Osteoporosis & Bone Health Program in Shellharbour

The Osteoporosis & Bone Health Program at RX Physiotherapy Shellharbour is a supervised physiotherapy-led exercise program for people with osteoporosis, osteopenia, low bone density, falls risk or fracture risk.

The program is designed to help patients build strength, improve balance, reduce modifiable fracture risk factors and feel more confident exercising safely.

This program is suitable for patients referred by a GP, specialist or allied health practitioner, as well as patients who self-refer after being diagnosed with osteoporosis or osteopenia.

What RX Physiotherapy offers

RX Physiotherapy Shellharbour provides a structured osteoporosis exercise program that includes:

Initial bone health physiotherapy assessment

VALD Testing so you have clarity in your progress

Review of DEXA scan results where available

Review of fracture history and falls risk

Strength and balance assessment

Balance and falls prevention exercises

Supervised gym-based exercise where appropriate

Education on safe movement and exercise with osteoporosis

Exercise progression based on confidence, strength and risk level

Communication with the patient’s GP or referring practitioner where clinically appropriate

Who the program is for

The Osteoporosis & Bone Health Program is for people who:

  • Have osteoporosis
  • Have osteopenia
  • Have low bone density
  • Have had a DEXA scan showing reduced bone mineral density
  • Have had a previous fragility fracture
  • Are at increased risk of falls
  • Are post-menopausal and concerned about bone health
  • Have been advised to start strength training but do not know where to begin
  • Feel nervous about exercising with osteoporosis
  • Need a safe, supervised pathway into resistance training
 
 
 

Patient-focused explanation

Many people are diagnosed with osteoporosis or osteopenia and are told to exercise, but they are not given a clear plan.

Patients often do not know:

  • Which exercises are safe
  • Which exercises should be modified
  • Whether they should lift weights
  • How much weight they should use
  • How to protect the spine and hips
  • How to improve balance
  • How to reduce falls risk
  • How to progress exercise safely over time

 

The RX Physiotherapy Osteoporosis & Bone Health Program gives patients a structured plan rather than generic advice.

What does our Osteoporosis Program involve?

The RX Physiotherapy Osteoporosis & Bone Health Program provides a supervised exercise pathway for patients with osteoporosis, osteopenia, low bone density or increased fracture risk.

The program is designed to complement GP-led osteoporosis management, including medical management, calcium and vitamin D considerations, fracture risk assessment and broader health planning.

Patients may be suitable for referral if they require support with:

➤ Safe commencement of resistance training

➤ Falls prevention

➤ Balance training

➤ Functional strength development

➤ Exercise confidence

➤ Gym-based exercise progression

➤ Long-term exercise adherence

➤ Fracture risk reduction strategies

RX Physiotherapy can provide updates to referring practitioners where clinically relevant.

FAQ content

What is the Osteoporosis & Bone Health Program?

The Osteoporosis & Bone Health Program at RX Physiotherapy Shellharbour is a supervised physiotherapy-led exercise program for people with osteoporosis, osteopenia, low bone density, falls risk or fracture risk.

Who is the program for?

The program is for people with osteoporosis, osteopenia, low bone density, previous fragility fracture, reduced balance, falls risk or concerns about exercising safely with osteoporosis.

Do I need a GP referral?

No. Patients can book directly. GP referrals are also welcome, especially when the patient has DEXA scan results, fracture history or other medical considerations.

Should I bring my DEXA scan?

Yes. Patients should bring their DEXA scan report if they have one. This helps the physiotherapist understand bone density results and tailor the exercise program.

Is strength training safe with osteoporosis?

Strength training can be appropriate for many people with osteoporosis when it is prescribed, modified and progressed safely. The program is individualised based on diagnosis, fracture history, balance, strength, confidence and medical history.

Can exercise improve osteoporosis?

Exercise can support bone health, improve strength, improve balance and reduce modifiable falls risk factors. Bone density changes depend on multiple factors including age, medication, hormones, nutrition, training consistency and medical management.

Is this program suitable for osteopenia?

Yes. The program is suitable for people with osteopenia, osteoporosis, low bone density or early concerns about bone health.

Is this a gym program or physiotherapy program?

This is a physiotherapy-led program that may include gym-based strength training where appropriate. The difference is that exercise is assessed, prescribed and progressed based on the patient’s clinical risk profile.

Start with an Initial Bone Health Assessment

The safest way to begin is with a one-on-one physiotherapy assessment.

At the initial appointment, RX Physiotherapy will review the patient’s bone health history, DEXA scan results where available, fracture history, falls risk, strength, balance, confidence and current exercise capacity.

 

From there, the physiotherapist will create an individualised exercise plan for osteoporosis, osteopenia, low bone density or fracture risk.

Physiotherapy-for-Hypermobility.jpg
April-Patterson-rx-physiotherapy.png
Dr. April Patterson

Physiotherapist

Dr. April Patterson graduated from Bond University with a Doctor of Physiotherapy degree and founded RX Physiotherapy in 2019 with a vision to provide exceptional, personalised care. As a physiotherapist living with Ehlers-Danlos Syndrome (EDS), hypermobility, and Temporomandibular Joint (TMJ) issues, April brings a rare combination of personal insight and professional expertise to her practice. Her own experiences with these conditions fuel her passion for understanding and treating them, allowing her to empathise deeply with her patients and guide them with authenticity and compassion.

April has a huge passion for in EDS, Hypermobility Spectrum Disorders (HSD), and TMJ dysfunction, while also treating all joints and musculoskeletal conditions. She personally conducts initial assessments to understand each patient’s story, goals, and challenges before referring them to her highly skilled team for ongoing care. Her holistic, evidence-based approach blends manual therapy, strength and conditioning, pain management, and education to help clients regain function, confidence, and independence.

As Managing Director, April maintains the highest standard of care through weekly team sessions to review progress, provide guidance, and support professional development. This ensures that every patient receives structured, personalised care, while allowing her to focus on leadership, strategy, and advancing the clinic’s mission.

Outside the clinic, April enjoys hitting the gym, cooking, and spending quality time with her partner, her two dachshunds and two cats.

Ms. Emily Yorkston

Physiotherapist

Emily is a senior physiotherapist with extensive experience across musculoskeletal, neurological, orthopaedic, women’s health, and paediatric physiotherapy. She has worked in a wide range of clinical settings, including rural outreach programs and allied health leadership roles, which have shaped her holistic, collaborative, and genuinely client-centred approach to care.

Emily is a highly empathetic physiotherapist with lived experience of Ehlers-Danlos Syndrome (EDS), giving her a rare and deeply personal understanding of the physical, emotional, and day-to-day challenges faced by people living with complex and chronic conditions. She has a strong clinical interest in hypermobility (HSD, EDS), TMJ and jaw dysfunction and women’s health, and has completed APA Women’s Health Level 1 training. Emily is skilled in assessing and treating all joints and a broad range of musculoskeletal presentations, from everyday pain to complex, multi-system conditions.

She is passionate about helping clients achieve meaningful, sustainable, long-term outcomes. Emily combines personalised rehab programs, hands-on manual therapy, and targeted rehabilitation strategies to improve function, build confidence, and restore independence. Her care is structured, evidence-based, and highly individualised, ensuring every client feels informed, supported, and actively involved in their recovery.

Outside the clinic, Emily enjoys travelling and exploring new experiences, bringing fresh perspective and energy back into her work. She is known for her warm, calm, and motivating style, helping clients feel safe, understood, and empowered throughout their rehabilitation journey.

If you’re living with pain, recovering from injury, or navigating a complex condition such as EDS, HSD, TMJ dysfunction, women’s health concerns, or any musculoskeletal issue, you don’t have to do it alone. Book an appointment with Emily today to receive thoughtful, personalised care and take the next step toward moving with greater comfort, confidence, and trust in your body again.

profile-photo
Ms. Laura Flemming

Physiotherapist

Laura is a senior physiotherapist with six years of experience across hospital, private practice, community, and sports settings. She began her career at Wollongong Hospital before moving to Sydney, where she expanded her skills in musculoskeletal rehab, neurological rehab, and community-based care. During this time she became a Level 1 Strength and Conditioning Coach and worked with junior representative soccer teams in the St George region. Now back in the Illawarra, she’s excited to support her local community again.

Laura’s approach is grounded in understanding the individual—what they value, what they hope to achieve, and how their condition impacts their life. She focuses on meaningful outcomes through a blend of manual therapy, strength training, pain management, patient education, and personalised rehabilitation programs. Her experience spans acute and chronic injuries, post-operative rehab, strength and endurance training, falls prevention, and neurological conditions including stroke and brain injury.

She has a strong interest in working with people with Ehlers-Danlos Syndrome (EDS) and Hypermobility Spectrum Disorder (HSD), and she brings extensive experience supporting participants within the NDIS. She also specialises in treating TMJ/jaw dysfunction, helping clients reduce pain, improve mobility, and address the muscular and biomechanical factors contributing to their symptoms. Her calm, collaborative style helps clients feel understood, supported, and confident navigating long-term conditions.

Outside the clinic, you’ll find Laura hiking up mountains, writing music, playing soccer, or training for the occasional triathlon or running event.

Whether you’re managing pain, recovering from an injury, or navigating a complex condition like EDS, HSD, or TMJ dysfunction, Laura can help with all joints and musculoskeletal concerns, guiding you with structure, clarity, and genuine care.

Mr. Trent Cooksley

Physiotherapist

Trent is a physiotherapist who genuinely cares about people — the kind who listens properly, meets you where you’re at, and helps you feel comfortable from the moment you walk in. He has that big brother energy; calm, thoughtful, easy to talk to, and always looking out for you. His focus is simple — helping you move better, feel stronger, and get back to the things that matter to you, whether that’s training, sport, work, or living life without pain.

He treats a wide range of musculoskeletal conditions, including shoulder, knee, lower back, neck, and ankle injuries, and works with people of all ages and activity levels. Trent’s approach is hands-on, structured, and tailored to the individual. He’s not about quick fixes or generic programs — he takes the time to understand your body, your goals, and what’s been holding you back, then builds a clear plan to help you move forward with confidence.

Born and raised in Wollongong, Trent grew up immersed in sport. He played soccer with the Woonona Sharks and was involved in everything from tennis and golf to swimming, footy, cricket, and AFL. As a teenager, golf became his focus, earning him a place in the IAS Golf Program and later a college golf scholarship in Abilene, Texas. Experiencing injuries firsthand — and seeing how physiotherapy restored his performance — shaped the way he now supports others through injury, rehab, and long-term recovery.

Outside the clinic, Trent is easygoing, down-to-earth, and approachable. You’ll find him on the golf course, in the surf, or catching up with friends. That same calm, supportive energy carries into his sessions, helping clients feel at ease, understood, and supported every step of the way.

If you’re dealing with pain, injury, or ongoing frustration with your body, Trent is someone you can trust to have your back — and help you move with clarity, confidence, and strength again.

Mr. Harrison Smith

Physiotherapist

Harrison Smith holds a Master’s degree in Physiotherapy and brings over 10 years of clinical experience to his practice. His philosophy is simple: pain is rarely the real problem — it’s information. He often describes pain as a “check engine light” — a useful warning signal, but not always located where the actual fault exists.

Because of this, Harrison focuses on identifying the true cause of dysfunction rather than chasing symptoms. He performs detailed, full-body assessments to understand how the entire system is working together, then builds clear, targeted treatment plans designed for lasting change — not temporary relief.

His goal is to stand in your corner while you rebuild your body and confidence: reducing pain, addressing long-standing issues, improving body composition, and helping you reach meaningful performance goals. Ultimately, he aims to be the last practitioner you need by giving you both results and understanding.

Alongside Physiotherapy, Harrison has formal training in Sports & Exercise Science and Nutrition, allowing him to take a genuinely holistic approach to recovery and performance.

He has spent over a decade working within women’s sport, supporting teams from Gordon Rugby through to the Norwegian National Team, and has travelled internationally with the FRN Wolverines to Dubai.

Outside the clinic, Harrison lives what he teaches — surfing, freediving, strength training, and snow sports all shape his appreciation for movement efficiency, resilience, and real-world performance.

Mr-Reece-Nikitaras.png
Mr Reece Nikitaras

Physiotherapist

Reece Nikitaras is deeply passionate about optimising human movement and enhancing quality of life through targeted rehabilitation and evidence-based therapeutic techniques. His journey into physiotherapy was driven by a genuine desire to help individuals overcome physical barriers and reach their full potential.

As an avid runner, Reece brings both personal insight and clinical expertise to the treatment of running-related injuries. He is particularly dedicated to helping runners recover from injury, prevent future setbacks, and elevate their performance. Reece has developed a comprehensive running assessment protocol designed to identify biomechanical inefficiencies and areas of weakness, allowing for tailored interventions that support long-term improvement and injury prevention.

Reece also holds a strong clinical interest in knee rehabilitation, with an in-depth understanding of knee biomechanics and the complex nature of knee injuries. He implements highly specialised, results-driven treatment plans to restore function and accelerate recovery in clients dealing with knee concerns.

Always eager to stay at the forefront of his field, Reece consistently seeks out new knowledge and incorporates the latest advancements in physiotherapy research into his practice. His commitment to continuous learning ensures he delivers the highest standard of care to every patient.

Outside of the clinic, Reece enjoys travelling, spending time at the beach, and playing a round of golf.