r/physiotherapy

Working in outpatient MSK in the NHS, diagnosed with autism and ADHD. Struggling significantly with burnout, as a lot of healthcare staff do. The high volume of social interactions, the unpredictable moods of patients have a heavy toll. Clinically I'm good at my job, but the social toll is where I'm struggling.

The burnout is real, I'm having to take days off to recover. I am awaiting workplace adjustments, but if these don't help I'm not sure I can sustain this long term.

Any advice is appreciated.

Sport and exercise science undergrad at Loughborough University here, planning a pre-reg physio MSc after I graduate and looking into the Army route…

Being upfront, what attracts me is the potential to travel + the possibility of saving a chunk of my salary.

- What is the job actually like - is the much soldiery outside of clinical work?

- The possibility of going overseas, do you enjoy it?

- Is living on base enjoyable + can I realistically save a large portion of my salary?

- progression in the army / outside the army?

Honest takes are welcome, good or bad.

Hey I’ve been seeing so many different numbers for how much physiotherapists make in Canada. I’m especially curious of Ontario. I see job postings anywhere from 40 an hour to 170 an hour on indeed so I’m just confused.

If you’re comfortable listing your income, hours worked, province, and years of experience, that would be extremely helpful.

Thank you in advance!

Hey all,

I’m a 4th-year physiotherapy student in Australia and I’m about to start my first orthopaedics placement in an acute hospital setting. I've been through a few placements so far (MSK/NEURO/GERIATRICS) so I have a gist of what to expect generally going into a placement.

I would really appreciate some advice from educators/physios/students who have been through/work in orthopaedics:

• Are there any textbooks, guidelines, websites or resources you would recommend reviewing beforehand? - I've got a firm grip on Clinical Sports Medicine (Brukner & Khan) since my MSK placement, great book
• What clinical skills would you prioritise developing during placement to both perform well as a student and make the transition into being a new grad easier?
• What separates an average student / orthopaedics physiotherapist from a great one
• If you could go back to your first week of an orthopaedic placement (or your first month working as a physio), what’s one thing you would do differently or prioritise from the beginning?

Don’t feel like you have to answer all of these, everyone’s busy these days. I’d genuinely appreciate any advice, resources, tips, maybe some interesting stories or things you wish you’d known going in.

Cheers

Hi everyone,

I’m looking for Brukner & Khan’s Clinical Sports Medicine: Managing Injuries, 6th Edition.

I found the book on AccessPhysiotherapy, but unfortunately I’m from Europe and my university doesn’t provide access to the platform. I can access the book page, but I can’t use the chapter PDF/download features.

I noticed that some people here have access to AccessPhysiotherapy and were able to view the entire book.

If anyone currently has legitimate access to AccessPhysiotherapy and would be willing to help me access the book or point me in the right direction, please comment here or send me a DM.

I’d really appreciate the help. Thanks!

For those of you using JaneApp, what are your biggest likes and biggest dislikes? What features would you like to see?

For those of you using other charting software, same question for likes and dislikes when you compare to other ones you have seen or heard of.

If you own a clinic, features could also be something like having an AI assistant to answer and book simple phone call pts.

Guys please can you help me??

I am just 19 year old, I passed the 12th exam in 2025 and take a first drop for NEET in first Attempt I got 400 but after that I literally exhausted from this stufff ...

I had a classmate in classes 11 and 12 whose father is one of the top 10 physiotherapists here in Varanasi. He suggested I pursue BPT, saying it has great scope. So, out of frustration and without much thought, I took that step and spoke to his father; he got me admitted to CIMS Dehradun using his contacts there. However, he advised me that the field of physiotherapy relies heavily on practical work. He asked, "Why go all the way to Dehradun?" He owns 5-6 hospitals here with physiotherapy chambers, so he sends me to whichever one has the highest patient flow so I can learn. So guys, tell me: should I go to the college to study, or should I stay here, learn from 10 AM to 2 PM, and study during the remaining time? But I feel like I'll miss out on experiencing college life! Please give me some genuine advice.😭

I'm a student considering studying physiotherapy in Melbourne. I heard some concerns about the physical toll, and maybe some risks of arthritis? How big is this risk, and is the physical toll so bad that you wouldn't be able to do it long term (like 10+ years)? And if you were to switch careers, how easy is that in Melbourne?

This is a slightly long story so bear with me.

I’m an NHS Band 7 Clinical Team Lead in MSK and considered a Highly Specialised physio; I’ve been in the 7 role since January this year but have been in the team almost 4 years - I qualified in 2020 and also worked privately between 2021-2022 in addition my B5 NHS rotations.

Since late last year I’ve taken on some evening and weekend work at a local private clinic for some extra cash.

I’ve been really enjoying this work and I love that now my B7 role is much more administrative, I get some downtime away from my busy NHS life in the day to purely see and focus on patients, without the extensive NHS wait times and politics, I have a caseload of lovely local patients and it’s a super convenient place for me. Almost all of my patients come back to me for follow-up with reports of improvement and it’s not often that a patient is ISQ or even worse after I see them.

However this week, the owner of the private clinic has pulled me aside to tell me they’ve had feedback that a handful of my private patients (I was not given a number) don’t feel they’ve gotten their moneys worth from their initial assessments with me. She says this is due to the fact that I don’t practice acupuncture, electrotherapy or shockwave (which are all common modalities the physios who have been here a long time use) - I am a big manual therapist and I do manual therapy on every single private patient I see. In the time I’ve been there, I’ve only had 2 patients who told me they’ve haven’t responded at all to my treatment (no red flags or non MSK masqueraders) and I’ve recommended they see a colleague to consider acupuncture. I personally do not believe in electro therapy, I consider it outdated, I don’t mind the concept of shockwave as much (but I feel bad charging patients an extra £30 for it when I’m already improving them with manual therapy, advice education and exercise prescription, and I haven’t had anyone I’ve had to refer onwards for shockwave). Acupuncture I do believe in and understand why it works, but I am extremely needle phobic myself, and I really struggle with the thought of putting needles in patients and the risks that can occur with this - it makes me very uncomfortable and it’s not something I want to train in. She said there had been no feedback regarding anything to do with behaviour or conduct.

I consider my tools as a physio to be my hands and my brain; and I tend to use my CPD time to further my knowledge of MSK conditions, I have done advanced shoulder and hip mentorship courses more focused on anatomy, physiology, differentials and exercise management, and I have done manual therapy and soft tissue courses since graduating. I hate tooting my own horn but I can genuinely say that I think I’m very skilled with my hands and brain, as when the owner pulled me aside for our chat she also said many patients call the front desk to book with me specifically through word of mouth, and I get a significant amount of online reviews. However, she’s still concerned about the handful of people who feel they haven’t got their moneys worth from me, and she is putting me on an informal Support Plan, and is trying to convince me to go on the acupuncture course she is running herself in a few months (again, which I’m really not keen on).

My question is: are there any private practice physios on here who are successful without being trained in non-evidence based modalities e.g. electrotherapy, acupuncture? Do you think they’re essential qualities for a high quality physio in UK private practice or is my knowledge and hands on skills enough? My B7 day job involves identifying struggling physios and putting people on clinical support plans myself, I’m a clinical development lead and someone a lot of team members look up to and a role model, so it’s felt extremely rough the last few days to be told I’m being put on a support plan myself, and feeling like I’m not doing enough or being enough for my patients. I don’t have any colleagues I can talk to about this because it feels so embarrassing to admit. Am I overthinking this or should I suck it up and just train myself in electrotherapy even though I don’t necessarily believe in it?

Thanks for any advice or support in advance.

Hi, I'm a B6 Community Physio in the NHS. I've started doing private work for a company. I've had a couple referrals and identified that the patients are receiving care from the Trust that I work for but they are in different localities in the county. The dual-employment Trust policy states that I can't assess and treat patients privately whilst they are under the care of the Trust. There is also CSP and HCPC standards of practice to adhere to. Am I right in telling the private company I cannot see these patients? TIA.

Thinking of getting a job as a Level 1 sports trainer in Brisbane, Australia (I'm a Year 2 physio student) . Just curious what it entails and what we'll really be expected to do.

Those who have taken the CPTE exam, could you please share oral prep strategies that worked for you? I have just started the oral preparation and would greatly appreciate any advice from your exam experience, on how to go about studying and what to focus on.

Thank you!

​Hello,

​For my final year project, we are building a balance stimulator using Galvanic Vestibular Stimulation (GVS).

​By sending electrical signals to the vestibular system, we can manipulate the body's sense of balance. We are hooking this up to a controller so that, based on the direction of the joystick, the user's body will naturally want to lean in that direction.

​I am asking as part of my research: would a device like this be of any practical help to physiotherapy patients?

​If you have any suggestions feel free to tell me

Hey I am in the 3rd year of this bpt course.in the rughs university anybody want to become friends and study together??

IS THERE ANYONE IN INDIA WHO IS FRESHER OR HAVE 2-3 Years of EXPERIENCE IS EARNING IN 80K-1LAKH PER MONTH? WITHOUT OWNING A CLINIC?

If yes, can you share the roadmap of the same if i graduate freshly in kolkata from a national institute??

And plz also mention as a fresher in clinics or hospitals how much is the salary after bpt?

Australian Physio. I’m curious how other physios are managing their diaries in private practice, particularly around admin time.

Where I work, the standard consults are roughly 20 minutes for reviews and 40 minutes for initial assessments. We also have a few designated blocks during the day for documentation/admin.

The thing I’m questioning is when those admin blocks are expected to be used.

Personally, I work better when I can get into a run of patients without too many gaps. If I have a busy morning, I find that stopping every so often to do paperwork actually makes me less efficient. I’d rather keep the clinical flow going and then have a decent block of time later to finish documentation, letters, phone calls etc.

The allocated admin periods are still being used. They’re not disappearing or being used to reduce my workload. Sometimes I’ll use them for paperwork, sometimes I’ll actually take a breather, depending on what the day looks like.

My documentation is generally completed promptly and I’m not falling behind with notes or correspondence. My diary is also usually quite full, so it’s more about how I organise the workload rather than trying to create extra downtime.

Recently I was told that the admin/notes blocks shouldn’t be positioned towards the end of the day and that they need to be moved around the diary instead.

I’m happy to follow whatever the clinic requires, but it made me wonder whether this is standard practice elsewhere.

For those working in private practice:
Do your clinics dictate exactly where your admin/notes time has to sit in the diary, or do you generally have some autonomy over how you arrange it?
Also, is there a genuine clinical/productivity reason for spreading admin breaks throughout the day, or is this more of a diary-management preference from the business?

Would be interested to hear how other clinics handle this, because maybe I’m missing something.

I have a question regarding postural assessment that I’d like to confirm
When assessing the hip from the side, if the iliac crest is vertically aligned with the greater trochanter (GT), I understand this as a neutral hip position. If the iliac crest is positioned anterior to the GT, I understand this as a flexed hip.

My doubt is: if the iliac crest is anterior to the GT, does this naturally mean that the ASIS will also appear more anterior/lower, indicating an anterior pelvic tilt? Or should hip flexion and pelvic tilt always be assessed separately using the iliac crest–GT relationship and ASIS–PSIS relationship respectively?

For example, if the right iliac crest is anterior to the right GT and the right ASIS is lower/anterior relative to the PSIS, would it be correct to document right hip flexion + right anterior pelvic tilt, or would one finding influence the interpretation of the other?
I want to make sure Im interpreting the landmarks correctly for my postural assessment for exam

Hey! Sorry about yet another CPTE post!

I've been working as a physio for 10 years in Australia in private general practice, but Canada will provide better opportunities for my personal situation.

I'm thinking of doing express entry, but looks like I need to get a job offer to get the points.

My main question is for Aus physios who have moved to Canada:

How did you find the CPTE?

Is experience sufficient or should I take a preparation course?

Anything you wish you had done to make the transition smoother?

Thanks!

going to pursue my bpt course from RBU mohali its in Punjab,India