Research Podcast - Our Words Matter - Breaking Down Sticks and Stones
Podcast Synopsis
In this episode, we discuss the power of language in musculoskeletal rehabilitation, inspired by the 2018 JOSPT article, Sticks and Stones: The Impact of Language in Musculoskeletal Rehabilitation. They explore how clinical terms commonly used in rehab settings—like "degenerative," "tear," or "disease"—can negatively influence patient perception, especially when those terms aren't clearly explained. Drawing from personal experience and clinical examples, they emphasize the importance of empathy, clear communication, patient education, and the role of physical therapists as both clinicians and coaches in guiding recovery and reshaping beliefs about injury and healing.
Five Key Takeaways
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Language Shapes Mindset
The words clinicians use can deeply affect how patients interpret their diagnosis and prognosis—positively or negatively. Words like "tear" or "degeneration" may evoke fear unless properly explained. -
Perception Influences Recovery
A patient's belief about their injury often has as much impact on outcomes as the injury itself. Clinicians must guide patients in interpreting pain and pathology in a manageable, hopeful way. -
Communication Builds Confidence
Effective, empathetic communication can improve patient confidence and adherence. Asking patients to repeat or demonstrate understanding ("Tell me what I just told you") ensures clarity. -
Clinicians Are Coaches
Beyond diagnosing and prescribing exercises, therapists serve as coaches—supporting, motivating, and reframing challenges to empower patients through their rehab journey. -
Therapist Reflection Is Crucial
Therapists should regularly reflect on how they communicate and how patients might perceive what is said. Adjusting language and delivery helps build trust and drives better engagement and outcomes.
Citation
Louw A, Zimney K, Puentedura EJ, Diener I. Sticks and stones: The impact of language in musculoskeletal rehabilitation. J Orthop Sports Phys Ther. 2018;48(7):519–522. doi:10.2519/jospt.2018.0610
