I’m Wilfried, a physiotherapist and osteopath specialized in low back pain known as the.spine.physio.

I built this framework to organize clinical reasoning, not to replace it.

It’s designed to help you:

• Ask better questions

• Identify dominant pain mechanisms

• Integrate biopsychosocial drivers

• Choose treatment with confidence

This is the same reasoning I use in clinic and teach to other clinicians.

The LBP Assessment Framework is a step-by-step clinical reasoning algorithm

• Exclude serious spinal and non-spinal pathologies

• Differentiate pain mechanisms (nociceptive, neuropathic, central, mixed)

• Screen for psychosocial and contextual drivers

• Identify key contributors to guide treatment priorities

This is not a diagnosis tool, it’s a decision-making framework.

✅ The complete Low Back Pain Assessment Algorithm (PDF)

✅ Clear clinical pathways and decision points

✅ Practical screening questions and clusters

✅ A biopsychosocial diagnostic structure you can apply immediately
Use it during assessments, case discussions, or treatment planning.

💛 If you want to go deeper into:

• Clinical reasoning

• Case-based application

• Advanced pain presentations

You’ll find courses, resources, and in-person education on the page.