Donal discusses whether osteopaths, physiotherapists and chiropractors are becoming middle men between databases of pre-prepared exercise plans and their patients.
Nowadays manual therapists are being constantly bombarded by new guidelines from National Institute of Cinical Excellence (NICE), governing bodies and new research that always seems to be telling us exactly how to treat and manage our patients.
The product of their research seems to restrict or dictate to therapists, telling them what their patients need. On the face of it you might assume that this is a good thing however I think the pendulum has swung too far in the direction of evidence based practise and that it is damaging to the reputation of therapists and the health of the patient they treat. The result of new guidelines and protocols is that the 3 or 4 years of training that a physiotherapist or an osteopath go through to develop diagnostic skills, learn how to deliver hands on treatment and devise patient tailored management plans are, in my opinion, being undermined.