Intended for healthcare professionals

Editor's Choice

Premature deaths should be the priority for prevention

BMJ 2010; 341 doi: https://doi.org/10.1136/bmj.c3946 (Published 22 July 2010) Cite this as: BMJ 2010;341:c3946

Less is more

I can't compete with the experience and knowledge of Dr Hegde, but
from my
own narrow perspective as a physiotherapist, I can support his view point.

I have furrowed my plow lanes for 30 years and it is my experience
that much
that passes for physiotherapy these days is non-evidenced based 'therapy-
led'
centred care.

Most of the time it works well, but not necessarily for the reasons
that the
therapist
thinks it does. Often simple advice and reassurance can be life changing,
especially coming from extrovert clinicians who enjoy the luxury of a
little more
patient contact time than the typical GP or hospital specialist. The fancy
clinical
add-ons may be less important, although often both therapist and the
patient
fail to see this.

That said, over treatment in my humble opinion often reflects peer
pressure,
rather than the widely held view of Internet-savvy patient pressure.

Competing interests:
None declared

Competing interests: No competing interests

24 July 2010
Richard Bartley
Physiotherapist
Wales