekends. Miranda is one stop from Caringbah, so the trip adds little to the commute.
Do you see runners from Caringbah, or mainly desk injuries?
Both. Kneecap pain, shin splints, Achilles and calf problems are all treated here with an exercise and load plan rather than rest alone. Andrew also treats workers compensation and CTP injuries with direct insurer billing, and chronic pain that has outlasted the original injury.
How much does physiotherapy cost?
Initial physiotherapy is $165 for 60 minutes and follow ups are $142 for 40 minutes. Approved workers comp and CTP appointments are billed directly to the insurer.
Do I need a referral?
No referral is needed to book privately. Referrals are required for Medicare Chronic Disease Management plans and most claim pathways.
Do you take workers comp and CTP?
Yes. We treat NSW workers compensation and CTP claims and bill the insurer directly, so there is nothing for you to pay on approved claims.
Reviews

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Book physiotherapy from Caringbah

Same day appointments often available at our Miranda clinic, or by telehealth across Australia.