Hey Hey,
I've said this out loud a few times now and I'm getting more sure about it.
The simple ones have stopped coming.
Think — reflect
Have a look at your last ten new clients. How many were genuinely simple?
The person with three weeks of ordinary back pain who was always going to be fine, they don't book anymore. They google it. They ask a chatbot. They wait it out and get better, and honestly, good.
Which means everyone walking through your door got stuck.
So is your assessment built for who's walking in now, or who used to?
Learn
Hartvigsen, Hancock, Kongsted and colleagues, Lancet 2018.
The numbers that stopped me. 577 million people have low back pain at any one moment. It caused 60.1 million disability adjusted life years in 2015, which is a 54% jump since 1990.
And the line worth carrying into Monday. For nearly everyone with low back pain, it is not possible to identify a specific nociceptive cause.
So if you feel like you can't find the thing, that's not you failing. That's the actual state of the evidence.
Play
Have a crack at pulling your last ten new clients and counting the genuinely simple ones.
Then have a think about whether anything needs to change for the ones that are left. Hence I've been rabbiting on about this pain stuff mixed in with clinical Pilates.
Let me know what you find.
Cheers
Jess
PS — oi, don't forget The Clinical Collective is free to join. Clinicians just like you, collectively going oh thank god it's not just me.