PACT Physio & Rehab
PACT Physio & Rehab / Chronic pain physio near me

Chronic pain physiotherapy near you

If your pain has been hanging around and the usual advice has not shifted it, PACT in Miranda takes a broader, unhurried look at what is actually driving it. Our founder Andrew Ellis is the physiotherapist behind @thedryneedlingphysio, with a long focus on persistent and complex pain.

Book an appointment Call (02) 8105 6506
60 minute first assessmentFor pain that has not settledMiranda clinic plus telehealthThe physio behind @thedryneedlingphysioOpen 7 days
60 minUnhurried first assessment
Since 2012Trigger point dry needling focus
7 daysEarly and late appointments
$165 / $142Initial 60 min / follow up 40 min
When it has not gone away

For the pain that standard care has not settled

Persistent pain is different from a fresh injury. When something has been sore for months, the tissue is often only part of the story, and a quick appointment that treats one spot rarely gets to the bottom of it. That is the sort of problem we take on, the stubborn one that has already had a few goes at it.

We do not promise to make pain vanish, because honest physiotherapy does not work that way. What we offer is a proper look at what is keeping it going, a plan you actually understand, and steady progress you can measure. For many people that means real, lasting improvement in how much they can do and how they feel.

Physiotherapy for persistent and chronic pain at PACT in Miranda
How we work

A thorough look at what is actually driving it

Your first appointment is a full 60 minutes, not a 20 minute rush. We look at how you move, how the pain behaves, what loads it up and what settles it, and the day to day things that quietly keep flare ups going. Then you get a clear explanation of what is going on and a plan built around it.

Treatment usually blends hands on therapy to settle symptoms with graded movement and exercise that rebuilds strength and confidence, plus practical education so you understand your own pain. Where muscle tension is part of the picture, trigger point dry needling can take the edge off enough to let the rehab do its job. The needle opens the door, the exercise keeps it open.

  • A full 60 minute first assessment, not a quick once over
  • A clear diagnosis and a plan you understand
  • Hands on therapy paired with graded exercise and education
  • Dry needling used where it helps, never as the whole plan
Physiotherapy assessment and hands on treatment at PACT in Miranda
What it helps

The stubborn problems people bring us

Chronic pain physiotherapy is assessment led, so the plan fits the person rather than the label. These are some of the longer standing problems people come to us with. If yours is not here, the assessment tells us how we can help and whether we are the right people for it.

Persistent lower back painSciaticaPersistent pain: why it lastsNeck pain treatment in MirandaTension headachesRotator cuffKnee osteoarthritisPlantar fasciitisAll injuries we treat
Who you will see

Led by Andrew Ellis

PACT was founded by Andrew Ellis, our principal physiotherapist. Andrew holds a Bachelor of Science in Exercise Science and a Master of Physiotherapy, has practised as a physiotherapist since 2010, and has a long focus on trigger point dry needling as the physiotherapist behind @thedryneedlingphysio, where he shares dry needling education with a community of more than 13,000 followers.

That depth is what makes the difference on a complex problem, and it sets the standard for the whole clinic. Whoever you see at PACT works to the same approach Andrew built and treats alongside him, so you get the same careful assessment and the same reasoning behind the plan.

Andrew Ellis, founder and principal physiotherapist at PACT Physio & Rehab
Getting here

In Miranda, or by telehealth

Our clinic is at Unit 1, 196 Sylvania Road, Miranda, an easy run from across the Sutherland Shire, including Cronulla, Caringbah, Sutherland, Gymea and Sylvania. We are open Monday to Friday from 7:30am to 9pm and weekends from 8:30am to 6pm.

If getting in regularly is hard, PACT Virtual Care offers telehealth across Australia, which suits ongoing chronic pain care well because so much of it is guided movement, progression and education. Book online or call (02) 8105 6506.

A woman sitting on an exercise mat in front of a laptop at home
Chronic pain physiotherapy serviceDry needling Sutherland ShireTelehealth physiotherapyOur Miranda clinic
Fees and rebates

What you pay, with or without cover

Every appointment is a full, unhurried session with the time to work through complex, persistent problems. The fee is $165 for an initial visit and $142 for a follow up, and if you have Medicare, private health extras or an accepted claim, here is what you pay.

Paying privately

No referral or paperwork needed. Every visit is a full, unhurried session with the time it needs.

You pay$165No referral needed

With a Medicare plan

A GP Chronic Disease Management referral rebates $63.40 on every visit, up to 5 a year (Medicare item 10960, from 1 July 2026).

You pay$101.60Up to 5 visits a year

With private health extras

Claim on the spot through HICAPS. The gap depends on your fund and level of cover. See all health funds

Usual gap$60 to $100Claimed on the spot

Workers comp & CTP

Accepted workers compensation and CTP claims are billed straight to your insurer, and we handle the paperwork.

You pay$0Billed to your insurer

Every bar is drawn to the same scale, from $0 to the standard fee. Private health gaps vary with your fund and your level of extras cover.

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Keep reading

Related pages

Physio in Miranda, the clinic pageChronic pain physiotherapy serviceDry needling near meDry needling Sutherland ShireAll injuries we treatSutherland Shire physiotherapyPhysiotherapy in MirandaFees
Frequently asked questions

Good to know

Why does pain persist after the injury should have healed?
Chronic or persistent pain is pain that has lasted past the normal healing time, often three months or more. By then it usually involves the nervous system as well as the original tissue, which is why it can be confusing, why it can spread or move, and why a quick fix on one sore spot rarely works on its own. That is also why our assessment looks at the whole picture rather than the one spot.
What does the 60 minute first assessment actually cover?
A full hour. We go through your history and what you want to get back to, then look at how you move, how the pain behaves, what loads it up and what settles it, and the day to day habits that quietly keep flare ups going. You leave with a clear explanation of what is going on and a plan built around it, not a list of exercises handed over in the last two minutes.
What is pacing, and how does it help with flare ups?
Pacing means building activity up in steps your body can tolerate, rather than doing a lot on a good day and paying for it over the next three. With persistent pain, flare ups often seem out of proportion to what you did. A graded movement program, hands on therapy when a flare needs settling, and plain education about how pain works are the tools we use so you can do more of what matters with fewer flare ups.
Do I need a scan before I see you?
No. Persistent pain is real even when scans look normal, because it involves the nervous system and not just the tissues. Most long standing pain does not need imaging to start physiotherapy. We assess first, and only suggest a scan, or coordinate with your GP, if something in your history or examination points to it.
Can physiotherapy help pain that has been there for months or years?
Often, yes, though honestly it depends on the problem and the person. Long standing pain usually needs more than treating one sore spot. A thorough assessment, a plan that addresses what is keeping the pain going, and steady graded progress helps many people improve how much they can do and how they feel. We will give you an honest view of what is realistic at your first visit.
What counts as chronic pain?
Pain that has lasted longer than about three months, or that keeps returning, is usually called persistent or chronic pain. By that stage the original tissue is often only part of the picture, which is why a broader assessment and plan tends to work better than chasing the sore spot alone.
What makes your approach different?
Two things. Time, because your first appointment is a full 60 minutes so we can assess properly rather than rush. And depth, because PACT is led by Andrew Ellis, an AHPRA registered physiotherapist with a long focus on complex pain and trigger point dry needling. You get a clear plan you understand, not a quick fix that fades by the weekend.
Do you use dry needling for chronic pain?
Sometimes, where muscle tension is part of the picture. Trigger point dry needling can settle symptoms enough to let the rehabilitation do its job, but it is one tool within a wider plan, never the whole treatment. The assessment tells us whether it is worth using for you.
Can I be treated by telehealth?
Yes. PACT Virtual Care offers telehealth physiotherapy across Australia, which suits ongoing chronic pain care well because so much of it is guided movement, progression and education. Many people combine telehealth reviews with occasional visits to the clinic.
How much does it cost and who will I see?
Initial physiotherapy is $165 for 60 minutes and follow ups are $142 for 40 minutes. Medicare Chronic Disease Management and private health rebates apply where you are eligible. You will see one of our physiotherapists, all of whom work to the approach Andrew Ellis built. Book online or call (02) 8105 6506.
I have already tried physio, Pilates or strength work and it did not last. Is it worth trying again?
Often, yes, provided the plan changes. Your first appointment is a full 60 minutes so we can work out why earlier care stalled: what has been done, what helped for a while, what flared you up and what is driving the pain now. From there the plan is paced and graded, with hands on treatment and dry needling where they are useful, so you build capacity without the boom and bust pattern. We cannot promise an outcome, but we can promise a thorough and different look at the problem.
Can I see you for chronic pain under WorkCover, CTP, a Medicare care plan or private health?
Yes to all four. On an accepted workers compensation or CTP claim, reasonably necessary treatment is billed directly to your insurer with no gap. Under a Medicare Chronic Disease Management plan arranged by your GP, Medicare pays a rebate toward each eligible visit and there is usually a gap, which we are upfront about. Private health extras can also be used toward the fee. Bring your claim number or GP plan and we handle the rest.
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Ready to get moving again?

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

Book online Call (02) 8105 6506
Call (02) 8105 6506Book online