Last week I had the pleasure to attend a course at the highly respected Linden Clinic in Sale, Manchester. It deepened my understanding of facial rehab, especially the use of trophic electrical stimulation – along with a whole host of useful tips and advice from the highly skill team there. It was a great course. Shame that the Cochrane review published in February regarding physical modalities and facial rehab is less than positive about TES. Is it because all electrical stimulation is lumped together? Or is it a case of how do we measure the true effectiveness of a physio intervention when it is never as homogenous as a pill? Physio rarely does one thing in isolation, with such a big part of our role being education and advice.