Hmm i think its just about communicating effectively. If you can make it clear to the patient that whilst soft tissue techniques etc will provide symptomatic relief but its the home exercise programme, ergonomic changes etc that will ultimately fix the underlying problem. . .then you win! Its about giving the patient the best of both worlds

I think a good physio will manage to toe the line between not laying a hand on patients and making the patient reliant on you to 'fix' them