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Why Your Knee OA Patients Aren’t Following Through — And How Better Communication Can Change Everything

I’m sure you would be familiar with this scenario. A 52-year-old with knee osteoarthritis nods along as you explain their exercise programme. They seem engaged, ask good questions, and leave with what appears to be a solid understanding of...

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The Art of Statement-Style Questions: How Inflection and Tone Transform Clinical Conversations

Picture this: You’re explaining home exercises to a patient for the third time, and they nod along with that familiar glazed expression. Or perhaps you’re discussing performance expectations with a staff member who’s becoming increasingly defensive with each question...

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The One Skill That Separates Good Clinicians from Great Ones

It’s Tuesday afternoon, and you’ve just finished a consultation that left you mentally drained. Your patient nodded through everything you said, agreed to the exercise programme, and even seemed engaged when you explained the importance of consistency. But something...

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When Your Patient Just Lied to You (Without Knowing It)

Your patient just lied to you. Not intentionally—they genuinely believe what they’re telling you is true. But their body language, tone, and energy are telling a completely different story. The question is: are you equipped to hear it? As...

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The Communication Gorilla: Why Great Clinicians Miss What’s Right in Front of Them

Sarah walks into your clinic with chronic lower back pain. Forty minutes later, she leaves with a clear understanding of her condition, a personalised exercise plan, and what seems like genuine enthusiasm for getting better. You feel good about...

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The Compound Effect of Curiosity

You know the feeling. Another patient cancellation. Another “I forgot to do my exercises” conversation. Another moment where you bite your tongue instead of saying what you’re really thinking. Here you are, expert in your field, armed with evidence-based...

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The Psychology Behind Patient Resistance: What No One Tells You

Here’s what decades of psychological research tells us about human behaviour: the moment someone feels their autonomy is threatened, their brain activates the same neural pathways associated with physical pain. It’s called psychological reactance, and it explains why that...

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Confessions of a Reformed Fixer: Why I Stopped Solving My Patients’ Problems

After 30 years in physiotherapy, I have a confession: I was trained to be a problem-solver, but chronic conditions taught me I was often the problem. Here’s what the research won’t tell you in your continuing education courses: healthcare...

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