No worries Michael, i understand that you must be really busy! Yeah i think it's really good that there are some courses but i wish that this was a required course to complete and not an optional one because it seems like there is very little that we get taught about pain. The case study did not elaborate on co-management strategies, but i thought that it would be a good idea to consult her doctor about her RA management and medicine. Also she had a BMI of 31 and had trouble sleeping over 5 hours a night because she just did not feel tired even though she is moderately active (takes around 6-7k steps a day). So i thought that some lifestyle advice with a exercise program that she would be willing to try might be good and also a referrance with a dietician if possible. Yeah i thought about that hand grip exercises might be good for her too. The ''re-education'' hypothesis is just something i have been thinking about every now and then, i think Louis Gifford wrote something like that in the Aches and Pains book, and Erik Meira talks about making the tissues tolerant to loads so the idea might have been a combination of these. Thanks Michael for taking you're time and responding!

I'm currently reading Thinking Fast and Slow by Daniel Kahneman, Aches and Pains by Louis Gifford. After finishing those i have The Health Gap. The Challenge of an Unequal World by Michael Marmot waiting to be read.

Take the good bits and move on that is good advice and that has kind of been my plan! My frustrations with the school has been with a lot of the outdated narratives being taught, and a very structural viewpoint of the human body even though the biopsychosocial model is mentioned every now and then. It feels like we are being taught to think of the biospychosocial model as a dichtonomy as these seperate things from each other and that physios are like mechanics that would only work with the bio parts of humans.

Hi everyone! I'm a former massage therapist+ a personaltrainer and a first year physio student from Finland. Dr. Ray is one of the people that made want to keep educating myself and get in to physio school (even though physio school does not seem to offer a lot more than a license to practice when you graduate). I hope to learn more from the community and maybe exchange ideas.