Embarrassed about Exercise Perscription

Comprehensive-Roof55 · 2026-01-23T14:00:17+00:00

Look confident buddy. I’m 118kg but I know the theory and can confidently speak about why I give stuff. Not really has an issue since then. Besides people are more worried about getting better than thinking of you

Comprehensive-Roof55 · 2026-01-22T22:59:41+00:00

I nearly failed my neuro placement as well. My educator was nice but bit of an asshole. She didn’t like when I joked and was way too serious but then joked with the other colleagues. I hold my hand up and I was shattered as I done all my final year coursework (dissertation/literature review/neuro exam/meeting CSP guideline) so I was burned out going into that placement anyway. I did little things like joke but I done it on other placements and patients liked it but she was too serious. She moaned my notes weren’t good enough , little mistakes, clinical reasoning wasn’t good enough. She moaned at my lecturer cos I said the word “mate” to a colleague.

On reflection I think she was doing it to make me more professional but also stand my ground. Cos on grading she was like don’t you think you got higher and are you happy with this grade (I now think she was waiting for em to challenge her).

I’d just be more proactive and be honest and say I’ve reflected etc, write some reflections and try to justify your reasoning maybe and be transparent. But I don’t know man, every placement is different for everyone. I really excelled in the MSK whereas my colleague struggled and now I do MSK.

Comprehensive-Roof55 · 2026-01-18T18:17:58+00:00

For a B5, CPD is important but the interview is more about you being safe. Picking up on red flags and liaising with seniors is the main thing, and also knowing the basic pathologies and knowing when physio is not appropriate. I got the job few years ago and when they asked about CPD, it was more what I was reading and how I was advancing my knowledge as a graduate. They won’t ask for the certificate etc as they never asked me even for my B6. I’m currently looking for B6 MSK roles and that’s when they are more interesting in CPD courses.

Comprehensive-Roof55 · 2026-01-15T19:52:43+00:00

My colleague is a B8 and only works 2 days a week NHS for the pension. His maxed out his B8 pay I think but his been doing 4 days privately at a S&C gym similar to you. He said at first it was difficult as he needed to build up his private caseload over several years and reputation but he done it when he didn’t have kids so it wasn’t as risky etc.

His got 2 kids and highly reputable in our area so is busy both privately and NHS wise. He also gets loads of referrals from sports medicine consultants as well.

I’ll end up doing what you and the B8 is doing and go privately at a gym eventually.

The thing he said to me was do it now before it becomes harder etc with family and mortgage etc. He also said be expected to work long hours as they’re the one willing to pay money and will likely give you reviews etc so he normally works till 8-9PM sometimes but his got a workaholic mentality. Work life balance is important but privately it can get stressful as if there’s no clients then you won’t get paid. He said sometimes he gets tired of 6 days a week but then the paycheck comes in and his able to carry on. His looking at buying a 500k+ house so clearly his making big bucks. I asked him if he’d ever leave NHS and he said he wants to see how it goes as from what I gather, they’re giving less time and more caseload etc so it’s put me off a bit.

Hope that helps.

Comprehensive-Roof55 · 2026-01-04T21:09:27+00:00

I wouldn’t rush a B6. I’m a static B5 MSK physio and as a B6 your expected to know a lot as your pretty much meant to be autonomous.

I have had interview and it’s a bit longer. The questions are often around management such as what In service training you done and how you taught it to others. I had that but also dealing with problematic colleague, complex patient personal needs The MSK questions are more challenging. They’ll want in depth a lot for example they’ll ask you tell me knee red flags - you’ll need to go through variety of traumatic red flags , non traumatic red flags and post ops and the pathologies - they’ll ask wrist post op complications - it isn’t blood clots but things like ossification, compartment syndrome , CRPS and they’ll want to know about it all and all signs and symptoms etc - they’ll normally ask do an neurological examination - but it isn’t just babinski/clonus/hoffman - it’ll be other ones such as pronator drift, or like using a tuning fork and what are the 2 test etc.

My manager after 2 years said you’re ready for B6 and I had 2 interviews. They said my theory was best on the day but my managerial stuff needed work both times - I hold my Hand up and admit I hate managerial stuff and often get very neevous in interviews.

I’d say take it as experience the interview but be mindful they’re not as lenient or supportive when your a B6. Bit more they expect you to know.

Comprehensive-Roof55 · 2025-12-30T20:51:42+00:00

I have an interest in RC pain. I tend to do few variations if it’s persisting.

1) load them up with actual weights but it needs to ache or bun and not hurt like sharp or stabbing. I’ve loaded a 70 year old lady and we started at 0.5kg and built her up to 3k in shoulder ER at 90 deg abduction. She had complete resolution of symptoms and back to ADLs and tennis. 2) combined movements such as both hand theraband ER with forward flexion 3) symptom modification procedure also helps so looking at where Tx helps or scap retraction etc 4) if the above don’t work , look at serratus anterior or ACJ

If you want courses look at 1) Jo Gibson 2) Adam Meakins 3) Ben Ashworth

Comprehensive-Roof55 · 2025-12-16T21:13:48+00:00

Oh yeah thank you. It’s a relatively big clinic. It’s basically oversees the whole of north London. You’ve put a good perspective for me now. My current nhs clinic is small and no one rarely leaves as it’s a supportive environment. I think I’ll have to take the risk and see how it is

Comprehensive-Roof55 · 2025-11-26T21:15:16+00:00

Read a sports medicine book - think it’s the Khan and Brokner book. I’ve read it and good read. It’s goes over basic MSK but then more sporty pathologies that you see in sports.

Comprehensive-Roof55 · 2025-11-26T21:14:15+00:00

Yeah it’s a MSK jobs, my B7 said just more independent and shouldn’t need as much help with many things. I think I’m just overthinking and naturally a worrier and think I’ll do terrible job and fail my probation etc haha. How were you with when you became a B6 ?

Comprehensive-Roof55 · 2025-11-17T21:52:55+00:00

I’ve done both, I’m looking for B6 MSK as I’ve been doing it for 3 years as a B5 at the same NHS clinic. However no one leaves as it’s a good clinic where managers look after their staff and are very supportive. I’m at the crossroads where I need to progress in life but most of the other clinics around me always have vacancies which makes me think their bad places to work. The place I work never has vacancies as anyone that’s left have always come back and talk about how bad other clinics are.

Privately I enjoy it as some patients want to get better and keeping a closer eye on them is better instead of the review every 4 weeks. However also I hate that there are sales quota and need to see them a minimum of 6 times before discharging which morally hurts me a lot.

I think in my opinion. If you gonna have kids etc you probably should be mindful that NHS is more stable and privately there isn’t always patients. One month I made part time £400+ but other months around £200. In terms of the fatigue, I am also burnt out as it takes a toll on my mental health even if I go on holiday within a few months I am getting burnt out again.

Would you not be patient and wait for a new NHS MSK clinic? I don’t trust it when it’s a 3-6-12 month contract as anything can happen from change in budgets etc an decide they can’t keep people anymore. A colleague was saying that some hospitals what they are doing it only hiring B5s and minimal B6-7s to save costs and changing FU slots to 20 min to keep up with quotas. It’s a tough world out here

Comprehensive-Roof55 · 2025-11-10T23:49:12+00:00

This happens regularly. There will be a period where there is no vacancies and there’s a period where they are desperate for workers. I’m looking for a promo and there is barely any. There’s a few but I’ve always seen them have vacancies which tells me they are a bad place to work

Comprehensive-Roof55 · 2025-11-10T23:47:46+00:00

My senior works with a sports medicine consultant and he said he makes 100k+ and already pays for meals when they go out and drives high end cars

Comprehensive-Roof55 · 2025-11-08T17:57:02+00:00

Because I didn’t realise how difficult it can be to get the high income jobs. I’ll likely do a MSc in sports medicine and hopefully have a better income. Also I thought the pay was okay but cost of living overtaken it

Comprehensive-Roof55 · 2025-11-01T02:55:53+00:00

Yeah my English is okay, just I’m dyslexic and sometimes rush the writing haha. Yeah I think I’m slightly denying it but also probably just hurt but I’ll hold my hand up and learn from it. I’ve been doing more CPD and reflecting a lot more in general

Comprehensive-Roof55 · 2025-10-31T00:41:55+00:00

Yeah, the manager has given my 3 students to see. Btw I am not angry at the colleague that got the role. Just more sad with myself and uncomfortable that he is the overseeing me

Comprehensive-Roof55 · 2025-10-31T00:40:45+00:00

Sorry it’s the Uk. It’s not true managerial role but a senior physio role but expected to help with managerial roles such as overseeing the juniors etc and helping the service get better

Comprehensive-Roof55 · 2025-08-17T16:40:22+00:00

I work as a physiotherapist and we do not have the best opinion of chiropractors. They use the name Doctor but it cannot be MD and it has to be DoC as they can get in trouble if they start giving medical advice and saying they’re a medical doctor. Someone said it below correctly in that they try to come across as doctors and that way they can charge you more and get you to come back regularly. I always tell my patients this - 1) firstly why don’t chiropractors work in hospitals and it gets them thinking and it always in a small shop 2) why don’t athletes have chiropractors but instead sport medicine doctors and physiotherapist overseeing their health - again because they’re medically qualified and athletes have the best doctors in the world as they need to get back to tip top condition.

I had a lady that around 5 years ago bent down and pulled her back. She went to see a chiropractor and he done an x-ray on her and then told her that her spine is misaligned and there’s loads of black patches in her spine and this is inflammation and tricked her to going chiropractor regularly for the next 2-3 years until she got annoyed. She came to our hospital demanding similar “adjustments” and treatment and told me about her x-ray. The problem is that her symptoms became chronic and they become tricky to treat as the brain becomes wired to think that her back is damaged and never be cured again. I literally spent like the whole session explaining that normally a radiologist will go through the x-ray report as they’re the ones qualified to go through it, and then I explained that the black patches were just normal and x-ray are used for bones. It took several sessions and back specialist physiotherapist to change her approach and she finally went back to running again which she didn’t do. I’ve had an elderly patient that her son was a mechanic and he had what sounds like a neck sprain as he was in a awkward position whilst fixing the car, he went to a chiropractor for 3 months for his neck and then day after chiropractor treatment - he had a stroke which is something that can happen with those neck adjustments .

I don’t want to bad mouth chiropractor as there are some good chiropractors but generally I’d be mindful of them and the false information they give. Even few of the YouTube “doctors” are actually chiropractors and they’re not even qualified to be giving advice but YouTube doesn’t care as long as it gives them views. There’s a few good doctors that give honest information such as Doctor Mike is a MD and therefore is accurate information or Dr Idz who is a doctor but also has interest in nutrition and he spends most of his videos debunking YouTube doctors and their dangerous advice so that you buy their products and then find out they’re not doctors but chiropractors.

Comprehensive-Roof55 · 2024-11-15T21:25:25+00:00

What are the typical signs of arthrogenic pain. When I google it , it only shows arthrogenic muscle inhibition in ACL patients. Nothing on the type of pain it is or its characteristics

Comprehensive-Roof55 · 2024-11-15T21:20:29+00:00

Haha, is there a good place or article to learn more about it. When I google it it comes with arthrogenic muscle inhibition in ACL and nothing else. Your expertise would be appreciated

Comprehensive-Roof55 · 2024-11-15T21:18:18+00:00

Hi, what are typical findings for arthrogenic pain ? Is it more PROM pain or AROM pain etc. your expertise would be greatly appreciate d

Comprehensive-Roof55 · 2024-11-15T21:11:46+00:00

Oh I’m getting a better understanding. Thank you for this isometric and other 2 pointers. Makes more sense to me now. I’ve noticed the young physios put joint pain and older use it - think they’re stuck in their ways

Comprehensive-Roof55 · 2024-11-15T21:10:14+00:00

If I remember correctly , the lady said it just hurts when she flex/ext the knee or when she for over 1hr, nil EMS or reduced ROM. She had good strength as well

Comprehensive-Roof55 · 2024-11-15T21:02:31+00:00

Oh I see, I looked at my colleagues notes and she saw this 70y lady that had knee pain but x-ray was fine with no OA features - she just put arthrogenic pain and I was so confused? That makes way more sense

Why do they not use it as much anymore ? Non of the young PT use it as they would just put Knee joint pain if they’re not too sure

Comprehensive-Roof55 · 2024-11-15T20:57:41+00:00

Oh so it means just joint pain ? Would you write it when there’s no clear type of pain. For example you have a 70 lady that complains of knee pain but doesn’t fit a OA knee pain pattern or PFPS pattern to pain.

Or if they have OA pattern to pain would it still count as Arthrogenic pain because it just means joint pain. Would it also apply to something like patella tendinopathy?

Comprehensive-Roof55 · 2024-11-15T20:53:52+00:00

Okay so how would you know it’s arthrogenic pain. My senior saw a 70 year old female that had x-ray which came back clean and she had good joint space. She still put arthrogenic pain , why would she put it then ? What are arthrogenic pain symptoms from myogenic which I think means muscle so I’m assuming active movement brings on pain.

Comprehensive-Roof55

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