A hydrotherapy session usually includes a wide variety of exercise types. It may include stretching, strengthening, functional training, balance and cardiovascular fitness training.

How can hydrotherapy help?

Hydrotherapy has been shown to be a valuable addition or alternative to other treatments for a wide variety of conditions, including:

  • arthritis (osteoarthritis and rheumatoid arthritis)
  • acute and chronic back and neck pain
  • peripheral musculoskeletal pain, such as shoulder impingement or anterior knee pain
  • following orthopaedic surgery, such as a hip or knee replacement, ligament reconstructions or rotator cuff repair
  • following neurosurgery, such as spinal fusion or laminectomy
  • neurological conditions, for example CVA, multiple sclerosis or fibromyalgia
  • chronic respiratory issues including COPD and asthma, and
  • acute sports injuries

What’s involved in a hydrotherapy session?

A hydrotherapy session may include stretching, strengthening, functional training, balance, core strengthening and cardiovascular fitness training.

A physiotherapist conducts the sessions, which usually last 30-45 minutes.

Water provides a unique environment for exercise, and hydrotherapy uses three primary properties of water:

  1. Warmth; using water, typically at about 33°, to relax tight muscles and loosen stiff joints.
  2. Buoyancy:  minimises the effect of gravity and decreases the stresses placed on joints during movement. People who are unable to support their body-weight on land are able to exercise more effectively in the water.
  3. Resistance:  water provides varied resistance to exercise depending on the speed of movement, and the shape of the body part being moved.

Sessions are individually tailored for each participant, to allow for all levels of ability and treatment goals. For patients who are weak or out of condition, we begin with very basic exercises, progressing  to high level sports-specific drills for the athlete keen to return to high level training and competition.

Hydrotherapy Sessions


Our practice’s hydrotherapy sessions are conducted at Ripples Hydrotherapy Centre, Creek Road, St Marys.


  • Tuesday 8.00am and 8.30am
  • Thursday 1.00pm and 1:30pm

How to book

Please call our Penrith Physiotherapy practice on (02) 4721 5788 to book into any hydrotherapy session. We require at least 24 hours’ notice.


The cost for hydrotherapy sessions has two components.

  1. The session cost is charged by our practice. Private patients can pay for this over the phone or in person at their next practice appointment. Workers compensation or CTP costs are paid by the insurer.
  2. Ripples Hydrotherapy Centre also charge a small pool entry fee. This must be paid at each session by all patients. Patients with a workers compensation claim may keep their receipts for reimbursement by their insurer.