When you study physiotherapy, internships are part of the deal. Depending on your school, youâll spend a few weeksâusually three to fiveâshadowing experienced physios, working with real patients, and trying to make sense of everything youâve learned so far. In my current role, I often supervise students during those internships. I had one just recently.
Part of their final evaluation usually involves choosing a patient to focus on: performing a full assessment, planning a treatment protocol, selecting exercises, and reflecting on how theyâd continue the rehab journey if they were responsible for that person long-term.
When I first started supervising, I struggled to give students space to figure things out on their own. I used to over-explain, always jumping in to demonstrate. These days, I try to hold back moreâto guide rather than show. Still, thereâs one principle I make sure to pass on, and itâs powerful whether youâre a student, a fellow physio, or even a patient:
đ§ Feel what they feel.
Explanation mattersâcrucial, even. I spend a lot of time making sure patients understand why theyâre doing what theyâre doing. When people know the why, theyâre more likely to follow through. But sometimes, words donât land. And in those moments, empathy beats explanation.
Back to my student and her patient: she was demonstrating how to get up from the floor âthe right way.â Technically correct, step by step. But the patient still struggled. She couldnât figure out what she was doing wrongâor why it felt so hard. My student didnât know what else to try.
So I told her: Try mimicking your patientâs exact movement. Donât correct it. Just do it like she does.
She tried. And her face lit up. âOh,â she said, âthis is actually really hard.â Exactly. That was the missing piece. Her patient wasnât doing it âwrongââshe was doing it the only way she could. Her movement pattern was the problemâbut not because she was doing it âwrong.â It was harder because she lacked the strength and control to compensate for that inefficient pattern. And now my student understood thatânot just intellectually, but physically. She felt how much more effort it took and why her patient struggled the way she did.
Itâs funny, but I actually learned this approach during my time as a ski instructor. I started mimicking my clientsâ posture and weight shifts so I could understand why it was hard for them to use the edges of their skis properly for turning or braking. Somehow, I transferred this approach into my physio practiceâand it really works.
Thatâs what perspective does. It makes things click.
In The Art of Creative Thinking, Rod Judkins tells a story about two people transformed with wigs, latex wrinkles, and walking sticks to appear elderly. Once outside, the way people saw themâand how they moved through the worldâcompletely changed. That single experience reshaped their view of aging, mobility, and perception.
We had a similar experience during our studies. Early on, we were handed wheelchairs and told to navigate the streets of Vienna. No instructions, just go out and feel what itâs like. Cross a street. Enter a building. Be seen. That day left a lasting mark.
Thatâs why I try to step into my patientâs worldânot just their shoes, but their hips, knees, and muscle imbalances. If I can feel what they feel, I can guide them better. I can help them understand that the pain they feel when getting up should be in their quadsânot their lower back. That theyâre compensating in ways they might not even notice.
Empathy isnât soft. Itâs science-backed, skill-deepening, and unforgettable.
Itâs easy to get caught up in explaining everything perfectlyâespecially when youâre still learning. But sometimes, the most powerful teaching moment isnât in the explanation. Itâs in the experience. Thatâs when understanding truly clicksânot just for the patient, but for you too.
Feeling what your patient feels isnât just a nice-to-haveâitâs a skill you can practice. And just like any other skill, the more intentional you are, the stronger it becomes.
đ§Ș Letâs Experiment
Understanding is good. Experiencing is better.
Itâs one thing to know about your patientâs struggles. Itâs another to actually feel them. You donât have to become your patientâbut connecting with their reality changes everything. Experiencing the movement firsthand helps you explain things better, empathize more deeply, and build trust faster. Itâs not about guessingâitâs about knowing.
đŻ Try This:
The next time a patient struggles with an exercise or movement:
- Mimic their exact pattern. Donât correct itâjust feel it.
- Notice whatâs hard, where the movement is inefficient, and which muscles are compensating.
- Reflect: How does this change how you explain or guide them? Adjust your instruction based on experience, not theory alone.
đ§ Final Thought:
Experiencing a patientâs challengeâeven brieflyâgives you insights no textbook can. Empathy becomes tangible, teaching becomes clearer, and care becomes more effective.
Keep it simple, stay curious, and keep learningâyouâve got this.
Take care,
Carina đŠ
