This is the third instalment of the mini-series covering everything Rob and Dave think everyone should know about back pain and looks at what you should expect from a good consultation. Adam Dobson, specialist physiotherapist  discusses the  five things you should expect from any good consultation from being listened to through to a comprehensive recap. There is lots of great advice to take away and make great practical use of if you are attending a consultation so this is a must-listen
 
KEY TAKEAWAYS


The clinician should invite you to tell you your story- they will want to understand what’s important to you, the impact of your problem and what your current understanding is


The clinician should create a space where you can feel listened to


You should be asked what your expectations are and through discussion, goals should be established and agreed


The patient and the clinician should be on the same page


When someone has a belief about something for a long time this has to be recognised


The conversation should be sufficiently challenging but not make you feel uncomfortable


A lot of information is gained from taking a detailed history


The clinician will want to examine the body part with the issue and also undertake a movement examination


There may also be specific tests relevant to particular tissues and nerves


The clinician should do a recap including the nature of the problem, why it’s hurting and  biologizing what’s going on


It’s about the collaboration between the knowledge of the patient and the knowledge of the clinician


 
BEST MOMENTS
‘A good clinician should be a good listener’
‘You should be developing a rapport and be on the same page as your clinician’
‘A good clinician will explain any findings as they go along’
 
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RESOURCES FOR THIS EPISODE
Patrick Carroll blog: oldquaterphysio.ie 
Adam Twitter: adamdobson123. 
Adams Website: NHS South Tees
https://www.southtees.nhs.uk/services/back-pain-triage-and-treat/patient-information-educational-resources/
Greg Lehman “Bigger Cup” analogy blog post http://www.greglehman.ca/blog/2018/5/1/do-our-patients-need-fixing
 
ABOUT THE HOSTS
Dave Elliott
Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at hello@thebackpainpodcast.com   if you have any questions for him.
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Rob Beaven
Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.
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