As some conditions may actually include referred pain from the back and the neck, it is necessary that Coolangatta Physiotherapy physiotherapists are trained in and have an in-depth understanding of the body as a whole. Sometimes, the patient is not able to determine the specific source of the pain and it is necessary to distinguish if the pain is actually referred from another area.

There is a wide variety of assessment techniques available to identify the source of pain and to provide relevant treatment intervention programs for many conditions that are not limited to the back and neck. Referred pain is the result of the extensive network of interconnecting nerves that supply many of the tissues in the body.

A neck condition may cause pain to radiate – or be “referred” – to some of the following areas:

Shoulder blade
Temporomandibular Joint. (TMJ)

A thoracic condition may cause pain to radiate – or be “referred” – to some of the following areas:


A lower back condition may cause pain to radiate – or be “referred” – to some of the following areas:

Upper Thigh

Benign – it is not life-threatening
Paroxysmal – it comes in sudden, brief spells
Positional – it gets triggered by certain head positions or movements
Vertigo – a false sense of rotational movement

BPPV is only one form of vertigo but it is the most common and easily treated. It’s a mechanical problem in the inner ear which occurs when some of the calcium crystals become dislodged and migrate to where they are not supposed to be which is into another part of the ear canal. When enough of these particles accumulate in one of the canals they interfere with the normal fluid movement that these canals use to sense head motion thus causing the inner ear to send false signals to the brain. One manoeuvre that is used for the most common type of BPPV is called the Epley Parnese Manoeuvre which is a repositioning manoeuvre to move the crystals however, this will not work for all presentations of BPPV. The EP Manoeuvre is carried out by our physiotherapist in our rooms. The manoeuvre is a specific series of gentle head and body movements designed to move the displaced crystals out of the affected canal. This series of movements is typically completed in a short period of time, though repetition of the series can sometimes be required. Often people have tried the Epley Parnese Manoeuvre themselves or had it performed on them without success. Later assessment reveals that it is not actually BPPV at all. This is why caution should be used with self-treatment or being treated by someone who is not fully trained in identifying the many different variants of BPPV and respective treatments. The beauty of the procedure is that it simple to preform and has no risk associated with it. If correctly diagnosed, the patient can only improve.


Regardless of the condition, we aim to get you better as quickly as possible. In most cases, this may involve several visits in a short space of time, tapering to less frequent visits as your condition improves.

Whatever the condition, Coolangatta Physiotherapy has helped many others and is waiting to help you to ‘Have a Life’.