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Jimmy Nguyen

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25.01.2022 Beautiful animation explaining Autism

25.01.2022 TENDINOPATHY - REACTIVE This is an image that I have seen plenty throughout my studies and I now use it to educate my clients about tendinopathy and its stages. Different stages of tendinopathy require different levels of activity for rehabilitation. Today well talk about the reactive tendon. A good example of a reactive tendinopathy is me returning to Muay Thai classes. After years of no professional training and returning, I presented with bilateral triceps reactive tendin...opathy the next day. This was likely due to the pyramid style push-ups during the warm up (starting at 30 and reducing by 5 until we reached 0). At first I thought it was just the usual muscle soreness but my triceps became insanely stiff and I noticed my distal tricep become swollen. This was when I realised my symptoms were more in line with tendinopathy being: - Thickened tendon - Stiffness with range - Worse with prolonged rest - Minimal improvement with heat It was also in line with my history: - Spontaneous return to high level activity - Repeatitive compressive overload (push ups) TREATMENT - Rest: reduce the load to allow for the tendon to recover. The reason for the tendon thickening is to reduce the stress on the tendon. - Isometric muscle contractions - Pain medication if required A reactive tendon, if managed properly will return to being a normal tendon in a week. Note that tendinopathy is a non-inflammatory condition. Physical Solutions Physiotherapy #physicaleducation #physicalsolutions #physiotherapy #tendon #tendinopathy #reactivetendon #treatment #casestudy #overload #rehab #rehabilitation #rest #exercise #excessiveexercise

24.01.2022 KNEE OSTEOARTHRITIS. The most common lower limb joint to have OA is the knee. OA is a joint degenerative condition, more commonly known as joint "wear and tear" or "bone on bone". This can cause symptoms such as pain, stiffness, swelling and/or reduced joint range/flexibility. Degenerative joint changes are quite normal and is part of ageing. I will likely have some OA changes if you took an X-ray of me. It really only becomes an issue once it becomes painful and limits your ...function. There are 4 pillars to OA treatment: 1. Improve lower limb strength 2. Maintain/optimize joint mobility 3. Maintain/optimize muscle length 4. Weight management to reduce overall force travelling through the joint. These are my goals as a physio. I also encourage and explore exercise modalities with my client. I want to ensure that daily exercise becomes part of their normal day and not a chore. Physical Solutions Physiotherapy #knee #oa #osteoarthritis #kneeoa #rehabilitation #rehab #exercise #physiotherapy #physicalsolutions #degenerative #wearandtear #boneonbone #cartilage #patellafemoral #tibiofemoraljoint

23.01.2022 Needing to chase after my own shot because I know my accuracy is bad I've been practising my shooting though to hold my own weight in the team! You need to first acknowledge your downfalls if you want improve

23.01.2022 Rachel is working at Clarkson and Joondalup. Be sure to book in with her about any musculoskeletal issues!

23.01.2022 CULTURE AND PERSPECTIVE Being of Vietnamese background, I have noticed many cultural differences in terms of what is expected from health care. In Vietnam, people do not usually see a physiotherapist as their first point of contact. They will see a doctor - nothing wrong with that at all, but the expect a magic pill to save them for a musculoskeletal problem. This could also be due to a lack of knowledge of physiotherapy as a profession.... I am sure this is not only in Vietnam and this magic pill perspective exists everywhere. As a physiotherapist, I like to thoroughly explain and make sure the client/patient understand that medication will not solve this musculoskeletal dominant presentation and that they commit to the exercises because that is the only way to get them better. Of course, it is all dependent on what the issue is. I will definitely refer on if the presentation was out of my scope of practice. Sometimes you need to put in the work to get better. Physical Solutions Physiotherapy #magicpill #nosuchthing #exercise #rehabilitation #rehab #physiotherapy #physio #nothingwrongwithgettingstrong #perspective #passivetreatment #hardwork #results

22.01.2022 DONT BE LIKE THIS GUY Working from home may cause some issues with your back and neck! This could be from your desk setup (ergonomics) which in turn affects your neck position or the amount of support your chair provides which could create back pain. ... Remember that the body hates staying in the same position for too long. Even if youre in the "perfect posture" you need to change your position. I will be posting some clips of simple stretches to do at home in the next week - stay tuned for that! If you are having pain or discomfort book in with us at Physical Solutions Physiotherapy for a review! Follow the link to book online: https://healthengine.com.au//cla/physical-solutions/s74488

22.01.2022 Physical Solutions Joondalup still remains open. We are implementing strategies to maximize treatment while simultaneously minimizing physical contact as much as we can. We understand your concerns and are placing strategies to remain healthy.

21.01.2022 Food for thought

19.01.2022 Allied health services remain open and so will Physical Solutions. We are implementing a minimal-contact treatment option which will revolve mainly around exercise prescription if desired. We understand your concerns and aim to limit the spread of COVID-19 wherever possible!

17.01.2022 An interesting way to view dementia. Definitely an idea to keep in mind if youre with a person diagnosed with dementia. Have a good weekend everyone!

16.01.2022 With these unusual times, it is important to maintain peak fitness and health - be it exercise sessions over a video call or in clinic, continuing management of pain disorders or even a new pain requiring investigation. Evidence suggests that moderate exercise boosts your immune system. If you are lacking motivation or you are unsure on what to do or how to exercise give us a ring or book a video call. We will be more than happy to give you advice and run exercise sessions w...ith you! You can now book with me online on Health Engine at both the Joondalup and Clarkson clinics by searching Physical Solutions in the search bar. Stay safe and wash your hands!

16.01.2022 Not feeling confident on your feet? Are you concerned about high traffic areas (shops, parks)? Do you feel like you reach for furniture when walking around the house? Do you shuffle your feet instead of taking steps? Or have you come out of a procedure and feel like you need to work on your balance and walking?... On Your Feet is a strength and balance class designed to improve your confidence and trust in your legs again. The class will focus on static (non-moving) and dynamic (moving) balance and leg strength which can be a key factor in poor balance. Classes are led by a physiotherapist within the gym space. This class is run by Jimmy on Tuesdays from 10-11am at Clarkson! Give us a ring on 9468 3219 or flick me a message to book a spot!

13.01.2022 FLEXIBILITY. . . People tend to forgo flexibility for strength or have flexibility lower on their priority. .... I was like this too but ever since I started stretching regularly and improving my flexibility, I just feel great. It helped me with a lower back pain, improved my kick height in muay thai and jumps/sprints in basketball. . . Strength and flexibility can coincide my downward dog has definitely improved, Ill update yall on that soon . . . @physical_solutions #flexibility #flexionsystem #stretch #strength #physiotherapy #physio See more

12.01.2022 PHYSIOCISE Here at Physical Solutions Physiotherapy Clarkson we have a fully equipped gym space. Many people rely on their gym to continue rehabilitation for musculoskeletal injuries and since closures they are at risk of losing fitness and increasing pain. If you are currently rehabilitating an injury, we are offering you a physiotherapist led gym-based exercise program to maintain and prevent recurrence of injury. During these trying times we want people to focus on their... health as a priority. Exercise is a great way to ensure we look after our mental health as well as our physical health. With gyms closing to help prevent the spread of Covid-19 we understand many people have lost a little part of their daily routine, and something that helps with their emotional well-being. Our programs will also be aimed at injury prevention and keeping people in top condition to avoid unnecessary trips to hospital for musculoskeletal injury. In keeping with strict hygiene policies in line with World Health Organisation recommendations to ensure we minimise the risk of transmission of Covid-19, these are: - Maintaining social distancing - Personal workout areas that keep 2m between clients - Keeping doors open - Regular hand washing by clinicians and access to hand sanitiser for clients - Wiping down equipment between use - One time use gloves available for use with equipment Go online to book in at Clarkson Physical Solutions Physiotherapy at https://healthengine.com.au//cla/physical-solutions/s74488 Or call us on 9408 6070

11.01.2022 Welcome to Physicaln Solutions! This photo contains a majoirty of our team but nonetheless we all strive to get you back into tip-top, pain-free shape! If you have any joint, muscle or body pains book with us on healthengine.com.au and searching up Physical Solutions.

10.01.2022 PROGRESS POST . . . An elite teenage swimmer presents with an insidious shoulder flicking without any triggers. She has no pain with movement or resisted muscle tests. She tested negative for shoulder ligament instability and rotator cuff specific tests.... . . . This was tricky as it was hard to identify what exactly was causing the problem. After a long assessment, we determined the flicking (subluxation) was due to inadequate motor control of the rotator cuff - the biggest indicator was she had NO shoulder flicking at all in sitting. . . . These videos show the initial presentation and our re-assessment 5 weeks after! Safe to say we were all excited to see this progress . We are not completely finished with treatment though as my goal now is to improve rotator cuff function and endurance to a level of an elite swimmer. . . . . @physical_solutions #rotatorcuff #motorcontrol #shoulderinstability #shouldersubluxation #physiotherapy #physicaltherapy #physicalsolution #success #progress #happy #excited #progressnotperfection #swimmer See more

10.01.2022 Amazing hands-off treatment happening at the clinic today. We can be hands on if you require (essential manual treatment) but can work wonders hands-off.... ...Rachel and Jimmy planning out their treatment protocols: #rehabilitation #exercisetherapy #keepthehospitalsempty #seeaphysio

10.01.2022 An interesting way to view dementia. Definitely an idea to keep in mind if you're with a person diagnosed with dementia. Have a good weekend everyone!

09.01.2022 Having proper footwear can reduce risk of lower limb non-contact injuries. John Wannops study in 2012 found a relationship between roational and translational traction and rate of injury. Increased rotational and translational traction increase ankle and knee joint loading in both frontal and transverse planes. The take home message being - ensure you have shoes with proper traction and grip in all directions. ... The clip shows the types of movements require in most sports. The cutting motion and quick acceleration/deceleration. Freuqent jumping is more attributed to basketball than other sports. It is obvious to see that without proper footwear traction, this movement can be detrimental to the ankle and knee. Article: Footwear traction and lower extremity non-contact injury (2012) John Wannop. Sorry about the audio - sounds like Im in a horror movie

08.01.2022 New evidence with swelling management - PEACE and LOVE Recent evidence suggests NOT to ice a swollen area due to it limiting inflammatory mediators which in turn causes sub-optimal healing during the mid and late stages of recovery. Although this sounds good and well - there are some limitations to the article. The biggest one being no description of the population that was observed. Missing essential data includes but is not limited to:... - age group - area of injury - severity of swelling - follow-up sessions and re-assessment I have tried this method on myself with minor injuries from basketball - jarred fingers (minor ligament sprains). I have not found any difference between icing and not icing in terms of: - time to recover - strength deficiency - pain levels during the acute and late stage of recovery However, for larger injuries where swelling is causing intense pain and restricts normal movement/function of the joint - I will continue to use ice as prolonged swelling can cause compensatory strategies and cause further issues. If you have any questions, feel free to send me a message! Stay safe - Jimmy

08.01.2022 Physical Solutions is open as usual. Book with us on Health Engine or give us a call on 9408 6070 Have a wonderful Easter!

08.01.2022 Continuing on the notion of my previous post - it is a shame that people do not push their bodies and do not find what they are actually capable of. When we think of fitness our first thought is the gym. Buff and toned with muscles that pop out. Or you may think of running - sprints and long distance marathons. However, I also relate fitness to mobility, movement and dexterity. It is far more important to find an actvity that you enjoy and will commit to. ... This is my first session at this gymnastics gym learning how to do a back flip. I was quite surprised at how fast I was able to progress. Although, I do not have anything specific I am training towards, I am just interested in what my body can do. I encourage you to find an activity you enjoy and push yourself. You'll be surprised at your results Physical Solutions Physiotherapy #physiotherapy #physio #pushyourself #motivation #flip #backflip #gymnastics #newhobby #fitness #movement #movementismedicine #movementislife #mobility #progress

07.01.2022 Needing to chase after my own shot because I know my accuracy is bad Ive been practising my shooting though to hold my own weight in the team! You need to first acknowledge your downfalls if you want improve

05.01.2022 Update on my downward dog. Definitely getting better compared to 3 months ago. I am able to get into this position much easier and hold it for longer without breaking a sweat Physical Solutions Physiotherapy #flexibility #flexionsystem #mobility #stretch #downwarddog #yoga

05.01.2022 Hi everyone, Just started a physiotherapy instagram for more social updates. Have a little look and follow if youre interested! Thanks - things are looking up but continue with the hygiene!

04.01.2022 TENDINOPATHY - DYSREPAIR/DEGENERATION. Continuing with the tendon spectrum, we will move on to the tendon dysrepair and degeneration. Sticking to the same case study as previously with my bilateral reactive triceps tendinopathies. Tendon dysrepair occurs when you do not adequately offload the reactive tendon. This can cause further pain and stiffness in the tendon. Mainly being - if I pushed through the pain and continued training or did not rest enough (~1 week) this would h...ave progressed to tendon dysrepair. The degenerative tendon is long term repetitive loading without adequate rest. At this stage the tendon changes is irreversible BUT we can improve tendon function! TREATMENT for dysrepair and degenerative tendons include progressive resistive exercises. Namely, eccentric exercises to load the tendon and progressing to improve client function and reach their individual goals. Biggest takeaway from this is that even though it may be termed degenerative you can still improve tendon function!

03.01.2022 Hi everyone! I am now also working from Craigie Medical and Dental Centre in addition to Physical Solutions. This may be a bit closer to you than the other clinics. Book with me if you have any concerns regarding your physical health! :))

03.01.2022 Shin Splints An overuse type injury with excessive strain on muscles or ligaments. The pain can be on the front if the shin or the back. Common in sports that involve a lot of running, stop-start motions or high impact activities. TREATMENT... - Rest: now knowing that it is an overuse injury, rest is essential. However, this is active rest. Meaning to continue with normal ADLs and/or changing to low impact activites (swimming, cycling) - Ice: for pain relief - Stretches and massage: viasing tibialis anterior/posterior and the calf #shinsplints #legpain #shinpain #exercise #rehabilitation #rehab #physiotherapy #physio #physicalsolutions #sports #sportinjury

02.01.2022 Shoulder Special Tests A very recent article released in this month questions the validity of shoulder orthopaedic tests. These tests were supposedly created to isolate individual muscles in the shoulder to identify the source of pain. Salamh and Lewis article highlights very interesting points. The biggest being that these shoulder special tests cannot isolate certain structures and can only be considered a pain provocation test.... It was confirmed that there were up to 9 other muscles active when testing empty and full can tests. This test was meant to isolate supraspinatus. Personally, I have been using these tests as a general pain provocation test rather than using it to identify a specific structure. What are your thoughts? Article: "It is time to put special tests for rotator cuff-related shoulder pain out to pasture". Salamh and Lewis (2020) Physical Solutions Physiotherapy #shoulder #specialtest #orthopaedicspecialtest #outdated #shoulderpain #physiotherapy #physicaleducation #physiotherapyeducation #painprovocation #update #physio #rotatorcuff #bursa #glenohumeraljoint #clinical #clinicalreasoning

02.01.2022 We are able to provide essential hands on treatment but also have the option of non-contact therapy if preferred. Here are some examples of non-contact treatment of the upper limb!

01.01.2022 With Covid-19 spreading, Physical Solutions have upped their hygiene and are enforcing social distancing where possible within the clinic to minimize the potential spread of the virus. We are doing everything we can to ensure a safe and clean environment for our clients and staff.

01.01.2022 Do you get back pain? Does your job require you to use your back heavily? Is your back tight and stiff? Back Pain Prevention Class: Thursday 5pm-6pm at Physical... Solutions Physiotherapy in Clarkson. Beginning Thursday 17th September. This class will focus on functional mobility, posture and strength, important for preventing and managing back pain. We offer small group, physiotherapist-led exercise classes in a gym space within the clinic. The class will be run by our team member Phoebe. Call the clinic on 08 6119 9129 to book your space in the class.