Dear readers,

I would like to present the following to you. I am a 32-year-old physio/manual/hand therapist and my husband (also a 35-year-old physio-manual therapist) and I are thinking about living and working in Thailand. We both have 10 years of full-time experience, mainly in private practice in the Netherlands.

After several trips in and around Thailand, we have become so charmed by the country that we cannot get rid of the thought of living and working there.

What is your experience? Is there sufficient demand for Dutch-trained physio-manual therapists? Do you think that a physiotherapy practice has a future in a country where the Thai massage parlor can be found on almost every street corner? And is it difficult to start such a practice in Thailand?

I like to hear it.

Greetings!

Inge

15 responses to “Reader question: Working in Thailand as a physio/manual/hand therapist”

  1. Chris from the village says up

    As you say – you have a massage parlor on every corner.
    But that problem lies with the work permit.
    I 'm afraid you can not get it for this .
    It is better to first request information from the Thai Consulate.

  2. Eric bk says up

    Physiotherapy is available through hospitals in Bkk. I know of 1 address in Bkk where osteopathy is done by an Englishman with his Thai wife, both with diplomas from England. Manual therapy is in my opinion completely unavailable and unknown and that could be an angle to employment at a reputable hospital in Bangkok.

  3. yours says up

    Forget it…………..

    You don't get a workpermit for this kind of activity.
    The only option is to set up a company ltd.
    That means: at least 4 Thai in permanent employment, of which you have to pay tax and insurance.
    (accounting via accountant)

    This construction makes it almost impossible to do business as a small entrepreneur.
    Locals don't come to “buy” from you because your cost/price is too expensive.
    You can't make ends meet from that single foreigner who does grant you a little profit.

    There are people with the best ideas: bar, restaurant, arch supports, stroopwafels, shuffleboard, herring, etc.

    The only foreigners who can earn “something” are those with a Thai partner.
    Often there is a bag of foreign money in this business that will take many years to break even.
    Arguing about money is therefore the reason why these relationships often end on the rocks.

    Thailand is a beautiful country….. to make money……….. not to earn

  4. Keith 2 says up

    A few thoughts off the cuff:
    * You could try to get employed by a hospital in Bangkok or Pattaya (http://www.pih-inter.com/department/14/physical-therapy-center.html)
    There are many older foreigners in Pattaya, and many of them probably need a good manual therapist.

    But the question is how much you will earn if you are employed, significantly less than in NL anyway. And how much freedom do you still have, if you have to work 6 days a week for a small wage, and furthermore without holiday pay, probably without pension accrual (no idea how that is arranged in the medical world here).

    And, not important: what happens if at some point physiotherapy/manual therapy becomes fashionable in Thailand and your place is then taken by a Thai therapist?

    * Much better (and you can also earn much more, I estimate): start your own practice (in Jomtien Beach (near Pattaya) for example, then I will be - for cracking my neck - a regular customer of yours).
    For your own practice in which you also want to work, you have to employ 4 Thai employees (per work permit) (this is partly possible on paper, according to the rumours).

    For example, there is an American in North Pattaya who is a chiropractor (and he is the only one who actually treats): http://www.pattayachirocenter.com/
    I've been there 3 times, and always busy.

    You have to sit in a place with a lot of foreigners, that should go without saying.

    Another example, but with a different interpretation: there is a German dentist here who employs Thai dentists and has become very rich.

    More information about setting up a business:
    http://www.thailandguru.com/work-permit-thailand.html
    If you wish to start your own business, then you can obtain a work permit for yourself by setting up a company, employing Thais (normally 4 per work permit), paying yourself sufficiently (minimum of 50,000 baht per month for foreigners), and paying all taxes.

    Minimum registered capital for a company must be 2,000,000 baht per work permit, but all this money does not need to be in the company bank account at the beginning, and usually doesn't need to be all paid up at the beginning.

    I say do it, but research all the ins and outs of doing business and the need for your skills before investing 2 million baht!
    But on the other hand: you are young and if things go wrong you will lose some money, but in NL you will earn that back in a few years.

    I don't know if there is a training for manual therapist in Thailand, otherwise: who knows, maybe one day there will be a training here, you then employ some qualified staff, then when you are old you can just continue your business with very little yourself to work.
    Or you send 1-2 good people to the Netherlands in due course, when you are in a lot of slack, to be trained.

    • Keith 2 says up

      Correction to my text above:

      “And, not important: what happens if”

      must of course be:

      “And, not unimportantly: what happens if”

  5. John Chiang Rai says up

    The training that you have enjoyed as a Physio-manual / and hand / Therapist is of course in no way comparable to that of most Thai ladies / gentlemen from the well-known massage parlors. The training you have received is more focused on treating real physical problems, so that one can almost speak of a patient treatment. There will certainly be a demand for such treatments, which I think most people with real problems will seek in a medical clinic. Someone with eg a stiff back or schauder can usually have success with a young lady who has followed a course on eg Wat Pho, only when it comes to serious injuries, I would prefer to be treated by someone who has actually studied physiotherapy. I certainly do not want to generalize, but I am convinced that the choice to enter a certain massage parlor depends on many factors such as, what do the young ladies look like, are they friendly, what are the options, and what are the costs for this, and just one a small part comes for actual injury treatment. To put it even more plainly, most men look where the most beautiful women massage, while the not so beautiful neighbor, with perhaps a much better education, often has the thumbs up. With your training I would clearly distance myself from the usual massage parlor and concentrate more on private clinics that want to offer something like this. Only the work permit and the earning possibilities, which are clearly higher in Europe, will give the biggest stumbling blocks.

  6. Peter says up

    You write that you have made several trips in Thailand. Have you studied Thailand? Anyone who knows a little about Thailand knows that a foreigner is not allowed to work here in a profession that a Thai can also do.

    Read up first. There is plenty of info here on Thailandblog.

  7. Hans van Mourik says up

    Hans van Mourik says on 31-03-2016
    If you have a diploma, there is also enough work here. (I think)
    Just an example, my girlfriend's niece is a qualified physiotherapist.
    Worked after her education at the Bangkok Hospital in Bangkok.
    One day a doctor asked her if she didn't want to go to Sanfancisco (California), she did so to gain practical experience.
    After 1 year she returned asked her why, still good earnings, but she thought everything was way too expensive there and too little freedom.
    Now she works part-time with a doctor and has a lot of work and visits various hospitals throughout Thailand.
    So my idea is try to apply to different hospitals and they will also arrange a residence and work permit for you.
    I myself had 2 x surgery on my back years ago, but don't let me be treated by a maseur since I feel that sports maseurs are good when one is tired..
    But know too little about the human body
    There is no other way, because their training only lasts half a year and training for a physiotherapist takes 4 years and that is an academic training
    I myself have operated on my back twice in the Netherlands, but do not let me be treated there, by a maseur.
    I myself have the feeling that they are sports maseurs
    Only on my legs or arms, but certainly not when I have an injury.
    Here in RAM Hospital Changmai I think they need physio therapists
    Because if I ask for a physio therapist I have to wait quite a long time.
    SO IN SHORT AND POWERFUL APPLICATION AT DIFFERENT HOSPITALS IN THAILAND.
    Succes

    Hans van Mourik

  8. riekie says up

    I've been walking here for months at the physio in the government hospital.
    they have 2 thai people are always helped immediately.
    You might have a chance at a private hospital succses

  9. about says up

    Here in Pattaya is an Englishman who has a thriving practice. He has a work permit and cannot cope with the work. In my view, there is a great demand for quality. You will have to adjust prices slightly.

  10. Cornelis says up

    Most hospitals here have a department with what they call 'rehabilitation doctors'.
    Here in Pattaya, a therapist from Bangkok Pattaya has started his own clinic.
    Once Thais practice this profession locally, I think it will be very difficult to obtain a work permit as a falang.

  11. Jan says up

    People who understand the field of physiotherapy and the country will give a more nuanced response than above. Physiotherapy cannot and should not be compared to massage parlors in Thailand. The fact that people associate physiotherapy with massage at all says it all. I am convinced that there is a great need for physiotherapists in Thailand and that there are also sufficient opportunities in terms of work permits.

    • Cornelis says up

      There are indeed physiotherapy practices here, to make the difference with massage parlors the hospitals probably call it 'rehabilitation'.
      An orthopedics department usually also refers you to that department to speed up healing.

  12. joy says up

    Dear Inge,

    I will not elaborate on work permits, applying for jobs at Thai hospitals, etc., but I will address your statement 'where the Thai massage parlor can be found on almost every street corner'
    That is true in tourist areas and can be good or bad. In my opinion, the issue that matters is the difference in understanding between Thai style massage and Western treatment at all.
    First immerse yourself in this and find out that these techniques have been used for thousands of years and with success. Many Thai go to a traditional (medical) massage for treatment and are well helped for little. They do not have much faith in Western techniques, which of course does not apply to expats, etc. Based on this statement, I am not very optimistic about the chance of success unless perhaps in Bangkok at one of the top hospitals. In any case, good luck.

    Regards Joy

  13. Petervz says up

    To be able to practice a profession in the medical world in Thailand, a Thai 'medical license' is required. This can only be obtained after passing an exam, which is assessed by the Thai 'medical Board'. This exam is in the Thai language, making it possible for only a handful of non-Thai people to practice a medical profession in Thailand.


Leave a comment

Thailandblog.nl uses cookies

Our website works best thanks to cookies. This way we can remember your settings, make you a personal offer and you help us improve the quality of the website. read more

Yes, I want a good website