Manual therapy was going to be my way of feeling like I belonged in my profession and that I was good enough I came out of university, where I was exposed to an eclectic view of manual therapy where we learned Mulligan, Kaltenborn, Greenman/OMM/MET, McKenzie and others. I was

A hallmark of clinical expertise is epistemic humility—the ability to recognize uncertainty, personal bias, and the limits of evidence, yet still think clearly, act effectively, and engage constructively in clinical interactions.

Professions dominated by experienced figures with a stake in legacy theory or practices often delay or suppress innovation, no matter the evidence Someone paraphrased Max Planck - "Science progresses one funeral at a time."

When someone is in pain and searching for help… who do you think they’re choosing? The clinician who is defined by what they do with their hands? Or the clinician who is defined by where they can help that person go? People choose the guide who speaks to their life, not the

Many fellowship programs say they teach more than manual therapy. They highlight pain science, psychologically informed care, communication, and exercise progression. And many truly aim to integrate these elements. But the fellowship is still called Orthopedic Manual Physical

We're so busy achieving and producing that we forget how to just BE. Bronnie Thompson explains why teaching patients to pause and notice "things are okay right now" can be more powerful than another exercise. Even 20 seconds of present moment awareness builds a sense that

Patients don't want to spend their lives in your clinic. Bronnie Thompson's powerful reminder: they're with you for 30-60 minutes, then they're on their own. The question that changes everything: "Can you find ways to recreate this feeling at home?" Stop making people

Your relationship with patients matters more than your technique. Bronnie Thompson drops truth: projecting certainty when you don't have it will blow trust. Instead try "I wonder" and "Let's experiment." You're not the expert in their pain—they are. Words can't capture what

Plot twist: Clinicians struggle with psychological flexibility just as much as patients. Bronnie Thompson explains why stepping into uncertainty threatens your identity as "the expert who knows what they're doing." You can't predict how someone will experience treatment.

You don't need to eliminate hands-on care. You just need to ask better questions. Bronnie Thompson shares how to turn passive treatment into active discovery by asking "What do you notice?" This simple shift transforms the patient experience and builds body awareness that extends

New Episode! "The Psychological Flexibility Clinicians Need (But Don't Have)" Pain management requires psychological flexibility—not just for patients, but for clinicians too. Bronnie Lennox Thompso… Player links & show notes:

Continuing education feeds off our quest for certainty. It’s attractive to think a "joint dysfunction", “fascial distortion”, "trigger point", or “muscle imbalance” can be the solution to a person’s pain problem. All of these have the capacity to change pain in the short

In reality, good clinicians don’t conquer uncertainty; they partner with it. They don’t hide behind data or diagnostic trees. They learn to listen, experiment, and dance with complexity. They trade false certainty for authentic connection. So maybe the next evolution of

The question isn't whether you know the answer. It's whether you have the skills to move forward WITH someone when answers aren't clear. That's the shift that reduces our burnout AND improves outcomes. Clinical uncertainty is inevitable. Are you equipped to navigate it?

This is where ACT and MI become essential tools. When you can't promise pain relief, you CAN: → Help them clarify what matters (values) → Support psychological flexibility with uncertainty → Build plans they actually believe in → Partner instead of prescribe

So what do we offer if not certainty? A PROCESS for navigating uncertainty together: → Make uncertainty explicit (don't hide it) → Use their lived experience as legitimate data → Co-construct plans based on values, not just diagnosis → Focus on next experiments, not

First, let's be real: Complex pain rarely fits neat diagnostic boxes. When we pretend to have certainty we don't actually have, people can tell. And it erodes trust fast. Honesty about uncertainty is the START of therapeutic alliance, not the end of it.

The best clinicians aren't the ones with all the answers. They're the ones who can hold uncertainty while still moving people forward. Here's why clinical uncertainty might be your superpower (not your weakness): 🧵

“When pain becomes your passenger, who’s really in control?” This powerful reflection explores identity, acceptance, and choosing strength in the face of chronic illness. A must-watch for clinicians helping patients (or themselves) navigate life-altering conditions.

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Join us next Thursday! The replay and resources will be made available if you can't attend live