What Is An “Evidence-Based” Practice?


What IS an "Evidenced-Based" Practice? (EBP) 

Have you heard of the term, EBP?

There Are Many Versions of the Same Concept:

  • "Evidence-Based"
  • "Evidence-Informed"
  • "Science-Informed"  
    these terms are used in many disciplines of health care; from physical medicine to social work to psychotherapy.

Evidence Based Medicine originated from those practicing medicine in France in the early to mid-19th century.

It appears that most of today's clinics provide therapy or medical intervention based on what they learned years ago in school. 

They've found some approaches that work to get the clinical outcome they're shooting for, like pain relief or improved movement, but...

newer clinical approaches may actually work even more effectively, but because the practitioner is still  'stuck' in their old ways, they and their patients don't have the opportunity to reap the benefits of newer protocols and current scientific understanding.


I know it's not cool to quote Wikipedia but here is a simple summation to start:

"An evidence-based practice is any practice that relies on scientific evidence for guidance and decision-making. Practices that are not evidence-based may rely on tradition, intuition, or other unproven methods."

The goal of a practice that adopts an EBP approach is to provide the most effective care we believe is available, (at the present time) based on scientific findings.

Choosing to incorporate scientific evidence, is the opposite of how many clinics chose their Pillars of Service Offerings.

Most clinics create 'fancy' services based on what's popular or trendy at the time, or offer services that will bring in the most money for the clinic or practitioner.

Often, these non-science-based practices will provide treatments based on what the clients and patients are asking for, which may however, be bogus treatments.

For example, Reiki, Reflexology or Essential Oils are sometimes requested of us, at DPR&W, but those are not offered in our center because science does not support their efficacy.

At Diamond Pain Relief & Wellness, we provide manual and movement-based therapies, that integrate what is currently being supported by science, along with our understanding of how each client has unique needs and comes from a unique background of experiences, therefore each therapy session and therapy plan is hand-tailored to the individual.

Most People Have It Wrong:
Science Doesn't PROVE Anything!

In science, the term 'proves' is not an accurate word to use.

It's better to say 'science supports...'

EBP's incorporate the most current, scientifically supported approaches to client care.


Here is a perfect example:
Here at Diamond Pain Relief & Wellness, we USED to think that PROPER, PERFECT POSTURE while sitting , standing, working, reading was needed to reduce or eliminate neck, back and hip pain.

Forward head alignment

'Forward Head Posture"

"Wall Stand" to Create Awareness of Alignment, &Stretch and Strengthen.

"Wall Stand" to Create Awareness of Alignment, & Stretch and Strengthen.

The very common 'forward head posture' does cause mechanical stress and strain because our heads do weigh 10-ish pounds, so our muscles are doing 'extra' work which can lead to fatigue, strain, and stress.

When we maintain our heads and upper torso in an up-right alignment, it reduces the mechanical forces that apply pressure on our muscles and joints, which often does reduce our pain, headaches and migraines.

What we now know (based on science) is that more important than "Perfect Posture" for pain relief,  is moving and changing positions often, whether you're sitting, standing, working or even your sleeping position.

Listen as Paul shares his Ankle Rehab experience:

A 3-Step Approach:

A therapy or medical practice can consider themselves "Evidenced-Based" IF & WHEN they follow a 3-step approach to how they treat their clients and patients, the protocols or plans of care they follow, or the methods and modalities they incorporate.

The concept of 3 pillars of EBP began around the 1990's:

David Sackett is recognized as the pioneer of Evidence Based Medicine. He said,
"It's about integrating individual clinical expertise AND the best external evidence."

David Sackett's 3 Pillars of an Evidenced-Based Practice, which we follow: 

  1. Clinical Expertise
  2. Evidence
  3. Patient Preference

David suggested all three Pillars were equally important, and they often used a 3-legged stool analogy to explain how 1 or 2 Pillars could not be used without all 3, or it would not stand up.

The 3 Pillars are important, but each pillar probably does not have equal importance.

Your care  through Diamond Pain Relief & Wellness:

  • You will always be educated on the "what and why" we think things might be going on so you can be informed and understand your personal situation and experiences.

  • You will always be asked for informed consent before we ever do anything to or with you.

  • Your care will be corroborated by us along with your other health care providers (if and when necessary) so we support you as a team.

  • You will always know what to expect from each session and from any program you participate in.
  •  Your therapy plan and practitioner will follow data-based, clinically supported modalities, plans of care, procedures and approaches.

  •  You will receive therapy to address the underlying cause of your pain, restrictions, and limitations - not just relieve your symptoms.

  • Your therapist will use their critical-thinking skills, experience and training to accompany their knowledge of science-supported studies to design your treatment plan.

  •  Your therapist will not fall into the 'trap' of thinking 'Correlation Indicates Causation" and will help you to see things from a different perspective taking all variables into consideration.

  •  Your therapist will stay up on the current understanding of Pain Science + Neuro Science.

  •  You will partner with your therapist (and Irene Diamond, our director)  as you progress. We encourage what we call, The Roadmap To Wellness, 4 Phases of continuum of care.

As a Precise Private Practice,
we support your care through 
Peer Reviewed, Evidenced-backed intervention and support.

We will:

  •  Ask you in-depth questions to know PRECISELY what you hope to achieve regarding your health and wellness.
  •  Discuss your past therapy / surgery / treatment / intervention and experiences of what has worked/not worked for you.
  •  Explore with you any imaging you've had such as Xrays or MRIs, and doctor reports.
  •  Offer you PRECISE therapy options we think would be best to resolve your symptoms
  •  Determine (with you) the PRECISE Phase on The Roadmap To Wellness Continuum to know how to proceed.
  •  Continually monitor your progress on a regular basis so you get the absolute BEST outcome from being one of our PRECISE, hand-selected  chosen clients!

Your wellness depends on receiving care from experienced, professionals who partner with you on this journey forward!

Call 415-921-1290
Isn't it time to see if or how Diamond Pain Relief & Wellness
might be able to help you?
Together, we are even MORE Brilliant!
~ Irene Diamond, founder