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October 10, 2025 9 mins

Why do some patients struggle with their home exercise programs, no matter how simple? It's a question every physical therapist faces. In this episode, we're joined by Dr. Sean Wells to unravel the complex issue of patient non-compliance.


We explore the "5 Whys," a powerful yet simple technique borrowed from industrial problem-solving, and adapt it for the clinic. Learn how to peel back the layers of a patient's excuses to uncover the true, deep-seated barriers to their recovery. This isn't just about adherence; it's about fostering genuine, lasting motivation.

In this episode, you'll learn:


  • What the 5 Whys framework is and how it helps you look beyond surface-level answers.
  • Practical tips and phrasing for asking "why" without making patients feel defensive.
  • How to use the root cause you uncover to create a truly collaborative and effective plan of care.
  • Real-world case study of how this technique transformed patient outcomes.


Stop the cycle of frustration and start building stronger therapeutic alliances. Tune in to discover the questions that could change your practice.

The article referenced by Dr. Wells is here.

Untold Physio Stories is sponsored by


⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠


The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.


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