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@ewanmac
Don't let them... Maybe I've just had good luck picking physios (and even docs when I need drugs) but I always begin the discussion with "I'm going to do this race whether you like it or not... I'm paying you to help me achieve this or at least to minimise any damage I might do to myself in the process".
Of course this is massively dependent on the injury/race you have in mind, but for my first IM, after a year of specific training and that bloody-huge-non-refundable-entryfee, nothing was going to keep me off the start line!