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In this insightful episode of The Modern Pain Podcast, host Mark Kargela sits down with David Nicholls to discuss the evolving landscape of physical therapy and healthcare. They delve into the challenges facing the industry, such as economic pressures, digital disruptions, and dated cultural narratives that still influence patient perception. The conversation also explores progressive shifts towards individualized, biopsychosocial models of care and the implications for the future of physiotherapy. The episode serves as a clarion call for healthcare providers to adapt and grow in the face of changing paradigms. **CHAPTER MARKERS*** 00:00 Introduction 01:12 Shifting Trends in Physical Therapy 07:05 Exploring the Evolution of Physical Therapy 14:25 Challenges With the Biopsychosocial Model 26:01 Exploring the Essence of Physical Therapy 34:02 Professionalism Challenges and Changes in Healthcare 42:35 Post-Professionalism in Healthcare Problem Areas Discussed: • Challenges to Professionalism: Discusses the waning perception of healthcare professions as morally good and expertise-driven. • Economic Drift: The evolution from traditional economic models towards neoliberalism and late capitalism, with a focus on healthcare as a new avenue for "unlimited" growth. • Digital Disruption: The existential threat and opportunities presented by the digital age for traditional physiotherapy. • Cultural Narratives: The influence of socially and culturally created narratives in healthcare, specifically from the chiropractic profession. • Traditional vs. New Models: The rigidity of conventional healthcare frameworks and their slow adaption to modern needs. Solutions and Opportunities: • Post-Professional Change: How the decline in the "goodness" and "expertise" of health professionals can open doors to new ways of delivering care. • Expanding the Marketplace: The opportunity for physiotherapy to expand into a more consumer-driven model. • Adapting to Digital Trends: The need for physiotherapists to adopt digital platforms to meet consumer demands and stay relevant. • Biopsychosocial Approach: The shift towards more comprehensive, human-centered models of care, citing the example of the osteopathy profession's recent debate. • Individualized Physical Therapy: The freedom to explore unique forms of physical therapy that might be more beneficial to patients than traditional models. **HELPFUL LINKS**** Critical Physiotherapy Network - https://criticalphysio.net/ Physiotherapy Otherwise - Free Ebook - https://ojs.aut.ac.nz/tuwhera-open-mo... Manipulating Practices - OPEN ACCESS - https://press.nordicopenaccess.no/ind... Manipulating Knowledge - https://www.routledge.com/Mobilizing-... Paradoxa- https://paradoxa.substack.com **AFFILIATE LINKS - I earn a small commission for any purchases through these links that help support the show*** Microphone I use - https://amzn.to/3UsTJ2W Boom arm for microphoe - https://amzn.to/4bs7zZs Audio interface/mixer - https://amzn.to/42qTPd4 What I use to record my podcast - https://modernpaincare.com/riverside What I use to live stream - https://modernpaincare.com/ecamm What camera I use - https://amzn.to/3HKZilv What lens I use - https://amzn.to/3HNdJWi What lights I use - https://amzn.to/49kjvdQ My teleprompter - https://amzn.to/49lhZrJ Teleprompter screen - https://amzn.to/42opNqz Streamdeck XL - https://amzn.to/4bqs7S4 Streamdeck + - https://amzn.to/3SIuFna Wireless mics I use - https://amzn.to/3Sr4Mqv