Pain
Why the Model Matters as Much as the Treatment
A Value-Based Approach to Treating Chronic Pain
Over a decade of high-volume clinical practice teaches you things a quieter setting might not. One of them is this: fee for service care, regardless of the practitioner’s intentions, is structured around the intervention — not the outcome.
That’s not an accusation. It’s a description of what the model produces. When a session of acupuncture, a chiropractic adjustment, or a physical therapy visit carries a fixed value independent of what it produces, the intervention becomes the unit of care. Not the treatment plan. Not the trajectory. Not the outcome. The session. continue reading
Why Chronic Pain Treatment Often Falls Short — And What a Better Progression Looks Like
Chronic musculoskeletal pain affects more than one in five adults, contributes more to global disability than any other condition category, and costs the United States over $600 billion annually in healthcare expenditure and lost productivity.¹ Those numbers are not a reflection of how difficult chronic pain is to treat. They are a reflection of how consistently it is treated the wrong way. continue reading