The Thinking Practitioner

The Thinking Practitioner

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    52 min

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The Thinking Practitioner episodes

  • 11: Stretching the Tissues, or the Truth?

    Does manual therapy stretch the tissues? Til and Whitney consider the history, evidence, debates and implications of this fascinating question. 

    In this episode, 

    • Myths and misperceptions about stretching, 
  • Are we stretching connective tissue, or nervous system? 
  • What does this mean for massage, bodywork, and manual therapy? 
  • Join two of the leading educators in manual therapy, bodywork, and massage therapy, as they delve into the most intriguing issues, questions, research, and client conditions that hands-on practitioners face. Stimulate your thinking with imaginative conversations, tips, and interviews related to the somatic arts and sciences. With Whitney Lowe and Til Luchau. 

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

    Resources discussed in this episode: 

    • Ingraham, Paul. “Quite a Stretch: Stretching Hype Debunked.” https://www.painscience.com/articles/stretching.php. 
  • Mitchell, Jules. 2019. Yoga Biomechanics: Stretching Redefined. Pencaitland, East Lothian: Handspring Publishing. 
  • Smith, Nancy Keeney, and Catherine Ryan. 2016. Traumatic Scar Tissue Management: Massage Therapy Principles, Practice and Protocols. Edinburgh: Handspring Publishing. 
  • Weppler, Cynthia Holzman, and S. Peter Magnusson. 2010. “Increasing Muscle Extensibility: A Matter of Increasing Length or Modifying Sensation?” Physical Therapy 90 (3): 438–49. https://doi.org/10.2522/ptj.20090012. 
  • AcademyOfClinicalMassage.com 
  • 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. 
  • Handspring Publishing: save 20% by entering “TTP” at checkout at handspringpublishing.com. 
  • About Whitney Lowe  |  About Til Luchau  |  Email Us 

    (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.)

    52 min
  • 10: When Does The Tissue Matter?

    Whitney and Til consider the debates about tissue-based effects in manual therapy, and share their views about when it makes sense to think about the actual tissues and physical effects of hands-on works. 

    In this episode, 

    • Why would people say that the tissue doesn’t matter in manual therapy?  
  • Examples of tissue-based narratives; the arguments for, and against  
  • Til and Whitney ask each other, “What tissue effects do you think about when you’re working?”  
  • Join two of the leading educators in manual therapy, bodywork, and massage therapy, as they delve into the most intriguing issues, questions, research, and client conditions that hands-on practitioners face. Stimulate your thinking with imaginative conversations, tips, and interviews related to the somatic arts and sciences. With Whitney Lowe and Til Luchau.  

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

    Resources discussed in this episode:  

    • Rathbone A, Henry J, Kumbhare D. Comment on: A critical evaluation of the trigger point phenomenon. Rheumatol (United Kingdom). 2015;54(6):1126-1127. doi:10.1093/rheumatology/kev028, 
  • Jacobs D. Dermoneuromodulating. Victoria: Tellwell Talent; 2016, 
  • AcademyOfClinicalMassage.com  
  • Advanced-Trainings.com  
  • Anatomy image courtesy Robert Schleip, ©fascialnet.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. 
  • Handspring Publishing: save 20% by entering “TTP” at checkout at handspringpublishing.com. 
  • About Whitney Lowe  |  About Til Luchau  |  Email Us 

    (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.)

    42 min
  • 09: Descending Modulation in Manual Therapy

    Whitney and Til discuss the descending modulation of pain in manual therapy. 

    In this episode, 

    • What is descending modulation? 
  • What are the implications? 
  • How do we use it? 
  • Join two of the leading educators in manual therapy, bodywork, and massage therapy, as they delve into the most intriguing issues, questions, research, and client conditions that hands-on practitioners face. Stimulate your thinking with imaginative conversations, tips, and interviews related to the somatic arts and sciences. With Whitney Lowe and Til Luchau. 

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

    Resources discussed in this episode: 

    • Olson, Mark. “Descending Modulation: Why Massage Therapy Can Alleviate Pain.” Blog. Massage And Fitness Magazine, October 24, 2019. https://www.massagefitnessmag.com/massage/descending-modulation-why-massage-therapy-alleviates-pain. 
  • Vigotsky, Andrew D., and Ryan P. Bruhns. “Corrigendum to ‘The Role of Descending Modulation in Manual Therapy and Its Analgesic Implications: A Narrative Review.’” Pain Research and Treatment 2017 (2017): 1–4. https://doi.org/10.1155/2017/1535473. 
  • ———. “The Role of Descending Modulation in Manual Therapy and Its Analgesic Implications: A Narrative Review.” Pain Research and Treatment 2015 (2015): 1–11. https://doi.org/10.1155/2015/292805. 
  • AcademyOfClinicalMassage.com 
  • 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. 
  • Handspring Publishing: save 20% by entering “TTP” at checkout at handspringpublishing.com. 
  • About Whitney Lowe  |  About Til Luchau  |  Email Us 

    (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.)

    40 min
  • 08: Key Challenges Facing Our Field, Part 2

    Til and Whitney talk about the key challenges and opportunities facing manual therapy, bodywork, and massage therapy. (Part 2 of 2) 

    In this episode, 

    • Increasing the accuracy of our explanations, 
  • Polarization, divisiveness, and infighting within the profession, 
  • Consolidation and up-scaling of the bodywork “industry,” 
  • and more. 
  • Join two of the leading educators in manual therapy, bodywork, and massage therapy, as they delve into the most intriguing issues, questions, research, and client conditions that hands-on practitioners face. Stimulate your thinking with imaginative conversations, tips, and interviews related to the somatic arts and sciences. With Whitney Lowe and Til Luchau. 

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

    Resources discussed in this episode: 

    • Todd Hargrove Blog Post: Three Reasons It Matters Why a Treatment Works https://www.bettermovement.org/blog/2015/three-reasons-it-matters-why-a-treatment-works 
  • AcademyOfClinicalMassage.com 
  • 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. 
  • Handspring Publishing: save 20% by entering “TTP” at checkout at handspringpublishing.com. 
  • About Whitney Lowe  |  About Til Luchau  |  Email Us 

    (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.)

    45 min
  • 07: Scoliosis and Manual Therapy

    Scoliosis and Manual Therapy 

    Til and Whitney talk about hands-on work with scoliosis. 

    In this episode, 

    • What do we know about scoliosis' causes?, 
  • What are some common scoliosis myths?, 
  • When scoliosis is a problem?, 
  • What are conventional treatments?, 
  • What’s manual therapy’s role?, 
  • And much more. 
  • Get the full transcript at Til or Whitney's sites! 

    Resources discussed in this episode: 

    1. 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 
  • 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 
  • https://www.curvygirlsscoliosis.com 
  • AcademyOfClinicalMassage.com 
  • 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. 
  • Handspring Publishing: save 20% by entering “TTP” at checkout at handspringpublishing.com. 
  • About Whitney Lowe  |  About Til Luchau  |  Email Us 

    (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.)

    56 min
  • 06: Tendons and Tendinopathies

    Til and Whitney discuss considerations for hands-on work with tendinopathies and tendon issues. 

    In this episode, 

    • What is a tendinopathy? Examples? 
  • Tendinitis vs.tendinosis; tenosynovitis; 
  • What are typical signs? 
  • What is known about causes? 
  • Inflammation or degeneration? 
  • Collagen, paretenon, fascicles, etc; 
  • Nerval arborization/sprouting; 
  • What’s manual therapy’s role? 
  • Approaches, debates, consensus; 
  • And much more...  
  • Get the full transcript at Til or Whitney's sites! 

    Resources discussed in this episode: 

    1. Chen PC, Wu KT, Chou WY, et al. Comparative Effectiveness of Different Nonsurgical Treatments for Patellar Tendinopathy: A Systematic Review and Network Meta-analysis. Arthrosc - J Arthrosc Relat Surg. 2019;35(11):3117-3131.e2. doi:10.1016/j.arthro.2019.06.017  
  • Cook JL, Purdam C. Is compressive load a factor in the development of tendinopathy? Br J Sports Med. 2012;46(3):163-168. doi:10.1136/bjsports-2011-090414,   
  • Lederman E. The Science and Practice of Manual Therapy. 2n3 ed. Edinburgh: Elsevier; 2005.  
  • Murtaugh B, Ihm JM. Eccentric training for the treatment of tendinopathies. Curr Sports Med Rep. 1987;12(3):175-182. doi:10.1249/JSR.0b013e3182933761,  
  • Lipman K, Wang C, Ting K, Soo C, Zheng Z. Tendinopathy: Injury, repair, and current exploration. Drug Des Devel Ther. 2018;12:591-603. doi:10.2147/DDDT.S154660,  
  • Witvrouw E, Mahieu N, Roosen P, McNair P. The role of stretching in tendon injuries. Br J Sport Med. 2007;41(4):224-226.  
  • Van Der Vlist AC, Breda SJ, Oei EHG, Verhaar JAN, De Vos RJ. Clinical risk factors for Achilles tendinopathy: A systematic review. Br J Sports Med. 2019;53(21):1352-1361. doi:10.1136/bjsports-2018-099991  
  • AcademyOfClinicalMassage.com  
  • 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. 
  • Handspring Publishing: save 20% by entering “TTP” at checkout at handspringpublishing.com. 
  • About Whitney Lowe  |  About Til Luchau  |  Email Us 

    (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.)

    44 min
  • 05: Documentation and Electronic Health Records (with Diana Thompson)

    Whitney talks with Diana Thompson about documentation, health records, and including massage therapy in mainstream healthcare practices. 

    In this episode, 

    • Introducing Diana Thompson, 
  • History of Hands Heal and SOAP documentation for massage therapy, 
  • Washington’s “every category of provider” clause, 
  • Electronic health records and the future of clinical documentation, 
  • and more. 
  • Join two of the leading educators in manual therapy, bodywork, and massage therapy, as they delve into the most intriguing issues, questions, research, and client conditions that hands-on practitioners face. Stimulate your thinking with imaginative conversations, tips, and interviews related to the somatic arts and sciences. With Whitney Lowe and Til Luchau. 

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

    Resources discussed in this episode: 

    • Hands Heal Electronic Health Record: https://www.handshealehr.com/ 
  • AcademyOfClinicalMassage.com 
  • 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. 
  • Handspring Publishing: save 20% by entering “TTP” at checkout at handspringpublishing.com. 
  • About Whitney Lowe  |  About Til Luchau  |  Email Us 

    (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.)

    47 min
  • 04: Key Challenges Facing Our Field, Part 1

    Til and Whitney talk about the key challenges and opportunities facing manual therapy, bodywork, and massage therapy. (Part 1 of 2) 

    In this episode, 

    • Aging practitioners, younger students, 
  • Split personality of the profession, 
  • The epidemic of over-busyness, 
  • Income issues, 
  • and more. 
  • (Part 2 of this conversation is scheduled to be released as Episode 8 on Feb 26, 2020.) 

    Join two of the leading educators in manual therapy, bodywork, and massage therapy, as they delve into the most intriguing issues, questions, research, and client conditions that hands-on practitioners face. Stimulate your thinking with imaginative conversations, tips, and interviews related to the somatic arts and sciences. With Whitney Lowe and Til Luchau. 

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

    Resources discussed in this episode: 

    • AcademyOfClinicalMassage.com 
  • 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. 
  • Handspring Publishing: save 20% by entering “TTP” at checkout at handspringpublishing.com. 
  • About Whitney Lowe  |  About Til Luchau  |  Email Us 

    (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.) 

    42 min
  • 03: Sacroiliac Joint Pain: Causes, Controversies, and Considerations

    Til and Whitney discuss sacroiliac joint pain and hand-on therapies: causes, controversies, and considerations. 

    In this episode, 

    • What causes SIJ pain? 
  • Does the SIJ move a little, or a lot? 
  • What about hypermobility? 
  • What are the controversies? 
  • What does the research say? 
  • Key considerations for manual therapists, 
  • and much more. 
  • Join two of the leading educators in manual therapy, bodywork, and massage therapy, as they delve into the most intriguing issues, questions, research, and client conditions that hands-on practitioners face. Stimulate your thinking with imaginative conversations, tips, and interviews related to the somatic arts and sciences. With Whitney Lowe and Til Luchau. 

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

    Resources discussed in this episode: 

    • Laslett 2008 (Descriptive, questions of manual therapy approaches; good cataloging of diagnostics) http://ahpsuffolk.co.uk/Portals/1/Users/159/59/159/Laslett%20SIJ.pdf 
  • Palsson 2019 (Lehman et al questioning the narratives and nocebic effects of "pathoanatomical thinking.") https://www.ncbi.nlm.nih.gov/pubmed/31355883 
  • Booth 2019 (BPS-informed; great one to read if you have time for just one) https://www.sciencedirect.com/science/article/abs/pii/S1521694219300178 
  • AcademyOfClinicalMassage.com 
  • 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. 
  • Handspring Publishing: save 20% by entering “TTP” at checkout at handspringpublishing.com. 
  • About Whitney Lowe  |  About Til Luchau  |  Email Us 

    (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.)

    44 min
  • 02: The Back Story, Part 2

    Til and Whitney interview each other about their backgrounds, histories, and current interests. Part 2 of 2. 

    Join two of the leading educators in manual therapy, bodywork, and massage therapy, as they delve into the most intriguing issues, questions, research, and client conditions that hands-on practitioners face. Stimulate your thinking with imaginative conversations, tips, and interviews related to the somatic arts and sciences. With Whitney Lowe and Til Luchau. 

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

    Resources discussed in this episode: 

    • AcademyOfClinicalMassage.com 
  • 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. 
  • Handspring Publishing: enter “TTP” at checkout for a discount at handspringpublishing.com. 
  • About Whitney Lowe  |  About Til Luchau 

    (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.)

    33 min

About The Thinking Practitioner

From the publisher's feed

For the practitioner who’s never stopped being curious. Til Luchau and Whitney Lowe bring together leading researchers, master clinicians, and big questions from across bodywork, massage, and manual therapy — exploring not just what we do with our hands, but why it works and how to do it better. Smart, grounded, and genuinely useful conversations for the somatic arts and sciences.

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