![]() Over the last 10-20 years, we have learned so much more about physiotherapy and an active vs. hands-off” is that because of the loud voices of a few, I think we have truly lost what we are really trying to discuss or “argue” about. The problem with this current debate on “hands-on vs. If you do 20-30 mins of exercise and 5-10 mins of MT in a session and explain it correctly, you’re likely going to get plenty of good outcomes and happy patients. ![]() Saying ALL MT sucks and creates harm/dependence is an over-exaggeration of the literature. I am one of the more critical therapists I know when it comes to manual therapy (MT) but these people vilifying MT as a treatment are viewing MT just like all other modalities and that’s just not the case. I’ve never personally met a physiotherapist who only does exercise or spends their entire session doing manual therapy alone and skips over the education on the benefits of physical activity or the complexity of pain. Maybe I’m wrong and just have spent the majority of my time working with good clinicians. Just as is the case with a bell-curve, I would highly doubt that more than 5% of all physiotherapists are at the extremes. In my experience, there are very few therapists who are all or none. In physiotherapy the extremes represent solely passive (hands-on or really any other modality based treatment) or a solely active treatment approach. As is the case with the majority of all debates in the world, the extremists of the world are are loudest. ![]() Over the last month or so, I have read and been engaged in several conversations both in person and on twitter regarding the hands-on vs. ![]()
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