Are we becoming part of the problem? - TrustMe - Ed

Are we becoming part of the problem?

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  • A
    Alejandro Jiménez
    Posted 3 months ago

    I saw a recent Lancet paper mentioning that the number of people needing rehab has increased from 1990 to 2019 by 63% with MSK conditions being the most prevalent.

    Are we contributing to this increase?

    Have we created patient's dependence for rehabilitation because of the high numbers of passive modalities?

  • D
    Daniel Sturm
    Posted 3 months ago

    I guess depending on your healthcare profession and training we all have different ideas what "the problem" is.

    No offense in generalising other professions but for passive treatment:
    a manual therapist might say your kneepain is a result of some immobile tarsal bones,
    a chiro maybe would find some problems with L2-L4,
    a massage therapist might suggest your Quad is to tight,
    a rolfer would work on some fascia and say we'll come to that on Session 2 and 4 ;-)

    and in a way they might be all right and help the patient.

    I think the question is how "the problem" is communicated to the patient and how he interpretes it and the results of the intervention.

    If it is commuicated and viewed as something that needs to be fixed by someone then... yes, we created patient's dependence...

    I like working manually sometimes but no paitent leaves without things they can do for themselfs.

  • Nils Oudhuis
    Nils Oudhuis
    Posted 2 months ago

    Alejandro, wasn't this talked about by Jan Hartvigsen in his lecture series on the Lancet papers?
    https://www.trustme-ed.com/lectures/low-back-pain-what-it-is-and-why-we-should-pay-attention

    Or where did you find that?

    And indeed it's important to not create dependency in our patients but more empowerment. 

    Hands-on is not a bad thing, it can create a better bond with your patients, but it's also a possible way to create dependency on the massage.
    Perhaps best to balance this?

    Indeed Daniel, it's all about how we communicate the "problem" to the patient. Do you have some tips on how to do this? How do you explain pain to patients?

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