
with Dr Oliver Thomson (Osteopath and Researcher) - The Problem With Evidence-Based Practice
In this episode of The Physio Coach Podcast, Charlie Goodchild sits down with London-based osteopath, researcher and educator Dr Oliver Thomson to explore evidence-based practice, clinical reasoning and the realities of delivering patient-centred MSK care. They discuss why research doesn’t always map neatly onto the individual in front of us, what really makes someone skilled at manual therapy and how clinicians can balance evidence, experience and patient preferences. They also explore the similarities between physiotherapy and osteopathy, the importance of language and the ethical challenges of providing care in private practice. Topics covered: Evidence-based practice and clinical uncertainty Why research doesn’t always translate neatly to individual patients Experience, reflection and the development of clinical expertise The value and limitations of manual therapy What makes someone genuinely skilled with their hands The importance of touch, communication and clinical performance How language can reassure patients—or create fear Clinical reasoning, pattern recognition and patient-centred care The similarities between physiotherapy, osteopathy and chiropractic Professional identity within MSK healthcare Patient choice, shared decision-making and treatment preferences The ethics of overtreatment and running a private practice ━━━━━━━━━━━━━━━━━━━━━━ 🔗 CONNECT & LEARN MORE 📸 Instagram: https://www.instagram.com/betterphysiogroup ▶️ YouTube: https://www.youtube.com/@The-Physio-Coach-Podcast 🏥 Book a physio appointment in London, UK: https://betterphysiogroup.com/ 🎧 Guest: Dr Oliver Thomson 🌐 Website: https://www.droliverthomson.com/ 📸 Instagram: https://www.instagram.com/droliver_t/ 🤝 This episode is sponsored by Jane App Jane is a clinic management software designed to help healthcare professionals run smoother, more efficient practices—from booking and scheduling to notes and payments. 🔗 Learn more: https://jane.app 📸 Follow Jane UK: https://jane.app/en-GB/demo Use the code PHYSIOCOACH2MO for two months free. If you found this episode helpful, consider sharing it with a friend or leaving a review—it helps us more than you know.