In this insightful episode of The Modern Pain Podcast, host Mark Kargela sits down with David Nicholls to discuss the evolving landscape of physical therapy and healthcare. They delve into the challenges facing the industry, such as economic pressures, digital disruptions, and dated cultural narratives that still influence patient perception. The conversation also explores progressive shifts towards individualized, biopsychosocial models of care and the implications for the future of physiotherapy. The episode serves as a clarion call for healthcare providers to adapt and grow in the face of changing paradigms.
***CHAPTER MARKERS****
00:00 Introduction
01:12 Shifting Trends in Physical Therapy
07:05 Exploring the Evolution of Physical Therapy
14:25 Challenges With the Biopsychosocial Model
26:01 Exploring the Essence of Physical Therapy
34:02 Professionalism Challenges and Changes in Healthcare
42:35 Post-Professionalism in Healthcare
Problem Areas Discussed:
• Challenges to Professionalism: Discusses the waning perception of healthcare professions as morally good and expertise-driven.
• Economic Drift: The evolution from traditional economic models towards neoliberalism and late capitalism, with a focus on healthcare as a new avenue for "unlimited" growth.
• Digital Disruption: The existential threat and opportunities presented by the digital age for traditional physiotherapy.
• Cultural Narratives: The influence of socially and culturally created narratives in healthcare, specifically from the chiropractic profession.
• Traditional vs. New Models: The rigidity of conventional healthcare frameworks and their slow adaption to modern needs.
Solutions and Opportunities:
• Post-Professional Change: How the decline in the "goodness" and "expertise" of health professionals can open doors to new ways of delivering care.
• Expanding the Marketplace: The opportunity for physiotherapy to expand into a more consumer-driven model.
• Adapting to Digital Trends: The need for physiotherapists to adopt digital platforms to meet consumer demands and stay relevant.
• Biopsychosocial Approach: The shift towards more comprehensive, human-centered models of care, citing the example of the osteopathy profession's recent debate.
• Individualized Physical Therapy: The freedom to explore unique forms of physical therapy that might be more beneficial to patients than traditional models.
***HELPFUL LINKS*****
Critical Physiotherapy Network - https://criticalphysio.net/
Physiotherapy Otherwise - Free Ebook - https://ojs.aut.ac.nz/tuwhera-open-monographs/catalog/book/8
Manipulating Practices - OPEN ACCESS - https://press.nordicopenaccess.no/index.php/noasp/catalog/book/29
Manipulating Knowledge - https://www.routledge.com/Mobilizing-Knowledge-in-Physiotherapy-Critical-Reflections-on-Foundations/Nicholls-Groven-Kinsella-Anjum/p/book/9780367564643
Paradoxa- https://paradoxa.substack.com
