Personally, I agree with those advocates of manual therapy and exercise prescription to maintain and enhance the treatment effects. Although I do also believe, as has been mentioned in previous posts, that electrotherapy has a part to play with some patients regarding "getting their money's worth", and, to a certain extent (and quite ironically), gaining the patient's trust such that they will return.

I was trained in the UK, and we spent a module studying electrotherapy, it's supposed effects, and it's application. Interestingly the lecturer who taught this module was very sceptical about the effects of most of the modalities, and often rubbished the effects of electrotherapy moments after teaching them...

This lead to many of my cohort, including myself, having a (some would say 'healthly-) scepticism towards electrotherapy.

Despite this (and to my shame), I often found myself applying ultrasound (U/S) to ankles merely to appease the watchful eye of clinical educators who were particularly fond of electrotherapy. - and this was a common story amongst my cohort.

I think it is unfortunate in many ways that the new blood coming through (such as myself) are being swayed so significantly towards the common use of electrotherapy modalities by the seniors under whom we work. Obviously we can learn a lot from the experience and extended knowledge of these clinicians, but personally I think their outdated habits are something that we don't need. (?contraversial)