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…

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,…

The Big R’s… Reform or Revolution?

So the dust has begun to settle after the lastest Big R’s event held in Manchester this weekend and after a relaxing Sunday doing some gardening, going for a run, cooking a mean chilli, and now with a beer in hand, I thought I’d reflect on and summarise my thoughts and opinions on some of…

Low motivation…

In my last post I talked about how many of us have a low tolerance to things that are hard, difficult, or painful. In this piece, I want to talk about how we have low motivation to do things that are hard, difficult, or painful, and I don’t care how motivated you think you are…

Low tolerance…

WARNING: you may have a low tolerance to the views within this blog! Read on at your own discretion! We all have different tolerance to different things, such as how long we can concentrate, or exercise, or put up with some people, and this can vary for many reasons. I recognise I have a very low…

That’s​ not how it works…

Recently I have seen a resurgence of the ‘don’t load a dysfunction’ message being promoted by some influential social media therapists (see the images below) and it frustrates and annoys the hell out of me. I know my mate Greg Lehman has talked about this a few years ago here, but unfortunately, this message still…

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…