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.

📌 Sponsored by: ABMP and Books of Discovery

📄 Get the full transcript at Til or Whitney's sites! 

Resources mentioned in this episode:

Sponsor Offers: 

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.)

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.

🌟 Highlights:

•Podcast Anniversary and Reflection (00:56): Celebrating milestones and revisiting the podcast’s journey.

•Whitney and Til’s Journeys into Bodywork (02:51, 06:49): Their unique paths into the field and what inspired them to stay.

•The Transformative Power of Massage Therapy (09:58): Exploring how massage changes lives—both clients’ and practitioners’.

•Lessons Learned from Clients (16:25): Profound insights gained from working closely with clients.

•Receiving Bodywork: Personal Transformations (21:47): Whitney and Til recount their most impactful bodywork experiences.

•From Practitioner to Teacher (25:54): Transitioning into teaching and sharing the work with others.

•Balancing Work and Wellbeing (33:15): How to navigate the emotional and physical demands of the profession.

💡 Listeners: Share your story! How has massage or manual therapy changed your life? Send a message or voice recording to us at [email protected] — we’d love to hear from you and maybe even feature your story in a future episode.

📄 Get the full transcript at Til or Whitney's sites! 

Sponsor Offers: 

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.)

📄 Get the full transcript at Til or Whitney's sites! 

Resources mentioned in this episode:

Sponsor Offers: 

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.)

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

Get the full transcript at Til or Whitney's sites! 

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: 

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.)

In this episode Til Luchau interviews Bronnie Lennox Thompson, a pain management expert from the University of Otago in New Zealand. 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

Get the full transcript at Til or Whitney's sites! 

Resources mentioned in this episode:

Sponsor Offers: 

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.)

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.

Get the full transcript at Til or Whitney's sites! 

• Whitney Lowe’s site: AcademyOfClinicalMassage.com 

Resources mentioned in this episode:

Sponsor Offers: 

• Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com. 

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.)

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. 

•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.

Sponsor Offers: 

• Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com. 

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.)

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.

1. Shift from thinking of tendinopathies as inflammatory conditions to degenerative conditions (03:01 - 04:24)

Get the full transcript at Til or Whitney's sites! 

• Whitney Lowe’s site: AcademyOfClinicalMassage.com 

Resources mentioned in this episode:

• Jill Cook: [email protected]

Sponsor Offers: 

• Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com. 

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.)

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.

1. Prevalence of low back pain

• Over 60-70% of people have episodes of low back pain at some point [01:51] 

2. Potential evolutionary factors contributing to low back pain

• Transition to bipedalism and upright posture

3. Causes and contributors to low back pain - [07:39]

• Overemphasis on disc and structural issues in the past

4. Influence of practitioner perspective and confidence on outcomes [30:20]

• Importance of the therapeutic relationship and rapport

5. Personal experiences with low back pain

• Overuse vs. underuse/immobility as contributors

Get the full transcript at Til or Whitney's sites! 

• Whitney Lowe’s site: AcademyOfClinicalMassage.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
  

Sponsor Offers: 

• Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com. 

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.)

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.

• Introduction to Dr. Antonio Stecco and his background in fascia research

Get the full transcript at Til or Whitney's sites! 

• Whitney Lowe’s site: AcademyOfClinicalMassage.com 

Resources discussed in this episode:

• Dr Stecco’s research and publications (NYU)

• Gerber et al., “A Systematic Comparison Between Subjects With No Pain and Pain Associated With Active Myofascial Trigger Points.”

Sponsor Offers: 

• Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com. 

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.)