I have to confess: Iâm a bit of a know-it-all.
I love learning. I love sharing what I know (obviously – lol).
For the longest time I believed I needed to have an opinion about everything.
But hereâs the truth: I donât.
And as a healthcare professional, thatâs not always easy. Myths and half-truths about health float around everywhereâespecially on social media.
The other day, for example, a friend of my mother told me that after her big dog gave a sudden tug on the leash, she dislocated her pelvis. Her physio supposedly said so.
I had to bite my tongue and remember a quote from Ryan Holiday:
Remember. You donât have to have an opinion about this.
Heâs right.
Sure, I could have explained that a pelvis simply canât dislocateâif it really had, sheâd be in a wheelchair. But I didnât. Because even as a physiotherapist, Iâm allowed to have time off. I donât need to swoop in like a superhero, handing out unsolicited advice.
In fact, I donât even have to give advice in my free time when people ask for it.
And sometimes, letâs be honest, they donât even really ask.
Have you ever been in that awkward situation where someone casually mentions their back or shoulder painâjust because they know youâre a physioâwithout actually seeking help? Almost like theyâre nudging your âhelper instinctâ on purpose?
Resist it.
I know itâs hard. But you can.
Keep it casual:
âYeah, that happens sometimes.â
âProbably nothing seriousâit might settle on its own.â
Theyâll probably keep talking. Stay cool. And if they genuinely want to do something about it, invite them to book a proper appointment.
Itâs the same when someone starts raving about a miracle cure or a âgame-changingâ treatment plan and you feel the urge to educate them. Resist that too.
Itâs not your job to fight every myth in your free time.
You donât have to be a physio 24/7.
Donât get me wrong: if someone sincerely asks for my opinion, Iâm happy to explain or share advice. If asked.
Thatâs the key.
Because hereâs what we sometimes forget: not everyone actually wants to know.
Some people donât want their worldview shaken.
When people mention their back pain, sometimes theyâre not looking for a solution at allâthey just want reassurance from a professional that thereâs nothing they can do.
I first noticed this years ago when I worked as a ski instructor. Some guests booked lessons not to improve their technique but simply to hear from a professional that they were already greatâ even if they werenât.
Itâs the same in physiotherapy.
Theyâre looking for approval, not advice.
So donât hand out free reassurance and donât waste energy explaining when itâs clear they donât care about the answer.
Because sometimes the most professional thing you can say is nothing at all.
đ§Ș Letâs Experiment
You donât have to be âon dutyâ every time someone hints at their aches or shares a questionable health claim.
Easier said than done, right? If youâre used to stepping in, staying quiet can feel almost impossible. Hereâs a small experiment to practice it.
đŻ Try This:
- Pause first. When someone starts a âby the way, my backâŠâ story, take a slow breath before reacting.
- Acknowledge without fixing. Try phrases like âThat sounds uncomfortableâ or âYeah, that happens sometimes,â and leave it there.
- Redirect if needed. If they really want help, say something like, âHappy to talk more during a sessionâletâs book a time.â
- Notice your urge. Pay attention to what it feels like to not give advice. Does it make you restless? Relieved? If it feels uncomfortable, remind yourself of Ryan Holidayâs words: âYou donât have to have an opinion about this.â
đ§ Final Thought:
Youâre not withholding careâyouâre protecting your energy and making sure the advice you do give is intentional and welcomed. Sometimes the most helpful response is simply giving yourself (and them) the space to ask for it.
Keep it simple, stay curious, and keep learningâyouâve got this.
Take care,
Carina đŠ
