The Thinking Practitioner

126: Fascia: A Deep Dive (with Dr. Antonio Stecco, Rebroadcast)


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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.
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  • 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: [email protected]

    (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.)

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    The Thinking PractitionerBy Til Luchau & Whitney Lowe

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