Manual Therapy Sucks?

Manual Therapy Sucks. Manual Therapy does nothing for the patient. Manual Therapy is absolutely useless and shouldnt be used in a therapeutic context. How often have we as physiotherapists heard this kind of thing trotted out in the past few years? Yes, it makes a great twitter line, a good slogan on a t-shirt and a superb way of making people jump up and down and get riled up. I suppose I’m here to say: Manual therapy is not without benefit. Someone wants comforting- what do we do? Immediately we are drawn to comfort them with spoken word, but also … Continue reading

Knee Pain and doing your exercises

A couple of athletes have come to me recently with knee pain. One, a very good runner, the other, an alpinist with a history including an ACL rebuild. The thing they had in common was that in the last year they had done some excellent gym work, building up their leg strength and proprioception. However, for whatever reason, in the last 6 to 8 months this level of rehabilitation, or in fact any level of work in the gym, had completely tailed off. Despite this, their levels of activity in sport had stayed the same or became greater. Everything has … Continue reading

The BioPsychoSocial Model is Descartian…

I’ve had a problem with the Biopsychosocial (BPS) model for a while, and I didn’t quite know what it was. For those unfamiliar with this model, in a nutshell, the idea is that we look at each patient not simply as a biological problem- a hurty leg, for example- but rather in the context of their psychological and social situation as well. We know that there has been a fairly traditional issue in that a lot of therapists tend to focus on the bio much more than the other sides of the coin- as it were. For the visual people … Continue reading

What’s all this about Thorsday?

It’s been about 10 weeks now where we have been putting videos up on Thursdays with the title of “Thorsday”. These videos are pretty short – generally less than 2 mins- and feature Tim demonstrating a movement or an exercise that people can do at home, around the house or garden. They don’t look particularly challenging, the production standard is not high, what exactly is he doing? My initial thought for “Thorsday” was essentially that although we all KNOW we should be doing some kind of strength training each week, it can get lost in the barrage of “other stuff” … Continue reading

3×10 is not necessarily wrong…

The amount of blog inches that have been written about this in recent times is fairly astounding. There are any amount of opinions about sets and reps and why certain things are prescribed. The sound of a physio giving someone a couple of exercises and saying, “off you go, and make sure you do 3 lots of 10 repetitions each day” has pretty much passed into medicalised jargon. It is such a common prescription that even patients are now saying- oh, should I do 3 lots of 10 of these then? There has been some push back on this, mainly … Continue reading

Stop telling people to stop running

How many times have you, as a runner, been told that you have an injury and can’t run- so maybe you should go and do some swimming instead. Or yoga? How many times have you as a Therapist told a runner to do this? As a tip to the Therapists. Please don’t. It is one of the most frustrating things to hear as a runner and pretty much the worst thing you can do (in their eyes) as a Therapist. Just because someone runs as a hobby, it does not mean that they can swim – or that they enjoy … Continue reading