Guest EpisodeEpisode 199 · November 16, 2025

The Existential Crisis Every Manual Therapist Should Have

ACT & Behavior ChangePain Neuroscience

In this episode, Mark sits down with Richard McIlmoyle, a chiropractor from British Columbia who went through a profound professional transformation after discovering modern pain science. Richard shares his journey from biomechanical certainty to embracing uncertainty, and how that shift has made him a better clinician and mentor. In this conversation, you'll discover: How to mentor students without destroying their foundational confidenceWhy intellectual humility is your greatest clinical as...

The Existential Crisis Every Manual Therapist Should Have

The Modern Pain Podcast

Episode 199

Paused
0:000:00

In this episode, Mark sits down with Richard McIlmoyle, a chiropractor from British Columbia who went through a profound professional transformation after discovering modern pain science. Richard shares his journey from biomechanical certainty to embracing uncertainty, and how that shift has made him a better clinician and mentor.

In this conversation, you'll discover:

  • How to mentor students without destroying their foundational confidence
  • Why intellectual humility is your greatest clinical asset
  • The tension between what we're taught in school and what science actually shows
  • How Richard approaches manual therapy from a macro-down perspective
  • Why he audited UBC's medical school pain curriculum (and what he found)

Richard's story is a masterclass in professional evolution. From attending the San Diego Pain Summit in 2015 to now influencing medical education in British Columbia, he demonstrates what's possible when clinicians choose curiosity over certainty.

Subscribe & Follow

Never miss an episode — listen wherever you get your podcasts.

About the Guest

Richard McIlmoyle

Richard McIlmoyle

I can give you one later Mark

Join the Conversation