Jannali physiotherapy for headaches that start in the neck
If your headaches build through a long day at a screen and a train ride home on the Illawarra line, the neck is often where they start. Andrew sees Jannali locals at PACT Physio & Rehab in Miranda, a short drive along the Princes Highway or a train ride via Sutherland.
Close to Jannali
Long days, the line home, and a headache by five
Jannali still feels like a village. Family streets run between the station and the Como bushland, and a lot of people who live here spend the working day at a screen before catching the Illawarra line home. That steady load through the neck and upper back has a habit of turning into a headache by late afternoon.
Headaches that start in the neck tend to be misread as something else. We look for the driver: stiff upper neck joints, tight muscles at the base of the skull, a jaw that clenches under pressure, or simply a desk set up for someone else. Chasing the pain alone rarely settles it for long.
Our clinic is in Miranda, on Sylvania Road. From Jannali that is a short drive along the Princes Highway, or the train to Miranda via Sutherland. Street parking is right at the front door.
Book your appointment
- Graduate Entry Master of Physiotherapy (USyd)
- AHPRA registered physiotherapist
- SIRA approved physiotherapist
- Trigger point dry needling a core focus since 2012
How we work out where a headache is coming from
The first appointment runs 60 minutes, and a fair chunk of it is questions. When the headache builds, which side, whether the neck feels stiff first, what a day at the desk and a night on the train do to it. Then we test the upper neck joints, the muscles at the base of the skull and how the shoulders sit under load.
Cervicogenic headaches come from the neck itself. Tension headaches come from the same muscles being overworked for hours. The two overlap, and the treatment shifts depending on which one is doing the driving.
Hands on treatment, then homework that fits a commute
Treatment is usually a mix. Trigger point dry needling has been a core focus for Andrew since 2012 and suits the tight bands that sit through the upper shoulders and the base of the skull. Mobilisation frees the stiff joints in the upper neck. Soft tissue release deals with the rest.
The exercises are short and built to be done at a desk or standing on the platform at Jannali station. Two or three minutes a few times a day does more than a long routine nobody keeps up.
Telehealth reviews for the days the drive is too much
Not every review needs a trip to Miranda. Follow up sessions can run by video through PACT Virtual Care. We check the exercises, progress the program and adjust the desk set up while you are actually sitting at it.
If the neck or headaches came from work or a car accident, an approved workers compensation or CTP claim is billed directly to the insurer. Andrew is a SIRA approved physiotherapist and writes the clinical reports the insurer asks for.
What we see most from Jannali
What we treat with
Trigger point dry needling
Thin needles into trigger points within muscles to ease pain, release tension and improve mobility.
Soft tissue release
Skilled work through muscles, tendons and ligaments to ease pain, reduce tension and improve flexibility.
Spinal joint mobilisation
Gentle, controlled movement to improve joint mobility and reduce stiffness through the neck and back.
Exercise & rehab
Tailored plans designed to improve mobility, strength and function, at home or in the gym.
Chronic pain physiotherapy
Holistic management through personalised exercise, manual therapy and education for pain that has not settled.
Workers comp & CTP
Focused care for people injured at work or on the road, with same day reporting that keeps your claim moving.
Workers comp and CTP, billed directly
For Jannali 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.
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.
Before any rebate. Private paying is welcome, and your fee buys the whole session, never a rushed 20 minutes.
A GP Chronic Disease Management referral rebates $61.80 on every visit, up to 5 a year.
The usual out of pocket once you claim on the spot, depending on your level of cover.
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.
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 from Jannali
We are at Unit 1, 196 Sylvania Road, Miranda NSW 2228.
- By car it is a short drive along the Princes Highway to Sylvania Road in Miranda.
- By train, the Illawarra line runs from Jannali to Sutherland, and Miranda is three stops down the Cronulla line from there.
- Street parking is right at the front door, and the clinic is a short walk from Westfield Miranda and the Kingsway.
- There is one small step at the entry and a clean accessible bathroom on site.
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.
Questions people in Jannali ask us
Do you have a clinic in Jannali?
How do I know if my headache is coming from my neck?
Can I do my follow up sessions from home in Jannali?
My neck pain and headaches started after a car accident. Can you treat that on a CTP claim?
How much does physiotherapy cost?
Do I need a referral?
Do you take workers comp and CTP?
See what people say on Google
We let our patients speak for themselves, on Google, where you can read it independently.
Read our Google reviewsBook physiotherapy from Jannali
Same day appointments often available at our Miranda clinic, or by telehealth across Australia.