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Carina's path to physiotherapy began in nutrition science, and it never narrowed. Across fifteen years of hospital and private practice in Hong Kong and Australia, she added acupuncture, clinical Pilates, and somatic therapies — not as extras, but because persistent pain rarely respects the boundaries of one discipline. She now works with people whose symptoms have outlasted standard treatment, and her consultations are built around explaining clearly what is happening and what can be done about it.
The jaw sits at a crossroads: bite, breathing, posture, and the nervous system all meet there, so jaw and facial pain rarely has a single cause. TMD and headache often persist because treatment targets one contributor at a time. Carina assesses how these systems interact, working across manual therapy, acupuncture, graded exercise, and habit change — and alongside dentists, ENT surgeons, and mental health clinicians when the picture calls for it. The aim is a jaw that can eat, talk, and rest without constant negotiation.
In hypermobile bodies, muscles take on work that connective tissue would normally share, so everyday movement costs more — and symptoms often extend to dysautonomia and sensory sensitivity. Standard strengthening programmes can flare symptoms when they ignore these limits. Carina uses graded, Pilates-informed rehabilitation that respects current capacity, building control and tolerance gradually and adapting pacing and communication for neurodivergent patients. The aim is steadier movement with less payback.
Long-term pain changes how the nervous system processes threat, and stress or trauma keeps it primed. When the body is stuck in protection, exercise alone often stalls. Carina brings somatic approaches — including TRE and somatic EMDR — alongside movement, helping the body register safety so that physical gains can hold. The aim is a nervous system that no longer treats ordinary activity as danger.
As a Care Coordinator, Carina helps hold the thread across a patient's care at biio. — clarifying patterns, connecting findings between practitioners, and keeping the plan coherent as it evolves. For patients, that means less repeating the story from scratch, and a team working from the same picture.