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Episode 24 · 28 August 2026 · 23 min

Physiotherapy on the ATP Tour

Paul Ness · The Business of Allied Health

About this episode

In this episode of The Business of Allied Health, we sit down with Paul Ness, the Senior Director of Medical Services and Senior Physiotherapist for the ATP Tour. With over 23 years of experience traveling the globe and treating some of the world's greatest tennis players, Paul shares unparalleled insights into the realities of working in elite professional sports.

Paul discusses his journey from a local clinic to the Australian Open, the intense pressure of treating top-tier athletes who need results immediately, and why injury prevention programs require deep adaptability. We also dive into the critical lessons private practice teaches you about time management, and why so many sports physiotherapists drastically undervalue their services when working with elite teams.

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Timestamps:

[00:00:00] - Introduction and welcoming Paul Ness

[00:00:46] - Right place, right time: How Paul transitioned from a local clinic to the ATP Tour

[00:02:51] - Being "put under the microscope" by players who need immediate results

[00:03:59] - Building trust quickly with top players (Federer, Nadal, Djokovic)

[00:05:55] - Why you should treat a 75-year-old patient the same as a professional athlete

[00:07:07] - The nuance of injury prevention programs and adapting to unique athletic bodies

[00:09:42] - Force plates and strength testing: Where tennis currently stands

[00:11:12] - Crucial lessons private practice teaches you that elite sport doesn't

[00:13:25] - Why sports physiotherapists severely undervalue their worth and how to determine your salary

[00:17:57] - The unglamorous reality of elite sports: 11-hour days, windowless rooms, and travel fatigue

[00:21:47] - How to connect with Paul and what it takes to join the ATP Tour team

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