Hi Ginger,

I agree that if we had gotten to these patients sooner, then problems like Wikipedia reference-linkrotator cuff, hip replacement, especially what i consider stupid surgery like tendon transfers etc would be avoided.

However, once the damage has been done, then surely the damage has been done, right? I suggest to the patients that if their function is not too limited, then surgery might not be so necessary. If they can't walk properly or they have constant pain, then get the surgery done.

I much prefer to catch these people before it gets to that stage. I am astounded as to how many people tell me that they didn't know physio can fix this or that. We need to get them either educated or in the clinic and show them we can help.

Anyway, i am still a little sceptical that spinal mobes can fix most things (and that comes from a self-confessed spinal physio who thinks most things come from the spine, partic the pelvis and thorax!!)