My name is Charlotte James. I graduated as a Physiotherapist in 2014. Since then I have experienced the realms of the NHS, sport, rehabilitation and have also dabbled in a little private work.
Up until the end of 2018 I had a job, in Musculoskeletal rehabilitation, I completely adored. I learnt so much in my three years there and, to be completely honest, it changed my whole outlook on what makes a good physiotherapist.
I found myself moving on from doing what the patient “wants” you to do, to figuring out what the patient actually “needs”. This meant a lot of the skills I learnt at university (manual therapy, massage, etc) started to become less of a normal practice for me, instead swapping for more education, exercise therapy and teaching self management. And, even with out all the tricks of the trade, I was still getting excellent results from patients. However, this is tricky, because it is widely accepted by patients (and unfortunately some physios) that manual therapy and manipulations HAVE to be done in order to satisfy the patient and treat them.
Don’t get me wrong, all of those adjuncts are still important, and I definitely do still use them; especially in the rugby setting, where you do what you can to get a player back on the field, to play or train.
Even still – I left the job that I had grown to love. I had a manager (let’s call him Big D), who, even though could see I had great outcomes and feedback, belittled my practice; telling me I was less of a physiotherapist for not doing all the fancy, hands-on therapy, ALL OF THE TIME, WITH EVERY PATIENT. It forced me to wonder whether I should be in the profession at all. So I left with a heavy heart – in search of a new venture. Which is where I stumbled into private work.
This was short lived, for two reasons. One; because I was expecting twins (I’m sure you’ll read more about this in future posts) and two; I once again found myself having to perform treatments that didn’t fit with my idea of what kind of physio I wanted to be. It was a great company but at the end of the day it boils down to this:
Private work is a business. This may seem obvious but think about it. They have to keep people coming back – otherwise they make no money. This has led to many, many different fads that you HAVE to have 6 or more sessions of, booked in advance. This isn’t just isolated to physiotherapy of course and its not always in the best interest of the patient.
So I started searching online. For any platforms that educate patients SOLELY for their benefit and really I came up short. Pretty much every patient focused blog is attached to a clinic or business.
So here we are, I am starting this website to educate and inform and we will see where it takes us.