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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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The Confidence Trap: How Proving Your Knowledge Sabotages Patient Outcomes

Picture this: A newly graduated physiotherapist faces their third patient of the day—a 45-year-old tradesman with shoulder pain. Armed with fresh anatomical knowledge and a burning desire to prove their expertise, they launch into a detailed explanation of subacromial...

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SMART Goals Are Sabotaging Your Patients (Here’s What Actually Works)

Picture this: Sarah, a 52-year-old office manager with osteoarthritis, sits across from you nodding enthusiastically. You’ve just set the perfect SMART goal together—walk 30 minutes daily for 8 weeks to improve joint mobility. It’s Specific, Measurable, Achievable, Relevant, and...

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Your Patients’ Beliefs Matter More Than Their Pain Levels—Here’s Why

Here’s a revelation that might change how you approach your next consultation: what your patients believe about their pain matters as much as what they feel. In fact, according to groundbreaking research by J.P. Caneiro, Samantha Bunzli, and Peter...

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When Your Client Says No: Four Hidden Traps That Sabotage Every Conversation

Picture this: You’ve just finished explaining a perfectly sound treatment plan. Your client nods politely, thanks you, and leaves. Two weeks later, they return having done nothing. Sound familiar? Or perhaps you’ve faced the client who outright challenges your...

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Four Questions That Transform Patient Resistance Into Commitment

In my previous piece on patient adherence, we explored Michael Pantalon’s six-question framework for helping patients persuade themselves to change. Today, I want to dive deeper into four specific questions from William Miller and Stephen Rollnick’s motivational interviewing work...

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Stop Trying to Convince Your Patients—Help Them Convince Themselves Instead

Picture this: Sarah, a 28-year-old with cystic fibrosis, sits across from you looking frustrated. Despite your detailed explanations about the importance of her airway clearance routine, she’s been skipping sessions. Again. Or consider David, recovering from knee surgery, who...

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