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I think all the musculoskeletal professions, physiotherapy, chiropractic and osteopathy, are modernising due to the weight of evidence coming through about the functioning of pain systems and what makes us have problems with our backs, necks and joints.

Osteopaths (in the UK for this example) are well placed as more holistic professionals, listening to the patient’s story and taking into account all the different facets of their presentation before making a plan of treatment. Hands-on techniques, while important, are not enough anymore on their own. There are many places you can find an osteopath to help you, such as at

The idea that manipulating a joint can fix a problem is fading as individual therapies, i.e. one type of intervention, have been shown to be less effective than combining for example manipulation with exercises and cognitive behavioural therapy.

Our attitudes, understanding and beliefs have huge effects on our pain and our levels of disability, indicating that therapists need to address the cognitive aspects of a person’s presentation very seriously if they are to have any effect on their problems.
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