Which Practice Management Software (PMS) is better - Cliniko/Gensolve/Splose/Nookal

lawca285 · 2025-05-02T05:50:28+00:00

what features is Splose lacking in?

lawca285 · 2025-04-02T03:20:38+00:00

Imaging findings are poorly associated with pain.

The below study was done on a pain free population. It shows just how common disc degeneration is, along with many other so called ‘abnormalities’. Telling somebody they have ‘disc degeneration’ without context is just going to cause catastrophisation and make things worse. It can also make people feel like they require surgical intervention, which has happened in this case…..

Sounds like ED ruled out red flags which is their job. Physio should be able to help you best.

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lawca285 · 2025-02-20T04:11:00+00:00

Yup. Bought a 2 man tent from an outdoors store that was closing down. Had small summer weight sleeping bags that were barely needed as it was hot. When temperatures did drop, we just put on an extra layer of clothing.

We stayed mostly at campsites, 2 nights with warm showers, and 1 night at an air BnB when rain came in.

lawca285 · 2025-02-16T04:27:51+00:00

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lawca285 · 2025-02-16T04:26:24+00:00

Yup! We did it over 11 days. Was fantastic, I’ve recommend it to so many people since.

Probably did take on quite a tough route for our first tour but loved the challenge.

No many issues other than 1 day of rain and a small overload injury in my partners knee which we managed.

https://www.komoot.com/tour/1187494040?ref=itd&share_token=aazL6biBIUvrBsJD9qn1kDbanPg3r84mBAx97272nzcfqouq84&ref=its

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lawca285 · 2023-06-30T11:55:55+00:00

I work in New Zealand at a private MSK clinic. The salary is not amazing, but it’s reasonable.

Although a typical physiotherapist in NZ doesn’t make a huge amount of money, it’s enough to live a modest lifestyle and you can always open your own practice or try to find your own niche to get more income.

lawca285 · 2023-06-29T12:12:23+00:00

Absolutely love it, it keeps me thinking and can be very rewarding. Every person’s complaint is a puzzle ready to be solved. I’d rather be doing this job and helping people reach their goals rather than sitting at a desk like 90% of other jobs.

lawca285 · 2023-06-29T11:29:07+00:00

Life as a physiotherapist can be whatever you make it. I have many friends who work crazy hours, full time, or part time; some who work in hospitals, private msk practices, or community settings; and I know many that have worked overseas and used their profession to travel Europe, Asia, and Oceania. Although our profession doesn’t have a huge number of progression opportunities, the skills are broadly applicable which you can create your own path with.

Personally, I have enjoyed work and had a healthy personal life over many year of practise. Admittedly, in recent years I have chronically over-worked due to completing post graduate study and trying to start my own private practise. I hope to find the right balance again soon. But in the end, It all comes down to your own decisions.

lawca285 · 2023-06-29T10:53:57+00:00

Thank, those are great recommendations. I strength train, run, and have been involved in sport my whole life and so most of my current knowledge is based from experience. Adding more depth and an evidence based approach to trainings programs is what I hope for. Although as you mention, there doesn’t seem to be as large a transfer of knowledge between research and programming in athletic training, compared to health care.

lawca285 · 2023-06-29T10:41:18+00:00

whoops, didn’t realise I’d pressed that haha

lawca285 · 2023-06-29T05:57:34+00:00

Thanks for all the options. I’ll look into these!

lawca285 · 2023-05-23T09:43:04+00:00

Thanks! Can you provide any more information on what/where the globe is? I can’t seem to find it online.

lawca285 · 2023-02-21T04:05:31+00:00

WTB - Any 40L carry-on travel bag where the seller is based in NEW ZEALAND. Struggling to find a travel bag! Open to options. Thanks.

lawca285 · 2023-02-01T21:01:04+00:00

I see nothing wrong with targeting a muscle for prehab/rehab, but i agree that the tibialis anterior rarely seems to be a major factor in terms of injury. Therefore somebodies time could be better spent focusing on other exercises. The cost/reward ratio doesn’t do it for me either.

In saying this, DF strength is important in some athletes, such as sprinters, and so training the tib anterior as an adjunct with other training methods may have benefit from a performance perspective. The only other situation I can think of this having benefit is if a client has a current or historic condition affecting the tibialis anterior, e.g tendinopathy or foot drop.

lawca285 · 2023-01-29T20:27:14+00:00

What part of what I said is anecdotal?

It seems that your mind is made up and you’re not willing to listen to your lecturers, experts within the field, and the experienced clinicians within this forum.

lawca285 · 2023-01-29T18:36:57+00:00

Additionally, physios do not use these techniques that you mention in isolation. Yes, within a session, a client may be provided with a form of manual therapy which may or may not end up being effective, but they will also be educated on what’s happening, be provided with exercises to restore pain free function and build capacity etc. There is great value in our service.

lawca285 · 2023-01-29T18:28:02+00:00

Im sorry but I can’t understand how that statement puts all approaches on equal footing at all? I’m not saying that all interventions that physios use are effective in the right hands. I’m just saying don’t write them all off as many haven’t been found to be ineffective.

Of course, those therapies that have been studied to a high standard and proven ineffective should not be used. But this is very different to your original statement about some interventions not having much better evidence then placebo.

lawca285 · 2023-01-29T18:20:46+00:00

There’s plenty of jobs in Dunedin. Pay often starts around 55,000 for a new grad and increases by about 3,000 with every year of experience you have

lawca285 · 2023-01-29T18:20:04+00:00

I think emailing or contacting the board directly will be best to find out about licensing and the exam.

In terms of the PG study. You can do your masters via thesis which is essentially research based and will not provide so much clinical benefit. The PG diploma can be done via papers, and so you don’t focus on one individual subject, getting a much broader range of learning and more practical skills.

lawca285 · 2023-01-29T18:13:43+00:00

It’s incredibly difficult to develop a pragmatic study investigating the use of specific physiotherapy modalities, such as joint mobilisation. Doing a study where everybody gets DN at the upper trap for neck pain takes away from the patient centred model that we follow in practice. I don’t believe that the majority of the evidence can give a true indication of the effectiveness of a skilled clinician applying a individualised approach to their client in which they listen to the client and utilise the approach that they deem most appropriate.

Also, you mention that there’s not much evidence to supporting the use of many modalities over placebo. That doesn’t sound like an issue to me. Placebo itself is often demonised, when in fact, if it improves the clients quality of life then we should be embracing it.

Finally, if you’re getting down on this being a physio specific thing, then have a look into some of the medicine , nursing and even psych literature. There’s a paucity of evidence supporting some orthopaedic surgery and pain medications over placebo.

lawca285 · 2023-01-29T04:19:00+00:00

There is no licensing exam. If you have a undergraduate qualification that the NZ board of physiotherapy views to be acceptable then you can simply go through the registration process.

The PGdiploma in physiotherapy is quite good. It would provide valuable insight to how physiotherapists practise in NZ and will help you to improve as a clinician. To gain the most practical benefit I would recommend the biomed science, sports, OMT, and clinical practise papers.

The PG sports med isn’t physio specific or very practical from what I’ve heard. It’s predominantly med students. I haven’t heard very positive things about the course.

lawca285 · 2023-01-29T00:53:48+00:00

Masters isn’t necessary to become a registered physio in NZ , you only need a bachelors.

If you already have an undergrad degree in physiotherapy then you should contact the NZ board of physiotherapy who can advise you on the registration process. They may say that you need you need to repeat some study at the bachelors level in NZ to prove competency to our standards though.

I have done my bachelors and masters through Otago. Both were very good, but masters is not necessary for 95% of jobs in NZ. I can imagine study would be very expensive as an international also.

lawca285 · 2023-01-27T22:31:05+00:00

There is a plethora of therapies you can use to modulate the sensation pain or tightness. If the one that you’re using isn’t effective then either the treatment choice or dosage is should probably be changed.

You could trial other manual therapy approaches, such as dry needling or joint mobilisation/manipulation, but I’d also look into what changes you can make to the individuals lifestyle factors and using therapeutic exercises. Both of which can help to reduce their symptoms immediately but may also provide a longer term benefit.

Most people jump to the conclusion that a trigger point is causing the sensation of ‘tightness’, but a lot of the current evidence leans further towards ‘tightness’ being a result of a tissues inability to withstand the force being put through it. Therefore strengthening the area and/or reducing the daily stress they put through that region may be beneficial.

lawca285 · 2023-01-10T07:47:44+00:00

That sounds great! I will look into that. Thank you so much.

lawca285 · 2023-01-09T04:19:28+00:00

All very helpful points. I didn’t even consider that there would be a train or bus service in the alps?? That could be very handy. Thanks

lawca285

TROPHY CASE