Chronic Pain Care: When Guidelines Don’t Fit

What if the guideline isn’t wrong—but incomplete?

And what if your patient isn’t “non-compliant”—just complex?

In this episode, I’m joined by Joost Van Wijchen to explore the tension between clinical guidelines and the messy reality of practice. We unpack the concept of mindlines—the experience-shaped frameworks that actually guide what we do—and why uncertainty isn’t a flaw in care, but part of it.

You’ll learn:

• Why guidelines are population-informed—but patients are personal
• How “mindlines” shape clinical reasoning more than we realize
• Why outcome measures like the Oswestry don’t tell the whole story
• How the capability approach shifts focus from impairments to meaningful freedom
• Practical ways to navigate uncertainty without losing clinical integrity
• How to co-construct care instead of imposing solutions

If you’ve ever felt the tension between measurable outcomes and meaningful outcomes, this conversation will resonate.

If this episode challenges or sharpens your thinking, subscribe and share it with a colleague.

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Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness