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Tessa Nielsen

‘Exercising with Confidence’ - How Exercise Physiologists Bridge the Gap in Chronic Illness and Injury



For many people, starting an exercise program can be daunting. Concerns about injury, worsening health issues, or the mere intimidation of stepping into a gym can deter them. Yet, exercise is often key to improving vital health outcomes and quality of life. This crossroads, where fear meets necessity, is where Exercise Physiologists (EPs) play a vital role, especially in New Zealand where their presence is growing.


Understanding the Role of Exercise Physiologists


Exercise Physiologists are healthcare professionals trained to understand and apply exercise science in therapeutic contexts. They are experts in designing safe, enjoyable, and effective exercise plans tailored to the individual needs of those with chronic conditions or injuries.


EPs typically step in when a condition becomes “chronic.” Perhaps someone has received acute treatment for an injury or illness and is wondering “what next?” Often, these individuals are left to manage on their own but still lack confidence—this is the “gap” I'm referring to.


When referred to an EP, clients receive personalized exercise programs that directly address their health concerns and guide them forward. EPs build confidence through:


  • Safety and Personalisation: They ensure exercises are safe and specifically tailored to each individual’s health needs.


  • Monitoring and Adjustment: EPs are trained to continually monitor vital health markers and adjust programs to optimise both safety and effectiveness. Their deep understanding of physiology allows them to adapt as health-related barriers arise, ensuring continuous progress.


In Practice


What does this look like in practice? Here are some examples from my practice in New Plymouth.


I recently worked with a client recovering from an aneurysm. She had completed all medical treatments and was advised to exercise with only basic guidelines. Despite starting to move more, she experienced occasional dizziness and was uncertain about her exercise regimen. Over a 12-week program involving cardio and resistance training, we navigated challenges and adapted her plan as needed. By the end, her health markers had improved significantly, and she felt confident to continue on her own.


Another client had undergone knee replacement surgery but encountered complications during his recovery. After completing 12 weeks of physiotherapy, he still faced barriers that affected his hobbies and job. He wasn't sure how to address these specific issues. We collaborated on a tailored exercise program that targeted his unique needs. Over time, he regained his strength and mobility, enabling him to fully engage in his hobbies and perform his job duties. Now, he feels confident to maintain his progress independently.


In both cases, while the medical system and acute rehab were beneficial, these clients were left wondering how to proceed post-treatment. Without EP intervention, their recovery might have stalled or even regressed.


How to Work with an Exercise Physiologist in New Zealand


Though not as well-known, there are many EPs throughout New Zealand ready to assist. To find an EP, you can start with a simple Google search, or better yet, contact one of the governing bodies like SESNZ or CEPNZ. You can also reach out to me directly—I'd love to help point you in the right direction.


Author: Tessa Nielsen 



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TESSA NIELSEN

ABOUT THE AUTHOR

FOUNDER, COACH & EXERCISE PHYSIOLOGIST

TRAINING CREDENTIALS
  • Masters degree in Exercise Prescription & Training

  • Bachelors degree in Sport and Exercise

  • Certified women's coaching specialist

  • Accredited Exercise Physiologist

Tessa's coaching approach is one that is rooted in empathy, education, and inspiration. With over 10 years of experience in the exercise industry, she knows her way around an exercise program!

Tessa's experience extends beyond general populations and to providing exercise-based solutions for individuals facing health challenges. She has experience and expertise supporting those facing a wide range of health conditions including chronic fatigue, cancer, cardiovascular disease, metabolic disease and mental health conditions.

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