One thing that I’ve seen a few times throughout my placements is poor practice. This can be a very serious thing sometimes, as obviously it can really affect the outcome for the patient. I remember the first experience I had with this was in third year, I had a musculoskeletal outpatients placement and I was watching one of the physios treat a patient with LBP. The ladies problem was so obviously a postural control disorder/ motor control disorder, yet the physio just gave the patient some random upper limb theraband exercises to do at home. It was pretty obvious that she didn’t really know what she was doing, and that she didn’t really care all that much either.
I found it kind of hard to deal with this. After a lot of thinking I realised that it’s the kind of thing that you cant stop as an individual. The only real thing that you can do is just make sure that you yourself are always striving after best practice and trying to make a big difference with the outcome of patients. What other physios do is not something that you can change. If physios want to be slack, and cant be bothered researching a treatment or doing some problem solving, then there’s nothing that can really be done about it (unless you happen to be one of the supervising physio’s- then you can crack the whip pretty hard).
In my experience outside of clinic, I have an injury that I have seen many physios for, with little improvement in my condition. I tried another new physio the other week, and already I have started to improve. After explaining my previous treatments to this physio, he explained to me that poor physiotherapy management is a very very common thing, especially in private practice. He also said that he was nearly fired from his last job for trying to manage patients correctly.
So my experiences have taught me that I should be wary of relying on other physiotherapists, and that I should always strive for best practice for every patient.
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