Physios identity crisis…

Here’s a question; is musculoskeletal physiotherapy going through an identity crisis? I don’t mean the kind that makes it start dying its hair, wearing leather trousers, and trying to impress other professions half its age. Rather is musculoskeletal physiotherapy struggling to find its place and purpose in an evolving health care system as it continues to search…

Chill out…

I’m hearing more and more physios and other healthcare professionals discussing and promoting the negative, detrimental, and so-called harmful effects of using ice for the treatment of injuries or soreness after exercise, with some claiming that it should be abandoned completely. Well, I think this is just crazy talk and I think some people just need…

One last fix…

I’ve been blown away by the response and feedback from my recent blog on abandoning manual therapy. In less than 24 hours I have had numerous emails and messages from many of you experiencing the same problems and pressures to use manual therapy by your colleagues, managers, and patients, not because it helps that much,…

Abandoning manual therapy…

Over the last few months, I have received some emails from physios who are disillusioned with the profession because of the emphasis that is still being placed on manual therapy (see below). It appears that many young physios are being told that massage, manipulation, and mobilisations are an essential part of physiotherapy and should be used…

Touch it…

I spend a great deal of my time with patients trying to correct lots of misinformation or misunderstandings they get from many other sources, such as the media, the internet, or from other clinicians. One subject I challenge a lot is when patients have been told that their pain is due to a part of…

Naughty or nice…

“He’s making a list, he’s checking it twice, he’s gonna find out, who’s naughty or nice, Santa Claus is comin’ to town” Mariah Carey 1994 So its that festive time of year when feelings of goodwill and cheer are with us as we all try to be a little nicer to each other. However, without…

Rehab Rules…

So I gave a talk this weekend at a Dutch Physio conference and laid out my “Rehab Rules” for most things that hurt and cause disability in musculoskeletal physiotherapy. It seemed to go down well so I thought I would give a brief overview of them here and see what you lot think. These rules, or perhaps I should…