Adrian is a friendly and energetic physiotherapist based in Perth, bringing many years of hospital and clinic experience from Hong Kong. He graduated with a Bachelor of Science in Physiotherapy from Hong Kong Polytechnic University in 2005 and completed his Master of Science in Stroke and Neuroscience at The Chinese University of Hong Kong in 2011. Since 2020, he has been learning and practising Proprioceptive Deep Tendon Reflex (P-DTR), a hands-on assessment and treatment approach that identifies hidden dysfunctions in the nervous system and helps the body reset movement patterns and reduce pain for people with musculoskeletal problems, sports injuries, and work-related injuries.
Adrian is passionate about sports and active living. He learned taekwondo as a child and still enjoys playing soccer today. Over the years, he has worked as a team physiotherapist for various sports teams, helping athletes bounce back to peak performance and move with confidence every day.
He speaks fluent English, Cantonese, and Mandarin, plus some Spanish. This helps him connect warmly with people from all backgrounds in Perth’s diverse community, delivering truly personalised care
What are your qualifications and clinical focus areas?
I am an AHPRA-registered Physiotherapist with more than 20 years of clinical experience across hospital-based physiotherapy, community rehabilitation, professional sport, private practice and aged care in Hong Kong and Australia.
Qualifications
• Bachelor of Science in Physiotherapy, The Hong Kong Polytechnic University (2006)
• Master of Science in Stroke and Neuroscience, The Chinese University of Hong Kong (2011)
Professional Experience
• Hospital-based physiotherapy within the Hong Kong Hospital Authority, managing musculoskeletal, orthopaedic and neurological conditions
• Community physiotherapy and rehabilitation with Caritas Hong Kong
• Physiotherapist for the Hong Kong National Soccer Team (2012-2014) and involvement in physiotherapy support for professional sporting teams
• Private practice and aged care physiotherapy experience in Bowral and Wollongong, NSW
Clinical Focus Areas
• Sports injuries and return-to-sport rehabilitation
• Musculoskeletal and orthopaedic conditions
• Neck, back, shoulder, hip and knee conditions
• Joint mobility, flexibility and movement disorders
• Strength, conditioning and functional rehabilitation
• Neurological rehabilitation, particularly stroke recovery
• Workplace injuries and rehabilitation
Since 2020, I have also undertaken training in P-DTR (Proprioceptive-Deep Tendon Reflex), which has contributed to my interest in how sensory information, movement patterns and neurological responses may influence physical function.
My approach combines evidence-informed physiotherapy, clinical reasoning, movement assessment, hands-on therapy and individualised exercise rehabilitation tailored to each person’s goals and circumstances.
How do you keep up with evolving clinical evidence?
I believe physiotherapy combines both science and clinical judgement. Research helps guide treatment decisions, while clinical experience and patient-centred care help determine how those principles are applied to each individual.
I maintain my professional knowledge through continuing education, reviewing current research literature, participating in professional discussions and reflecting on clinical outcomes.
My aim is to combine current evidence, clinical experience and patient preferences when developing treatment recommendations.
Understanding Pain
Why does my pain persist even when my scans look normal?
Pain does not always directly correlate with findings on X-rays, MRI scans or ultrasound imaging. Imaging can identify structural changes, but it does not capture every factor that may influence a person’s pain experience.
Some people have significant imaging findings without symptoms, while others experience considerable pain despite relatively normal scans.
Pain can be influenced by a combination of physical, neurological, psychological and lifestyle factors, including previous injuries, movement patterns, physical loading, sleep, stress and the body’s protective responses.
Assessment therefore focuses on understanding the whole person rather than relying on imaging findings alone.
How does your understanding of sensory and neurological factors influence assessment?
My clinical approach also draws on concepts related to sensory processing and movement control, including principles explored through P-DTR training.
This perspective encourages consideration of how sensory information from muscles, joints and other tissues may influence movement patterns, coordination and physical function. These factors may be considered alongside more traditional physiotherapy assessment findings when developing an individualised management plan.
What hidden factors might be contributing to my symptoms?
Symptoms are often influenced by more than the area that feels painful.
Factors I may consider include:
• Movement habits and motor control
• Joint mobility and physical loading
• Previous injuries and compensatory movement patterns
• Sleep quality and recovery
• Stress and lifestyle demands
• Workplace and sporting demands
• Physical conditioning and activity levels
• Sensory and neurological influences
Understanding these factors helps create a broader picture of potential contributors to symptoms and supports a more individualised treatment approach.
Understanding Your Physiotherapy Experience
What happens during your first physiotherapy assessment?
The initial assessment generally involves five stages:
- Understanding your concerns
We discuss your symptoms, medical history, previous injuries, lifestyle and goals.
Identifying contributing factors
We explore work demands, daily activities, training loads and movement habits that may influence symptoms.
2. Physical assessment
This may include assessment of:
• Joint mobility
• Strength and flexibility
• Movement control
• Balance and coordination
• Relevant neurological or orthopaedic testing
3. Explaining the findings
I explain the assessment findings in clear language and discuss possible contributing factors.
4. Individualised management
Management may include appropriate hands-on therapy, movement retraining, exercise rehabilitation and education.
5. Recovery planning
We establish goals, discuss home exercises and identify ways to monitor progress.
My aim is for each patient to leave with a clearer understanding of their condition and a practical plan moving forward.
How do you adapt rehabilitation for busy people or those with lower fitness levels?
Rehabilitation should fit into your lifestyle and circumstances.
I consider your fitness level, work commitments, available equipment and personal goals when designing a programme.
For people with limited time, rehabilitation may begin with short and practical exercise sessions. For those with lower fitness levels, exercises are introduced at an achievable level and progressed gradually over time.
The goal is to create a rehabilitation plan that is realistic, sustainable and meaningful for the individual.
Physiotherapy Treatment Approaches
What treatment techniques do you use?
Treatment recommendations are based on assessment findings, current evidence and individual goals.
Management may include:
• Manual therapy, including joint mobilisation and soft tissue techniques
• Therapeutic exercise, including strengthening, flexibility and mobility exercises
• Movement retraining
• Load management strategies
• Education and self-management advice
• Consideration of sensory and neurological influences on movement where clinically relevant
I do not rely on a single treatment method. Instead, treatment is tailored according to the individual’s presentation, goals and response to care.
How do you measure treatment progress?
Progress is monitored through a combination of physical findings and functional outcomes, including:
• Symptom intensity and frequency
• Joint range of motion
• Strength and endurance
• Movement quality, balance and coordination
• Ability to perform work and daily activities
• Exercise tolerance and participation in sport or recreation
Progress is reviewed regularly and management is adjusted where appropriate.
Long-Term Recovery and Performance
Why is recovery more than simply reducing pain?
Pain reduction is often an important part of recovery, but it is not the only goal.
A person may experience fewer symptoms while still working towards improvements in strength, mobility, endurance, movement confidence or physical capacity.
I generally view recovery as occurring across three broad stages:
Symptom Management
Supporting comfort and reducing the impact of symptoms on daily activities.
Functional Restoration
Improving mobility, strength, physical capacity and movement confidence.
Return to Activity
Supporting a return to work, exercise, recreation or sporting participation according to the individual’s goals and circumstances.
My overall aim is to help people become more confident, capable and independent in managing their physical health.
Do I need to stop playing sport while recovering from an injury?
Not necessarily.
In many cases, some level of activity can be maintained while symptoms are being managed. The focus is often on identifying which activities can continue, which may require modification and which may need temporary reduction.
This might involve adjusting training intensity, frequency, volume or movement demands while progressively rebuilding capacity.
My experience working with athletes has reinforced the importance of balancing recovery, performance goals and participation in meaningful activities.
The aim is to help people continue engaging in the activities they enjoy wherever appropriate, while supporting their overall recovery and long-term physical function. (