What Is An “Evidence-Based” Practice?


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

​Have you heard of the term, EBP?

​This term, "Evidence-​Based Practice" or the "Evidence-Based Medicine" term is used in many ​disciplines of health care; from physical medicine to social work to psychotherapy.

​EBP is a spin-off from Evidence Based Medicine, whose philosophical origins ​stem from those practicing medicine in ​France in the early to mid-19th century.

​​​It appears that most clinics provide therapy or medical intervention based on what they may have learned years ago in medical school. Or they have found some approaches that work to get the clinical outcome they're shooting for, like pain relief or improved movement, but...

there may actually be newer approaches that may 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 Got 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.


For 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.

Now we know science supports that when we have a more up-right alignment of our heads ​instead of being far forward, it may take the pressure off our muscles and joints which may reduce our pain, headaches and migraines.

​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.

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.

​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.

(It is still being used in clinics and treatment centers around the world.)

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​: 

  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​.

There is so much more that goes in to our care for you, here in San Francisco at Diamond Pain Relief & Wellness!  

  • ​​You will always be educated to the best of our ability on the "what and why" ​​​might be going on to understand your personal experiences. 
  • ​You will always be asked to give us your 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 neccesary) so we can ​support you as a team.
  • ​You will always know what to expect from each session and from any program you may choose to 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, whenever possible.
  • 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.
  •  Your therapist will stay ​up on the current understanding of Pain Science and ​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,  at Diamond Pain Relief & Wellness Center we support your care through Peer Reviewed, Evidenced-backed intervention and support.
We will:

  •  ​Ask you in-depth questions to know P​RECISELY 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!

​Together, we are even MORE Brilliant!

~ Irene Diamond, founder 

Call 415-921-1290 for a no-cost consultation to see if or how Diamond Pain Relief might be able to help you!