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…

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…

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,…

More manual therapy bickering…

There have been a number of papers, editorials, and blogs recently attempting to redefine and re-evaluate the role of manual therapy which I have discussed before. However, another one has just come out from the Orthopaedic Division of the Canadian Physiotherapy Association here again attempting to redefine the role of manual therapy in physio, and my…

Re-evaluating manual therapy…

There have been a couple of publications recently calling for therapists to re-evaluate the role of manual therapy in healthcare (ref, ref). These opinion pieces have generated a lot of interest and discussion, and many have asked for my views on them especially as one of my blogs has been referenced. So I gave my…