Hands off…

When involved a debate or an argument it’s very easy for the main points to get lost or twisted amongst the claims, counterclaims, or the general shit flinging that tends to occur. This happens a lot in many discussions, but it occurs the most whenever I’m involved in a debate about manual therapy and its…

Three dangerous words…

There is a saying in many professions that three of the most dangerous words used are ‘in my experience’ as relying on it can cause some big problems. However, I also think there are another three words being used a lot recently that can be just as dangerous, these are ‘research has shown’! Over the past…

Physios identity crisis…

Is musculoskeletal physiotherapy going through an identity crisis? I don’t mean the kind that makes it dye its hair, wear leather trousers and tries to impress other professions half its age. Rather is musculoskeletal physiotherapy struggling to find its place and purpose in society and in an evolving health care service? The musculoskeletal (MSK) physiotherapy profession has…

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…