In this episode of the Think Small Podcast, Dr. Orit Hickman, founder of Pain Science Physical Therapy in Seattle, Washington, shares the evolution of her practice from a traditional, hands-on physical therapy clinic into a pioneering model centered on the biopsychosocial understanding of pain. After more than a decade in clinical practice, she began noticing that patients with persistent pain were not responding to conventional biomechanics-based treatment. A pivotal pain science course reshaped her perspective, leading her to incorporate neuroscience education and a more holistic approach to care that addresses the role of stress, fear, and perception in chronic pain. This shift challenged long-standing norms in physical therapy and initially created tension with both patients and providers, some of whom were not ready for a fundamentally diffe ...