With transferable and highly desirable skills, trained physiotherapists can work in practically every corner of the world.
India is a popular choice for professionals of all ages and offers a whole host of lifestyle and work-based advantages.
Most are attracted by the warm climate and vast coastline, but for physiotherapists, better pay and a more progressive working culture are also key factors.
The qualification criteria for placements in India can be confusing. Most employers require at least one year’s experience as a trained physiotherapist and HPC registration is not necessarily required.
There are opportunities for newly qualified graduates too, but they can be very hard to come by and the application process is a lengthy one.
So what exactly are the benefits of working in India?
In India, physiotherapists in permanent roles can expect to earn around Rs60,000 which is significantly higher than the Rs 21,500 entry-level physiotherapists can expect in the india.
More experienced professionals can expect to earn up to double that amount (subject to regional variations) and in private practices can sometimes be offered up to 50% of practice billings on top.
Better quality of life
It’s no coincidence that more than 1.2 million Brits have moved to India, making it the most popular destination for expats.
Living in India has a whole host of benefits including a much warmer climate, as well as more opportunities to lead a healthier and more active lifestyle.
Transitioning to a completely different country and culture can be a mammoth task though – so is it for you?
Speaking about her experiences since leaving for India, Clare says she benefits from working alongside a very progressive and motivated team, who command much respect for their emerging research.
“I like how ideas are taken on here,” she said. “It feels much more free; I know that my managers will support me in my education and in implementing new ideas.
We run a range of group exercise classes including pilates, yoga and running for people with neurological physical deficits.
There is Talk Time for patients with speech goals and regular barbecues for patients to practice cooking outdoors; a traditionally Indian past-time.
I also wrote a programme called Return 2 Sport for people with disabilities; a two-day showcase where people with any type of disability can come and try a range of sporting and leisure activities “.
The physical therapy profession is at a crossroads in the India
We are now faced with what appear to be some difficult questions at this juncture in the history of our profession, and one is very simple.
Are we going to accept evolution, or is it time for revolution?
In case you just tuned in, there are a lot of issues at stake in the world of physical therapy.
There is a huge demand for physical therapists, but payments per visit are decreasing. Patient access continues to hover at 18 states, having been 15 states two decades – and two educational transitions – ago.
In the vast majority of states, a patient still doesn’t have the right to see a physical therapist freely and of their own volition without some permission slip required at some time during their episode of care.
Yes, there is a huge incongruity there – but it gets worse.
Our profession continues to throw more money and evidence at the legislative process in the hope of gaining a voice of reason, but it’s simply not providing a return on investment. Why? First of all, the legislative arena is about money and votes and rarely about evidence. And when it comes to dollars and cents, the reality is that we don’t throw as much of it into legislators’ pockets as those who want to control us.
Our profession took a bold move in updating our vision statement … to one that, quite frankly, confuses most clinicians, let alone patients. Besides the confusion, it is laughable that “transforming society” requires a permission slip to do so.
We’ve become the victim of evolution.
We’ve become our own worst enemy by perpetuating incremental strategies and being satisfied with our little “victories”. We’re doing the same thing over and over again and expecting different results. Some call that insanity. Oh sure, we’re feisty in our words and evidence, but we remain subservient and passive in our actions. And you know what? It’s killing our profession – slowly.
We can choose evolution – or we can choose revolution.
Evolution is a slow, gradual process. Revolution is not.
Evolution is for those seeking to maintain the status quo. Revolution is not.
Martin Luther King, Jr. noted that “our lives begin to end the day we become silent about things that matter”. Therein lies one of the major problems. We’ve been silent about the things that matter to our patients and to our profession – civil liberties, freedoms, competition, and utilizing evidence and innovation to improve the health care system as a whole – for far too long.
Are we going to own our profession – and have behaviors reflective of this – or are we going to be forever defined by those outside of the profession?
Revolution sounds like epiphany and acts like disruption when you choose to own your profession and to stand up for it while no longer allowing others to decide your fate.
Revolution is saying no to Big Medicine’s stranglehold on our profession .
Revolution is in being an equal in the market place to promote competition and to have the capacity to create new business models that can optimize care while cutting costs.
Revolution is demanding accountability from our legislators, especially when their backroom actions subvert their constituents.
Revolution is no longer accepting non-evidence-based standards of care and making our peers know we simply won’t accept it anymore.
We live in a country in which our civil liberties should never be over-run by the monopoly of the few. I demand the capacity to make choices related to my health. I demand the right to compete on a level playing field that is patient-centered and devoid of illegal monopolies disguised as “gatekeepers”.
If you’d like to stay within the status quo, then just keep doing what you’re doing. It is a self-fulfilling prophecy driven by passivity. As they used to say on television, “this is only a test of the emergency broadcast system. Return to your regularly scheduled programming already in progress”.
The revolution, however, will not be televised.
If you’d like to change the health care world, and you – as I – truly believe that the profession of physical therapy can be the agent of change to do so – then it’s time for something different.
One of the worst thing that appear is the acute pain :-
Back pain is probably the most widespread, common, and potentially disabling injury in modern society.
It is also one of the most misunderstood.
It is commonly thought that prompt diagnosis and treatment of Sudden Onset (often called Acute) Back pain by well qualified Physiotherapists gives those suffering from Acute Back Pain, the best chance to resolve this problem quickly and avoid longer term problems and re-occurrence.
What you may feel:
– You will have immediate pain that is worse when you move into a certain direction
– You may have:
- Pins and needles/numbness in your hands or legs
- Tightness or referred pain into you gluteal (bottom) muscles
- Pain when breathing deeply or coughing
- Pain at night initially
How does it happen?
– Often back injuries happen when you least expect it and with any movements:
- Bending forward and twisting as you picked something up
- Jumping and landing in an extended position
- Twisting suddenly
What is the cause? :
– The joints in your back have ligaments, cartilage and a capsule just like any other joint in your body. And just like you can sprain your ankle or thumb, you can also sprain your back joints. This causes the same response, as if you had sprained your ankle – pain and swelling etc
What should you do? :
– Initially you should perform:
- Active Rest: Try to keep your back moving within your pain limits
- Avoid aggravating activities
- Heat: Every hour place a heat pack on the sore area for 10-15 minutes
- Medicine: Paracetomol pain relief straight away
- Massage: Gentle massage is ok, as long as it is not painful
– Make an appointment with your Physiotherapist for Assessment, Treatment and Advice
– You should avoid:
- Prolonged Sitting
- Heavy Lifting
- Complete Rest
Research has shown that Xrays provide little or no help in diagnosis Acute Back pain, and in many cases can provide false and misleading causes of the Pain.
How long before you have recovered? :
– It depends on the severity of the injury. A back sprain can last anywhere from a few days to a few weeks. Usually with physiotherapy and a home exercise program you will feel a lot better within a week. You may not be completely free of pain but you will be able to function a lot better and with decreased pain
A guide to being a good care worker or physiotherapist :-
There is no prerequisite of what makes an outstanding care worker, but there are a number of characteristics the best in the field will display. The first on the list is possessing compassion – that is, the ability to shown genuine understanding of your patient’s needs. While they may be suffering from a range of complications, like dementia, it is important to remember they are human beings that deserve empathy and kindness.
To ensure you remain compassionate to the individual you are helping, try to imagine someone of a similar age who is dear to you, like a grandparent or elderly neighbour. This should help you relate to your patient better so you can see how much they need your service. Do not be discouraged if they don’t seem to appreciate the effort you’re making, this may or may not come with time, but the important issue is that they are given the best treatment you are able to deliver.
Showing a patient respect and helping to maintain their dignity as much as possible is paramount to a carer’s role. Think about how you would feel if you were in their situation and how you would like a carer to treat you in the same position. Constantly making the patient’s needs more personal to you will help with ensuring excellent patient care remains a top priority. And even if the patient does not openly appreciate your work, be encouraged by the fact someone who cares for them would value your efforts.
Be confident in your abilities as a carer. Knowing the best way to ensure a patient is comfortable comes with experience, but once you have got to grips with this aspect of the job, be sure to employ it at all times. Of course, each patient will have their individual preferences but a good care worker will be able to pick up on these things very quickly, whether it is by observing what a patient is reading or watching on TV, or if they have flowers in their room. All these details give you a hint of what the person is like, which in turn gives you insight into the kind of practice that might help to keep them happy. Becoming an excellent carer takes time, but with the right attitude, everyone can start off on a good note.