Too many OA patients are told they've failed rehab, when in fact rehab has failed them. They often don't improve because they weren't given permission or guidance to push themselves. Not all patients will, but all should be given the chance. 13/
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Patients suffering OA are too often coddled (like many other age related problems); advised to take it easy, with fear avoidance behaviours imposed upon them. This isn’t the way. Some will need TKR, but many can delay or avoid completely with comprehensive rehab. 14/
On group classes; much needed in public health. But generic classes aren't enough. They need to be individualised. Physiotherapy is much more than advice and exercise.
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