When your head says yes but your body says no: my transition from radiographer to lecturer

Diagnostic Radiographer and lecturer Donna Collins shares her experience of a life-changing accident that forced her out of clinical practice, and how she was determined to continue supporting the profession

About the author

Donna Collins is a senior lecturer in diagnostic radiography at Buckinghamshire New University and clinical lead for the BSc and MSc diagnostic radiography programmes. She has extensive experience in radiography education, leading on clinical teaching, assessment, admissions and placement partnerships with NHS trusts. She has a particular interest in practice education, competency-based assessment and supporting student wellbeing within clinical environments.

Donna has developed innovative educational frameworks to support clinical learning, including PRIMED and IAMSAFE, which have been embedded across the university’s radiography programmes and recognised during professional programme approval. Her work focuses on enhancing the quality of clinical education, strengthening university practice partnerships and preparing the future radiography workforce.

This was not my first career path – I left school to attend agricultural college, becoming a veterinary assistant and then a trainee veterinary nurse. However, a job advertisement made me reconsider. I had undertaken radiography of animals and saw that a hospital in Oxford was looking for a healthcare assistant in the radiology department. 

And so it began; I started working at the Nuffield Orthopaedic Hospital in Oxford in 1999. Working alongside radiographers and human patients made me realise that I actually liked talking to patients, enjoyed the challenge of imaging and found myself falling in love with the work. 

I was assisting in all departments, including main X-ray, fluoroscopy, ultrasound, bone densitometry and MRI. In 2003, I was lucky that my manager mentioned a pilot course for assistant practitioners in imaging at Derby University. I was excited to progress my career and enrolled on the course. 

‘I found myself falling in love with the work’

After completing the assistant practitioner course, I worked as an assistant practitioner for five years. I loved my job – I worked in the main department and in the surgery theatre. However, I was limited to the modules I had undertaken, and knew I wanted to progress further to become a Diagnostic Radiographer.

Unfortunately, around 1996 I was involved in a car accident, aged 29. This triggered the onset of intermittent pain and discomfort, and an on-and-off feeling of numbness in my left arm. After physiotherapy, X-rays and MRI scans, I was finally diagnosed as having something called thoracic outlet syndrome.

Radiography is not a passive profession

Thoracic outlet syndrome occurs when the brachial plexus nerves and/or blood supply are trapped and impinged, causing disruption to the arm and hand. In 2009, it was felt that the most straightforward solution was to have surgery, which involved the removal of my first rib on my left side. Recovery was fast, and my symptoms disappeared. 

I set out to complete my goal of becoming a radiographer and graduated from the University of Hertfordshire in 2011. I worked as a Diagnostic Radiographer for more than 10 years; during that time, my pain, numbness and other symptoms returned, but this time on my right side – I was also experiencing issues with my elbow and wrist on the left side. 

‘Tasks that had once been routine became physically taxing’

Again, I underwent surgery; this time, in 2021, it was the removal of my first rib on my right side, and the resection of my scalene muscle, repositioning of my ulna nerve in my elbow and carpal tunnel surgery on my left wrist. Recovery was slower, and the dull ache gradually became persistent pain – particularly when moving patients, positioning equipment and manoeuvring imaging tubes. Tasks that had once been routine became physically taxing, and movements that defined my professional competence started to threaten my wellbeing. That reality is difficult to accept.

Radiography is not a passive profession; it demands technical precision, spatial awareness and often significant physical effort. We lift, manoeuvre, adjust and support – frequently in challenging clinical environments. When thoracic outlet syndrome began affecting my shoulder and upper limb, I initially did what many healthcare professionals do: I adapted quietly. I adjusted positioning techniques, paced myself more carefully and told myself it would improve. I even moved to MRI imaging, thinking the frequent tube movement was the main cause of pain.

Donna Collins at her graduation in 2011

Donna Collins at her graduation in 2011

Radiography is not a passive profession

Thoracic outlet syndrome occurs when the brachial plexus nerves and/or blood supply are trapped and impinged, causing disruption to the arm and hand. In 2009, it was felt that the most straightforward solution was to have surgery, which involved the removal of my first rib on my left side. Recovery was fast, and my symptoms disappeared. 

I set out to complete my goal of becoming a radiographer and graduated from the University of Hertfordshire in 2011. I worked as a Diagnostic Radiographer for more than 10 years; during that time, my pain, numbness and other symptoms returned, but this time on my right side – I was also experiencing issues with my elbow and wrist on the left side. 

‘Tasks that had once been routine became physically taxing’

Again, I underwent surgery; this time, in 2021, it was the removal of my first rib on my right side, and the resection of my scalene muscle, repositioning of my ulna nerve in my elbow and carpal tunnel surgery on my left wrist. Recovery was slower, and the dull ache gradually became persistent pain – particularly when moving patients, positioning equipment and manoeuvring imaging tubes. Tasks that had once been routine became physically taxing, and movements that defined my professional competence started to threaten my wellbeing. That reality is difficult to accept.

Radiography is not a passive profession; it demands technical precision, spatial awareness and often significant physical effort. We lift, manoeuvre, adjust and support – frequently in challenging clinical environments. When thoracic outlet syndrome began affecting my shoulder and upper limb, I initially did what many healthcare professionals do: I adapted quietly. I adjusted positioning techniques, paced myself more carefully and told myself it would improve. I even moved to MRI imaging, thinking the frequent tube movement was the main cause of pain.

Donna Collins at her graduation in 2011

Donna Collins at her graduation in 2011

Facing reality

There came a point when I had to confront a difficult truth: continuing in a physically demanding clinical role might compromise my long-term health. That realisation was not just practical – it was emotional. Radiography was more than a job; it was my professional identity.

Healthcare professionals are often defined by what they do. I was a radiographer – it was how I introduced myself. It was the training I had invested in, the skills I had refined and the patients I had supported. Letting go of clinical practice felt, at first, like a loss. There was frustration. There was grief. There was also fear – of starting again, of being perceived as stepping back or of losing credibility within a profession I deeply respected.

Yet beneath that uncertainty was another truth: my experience still had value. If I could no longer practise in the same way, perhaps I could contribute differently. Throughout my clinical career, I have always enjoyed working with students. I found satisfaction in explaining imaging principles, breaking down positioning challenges and helping learners connect theory to practice. When the possibility of lecturing emerged, it didn’t feel like abandoning radiography – it felt like a new opportunity to use my skills and knowledge.

Transitioning into academia required adjustment. The pace was different. The challenges were intellectual rather than physical. Lesson planning replaced list management. Assessment design replaced exposure selection. But I quickly realised something important: education is not separate from clinical practice. It underpins it. Every competent radiographer begins in a classroom.

Donna Collins giving students a practical demonstration

Donna Collins giving students a practical demonstration

Moving into a lecturer role required me to reframe how I saw myself. I was no longer the practitioner positioning patients in theatre or undergoing trauma imaging. Instead, I was preparing students to step confidently into those spaces.

My clinical experience – including my physical challenges – became part of my teaching. I speak openly about ergonomics, manual handling and the physical realities of radiography. I emphasise sustainability in practice, not only for patient safety but for practitioner longevity.

‘Radiography was more than a job; it was my professional identity’

In many ways, developing thoracic outlet syndrome has made me a more conscious educator. I understand firsthand the importance of protecting one’s body in a profession that often prioritises patient needs above all else.

Radiography is evolving. So too must radiographers. Career pathways are rarely linear. Some transitions are chosen; others are imposed by circumstance. What matters is not whether we remain in the exact role we began with, but whether we continue contributing to the profession in meaningful ways.

Healthcare professionals are accustomed to caring for others. We are less accustomed to acknowledging when we need to care for ourselves. Thoracic outlet syndrome forced that for me.

A message to colleagues facing physical challenges

Musculoskeletal strain is not uncommon in radiography. Repetitive movements, patient handling and equipment manipulation take their toll. If you are navigating injury or chronic pain, know this: you are not alone.
You are not weak.
And stepping sideways is not the same as stepping down. There are multiple ways to remain within and contribute to our profession. Education, research, leadership, governance, advanced practice and policy – each path shapes patient care indirectly but powerfully.

Today, I remain proud to call myself a radiographer. I simply practise radiography differently. By teaching the next generation, I may no longer move the tube or position the patient everyday, but I influence those who will. And through them, the profession continues.

Sometimes, when the body says no, it opens the door to a different kind of yes.

Donna Collins, senior lecturer in diagnostic radiography

Donna Collins, senior lecturer in diagnostic radiography

Find out more about employment support and the SoR 

The Society of Radiographers offers a wide range of employment support resources for its members. From risk assessment in the workplace, sickness absence to raising concerns with your employer, the society has compiled guidance on a number of topics. 

Click here to find out more.

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