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Accelr8 Rehab Canberra

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Accelr8 Rehab Canberra

Better manage your Chronic and Persistent Pain with Exercise Physiology and Remedial Massage

05/09/2026

A lot of our clients get told the same thing about their sore knee. Just rest it. That advice is often exactly backwards.

Osteoarthritis is the most common joint disease in the world, and about half of knee cases trace back to three things people can genuinely do something about, extra weight, an old injury, and simply not moving enough.

The research is blunt about what actually works. Active exercise first, not rest, not a scan, not sitting on the couch waiting for it to settle down. That is the whole idea behind our Move with Strength approach, a plan built around your body and your knee specifically, not a generic gym program pulled off a shelf.

We are not going to pretend it never hurts. We are going to tell you that moving the right way, at the right load, is what actually gets you back to doing the things you want to do, without your knee getting a vote.

If this sounds like you or someone you know, comment below or book a consult via the link. 🦵

04/09/2026

A new study looked at ME/CFS, long covid, PTSD, rheumatoid arthritis and MS side by side.

The researchers found almost no shared genes between these conditions. But when they mapped how the genes work together, a different picture appeared. The same immune, energy and stress pathways showed up across all five.

Different triggers. Same broken wiring underneath.

It is early evidence, not proof. But it lines up with what we see in the clinic, different diagnoses, one exhausted and dysregulated system underneath.

Let us know in the comments if this sounds familiar.

01/09/2026

The 3rd International ME CFS Conference, hosted by the Charité Fatigue Center, brought together researchers from around the world in 2025.

The science is catching up. ME CFS involves immune, vascular and metabolic dysregulation, not deconditioning and not laziness.

New evidence points to autoantibodies driving real symptoms. Post exertional crashes show up as actual muscle damage under the microscope.

Early treatment trials are showing promise. About six in ten patients responded to one new antibody therapy. Not every trial worked. A major rituximab trial found no clear overall benefit.

This is a complex, real, physical illness. It deserves the research now finally coming its way.

Have you or someone you love been living with ME CFS? Let us know in the comments or get in touch.

31/08/2026

New research looked at the top rated fatigue tracking apps on the market.

1,645 apps were searched across Apple and Google. Only 17 made the cut for a full week long review.

Most track your fatigue. Most show you a chart. Far fewer actually help.

Only 2 in 17 teach pacing. Only 2 in 17 help you estimate your energy.

Tracking is not the same as managing. That is the gap we work in with clients every week.

Have you tried a fatigue app and found the same thing? Let us know in the comments or get in touch.

30/08/2026

A crash is the hardest part of ME to explain to anyone who has not had one. You did something ordinary, and a day later your body has shut the doors.

A new case report tried to measure what is actually happening during one.

Two people did the same two day exercise test. One with ME, one without. The test is designed to provoke a crash on day two, and it worked. The person with ME lost about a third of her capacity to do work on the second day. The comparison person barely moved.

While that was happening, researchers measured blood flow to her head using a new in-ear sensor.

During the crash it fell by 17 percent while she was lying down, and by 23 percent once she stood up. The comparison person changed by under 5 percent.

Now the part that has to be said clearly, and we have put it on a slide rather than hiding it down here.

This is one person. A case report is the weakest study design there is. It cannot tell you what happens in anyone else, it cannot prove reduced blood flow causes the symptoms, and the whole stated purpose was to see whether this measurement is even possible. The device is also a commercial product being evaluated, which is worth knowing.

So why bother posting it. Because it is one of the very few attempts to measure what a crash does to the body while it is actually happening, rather than asking someone to describe it afterwards. That is genuinely hard to do, and it lines up with existing work on reduced blood flow to the brain on standing in this group.

One safety note. The two day test used here reliably provokes a crash. It is a research tool, not something to go looking for.

More on chronic fatigue is in our profile, and we break this research down regularly in plain English.

28/08/2026

Can Chinese medicine help chronic fatigue? A new review pulled together 29 trials and more than two thousand people to try to answer it, and the interesting part is that different therapies helped with different things.

For overall fatigue, moxibustion ranked highest. That is the practice of warming specific points on the body with a burning herb.

For physical fatigue, mental fatigue, anxiety and low mood, massage ranked highest across all four. Worth being precise here, the massage studied is tuina, a Chinese technique, which is not the same thing as remedial massage.

For sleep quality, cupping ranked highest. Suction cups placed on the skin to draw blood flow to an area.

Now the part that matters just as much.

Not one of those 29 trials was rated low risk of bias. Most were small, most were run in China, and you cannot blind someone to whether they are receiving massage or cupping, which tends to inflate results on things people report themselves, like fatigue and mood. The authors rate the certainty of the evidence as very low to moderate and say plainly that the rankings should be read with caution.

So this is a signal, not proof. It is genuinely interesting that hands on and warming therapies keep showing up as helpful for fatigue and mood, and it is also true that the evidence underneath is not strong enough to tell anyone what to do.

We are not a TCM clinic and we do not offer acupuncture, moxibustion or cupping. Hands on work is part of what we do, alongside movement, for chronic pain and fatigue here in Canberra.

If any of this is on your radar, it is a reasonable thing to raise with your GP.

Link in our profile.

25/08/2026

A small study followed a group of women with ME/CFS for sixteen years. It is worth talking about, and it is worth being careful about.

Forty women were enrolled originally. Sixteen years later, only twenty could be reached. Some had moved, some could not be contacted, some chose not to continue. That missing half matters, and we will come back to it.

Among the twenty who returned, fatigue scores were higher than at diagnosis. Muscle tension, concentration, memory, anxiety and bowel symptoms had all worsened on the scale used. Many had also picked up other diagnoses along the way, including depression, high blood pressure and rheumatoid arthritis.

Now the part that stops this being a scary headline.

This study cannot tell you that ME/CFS caused any of that. There was no comparison group of women the same age without ME/CFS. Over sixteen years this group moved from their thirties into their fifties, which is exactly when these conditions start appearing in the general population anyway. Ageing and menopause were never separated out. The researchers say all of this themselves, plainly, and we are repeating it because it matters.

So please do not read this as a forecast for your own health. It is not one, and the study was never able to be.

What it does support is much simpler. Stay in the system. Keep a relationship with a GP who knows your history. When something new or genuinely different turns up, it deserves proper assessment rather than being waved off as just the ME/CFS again.

That last part is the one we see most. When you have a long term diagnosis, new symptoms get attributed to it automatically, by clinicians and sometimes by ourselves. Occasionally they are something else.

Follow us for more research explained plainly, caveats included.

24/08/2026

If you have POTS or orthostatic intolerance, you have probably been handed the same list. Drink more. Salt your food. Pace yourself. Move your calves.

A new pilot study actually put that list to the test. Sixteen people with ME/CFS or Long COVID, all with objectively confirmed orthostatic intolerance, worked through it over eight weeks with a clinician checking in every single week.

The targets were three litres of fluid a day and ten grams of salt, roughly double the general guideline, plus pacing to stay under a crash and calf activation a few times daily.

Two things came out of it.

The measurable bit. Autonomic symptom scores improved, and standing heart rate came down by nearly five beats per minute. Both were statistically significant with a medium effect size. The researchers are careful to say that a statistically significant change is not automatically a change you would feel.

The human bit, and honestly the more useful one. Not a single person managed all four interventions. Not one, with weekly clinical support, for eight weeks. Salt was the hardest.

If you have ever felt like you were failing at your own management plan, read that again. The plan is genuinely hard to do. That is a finding about the plan, not about you.

An important caution. High salt is not safe for everyone, particularly with high blood pressure, heart failure or kidney problems. This study screened people first and adjusted the target for someone with hypertension. Please talk to your doctor before changing your salt or fluid intake.

We work with POTS and fatigue every week here in Canberra. Link in our profile.

23/08/2026

ME/CFS and fibromyalgia get confused for each other constantly, and it is easy to see why.

Fatigue. Widespread pain. Brain fog. Sleep that does not refresh you. Dizziness on standing. A new review pulling the research together found the two blur in close to half of reported cases.

So what actually separates them.

ME/CFS hinges on post-exertional malaise, the crash that comes hours or days after exertion, physical or mental, and can take weeks to clear. Fibromyalgia hinges on widespread pain and a nervous system that has turned the volume up on pain signals.

Here is why the distinction is worth getting right, and it is the part we care about most.

With ME/CFS, pacing comes first. Steadily pushing activity upward is not the answer, and can set someone back badly. Staying under the crash threshold is what protects function.

With fibromyalgia, where there is no crashing after exertion, aerobic and strength work is generally safe and genuinely useful.

Same tired, sore person. Two very different plans. Get it backwards and you can make someone considerably worse.

Being straight with you, there is still no blood test for either condition. Diagnosis stays clinical, which is a large part of why people spend years bouncing between specialists before anyone names it.

We work with both of these every week, here in Canberra. Link in our profile.

22/08/2026

Vitamin D deficiency is extremely common. So is chronic fatigue. A new trial looked at what happens when you take one seriously in people living with the other.

91 people with ME/CFS, every one of them low in vitamin D, followed for 12 weeks.

One group got a vitamin D supplement plus actual guidance: dietary advice, sun exposure, and movement. The other group got a standard tablet on its own.

By week 12 the guided group had shed about seven symptoms on average. The comparison group, barely one. And 16 people in the guided group no longer met the diagnostic criteria for ME/CFS at all, compared with one person in the other group.

Now the honest part, because it matters. This was a single trial. There was no placebo group, the participants and researchers both knew who was getting what, and most of the patients came from one clinic. All of that can inflate a result. The researchers say so themselves and call for larger blinded studies.

So this is a promising signal, not proof, and it is not a reason to start self-supplementing off the back of an Instagram post.

What it is worth: if fatigue is part of your life, asking your GP whether a vitamin D test makes sense for you is a fair and low cost question. Deficiency is easy to check and easy to correct if it turns out you have it.

We do not sell supplements and we are not prescribing anything here. We just read this stuff so you do not have to.

Follow us for more research like this, explained plainly.

Address

Shop 1 Weetangera Place, Weetangera
Canberra, ACT
2614

Opening Hours

Monday	8am - 7:30pm
Tuesday	6:30am - 6pm
Wednesday	8am - 7:30pm
Thursday	8am - 6pm
Friday	6:30am - 12pm

Website

https://www.accelr8rehab.com.au/

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