What is Osteopathy?

Osteopathy is a clinical health science and recognised form of primary healthcare with origins dating back to the late 1800’s. It has been practiced in Australia for over 100 years and today Osteopaths collectively treat over 50,000 people per week.

Osteopathic treatment centres on the philosophy that the human body has a natural capacity for self regulating and self healing. Osteopaths recognise that there is an important link between the structure of the body and how it functions as a holistic system. In turn this can affect your overall health and wellbeing. The musculoskeletal system (which includes the bones, muscles, tendons and cartilage) is a key element in maintaining health, with the potential to impact and also reflect the condition of all the other systems in the body, such as the circulatory and nervous systems.

Rather than treating your symptoms in isolation, we look at the bigger picture and aim to understand your condition in the context of your whole body. Why are you in pain or suffering discomfort? What is causing your pain or discomfort to present in this way? How can you prevent it from reoccurring?

Using skilled evaluation, diagnosis and a wide range of manual techniques, osteopaths may be able to identify important types of dysfunction throughout the body. Ultimately Osteopathic treatment aims to help all the component parts of the body work together to result in optimal health and wellbeing.

“We look at the body in health as meaning perfection and harmony, not in one part, but in the whole.”

– A. T. Still MD, DO

What does treatment involve?

Osteopathic treatment techniques include:-

  • stretching
  • massage
  • mobilisation of specific joints, soft tissues and nerves
  • joint manipulation
  • ultrasound
  • Active Release Techniques (ART).


The aim of treatment is to resolve structural restrictions, restoring balance within and providing your body with the best opportunity to rehabilitate and heal itself.

“When every part of the machine is correctly adjusted and in perfect harmony, health will hold dominion over the human organism by laws as natural and immutable as the laws of gravity.”

– A. T. Still MD, DO

Preventative medicine, including good nutrition and fitness, is vital in sustaining healthy body systems. So in addition to treatment, ongoing management options and support including rehabilitation programs and the provision of exercises for stretching and strengthening, ergonomic advice, education, postural retraining and encouragement are also offered. Where necessary your Osteopath will work with your GP and other health care providers to help get you back to your normal healthy self as quickly as possible.

What is an Osteopath?

Osteopaths are university trained, government registered, allied health professionals.

In Australia, Osteopaths complete a mandatory five year university program to obtain a Bachelor Degree in Applied Science and a Masters Degree of Osteopathy. Studies include extensive clinical experience and practical training. Our education and expertise is based on medical and health sciences such as anatomy, physiology, neuroscience, pathology, general healthcare diagnosis and osteopathic techniques.

Osteopaths are trained to recognise conditions that require medical referral. They are also trained to perform standard examinations of the musculoskeletal, cardiovascular, respiratory and nervous systems.

This intensive training allows Osteopaths to develop the skills and attitudes necessary to:-

  • Develop a working diagnosis for particular health conditions,
  • Provide treatment and rehabilitation to patients with physical disorders and disabilities,
  • Identify irregularities of potential concern and refer on to appropriate specialist practitioners where required,
  • Provide appropriate advice and support to aid in the prevention of pain, and
  • Know how and when to refer you for x-rays and neurological testing to help with diagnosis.
When should I see an Osteopath?

Most people, regardless of age, will suffer from some form of pain throughout their life. Osteopaths may be able to help identify the cause of the pain and develop a course of action to manage pain, allowing you to make the most of your active lives.

Clients commonly seek Osteopathic treatment for:-

  • Back or neck pain
  • Headaches
  • Rehabilitation following an accident or injury
  • Sciatica
  • Sports injuries
  • Poor posture and ergonomic issues
  • Arthritic pain
  • Foot, knee and hip problems
  • Muscle Spasms
  • Shoulder pain
  • General aches and stiffness
Are Osteopaths Registered Professionals?

Practicing osteopaths are required to be registered with the Osteopathic Board of Australia (OBA), the national board responsible for regulating the osteopathic professional throughout the country.  The role of the OBA is to protect the public and set standards and policies that all registered osteopaths must meet.  The OBA is supported by the Australian Health Practitioner Regulation Agency in implementing the National Registration and Accreditation Scheme.

In addition to this professional registration, Nick is also a member of Osteopathy Australia, the peak body representing the interests of osteopaths, osteopathy as a profession and consumer’s right to access osteopathic services within Australia.  Osteopathy Australia members are committed to continuing professional education and are required to comply with a high standard of professional and ethical behaviour over and above the requirements of their board registration.

When you invest your time and trust with us, you can be assured that you being treated by a government registered practitioner with extensive training and the passion and commitment required to bring the profession to the forefront of the manual medicine industry.

Is ongoing training required of Osteopaths?

Each year the Osteopathic Board of Australia (OBA) requires all registered Osteopaths to complete a number of Continuing Professional Development (CPD) course and seminars. This ongoing education facilitates the continual improvement of the professional aptitude of Osteopaths and helps to improve and standardise the Osteopathic profession as a whole. The foremost objective being the continued excellence in the delivery of Osteopathic healthcare services to the public.

Do I need a referral to see an Osteopath?

A referral is NOT required to consult an Osteopath.

Do I need to make an appointment?

Yes, this clinic works via an appointments system. You can check availability and make an appointment directly online by clicking the ‘Book an appointment’ icon above.

Same day appointments can often be accommodated on short notice. However, as a sole practitioner, I am unable to guarantee availability for walk ins, so please contact me directly on (02) 9906 4938 or via email to [email protected] to discuss any short term appointment availability.

What if I need to cancel or change my appointment time?

Appointments may be cancelled or changed up to 24 hours prior to your scheduled appointment time. This can be done directly online by logging into the online booking system.

No shows and cancellations within 24 hours of your appointment time will result in a cancellation fee equivalent to the full consultation cost as that time has been held for you and made unavailable to other clients.  In the event you do need to reschedule your appointment on short notice please contact me directly on 9906 4938 or by email to [email protected] as soon as possible.

What do I expect during the first consultation?

During your initial consultation, you will be asked a range of background questions regarding you medical history, general health and lifestyle and your specific complaint. Structural and functional assessments will be undertaken to help identify the underlying cause of your pain or discomfort. A treatment plan will then be developed and appropriate treatment techniques will be performed. Actions for the ongoing management of your complaint may also be identified and appropriate advice provided.

How long do the consultations take?

At Manual Medicine I am committed to providing you with the time required to ensure you are receiving the most thorough and focused treatment available.

Your initial consultation will take approximately 50 minutes. Subsequent consultations will require approximately 30-40 minutes.

Do I need to bring any previous scans?

Please bring any relevant previous scans (xrays, CT scans or MRIs) and your health insurance card if you would like to claim on the spot with our HICAPS facility.

Will I need to get scans?

From time to time, where further information is required to make a diagnosis about your condition, further scans may be recommended. I may be able to provide you with a referral, or where appropriate I will recommend you consult your GP in regard to further tests, scans or specialist referrals.

What are your consultation rates?

  1. Initial Osteopathic Consultations – $120
  2. Subsequent Osteopathic Consultation – $99
  3. Initial Osteopathic Consultation (Student or Pensioner with valid concession or pensioner card) – $90
  4. Subsequent Osteopathic Consultation (Student or Pensioner with valid concession or pensioner card) – $80
Do you charge cancellation fees if I need to cancel or change my appointment?

Appointments may be cancelled or changed up to 24 hours prior to your scheduled appointment time free of charge. However, ‘no shows’ and cancellations within 24 hours of your appointment time will result in a cancellation fee equivalent to the full consultation cost as that time has been held for you and made unavailable to other clients.  In the event you do need to reschedule your appointment on short notice please contact me directly on 9906 4938 or by email to [email protected] as soon as possible.

Can I get rebates through my health fund?

Osteopathic consultations are covered by most private health funds under their ‘Extras Cover’. The rebate available to you will depend on your health fund and level of coverage.

At Manual Medicine, rebates can be made directly via HICAPS. Simply bring along your health care card to make your on the spot claim.

Can I get rebates through Medicare?

Medicare’s Chronic Disease Management (CDM) program allows for osteopathic treatment which may be of value in restoring health to patients suffering from chronic conditions. You may be able to claim Medicare rebates for osteopathic treatment under the CDM program if you have a chronic medical condition that is being managed by your GP. The need for your treatment must be directly related to your chronic condition.

A doctors referral is required and a limit of five consultations per year applies.

Manual Medicine meets the required eligibility criteria and be registered with Medicare Australia.

How do I get to your clinic?

Manual Medicine is conveniently located on the Pacific Hwy at Crows Nest (between Oxley and Hume Streets) and is easily accessible by both private and public transport.

We occupy one of the exclusive commercial suites nestled within the Atrium Apartments complex, above the Coco Republic furniture store.

This is a secure building so simply buzz the suite by pressing 130 on the intercom upon arrival to gain access*.

The clinic is located on level 1. Turn right upon exiting the elevator to get to Suite 130.

* In the unlikely event the intercom system is not functioning at any given time, I will endeavour to meet you at the entry prior to your appointment or you can call me on (02) 9906 4938 upon arrival.

Is there parking available onsite?

Private parking is not available however there are ample street parking options in surrounding streets (primarily meter parking) and the following public car parks located within walking distance:-

  • Hume Street – 2 hours free parking (230m, 3 mins walk)
  • Nicolson Street – 2 hours free parking (250m, 3 min walk)
  • Woolworths (Alexander Street) – 2 hours free parking (450m, 6 mins walk)
  • Holtermann Street – 2 hours free parking (450m, 6 mins walk)
What public transport options are available?

St Leonards train station is less than a 10 minute walk (approx 600m) from the clinic.

Similarly many bus routes running along the Pacific Highway through Crows Nest will pass by the clinic.

  • Travelling southbound (towards city) – alight Pacific Hwy (between Oxley and Hume St)
  • Travelling northbound – alight Hume St