The Thinking Practitioner

139: Scoliosis: Lessons for Every Back (with Til Luchau & Whitney Lowe)


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🎙Scoliosis can offer valuable insights into working with the spine, and the same principles can be applied to anyone dealing with stiffness, back pain, postural issues, or mobility challenges.

In this deep-dive update, Whitney Lowe and Til Luchau explore the latest perspectives on scoliosis, debunk common myths, and discuss how hands-on therapy can support mobility and comfort.

Drawing from their decades of experience, Whitney and Til discuss the differences between adolescent idiopathic scoliosis and adult-onset scoliosis, the role of strength and balance training, and why spinal curvature doesn’t necessarily mean more pain. They also examine the impact of body image, surgical considerations, and how touch- and movement-based strategies can provide lasting benefits for all clients, not just those with scoliosis. 

🌟 Highlights:

•Scoliosis Overview & Common Misconceptions (02:50) – Understanding spinal curvature: causes,.

•Structural vs. Functional Scoliosis Debate (15:34) – Rethinking traditional perspectives on treatment.

•Scoliosis and Pain: The Surprising Truth (22:39) – Why people with scoliosis don’t necessarily experience more pain.

•Manual Therapy Approaches (38:20) – How bodywork can help.

•The Role of Proprioception & Movement Options (44:18) – Helping clients refine their body awareness for better function.

•Working with Clients’ Goals (45:25) – Aligning treatment strategies with what truly matters to each individual.

•Surgical Considerations & Working with Rods (51:03) – What hands-on therapists need to know about post-surgical scoliosis care.

•The Importance of Strength & Balance Training (56:55) – How conditioning and proprioceptive exercises can help manage scoliosis.

💡 Join the Conversation: What’s your experience with scoliosis and manual therapy? Share your thoughts with us!

📌 Sponsored by: ABMP and Books of Discovery

✨ Rate, review, and share! Help others discover The Thinking Practitioner podcast.

Episode image thanks to Helmut Hillenkamp, used by permission. An earlier version of their deep-dive conversation first aired as Episode 7.


📄 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: 

    1. Til Luchau's "SCOLIOSIS & Spinal Adaptability" course and free intro: https://bit.ly/scolilive25 
    2. John P. Kostuik and John Bentivoglio, “The Incidence of Low-Back Pain in Adult Scoliosis,” Spine 6, no. 3 (May/June 1981): 268–73, https://doi.org/10.1097/00007632-198105000-00009  https://www.ncbi.nlm.nih.gov/pubmed/6455747 
    3. Schwab et al., “Adult Scoliosis: Prevalence, SF-36, and Nutritional Parameters in an Elderly Volunteer Population,” Spine 30, no. 9 (May 2005): 1082–85, https://doi.org/10.1097/01.brs.0000160842.43482.cd. https://www.ncbi.nlm.nih.gov/pubmed/15864163 
    4. https://www.curvygirlsscoliosis.com 
    5. 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: [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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