Evidence based approach.

Evidence-based practice is presented as a balance between three elements: the best available research, the clinician’s expertise, and the patient’s values and preferences. Clinical decisions should draw on all three, rather than relying too heavily on any one area. Research helps keep practice current, but it cannot replace individual judgment. At the same time, experience alone is not enough if it ignores strong evidence showing that a treatment is ineffective. The discussion also highlights the tension clinicians may feel between evidence, experience, and patient expectations. Patients should be heard and respected, but they should not determine treatment in a way that overrides sound clinical reasoning. Another key point is the need to maintain a true biopsychosocial perspective. Psychological and social factors matter, but biomechanics should not be neglected, since some patients are more affected by physical drivers than others. A central idea is to identify each person’s main drivers or triggers, such as fear of movement, stress, depression, joint changes, or physical load. The goal is to match the right treatment to the right person at the right time.