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.…

Why so soon…?

There have been a few discussions and debates recently on the topic of over-treating in healthcare and physiotherapy. Now, this is a good thing as over-treating patients is something that is not often recognised and something that is discussed even less. But why does over-treatment occur in physio, how do we know when it is…

A hole in the blanket…

I see a lot of people with rotator cuff tears, but unfortunately, most of them have been poorly informed or do not understand what this means. Many believe that a torn rotator cuff means either surgery or a life of pain and disability. However,┬áthis isn’t the case and I want to discuss the facts of…

A picture is not always worth a thousand words…

The saying “a picture is worth a thousand words” is often used to explain how a complex situation, idea, or thought can be conveyed with a single picture. There are many examples of when this is true, such as in the media when a poignant photograph expresses some joyful, or unfortunately more often these days,…

It’s not you, it’s me…

All relationships are hard work. They require effort, commitment, and sacrifice from all involved to succeed. However, there are times when it’s clear that a relationship is not working. Being able to recognise this takes honesty and courage, and taking action to address it sooner than later is usually best for everyone, and sometimes this…

Who is fit to teach…?

Not so long ago there was a debate on Twitter about what makes someone suitable to teach post graduate physiotherapy courses. Needless to say there were some different points of view, strong opinions, and a few heated exchanges. However, I thought I would let the dust settle a bit then expand on some of the…

Physiotherapist or pseudo Psychologist?

I read this paper very recently and it challenged my assumptions hugely about patients with chronic pain, or rather persistent pain as it’s now preferred to be called. My assumption was that patients with persistent pain would naturally have a reduction in their physical activity levels and so suffer some level of physical deconditioning over…