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 personalHow “mindlines” shape clinical reasoning more than we realizeWhy outcome measures like the Oswestry don’t tell the whole storyHow the capability approach shifts focus from impairments to meaningful freedomPractical ways to navigate uncertainty without losing clinical integrityHow to co-construct care instead of imposing solutionsIf 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.*********************************************************************📸 - Follow us on Instagram  -  https://www.instagram.com/modernpaincare/🐦 - Follow us on Twitter -  https://www.twitter.com/modernpaincare/🎙️ - Listen to our Podcast - https://www.modernpaincare.com____________________________________Modern Pain Care is a company dedicated to spreading evidence-based and person-centered information about pain, prevention, and overall fitness and wellness