The Thinking Practitioner

Til Luchau & Whitney Lowe
  • 5,0 (9)
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  • Tous les 2 mois

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.

  1. 172: Lateral Hip Pain: Stop Blaming the Bursa (with Whitney Lowe & Til Luchau)

    10 juin

    172: Lateral Hip Pain: Stop Blaming the Bursa (with Whitney Lowe & Til Luchau)

    🎙 Lateral Hip Pain: Stop Blaming the Bursa (with Whitney Lowe & Til Luchau) Til and Whitney unpack why the old “trochanteric bursitis” diagnosis is almost always wrong—and what that means for your hands-on treatment. ✨ Topics discussed include: • The shift from bursitis to tendinopathy: only about 8% of lateral hip cases involve true bursitis; the majority are gluteus medius/minimus tendinopathies compressed under the IT band • Why women are affected at a 4:1 ratio—declining estrogen, wider pelvis geometry, and IT band bowstringing • Why direct deep pressure on the greater trochanter can backfire—neural sprouting, pain prediction, and the GPR83 pathway • Smarter treatment: targeting gluteus maximus and TFL to reduce IT band compression, rather than trying to “loosen” the band itself • Simple assessment tools: the 30-second single leg stance, the shoelace test, and the bilateral night pain pattern • Stretching caution: why aggressive IT band stretching increases the very compression you’re trying to relieve 🌱 Sponsor Offers: • Jane App — Practice management built for health and wellness practitioners. Thinking Practitioner listeners get a free first month; enter code THINKING1MO at checkout: https://a-t.tv/jane • Deep Roots Massage & Bodywork — Carefully crafted, small hands-on CE workshops in Keene, NH. Save 10% with code THINKING: https://deeprootsmb.com • ABMP — Associated Bodywork & Massage Professionals. Thinking Practitioner listeners save at https://www.abmp.com/thinking • Books of Discovery — Explore their collection at https://www.booksofdiscovery.com and save 15% with code THINKING • Advanced-Trainings — Try one month free of Til Luchau’s A-T Subscription with code THINKING: https://a-t.tv/subscriptions/ • Academy of Clinical Massage — Grab Whitney’s free Assessment Cheat Sheet: https://academyofclinicalmassage.com/cheatsheet ✨ Watch the video / connect with us: • Whitney Lowe – https://academyofclinicalmassage.com | https://facebook.com/WhitneyLowe | https://twitter.com/whitneylowe | https://www.youtube.com/@whitlowe  • Til Luchau – https://advanced-trainings.com | https://facebook.com/advancedtrainings | https://instagram.com/til.luchau | https://www.youtube.com/@AdvancedTrainings/podcasts  📧 Email us: info@thethinkingpractitioner.com The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies — bodywork, massage therapy, structural integration, physical therapy, osteopathy, and similar professions. It is not medical or treatment advice.

    49 min
  2. 171: The Most Skipped Step in Assessment and Why It Matters Most (with Whitney Lowe)

    27 mai

    171: The Most Skipped Step in Assessment and Why It Matters Most (with Whitney Lowe)

    🎙 The Most Skipped Step in Assessment and Why It Matters Most  What if the most important part of your assessment never involves touching your client? In this solo episode, Whitney dives deep into the client history — the most critical yet frequently overlooked component of manual therapy assessment. While many practitioners rush straight into orthopedic testing or treat only where it hurts, the subjective intake holds the primary keys to understanding why a client is in pain, not just where. Whitney walks through the OPQRST history-taking framework — a structured clinical checklist covering Onset, Provocation/Palliation, Quality, Referral/Radiation, Severity, and Timing. Along the way, he shares vivid clinical examples showing how tuning your ears and brain to a client’s story can dramatically refine your physical assessment, catch crucial red flags, and help you design safer, more targeted treatment plans. ✨ Topics discussed include: • The assessment illusion — why jumping straight to orthopedic tests or treating where it hurts undermines true clinical reasoning. • O is for Onset — distinguishing acute biomechanical tissue overloads (like sudden eccentric muscle strains) from chronic, nociplastic pain conditions driven by systemic inflammation or cumulative load. • P is for Provocation & Palliation — reading structural mechanical patterns, such as differentiating discogenic spine pain from facet-related pain and the “shopping cart sign.” • Q is for Quality — why you should let clients describe pain in their own words, and what neuropathic “electrical shocks” reveal versus deep, arthritic joint aches. • R is for Referral & Radiation — tracking diffuse trigger point patterns versus localized entrapments, plus a modern clinical look at lateral hip pain: bursitis versus abductor tendon compression. • S is for Severity & Functional Impact — shifting clinical focus from arbitrary 1–10 pain scales to objective functional indicators like sudden muscle inhibition or a joint giving way. • T is for Timing — deciphering the difference between early-morning stiffness that eases with movement and late-afternoon postural fatigue from a desk job. • Hands vs. head — why your ears and brain are just as important as your hands, and how this framework makes you more effective in less table time. ✨ Resources: • The OPQRST Clinical Assessment Protocol. Learn more in the Academy’s Orthopedic Medical Massage Specialist Program. 🌱 Sponsor Offers: • Jane App — Practice management built for health and wellness practitioners. Thinking Practitioner listeners get a free first month; enter code THINKING1MO at checkout: https://a-t.tv/jane • Deep Roots Massage & Bodywork — Carefully crafted, small hands-on CE workshops in Keene, NH. Save 10% with code THINKING: https://deeprootsmb.com • ABMP — Associated Bodywork & Massage Professionals. Thinking Practitioner listeners save at https://www.abmp.com/thinking • Books of Discovery — Explore their collection at https://www.booksofdiscovery.com and save 15% with code thinking • Advanced-Trainings — Try one month free of Til Luchau’s A-T Subscription with code thinking: https://a-t.tv/subscriptions/ • Academy of Clinical Massage — Grab Whitney’s free Assessment Cheat Sheet: https://academyofclinicalmassage.com/cheatsheet ✨ Watch the video / connect with us: • Whitney Lowe – https://academyofclinicalmassage.com | https://facebook.com/WhitneyLowe | https://twitter.com/whitneylowe | https://www.youtube.com/@whitlowe  • Til Luchau – https://advanced-trainings.com | https://facebook.com/advancedtrainings | https://instagram.com/til.luchau | https://www.youtube.com/@AdvancedTrainings/podcasts  📧 Email us: info@thethinkingpractitioner.com The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies — bodywork, massage therapy, structural integration, physical therapy, osteopathy, and similar professions. It is not medical or treatment advice.

    27 min
  3. 169: Exploring Anterior Neck Work (with Walt Fritz)

    29 avr.

    169: Exploring Anterior Neck Work (with Walt Fritz)

    🎙 Exploring the Anterior Neck: (with Walt Fritz) Walt Fritz is a physical therapist who has been in practice since 1985 and has spent the last 30 years evolving from a traditional myofascial release (MFR) background into a collaborative, patient-led approach to manual therapy. He returns to The Thinking Practitioner to talk to Whitney about one of the most intimidating regions for manual therapists: the anterior neck. Walt shares his transition from the "clinician-as-expert" model to one rooted in shared decision-making, where the patient’s input on pressure, direction, and duration isn’t just welcomed—it’s the primary driver of the intervention. They discuss the "metatherapy" of the therapeutic relationship, the physiological realities of treating deep neck structures, and how to safely navigate the "danger triangle" of the throat to help patients with voice and swallowing disorders. ✨ Topics discussed include: Walt’s "Counter-Culture" Evolution: Moving from the myofascial release "rabbit hole" to a more generalized, neurocentric manual therapy model. The Clinician-as-Expert vs. Shared Decision-Making: Why we should stop pretending we know exactly what a patient is feeling. Metatherapy & Carl Rogers: How the relationship and context of the treatment can be as important (or more so) than the technique itself. Navigating the Anterior Neck: Understanding the anatomy of the "danger triangle," including the carotid sheath, jugular vein, and vagus nerve. Treatment for Voice and Swallowing: How manual therapy can assist with dysphagia (swallowing disorders) and globus pharyngeus (the sensation of a lump in the throat). The "Emergency Exit Strategy": Empowering patients with the ability to stop or modify treatment at any second to ensure safety and comfort. Platysma: The Forgotten Muscle: Why superficial structures deserve more love in our clinical assessments. The Problem with High-Force Interventions: A critique of aggressive MFR techniques and the importance of patient-led pressure. ✨ Resources: Walt Fritz’s Website: https://WaltFritz.com Leah Helou (University of Pittsburgh): Research on "Metatherapy" Carl Rogers (1957): Landmark paper on the necessary and sufficient conditions of therapeutic change Freedom to Learn: Book by Carl Rogers Harry von Piekartz: Research and texts on craniofacial pain Cochrane Review: Massage for Mechanical Neck Disorders Walt's Google Drive folder with key papers 🌱 Sponsor Offers: Deep Roots Massage & Bodywork: Save 10% on upcoming classes in Keene, NH, with code THINKING at https://deeprootsmb.com Jane App — Practice management built for health and wellness practitioners. Thinking Practitioner listeners get a free first month; enter code THINKING1MO at checkout: https://a-t.tv/jane ABMP — Associated Bodywork & Massage Professionals. Thinking Practitioner listeners save at https://www.abmp.com/thinking Books of Discovery — Explore their collection at https://www.booksofdiscovery.com and save 15% with code thinking Academy of Clinical Massage — Grab Whitney’s free Assessment Cheat Sheet at https://academyofclinicalmassage.com/cheatsheet Advanced-Trainings — Try one month free of Til Luchau’s A-T Subscription with code thinking: https://a-t.tv/subscriptions/ ✨ Watch the video / connect with us: YouTube: The Thinking Practitioner Playlist Whitney Lowe: Academy of Clinical Massage | Facebook Til Luchau: Advanced-Trainings.com | Instagram 📧 Email us: info@thethinkingpractitioner.com The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies — bodywork, massage therapy, structural integration, physical therapy, osteopathy, and similar professions. It is not medical or treatment advice.

    58 min
  4. 168: Back Pain, Stiffness & Manual Therapy (with Stuart McGill) Listener Favorite

    15 avr.

    168: Back Pain, Stiffness & Manual Therapy (with Stuart McGill) Listener Favorite

    🎙What if the key to resolving your client’s back pain isn’t loosening things up — but “adding” stiffness? Dr. Stuart McGill is one of the preeminent back pain researchers in the world, and in this conversation, he makes his case — passionately and controversially — for why biomechanical factors deserve far more attention than they typically get in back pain assessment and treatment. He argues that the label “nonspecific low back pain” masks what a skilled clinician could find with a thorough enough assessment, and that too many patients with real mechanical issues are being dismissed as psychosocial cases. Not everyone in the field agrees, but his perspective is fascinating, clinically detailed, and full of provocative ideas for manual therapists. This episode originally aired as episode 97 and quickly became one of our most popular — a listener favorite we’re bringing back for those who missed it and those who are ready for a second listen. ✨ Topics covered in this episode include: • Why Dr. McGill believes “nonspecific low back pain” doesn’t exist — and how he argues it undermines both research validity and clinical outcomes • The problem with averaging results across non-homogeneous groups in back pain studies • How a thorough assessment can reveal specific pain pathways — and McGill’s case for why a psychosocial diagnosis is too often a default when clinicians run out of ideas • Vivid clinical stories: a patient with a double pinch point, and the precise maneuver that resolved his symptoms • Why some patients need more stiffness, not less — and the “paradigm clash” this creates for manual therapists trained to mobilize and loosen • The prone instability test and other hands-on experiments for distinguishing when to stabilize versus mobilize • Dynamic video fluoroscopy of whiplash patients: the mid-range “clunk” that correlated with their symptoms • Fascial connections and trauma: how a physically traumatic event can produce bizarre-seeming symptoms that are mechanically trackable • Disc bulge mechanics demonstrated on a biofidelic model — how flexion drives nucleus posteriorly, and how traction with gentle motion can vacuum it back in • The Scannell study: why prone breathing may be just as effective as McKenzie press-ups for reducing disc bulges — without the facet joint cost • Inflammation and disc herniations: why the immune response to extruded nucleus may actually be helping, and why oral anti-inflammatories could prolong recovery • Distinguishing radiculopathy from peripheral neuropathy using creative clinical tests • Why the best manual therapists probe, feel, and adjust — and how that kinesthetic hypothesis-testing cycle is what separates good outcomes from poor ones ✨ Resources mentioned in this episode: • Dr. Stuart McGill’s website and clinician directory: https://www.backfitpro.com • Back Mechanic by Stuart McGill • Low Back Disorders by Stuart McGill • Dynamic Disc Designs (spine models): https://www.dynamicdiscdesigns.com 🌱 Sponsor Offers: • Jane App — Practice management built for health and wellness practitioners. Thinking Practitioner listeners get a free first month; enter code THINKING1MO at checkout: https://a-t.tv/jane • ABMP — Associated Bodywork & Massage Professionals. Thinking Practitioner listeners save at https://www.abmp.com/thinking • Books of Discovery — Explore their collection at https://www.booksofdiscovery.com and save 15% with code thinking • Advanced-Trainings — Try one month free of Til Luchau’s A-T Subscription with code thinking: https://a-t.tv/subscriptions/ • Academy of Clinical Massage — Grab Whitney’s free Assessment Cheat Sheet: https://academyofclinicalmassage.com/cheatsheet ✨ Watch the video / connect with us: • YouTube: https://www.youtube.com/@AdvancedTrainings/podcasts • Til Luchau – https://advanced-trainings.com | https://facebook.com/advancedtrainings | https://instagram.com/til.luchau • Whitney Lowe – https://academyofclinicalmassage.com | https://facebook.com/WhitneyLowe | https://twitter.com/whitneylowe 📧 Email us: info@thethinkingpractitioner.com The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies — bodywork, massage therapy, structural integration, physical therapy, osteopathy, and similar professions. It is not medical or treatment advice.

    1 h 4 min
  5. 167: Cupping & the Nervous System (with Joi Edwards)

    1 avr.

    167: Cupping & the Nervous System (with Joi Edwards)

    🎙Dr. Joi Edwards is a physical therapist with nearly 20 years of experience specializing in orthopedic injuries and a licensed massage therapist who bridges the gap between clinical assessment and intuitive soft-tissue work. She joins Whitney on The Thinking Practitioner to dive deep into the world of cupping therapy—exploring the physiological mechanisms, the various types of tools, and why this ancient modality is about much more than just leaving red marks on the skin. Joi’s fascination with cupping began in the clinic when she discovered the modality "pre-Michael Phelps" and noticed an immediate 15-degree increase in her own shoulder's range of motion after experimenting with the cups. Her journey was further shaped by international patients who shared how their families had used cupping for generations to treat everything from systemic colds to localized chronic pain. This episode is an exploration of how decompression—rather than the compression typically associated with massage—can restore tissue mechanics and stimulate a nervous system response that even the most skilled manual techniques sometimes can't replicate. ✨ Topics discussed include: Whitney and Joi walk through the different categories of cupping, the science of tissue decompression, and how to safely integrate cups into a clinical practice. Joi's transition from physical therapy to massage therapy—and why she felt compelled to integrate the two. The history of cupping: from hollowed-out animal horns used for "snake bites" to modern medical-grade silicone. Wet cupping (Hijama) vs. Dry cupping: understanding the scope of practice and the cultural significance of bloodletting. The physics of the "Pinch Grip" and "Donut Drop": how different application methods change the treatment. Decompression vs. Compression: how cups create space in the soft tissue to allow for better "glide and slide". What's in a circle? Capillary dilation and interstitial seepage vs. the misconception of traumatic bruising. The importance of assessment: why you shouldn't just "put a cup on it" without evaluating the person in front of you. Clinical techniques: "Popcorning," gliding, and the "Monkey Bar" technique for spinal decompression. Hygiene and maintenance: the specific protocols for sanitizing medical-grade silicone. ✨ Resources: Owlchemy Education: https://owlchemyeducation.com  Connect with Dr. Joi Edwards on Instagram, Facebook, and TikTok: @owlchemymassage 🌱 Sponsor Offers: • Jane – Practice management for health and wellness practitioners. Try it free for one month with code THINKING1MO at https://a-t.tv/jane • ABMP – Save $24 on new membership at https://abmp.com/thinking • Books of Discovery – Save 15% with code thinking at https://booksofdiscovery.com/ • Advanced-Trainings – Try one month free of the A-T Subscription at https://a-t.tv/subscriptions/ with code thinking • Academy of Clinical Massage – Grab Whitney’s free Assessment Cheat Sheet at https://academyofclinicalmassage.com/cheatsheet ✨ Watch the video / connect with us: • YouTube: https://www.youtube.com/@AdvancedTrainings/podcasts • Til Luchau – https://advanced-trainings.com | https://facebook.com/advancedtrainings | https://instagram.com/til.luchau • Whitney Lowe – https://academyofclinicalmassage.com | https://facebook.com/WhitneyLowe | https://twitter.com/whitneylowe 📧 Email us: info@thethinkingpractitioner.com The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies — bodywork, massage therapy, structural integration, physical therapy, osteopathy, and similar professions. It is not medical or treatment advice.

    49 min
  6. 166: Does Research Support What We Do? (with Bodhi Haraldsson)

    18 mars

    166: Does Research Support What We Do? (with Bodhi Haraldsson)

    🎙 Does Massage Research Actually Work? (with Bodhi Haraldsson) Bodhi Haraldsson is a registered massage therapist, researcher, and self-described “pracademic” who has spent over 25 years bridging the gap between clinical practice and scientific inquiry. He joins Whitney on The Thinking Practitioner to talk about one of the most important — and most misunderstood — questions in our profession: what does the research actually tell us about massage therapy? Bodhi’s journey into research began at McMaster University — the birthplace of evidence-based practice — where he joined the Cochrane Cervical Overview Group and helped author a landmark systematic review on massage for mechanical neck disorders. That review, first published in 2006 and later in Spine, analyzed thousands of studies down to just 14 qualifying trials — and found that most of the evidence was limited or unclear. Nearly 20 years later, a 2024 update reached essentially the same conclusions. But this isn’t a discouraging story. It’s a call to understand what research can and can’t tell us — and why that matters for every practitioner. Bodhi and Whitney explore why absence of evidence is not evidence of absence, why no single study can capture the complexity of clinical practice, and how evidence-based practice isn’t about recipes or checklists — it’s about better understanding what we do and why. ✨ Topics discussed include: Whitney and Bodhi walk through the Cochrane review process, the state of massage research, and what individual practitioners can take away from the evidence conversation. • What a “pracademic” is — and why massage needs more of them • How the Cochrane Cervical Overview Group conducted its systematic review of massage for neck pain • Starting with thousands of studies and ending with 14 qualifying trials — and why • Levels of evidence: from strong to limited to unclear • Why the 2024 update reached essentially the same conclusions as the 2006 original • The research gap: why massage lags behind physiotherapy and chiropractic in building a cohesive evidence base • The “lineage model” of massage education vs. academic training • Mechanical effects, neurological effects, contextual effects — and why we need all the pieces of the puzzle • Publication bias: why negative findings rarely get published and how trial registries help • Absence of evidence is not evidence of absence — what that really means for practice • How research changed Bodhi’s own clinical work: always asking “how and why?” ✨ Resources: • Cochrane Review — Massage for Mechanical Neck Disorders (2006): https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004871/full • Ezzo, Haraldsson et al. — “Massage for Mechanical Neck Disorders: A Systematic Review,” Spine, 2007: https://pubmed.ncbi.nlm.nih.gov/17268268/ • Cochrane Review update — Massage for Neck Pain (2024): https://pubmed.ncbi.nlm.nih.gov/38415786/ • Connect with Bodhi Haraldsson on LinkedIn and Facebook 🌱 Sponsor Offers: • Jane – Practice management for health and wellness practitioners. Try it free for one month with code THINKING1MO at https://a-t.tv/jane • ABMP – Save $24 on new membership at https://abmp.com/thinking • Books of Discovery – Save 15% with code thinking at https://booksofdiscovery.com/ • Advanced-Trainings – Try one month free of the A-T Subscription at https://a-t.tv/subscriptions/ with code thinking • Academy of Clinical Massage – Grab Whitney’s free Assessment Cheat Sheet at https://academyofclinicalmassage.com/cheatsheet ✨ Watch the video / connect with us: • YouTube: https://www.youtube.com/@AdvancedTrainings/podcasts • Til Luchau – https://advanced-trainings.com | https://facebook.com/advancedtrainings | https://instagram.com/til.luchau • Whitney Lowe – https://academyofclinicalmassage.com | https://facebook.com/WhitneyLowe | https://twitter.com/whitneylowe 📧 Email us: info@thethinkingpractitioner.com The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies — bodywork, massage therapy, structural integration, physical therapy, osteopathy, and similar professions. It is not medical or treatment advice.

    49 min
  7. 165: Multi-State Massage License: Coming Soon? (with Debra Persinger)

    4 mars

    165: Multi-State Massage License: Coming Soon? (with Debra Persinger)

    🎙 The Interstate Massage Compact (with Deborah Persinger) Deborah Persinger is the Executive Director of the Federation of State Massage Therapy Boards (FSMTB), and she joins Whitney on The Thinking Practitioner to break down one of the most significant regulatory developments in our profession’s history: the Interstate Massage Compact. If you’ve ever moved to a new state and had to navigate a whole new set of licensing requirements — or if you live near a state border and can’t legally work on the other side — this episode is for you. The compact would create a multi-state license allowing eligible massage therapists to practice across state lines without meeting separate requirements in each state. It’s already been adopted by five states, with two more needed to stand up the commission and make the license a reality. But there’s more at stake than portability. Deborah explains how the compact was carefully designed to address human trafficking in the massage profession — a daily reality for regulatory boards — and why the details of how the compact is written matter enormously for keeping bad actors out while making life easier for legitimate practitioners. ✨ Topics discussed include: Whitney and Deborah walk through the compact’s origins, the 625-hour education standard, the role of the Department of Defense, and the current obstacles to getting it across the finish line. • What the Interstate Massage Compact is — and how multi-state licensing works • The 625-hour education standard: where it came from and why it was chosen • Home state vs. remote state — how the compact defines where you practice • Why the Department of Defense supports the compact (military family portability) • The five states that have adopted so far: Nevada, Ohio, Arkansas, Virginia, and Montana • Human trafficking provisions unique to the massage compact • The national massage therapy licensing database and its role in tracking bad actors • Over 20,000 illicit massage businesses in the U.S. — and why that matters for compact design • Rule vs. statute: the key disagreement holding things up • Why 97–98% of surveyed practitioners support the original compact • What individual practitioners can do to stay informed and have their voice heard ✨ Resources: • Interstate Massage Compact: https://www.massagecompact.org • Federation of State Massage Therapy Boards (FSMTB): https://www.fsmtb.org • Massage Compact Practitioner Survey: https://www.massagecompact.org 🌱 Sponsor Offers: • Jane – Practice management for health and wellness practitioners. Try it free for one month with code THINKING1MO at https://a-t.tv/jane • ABMP – Save $24 on new membership at https://abmp.com/thinking • Books of Discovery – Save 15% with code thinking at https://booksofdiscovery.com/ • Advanced-Trainings – Try one month free of the A-T Subscription at https://a-t.tv/subscriptions/ with code thinking • Academy of Clinical Massage – Grab Whitney’s free Assessment Cheat Sheet at https://academyofclinicalmassage.com/cheatsheet ✨ Watch the video / connect with us: • YouTube: https://www.youtube.com/@AdvancedTrainings/podcasts • Til Luchau – https://advanced-trainings.com | https://facebook.com/advancedtrainings | https://instagram.com/til.luchau • Whitney Lowe – https://academyofclinicalmassage.com | https://facebook.com/WhitneyLowe | https://twitter.com/whitneylowe 📧 Email us: info@thethinkingpractitioner.com The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies — bodywork, massage therapy, structural integration, physical therapy, osteopathy, and similar professions. It is not medical or treatment advice.

    42 min
  8. 164: Dizziness Roundtable (with Ruth Werner, Til Luchau & Whitney Lowe)

    18 févr.

    164: Dizziness Roundtable (with Ruth Werner, Til Luchau & Whitney Lowe)

    🎙 Dizziness Roundtable (with Ruth Werner) Ruth Werner returns to The Thinking Practitioner for a roundtable discussion with Til and Whitney on one of the most overlooked topics in manual therapy: balance challenges. Ruth is the author of A Massage Therapist’s Guide to Pathology (now in its 7th edition), a long-time educator, and host of the podcast I Have a Client Who. In this wide-ranging conversation with Til and Whitney, Ruth brings her characteristic clarity to a complex subject — helping us understand what’s really happening when clients feel dizzy, wobbly, or unsteady. Balance difficulties show up constantly in clinical practice, yet most of us never learned how to think about them. Clients get dizzy turning over on the table. They feel lightheaded sitting up from prone. They mention casually that they’re “always a little unsteady” after sessions — and we realize we’ve never asked the right questions. This episode gives MTs a framework for understanding, responding to, and even helping with balance challenges — while knowing when to refer out. ✨ Topics discussed include: Ruth, Til, and Whitney unpack the sensory triad behind balance (vision, proprioception, and the vestibular system), explore common conditions like BPPV and POTS, and discuss what the research actually shows about massage and balance — including some encouraging findings about foot work and gait in older adults. • What we really mean by “balance” — and why Ruth finds the word frustratingly vague • The difference between vertigo (spinning) and dizziness (lightheadedness) • Why position changes on the table can trigger symptoms — and what to do about it • BPPV, the Epley maneuver, and “rocks in our head” (otoliths) • POTS, blood pressure medications, and the challenge of sitting up • Hypermobility, Ehlers-Danlos syndrome, and their links to balance issues • Red flags: progressive changes, asymmetry, and when to refer • Research on massage, foot work, and balance in older adults • Why there’s no “dizziness muscle” — and what we can do instead • Fall risk, deconditioning, and the cascade of consequences • Vestibular physical therapy and other referral options ✨ Resources: • Ruth Werner’s website: https://ruthwerner.com/ • Ruth’s podcast I Have a Client Who: https://www.abmp.com/podcasts?defined_term=353 • A Massage Therapist’s Guide to Pathology, 7th Edition: https://booksofdiscovery.com/ • Sefton et al. (2012) – Six weeks of massage therapy produces changes in balance: https://pmc.ncbi.nlm.nih.gov/articles/PMC3457720/ • Tarkhasi et al. (2025) – Corrective exercises with massage improve balance and gait: https://pubmed.ncbi.nlm.nih.gov/39550789/ 🌱 Sponsor Offers: • Jane – Practice management for health and wellness practitioners. Try one month free with code THINKING1MO at https://a-t.tv/jane • ABMP – Save $24 on new membership at https://abmp.com/thinking • Books of Discovery – Save 15% with code thinking at https://booksofdiscovery.com/ • Advanced-Trainings – Try one month free of the A-T Subscription with code thinking at https://a-t.tv/subscriptions/ • Academy of Clinical Massage – Grab Whitney’s free Assessment Cheat Sheet at https://academyofclinicalmassage.com/cheatsheet ✨ Watch the video / connect with us: • YouTube: https://www.youtube.com/@AdvancedTrainings/podcasts • Til Luchau – https://advanced-trainings.com | https://facebook.com/advancedtrainings | https://instagram.com/til.luchau • Whitney Lowe – https://academyofclinicalmassage.com | https://facebook.com/WhitneyLowe | https://twitter.com/whitneylowe 📧 Email us: info@thethinkingpractitioner.com The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies — bodywork, massage therapy, structural integration, physical therapy, osteopathy, and similar professions. It is not medical or treatment advice.

    57 min
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Notes et avis

5
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À propos

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.

Informations

  • Créateur
    Til Luchau & Whitney Lowe
  • Années d’activité
    2019 - 2026
  • Épisodes
    170
  • Classement
    Contenu explicite
  • Copyright
    © Copyright 2025 All rights reserved.
  • Site Web de l’émission
    The Thinking Practitioner

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