Exercise physiology for chronic conditions in Erina.
Exercise is medicine when it is prescribed properly. For chronic conditions, the right intensity, frequency and exercise selection is the difference between measurable clinical improvement and an expensive gym membership.
Chronic disease management
Exercise is medicine, when it's prescribed properly. For chronic conditions, the right intensity, frequency and exercise selection is the difference between meaningful improvement and an expensive gym membership. Neil's approach is research-based, individualised, and designed to integrate with your medical team's plan, not compete with it.
Who it's for
- Type 1 & Type 2 diabetes
- Cardiovascular disease, hypertension, post-stroke
- Osteoporosis & osteopenia
- Arthritis (osteo & rheumatoid)
- Cancer recovery & active treatment
- Depression & anxiety
- Chronic pain (back, neck, joint)
- Chronic fatigue & long COVID
What's included
- Comprehensive health screening
- Liaison with your GP, specialist or oncologist
- Risk-stratified exercise prescription
- Progressive 12-week structured program
- Quarterly reviews & re-testing
- Detailed reporting for care plans
Funded sessions welcome.
Atleta accepts self-funded bookings and private health rebates. No referral is required to get started, and most extras policies cover exercise physiology.
Visit the Atleta clinic in Erina.
A completely private studio in Erina, purpose-built for clinical exercise physiology. Functional movement equipment, a dedicated consultation space, and no crowds. Easy access from Gosford, Terrigal, Wamberal, Avoca and Kincumber.
Suite 26 166A The Entrance Rd, Erina NSW 2250
On-site parking · 5 mins from Gosford · Free initial phone chat
“Just do some exercise” is not a prescription.
If you have been diagnosed with type 2 diabetes, hypertension, osteoporosis or a cardiac condition, you have almost certainly been told to exercise more. What you were probably not given is the dose. Which type, at what intensity, how often, for how long, and what to do on the days your condition makes the plan unrealistic.
The dose matters clinically. Resistance training improves glycaemic control through a different mechanism to aerobic work. Bone density responds to load and impact, not to walking. Blood pressure responds to sustained moderate intensity. Prescribing the wrong type at the wrong intensity produces no measurable change, which is why so many people conclude that exercise did not help them.
Prescription, not general advice.
Screen before anything else
A comprehensive health screen covering your diagnosis, medications, comorbidities, symptoms and any contraindications. Some medications change how your body responds to exercise, and the program has to account for that.
Risk-stratify the prescription
Exercise intensity is set against your clinical risk, not against a generic template. This is the core of what an Accredited Exercise Physiologist is trained to do and the reason the qualification takes four years.
Integrate with your medical team
Neil liaises directly with your GP, specialist or oncologist, and provides written reporting suitable for care plans. The program supports your medical treatment rather than running alongside it in isolation.
Re-test on a schedule
Quarterly reviews with objective re-testing. Where relevant, this includes functional capacity, strength, blood pressure response and the measures your treating doctor is tracking.
What twelve weeks looks like.
Health screen and baseline testing
Sixty minutes covering diagnosis, medications, symptoms, contraindications and functional baseline. Nothing is prescribed before this is complete.
Build tolerance and consistency
Conservative starting doses focused on establishing the habit and confirming how your body responds. For most conditions, consistency at a modest dose beats intensity that cannot be sustained.
Increase the therapeutic dose
Intensity and volume increase toward the dose the evidence associates with clinical benefit for your condition, adjusted for how you have actually responded.
Re-test and report
Objective re-testing and a written progress report for your GP or specialist, plus a decision on whether to continue supervised sessions, move to a maintenance schedule, or adjust the plan.
Is this the right service for you?
This is a good fit if
- You have a diagnosed chronic condition
- Your GP has recommended exercise as part of treatment
- You have a Chronic Disease Management plan or are eligible for one
- You have tried gyms and found them unsuitable or unsafe
- You are on medications that affect your exercise response
- You want your program coordinated with your medical care
This is not the right fit if
- You need acute medical treatment or diagnosis
- Your condition is currently unstable and not medically cleared
- You are looking for dietary or nutritional therapy as the primary treatment
- You want a general fitness program with no clinical component
The questions we get asked most.
Which conditions does Neil work with?
Do I need a GP referral?
How many sessions will I need?
Can I do this if I am currently in cancer treatment?
What if I have several conditions at once?
Do I need to be fit to start?
Book a chronic condition consultation.
Bring your care plan and referral if you have them, and we will handle the paperwork.