Simple Wellness Myotherapy, Osteo & Remedial Massage
  • Home
  • Treatments & Bookings
  • Mel Simon (Myo)
  • Dr Sarah Varmalis (Osteo)
  • Myotherapy FAQs
  • Osteo FAQs
  • Stories From People Like You
  • Blog
  • Contact

Muscle Pain Isn't Always the Whole Story

11/9/2026

 
Picture
When something hurts, it makes sense to focus on the place that hurts.
A tight shoulder? Work on the shoulder muscles. An aching back? Stretch, massage or strengthen the back. A neck that constantly feels tense? Surely those neck muscles just need to relax.
And sometimes, that's exactly what your body needs.

But what happens when muscle-focused treatment feels good, gives you some relief, but only seems to get you so far?

Sometimes, the muscle isn't the whole story.

Your muscles don't work in isolation
The human body is wonderfully complicated. Muscles work alongside joints, ligaments, nerves, connective tissues, blood vessels, the lymphatic system and many other structures to help us move, respond and adapt.
Muscles can also tighten, guard or become sensitive in response to what's happening around them.
This means that the place where you feel discomfort isn't necessarily the only area worth considering.
That doesn't mean there's secretly something terribly wrong with you. And it certainly doesn't mean that treating muscles is pointless - muscle-focused treatment can be enormously valuable.
It simply means that sometimes it's worth looking at the bigger picture.

This is where Osteopathy can offer a different perspective
Osteopathy takes a whole-body approach to assessing musculoskeletal pain and function.
Rather than looking only at the sore spot, an Osteopath can consider how different structures and areas of the body may be interacting and contributing to the way you're feeling.
At Simple Wellness, our Osteopath Sarah uses a gentle and individualised approach to treatment. Her assessment may consider muscles and joints as well as ligaments, connective tissues, nerves and other structures throughout the body.
Sarah has also completed additional training in Fascial Counterstrain, a gentle hands-on treatment approach that considers different tissue systems within the body, including tissues associated with the musculoskeletal, nervous, vascular, lymphatic and visceral systems.
Importantly, you don't need to know which tissue or structure might be involved before you make an appointment.

You don't need to diagnose yourself.

You can simply tell us where you hurt, what you've noticed, what makes things better or worse, and how your symptoms are affecting you. Exploring the rest is part of your clinical assessment.

What if you live with persistent pain?
For people living with persistent pain, hypermobility or complex health conditions, there's another important part of this conversation:
Not every recurring symptom means something has been missed or needs to be “fixed.”
Bodies are not machines with faulty components waiting to be discovered.
Pain is complex. It can be influenced by many factors, and for some people, ongoing care is about supporting comfort, movement and function rather than promising to eliminate an underlying condition.
That's why we don't believe every tight muscle needs to be stretched harder, every painful area needs more pressure, or every recurring symptom means your previous treatment has failed.

Sometimes your body simply needs us to listen a little more carefully.

Maybe it's time to look beyond the musclesIf massage, stretching, strengthening or other muscle-focused approaches have been helpful but you feel like there's another piece of the puzzle, Osteopathy may offer another perspective to explore.

Sarah is currently welcoming new Osteopathy patients at Simple Wellness in Boronia.
Her approach is gentle, curious and tailored to the body you bring through the door that day - particularly for people who appreciate treatment that doesn't rely on aggressive techniques or a “push through it” mentality.

Because the muscle that's making the most noise?
It isn't always the whole story.

Osteopathy appointments with Sarah are available at Simple Wellness, 197 Scoresby Road, Boronia. Book online to get started.

Why Do My Muscles Always Feel Tight?

4/9/2026

 
Picture
“My muscles are always tight.” We hear this all the time.

Maybe it’s your shoulders. Your neck. Your calves. That one stubborn spot between your shoulder blades that seems determined to make itself part of your personality.
You stretch it. Massage it. Roll it. Move it around. Maybe it feels fantastic for a while… and then the familiar tightness creeps back in.

So what’s actually going on?

The first thing to understand is surprisingly important:
Feeling tight doesn’t necessarily mean your muscle is physically shortened or needs to be stretched.

“Tightness” is a sensation your body can produce for many different reasons. Understanding why something feels tight can sometimes be much more useful than simply trying to make it loosen.

Sometimes your muscles are simply tired
Muscles have jobs to do all day.
They hold things, move things, stabilise joints, absorb load and help us repeatedly perform the activities our lives require.
If the demand you're placing on a muscle regularly exceeds its current capacity, that area may begin to feel tired, heavy, achy or tight.
This is one reason endlessly stretching a troublesome muscle doesn't always solve the problem. Sometimes that muscle doesn't need to become more flexible.

Sometimes it needs greater capacity for the job you're asking it to do.

Strength, endurance, movement variability, recovery and gradually building tolerance to load may all form part of the picture.

Your body may be guarding
Muscles can also increase their activity when your nervous system decides an area needs a little more protection.
This can happen around pain, irritation or injury, but guarding can sometimes persist even after the original problem has settled.
Think of it less as your body malfunctioning and more as your body being cautious.
This can be particularly relevant for people experiencing persistent pain or joints that feel unstable. In some hypermobile bodies, for example, muscular tension may actually contribute to a sense of stability.
Aggressively stretching every muscle that feels tight may therefore not always give that body what it needs.

Staying in one position for too long matters
We don't particularly like blaming “bad posture” at Simple Wellness.
There isn't one perfect position that everybody should achieve and then hold all day.
Bodies like options.
Sitting at a computer isn't inherently bad. Neither is slouching on the couch, standing at work or curling yourself into an impressively questionable shape while reading a book.
But spending a long time in any one position can become uncomfortable.
We prefer to think of posture as something you build and earn through all the different positions and movements your body experiences throughout the day. Your natural resting position is influenced by the movement options, strength, capacity and habits you've developed — not simply whether somebody once told you to sit up straight.
Often, your next position matters more than finding the perfect position.

Stress can genuinely change how your body feels
Ever noticed your shoulders creeping towards your ears during a stressful week?
That's not imaginary.
Stress can influence muscle activity, sleep, recovery, breathing, attention and the sensitivity of your nervous system. When your system is on high alert, physical sensations can feel different too.
This doesn't mean your tightness is “just stress” or “all in your head.”
It means your brain, nervous system and musculoskeletal system are constantly communicating with each other — because they're all part of the same body.

Pain and tightness can become familiar sensations
When pain has been present for a long time, the nervous system can become more sensitive to signals from an area.
That doesn't make the experience less real.
It simply means that the intensity of a sensation doesn't always tell us exactly what's happening within the tissues underneath it.
This is one reason we don't automatically assume that every stubborn tight muscle needs more pressure, more stretching or a more aggressive treatment.
Sometimes we need to ask a better question:

Why might this area feel like it needs to be tight?

Sometimes the muscle isn't the whole story
Muscles don't function independently.
They work alongside joints, ligaments, connective tissues, nerves and many other structures throughout the body. What feels like a “muscle problem” may sometimes be influenced by what's happening elsewhere.
That's why assessment can be useful when the same tightness keeps returning despite everything you've tried.

At Simple Wellness, our Myotherapy and Osteopathy appointments look beyond simply finding the tight spot and attacking it.
We consider your symptoms, movement, load, strength and capacity, daily activities, previous injuries and the broader context of what's happening in your body.
Sometimes treatment might involve hands-on care. Sometimes exercise, movement or building capacity matters. Often it's a combination.
And no — we're probably not going to tell you to “just fix your posture.”

We'd much rather help you understand why your body feels the way it does and what might actually help it feel better.

Simple Wellness offers Myotherapy and Osteopathy in Boronia, Victoria. If persistent muscle tightness keeps bothering you, you can book with Mel or Sarah online for an individual assessment.

Why Does My Neck and Shoulder Pain Keep Coming Back?

28/8/2026

 
Picture
You have treatment. Your neck finally moves more freely. Your shoulders drop away from your ears. You feel so much better.
Then a few days later, the familiar tension starts creeping back.

Does that mean the treatment didn't work?

Not necessarily.
If your neck and shoulder pain keeps returning, sometimes the more useful question isn't “Why didn't treatment fix it?”
It's:
“What does my body need to do every day, and does it currently have the capacity to keep doing it comfortably?”

Your body gets very good at doing what you repeatedly ask of it.
Think about an ordinary week.
Perhaps you spend eight hours working at a computer, followed by an hour driving home. Maybe you're a hairdresser working with your arms elevated, a tradie repeatedly lifting and carrying, a healthcare worker performing the same physical tasks throughout a long shift, or a parent carrying a small human around on one hip.
None of these activities are inherently “bad” for your body.

The problem can arise when the demands of your routine consistently exceed your body's current capacity to comfortably meet them.

And then we do something particularly human.
We finish a long day of sitting at work, drive home... and sit on the couch.
Our body has technically stopped working, but it hasn't necessarily been given much movement variety.

Movement matters more than perfect posture
We're not interested in frightening you about “bad posture.”
There isn't one perfect position you need to maintain throughout your working day.
Instead, we care much more about movement variability.
Bodies generally appreciate having options. Sitting upright, leaning back, standing, walking, reaching, stretching, changing position - they're all different ways of distributing demand.
If your work requires you to stay in one position for long periods, regular movement breaks can be useful.
And if you have a long commute after an already stationary day, even a short walk or some movement before settling in at home can give your body something different to do.

Your next position is often more important than finding the perfect one.

Sometimes the answer is getting stronger
Persistent neck and shoulder tension doesn't automatically mean those muscles need to be loosened.
Sometimes they're simply working very hard.
Strength and regular exercise can help build your body's capacity to tolerate the demands you repeatedly place upon it.
That doesn't mean you need to become a powerlifter or spend six days a week in the gym.
It might mean gradually strengthening your upper body. Improving general fitness. Walking regularly. Building endurance. Moving in ways you enjoy.
The goal isn't to create a body that never experiences discomfort.
It's to help your body become better equipped for the life you're asking it to live.

Stress, sleep and recovery belong in the conversation too
Neck and shoulder pain doesn't exist separately from the rest of you.
Stress can influence muscle activity and pain sensitivity. Poor sleep can affect recovery. Jaw clenching and headaches may overlap with neck symptoms. Long working hours can reduce the opportunities you have to move, exercise, eat properly or recover.
Even basic things like eating regularly and staying hydrated contribute to supporting a body that's being asked to perform all day.
This doesn't mean your pain is “caused by stress.”
It means that your whole week matters.

Treatment can help, but it can't do the whole job
Myotherapy and Osteopathy can be incredibly useful parts of managing neck and shoulder pain.
Hands-on treatment may help settle symptoms, improve comfort and movement, and give us an opportunity to assess what's contributing to your individual presentation.

But here's the bit we think is important:
We get about 50 minutes with your body. You get all the hours in between.

If treatment is the only strategy being used while the same physical demands continue unchanged, it's not particularly surprising when familiar symptoms begin creeping back.
That doesn't mean you've failed.
It doesn't necessarily mean your practitioner failed either.
And it certainly doesn't mean you need to spend your life coming in every time your shoulders reach your ears.
Sometimes we need to look beyond the treatment table.

Build a week your body can keep up with
Managing recurring neck and shoulder pain may involve a combination of hands-on treatment and changes outside the clinic.
That could include taking proper breaks at work, changing positions regularly, building strength and general fitness, getting enough sleep and recovery, managing stress, eating and hydrating well, and creating reasonable boundaries around working hours.
You don't have to overhaul your entire life overnight.
Small changes, repeated consistently, can build capacity over time.

And importantly, recurring symptoms don't automatically mean something is damaged or that all your previous progress has disappeared. Bodies respond to changes in load, recovery, stress and activity. Sometimes symptoms fluctuate.

At Simple Wellness, our Myotherapy and Osteopathy appointments aren't simply about finding the sore muscles and treating them.
We want to understand what your body is being asked to do outside the treatment room, too.
Because good treatment can give your body some support.
But what happens during the rest of your week helps that support go much further.

Simple Wellness offers Myotherapy and Osteopathy in Boronia, Victoria. If recurring neck and shoulder pain is getting frustrating, you can book with Mel or Sarah for an individual assessment.

Should I See a Myotherapist or an Osteopath?

21/8/2026

 
Picture
It's one of the most common questions we get at Simple Wellness:
“Should I book Myotherapy or Osteopathy?”
And our answer is often reassuringly simple:
You probably don't need to worry about choosing perfectly.
Myotherapy and Osteopathy have areas of overlap, but they also bring different perspectives and treatment options to the table. At Simple Wellness, Mel and Sarah work particularly well alongside each other because they share similar values around gentle, individualised care, while approaching the body through slightly different clinical lenses.

So, what's the difference?
What do Myotherapy and Osteopathy have in common?
Both Myotherapists and Osteopaths work with musculoskeletal pain and function.
Depending on your individual presentation, an appointment with either practitioner might involve assessment of your movement, muscles and joints, alongside hands-on techniques such as soft tissue treatment and joint mobilisation.

At Simple Wellness, there's another important area of overlap.
Both Mel and Sarah have a particular interest in working with people living with persistent pain, hypermobility, chronic health conditions and sensitive or complex bodies.
Neither practitioner believes that treatment needs to be aggressive to be useful, and both adapt their approach according to what your body can comfortably tolerate on the day.

The biggest differences are in the clinical lens each practitioner brings and some of the treatment options available to them.

What does Mel do in Myotherapy?
Mel is our Clinical Myotherapist and has more than a decade of experience treating musculoskeletal pain.
Her work has a strong focus on understanding muscles, movement, pain and the nervous system.
A Myotherapy appointment might include soft tissue treatment, myofascial techniques, trigger point work, dry needling where appropriate, joint mobilisation, movement assessment and exercise or self-management strategies.
Mel has a particular interest in persistent pain, hypermobility, headaches, jaw and TMJ presentations, neurodivergent and sensitive bodies, and complex musculoskeletal presentations.
Her approach isn't simply about finding a tight muscle and trying to make it loosen.
Treatment considers what your body is being asked to do, how you're moving, your strength and capacity, sensitivity and pain experience, and what might help you function more comfortably outside the treatment room.

What does Sarah do in Osteopathy?
Sarah is our Osteopath, and her training allows her to assess and treat musculoskeletal presentations using a broad whole-body perspective.
Like Mel, Sarah may work with muscles and joints using gentle hands-on techniques and mobilisation.
Her Osteopathic training also gives her a broader framework for considering relationships between different tissues and systems throughout the body.
Sarah has undertaken additional advanced training through Fascial Counterstrain and the Barral Institute, including education in visceral approaches. These frameworks consider structures beyond muscles and joints, including connective tissues and structures associated with the nervous, vascular, lymphatic and visceral systems.
That doesn't mean every sore shoulder secretly has an organ causing it!
It simply means Sarah has additional clinical frameworks available when looking at a presentation that may not seem to be explained by the sore muscle alone.
Her treatment style is generally very gentle, making Osteopathy with Sarah particularly appealing to people who prefer subtle hands-on treatment or whose bodies don't respond well to aggressive techniques.

Will an Osteopath crack my joints?
This is another question we hear a lot.
Osteopaths may be trained in High Velocity Low Amplitude (HVLA) techniques - the quick joint manipulation people often describe as being “cracked” or “adjusted.”
But being able to use a technique doesn't mean it needs to be part of every treatment.
Sarah generally prefers gentler, less forceful techniques to help address discomfort, restriction and pressure within the body, and will often choose more effective treatment techniques before selecting HVLA options for you.
If you don't like joint manipulation, you're nervous about it, or simply don't want it performed, you can say so.
Actually, that applies to any treatment technique at Simple Wellness.
You remain part of the decision-making process throughout your appointment.

So… which one should I book?
There isn't always one correct answer.
If you're looking for muscular treatment, dry needling, exercise support or a strong focus on muscle function, movement and pain, Mel's Myotherapy approach may suit you beautifully.
If you'd like a broader Osteopathic assessment, particularly with Sarah's gentle treatment style and additional Fascial Counterstrain and visceral training, Sarah may be a great fit.
For plenty of common presentations like neck and shoulder pain, back pain, headaches, persistent pain or hypermobility-related discomfort, either practitioner can help you out.
And occasionally, having two practitioners with different clinical perspectives available within the same clinic can be useful too. Mel and Sarah often refer to each other and work collaboratively to get the best outcomes for patients.

Most importantly:
You don't need to diagnose yourself before you book.
Tell us what's happening.
Tell us what you've tried.
Tell us what your body likes and what it does not.

If you're still unsure whether Myotherapy or Osteopathy would be the better place to start, ask us by emailing [email protected]

We're very happy to help point you towards the practitioner who seems like the best fit.
Simple Wellness offers Myotherapy with Mel and Osteopathy with Sarah at 197 Scoresby Road, Boronia, Victoria. Appointments can be booked online.

New Research Suggests Hypermobile EDS May Be About More Than Just Connective Tissue

27/7/2026

 
Picture
If you've spent any time reading about hypermobile Ehlers-Danlos Syndrome (hEDS), you've probably heard it described as a connective tissue disorder. The usual explanation is that the body's connective tissues are built a little differently, leading to more flexible joints, frequent injuries, chronic pain and instability.

But many people living with hEDS know that's only part of the story.
What about the dizziness? The fatigue? The brain fog? The gut problems? The allergies, mast cell issues, POTS, slow recovery from illness, and the way symptoms seem to flare after stress or infection?

A recently published research paper has taken an interesting step towards answering that question.
Before we dive in, it's important to say that this blog is not my opinion or interpretation of the science. It's simply my attempt to translate a fascinating research paper into everyday English. If you'd like to read the original study yourself, you can find it here.

Now, let's unpack what the researchers actually found.

So... what did they do?
Rather than looking at people's genes, the researchers looked at the proteins circulating in their blood. Think of it like this:
Your genes are the recipe book.
Proteins are what your body is actually cooking today.
By measuring these proteins, researchers can get a snapshot of what systems in the body are active and how they're behaving.

The study compared blood samples from women with hypermobile EDS to women without hEDS.
What surprised the researchers?
They expected to find lots of differences in proteins related to connective tissue.
Instead...
Most of the differences they found were related to the immune system.
Many of the altered proteins were involved in:
  • immune function
  • inflammation
  • the body's first-line defence against infection
  • blood clotting
  • regulation of blood vessels

Only one of the significantly different proteins was directly related to connective tissue itself.
That doesn't mean connective tissue isn't important in hEDS. It simply suggests that there may be much more happening throughout the body than we've previously appreciated.

Why is that exciting?
If you've ever felt like your symptoms don't fit neatly into the "loose joints" explanation, you're certainly not alone.

Many people with hEDS also experience conditions like:
  • POTS
  • Mast Cell Activation Syndrome (MCAS)
  • chronic fatigue
  • IBS and digestive issues
  • frequent allergies
  • brain fog
  • poor recovery after illness

For years, researchers have recognised these conditions often occur together, but they've struggled to explain why.
This study suggests that changes in the immune system may be one piece of that puzzle.
It's important to be clear here: the researchers are not saying that hEDS is an autoimmune disease, nor are they saying the immune system causes hEDS.
They're saying they found measurable differences in immune-related proteins that deserve further investigation.
That's a very different statement—and a much more scientifically responsible one.

Does this explain why symptoms flare?
Possibly.
The researchers also found changes in pathways involved in inflammation and the body's response to stress.
Many people with hEDS describe becoming significantly more symptomatic after things like:
  • viral infections
  • COVID
  • glandular fever
  • surgery
  • major life stress
  • pregnancy
This study doesn't prove those events cause worsening symptoms. However, it does support the idea that the immune system and inflammatory responses may play a bigger role than we once thought.

What doesn't this study prove?
Good science is just as much about recognising what we don't know as what we do know.
This research does not prove that:
  • the immune system causes hEDS
  • everyone with hEDS has immune dysfunction
  • there is now a blood test that diagnoses hEDS
  • immune medications should be used to treat hEDS
Instead, it tells us something much simpler:
People with hypermobile EDS appear to have a distinct pattern of proteins circulating in their blood, particularly involving immune and inflammatory pathways.
That's an important finding, but it's only one piece of a much bigger puzzle.

Why I think this research matters
​One of the things I love most about chronic pain research is watching the picture become more complete over time.
For many years, hypermobile EDS was viewed largely through the lens of joints and connective tissue.
Studies like this remind us that our bodies are incredibly interconnected. The immune system, nervous system, connective tissue, blood vessels and inflammatory pathways all influence one another. Looking at hEDS as a whole-body condition may help researchers better understand why people experience such a wide variety of symptoms.
As someone who works with many people living with hypermobility and persistent pain, I find that encouraging.
It doesn't give us all the answers.
But it does suggest that researchers are asking better questions.
And that's often where real progress begins.

Want to discuss this research with a therapist who is experienced in treating hypermobility, EDS and associated conditions? Book with Mel or Sarah, we'll be more than happy to discuss what we know during your treatment.
Reference:
Molly Griggs, et al. Proteomic discoveries in hypermobile Ehlers–Danlos syndrome reveal insights into disease pathophysiology,
ImmunoHorizons, Volume 9, Issue 10, October 2025, vlaf044, https://doi.org/10.1093/immhor/vlaf044

Treatment For Plantar Fascia Pain and How It Can Be Beneficial

16/7/2026

 
By Andrew Wickens, Myotherapist
When approaching plantar fascia pain, I like to take a clinical approach. This means we look beyond just the sore spot in your heel. Instead of only treating the symptoms, we focus on understanding why your pain is there, which could potentially be due to tight calves, poor movement patterns, or daily habits contributing to the problem.
Picture

Treatment for plantar fascia pain isn’t always just a massage to the bottom of the foot.
​I like to make sure the treatment is tailored to you. Different treatment techniques can include deep or superficial pressure to the tissue, needling (especially for the calves), cupping (with movement or static), exercise and strengthening prescriptions, corrective advice for daily tasks and movements, and potentially advice on supportive footwear. These treatments can help reduce pain, improve mobility, and guide you on ways to support yourself at home or work. Treatment can also help identify triggers and give you simple strategies to prevent flare-ups.


Helpful actions you can take for your plantar fascia before seeking treatment include:
  • Rolling the arch of your foot on a frozen water bottle for 5–10 minutes (helps reduce inflammation)
  • Stretching your calf by placing your hands on a wall, straightening your back knee while keeping your heel down, and holding for 30 seconds. Repeat 5 times.
  • Stretching your plantar fascia by pulling your toes towards your shins until you feel a stretch in the arch. Repeat 5 times.
  • Making sure you are wearing supportive footwear

While leaving the pain to improve on its own can sometimes lead to a temporary “fix,” the pain often tends to creep back later, potentially leading to further injury or affecting other areas of your body. A Myotherapy treatment approach is more targeted and goal-driven. It’s about addressing the cause, improving how your body moves, and keeping your plantar fascia pain away for as long as possible.

Why Your Physio Gave You Exercises But Nothing's Changed

9/7/2026

 
By Rachael Bird, Myotherapist
Physios are legends when it comes to rehab. Seriously. But here's the thing—most of the time, they're not doing a lot of hands-on work. And that's where it might be worth thinking about what else could help.

You're in pain, right? So you get given a bunch of exercises to do at home. But you're still in pain, which means you either can't be bothered doing them, or you do them and... nothing much changes. You're left thinking, "What's the point?"

Now, here's the thing, a lot of people get brilliant results from exercises alone, which is fabulous. But for others, there might be more going on.
Picture

Why hands-on work might help:
Exercises are great for training and building strength. But they can be less effective if the tissue underneath is tight, restricted, or guarded. Adding hands-on work; releasing tension, breaking down trigger points, addressing restrictions, could potentially create better conditions for those exercises to actually do their job.

Let me use plantar fasciitis as an example.

Everyone treats the calf and the foot, yeah? But there's a possibility that if your foot isn't working as well as it could, your body might compensate. You could start using the other leg more. That might create a postural imbalance. And then? Potentially some back discomfort. By the time your foot finally improves, those compensation patterns might still be hanging around.

That's where things get tricky.


What could potentially be going on:
• Your glutes might be really tight due to the compensation → which could contribute to tightness in your calves
• Tight calves → could feed into tightness in your foot
• A tight foot → might mean you're overloading the other side
• Overloading the other side → could shift your posture, create hip imbalance, potentially strain your lower back
• All of this → might make you more susceptible to injury and recurring discomfort

It's a chain reaction that sometimes treatment plans only touch one link of.


This is where myotherapy comes in alongside physio:
Here's something to think about—myotherapy and physio exercises could complement each other well. While your physio is training that area to work properly and regain strength, myotherapy is loosening restrictions and releasing tension. You're getting both angles at the same time.

Hands-on work might create conditions for change, addressing those compensation patterns. Your physio gives you the tools to train that area. Together? That could amplify your results. One alone might work great for you. Both together? That could give you additional benefits, whether it's longer-lasting relief, faster improvement, or just a more complete picture of what's happening.

Something worth considering:
When you start looking at the broader picture instead of just that one painful spot, things might start making more sense. The area that hurts isn't always the root cause—sometimes it's dealing with the fallout of everything else upstream. Maybe your exercises aren't shifting things because the tissue needs some preparation first. Maybe your pain keeps returning because compensation patterns are still active. Maybe there's more to the story.

It's worth exploring :)

Why Your Pain Keeps Coming Back

2/7/2026

 
By Rachael Bird, Myotherapist
Most people think that getting a treatment is a fix-all solution, but actually… it’s only a small part of it. To properly manage pain, you usually need a combination of things!
Picture

​Understanding What’s Going On
Where is the pain coming from? Is it local pain or referred pain? What type of pain is it, and how severe is it? Is that the only source of pain?
Sometimes there can be underlying issues, old injuries, movement patterns, or compensations that have gradually contributed to the problem without you even realising it.

​Treatment & Goals
If your treatment goal is only focused on the “here and now,” then there’s a high chance the pain may return.
It’s important to look a little further ahead and work on how to keep the pain away long term, or at least help manage it more effectively. This can include self-management strategies or maintenance plans for chronic conditions such as Fibromyalgia or MS. These conditions may not be “fixed,” but treatment can still help provide relief so you can go about being your awesome self.

Be Realistic
If you’ve had an issue for a long time, there’s a possibility it may take a little while to get you back on track.
This also applies to fresh injuries or symptoms. Sometimes what feels “new” is actually something that has been building up over time and has only just decided to crack it — so now you’re finally feeling it.
Healing isn’t always straightforward, so it’s important to be mindful and understand that it’s our job to help you — and we genuinely want that too. Everybody is unique. For some people, it is a quick fix, while for others (even with the same pain or same area), it can take a bit longer.

Yes… You’ll Probably Get Homework
I know this isn’t the best news 😂 However, having the right information and tools can help make your pain:
  • last for shorter periods
  • feel less intense
  • happen less frequently

This may include:
  • posture tips
  • exercises
  • habit changes
  • activity modifications
  • water intake and general lifestyle advice
​
These are all important in helping you achieve your goals more effectively.
Our job is to be here when you need us — but not for you to have to rely on us completely.
We want you to be able to enjoy your life, do the things you love, and only need us occasionally to help maintain things when needed. We’ll work with you to help manage your issue and get you back to doing what you enjoy most.

The Basics of Plantar Fasciitis

25/6/2026

 
Plantar Fasciitis is one of the most common causes of heel pain, involving inflammation of the plantar fascia—a collection of tissue that runs across the bottom of your foot and connects your heel bone to your toes as well as all the muscles that help in controlling the feet.

What Is It?
Plantar fasciitis occurs when the plantar fascia becomes irritated or inflamed, often due to overuse or stress. This condition can lead to sharp heel pain, particularly noticeable with the first steps in the morning.
Picture

​Common Causes
  1. Overuse – Long periods of standing, walking, or running (especially on hard surfaces)
  2. Foot mechanics – Flat feet, high arches, or abnormal walking patterns
  3. Inappropriate footwear – Shoes with poor arch support or cushioning or just shoes ill fitting for your personal needs
  4. Recent weight increases – Extra weight increases stress on the plantar fascia
  5. Tight calf muscles or Achilles tendons – Limit ankle mobility and increase strain
  6. Sudden changes, mostly large increases in activity – Such as starting a new exercise regimen that is harder than your body can handle

​
Early Signs and Symptoms
  • Sharp, stabbing heel pain, especially when getting out of bed in the morning or after long periods of rest
  • Pain decreases with movement, but may return after prolonged standing or after exercise
  • Tenderness on the bottom of the foot near the heel
  • Mild swelling or warmth in the heel area (less common)


Effective Treatments
Conservative (First-Line) Treatments
  • Rest – Avoid aggravating activities
  • Ice – Apply to heel for 15-20 minutes, 2-3 times per day
  • Stretching exercises – For the plantar fascia, Achilles tendon, and calf muscles
  • Orthotics – Shoe inserts to support the arch
  • Supportive footwear – Avoid walking barefoot; wear shoes with good arch support
  • Anti-inflammatory medications – NSAIDs like ibuprofen can reduce pain and inflammation
  • Dry needling the calves

Our therapists are all highly qualified and have experience in treating Plantar Fasciitis. We are here for you 7 days a week to support you through treatment of painful conditions - you can book online with any of our therapists.

Jumper's knee

18/6/2026

 
Jumper’s knee is a degenerative condition of the patellar tendon, which connects the kneecap (patella) to the shinbone (tibia). It typically results from repetitive stress and microtears/degeneration in the tendon, leading to pain and inflammation at the front of the knee.
Picture

​Common Causes:
  • Repetitive jumping or sprinting (e.g., basketball, volleyball, track)
  • Sudden increases in training intensity
  • Tight or imbalanced leg muscles
  • Poor landing mechanics
  • Hard playing surfaces or improper footwear

Early Warning Signs:
  • Pain and tenderness just below the kneecap
  • Pain during or after activity, especially jumping or squatting
  • Stiffness in the knee after periods of rest
  • Weakness or heaviness in the leg
  • Swelling in some cases

Effective Treatments:
  • Rest and activity modification (reduce high-impact movements)
  • Ice therapy to reduce inflammation
  • Change in footwear
  • Deep tissue massage reducing quadriceps pulling on the patella tendon
  • NSAIDs for pain relief
  • Physical therapy, especially:
  • Eccentric quadriceps strengthening
  • Hamstring and calf stretches
  • Patellar tendon straps or taping to take the load off of the tendon

Our therapists are all highly qualified with experience in injury rehabilitation and knee pain. We are here for you 7 days a week to support you through treatment of painful conditions - you can book online with any of our therapists.
<<Previous

    Meet Our Team

    Mel Simon (Senior Clinical Myotherapist) and Dr Sarah Varmalis (Senior Osteo) are available 7 days a week at our Boronia clinic.

    Mel Simon
    Mel is our Senior Clinical Myotherapist.
    She's a nerdy, geeky bookworm who loves to help explain complex pain in an easy to understand way.
    ​She has a special interest in chronic pain conditions like Ehlers Danlos Syndrome, TMJ and jaw pain, and more.

    Dr Sarah Varmalis
    Dr Sarah is an experienced Senior Osteopath. She works with multiple body systems, not just the musculoskeletal system.
    ​Her clinical techniques include addressing concerns with the vascular system, nervous system, and organ systems.​

    Other guest articles from our amazing former practitioners Rachael Bird, Peter Pascalis, Duke Autret, Megan Cornish.

    Archives

    September 2026
    August 2026
    July 2026
    June 2026
    May 2026
    April 2026
    March 2026
    February 2026
    January 2026
    December 2025
    November 2025
    October 2025
    September 2025
    August 2025
    July 2025
    June 2025
    May 2025
    April 2025
    March 2025
    February 2025
    January 2025
    December 2024
    October 2024
    September 2024
    August 2024
    July 2024
    June 2024
    May 2024
    April 2024
    March 2024
    February 2024
    January 2024
    December 2023
    November 2023
    October 2023
    September 2023
    July 2023
    June 2023
    May 2023
    April 2023
    March 2023
    February 2023
    January 2023
    December 2022
    November 2022
    October 2022
    September 2022
    August 2022
    July 2022
    June 2022
    May 2022
    April 2022
    March 2022
    February 2022
    December 2021
    July 2021
    May 2021
    April 2021
    January 2021
    December 2020
    November 2020
    October 2020
    September 2020
    August 2020
    July 2020
    June 2020
    May 2020
    April 2020
    March 2020
    February 2020
    January 2020
    December 2019
    November 2019
    October 2019
    September 2019
    August 2019
    July 2019
    June 2019
    May 2019
    April 2019
    March 2019
    February 2019
    January 2019
    December 2018
    October 2018
    September 2018
    July 2018
    June 2018
    May 2018
    April 2018
    March 2018
    February 2018
    January 2018
    December 2017
    November 2017
    October 2017
    September 2017
    August 2017
    July 2017
    June 2017
    May 2017
    April 2017
    February 2017
    December 2016
    October 2016

    Categories

    All
    Accessible Helathcare
    ACL
    Acupressure
    Acupressure Mat
    Acupuncture
    Acute Pain
    ADHD
    Adhesive Capsulitis
    Advanced Diploma Of Myotherapy
    Afl
    Aftercare
    Ahm Myotherapy
    Alternative Healthcare
    Alternative Therapy
    Andrew Wickens
    Ankle Pain
    Anti Inflammatory
    Anxiety
    Arch Pain
    Arm Pain
    Arthritis
    ASD
    Athletes
    Athletic Performance
    At Home Care
    Autism
    Avoid Surgery For Back Pain
    Bachelor Of Health Science (Myotherapy)
    Back Pain
    Back Pain Rowville
    Ballet
    Barral
    Bicep Pain
    Biopsychosocial
    Bjj
    Body Systems
    Boronia Osteo
    Boxing
    Brazilian Jiu Jitsu
    Breakdancing
    Build Muscle
    Bulging Disc
    Bupa Myotherapy
    Burnout
    Bursitis
    Calf
    Calf Tear
    Carpal Tunnel
    Case Study
    Causes
    Christmas
    Chronic Conditions
    Chronic Pain
    Circulation
    Clinical Massage
    Clinical Myotherapist
    Clinic Hours
    Cognitive
    Connective Tissue
    Cool Tools
    Corrective Exercise
    Counterstrain
    COVID19
    Cracking Joints
    Cramp
    Crepitus
    CT Scan
    Cupping
    Cupping Ferntree Gully
    Cupping For Lower Back Pain
    Cupping For Pain Relief
    Cupping Rowville
    Cycling
    Dance
    Dance Injury
    Deep Tissue Massage Rowville
    Dehydration
    Diet
    Digestion
    Disc
    Dislocation
    Does Dry Needling Hurt?
    DOMS
    Dr Sarah Varmalis
    Dry Needling
    Dry Needling Ferntree Gully
    Dry Needling For Neck Pain
    Dry Needling For Pain
    Dry Needling For Sciatica
    Dry Needling Rowville
    Duke Autret
    Dysfunction
    Easter
    Eds
    Ehlers Danlos Syndrome
    Elbow Pain
    Endometriosis
    Endorphins
    Energy
    Ergonomic
    Ethan Farr
    Exercise
    Exercise For Lower Back Pain
    Exercise For Shoulder Pain
    Exercise Pain
    Exercise Plan
    Exercise Science
    Exercises For Shoulder Pain
    Exhaustion
    Facet Joint
    Facet Joint Sprain
    Fascia
    Fascial
    Fatigue
    Feet
    Ferntree Gully Acupuncture
    Ferntree Gully Chiropractor
    Ferntree Gully Myotherapy
    Ferntree Gully Naturopath
    Fibromyalgia
    Fitness
    Flame Cupping
    Flare Up
    Flexibility
    Foam Roller
    Football
    Foot Pain
    Frozen Shoulder
    Gastrointestinal
    Gentle And Effective Treatment Of Pain
    Glutes
    Golfers Elbow
    GP Ferntree Gully
    Guest Blog
    Gut Health
    Gym
    Habit
    Hamstring
    Hamstrings
    Hcf Myotherapy
    Headaches
    Health And Well Being
    Health And Well-being
    Health Insurance
    Heat Pack
    Heds
    Heel Pain
    Herniated Disc
    Hicaps
    HICAPS Remedial Massage
    Hip Pain
    Holiday Opening Hours
    Holistic Massage
    Holistic Remedial Massage
    Holistic Treatment
    Homecare
    Hormonal Imbalances
    How Dry Needling Works
    Hydration
    Hydrotherapy
    Hypermobility
    Hypomobility
    Hyrox
    Illness
    Illness Policy
    Immune System
    Inflammation
    Injury
    Injury Assessment
    Injury Prevention
    Injury Recovery
    Injury Rehab
    Intention Tremor
    Interview
    Involuntary Muscle Contraction
    Its NOT All In Your Head
    Jaw
    Jazz Dance
    Joint Mobilisation
    Joint Pain
    Joint Sounds
    Joint Sprain
    Jumper's Knee
    Kinesiology Taping
    Knee Osteoarthritis
    Knee Pain
    Knots
    Knoxfield Myotherapy
    Knoxfield Remedial Massage
    Leg Pain
    Lifestyle
    Lifting Techniques
    Lose Weight
    Low Back Pain
    Lower Back Pain
    Low Impact Exercise
    Lymphatic Drainage
    Lymphatic System
    Magnesium
    Manual Therapy
    Marathon
    Martial Arts
    Mask
    Massage
    Matt Hicks
    MCAS
    Medibank Myotherapy
    Medication
    Meditation For Anxiety
    Meditation For Holistic Wellbeing
    Meditation For Pain Management
    Meditation For Relaxation
    Meditation For Stress
    Meditation Rowville
    Meet The Team
    Megan Cornish
    Meniscus
    Mental Health
    Microbiome
    Migraines
    Mindfulness Rowville
    Mobilisation
    Mobility
    Morning Pain
    Motivation
    Movement
    MRI
    MS
    Muay Thai
    Multiple Sclerosis
    Muscle
    Muscle Cramps
    Muscle Energy Technique
    Muscle Imbalances
    Muscle Manipulation
    Muscle Pain
    Muscle Soreness
    Muscle Tension
    Muscle Weakness
    Musculoskeletal
    Myofascial
    Myotherapist Rowville
    Myotherapy
    Myotherapy Boronia
    Myotherapy For Kids
    Myotherapy For Teens
    Myotherapy Rowville
    Myotherapy Sunday
    Myth Busting
    Natural Anti Inflammatory
    Natural Anti-inflammatory
    Natural Pain Relief
    Naturopathy Fibromyalgia
    Naturopathy Osteoarthritis
    Neck Pain
    Neptune Mat
    Nerve Pain
    Netball
    Neurodiverse
    Neurological Conditions
    Neuroscience
    New Skills
    New Therapist
    No Pain No Gain?
    Numbness
    Nutrition For Pain
    Nutritionist
    Office Workers
    Online Meditation Group
    Organ Systems
    Osgood Schlatters
    Osteo
    Osteopathy
    Osteopathy Boronia
    Packages
    Pain
    Pain Assessment
    Pain Killers
    Pain Management
    Pain Recovery
    Pain Relief
    Pain Research
    Pain Science
    Pain Studies
    Pain Toolkit
    Patellar Tendinopathy
    PCOS
    Pelvic Alignment
    Pelvic Floor
    Personal Training
    Peter Pascalis
    Pharmacy Ferntree Gully
    Physical Therapy
    Physiotherapy
    Pilates
    Pins And Needles
    Piriformis
    Piriformis Syndrome
    Plantar Fasciitis
    Poor Posture
    Posture
    POTS
    Pregnancy
    Pregnancy Massage
    Pre Natal Massage
    Preventative Care
    Private Health Rebates
    Progress
    Proprioception
    Rachael Bird
    Randomised Controlled Trial Summary
    Recovery
    Red Flags
    Reduce Cortisol
    Reduce Fatigue
    Reduce Pain
    Referred Pain
    Rehabilitation
    Relaxation For Pain
    Relaxation Massage
    Remedial Massage
    Remedial Massage Ferntree Gully
    Remedial Massage Rowville
    Remedial Massage Sunday
    Reoccurring Pain
    Repair
    Repetitive Strain Injury
    Research Spotlight
    Resistance Bands
    Retreat
    Rotator Cuff
    Rotor Cuff
    Routine
    Rowville Dry Needling
    Rowville Myotherapy
    Rowville Osteo
    Rowville Pilates
    Rowville Remedial Massage
    Running
    Sacroiliac Joint
    Safe Exercises For Knee Pain
    Sciatica
    Science
    Scoliosis
    Sedentary
    Self Care
    Self-Care
    Sensitivity
    Shakti Mat
    Sharp Shooting Pain
    Shoulder Bursitis
    Shoulder Impingement
    Shoulder Pain
    Shoulders
    Sij
    Sinus
    Sleep
    Sliding Cupping
    Social Medicine
    Spasm
    Special Events
    Spiky Massage Ball
    Spinal Stenosis
    Spine
    Spondylolisthesis
    Sport
    Sporting Event
    Sport Injury
    Sport Recovery
    Sport Rehab
    Sports Injuries
    Sports Massage
    Sports Myotherapist
    Sports Myotherapist Rowville
    Sports Physio
    Sports Treatment
    Stability
    Stiff Joints
    Strength
    Stress
    Stretch
    Stretching
    Subluxation
    Sunday Pain Relief
    Support
    Surgery
    Swelling
    Tech Neck
    Tendon Pain
    Tennis Elbow
    Thai Massage
    The May 50K
    Thoracic Outlet Syndrome
    Tingling
    Tinnitus
    TMJ
    Top Tips
    Traditional Chinese Medicine
    Travel
    Treatment Options
    Treatment Plan
    Tremors
    Trigger Points
    Triggers
    Ultrasound
    Urgent Care
    Walking
    Weightlifting
    Weight Loss
    What Is Myotherapy?
    Whats The Difference
    Wholistic Massage
    Why Am I In Pain?
    Winter
    Women's Health
    Womens Health Massage
    Workshops
    Wrist Injuries
    Wrists
    Xray
    Yin Yoga Rowville
    Yoga

    RSS Feed

Got a question about Myotherapy or Osteopathy?
Contact us by phone, email or Facebook
Simple Wellness Myotherapy & Osteopathy
197 Scoresby Road, Boronia VIC 3155
Phone us on
(03) 7057 3070
Email us at
​[email protected]
  • Home
  • Treatments & Bookings
  • Mel Simon (Myo)
  • Dr Sarah Varmalis (Osteo)
  • Myotherapy FAQs
  • Osteo FAQs
  • Stories From People Like You
  • Blog
  • Contact