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Chronic pain patients are some of the toughest cases in physical therapy—not because they’re complicated, but because they’re often misunderstood.
In this episode, we break down why treating chronic pain like an acute injury leads to poor outcomes—and what to do instead. The shift is simple but powerful: stop focusing only on tissue and start understanding the person.
If you run a clinic or treat patients daily, this matters because better conversations lead to better outcomes, stronger patient relationships, and more consistent retention.
What you’ll learn:
• Why chronic pain is different from acute pain
• How to identify non-tissue drivers of pain
• The role of therapeutic alliance in outcomes
• Why listening is a clinical skill—not a soft skill
• How to improve patient retention starting day one
Guest Links:
Website: megansteelept.com
Instagram: @painscienceprof
YouTube: Unpacking Pain Podcast
Sponsors:
SaRA Health — Helping clinics generate revenue between visits with remote monitoring
EMPOWER EMR — Built for PTs who want faster, cleaner documentation
U.S. Physical Therapy — Supporting PT careers and clinic growth nationwide
By Jimmy McKay, PT, DPT | Physical Therapy Podcast4.8
193193 ratings
Chronic pain patients are some of the toughest cases in physical therapy—not because they’re complicated, but because they’re often misunderstood.
In this episode, we break down why treating chronic pain like an acute injury leads to poor outcomes—and what to do instead. The shift is simple but powerful: stop focusing only on tissue and start understanding the person.
If you run a clinic or treat patients daily, this matters because better conversations lead to better outcomes, stronger patient relationships, and more consistent retention.
What you’ll learn:
• Why chronic pain is different from acute pain
• How to identify non-tissue drivers of pain
• The role of therapeutic alliance in outcomes
• Why listening is a clinical skill—not a soft skill
• How to improve patient retention starting day one
Guest Links:
Website: megansteelept.com
Instagram: @painscienceprof
YouTube: Unpacking Pain Podcast
Sponsors:
SaRA Health — Helping clinics generate revenue between visits with remote monitoring
EMPOWER EMR — Built for PTs who want faster, cleaner documentation
U.S. Physical Therapy — Supporting PT careers and clinic growth nationwide

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