I don’t know…

Whether you like to admit it or not uncertainty exists in ALL aspects of ALL healthcare, especially when dealing with pain. There is uncertainty in our assessments, diagnoses, prognoses, and of course our treatments. Being uncertain in healthcare occurs a lot, yet conversely, not many healthcare professionals are willing to admit or talk about it.…

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…

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,…

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…

Find another excuse…

So I’ve been involved in a few more frustrating discussions around manual therapy recently mainly about why some therapists justify using it. During these discussions, therapists often tell me they use manual therapy as a form of graded exposure to painful movements or tasks as it helps patients return to normal function and activities. Well,…