Total knee replacement is now one of the world’s most popular surgeries as it provides us the opportunity to dramatically reduce knee pain as a result of osteoarthritis. However in the clinic we are commonly asked “when is the right time to get surgery?”

The first thing that needs to be acknowledged is all surgeries have risk. Total knee replacement is a very invasive surgery so there is always a small chance of risks such as blood clots, infections, and nerve damage. Secondly, not everyone always reaches optimal outcomes with surgery. Total knee replacement is a very demanding surgery that involves up to 12 months of
challenging rehabilitation.

We also need to consider timing as knee replacements don’t last forever. They tend to last up to 20 years before they need to be re-done, but technology is improving every day. You also don’t want to leave it too late either, as risks are greater when we age.

Despite the above, our response is always “when you need it.” That is, if your pain is so apparent that your lifestyle and general walking has been significantly reduced. This exposes people to cycle of declining health and weakness, which only worsens the symptoms. The decision should not be based on X-ray as it is well evidenced that severity of arthritis on X-ray does not match up with what we feel.

When people are at this stage you have two options – conservative management and surgery. Conservative management should always be tried first as if we improve our strength through exercise or reduce our weight you can often see significant improvement in pain and function. Furthermore, all the exercise you do beforehand will improve your outcome afterwards if you do end up getting surgery. Regardless of whether you decide to get surgery, you want to make sure you are as strong as you can be.


If you have any questions, please contact us on 9477 1997 or book onine with one of our physiotherapists!

Simone Szabo

Simone Szabo

Physiotherapist
Simone Szabo
Physiotherapist


Having worked as a physio for many years, Simone has had a wide variety of experience in both public and private physiotherapy settings, working the last 7 years in private practice. Simone has developed a special interest in treating foot and ankle injuries, running injuries, jaw pain (TMJ) and posture- related back and neck pain.

Simone has vast experience working with elite sporting teams and athletes including Premier League football, rugby, track and field, Australian baseball, and swimming.

Simone is passionate about helping people move well and stay active. She has a plenty of experience in running video analysis, and hands on manual therapy as well as dry needling / acupuncture, and helping develop and retrain ideal movement.

When not in the clinic, you will find her out running, at the beach or spending time with family and friends.

 

Darren Pivetta

Darren Pivetta

Physiotherapist
Darren Pivetta
Physiotherapist
Darren has worked as a physiotherapist for over 20 years and has a passion for helping people to move at their best.

He believes in taking a holistic approach to injury management and uses hands-on therapy, advice and exercise as medicine, including Physio Pilates.

Darren has extensive experience in treating all types of musculoskeletal problems and sports injury rehabilitation and performance improvement. He is also trained in dry needling (Western acupuncture).

On the weekend you will find Darren out playing on the soccer field, spending time with his beautiful wife and three active kids, at church, or trying to catch that perfect wave.

 

Book Now – Asquith


 

Jacqueline Walford

Physiotherapist
Jacqueline Walford
Physiotherapist


Jackie trained as a physiotherapist in Birmingham, UK qualifying in 1987. She worked in London before immigrating to Australia in 1995. After working for another private practice for 7 years Jackie decided to start Berowra Physiotherapy in 2003. This was also the year she took the exam to become a credentialed McKenzie therapist.

Jackie has also completed level 2 sports course and regularly attends post graduate seminars and courses. Jackie takes a very functional approach to treatment seeing it as a partnership between therapist and patient and keeping exercises simple and manageable.

 

Book Now – Berowra

Jane Watson

Jane Watson

Physiotherapist

Jane is a physiotherapist who is dedicated to providing high quality, individualised assessment and treatment of patients presenting with pain and movement dysfunction.  This requires a thorough initial assessment which provides a reliable diagnosis.  Appropriate treatment strategies can then be applied and reassessed at subsequent visits.

The aim Jane’s treatment is to provide patients with effective self-management strategies based on education and personalised exercises and/or management advise.  This facilitates optimum results and prevention of further injuries.  Year of experience and commitment to continuing education enables Jane to provide reliable and accurate assessments and effective treatment strategies.

Extensive experience in neurological rehabilitation at Royal Prince Albert Hospital and Prince of Wales Hospital has given Jane a holistic approach to movement disorders.  One of her special interests is chronic pain.  She has completed her post-graudate education through the University of Sydney (Graduate Certificate in Pain Medicine) and have attended David Butler’s Explain Pain course.  This training has enabled me to give chronic pain sufferers evidenced based and up to date assessment and treatment.  Jane is also quiet passionate about minimising the risk of transition from acute pain to a chronic pain.  Early assessment of people who have soft tissue injuries can help identify those at risk of developing a chronic pain problem (neck and low back being the most common).  Education, management advise and appropriate exercise can help prevent pain becoming chronic.

Restoring normal movement requires a keen, experienced eye and ear to detect the source of the problem or the link.  Pain and movement dysfunction can often have abnormal contribution from the central nervous system.  Jane’s background in neurology and pain medicine give her the edge on being able to include neuromuscular facilitation with exercise and functional movement programmes.

Book Now – Wahroonga
Jennie Whitaker

Jennie Whitaker

Physiotherapist
Jennie Whitaker
Physiotherapist
Jennie trained in Sydney and has a Bachelor of Science (B.Sc), Post Graduate Diploma in Physiotherapy and a Master of Management. Jennie has almost 25 years clinical experience in the Public Hospital system. Jennie enjoys treating a range of conditions in general physiotherapy, and has several years experience in her areas of clinical special interest: hand injuries/conditions and women’s health – including pregnancy, ante and post natal education and pelvic floor management for women of all ages.

Jennie has managed the Physiotherapy Department for Nepean and Hornsby Hospitals for 12 years, has been a member and chairperson for the OH&S; Committees of Nepean and Hornsby Hospitals and has been a member of the APA council. She is delighted to be working at Berowra Physiotherapy on Monday, Wednesday and Thursday afternoons.

 

Book Now – Berowra

Matt Abeshouse

Matt Abeshouse

Physiotherapist
Matt Abeshouse
Physiotherapist
Physiotherapist Matthew Abeshouse comes from a broad background of private practice, sports, Pilates, hospital, and rehabilitation. This has lent him skills to work with patients of all ages, and across all walks of life.

Matthew prides himself on delivering up to date physiotherapy practice. He has postgraduate training in manual therapies and dry needling and pairs these skills with a focus on exercise therapies. Matthew believes exercise is often the key ingredient that will guide you towards recovery, and will work with you to find a program that can allow you to excel.

Matthew’s special interests include back pain and lower limb injuries, but welcomes everything and anything!

 


Digby Nield

Digby Nield

Physiotherapist
Digby Nield
Physiotherapist
Digby has experience working as a Physiotherapist in private practice, teaching pilates, working in aged care, covering elite sports games and assisting with rehabilitation.


 
After finishing his degree, Digby moved to a rural town in north west NSW where he worked in a private practice gaining experience working with children, adolescents and adults with a wide range of conditions.


 
He has since moved back to Sydney and has been working as a physiotherapist for a prominent National Premier League football team, giving him a strong background in sports injury rehabilitation.


 
When Digby‘s not helping injured player’s with their rehab, you can find him out there on the football field playing for his local team, going camping and hiking, or at the beach.


Binal Vather

Binal Vather

Physiotherapist
Binal Vather
Physiotherapist
Binal graduated from the Australian Catholic University and has had diverse experience in private practice, musculoskeletal and sports physiotherapy, chronic disease management and surgical rehabilitation.
Binal is passionate about all types of physiotherapy, striving to empower patients to overcome limitations to achieve optimal function and purse what they enjoy doing whether is be returning to work, sport or spending time with family.
She ensures holistic physiotherapy management for all patients with individualised treatment techniques including education about the condition and management strategies, manual therapy and tailored exercises specific for you.
When not volunteering for charity organisations, rehabilitation hospitals or leading Yoga classes as an Instructor, Binal enjoys playing tennis, dance, going to the beach or going on adventurous walking trails.


 


Betty Zhang

Betty Zhang

Physiotherapist
Betty Zhang
Physiotherapist


Betty’s passion to become a physiotherapist began in her early teens when she visited the physio tent at netball for advice after having injured herself skateboarding. Now her passion has evolved into helping people find ways to move better and stay active.

Having graduated from the University of Sydney with a Bachelor of Exercise and Sport Science and Masters of Physiotherapy, Betty has developed a great understanding of how the body moves and how to use exercise to help others improve their health and wellbeing. Betty’s passion for exercise and sports injury rehabilitation is reflected in her experiences working as a physiotherapist with National Premier League football teams, as well as AFL and rugby teams. Betty enjoys working with people of all ages and abilities to find the right treatments to help them achieve their healthiest selves.

In her spare time, Betty likes going to the gym and lives and breathes all things netball. She also enjoys a challenge, so she has recently started playing football. During the holidays, you may find Betty going camping or hitting the beach with friends and family.


Rob Kerferd

Rob Kerferd

Physiotherapist

Rob became interested in anatomy, exercise, and the human body when he began going to the gym in high school. He began researching and managing his own injuries with exercise and from that point, physiotherapy stood out as a career for him.

Rob developed his skills and gained experience in private practice, musculoskeletal, sports physiotherapy and post-surgical rehabilitation at the Australian Catholic University where he completed his Bachelor of Physiotherapy. Rob believes in managing patients with a combination of hands-on techniques and exercise. He aims to involve the patient in the decision-making process to optimise results such as reducing pain and increasing function in work, sport, or day-to-day living.

Outside of physiotherapy, Rob enjoys living an active life including cycling and regularly going to the gym and outdoors with friends and family.

 

Denise Pivetta

Denise Pivetta

Physiotherapist

Denise has been practising for more than 20 years, since graduating from her Physiotherapy degree at Sydney University, in both hospital and private practice settings. She has developed a special interest in treating postural neck and back pain, shoulder injuries and foot and ankle pain, as well as rehabilitation following hip and knee surgery.


Denise experienced first-hand the benefits of improving core muscle strength and stability after having her first child, and this led to her undertaking Clinical Pilates courses.. She has since applied this knowledge widely in the clinic for the treatment and prevention of pain and poor posture, utilising the principles learned from from 15 years of practising and teaching physiotherapy- based Pilates. Denise has vast experience as an educator, teaching everything from Get Fit to Ski classes, to Physio Pilates and Prenatal Education classes. She feels great satisfaction in seeing her clients learn more about their bodies and how they can move better.

She particularly enjoys working with women during and after pregnancy to help them feel stronger and fitter, as well as those who are generally deconditioned following surgery or illness.

 

Away from the clinic, Denise loves to share a delicious meal with her family and friends, enjoy the great outdoors, get lost in an engrossing book or enjoy community at her local church.

Book Now – Wahroonga