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Dr Les Bailey phd,Do, Acopm,Apta, gives a view of what constitutes an effective treatment.
Dr Les Bailey gives his view of what makes a good osteopathic / physical therapy treatment. With over 30 years in practice, Dr Les Bailey phd, DO, Acopm, Apta ( int part ), asks what patients really want / need from their treatment? Dr Les Bailey
By: Dr Les Bailey, orthotics,woodmansterne/Banstead
Note, this a VIEW of one practitioner, and other osteopaths / chiropractors / physical therapists etc will hold their OWN views.
The question I always used to pose to the students at the Northern college of osteopaths, when I was teaching, was simple... "why have our patients come to us"?
The answer was equally simple.
"To either get out of pain or to prevent pain" !!!
All too often I get patients who say they have been elsewhere ( as all of us inevitably do ), been strapped to an interferential machine whilst the osteopath or chiropractor disappears to treat another patient, gets one or two manipulations, gets charged £45 and sent on their way.
Likewise, I had a patient who was going to a physiotherapy clinic and being charged £90 to be shown a couple of exercises, which were mediocre at best.
There is even one clinic nearby where the patients queue up at the couch fully clothed and the practitioner cracks their backs one after the other!!!!
I am not suggesting the above approaches are wrong, but in my view, these approaches are not going to get the job done effectively or quickly, as Mr or Mrs Patient want.
When I treat a patient, I personally allow ample time to assess the pain source, look at posture, spinal anomalies ( or other injury sites ), causative factors, and get an overview of the patient as a person.
I look at their job, sports, movement needs, and what I have to do to get them back to doing what they need to do, be this work, hobby, or day to day movement patterns.
We need to look at so much more than just a quick manipulation to achieve short term relief.
I personally see my job as, firstly, getting the patient out of the immediate pain they are in as quickly as possible, followed by reversing the causative factors.
I use manipulation, deep tissue massage, ultrasound, lasertherapy etc, spending time with my patient, putting in hard work and pulling out all the stops to get my result as effectively as possible.
Deep tissue massage is hard work, and, because of this, is used rarely in the physical therapies, and this is a sad state of affairs. Used in conjunction with manipulation, it gets results far faster than manipulation alone, and all the interferential machines in the world are no substitute for effective deep tissue massage to remove spasm and assist inflammation to disperse.
I was shocked to learn it is not even being taught at osteopathic colleges anymore!!!! This is a terrible loss to legions of future osteopaths who no longer learn to use what is a very useful adjunct to manipulation.
I personally feel that treatments are getting shorter and shorter, and patients are not getting the most that a practitioner could offer.
I must repeat this is my view only, but one must surely ask the question...."
Dr Les Bailey phd,DO, Acopm, Apta (int part)
Dr Les Bailey 2012