Free Clinical PDF Guide
The answer was never a better technique. It is a better process.
So many methods work because most pain improves on a similar curve. The Whole Person Reasoning Framework is the process I use underneath it. Four domains for reasoning through complex pain, with the person in charge.
Clinical Reference Guide
Whole Person Reasoning Framework
A practical quick-reference for reasoning across four domains in complex pain care.
Why This Guide
Most of pain care is built on the steep part of a curve.
A person walks in. Over a few weeks they improve. We name whatever method was in the room, and a whole tribe grows around it. A course. A credential. A new tissue to blame.
Artus and colleagues pooled the improvement curve across 118 low back pain trials. Active care, placebo, usual care, even the waiting list improved on the same curve. The size of the gain did not track to the treatment.
You do not have to throw your tools away. Hands on care, exercise, education, they can all support the curve. The shift is to stop crediting the technique and start reasoning through the whole person, with them in charge. That reasoning is what this guide gives you.
118 trials, one curve
Within-group pain improvement pooled across primary care treatments. Artus et al. 2010, Rheumatology.
What's Inside
A concise reference for reasoning through the whole person.
Structured history questions across all four domains: local tissue, system biology, psychology, and context
Exam findings to watch for when the presentation does not fit a simple mechanical story
Treatment thinking that uses your interventions to support progress, not to take the credit
A one-page map for putting the person in charge of their own recovery
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