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Charlie Castleden - Physiotherapist

Niche Physio & Pilates

Hi, I’m Charlie.

Charlie Castleden

Physiotherapist

Lower Back Pain or Sciatica? See Charlie today

Sciatica and nerve pain

Pain travelling below the knee, sometimes with numbness, pins and needles or weakness. It usually needs a longer pathway than simple back pain does, and it needs proper assessment – including a neurological examination rather than a generic exercise sheet. Charlie can provide exercises and strengthening after treatment that is aimed at preventing the pain returning down the track.

Non-specific lower back pain

Another common presentation Charlie encounters is non-specific back pain. There is no single damaged structure to point at; the pain comes from a combination of joint irritation, muscle guarding and load that has outstripped what the back is currently conditioned for. It is genuinely painful and it responds well to treatment and graded loading.

Disc-related pain

Often worse with sitting, bending and first thing in the morning, and eased by walking or standing. May or may not refer into the buttock or leg. Most disc presentations settle well without surgery.

Facet joint irritation

Typically one-sided, worse with leaning backwards or twisting, and often eased by sitting or bending forwards. Responds particularly well to hands-on treatment combined with specific control work.

Charlie takes a practical, movement-focused approach to treatment. He combines hands-on physiotherapy with tailored exercise rehabilitation, placing strong emphasis on movement quality, strength development, and long-term injury prevention. He enjoys working collaboratively with patients to understand their goals, and guide them through progressive rehabilitation that builds confidence as well as physical capacity.

Throughout his training and early career, Charlie has gained experience treating a wide range of musculoskeletal conditions and delivering Clinical Pilates–based rehabilitation. This background allows him to design thoughtful, individualised programs that support recovery while helping patients develop strength, control, and resilience.

Charlie has worked along the coast WA – from Geraldton up north to Albany down south, working with a diverse range of people and often looking for any surf along the way. Outside the clinic, Charlie enjoys surfing, AFL, volleyball, and running, and previously represented WA in surfing. His love for sport and movement strongly shapes his approach to physiotherapy, helping patients stay active and perform at their best.

Charlie completed his Bachelor of Physiotherapy at the University of Notre Dame. He has a strong interest in musculoskeletal physiotherapy, Clinical Pilates, sports rehabilitation, and preventative physiotherapy, with a focus on helping people stay active and continue doing the activities they love for longer.

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charliec@nichephysio.com.au

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