The Thinking Practitioner

Til Luchau & Whitney Lowe

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

    14時間前

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

    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時間4分
  2. 167: Cupping & the Nervous System (with Joi Edwards)

    4月1日

    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分
  3. 166: Does Research Support What We Do? (with Bodhi Haraldsson)

    3月18日

    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分
  4. 165: Multi-State Massage License: Coming Soon? (with Debra Persinger)

    3月4日

    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分
  5. 164: Dizziness Roundtable (with Ruth Werner, Til Luchau & Whitney Lowe)

    2月18日

    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分
  6. 163: A Master in Plain Sight (with Art Riggs)

    2月4日

    163: A Master in Plain Sight (with Art Riggs)

    🎙 A Master in Plain Sight (with Art Riggs) Art Riggs is a Certified Advanced Rolfer™, massage therapist, and creator of some of the most influential instructional video courses in our field. His recordings were among the first truly comprehensive video trainings available to bodyworkers. Decades later, practitioners still return to them again and again, finding new insights each time. They age well because they’re packed with technique, yet grounded in principles that never go out of style. Here’s the paradox of Art’s work: he shares a staggering wealth of techniques, yet what he emphasizes most isn’t technique at all. It’s listening, allowing, and refining your touch. “Deep tissue,” he explains, isn’t about pressing harder. It’s a conversation with the body, where pressure is just one word in the vocabulary. At 80, and still seeing clients most days, Art brings warmth and infectious enthusiasm to everything he discusses. He’s humble about his contributions, generous with credit to his teachers, and genuinely delighted by the craft he’s practiced for decades. This conversation is a joy from start to finish. ✨Topics discussed include: Whether you’re early in your career or decades in, this episode is a masterclass in how to think with your hands. • Why Art chose “deep tissue massage” over a proprietary name — and why that made his work more accessible • The difference between deep tissue and “pressing harder” • Touch as communication: pressure, speed, angle, and reading the body’s response • “Refine your touch” — the three words that changed everything • Allowing vs. forcing: offering something for people to take • Why his first video set covers techniques while his second shows integration into a fluid, full session • The limits of online learning — and why hands-on classes and receiving work still matter • The overlap (and differences) between massage therapy and Rolfing® — and what each can learn from the other • Movement, getting clients off the table, and working in real-world positions (not just neutral on the table) • The skill of knowing where to work — and when you’re done • Acknowledging Helen James, who Rolfed until 95: choosing a profession where you can keep learning until you drop ✨ Resources: • Art Riggs’ video courses (now also eligible for NCBTMB-approved CE): https://advanced-trainings.com/artriggs • Art Riggs’ book: Deep Tissue Massage, Revised Edition: A Visual Guide to Techniques – https://www.northatlanticbooks.com/shop/deep-tissue-massage-revised-edition/ 🌱 Sponsor Offers: • Books of Discovery – Save 15% with code thinking at https://booksofdiscovery.com/ • ABMP – Save $24 on new membership at https://abmp.com/thinking • Advanced-Trainings – Try one month free of the A-T Subscription (including lessons from Art Riggs' courses) 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: • Til Luchau – https://advanced-trainings.com | https://www.youtube.com/@AdvancedTrainings/podcasts | 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. Rolfing®, Rolfer™, Rolf Movement®, Rolfing Ten-Series™, and the Little Boy Logo are service marks of The Rolf Institute of Structural Integration®, Boulder, CO.

    40分
  7. 162: AI in Massage: Thinking Partner, Threat, or Crutch? (with Whitney Lowe & Til Luchau)

    1月21日

    162: AI in Massage: Thinking Partner, Threat, or Crutch? (with Whitney Lowe & Til Luchau)

    🎙 AI in Massage: Thinking Partner, Threat, or Crutch? Is artificial intelligence coming for your massage practice? Not the way you might think. In this episode, Til and Whitney dive into the rapidly evolving world of AI — exploring where it genuinely helps manual therapists, where it falls short, and why the human elements of touch, presence, and clinical reasoning remain irreplaceable. From AI-generated anatomical images with mysterious octopus tentacles to "massage robots" that feel like being rubbed by a cow, they share their own experiences with these tools and separate the hype from the helpful. Whitney unveils his Clinical Massage Coach — a custom AI tool trained on curated clinical knowledge that engages practitioners in Socratic dialogue rather than just spitting out answers. The key insight: AI works best not when it replaces thinking, but when it prompts better thinking. ✨ Topics covered: • How AI is already quietly influencing bodywork education and practice • The "hallucination" problem — why AI sounds confident even when it's wrong • Will massage robots take your job? (Spoiler: the client-therapist relationship isn't going anywhere) • Personalized learning: the "holy grail" of education that AI might help unlock • The de-skilling danger: when easy tools erode hard-won skills • Using AI as a reasoning partner vs. a script generator • Whitney's Clinical Massage Coach: SOAP notes, treatment planning, and Socratic questioning • Ethical considerations: energy consumption, bias, and the "human in the loop" ✨ Resources • Whitney's Clinical Massage Coach (CMC) Ever wish you could have a clinical expert on call 24/7? The CMC is an AI-powered assistant trained on over three decades of Whitney Lowe's textbooks and articles as well as hundreds of peer-reviewed resources. As a core feature of our Orthopedic Medical Massage Specialist (OMMS) program, it's designed to help you navigate complex clinical questions with science-based precision. Explore the CMC here: www.academyofclinicalmassage.com ✨ Watch the video / connect with us: • Til Luchau – https://advanced-trainings.com | https://www.youtube.com/@AdvancedTrainings/podcasts | https://facebook.com/advancedtrainings | https://instagram.com/til.luchau • Whitney Lowe – https://academyofclinicalmassage.com | https://facebook.com/WhitneyLowe | https://twitter.com/whitneylowe 🌱 Sponsor Offers: • Books of Discovery – Save 15% with code thinking at https://booksofdiscovery.com/ • ABMP – Save $24 on new membership at https://abmp.com/thinking • 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 📧 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.

    50分
  8. 161: Science, Skepticism, & Keeping Heart (with Paul Ingraham)

    1月7日

    161: Science, Skepticism, & Keeping Heart (with Paul Ingraham)

    🎙 Science, Skepticism, & Keeping Heart (with Paul Ingraham) What happens when a former massage therapist turns a skeptical eye on his own profession and starts asking uncomfortable questions about pain science and manual therapy? You get Paul Ingraham of PainScience.com — a writer whose work has challenged, irritated, and influenced practitioners in equal measure. In this episode, Til Luchau and Whitney Lowe sit down with Paul to explore how clinicians can think clearly in a field crowded with confident claims, competing models, and stories that feel true even when the evidence is thin. The conversation doesn’t shy away from friction. Paul is known for his sharp critiques of manual therapy’s favorite explanations, and many practitioners bristle at his tone. Here, we examine both the substance of his skepticism and the costs that can come with it. Together, they explore questions many therapists wrestle with, often quietly: How do we tell the difference between what helps clients and the stories we tell ourselves about why it helped? When does confidence in a method turn into intellectual blinders? And how can practitioners stay curious and effective without clinging to explanations that may not hold up? In this episode, they discuss: Paul’s move from massage therapist to science writer — and the unresolved questions that pushed him there “Modality empires” and why techniques so easily become identities The challenge of separating your identity from your methodology — and why it matters Confirmation bias in clinical practice: how we see what we expect to see and miss contradictory evidence Placebo, context, and why they complicate claims about mechanisms in manual therapy Paul’s critique of “structuralism” — the exclusive focus on alignment, posture, and movement dysfunction How to think about biomechanical explanations without falling into reductionist storytelling Why connecting dots between distant body parts (like foot problems causing back pain) can slip from plausible hypothesis into speculation The role of neurophysiological effects in manual therapy outcomes How to engage with research critically without becoming paralyzed by uncertainty Why practitioners may need intellectual humility more than confidence in untested theories The tension between skepticism as a tool and skepticism as a communication style — and what can get lost when critique outpaces curiosity The future of manual therapy as it integrates pain science and biopsychosocial models — and where Paul remains unconvinced This conversation won’t give you comfortable answers or a new technique to believe in. Instead, it invites you to sit with uncertainty, examine your assumptions, and reflect on how skepticism can sharpen thinking — and how, at times, it can narrow it. Whether you admire Paul’s work, struggle with it, or find yourself somewhere in between, this episode offers a chance to engage the questions underneath the disagreements. ✨ Resources 👉 Paul’s website with articles and books: https://www.painscience.com 🌱 Sponsor Offers: - Books of Discovery – Save 15% with code thinking at https://booksofdiscovery.com/ - ABMP – Save $24 on new membership at https://abmp.com/thinking - 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: • Til Luchau – https://advanced-trainings.com | Facebook: https://facebook.com/advancedtrainings | Instagram: https://instagram.com/til.luchau • Whitney Lowe – https://academyofclinicalmassage.com | Facebook: https://facebook.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.

    58分

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番組について

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.

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