Tula Health

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Tula Health Pain Management and Health Nurse Practitioner

Welcome to Tula Health

I have over 29 years' experience as a registered nurse, and over 17 years as a senior clinician in the field of pain management. This includes rural, remote, regional, and metropolitan nursing acquiring extensive experience in education, quality assurance, theatre recovery and anesthetics, community nursing, indigenous health, aged care, and pain management. This exposure has allowed me to work with individuals from many walks of life and develop a rapport that enables open and honest discussions. My passion is to offer realistic personalised care focusing on an individual's experiences with pain, their unique journey and empowering them to explore their options and take control.

19/07/2026

Chronic Pain, Exercise & Reconditioning

When people live with chronic pain, it's common to avoid movement for fear of making symptoms worse. Unfortunately, becoming less active often leads to deconditioning—a loss of strength, fitness, flexibility and confidence. This can make everyday activities more difficult, increase fatigue and contribute to an ongoing cycle of pain and disability.

Reconditioning is the gradual process of rebuilding physical capacity through safe, progressive exercise. The aim isn't to eliminate pain overnight or push through severe pain, but to improve function, restore confidence in movement and help people return to the activities that matter most.

Research consistently shows that appropriately prescribed exercise is one of the most effective treatments for chronic musculoskeletal pain. Regular exercise can:

- Improve strength, endurance and joint support.
- Reduce fatigue and improve sleep and mood.
- Build confidence in movement and reduce fear of activity.
- Help calm an over-sensitive nervous system.
- Improve the ability to perform everyday activities.

There is no single "best" form of exercise. Walking, resistance training, Pilates, swimming, cycling, yoga and tai chi can all be effective.
The best exercise is usually one that you enjoy and can continue over the long term. Programs should be tailored to the individual, starting at a comfortable level and progressing gradually.

Some temporary discomfort during exercise is often a normal part of rebuilding tolerance and does not necessarily mean harm is occurring. The goal is steady, consistent progress rather than avoiding all pain or pushing until symptoms flare.

Recovery from chronic pain is rarely about finding a quick fix. It involves gradually rebuilding strength, fitness, confidence and resilience. Every walk, every exercise session and every small improvement contribute to better function and quality of life.

What the evidence tells us
The World Health Organization (WHO) recommends exercise and education as first-line treatments for chronic primary low back pain.
NICE (UK) guidelines recommend supervised exercise and remaining physically active for long-term health.
High-quality systematic reviews have found that exercise reduces pain and improves function for many people with chronic musculoskeletal pain.

Key message: Movement is medicine. Start where you are, progress gradually, stay consistent, and focus on improving what you can do—not just how much you hurt.

Medical Disclaimer: This information is provided for educational purposes only and is not a substitute for personalised medical advice. Always consult a qualified healthcare professional before starting a new exercise program or making changes to your treatment.

09/07/2026

Does Pain Always Mean Damage?

One of the biggest misconceptions about pain is that if it still hurts, something must still be damaged.

While this is sometimes true, it isn't always the case.

After an injury has healed, the nervous system can remain more sensitive than it needs to be.

This means everyday movements, exercise, or even light touch may continue to trigger pain—even though the tissues have recovered.

Think of your nervous system like the volume control on a speaker.

After an injury, the volume naturally turns up to help protect you while you heal.

Sometimes, even after healing has occurred, that volume stays higher than it needs to be.

As a result, everyday movements or activities may feel more painful—not necessarily because more damage is occurring, but because the nervous system has become more sensitive.

The good news is that, for many people, that "volume" can be gradually turned down with the right combination of education, movement, healthy lifestyle habits, and personalised care.

Pain works in a similar way.

Persistent pain is real, and it can have a significant impact on your life.
However, ongoing pain does not always indicate ongoing tissue damage.

Pain is influenced by many factors, including:
* The nervous system,
* Previous experiences,
* Emotions,
* Stress,
* Diet
* Sleep,
* And overall health.

The encouraging news is that the nervous system can change.
With the right approach, many people can improve their pain and function over time. This may include education, appropriate movement, good sleep, stress management, and personalised healthcare.

Key takeaway:

“Pain is always real, but it does not always mean ongoing damage.”

Save this post for future reference and share it with someone who might find it helpful.

This information is general in nature and is not a substitute for personalised medical advice. If you have new, severe, or unexplained pain, or symptoms that concern you, seek assessment from a qualified healthcare professional.

Evidence supporting this post:

* International Association for the Study of Pain – Revised definition of pain (2020).
* National Institute for Health and Care Excellence – Guideline NG193: Chronic pain (primary and secondary) in over 16s.
* Faculty of Pain Medicine – Persistent pain resources and patient education.
* World Health Organization – Chronic pain classification and guidance.

BrandingTula Health Tula Health offers realistic personalised pain management, encouraging patients to explore their opt...
06/12/2024

Branding
Tula Health

Tula Health offers realistic personalised pain management, encouraging patients to explore their options, and ultimately gain the knowledge to make informed decisions about their treatment.

✍ Brief
Create a brand identity that is personable and visually uplifting, promoting balance with a calming and soothing effect.

🙌 Solution
We created an icon that identifies the core service and the true meaning of Tula, to restore balance. It is made up of 3 shapes which can be moved, reassembled and rebalanced, representing the flexible approach to effective pain management.

05/12/2023

The meaning of Tula

Tula finds its origin in various languages, each contributing to its complex meaning. Derived from the Sanskrit word “tula,” meaning “balance” or “scales,” Tula embodies a sense of equilibrium and harmony. Just like the delicate balance of scales, individuals named Tula often possess a natural inclination towards maintaining harmony in their personal and professional spheres.

Furthermore, in ancient Greek, Tula is associated with the word “telos,” which means “end” or “purpose.” This adds another layer of depth to the name, suggesting that those named Tula have a strong sense of purpose and direction in their lives.

Across different cultures, Tula has also been linked to the Latin word “tullius,” which means “peaceful.” This connection highlights the peaceful and serene nature often exhibited by individuals bearing this name.

05/12/2023

Welcome to Tula Health

My name is Jenni McCluskey, I have over 29 years' experience as a registered nurse, and over 17 years as a senior clinician in the field of pain management. This includes rural, remote, regional, and metropolitan nursing acquiring extensive experience in education, quality assurance, theatre recovery and anesthetics, community nursing, indigenous health, aged care, and pain management.

This exposure has allowed me to work with individuals from many walks of life and develop a rapport that enables open and honest discussions.

My passion is to offer realistic personalised care focusing on an individual's experiences with pain, their unique journey and empowering them to explore their options and take control.

Address

174 Corio Street
Shepparton, VIC
3630

Opening Hours

Wednesday 7am - 4:30pm
Thursday 7am - 4:30pm
Friday 7am - 4:30pm

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