Limited Visits, Basic Science and the Wider Context of Care

An episode of care in Jason's clinic averages about five or six visits. Walking through those visits shows how quickly time runs out when trying one tool after another, and how hard it becomes to tell treatment effects from natural history. More tools make decisions harder, not easier. Basic science, including pain science, neuroscience, anatomy, tissue healing, nerve function, exercise science and psychology, applies to every patient, with different weight for different problems. To judge a commercial method, ask whether it is accurate in foundational science, whether it makes claims at odds with science without a reference, and whether it ignores context. The biopsychosocial model includes the structural mechanical model rather than competing with it. Context means knowing a condition's natural history and other treatment options, and advising patients fairly even when the answer is not you. A young athlete with a shoulder dislocation who wants to return to sport may be better served by a surgeon, and a patient progressing well with cognitive behavioral therapy may not need you.