The problem nobody has found an answer for.
The knee that still isn't right a year after surgery. The back that's outlasted your surgeon, your physio, maybe another EP. My job is working out what's actually driving it, then fixing it at the source, not the site of the pain.
"Complex" usually looks ordinary.
The word makes it sound like I only see disaster stories. Mostly I see everyday problems that have simply refused to behave:
- The knee that hasn't felt right for a few months, and you can't say exactly why
- Shoulder pain that settles for a while, then keeps coming back
- The wrist you hurt at work that never quite finished healing
- Being back at sport after an injury but not trusting your body the way you used to
- The back that's fine for weeks, then drops you for no reason at all
If a niggle has hung around longer than it should, been treated without really changing, or returns every time life gets busy, that's what complex means here. It doesn't need to be dramatic to deserve a proper answer.
Why problems persist.
Most persistent musculoskeletal problems aren't mysterious, they're mislocated. The knee that hurts is often paying for a hip that doesn't control load. The back that spasms is often protecting something it shouldn't have to. If every practitioner you've seen has treated the sore spot, and the sore spot keeps coming back, the sore spot probably isn't the problem.
An initial session here is a proper investigation: your full history (including the treatments that didn't work, that's data), a whole-body movement assessment, hands-on testing, and an honest working hypothesis I explain in plain English. Then we test it: if the hypothesis is right, targeted treatment should change your symptoms measurably, that session, not in six weeks.
Both tools, one set of hands.
I'm an Accredited Exercise Physiologist and a remedial massage therapist. That matters for complex cases: the muscle that needs releasing and the movement that needs rebuilding get handled by the same clinician, inside the same plan. No referral ping-pong, no re-explaining yourself.
The patterns I keep seeing.
A client told by their surgeon that they should never rotate through their spine, who then spent years moving like a statue and hurting more, and had to be retaught how to move at all. A client with fifty years of back pain that traced back to the way they walked, who had to learn a proper gait pattern one cue at a time. An inflamed, angry knee where the real problem was a talus that had stopped gliding properly, so every step sent the force somewhere it did not belong.
None of those people needed a hero. They needed someone to look at the whole system instead of the sore part, explain what was actually happening, and rebuild the movement patiently. That is the job.
An honest caveat: I won't promise to fix what others couldn't. I promise a genuinely fresh assessment, a clear hypothesis you can understand, and measurable progress, or an honest conversation about who else can help.
In their words.
“James helped my chronic back and hip injury more in one month than three years of physios and osteos did. Super friendly, extremely knowledgeable, and dedicated to achieving the best results for his clients.”
Aisling V. · Google review
“He takes the time to actually understand what’s driving the problem — not just treat the symptoms, and builds a plan to fix it at the source. The result is real progress, not an endless cycle of recurring appointments.”
James M. · Google review
“James has actually worked with me to find the root cause of the problems, even though it would have been easy to give me a bandaid solution.”
Felicity R. · Google review
Common questions.
Do I need a referral?
No, private appointments need no referral. Bring any scans, surgical notes or previous programs; they all help.
I've already seen a physio / another EP. Is this different?
The assessment targets the driver of the problem rather than the site of the pain, and combines hands-on treatment with strength work in one plan, tested and re-tested so you can see whether it’s working.
Can you work alongside my surgeon or GP?
Yes, with your consent I write to your GP, surgeon or specialist so everyone works from the same plan.
Keep exploring.
Book your appointment.
Same-week availability for NDIS, DVA, CDM, workers comp and private clients.
Prefer to call? 0418 153 608 · or email admin@fwphysiology.com
Booked out but desperate? Call me. I can usually find a time outside my listed hours.