26/10/2026
You know the pain science, so why do some sessions still leave you feeling you didn't have what that person needed?
A small US study asked physical therapists who also teach students about their hardest moments. As a group they showed high confidence and moderate to high knowledge of pain neurophysiology, yet they still described trouble explaining pain in a way patients could hold onto and keeping people engaged.
Asked about their biggest challenges, one began with "The system in which I operate."
The authors say the gap between evidence and practice "may reflect more than inadequate pain knowledge". It is a small sample, so it is a picture rather than a measurement, but it matches what a lot of clinicians tell us.
The knowledge arrived, but the support to use it in the room didn't, and that is not a gap in you.
Our new blog looks at what this year's research says allied health was never given. ๐
Link in comments ๐