Guest EpisodeEpisode 210 · March 1, 2026

Chronic Pain: When Biomechanics Isn’t the Answer

ACT & Behavior ChangeClinical ReasoningLifestyle MedicinePsychology of Pain

What if biomechanics isn’t the reason your patients improve? And what if your best “tool” isn’t a tool at all? In this episode, I sit down with exercise physiologist Samuel Bulten to unpack the identity shift many clinicians face when persistent pain doesn’t respond to traditional care. We discuss: Why biomechanics has a weaker link to pain than we were taughtThe ego trap of being the “fixer” in the roomHow ACT and psychologically informed care change clinical conversationsThe tension between...

The Modern Pain Podcast

Episode 210

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What if biomechanics isn’t the reason your patients improve?

And what if your best “tool” isn’t a tool at all?

In this episode, I sit down with exercise physiologist Samuel Bulten to unpack the identity shift many clinicians face when persistent pain doesn’t respond to traditional care.

We discuss:

  • Why biomechanics has a weaker link to pain than we were taught
  • The ego trap of being the “fixer” in the room
  • How ACT and psychologically informed care change clinical conversations
  • The tension between objective measures and meaningful life change
  • Why therapeutic alliance may matter more than your technique
  • How rural practice highlights the limits of biomedical narratives

If you’ve ever felt unsettled leaving school confident—only to feel lost with persistent pain cases—this conversation will help you recalibrate.

If you’re ready to build confidence with complex pain, subscribe for weekly episodes.

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About the Guest

S

Sam Bulten

EP living in Geraldton with a special interest in persistent pain.

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