10/15/2026
One of the most powerful (and evidence-based) ways to build rapport, is to avoid pathologizing language. Patients don’t need to be talked down to…but they need to understand their body and any conditions or injuries you might be talking about.
Here’s one I’ll go to the mats over: Do not tell someone their back is “SO TIGHT!” Or you’ve never felt tissue this weird feeling before. Or their hip moves “like trash” There’s never a need for you to offer up a negative framing of their tissue, movement, joint health or body in general.
Please remember that your patient doesn’t have the same context and depth of knowledge as you do. You used the term “dysfunction” about something and you meant “this system, or joint, or tissue isn’t functioning optimally.” They heard “I’m broken and will continue to break down if I don’t protect this.”
What your patient believes about their body matters! The nocebo effect is real (negative beliefs can cause more pain, movement avoidance and real physiological symptoms) Frame everything as positively as you can to allow them the confidence to move well when they leave your space.
Don’t lie to them and for goodness sake, if they have an injury or condition that needs to be followed up on, you can communicate that! But you can still do that with language they understand and that doesn’t promote fear. Don’t label their tissue, or joint or body as bad, damaged, horrible, dysfunctional or “the worst I’ve seen all week.”
PS - I’m not creating drama for the sake of it. I’ve had many of these terms used about my body by people who didn’t know me well enough to do it in a funny way!
More on this topic on my blog at salienceeducation.com/blog (link in bio!)