The Thinking Practitioner
48: Psoas Work: Is it Safe? Is it Necessary? (Hip Jam rebroadcast)

48: Psoas Work: Is it Safe? Is it Necessary? (Hip Jam rebroadcast)

September 22, 2021

In honor of the upcoming Hip Jam, Whitney and Til discuss the controversies, disagreements, considerations, and their own views on the infamous psoas muscle in manual therapy and massage in this "Greatest Hits" rebroadcast of ep25. Download the handout with detailed episode notes, techniques and tests, and a special chapter from Til’s book from https://a-t.tv/ttp-psoas/, plus check out the Hip Jam at https://bit.ly/Hip-Jam-TTP

Topics include: 

  • Psoas: Holy Grail muscle, or wholly irrelevant? 
  • Psoas and back pain, leg length, etc.; 
  • Safety considerations; 
  • What Til and Whitney actually do (and don’t do) in practice. 

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

Resources discussed in this episode: 

Episode image copyright Primal Pictures, used by permission 

Sponsor Offers: 

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: Getting Over Over-Pronation (Ankle & Foot Function)

47: Getting Over Over-Pronation (Ankle & Foot Function)

September 8, 2021

In celebration of Til's upcoming "Leg Knee & Foot" online course, he and Whitney geek out on conditions, anatomy, function, and biomechanics of the ankle and foot.

Topics include: 

  • How the structure of the foot/ankle complex determines function
  • Are we over over-pronation yet? 
  • Plantar fasciitis/fasciosis, bunions, hammertoes, and other things you wouldn’t have thought of as ankle issues.

Episode Outline:

  • Structure of the foot/ankle complex

    • Medial side deltoid ligament complex
    • Lateral side ATF, CF, PTF
    • How does structure govern function
    • Distal tibiofibular joint & talocrural joint form mortise & tenon
    • Primary supporting ligaments
  • Mechanics of the region:

    • Talocrural motions: dorsiflexion & plantarflexion
    • Type I and type II limitations
    • Subtalar motions: inversion & eversion
    • Pronation and supination (definitions and confusion)
    • Phases of gait
  • Some common issues/problems

    • Valgus and varus angulations (toes and calcaneal region)
    • “Overpronation”
    • Bunions & hammertoes
    • Plantar fasciitis
    • Tendon overuse (Achilles tendon etc.)
    • Trauma: sprains breaks
    • Nerve entrapments mimicking soft-tissue pathology (i.e. tarsal tunnel syndrome, Baxter’s neuropathy, etc.)

Resources and references discussed in this episode:

Podcast anatomy image from Advanced Myofascial Techniques, Volume 1. Used under license from Primal Pictures.

Sponsor Offers: 

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.)

46: To ITB, or Not To ITB? (Iliotibial Band Controversies, Conditions, and Approaches)

46: To ITB, or Not To ITB? (Iliotibial Band Controversies, Conditions, and Approaches)

August 25, 2021

Whitney and Til unfold the controversies, compare thoughts, and share approaches for working with the iliotibial band. Download the free handout! 

Topics include: 

  • Little-known facts, well-known myths, and over-heated controversies about the ITB, 
  • When and why would (or wouldn’t) we work, roll, or massage the ITB (aka the iliotibial tract or fascia lata)? 
  • Hands-on techniques for some of the most common ITB-related client complaints. 

Get the HANDOUT and full transcript at Til or Whitney's sites, plus sign up for Til's upcoming Leg Knee & Foot course

Resources and references discussed in this episode:

  1. Baker RL, Fredericson M. Iliotibial Band Syndrome in Runners. Biomechanical Implications and Exercise Interventions. Phys Med Rehabil Clin N Am. 2016;27(1):53-77. doi:10.1016/j.pmr.2015.08.001
  2. Aderem J, Louw QA. Biomechanical risk factors associated with iliotibial band syndrome in runners: A systematic review Rehabilitation, physical therapy and occupational health. BMC Musculoskelet Disord. 2015;16(1):7-9. doi:10.1186/s12891-015-0808-7
  3. Fairclough J, Hayashi K, Toumi H, et al. The functional anatomy of the iliotibial band during flexion and extension of the knee: implications for understanding iliotibial band syndrome. J Anat. 2006;208(3):309-316. doi:JOA531 [pii]10.1111/j.1469-7580.2006.00531.x
  4. Podcast ITB image used under license by the National Library of Medicine Visible Human Project. Arrows show location of ITB.

Sponsor Offers: 

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.)

45: Fascia in Sport & Movement (with Robert Schleip)

45: Fascia in Sport & Movement (with Robert Schleip)

August 11, 2021

Til Luchau & Whitney Lowe talk with researcher and Robert Schleip about fascia, movement, and research updates in the newly released second edition of Fascia in Sport and Movement, co-edited by Jan Wilke.

Topics include: 

  • Should bodywork cost half of what movement therapy costs? {joke!}
  • Is the issue fascial stiffness, or fascial shearing?
  • What does fascias' extensive sensory innervation mean for manual therapists?

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

Resources and references discussed in this episode:

Sponsor Offers: 

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.)

44: Table Lessons (with Doug Nelson)

44: Table Lessons (with Doug Nelson)

July 28, 2021

Whitney talks to Doug Nelson about the challenges and learning experiences of a great massage career spanning over four decades. 

Topics include: 

  • What keeps you going after all this time?
  • What are some of the most fascinating lessons your clients have provided for you?
  • How do we all learn to be humble in the face of our own fallibility in the clinic and the classroom?

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

Resources and references discussed in this episode:

Sponsor Offers: 

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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