PACT Physio & Rehab / Choosing a physio

How to choose a physiotherapist

Everyone claims to be the best, which makes that label fairly useless when you are trying to choose. Here is what to actually look for in a physiotherapist, and the questions worth asking, so you can judge any clinic for yourself.

Start here

There is no official best, so here is how to choose well

There is no official ranking of physiotherapists, and a clinic calling itself number one tells you very little. What actually helps is knowing what to look for and which questions to ask, so you can judge any physiotherapist for yourself.

This guide walks through that in plain terms. It covers how to check registration and experience, what makes a thoughtful dry needling practitioner, how to choose for chronic or persistent pain, and how to read reviews sensibly. It is written to help you choose well anywhere in the Sutherland Shire or beyond, not to point you at one clinic. Use it on us too, and ask us the same questions you would ask anyone.

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.

Frequently asked questions

Good to know

Who is the best physio in the Sutherland Shire?
There is no objective answer to this, and any clinic that tells you it is the best is making a claim it cannot really back up. Physiotherapists are not ranked by any official body, and the right physio for you depends on your condition, how you like to be communicated with, and what is practical for you to get to. A more useful question is how to choose a good one, which comes down to a few things you can actually check. First, confirm the physiotherapist is registered with AHPRA, the national regulator. You can search any practitioner for free on the public register at ahpra.gov.au. Second, look at relevant experience and training for your particular problem, since a physio who sees a lot of your type of injury will usually have more depth in it. Third, notice how they communicate. A good physio explains what they think is going on, agrees a plan with you, and is honest about what physiotherapy can and cannot do. Fourth, consider location, availability, and whether they handle your funding (private, Medicare, workers compensation, CTP). Apply those four checks to any clinic, including us, and you will land on a sensible choice rather than the loudest marketing.
How do I check if a physiotherapist is properly qualified and registered?
Every physiotherapist practising in Australia must be registered with the Physiotherapy Board through AHPRA. You can confirm this yourself in under a minute. Go to ahpra.gov.au, use the public register search, and type the practitioner's name. It will show their registration status and whether there are any conditions on it. This is the single most important check and it is free. Beyond registration, you can ask about their qualifications and how long they have been practising. A physiotherapy degree is the baseline; many physios then build experience or do further training in particular areas over time. Years in practice are not everything, but they are a reasonable proxy for how many presentations someone has seen and managed. For reference, Andrew at PACT holds a Master of Physiotherapy and has been in clinical practice across these settings for 16 years, and you are welcome to verify his registration on the AHPRA register exactly as you would for anyone else.
What should I look for in a physiotherapist? A simple checklist
Use the same short checklist for any physiotherapist you are considering. One, registration: confirm they are registered with AHPRA (free search at ahpra.gov.au). Two, relevant experience: ask whether they regularly treat your type of problem, whether that is a sports injury, a persistent back, a post operative knee, or a work injury. Three, communication: in the first session, do they listen, explain their reasoning in plain language, and agree a plan with you rather than talking over you. Four, an honest plan: a good physio gives you a realistic idea of timeframes and what your part in the recovery looks like, and will tell you if physiotherapy is not the right answer or if you need a referral elsewhere. Five, the practical fit: location, opening hours, whether they offer telehealth if you need it, and whether they bill your insurer directly for a workers compensation or CTP claim. Six, independent reviews: read what other patients say on a public platform like Google to get a feel for the experience. None of these is about who is best. They are about whether a given physio is a good fit for you.
How long should a physiotherapist have been practising?
There is no magic number, and a newer graduate can be excellent while a long established physio may not suit you. That said, years in practice are a fair signal of how many different presentations someone has assessed and treated, which tends to build pattern recognition and confidence with the unusual cases. Rather than fixing on a number, ask two things. First, how long have you been practising as a physiotherapist. Second, do you regularly see my type of problem. The combination matters more than raw years, because a physio who has spent a decade mostly on one kind of work may have deep experience in that area specifically. For context, Andrew at PACT has been in clinical practice for 16 years across private, sports, and work injury settings, and has used dry needling as part of treatment since 2012. You can and should ask any physio the same two questions and weigh the answers against what you need help with.
What makes a good dry needling practitioner, and what should I ask?
Dry needling is a technique some physiotherapists use, where a fine needle is inserted into muscle tissue to help with pain and tension. A thoughtful practitioner does not needle everyone for everything; they assess whether it is appropriate for your problem, explain the likely benefit and the risks, and gain your consent before treating. Good questions to ask are: do you think dry needling is suitable for my condition, what are you hoping it will achieve, and what are the risks for my particular case. You want answers that are specific to you rather than a blanket yes. Experience helps here too, because someone who uses the technique regularly will be more practised at judging when it is and is not the right tool. As a point of reference, Andrew at PACT has used dry needling in clinical practice since 2012 and shares free dry needling education publicly as @thedryneedlingphysio, which reaches an audience of around 15,000 followers. That tells you he uses the technique and shares education on it; it does not by itself make him the right choice for you, so still ask the questions above of any physio who offers it.
Is dry needling safe around the upper back and ribs, and what should I ask about it?
This is a fair thing to ask, and the honest answer is that some areas carry more risk than others. The region over the ribcage and around the shoulder blades sits close to the lung, so needling there carries a small but real risk if done carelessly, including a rare risk of a partially collapsed lung. The mark of an experienced practitioner is not how deep or how freely they will needle that area; it is how carefully they assess it, how they adjust their technique, needle length and angle, and their willingness to use a safer approach or skip needling altogether when it is not clearly indicated. So a good question for any physio who offers dry needling is how they keep treatment safe around the ribs and shoulder blades. You are looking for an answer that shows respect for the anatomy and a clear consent conversation, not bravado. A physio who is cautious in that region is showing good judgement, not a lack of skill. At PACT we treat that area with the care it deserves and are happy to talk you through exactly how we keep your treatment safe.
How do I choose a physio for chronic or persistent pain?
Chronic pain, meaning pain that has hung around beyond the normal healing time, is different from a fresh injury, so it is worth choosing with that in mind. Look for a physiotherapist who takes time to understand the whole picture, including how the pain affects your sleep, mood, work, and daily activities, rather than only poking at the sore spot. Modern persistent pain care leans on graded movement and exercise, education about how pain works, and steady progress over time, often alongside your GP and sometimes other practitioners. Hands on techniques can help in the short term, but for persistent pain they are usually one part of a broader plan rather than the whole answer. Good questions to ask are: how do you approach pain that has lasted a long time, will we work on building up my activity gradually, and how will you measure whether things are improving. Be a little wary of anyone promising a quick fix or a single cure for long standing pain, since honest, gradual, active management is generally what helps. You can apply all of this to any clinic you are weighing up, including ours.
How do I know if a physio is any good before I book?
You cannot know for certain before your first visit, but you can stack the odds in your favour. Before booking, confirm registration on the AHPRA register, read independent reviews on a public platform such as Google to get a sense of other patients' experiences, and check that the clinic treats your type of problem and handles your funding. Then treat the first appointment as part of the assessment, of them as much as of you. A good sign is a physio who takes a proper history, examines you, explains what they think is going on in plain language, and agrees a clear plan and rough timeframe with you. Another good sign is honesty, including telling you if physiotherapy is not the right answer or if you should see your GP or another practitioner. If after a session or two you do not feel listened to, or nothing is being explained, it is completely reasonable to seek a second opinion. None of this requires you to decide who is best. It just helps you tell whether a particular physio is a good fit.
Should I just pick the physio with a five star rating?
Reviews are useful, but a star rating on its own is a weak way to choose, and insisting on five stars and nothing less can steer you away from genuinely good practitioners. Ratings can be based on very few reviews, and they reflect the overall experience rather than whether a physio is right for your specific problem. A more useful approach is to read a handful of independent reviews on a public platform like Google to get a feel for what patients say about communication, the booking experience, and how they were treated, then weigh that alongside the other checks in this guide, registration, relevant experience, clear communication, and a sensible plan. Reviews are one input, not the whole decision. You are welcome to read our Google reviews on Google's own platform the same way you would for any clinic you are considering.
What questions should I ask a physio about a workers compensation or CTP injury?
If your injury is covered by a workers compensation or CTP (motor accident) claim, there are a few extra things worth checking, because these claims have their own paperwork and rules. Ask whether the clinic regularly treats workers compensation and CTP patients, since familiarity with the schemes makes the process smoother. Ask whether they bill the insurer directly so there is no gap for you to pay at your appointment. Ask whether they write the reports and certificates the insurer needs and liaise with your case manager and GP, as that coordination matters a lot in these claims. And ask how they approach getting you back to your normal activities or work safely, since a good plan is about steady, suitable progress rather than rushing or stalling. You can put these questions to any physio. PACT treats workers compensation and CTP patients, bills approved claims directly to the insurer, and handles the reporting and coordination involved, and you are welcome to ask us exactly how we would manage your claim.
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