The Thinking Practitioner Podcast Por Til Luchau & Whitney Lowe arte de portada

The Thinking Practitioner

The Thinking Practitioner

De: Til Luchau & Whitney Lowe
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 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.Copyright 2021 All rights reserved. Educación Hygiene & Healthy Living Medicina Alternativa y Complementaria
Episodios
  • 147: Palpating Fibrosis, Easing Inflammation (with Geoffrey Bove and Holly McMillan)

    147: Palpating Fibrosis, Easing Inflammation (with Geoffrey Bove and Holly McMillan)
    Jun 25 2025
    🎙What can trained hands feel in irradiated tissue—and how might that inform both research and practice? In this episode, Til Luchau and guest cohost Cathy Ryan, RMT, talk with neurobiologist Dr. Geoffrey Bove and manual therapist/speech pathologist Holly McMillan about their collaborative animal study. They explore how massage therapy may influence radiation-induced fibrosis, the use of palpation as a formal outcome, and the challenges of correlating what we feel with what science can measure. This wide-ranging discussion offers practical takeaways for manual therapists working with inflammation, scarring, or post-radiation clients. Stick around after the outro for a candid “off-mic” bonus segment where Holly describes her hands-on work in surgical oncology settings. ⏱️ Key Topics: • 00:01:31 – Introductions: Cathy Ryan, Geoffrey Bove, Holly McMillan • 00:03:09 – Why this study was exciting to manual therapists • 00:04:18 – Geoffrey Bove on inflammation, nerves, and fibrosis research • 00:08:14 – Holly: how findings might apply beyond radiation cases • 00:13:20 – Holly explains what she was feeling for in irradiated limbs • 00:14:23 – “Buoyancy” and the difficulty of articulating touch-based findings • 00:18:25 – How palpation findings relate to pathology and imaging • 00:20:59 – Fibrosis and lymphedema as a clinical continuum • 00:23:36 – Timing differences in fibrosis between surgery and radiation • 00:24:52 – Study limitations: assay sensitivity vs. palpation sensitivity • 00:27:00 – Movement’s role in mitigating radiation effects • 00:29:00 – The importance of community, alliance, and social touch • 00:33:27 – Timing of manual therapy before and after radiation • 00:35:00 – Prevention vs. treatment of fibrosis • 00:37:18 – What kind of touch is most helpful, and when • 00:40:00 – Oncology-specific timing considerations for manual therapy • 00:42:29 – Manual therapy goals in early vs. late stages post-surgery • 00:44:09 – What practitioners are really touching: inflammation, edema, fibrosis • 00:45:49 – Apprenticeship vs. protocol-driven training in touch therapy • 00:47:34 – Final thoughts from Geoffrey and Holly • 00:50:56 – Bonus: “Off-mic” conversation—Holly’s stories from surgical manual therapy work • 00:51:09 – Holly describes doing manual therapy in open surgical fields • 00:52:13 – Avoiding surgery or enabling access through touch • 00:53:27 – “Sun-dried tomato” vs. “beef jerky”: metaphors for tissue change • 00:54:15 – Scar tissue, fibrosis, nociceptors, and innervation • 00:55:57 – The gap between pain-focused and function-focused care • 00:57:08 – “The Diary of Holly” and the value of descriptive clinical cases Resources discussed in this episode: Study: Bove, G. M., McMillan, H., & Barbe, M. F. (2024). Evaluating massage therapy for radiation-induced fibrosis in rats: preliminary findings and palpation results. Cancer Biology & Therapy, 25(1). https://doi.org/10.1080/15384047.2024.2436694 https://www.tandfonline.com/doi/10.1080/15384047.2024.2436694 and supplemental file https://advanced-trainings.com/materials_ttp/147_bove_supplemental_kcbt_a_2436694_sm2290.pdf Also mentioned in this episode: McMillan, H., Barbon, C. E. A., Cardoso, R., Sedory, A., Buoy, S., Porsche, C., Savage, K., Mayo, L., & Hutcheson, K. A. (2022). Manual Therapy for Patients With Radiation-Associated Trismus After Head and Neck Cancer. JAMA otolaryngology-- head & neck surgery, 148(5), 418–425. https://doi.org/10.1001/jamaoto.2022.0082 Hutcheson, K., McMillan, H., Warneke, C., Porsche, C., Savage, K., Buoy, S., Wang, J., Woodman, K., Lai, S., & Fuller, C. (2021). Manual Therapy for Fibrosis-Related Late Effect Dysphagia in head and neck cancer survivors: the pilot MANTLE trial. BMJ open, 11(8), e047830. https://doi.org/10.1136/bmjopen-2020-047830 McMillan, H., Warneke, C. L., Buoy, S., Porsche, C., Savage, K., Lai, S. Y., Fuller, C. D., & Hutcheson, K. A. (2025). Manual Therapy for Fibrosis-Related Late Effect Dysphagia in Head and Neck Cancer Survivors: The MANTLE Nonrandomized Clinical Trial. JAMA otolaryngology-- head & neck surgery, 151(4), 319–327. https://doi.org/10.1001/jamaoto.2024.5157 Sponsor Offers: Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com. ABMP: save $24 on new membership at abmp.com/thinking. Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,.Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheetFascia Research Congress: save $100 when you use the coupon code "THINKING" at https://www.frscongress.org/ 💡 Join the Conversation: Share your thoughts with us! info@...
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    59 m
  • [Class Announcement Episode!] Leg Knee & Foot Masterclass (Thomas Myers with Til Luchau)

    [Class Announcement Episode!] Leg Knee & Foot Masterclass (Thomas Myers with Til Luchau)
    Jun 18 2025

    🎙In this special mini-episode, Til Luchau previews his upcoming Leg, Knee & Foot Masterclass (August 17–19, 2025 in Walpole, Maine) while catching up with his longtime friend and colleague Thomas Myers, founder of Anatomy Trains and host of the Anatomy Trains Summer Program.

    Together, they reflect on:

    • How their teaching—and their excitement for it—has evolved

    • Why the leg, knee, and foot deserve more focused attention

    • The meaning of mastery after decades in the field

    • The value of proprioception and embodied experience in our work

    • How hands-on practice helps restore a felt sense of connection in uncertain times

    🗓️ Til’s Leg, Knee & Foot Masterclass takes place August 17–19, 2025 in Walpole, Maine, as part of the Anatomy Trains Summer Program. Learn more and register at:

    • https://advanced-trainings.com/workshops/
    • https://www.anatomytrains.com/product/leg-knee-foot-masterclass-advanced-myofascial-techniques-with-til-luchau

    Sponsor Offers:

    • Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com.
    • ABMP: save $24 on new membership at abmp.com/thinking.
    • Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,.
    • Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet
    • Fascia Research Congress: save $100 when you use the coupon code "THINKING" at https://www.frscongress.org/

    💡 Join the Conversation: Share your thoughts with us! info@thethinkingpractitioner.com

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

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

    • Whitney Lowe’s site: AcademyOfClinicalMassage.com
    • Til Luchau’s site: Advanced-Trainings.com

    About Whitney Lowe | About Til Luchau | Email Us: info@thethinkingpractitioner.com

    (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)
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    16 m
  • 146: Inflammation, Touch, & the Grieving Body (with Mary-Frances O’Connor)

    146: Inflammation, Touch, & the Grieving Body (with Mary-Frances O’Connor)
    Jun 11 2025

    🎙Grief is not just an emotion—it’s a full-body experience. In this episode, Til Luchau talks with neuroscientist and psychologist Mary-Frances O’Connor, author of The Grieving Body, about how grief changes the brain, affects inflammation, and alters our physiology. They explore how attachment loss rewires the brain, how inflammatory responses shape behavior and mood, and how the body experiences grief via physical sensations.

    They also discuss the role of touch, bodywork, and therapeutic presence in supporting people through grief, and together they reflect on the profound connections between grief, the body, and the healing power of human connection.

    🔍 Key Topics:

    • 04:30 – Grief and the brain: What happens in the mind-body connection
    • 10:45 – Grief is not toxic: A new understanding of pain and loss
    • 16:00 – How inflammation shapes behavior and mood in grief
    • 24:00 – Attachment loss and the nervous system: Polyvagal insights
    • 32:45 – The physical sensations of grief: aches, tension, and holding patterns
    • 38:00 – Touch as co-regulation: What bodywork can offer in grief
    • 44:15 – Grief as a lifelong, embodied process, not something to get over
    • 50:10 – Practical insights for bodyworkers supporting grieving clients
    • 55:30 – How understanding the body’s role in grief can transform our approach

    💡 Join the Conversation: Share your thoughts with us! info@thethinkingpractitioner.com

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

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

    • Whitney Lowe’s site: AcademyOfClinicalMassage.com
    • Til Luchau’s site: Advanced-Trainings.com

    Resources discussed in this episode:

    • Two of Mary-Frances O’Connor's books:
      • The Grieving Brain https://www.harpercollins.com/products/the-grieving-brain-mary-frances-oconnor
      • The Grieving Body https://www.harpercollins.com/products/the-grieving-body-mary-frances-oconnor

    Sponsor Offers:

    • Books of Discovery: save 15% by entering "thinking" at checkout on booksofdiscovery.com.
    • ABMP: save $24 on new membership at abmp.com/thinking.
    • Advanced-Trainings: try a month of the amazing A-T Subscription free by entering “thinking” at checkout at a-t.tv/subscriptions/,.
    • Academy of Clinical Massage: Grab Whitney's valuable Assessment Cheat Sheet for free at: academyofclinicalmassage.com/cheatsheet
    • Fascia Research Congress: save $100 when you use the coupon code "THINKING" at https://www.frscongress.org/

    About Whitney Lowe | About Til Luchau | Email Us: info@thethinkingpractitioner.com

    (The Thinking Practitioner Podcast is intended for professional practitioners of manual and movement therapies: bodywork, massage therapy, structural integration, chiropractic, myofascial and myotherapy, orthopedic, sports massage, physical therapy, osteopathy, yoga, strength and conditioning, and similar professions. It is not medical or treatment advice.)
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    56 m
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