17/11/2025
DIAGNOSIS DISGRUNTLEMENT
The thing that always surprises me is how disappointed some people get, when you tell them they ‘probably’ don’t have the thing they turned up with. Here are some examples…
FIBROMYALGIA
It seems like, everyone and their granny has this now, and more times than not I can help. However, there’s only really one type of fibro client I can help, and here are two examples…
1️⃣ A few months ago I said to a young girl living with awful pain “I don’t think you have fibromyalgia“
She almost knocked me over with an ecstatic hug, and sure enough, three treatments later she was pain free!
2️⃣ Recently, I said the exact same thing to a guy with similar symptoms, but this time his reaction was very different…
He looked at me as if I had just kicked his puppy! 😡
“What do you mean? The doctor tells me I’ve definitely got fibromyalgia“
“That’s great, however the Oxford dictionary tells me there’s definitely a word called misdiagnosis“
As you can imagine this didn’t improve his mood, and I could feel his annoyance all the way through the treatment!
Here’s a top tip for anyone considering a treatment… come with an open mind, because if you don’t, you’re already up against it! I haven’t heard from him since, so who knows 🤷🏻♂️
Some people really own their label once they get one, to the point it’s a conversation piece at a dinner party…
“Yes Dorothy, they tell me I have the fibromyalgia and there’s nothing they can do, cheers” 🥂
To be serious for a moment, I know someone who struggles every day with pain and other symptoms, and there’s no doubt that it’s life changing for her.
She’s been told it’s fibromyalgia… is it?
I don’t know! I’ve treated her a few times with only minor improvements, mainly because she can’t tolerate the smallest of pressure. She’s not getting answers and I can’t help feeling that something has been missed!
Now, before I get it with both barrels in the comments, consider this… my opinions relate directly to my experiences. Should this be a concern for anyone reading this with fibro? No, however a culture of over-diagnosing should be a concern. Let’s face it, if you have a true fibromyalgia diagnosis, what you should be annoyed at, is GP’s trivialising your condition by handing it out willy-nilly!
ARTHRITIS
You may have arthritis, but is it causing you pain?
My wife injured her knee at the tail end of last year doing box jumps in the gym. She heard a pop and then felt intense pain!
Long story short, my treatments weren’t appropriate and she tried some rehab therapists for treatment and advice. Unfortunately nothing helped and the exercises aggravated the problem!
Fast forward 3 months, she had it MRI’d to find out it was a meniscus tear. Not great news, but Sharon is made of tough stuff and continued to train and let her body heal with time, as well as keeping her quads strong! 🦵
She’s made a full recovery, however the MRI scan also showed arthritis. It’s not causing her problems and she still trains multiple times a week.
I hear the arthritis diagnosis a lot, and I’m talking about clients in their forties and fifties. I can pick up on their disbelief when I say that it ‘probably’ has nothing to do with their pain.
Any therapist should be able to tell you that, because seeing arthritis on a scan doesn’t always equate to pain! That’s not unusual, however patients don’t necessarily know that, but yet the doc said it, so it must be true! Fortunately their disbelief turns into joy if I can help them return to their normal activities! 🕺🏻
HERNIATED DISC
I’ve already posted enough info on herniated disc and sciatica, so if you want to read about it, have a look at posts dated, 13th January 25 and 16th April 24.
I will share this though in keeping with diagnosis disgruntlement…
Earlier this year, a guy comes in with his ‘bulging disc’ diagnosis. He knows, he’s got it because the scan said so. No argument from me!
As I was assessing his back, I could tell that his pain ‘probably’ had nothing to do with the disc!
So I told him that, and he laughed!
“Of course it is! The scan, GP, physio and chiropractor have all said it’s a bulging disc!”
“And which one of them helped you?” 🤐
It was actually really straightforward. He had an overworked back from a strenuous job. Thirty minutes later and hey presto! ✨
The problem for some clients is that I often use the word ‘probably’ when I say what I think it is, and that’s not good enough for them! They want to hear ‘definitely’ just like when the ‘fibromyalgia’ guy was told that by his doctor!
To me, this is a dangerous game to play, so ‘probably’ is a safer word to use, even when I’m feeling confident I can fix it!
We all know what ‘probably’ means, right?
Is it impossible to hum while holding your nose?
Probably!
Should deep fried mars bars be banned?
Probably!
Does a bear actually s**t in the woods?
Probably! 🐻 💩
‘Probably’ is the word you’ll likely hear from me until I’ve fixed it, unless it’s something obvious like someone getting a fibro label chucked at them when it’s clearly not! 🏷️
There’s no point saying ‘definitely’ if there’s a chance it’s an arthritis only problem!
There’s no point saying ‘definitely’ until we’ve ruled out the disc completely, and even then, whatever it is I’ve found is likely to be the true cause of the herniation, whether it’s contributing to the pain or not!
So if you come for a treatment and you get disgruntled with me for having an opinion, try putting your poker face on until we know for sure!
Or try to hum while holding your nose. I bet you can’t do it! 👃