too much evidence?what about how we reason?

[wheatstone]

Thankyou Mattsutt for being so succinct. Having practised physiotherapy for a long long time I have seen many buzz words come and go and entire treatment approaches (eg Brunnstrom, Bobath, Sahrmann, McKenzie) go from being right out in the forefront (as is EBP now) to quietly taking their place (or fading away) among the many other facets of treatment. At the moment, EBP is so in my face I find it to be like the proverbial elephant in the living room. Whichever aspect you look at it from is a little different, but you certainly can't ignore it. However, I find it stifling because it considers only those aspects of treatment that are rational, left brain oriented, reproducible, etc. In other words, it doesn't leave the living room and there isn't much room with the elephant there for anything else! Having taken a BSc in Mathematics and statistics etc before studying physiotherapy, I take a rather cynical view of some of the studies out there. In neuro terms I think of it as "splinter skills". I'm looking for courses that take a more open and expansive view of the whole person, not things that narrow my thinking and remove aspects of treatment that haven't been "proved" by research.
I believe the future is that of transformational healing, integrating the emotional/psychological aspects of healing with the physical - at present the EBP camp gives this no credibility but I am willing to bet that will be one of the next "renaissances", along with the explosion of multidisciplinary clinics, wellness centres, "alternatives" such as visceral manip, process acupuncture, craniosacral etc, for it has such profound and lasting effects.
However, it certainly isn't measurable, reproducible or standardised.

[Canuck Physio]

Things are not as simple as they seem,

For example drug companies significantly sway the medical community towards what is commonly described as 'over prescription'.

Much evidence is buried in dozens of research studies that are often overlooked or placed at the bottom of the hierarchy of evidence available.

Indeed, clinical reasoning, clinical scholars, and clinical application of treatment methods is significantly important in physiotherapy treatment. There is likely many patients that could benefit from intensive physiotherapy and never get the treatment they deserve.