The Thinking Practitioner

In this illuminating episode of The Thinking Practitioner, Whitney Lowe sits down with Dale Healey, a leading expert in integrative healthcare, to explore the evolving role of massage therapy in modern medical settings. Healey shares profound insights into interprofessional collaboration, the potential of massage therapy in healthcare, and how practitioners can become more effective advocates for whole-person care. Key Topics: 0:07:00 Defining Integrative Healthcare 0:22:30 The Role of Massage in Medical Settings 0:34:00 Challenges in Massage Therapy Education 0:42:00 Building Relationships Across Healthcare Disciplines 0:45:30 Strategies for Massage Therapists to Expand Their Impact Sponsor Offers:  Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com.  ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,. Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet About Whitney Lowe  | About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

Carpal tunnel syndrome is one of the most common nerve compression issues—but how can massage and manual therapy help? In this in-depth episode, Whitney Lowe and Til Luchau break down the anatomy, risk factors, and assessment strategies for carpal tunnel syndrome, exploring its causes, differential diagnosis, and effective hands-on approaches. They discuss the importance of nerve mobility, client education, and activity modifications to relieve symptoms and improve function. Whether you're a hands-on therapist looking to refine your treatment strategies, or someone experiencing wrist and hand discomfort, this episode offers valuable insights into understanding and managing carpal tunnel syndrome.

This episode of The Thinking Practitioner Podcast pays tribute to the life and legacy of Erik Dalton, a pioneering figure in the massage and manual therapy field who recently passed away. Through conversations with some of those who knew him best, we gain insight into Dalton's unique contributions, innovative approaches, and profound impact on the profession. Key Topics: Introduction and overview of Dalton's background and influence (0:00 - 5:00) Reflections from Tom Myers, author of Anatomy Trains (5:00 - 11:40)  Insights from James Waslaski, international lecturer and author (11:40 - 15:00) Memories shared by Diane Matkowski, the "Massage Mentor" (15:00 - 19:30) Perspective from Eric Brown, consultant for Dalton's business (19:30 - 24:00) Stories and tributes from Jim Asher, Dalton's Rolfing teacher (24:00 - 29:00) Personal accounts from Tammy McCue, senior educator for Dalton's work (29:00 - 34:00) Reflections from Art Riggs, bodyworker and teacher (34:00 - 40:00) Insights from Paul Kelly, longtime collaborator with Dalton (40:00 - 50:00) Closing thoughts and information about the podcast's sponsors (50:00 - 57:00)

In this special retrospective episode of The Thinking Practitioner, Whitney Lowe and Til Luchau look back season five's thought-provoking discussions, expert interviews, and groundbreaking insights into the world of massage therapy and bodywork. Reflecting on their most impactful episodes and a guest list that included Tom Myers, Sharon Wheeler, Jill Cook, Antonio Stecco, Greg Lehman and more, they explore highlights such as pain science with Lorimer Moseley, innovative anatomical approaches with Gil Hedley, and Til's profound personal and professional journey through grief. With a mix of deep dives into manual therapy techniques and candid personal stories, this episode celebrates the depth and breadth of the profession and the podcast's community. Key Topics and Time Codes: •[00:01:00] Introduction and celebrating five seasons of The Thinking Practitioner. •[00:04:00] Reflections on how bodywork has personally transformed Whitney and Til over the years (Episode 134). •[00:06:00] Gil Hedley's overview of cranial nerves, and his groundbreaking Nerve Tour (Episode 110). •[00:10:35] Highlights from the conversation with Lorimer Moseley on explaining pain (Episode 111). •[00:15:20] Insights into proprioception and fascia from Rochelle Clausen and Nicole Trombley (Episode 119). •[00:17:00] "Movement optimism" with Greg Lehman and rethinking rehabilitation (Episode 114). •[00:20:20] Rolfer Sharon Wheeler discusses the legacy of her ScarWork and Bone Work (Episode 133). •[00:25:00] Low back pain updates: A practical discussion on treatment and understanding (Episode 127). •[00:30:00] Reflections on grief and its profound impact on personal and professional life (Episodes 125, 130, and 132). •[00:33:00] Jill Cook's insights into tendon pain and the evolving understanding of tendinopathy (Episode 128). •[00:36:30] Celebrating the diversity of guests, their contributions to the field. •[00:38:00] Looking forward to Season 6 and inviting listener input for future episodes. Join us for a heartfelt and inspiring look back at the evolution of The Thinking Practitioner and a preview of what's to come in Season 6.

In this episode, Whitney Lowe and Til Luchau welcome Dr. Mark Olson, a neuroscientist and massage practitioner, for an engaging conversation about the fascinating intersection of neuroscience, trauma, and massage therapy. Dr. Olson shares insights into the complex processes of pain perception, the role of descending modulation, and how manual therapy can create lasting impacts beyond any tissue effects. The trio dives deep into practical applications for massage therapists, addressing divergent views around posture, nociception, and the impact of environment and interpersonal dynamics on client care. This episode will leave you inspired to deepen your practice and reconsider how you approach pain and trauma in the treatment room.   Key Topics: •[00:03:18] Introduction to Dr. Mark Olson and his background in neuroscience and massage. •[00:06:24] Overview of nerve processing: sensory input, motor output, and top-down vs. bottom-up influences. •[00:12:00] Ascending vs. descending modulation: What they mean and how they affect pain perception. •[00:20:30] Understanding pain as a perception of danger rather than tissue injury. •[00:33:35] Defining trauma-informed care and its importance for manual therapists. •[00:36:45] Recognizing developmental and shock trauma in practice. •[00:45:43] Exploring myths around posture and its relationship to pain. •[00:54:26] Practical advice for integrating neuroscience into manual therapy practice. Tune in to gain practical tools for fostering safety, understanding pain, and transforming your approach to bodywork.

In this reflective anniversary episode, hosts Whitney Lowe and Til Luchau take a heartfelt look at the transformative impact of massage and manual therapy—both personally and professionally. Sharing stories from their own journeys into the field, lessons learned from clients, and transformative bodywork experiences, they explore how this work profoundly shapes lives.   The conversation touches on balancing professional demands with personal growth, the joys and challenges of teaching, and the deeper connections formed through touch. Whether you're a seasoned practitioner or just starting, this episode offers inspiration, insight, and a celebration of the unique power of this work.  

In this episode, we delve into the intersection of massage therapy, grief, caretaking, and end-of-life. We touch on global palliative care practices, the role of touch in support for those experiencing grief, navigating sensitive conversations, and creating safe spaces for clients. Our guest, Ronna Moore, a massage therapist with over 40 years of experience, specializes in oncology and palliative care, and is pursuing a doctorate in public health focusing on the role of massage therapy in palliative care. Join us to gain insights into shifting therapeutic mindsets and exploring practical resources to support those experiencing loss. Key Topics 01:19 Guest Introduction and Personal Connection 02:08 Exploring Grief and Loss in Massage Therapy 03:43 Understanding Palliative Care 05:22 Palliative Care Practices in Different Countries 23:16 The Role of Touch in Therapy 35:18 Role-Playing Therapeutic Conversations 36:46 Navigating Grief in Therapy 37:48 The Importance of Sensitivity 38:10 Avoiding Unhelpful Phrases 39:12 The Paradox of Comfort 40:15 Shifting the Therapist Mindset 47:05 Creating a Safe Space 50:01 Understanding Grief Models 54:46 Resources and Final Thoughts Get the full transcript at Til or Whitney's sites!  Whitney Lowe's site: AcademyOfClinicalMassage.com  Til Luchau's site: Advanced-Trainings.com  Resources mentioned in this episode: Ronna's grief recommendations: Frank Osteseski's book The Five Intentions is a really valuable guide/resource for me in palliative care and its ‘aftermath'. I also appreciate Ronald Epstein's book: Attending: Medicine, Mindfulness and Humanity Mary-Frances O'Connor: The Grieving Brain: The Surprising Science of How We Learn from Love and Loss Mary-Frances O'Connor: The Grieving Body (to be published in 2025) George Bonnano: The Other Side of Sadness AND George Bonnano: The End of Trauma (both of these have a resilience orientation which appeals to me). TED talk by Abraham Vergehese emphasising the humanity of care. Articles: https://psycnet.apa.org/record/2018-26629-017.    (A polyvagal approach) O'Connor, M.-F. (2019). Grief: A Brief History of Research on How Body, Mind, and Brain Adapt. Psychosomatic Medicine, 81(8), 731–738. https://doi.org/10.1097/PSY.0000000000000717 O'Connor, M.-F., & Seeley, S. H. (2022). Grieving as a form of learning: Insights from neuroscience applied to grief and loss. Current Opinion in Psychology, 43, 317–322. https://doi.org/10.1016/j.copsyc.2021.08.019 In Australia, we have a professional body called Grief Australia which is a great resource for PD/education (amongst other things). Perhaps there is something similar in the US. https://www.caresearch.com.au/Portals/20/Documents/Health-Professionals/TheRoleOfSkilledCompassionateTouchInGriefSupport_RonnaMoore_ACGBConference2018-1.pdf    What's Your Grief (you have already) has some good descriptions of the models of grief I mentioned (Dual Process Model and Growing around Grief), and there are others as well. Compassion Cultivation Training: https://med.stanford.edu/psychiatry/education/cme/cct.html Mindful Self Compassion: https://centerformsc.org Sponsor Offers:  Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com.  ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,. Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet About Whitney Lowe  | About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)  

In this episode of The Thinking Practitioner, host Til Luchau interviews Bronnie Lennox Thompson, a pain management expert from the University of Otago in Australia. Bronnie shares insights on supporting people with chronic pain to live well, emphasizing pain's complexity as a personal, multi-dimensional experience. They discuss the value of hands-on therapy, discussing both physical benefits and its comforting, human connection. The conversation highlights mindfulness as a tool for managing chronic pain, extending beyond meditation to include simple, everyday practices. Bronnie and Til explain how mindfulness helps people observe pain without reacting, fostering a healthier relationship with their bodies. Bronnie also shares her personal approach to mindfulness through activities like walking and savoring positive moments. This episode offers practical advice for both therapists and anyone seeking a mindful, compassionate approach to managing pain. Key Topics: 00:00 Introduction and Podcast Overview 00:16 Sponsorship and Special Offers 02:04 Guest Introduction: Dr. Bronnie Lennox Thompson 02:15 Exploring Pain and Mindfulness 05:40 Personal Journey with Pain 08:59 The Role of Hands-On Therapy 19:16 Mindfulness in Clinical Practice 25:13 History and Science of Mindfulness 39:17 Responding vs. Reacting: The Power of Mindfulness 40:12 Practical Applications for Manual Therapists 41:08 Guiding Clients Through Sensory Awareness 42:11 Exploring Sensations and Descriptions 43:38 The Role of Curiosity in Therapy 44:40 Hands-On Techniques and Client Interaction 47:17 Movement and Awareness in Therapy 48:52 Changing Pain Perception Through Attention 51:51 The Therapeutic Session: Beyond Touch 01:00:07 Incorporating Mindfulness into Daily Life 01:06:38 Final Thoughts and Resources Get the full transcript at Til or Whitney's sites!  Whitney Lowe's site: AcademyOfClinicalMassage.com  Til Luchau's site: Advanced-Trainings.com  Resources mentioned in this episode: University of Otago Postgrad Programmes in Pain Bronnie Lennox Thompson: Healthskills blog bronwyn.thompson@otago.ac.nz  Sponsor Offers:  Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com.  ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,. Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet About Whitney Lowe  | About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

Joon Park, author of "As Long as You Need" discusses grief and its impact on bodyworkers and their clients with Til Luchau. Park, a hospital chaplain, shares his experiences with grief, trauma, and the importance of acknowledging and integrating pain rather than suppressing it. He emphasizes the role of the body in grief, the concept of "letting in" rather than "letting go," and the significance of rituals and community in processing loss. The conversation also touches on the idea of the "intimate stranger" and the therapeutic power of touch and presence. Key Topics: •Grief isn't about “letting go” but “letting in” and honoring the lost. •Societal pressures often encourage suppressing grief. •Parallels between grief and trauma: both require embracing pain rather than avoiding it. •Physical manifestations of grief and the role of bodywork in processing it. •Importance of rituals in grief (including the "ritual" of getting bodywork) for emotional and physical healing. •The significance of community and meaningful connections in combating loneliness. •The “intimate stranger” concept, where trust can build quickly with clients. •Touch as non-verbal "prayer" and support in grief. •Encouraging open conversations about grief and loss, and building authentic relationships. Get the full transcript at Til or Whitney's sites!  Whitney Lowe's site: AcademyOfClinicalMassage.com  Til Luchau's site: Advanced-Trainings.com  Resources mentioned in this episode: JS Park's book: As Long as You Need: Permission to Grieve http://aslongasyouneedbook.com   Sponsor Offers:  Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com.  ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,. Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet About Whitney Lowe  | About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

A new study shows that our fingertips lose sensitivity as we age. What are the implications for massage and bodywork practitioners? Tune in and listen as Til and Whitney think it through, and along the way, share fascinating tidbits about tactile sensitivity training, and its relevance to actual practice.  Key Topics: •Introduction and Sponsor Message (00:00 - 01:30) •Discussion of Tactile Sensitivity Study (01:30 - 03:30) •Decline in tactile sensitivity, especially in fingers with age •Importance of glabrous skin (hairless skin) in mechanoreception •Mechanoreceptors and Aging (03:30 - 06:00) •Von Frey monofilament test used to measure sensitivity •Examples of exercises to improve tactile sensitivity in manual therapy •Proprioception and Sensory Discrimination (06:00 - 09:00) •Importance of spatial discrimination in manual therapy •Stiffness testing for practitioners •Tactile Acuity and Practice (09:00 - 12:00) •Training methods for developing tactile sensitivity, including touch games and exercises •Aging and Mechanoreceptor Deterioration (12:00 - 16:00) •Impact of aging on nerve function and tissue hydration •Central processing changes in the brain affecting tactile perception •Implications for Clients and Practitioners (16:00 - 23:00) •Loss of sensitivity and its effect on daily activities and manual therapy •Correlation between pain and reduced tactile sensitivity •Qualitative vs Quantitative Touch in Therapy (23:00 - 30:00) •Debate on whether tactile acuity is essential for effective manual therapy •Importance of qualitative touch and attentiveness in client care •Social Grooming and Pleasant Touch (30:00 - 38:00) •The role of pleasant touch in therapy, linked to brain processes •Sensitivity in non-fingertip areas (forearms, cheeks) and its significance •Takeaways on Tactile Sensitivity and Aging (38:00 - 45:00) •Summary of findings on aging and tactile sensitivity •Importance of listening and touch quality in manual therapy Get the video and full transcript at Til or Whitney's sites!  Whitney Lowe's site: AcademyOfClinicalMassage.com  Til Luchau's site: Advanced-Trainings.com  Resources mentioned in this episode: Samain-Aupic, Léonard, Mariama Dione, Edith Ribot-Ciscar, Rochelle Ackerley, and Jean-Marc Aimonetti. “Relations between Tactile Sensitivity of the Finger, Arm, and Cheek Skin over the Lifespan Showing Decline Only on the Finger.” Frontiers in Aging Neuroscience 16 (July 2, 2024): 1387136. https://doi.org/10.3389/fnagi.2024.1387136. Bartsch, Katja Martina, Robert Schleip, Alberto Zullo, Kerstin Hoppe, and Werner Klingler. “The Stiffness Comparison Test: A Pilot Study to Determine Inter-Individual Differences in Palpatory Skill Related to Gender, Age, and Occupation-Related Experience.” Journal of Bodywork and Movement Therapies 24, no. 4 (October 2020): 1–6. https://doi.org/10.1016/j.jbmt.2020.06.009. Sponsor Offers:  Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com.  ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,. Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet About Whitney Lowe  | About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

Whitney interviews tendon expert Dr. Jill Cook, who discusses the current understanding of tendinopathy as a degenerative condition, emphasizing the importance of proper loading in rehabilitation. She explains why she advises against traditional treatments like friction massage and stretching, why anti-inflammatory medications are ineffective, and highlights the risks of certain drugs on tendon health. Throughout the conversation, Dr. Cook provides evidence-based insights for all manual therapists on treating tendinopathies effectively. Key Topics: Shift from thinking of tendinopathies as inflammatory conditions to degenerative conditions (03:01 - 04:24) Factors that contribute to pain in tendinopathies (04:40 - 05:41) Clinical signs and symptoms of tendinopathy (06:06 - 08:34) The role of loading and compression in tendon pathology (08:54 - 16:45) Treatment strategies for tendinopathies, including friction massage and anti-inflammatory medications (19:06 - 31:48) Medically-induced tendinopathies, such as those caused by fluoroquinolone antibiotics (32:05 - 35:04) The role of active movement and soft tissue treatments in tendinopathy rehabilitation (35:30 - 38:29) Get the full transcript at Til or Whitney's sites!  Whitney Lowe's site: AcademyOfClinicalMassage.com  Til Luchau's site: Advanced-Trainings.com  Resources mentioned in this episode: Jill Cook: J.Cook@latrobe.edu.au Fairclough J, Hayashi K, Toumi H, et al. The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome. J Anat. 2006;208(3):309-316. doi:JOA531 [pii] 10.1111/j.1469-7580.2006.00531.x Sponsor Offers:  Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com.  ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,. Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet About Whitney Lowe  | About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

In this episode, Til and Whitney dive into strategies for addressing low back pain (LBP) with hands-on work, exploring LBP's prevalence, causes, and treatments. Sharing the insights they've gained from experts such as Nikolai Bogduk, Stewart McGill, Paul Hodges, Lorimer Moseley, Helene Langevin and Antonio Stecco, they lay out the diverse views on both the structural and non-mechanical origins of LBP. Listeners will also learn about therapeutic approaches, the significance of practitioner confidence, and the importance of comprehensive evaluations. Tune in for a fascinating look at how practitioners and clients alike can better understand and work with low back pain. Key Topics: 1. Prevalence of low back pain Over 60-70% of people have episodes of low back pain at some point [01:51]  Leading cause of disability worldwide Huge economic impact 2. Potential evolutionary factors contributing to low back pain Transition to bipedalism and upright posture Differences in spinal curvature and hip mobility between cultures [05:45] 3. Causes and contributors to low back pain - [07:39] Overemphasis on disc and structural issues in the past Importance of comprehensive evaluation beyond just structural issues Role of soft tissue, muscular, and neural factor 4. Influence of practitioner perspective and confidence on outcomes [30:20] Importance of the therapeutic relationship and rapport Unexpected interventions can sometimes be effective [35:53] 5. Personal experiences with low back pain Overuse vs. underuse/immobility as contributors Debates about the significance of posture, load, and context [41:31] Limits of expertise vs. scope of practice for massage therapists Get the full transcript at Til or Whitney's sites!  Whitney Lowe's site: AcademyOfClinicalMassage.com  Til Luchau's site: Advanced-Trainings.com  Resources mentioned in this episode: ABMPs' CE Summit on LBP: live Oct 1, 2024 and free to everyone in the profession: abmp.com/summit Portions also available by recording to ABMP members and next year, to A-T Subscribers  Sponsor Offers:  Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com.  ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,. Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet About Whitney Lowe  | About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

Til and Whitney speak with fascial researcher, anatomist, and manual therapy teacher Antonio Stecco MD PhD about his research in to fascial properties, pain, and the effects of hands-on work, in this audience-favorite episode from our archives, where it originally ran as Ep. 53. Key Topics: Introduction to Dr. Antonio Stecco and his background in fascia research The role of the Stecco family in advancing fascia research Differences between superficial fascia and deep fascia The concept of fascial densification vs. fibrosis How manual therapy affects fascial lubrication and gliding The relationship between fascial stiffness/thickness and pain Mechanisms for long-lasting effects of fascial manipulation The importance of restoring proper biomechanics, not just treating pain The role of retinacula in proprioception and joint stability New MRI techniques for imaging fascial properties Molecular structure of hyaluronan in fascia Use of hyaluronidase injections for treating spasticity Resources for learning more about fascial manipulation Get the full transcript at Til or Whitney's sites!  Whitney Lowe's site: AcademyOfClinicalMassage.com  Til Luchau's site: Advanced-Trainings.com  Resources discussed in this episode: Dr Stecco's research and publications (NYU) FM app on the Apple Store and Google Play Dr Stecco's site: fascialmanipulation.com Papers mentioned in the episode: Gerber et al., “A Systematic Comparison Between Subjects With No Pain and Pain Associated With Active Myofascial Trigger Points.” Langevin, Helene M. et al. “Reduced Thoracolumbar Fascia Shear Strain in Human Chronic Low Back Pain.” BMC Musculoskeletal Disorders 12, no. 1 (December 2011): 203. https://doi.org/10.1186/1471-2474-12-203. Stecco, Antonio at al. “Ultrasonography in Myofascial Neck Pain: Randomized Clinical Trial for Diagnosis and Follow-Up.” Surgical and Radiologic Anatomy 36, no. 3 (April 2014): 243–53. https://doi.org/10.1007/s00276-013-1185-2. Sponsor Offers:  Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com.  ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,. Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet About Whitney Lowe  | About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

In this episode Whitney interviews Laurel Beversdorf and Dr. Sarah Court (co-hosts of the Movement Logic Podcast) to talk about movement, exercise, and rehabilitation. They discuss topics such as the misconceptions surrounding strength training and its impact on flexibility and mobility, strength training for women, posture, movement re-education, and the importance of load management, and much more. Check it out now! Watch the video and get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Key Points in the Podcast - Misconceptions about strength training and its impact on flexibility (06:00) - Overcoming resistance to strength training in the yoga community (08:00) - The fear of injury associated with lifting heavy weights (10:00) - The benefits of strength training at home (14:00) - Starting strength training after developing a physical injury (16:00) - The importance of proper technique and strength for manual therapists (18:00) - The scope of practice for manual therapists in recommending exercise (20:00) - The limitations of personal trainer certifications (22:00) - Differentiating between scope of practice and scope of expertise (24:00 - The shift towards loading and strengthening in tendon rehabilitation (32:00) - The impact of posture and load on the body (34:00) - The importance of considering individual goals and abilities in posture (38:00) - The role of elite athletes and their unique movement patterns (40:00) - The social and hierarchical implications of posture (46:00) - How to connect with Laurel Beversdorf and Sarah Court (48:00) Resources: Slouch, Posture Panic in Modern America by Beth Linker Movement Logic Podcast Social Media:  @movementlogictutorials , @laurelbeversdorf, @sarahcourtdpt Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/ Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)  

In celebration of Til Luchau's upcoming "Ankle Issues" livestreamed course, Til and Whitney pulled one of their favorite ankle-related episodes (#43) out of the archives. Listen in as they geek out on ankle- and foot-related conditions, anatomy, function, biomechanics and more. Topics include:  How the structure of the foot/ankle complex determines function Are we over over-pronation yet?  Plantar fasciitis/fasciosis, bunions, hammertoes, and other things you wouldn't have thought of as ankle issues. Episode Outline: Structure of the foot/ankle complex Medial side deltoid ligament complex Lateral side ATF, CF, PTF How does structure govern function Distal tibiofibular joint & talocrural joint form mortise & tenon Primary supporting ligaments Mechanics of the region: Talocrural motions: dorsiflexion & plantarflexion Type I and type II limitations Subtalar motions: inversion & eversion Pronation and supination (definitions and confusion) Phases of gait Some common issues/problems Valgus and varus angulations (toes and calcaneal region) “Overpronation” Bunions & hammertoes Plantar fasciitis Tendon overuse (Achilles tendon etc.) Trauma: sprains breaks Nerve entrapments mimicking soft-tissue pathology (i.e. tarsal tunnel syndrome, Baxter's neuropathy, etc.) Resources and references discussed in this episode: Til Luchau's “ANKLE Issues” livestream course (live Aug 24-25 '24, or later by recording): advanced-trainings.com/workshop/onl2408m/  Trail Guide to Movement: save 15% by entering "thinking" at checkout on booksofdiscovery.com Whitney Lowe's site: AcademyOfClinicalMassage.com  Til Luchau's site: Advanced-Trainings.com  Podcast anatomy image from Advanced Myofascial Techniques, Volume 1. Used under license from Primal Pictures. Whitney Lowe's site: AcademyOfClinicalMassage.com  Til Luchau's site: Advanced-Trainings.com  Sponsor Offers:  Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com.  ABMP: save $24 on new membership at abmp.com/thinking.  About Whitney Lowe  | About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

Legendary trauma pioneer Peter Levine PhD talks with Til Luchau about how bodyworkers might recognize trauma, and, how can they be most helpful with its effects. Along the way, Dr Levine reflects on topics such as his own training with Ida Rolf (the originator of Rolfing® Structural Integration), scope of practice considerations for bodyworkers, self-care and much more. Watch the video and get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Til's Facebook post: If you could as Peter Levine anything... Peter Levine's Somatic Experiencing® site Preorder Peter Levine's upcoming An Autobiography of Trauma: A Healing Journey Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

Baker's cysts, the most common cyst behind the knee, affect about 20% of all people. When painful, they can limit mobility and impact quality of life. In this episode, Til interviews Whitney about what Baker's cysts are, what we as hands-on therapists can do about them, and how we can broaden the lens about the benefits of our work.  Watch the video and get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Nanduri A, Stead TS, Kupsaw GE, Deleon J, Ganti L. Baker ' s Cyst Case Presentation. 2021;13(12). doi:10.7759/cureus.20403 Burger C. Baker's cyst. Chirurg. 1999;70(5):611-612. doi:10.1016/s2255-4971(15)30317-7 Afandiyeva MA, Janbachishov QS. Baker's cyst. Azerbaijan Med J. 2004;7(1):125-127. doi:10.1177/1941738113520130 Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com

The Massage Therapy Foundation is a crucial organization for the growth and development of our profession. In this episode, Whitney talks with Adrienne Asta, current president of the Foundation. In this episode, they discuss: What are the different programs the Foundation runs? What is the role of the Foundation in our profession? Why is research important for practitioners? How can people get involved with the Foundation? ...much more Watch the video and get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Massage Therapy Foundation International Journal of Therapeutic Massage & Bodywork Massage Therapy Research Network Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com

Til Luchau and Ruth Werner talk with Walt Fritz PT, as they prepare for some hands-on work with Ruth's chronic cough. Listen in as these three powerhouse presenters discuss hands-on strategy, potential triggers, and psychosocial impacts related to chronic coughs. Ruth shares her personal experiences, emphasizing the challenges and similarities with chronic pain. Their stimulating conversation then delves into the broader implications of treating the whole person rather than just the symptoms, offering unique perspectives on the intersection of manual therapy, anatomical specificity, and the human experience. (This conversation was the run-up to Ruth and Til's "Chronic Symptoms" interview at ABMP, which was featured in Thinking Practitioner Ep. 100) Watch the video and get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Walt Fritz's site Ruth Werner's site Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)    

The neck's facet joints (or the harder-to-to pronounce and remember "zygapophyseal joints") are the primary articulations involved in cervical movement. They are commonly thought to be involved in a range of painful cervical conditions. What do manual and massage therapists need to know? What are some helpful ways to think about and work with these joints? Whitney and Til think it through, and touch on topics such as: Does or doesn't head-forward posture cause pain? What about text-neck? A self-assessment, and, A hands-on technique for working with the cervical facets.  ...much more Watch the video and get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Check out Til's upcoming AMT: Neck Jaw & Head Masterclass in Puerto Rico. This episode's image was kindly provided by Anatomy Standard. Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)    

ABMP (the largest professional organization of massage therapists and bodyworkers in the USA) has just published the results of their regular survey of massage education programs, and it reveals some very interesting trends. Whitney discusses these and their implications with Les Sweeney, the CEO of the Professional Assist Corporation and President of the ABMP (Associated Bodywork and Massage Professionals). Topics include: How employment trends are changing in the field How are schools doing in preparing students for the diversity in our field What may be coming down the road for professional training in the future ...much more Watch the video and get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: About ABMP's schools survey ABMP's site Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)    

Susan Salvo has been a key contributor to the advancement of the massage therapy profession in the U.S. and abroad. She has been a school owner, practitioner, author, researcher, educator, and legal expert witness. In this episode, we talk about many of these different paths she has traversed and some of the important lessons learned. We cover these key points What brought her to the world of textbook authoring How her graduate work in education has influenced her thinking Some of the challenges faced by expert witness cases in massage therapy The importance of finding and working with a mentor ...much more Watch the video and get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Susan' Blog : https://massagepassport.wordpress.com/ Susan's website: http://www.massagepassport.com/ Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)  

A crucial aspect of high-quality health care is communication between the individuals that deliver that care. In this episode Whitney talks with Lane Blondheim, a physical therapist in South Bend, Indiana about various challenges and opportunities for enhanced communication in the manual therapy fields. We cover these key points Common myths and misconceptions about our professions Challenges of working within the existing system Where does the scope of practice overlap or interfere How can we enhance communication between our fields more in the future? ...much more Watch the video and get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Connect with Lane: lane.blondheim@athletico.com Lane's Facebook Page: Lane Blondheim, PT, MT Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

When Ruth Werner sought Til Luchau's hands-on help with a chronic symptom, they stopped by ABMP's Colorado studio for a fascinating discussion with Darren Buford and Kristin Coverly about what they were learning by working together.  (This special episode is thanks to ABMP.) Get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Ruth Werner's site Til's site Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

Tight tissue is more painful, right? And, helping bodies be less stiff makes them feel better, doesn't it? Fascial researcher Robert Schleip shares new research that contradicts these commonly held (but rarely examined) assumptions, and helps us think through how we, as body therapy practitioners, can apply this new understanding to our work. Tune in for a nuanced conversation that sheds light on our evolving understanding of fascia, stiffness, and pain. Watch the video and get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Dr Schleip's original Facebook post about this study The study featured in the episode: Myofascial stiffness of plantar fascia and Achilles tendon in individuals with plantar fasciopathy Also cited by Dr Schleip in this episode:  Assessing reliability and validity of different stiffness measurement tools on a multi-layered phantom tissue model  Dr Schleip on Instagram Dr Schleip on Facebook  Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

Brian Glotzbach has been working with high-performance athletes and professional teams for three decades. Whitney talks with Brian about the unique facets of working as a massage therapist in this environment. Things we cover include: How to get started and make connections Speaking the language of the athletic staff What is unique about working with these athletes What will make you successful in this environment. ...much more Watch the video and get the full transcript of their conversation on Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Connect with Brian: bwglotz@gmail.com Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)

Til Luchau and Whitney Lowe welcome back special guest Dr. Stuart McGill, a distinguished professor emeritus at the University of Waterloo and one of the world's leading experts in back pain and spine health. They discuss: • Common misconceptions about back pain  • Stiffness and mobility in back pain, and the role of bodywork  • Inflammatory factors in back pain • Traction and movement techniques to mechanically "vacuum" extruded nucleus and alleviate disc bulges • The McKenzie prone press-up exercise, and its potential effects on disc bulges and facet joints, • and more.  Overall, this episode sheds light on the complexities of back pain and offers valuable insights for manual therapists and bodywork practitioners. Watch the video and get the full transcript at Til or Whitney's sites:  Til Luchau's Advanced-Trainings.com  Whitney Lowe's Academy of Clinical Massage Resources: Dr. McGill's previous Thinking Practitioner conversation: Episode 69: Back Pain, Stiffness & Fascia Dr. McGill's site: Backfit Pro Dr McGill's patient models and teaching aids: Dynamic Disc Designs  Til Luchau's upcoming Boulder Colorado, Puerto Rico, and Camino de Santiago events Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout at booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking.  Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/. About Whitney Lowe  |  About Til Luchau  |  Email Us: info@thethinkingpractitioner.com (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)