Ep. 7: Critical Thinking & Clinical Reasoning in Choosing a Treatment

SUMMARY

In this solo episode, we walk through the real-life framework I use every time I’m asked, “Should I try this?” Whether it’s red light therapy, PEMF, taping, spinal mobilization, or even just a new stretch or gadget, we break down how to move past the hype and make a sound clinical decision.

We’re talking about critical thinking and clinical reasoning—two terms that get thrown around a lot but rarely broken down in a way that feels practical. This episode is about making informed choices that actually align with the why behind your treatment goals, instead of grabbing at whatever tool is trending. If you’re a clinician, coach, or rider trying to filter through the noise, this one will sharpen your process.

KEY DEFINITIONS

• ​Critical Thinking: The ability to analyze information logically and independently, question assumptions, and evaluate claims with curiosity and skepticism. It’s not about being cynical—it’s about asking, “Does this actually make sense, here, for this patient?”
• ​Clinical Reasoning: A dynamic, evidence-informed process we use to make treatment decisions. It pulls from research, clinical experience, client input, and context to determine the most appropriate intervention.

EPISODE TAKEAWAYS

1. ​Understand the WHY• Pain is a symptom, not a diagnosis. We need to understand the underlying contributors—load, sensitivity, recovery, movement habits—before recommending any treatment.
2. ​Set Specific Treatment Goals• Is the goal to improve tissue capacity? Reduce sensitivity? Promote movement? Build confidence? Without a goal, we’re just throwing spaghetti at the wall.
3. ​Ask: Does This Modality Actually Address That Goal? • If you’re recommending something like laser, massage, or spinal mobilization, it better align with the system or structure you’re trying to affect.
4. ​Look at the Evidence • Is the support for this intervention coming from high-quality, independent research? Or is it mostly testimonials and brand marketing?
5. ​Compare Other Options • Even if a modality might work, is there something just as effective, more accessible, and less expensive? Is there something with lower risk? Active treatments like resistance training often outperform passive ones long-term.
6. ​Plan to Test and Measure • Don’t assume it works. Build in ways to assess before and after. If it doesn’t make an impact, it’s okay to change course.
7. ​Watch for Red Flags in Marketing • If it’s making big promises without much substance, pause. Words like “regenerates,” “balances,” or “detoxes” often signal more marketing than mechanism.

Keywords

equestrian, critical thinking, physiotherapy, horse care, treatment modalities, evidence-based practice, equestrian industry, clinical reasoning, horse health, rider health

Chapters

00:00 Introduction and Life Updates

06:06 The Importance of Critical Thinking in Equestrian Care

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