Chiropractic

4D Health & Performance

Chiro-
practic

University-trained diagnosis, precision manual therapy, and exercise rehabilitation — for acute injuries, chronic pain, and everything in between.

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Sydney CBD

Level 2, 160 King Street
Near Town Hall & QVB

Norwest

A2/12–14 Columbia Way
Norwest NSW 2153

Hero clinic photo
01

What is
Chiropractic?

Chiropractors are university-trained to assess, diagnose, treat, and rehabilitate musculoskeletal injuries. Our chiropractors at 4D Health and Performance run extensive, thorough assessments to give you an accurate diagnosis — identifying the root cause of your pain or dysfunction, not just managing its symptoms.

Our assessment toolkit includes spinal examination, orthopaedic and neurological testing, functional movement screening, diagnostic imaging interpretation (X-Ray, MRI, CT), muscle motor and sensory testing, and a comprehensive medical history — giving you and your practitioner a complete picture before treatment begins.

Sydney CBD & Norwest

A chiropractic clinic built for
Sydney's active community.

Whether you're a weekend warrior managing a recurring knee problem, an office worker dealing with chronic neck pain, or a high-performance athlete navigating a complex injury — our chiropractic team is equipped to assess, treat, and rehabilitate you back to your best.

Our CBD clinic sits right near Town Hall and the QVB, with appointments available 6 days a week. Both our CBD and Norwest facilities have fully equipped rehabilitation gyms, allowing your chiropractor to take you through a complete treatment and rehab program on site.

No referral is required for most chiropractic consultations. HICAPS private health on the spot. WorkCover, DVA, and motor vehicle accident cases by referral.

Clinic or treatment photo

Conditions
we treat.

Our chiropractic team manages the full spectrum of musculoskeletal conditions — from acute sports injuries to complex chronic presentations. If it moves, we can help.

01

Acute and chronic lower back pain

02

Neck pain and cervicogenic headaches

03

Disc injuries — sciatic and upper limb neurological referral

04

Headaches and migraines

05

Rotator cuff injuries

06

Hamstring tears and strains

07

Ankle, knee, shoulder, wrist and elbow sprains

08

TMJ / jaw-related pain

09

Flexibility, strength and conditioning programming

10

Pre and post-operative care and rehabilitation

11

Sports performance and injury prevention

12

Postural assessment and correction


Treatment
techniques.

Our chiropractors combine a broad range of evidence-based techniques — tailoring each treatment to the specific presentation, not defaulting to a single modality. Every tool in the toolkit is applied with clinical precision and purpose.

All of our chiropractors hold advanced postgraduate qualifications across dry needling and functional rehabilitation, and regularly update their skills through ongoing continuing education.

01
Dry Needling

Trigger-point dry needling uses fine acupuncture needles to target myofascial trigger points — hypersensitive, hyperirritable spots in skeletal muscle associated with palpable nodules in taut bands. Can be applied at superficial or deep tissue level. All of our chiropractors are advanced-level qualified and regularly refresh through ongoing education.

02
Joint Mobilisation & Manipulation

Targeted techniques designed to improve range of motion and movement quality of specific joints. May assist with temporary relief of musculoskeletal pain, improvements in flexibility and movement, and a return to function. Applied precisely to the specific joint and direction of restriction identified in assessment.

03
Active Release Therapy (ART)

A soft tissue method that focuses on relieving tissue tension through the removal of adhesions — which can develop due to overload from repetitive use. Tissue lesions, trigger points, and fascial adhesions may contribute to muscular weakness, numbness, aching, tingling, and burning sensations. ART addresses the mechanical root of these symptoms.

04
Taping

Both rigid and dynamic taping may be used to provide joint support, facilitate fluid drainage, and assist in early phase injury management. Taping strategies are selected based on presentation, phase of injury, and return-to-activity goals.

05
Rehabilitation Programs

Our chiropractors are trained to design and deliver injury rehabilitation programs from acute phase all the way through return to sport. Both our CBD and Norwest facilities have fully functional rehabilitation gyms, enabling your chiropractor to take you through a complete rehab program in a 1-on-1 setting on site.

06
Ongoing Support & Education

All of our practitioners prioritise communication throughout and beyond treatment. Advice, education, home exercise programs, load management guidance, and ongoing support are part of every patient journey — not an optional extra.


Appointment
types.

Choose the consultation type that best matches your situation. Not sure? Our team are happy to help — call us on (02) 8041 0762.

Initial Consultation

Our initial consultation is structured around an in-depth medical history and thorough physical examination to correctly diagnose your injury. It includes initial treatment and an appropriate rehabilitation plan. Your chiropractor will determine whether further imaging is needed and if specialist referral is warranted.

Select this option if you are a new patient, or an existing patient presenting with a new injury not previously seen by our team.

What to expect
  • In-depth medical history and physical examination
  • Accurate clinical diagnosis
  • Initial hands-on treatment
  • A clear rehabilitation plan
  • Imaging referral if warranted
  • Specialist referral pathway if needed

Standard Follow Up

Select this option if you are an existing patient who has attended within the last 12 months, presenting for an injury already known to our practitioners, and require hands-on treatment only.

All chiropractors are board certified and registered for on-the-spot HICAPS private health fund rebates.

What to expect
  • Review of injury history and progress
  • Follow-up assessment and outcome testing
  • Hands-on treatment — dry needling, soft tissue, adjustments
  • Imaging or specialist referral if required

Extended Follow Up

For existing patients with a more complex presentation, or those presenting with two or more different issues requiring treatment (e.g. shoulder and knee). If 30 minutes is sufficient for your follow-up, select Standard instead.

All chiropractors are board certified and registered for on-the-spot HICAPS private health fund rebates.

What to expect
  • Progress discussion and presentation review
  • Re-assessment of outcomes and tests
  • Review of imaging — X-ray, CT, MRI, specialist reports
  • Passive treatment — massage, dry needling, adjustments
  • Rehab programme modification or progression
  • Referral within the 4D team or to external specialists if needed

Long Consultation

Select this if you are an existing patient who hasn't attended in over 12 months, have a new injury, have 2 or more areas of concern, or require both treatment and rehabilitation.

All chiropractors are board certified and registered for on-the-spot HICAPS private health fund rebates.

What to expect
  • Comprehensive injury review
  • Thorough examination and re-testing
  • Discussion of training and lifestyle factors
  • Review of MRI, X-rays, CT or specialist correspondence
  • Clear diagnosis
  • Hands-on treatment — dry needling, massage, adjustments
  • Review and update of rehabilitation programming
  • Specialist referral if warranted

Fees &
pricing.

Transparent, straightforward pricing. All consultations are eligible for on-the-spot HICAPS private health rebates — the amount depends on your level of cover.

Appointment Type Standard Senior Practitioner Principal Practitioner
Initial Consultation45 minutes $150 $160 $170
Standard Follow Up30 minutes $120 $130 $140
Extended Follow Up45 minutes $150 $160 $170
Long Consultation60 minutes $200 $210 $220

All of our chiropractors are board certified and registered for on-the-spot HICAPS private health fund rebates. No referral is necessary for most consultations, with the exception of DVA, motor vehicle accident, and WorkCover related treatments.

Meet the team

Our
chiropractors.

David and Derrick bring different areas of postgraduate expertise — together covering sports chiropractic at elite level and evidence-based musculoskeletal care with an advanced technique toolkit.

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David Abi-Arrage

Sports Chiropractor

David Abi-Arrage
13+ years · ART · DNS · SFMA · Olympic level
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Derrick Lian

Chiropractor

Derrick Lian
5+ years · Dry Needling · IASTM · Functional Rehab
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Hours & Availability

6 days a week

Monday – Friday: 8am – 7pm

Saturday: 7am – 1pm

No referral required for most consultations. WorkCover, DVA, and motor vehicle accident cases by referral only.

Sydney CBD

Level 2, 160 King St

Near Town Hall & QVB

Sydney NSW 2000

(02) 8041 0762 Get directions →

Norwest

A2/12–14 Columbia Way

Norwest NSW 2153

(02) 8677 6844 Get directions →

Ready to get
started?

Book online or call the clinic — our team will help you find the right appointment type and practitioner for your needs.