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Why Systematic Reviews Can’t Guide Clinically Relevant MLD Practice for Post-Knee-Replacement Clients
When it comes to clinical practice, what matters most to real-world MLD therapists simply isn’t what’s being measured in “Level I evidence”.
To understand this disconnect we need to revisit what evidence based practice really means.
Evidence based therapy is a synthesis of research evidence, clinical experience and observation, in the context of the desired outcomes of the recipient.
Relying on Level 1 evidence alone is just not enough. Yet systematic reviews and meta-analy

Jan Douglass PhD
Oct 5, 20256 min read


Self-Care: The Essential Key to Chronic Pain Management
Every year on July 24, International Self-Care Day reminds us that self-care is a 24/7 necessity, not a luxury. But while the word “self-care” may conjure images of spa days and scented candles, the reality is far more powerful, and essential for those living with chronic pain.

Jan Douglass PhD
Jul 5, 20258 min read
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