If you’ve ever helped a client feel better while secretly doubting the explanation you were taught, this conversation is for you. Pain researcher Mark Johnson joins me to interrogate the quiet “hidden curriculum” in modern health care: a WEIRD, tissue-centric worldview that can be lifesaving in acute injury but can also trap both clinicians and patients when pain lingers. We talk about why the biomedical model still matters, and why it can also reach a point where it stops being the best guide for what happens next.

We get specific about how pain is shaped by more than anatomy. Mark explains how metaphors and word choice can change physiology through threat and vigilance, why militaristic “battle” language can backfire, and how labels like “chronic” may act as a nocebo by making pain feel permanent and identity-defining. We also explore prediction, priors, and “past adversity influencing now,” not as a moral failing or “maladaptation,” but as adaptive systems responding to an environment that often mismatches our biology.

To hold the complexity without drowning in the biopsychosocial checklist, Mark introduces an integral AQAL lens: inner experience, outer physiology and behavior, shared systems and environments, and shared culture and meaning. From there we move toward salutogenesis and a practical “sense of coherence” built on comprehensibility, manageability, and meaningfulness. We finish with hands-on takeaways for manual therapists: soothing touch, careful reframing, and community-based support like health coaching that helps people rebuild a workable story around their lives.

If this reframes how you talk about pain in the room, subscribe, share the episode with a colleague, and leave a review so more clinicians can find it. What word or phrase about pain are you ready to stop using?

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Manual therapy is full of confident stories: tight fascia, “alignment,” trigger points that must be released, posture that must be corrected. Then real life shows up and ruins the script. People feel better for a day, or a week, or not at all, and yet many still say massage is essential. We dig into that tension with Paul Ingram of PainScience.com, a former massage therapist known for skeptical deep dives that still leave room for nuance.

We talk about what massage therapy can reliably offer without pretending it’s a mechanical repair job. Anxiety and depression relief comes up as a standout, evidence-based benefit, and we explore why that matters for chronic pain, suffering, and threat perception. From there we wrestle with the messy data on movement and exercise therapy: sometimes helpful, often underwhelming, but still a long-term play with huge side benefits for health, function, and resilience.

The conversation turns to “therapy theater” and the ethics of the stories clinicians tell. Is it ever OK to sell posture analysis if the client loves that narrative? Where’s the line between an engaging experience and a harmful myth that creates fear, dependency, or wasted money? We also get concrete: what new grads should stop saying, what they should start doing, and why the sensory experience, warmth, consent, and personalization may be the real foundation of effective hands-on care.

If you care about pain science, chronic pain, trigger points, placebo ethics, and building a better therapeutic alliance, this one is for you. Subscribe, share it with a clinician friend, and leave a review with your answer: what belief about manual therapy did you have to unlearn?

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What if the biggest gains in manual therapy come from changing how we dose touch, not how hard we press? That question sits at the heart of this conversation with educator and former elite high jumper Jenny Mapes, who brings a coach’s eye to sports massage and recovery. We dig into her Quadrant of Intentional Treatment—a simple, visual framework that maps care across superficial to deep and global to specific—so you can choose inputs the nervous system is ready to accept and turn short sessions into lasting change.

Together we unpack why “deep” is about more than force; it’s also about time, attention, and sensory load. Jenny explains how superficial, global inputs can downshift tone and open access, and when to pivot toward specific work without tipping a client into threat. We explore keeping clients clothed and moving on the table, coupling touch with motion, and using tools like cups and tape to amplify proprioception rather than overwhelm it. You’ll hear practical examples—from cautious anterior neck work to rib-cage breath lifts with gliding cups—that show intention beats any tool.

We also talk shop on confidence with athletes, why weekend warriors deserve the same game-day respect as pros, and how to build a network across PTs, ATs, acupuncturists, and osteos without getting stuck in turf wars. The throughline is clear: outcomes improve when touch is information, movement is integrated, and clients feel safe enough to adapt in real time. If you’re ready to move beyond scripts and treat the nervous system first, this one will sharpen your eyes and your hands.

Subscribe for more sensory-forward conversations, share this with a colleague who loves blending movement and manual therapy, and leave a review with your biggest takeaway—what quadrant will you start in next session?

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Pain shouldn’t feel like guesswork. We sat down with therapist, educator, and former pro athlete Julie Pitois to pull back the curtain on a smarter, more human way to solve stubborn pain. Julie co-created the Anatomy Assassin approach, a true‑crime style framework where the “victim” is the loud symptom and the “criminals” are the hidden contributors—movement habits, stress loads, nerve sensitivity, and underperforming tissues—that quietly drive the case. That simple metaphor helps clients drop fear and lean into the process without jargon.

We talk about why time and curiosity matter more than any single technique. Short, protocol-driven care often misses the person in front of us; longer intakes, plain-language education, and frequent assess–treat–reassess loops turn sessions into a feedback-rich lab. Julie walks through practical tools: testing in and out of weight bearing, pairing manual inputs with immediate movement, and using clear metaphors—like nerves as subway lines—to explain entrapment, sensitivity, and why symptoms shift. The goal is not to “fix” someone, but to partner with them so they regain confidence to move while exercise builds lasting capacity.

You’ll hear how a blended model outperforms silos: early phases may lean on local tissue care, while long-standing pain requires more attention to the nervous system and life context. We cover the pitfalls of no-pain-no-gain thinking, how to avoid chasing symptoms, and how multidisciplinary teams work without hierarchy. If you’re a clinician, coach, or an everyday mover, you’ll leave with a clear roadmap: ask better questions, use targeted tests, explain what’s happening in simple terms, and let results guide the next step. Subscribe, share with a colleague who cares about critical thinking, and leave a review to tell us which metaphor clicked for you most.

For more information you can check out: https://www.anatomyassassinbooks.com

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What if relief starts with being seen, not being pressed? Our conversation with author and massage therapist Rachel Richards follows a surprising path—from the isolating rules of an eating disorder and the highs of stage life to a quiet, practical discovery: slow, kind touch can change how pain feels, and a camera can carry that care to people who may never set foot in a clinic. Rachel shares how a tiny, two‑minute breathing-and-touch video went viral, why self‑massage gives agency to those who feel safest at home, and how community comments can be as therapeutic as any technique.

We dig into the science without losing the human thread. You’ll hear how C‑tactile fibers respond to gentle, unhurried contact; why therapeutic alliance consistently predicts outcomes; and how reframing rest as an active practice builds resilience against burnout. We also talk about trust—how it’s earned in the first moments with light, predictable touch and clear consent—and about customization, shaping care to the person’s goals rather than the diagnosis.

Across it all runs a simple idea: connection reduces threat. Whether it’s holding a hand, tracing a fingertip to anchor breath, or reading “me too” from someone halfway around the world, social safety turns the nervous system down and opens the door to change. Rachel’s YouTube work shows what access can look like: free, practical tools; a friendly face; and an invitation to participate in your own relief.

If you’re a clinician, you’ll leave with fresh ways to center empathy and build simple take‑home practices. If you’re a listener in pain, you’ll find techniques you can try today—and a reminder that you’re not alone. If this conversation helps, share it with someone who needs a gentler approach, subscribe for future episodes, and leave a review to help others find us.

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What happens when the science we rely on and the patients we treat seem to be telling us different things? In this thought-provoking conversation with osteopathic practitioner Sam Jarman, we dive deep into the sometimes confusing relationship between evidence-based medicine and patient-centered care in manual therapy.

Sam challenges us to reconsider how we apply evidence in our hands-on practice, noting that "the map is not the territory" – research papers represent averages and populations, while our clients are unique individuals whose responses may not match what studies predict. This leads us to one of the most fascinating paradoxes in our field: techniques like myofascial release that work clinically despite research suggesting they shouldn't be effective based on their proposed mechanisms. Rather than abandoning these approaches, Sam suggests we might be "talking about the wrong mechanism but doing the right behavior."

Perhaps most valuable for practicing therapists is Sam's framework for balancing technical skill and bedside manner. When there's an identifiable problem that will respond to technical intervention, your expertise should lead. When there's no clear target or when conditions aren't responsive to manual techniques, your interpersonal skills become your most powerful tool. This elegant framework provides clear guidance for the moment-to-moment decisions we make in treatment.

We also explore why experienced therapists from different disciplines often converge toward similar techniques despite different theoretical backgrounds, suggesting there are fundamental principles underlying effective manual therapy that transcend our professional divisions. Sam proposes focusing on these bedrock principles rather than getting lost in terminology that may not fully apply to our work.

Whether you're a massage therapist, physical therapist, chiropractor, or osteopath, this conversation will give you practical insights to enhance your clinical reasoning and treatment outcomes. Subscribe to the podcast for more conversations that bridge the gap between science and practice in manual therapy.

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The integrity of scientific research is under unprecedented pressure. In this eye-opening conversation, Senior Lecturer Sharmella Roopchand Martin reveals the alarming rise in research paper retractions—10,000 in the past year alone—and the shadowy industry that's emerged to exploit academic publishing demands.

Discover the shocking world of "paper mills," businesses that guarantee publication for a price, offering everything from ghostwritten papers to fake peer reviews. These operations thrive in an environment where career advancement depends on publication counts rather than research quality. Martin explains how the detection of scientific misconduct has evolved alongside increasingly sophisticated methods to commit it, including the emergence of bizarre "tortured phrases" like "counterfeit consciousness" (artificial intelligence) and "bosom peril" (breast cancer) that signal AI-assisted plagiarism attempts.

The conversation explores how retracted papers continue influencing public health decisions long after being debunked, the challenges facing researchers from developing nations, and the ethical dilemmas created by publication pressures. Most concerning is the gap between identifying problematic research and its formal retraction, creating windows where misinformation spreads unchecked through academic and public channels. For healthcare professionals and anyone who relies on scientific evidence, understanding these dynamics is crucial.

Ready to protect yourself from dubious research? Martin recommends resources like Retraction Watch and verification strategies including checking funding databases. If you're involved in research yourself, consider taking a short course in research ethics—many graduate programs don't include this crucial training. In a world flooded with information, the ability to distinguish sound science from misconduct has never been more important.

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Ever felt underprepared in your professional role and wondered how to bridge that knowledge gap? Join us as esteemed expert Ruth Warner shares her transformative journey from feeling unprepared as a massage therapist in the early 80s to becoming a beacon of knowledge on massage therapy's intersection with pathology. Ruth passionately advocates for therapists to solidify their knowledge base, moving beyond the superficial safety net of doctor's notes. Her insights into the importance of education and her celebrated textbook, "A Massage Therapist's Guide to Pathology," are sure to inspire anyone keen on advancing their professional capabilities and confidence.

We tackle the myths surrounding the infallibility of doctor's notes, clarifying the true legal responsibilities of massage therapists. Rather than relying solely on external validation, Ruth encourages therapists to cultivate a richer understanding of their craft and their clients' needs. By fostering better communication with healthcare providers, therapists can align treatment goals and prioritize client safety, ensuring they remain within their professional boundaries while collaborating effectively across the healthcare spectrum.

The conversation then widens to the broader theme of interdisciplinary collaboration and critical thinking in therapeutic practices. Ruth underscores the importance of overcoming healthcare silos and integrating evidence-based approaches with patient-centered care. We discuss the strategies for building a robust referral network and the ongoing necessity of critical thinking in healthcare. Highlighting her podcast "I Have a Client Who: Pathology Conversations with Ruth Werner," and her interactive webinars, Ruth invites listeners to engage with her in this enriching journey of professional development and continuous learning.

https://ruthwerner.com/

https://booksofdiscovery.com/product-category/a-massage-therapists-guide-to-pathology/

https://www.criticalthinking.org/pages/index-of-articles/1021/

Ruth Werners table for critical thinking:

 1 - Recognize and analyze the question at hand = What is this client asking for, and can I provide it?
 2 - Identify relevant variables that must inform your decisions = What factors affect this client's ability to safely receive massage therapy?
 3 - Challenge your pre-existing assumptions = What more do I need to learn about this client's situation? Do I have a clear grasp of what he wants and needs?
 4 - Consider possible solutions to challenges and explore alternatives to those solutions = What skills do I need to bring to this client's session? Do I need to refer this client to another provider? How might other strategies compare with my first choice? What have others done in similar situations? What have I missed?
 5 - Plan and execute a course of action that incorporates relevant variables = Based on all this, what is my session plan?
6 - Reflect on how things went after you made a decision = What worked well, and didn't work well, in that session? What will I do differently next time?

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What happens when the clinical application doesn't match the research results? Musculoskeletal specialist Ben Cormack joins us to explore this critical question and offers his invaluable insights into the world of therapeutic presence in clinical practice. We promise you'll uncover the gap between statistical effectiveness in studies and the real-world outcomes in practice. Dive into the exploration of randomized control trials, the magic of natural recovery, and the often-overlooked contextual effects that shape patient outcomes. Plus, we discuss the fascinating phenomena of placebo effects—sometimes dismissed as mere ‘happy accidents’—and consider how to harness their potential to elevate patient care.

Our conversation takes a closer look at the powerful mechanisms activated through treatments such as exercise and manual therapy, and how these can mimic each other by engaging similar pathways in the brain. We rethink the traditional views on inhibition and examine how placebo effects, driven by context and belief, can be as active as any other treatment component. Insights from expert Luana Coloca highlight the surprising potential of placebos when properly understood and applied. We also emphasize the importance of transcending traditional patient interviews, advocating for meaningful clinical conversations that truly consider the lifestyle and goals of each client, all while employing the biopsychosocial model for holistic care.

Communication stands at the heart of effective therapy, and this episode sheds light on enhancing these skills to foster genuine connections and maintain essential boundaries. Through personal anecdotes and expert perspectives, we stress the significance of professional growth and self-preservation for balanced therapeutic practice. We explore the benefits and challenges of interdisciplinary approaches in medicine, weighing the roles of generalists versus specialists. Whether you're seeking to improve your clinical practice or just interested in thought-provoking discussions about enhancing therapeutic alliances, this episode offers valuable insights and actionable advice.

https://cor-kinetic.com/

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What happens when a therapist loses their way? Dr. Jesse Reynolds, a respected practitioner in acupuncture and traditional Chinese medicine, faced this very dilemma. After adopting the persona of "Dr. Jess" to meet external expectations, he found himself burnt out and questioning his path. Together, we navigate his inspiring journey back to authenticity and how redefining therapeutic presence can prevent the emotional toll of burnout.

Our conversation unfolds with a focus on the softer skills that truly define successful therapeutic practice. While many practitioners relentlessly pursue technical expertise, we share compelling insights from a survey of over 3000 professionals that highlight the underestimated power of empathy, self-awareness, and effective communication. We explore practical strategies for maintaining professional boundaries and personal well-being, offering actionable advice for therapists who are eager to cultivate a more meaningful connection with their clients.

Finally, we shine a light on the importance of embracing one's unique approach to therapy. By sharing personal stories and experiences, we underscore how authenticity and individuation not only prevent exhaustion but also attract clients who resonate with your genuine presence. Join us as we unravel the complexities and rewards of being true to oneself in the therapy room, and discover how a heartfelt approach can transform both the practitioner's and the client's experience.

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Can touch actually alleviate pain? Discover the groundbreaking insights from Pavel Goldstein, head of the Integrative Pain Laboratory at the University of Haifa's School of Public Health, as he unpacks the profound power of touch in pain management. Inspired by his personal experience during his wife's labor, Goldstein's research reveals how empathetic touch from partners can provide significant pain relief. Join us as we explore his compelling study with romantic couples, where simply holding hands demonstrated remarkable analgesic effects.

Touch is more than just a physical sensation; it's a powerful tool for communication. In this episode, we delve into a fascinating study on empathetic touch and its neurophysiological impacts. Learn why the initial research focused on female subjects in pain and their male partners, and how empathetic touch enhances brain synchronization and physiological harmony. We also touch on the broader implications for therapeutic practices, shining a light on how intentional touch can bridge emotional and physical gaps.

Finally, we navigate the complexities of chronic pain and its distinction from acute pain. Chronic pain, often misunderstood, requires innovative approaches like Pain Reprocessing Therapy (PRT) and rethinking the role of placebos in pain management. Hear compelling case studies that illustrate pain as an alarm system that sometimes misfires, and the evolutionary perspectives that frame pain as vital for survival. Pavel Goldstein's insights offer a fresh and hopeful perspective on understanding and managing pain, encouraging listeners to be attentive to their bodies and the messages pain conveys.

For more information on Pavel Goldstein and his work visit: iPainLab and to share your stories please go to PainStory.Science

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Unlock the potential of placebo effects in clinical care with insights from our special guest, Guillaume Leonard, a leading physiotherapist and researcher. This episode promises a deep dive into how integrating placebos, especially within manual therapy and pain management, can enhance treatment outcomes when combined with active components. Guillaume discusses the ethical conundrums and the balancing act of setting realistic expectations without fostering false hopes, all while navigating the intricate landscape of pain diagnosis and treatment.

Explore the critical distinction between diagnosis and prognosis through compelling real-world cases. Guillaume and I dissect the psychological ramifications of diagnoses like fibromyalgia, emphasizing careful communication to prevent nocebo effects. We also highlight the transformative power of effective patient education and the nuanced role of language in shaping patient perceptions and recovery trajectories.

Discover the comparative benefits of massage therapy and transcutaneous electrical nerve stimulation (TENS) for chronic low back pain, backed by evidence from a guideline study by the Ottawa panel. We tackle the challenges of translating research into practical clinical applications and underscore the importance of maintaining hope and positive conditioning. This episode is a must-listen for anyone interested in merging evidence-based medicine with patient-centered care to optimize pain relief and improve quality of life.

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Can a simple therapeutic interaction release powerful chemicals in your brain like endorphins and oxytocin? Discover how the relationship between a therapist and client can turn an ordinary manual therapy session into a powerful healing experience. Join us as we sit down with Luana Colloca, professor at the University of Maryland and director of the Placebo Beyond Opinion Center, to unravel the profound effects of placebos in manual therapy. Luana takes us through the myriad ways trust, warmth, and competence in the therapist-client relationship can significantly enhance therapeutic outcomes.

Ever wondered how your expectations can shape your recovery? We dive deep into the impact of patient expectations and expectancy on therapeutic success. Learn how managing expectations through honest dialogue and realistic goal-setting can prevent disappointment and bolster treatment efficacy. Luana shares compelling insights into the subconscious mechanisms of expectancy and how therapists can utilize cognitive-behavioral techniques to harness these for better patient outcomes. We also uncover fascinating studies on post-operative pain management, illustrating how patient awareness of treatment can dramatically influence its effectiveness.

In our exploration of subtle cues and future directions, we touch on everything from the influence of environmental factors in therapy to the revolutionary concept of open-label placebos. Luana recounts her journey from skepticism to belief in the placebo effect, inspired by groundbreaking research. Look ahead to the future of placebo therapy as we discuss reversing impaired inner pharmacy mechanisms and personalizing treatment plans. Whether you're a therapist or simply curious about the mind-body connection, this episode promises to expand your understanding of the powerful interplay between psychology and treatment outcomes.

Please download her free manual on Placebo Effects Through the Lens of Translational Research: https://academic.oup.com/book/54240

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Unlock the mysterious efficacy of placebos and their role in pain management as we host neuroscience professor and esteemed author Serge Marchand. Together, we unravel the power of patient-practitioner interactions, where empathy and positive reinforcement can significantly alter a patient's pain experience. Listen to how even the most seasoned professionals must navigate the fine line between science and empathy, and how this dance can redefine healing approaches across healthcare.

This episode isn't just about the sugar pill effect; it's an expedition into the heart of expectation and its profound impact on treatment success. Serge Marchand gifts us with insights from his latest research, sharing personal stories that illustrate the interplay between the psychological and physical realms of pain. We tackle the controversial pendulum swing in pain neuroeducation, revealing the importance of balancing biomechanics with psychological factors in pain perception. We also probe into the ethical conundrums that arise when deploying placebos, emphasizing the delicate balance required to maintain patient trust while maximizing treatment efficacy.

Wrap up your understanding of the placebo's role in therapy with a discussion on the brain-body nexus and its implications for manual therapy. We consider how even non-efficacious treatments can sometimes yield surprising benefits, and ponder the potential of emerging research techniques like hypnosis and transcranial stimulation. The episode culminates with a forward-looking anticipation of future discussions, promising to shed even more light on the enigmatic workings of the nervous system. Join us for a journey that is as much about the science of healing as it is about the healing power of belief.

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Join us for a riveting journey through the landscape of trauma and healing, where Bethany Ranes Ph.D. and I navigate the mind's labyrinth following traumatic experiences. As a cognitive neuroscience research scientist with notable tenures at United Health Group and the US Army, Ranes lends her profound insights into the ways trauma shapes our physiological and psychological wellbeing. From the subtleties of microaggressions to the roar of chronic pain, our dialogue offers a fresh perspective on how small-scale stressors accumulated over time can manifest into significant psychological hurdles.

This episode paints a vivid tableau of the body's response to trauma, elucidating how evolutionary mechanisms and sensory cues influence our reactions to stress. The discussion spotlights the transformative potential of therapeutic touch, dissecting the dance between trauma responses during massage therapy and the human immune system. Delving into the art of creating a safe space for clients, we discuss the critical importance of empowerment and control in fostering a healing environment. Dr. Ranes's expertise demystifies the complex interplay of the body's alarm systems, offering practical strategies for managing trauma responses with mindfulness and kinesthetic awareness.

Concluding with a teaser of her "Firing and Wiring" blog series, we explore the interface of neuroscience and daily life, promising insights into how to navigate the brain's intricate circuits to enhance our daily experiences. Whether it's the psychological barriers to pain management or the soothing cadence of ASMR principles in massage therapy, our conversation encapsulates a treasure trove of wisdom that promises to empower listeners in their own journeys toward understanding and overcoming trauma.

Find out more about Dr. Bethany Ranes here: https://interoceptlabs.com/

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Have you ever considered the profound impact that trauma has on the body and the mind, and how manual therapists can provide a beacon of hope for those struggling in its aftermath? We're honored to have Brian Trzaskos join us to shed light on the transformative power of trauma-informed care within manual therapy. Our discussion transcends the traditional view of trauma by focusing on the body’s nervous system and its response to both catastrophic and minor stressors, which can accumulate and deeply affect an individual's sense of self. Learn how therapists are redefining their approach to care, ensuring they not only soothe physical ailments but also support the journey towards emotional and psychological healing.

Embarking on conversations about trauma can be like navigating a minefield, but this episode is a must-listen for healthcare professionals seeking to bridge the gap between knowledge and empathy, providing the necessary tools to engage with patients about their trauma histories constructively. Our commitment to fostering empathetic dialogue is unwavering, as we strive to enhance patient care through understanding and open communication.

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In this episode I have the wonderful fortune of interviewing Hillary Allen, an endurance athlete and former client of mine. We talk about her experience surviving a near-fatal 150-foot fall while trail running. We discuss her road to recovery both physically and mentally, insights gained about being a process-driven versus performance-driven athlete, the value of community support, using writing and storytelling as therapy, and principles of resilience that helped her not only get back to elite competition but become an even stronger person.

Music by Oleksii Kaplunskyi from Pixabay

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In this podcast we explore Mark and Amanda's origin stories and how they got into massage therapy. Did Mark fall into massage therapy after a drunken dare, was Amanda really convinced into it. Listen to find out. 

We also explore the evolution of massage therapy and education, public perception and acceptance of massage therapy, the future of massage therapy and what keeps them motivated and inspired!

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In this episode of the Sensory Approach to Manual Therap Jon Zahourek and I discuss pain, evolution, belonging and learning. 

Jon Z. has an incredible mind that floats from topic to topic with ease but is always profoundly intersting and captivating to listen to.

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In this latest podcast with Michael Hamm, from Integrative Bodywork we dive once more into the conversation of 'Defining Massage Therapy'. 

I always love speaking with Michael. His heart felt communication and  genuine love and passion for language make him an amazing guest. His insight into the converging/diverging nature of science was an absolute bullseye in our talk. 

I hope that podcast blooms like a flower in the back of your heart. 

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In this episode with Doug Nelson we get a little person in exploring his passion and discovery of massage therapy. We explore some of the difficulties of research within the massage therapy community and try to understand what it is that makes massage special. 

I hope you enjoy listening. Doug has been a very influential therapist, researcher and educator in the massage community for a long time and even if you don't know it, you have likely heard some of his wisdom passed on to you through other educators. 

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In this podcast with ABK, we delve into the idea of defining massage therapy and if that is something our industry is struggling with or needs.  Ann Blair Kennedy has been a long time member of many influential massage organizations. You may not have known her before this podcast but if you are a massage therapist you have likely been influenced or impact day some of her research in our industry. She is a warm, open hearted human with a thirst for understanding and knowledge that has made her an incredible role-model for many massage therapists. 

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I have known Amanda since our mid-teens and what she is doing with her work at https://www.amandarocheleau.com/ is some of the most important work I have come across in my 20 years of practice massage. If you have not had a chance to listen to her, take it now. 

Amanda is a registered social worker who specializes in teaching classes on dealing with burnout.  Amanda shares her personal experience of going through a burnout in her 20s, which led her to become passionate about talking about burnout, compassion fatigue, and related psychological issues. She discusses the signs and symptoms of burnout. Amanda emphasizes the importance of self-awareness, self-compassion, and mindfulness practices to prevent and recover from burnout. She also highlights the concept of 'empathy-based stress' or 'emotional residue' that healthcare professionals often experience when connecting with patients' suffering. Amanda provides insights & practical strategies for managing burnout.

The three general chapters of the burnout experience: exhaustion, mental distancing and cynicism, and feelings of inefficacy or lack of confidence. She explains how these symptoms can manifest and how they can impact an individual's personal and professional life.

Amanda emphasizes the importance of self-awareness and self-compassion in preventing and recovering from burnout. She discusses the concept of 'near enemy,' where good qualities can be taken too far and become detrimental. Amanda also highlights the role of mindfulness practices and grounding exercises in cultivating self-awareness and self-compassion.

Amanda introduces the concept of 'empathy-based stress' or 'emotional residue,' which refers to the stress and emotional burden that healthcare professionals experience when connecting with patients' suffering. She discusses the importance of differentiating between one's own emotions and those of others, as well as practices for cleansing and releasing emotional residue.

Troy and Amanda discuss the importance of maintaining a sense of purpose and hope in the healing process, both for healthcare professionals and their patients. They explore the role of context, rapport, and vulnerability in the healing process, and the need for humility in recognizing that not every approach works for every individual.

Amanda shares information about her website and podcast, where she provides free resources and tools for assessing and managing burnout and compassion fatigue. She emphasizes the importance of seeking help and support when experiencing burnout symptoms.

Action Items

1. Visit Amanda Rochalou's website at amandarochalou.com to access free resources, assessment tools, and information about her workshops and therapy services related to burnout and compassion fatigue 
2. Explore mindfulness practices and self-compassion exercises, such as the guided self-compassion meditation video available on Amanda's website
3. Implement grounding practices and cleansing rituals to release emotional residue after intense or emotionally demanding work sessions 
4. Cultivate self-awareness by differentiating between one's own emotions and those of others, and practice setting boundaries to avoid absorbing or internalizing others' experiences 
5. Maintain a sense of purpose and hope in the healing process, both as a healthcare professional and as a patient, by focusing on the long-term goals and potential for recovery 
6. Seek support and resources when experiencing signs of burnout, such as exhaustion, cynicism, or feelings of inefficacy, and prioritize self-care practices to prevent and recover from burnout 

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In this episode I speak with Benny Vaughn about what it's like to be in the industry for over 45 years now, how he has dealt with burn-out and what he does to stay motivated! Benny opens up and speaks about some of his past mental health struggles, how he has over come them, and what it's like being an interracially married African American man living in Texas. I am so grateful to Benny for his candour and willingness to share and be vulnerable with me and with us. 

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Summary

This transcript is a conversation between Troy and Rebecca, a professional mountain biker. They discuss Rebecca's experiences as a three-time Olympian and her journey in the sport, including the mental and emotional challenges she faced during competitions and throughout her career. The conversation covers topics such as dealing with stress, burnout, and the accumulation of life events (allostatic load), as well as the importance of having a sense of purpose. Rebecca shares her strategies for coping with the highs and lows of her career, including taking breaks, spending time with friends and family, and finding ways to mentally disconnect from the sport. The conversation also touches on the unique pressures and experiences of competing at the Olympic Games.

Chapters

Introduction and Background 

Troy introduces Rebecca, a three-time Olympian and professional mountain biker with an impressive athletic resume. He explains his interest in discussing the concept of 'allostatic load,' which refers to the accumulation of life stresses and events, and how it relates to Rebecca's experiences as a high-end athlete.

Early Career and Transition to Professional Racing 

Rebecca shares her experiences from her early career, including her first season racing in Europe as an amateur and the challenges of traveling and competing without support. She discusses the transition to joining a professional team and the relief of having responsibilities taken off her shoulders, such as travel logistics and equipment maintenance.

Dealing with Stress and Burnout 

The conversation delves into the mental and emotional challenges Rebecca faced throughout her career, particularly during the mid-season when energy levels and motivation tend to dip. They discuss strategies for coping with burnout, such as taking breaks, spending time with friends and family, and finding ways to mentally disconnect from the sport.

The Olympic Experience 

Rebecca shares her experiences at the Tokyo Olympics, where she struggled with negative thoughts and a sense of dread, despite being well-prepared physically. She discusses the mental anguish she experienced during the race and the difficulty of finishing when every part of her wanted to quit. The conversation also touches on the unique pressures and expectations surrounding the Olympic Games.

Self-Care and Recovery 

The conversation shifts to discussing self-care and recovery strategies for Rebecca as a high-end athlete. She highlights the importance of spending time with friends, getting massages (although sometimes she doesn't feel like it), and taking complete breaks from training during the off-season.

Action Items

1. Recognize the importance of having a sense of purpose in coping with stress and burnout, as it can provide motivation and help remove some of the mental and emotional load. 
2. Explore strategies for mentally disconnecting from the sport during breaks and off-seasons, such as spending time with friends and family, engaging in non-athletic activities, and taking complete breaks from training. 
3. Understand the unique pressures and expectations surrounding major events like the Olympic Games, and develop coping mechanisms to manage negative thoughts and mental anguish during high-stakes competitions. 
4. Implement self-care practices, such as getting massages, taking hot baths, or practicing yoga, while being mindful of not overdoing it and allowing for rest and recovery when needed. 
5. Reflect on the accumulation of life stresses and events (allostatic load) and how it can impact physical, mental, and emotional well-being, especially for high-end athletes who face additional pressures and demands. 

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In this episode I speak with Dr. Giulia Poerio, an ASMR specialist from the University of Essex. The discussion revolves around the concept of ASMR (Autonomous Sensory Meridian Response), its triggers, physiological effects, and potential therapeutic applications, particularly in the context of manual therapy and massage. 

Some Key points discussed include: 
-Definition and explanation of ASMR, a tingling sensation triggered by certain stimuli like whispering, soft speaking, tapping, and gentle touch. 
- Comparison of ASMR with frisson (emotional chills) and the differences in their physiological responses. 
- The potential role of ASMR in pain relief and stress reduction, with some research suggesting temporary relief from chronic pain and reduced heart rate comparable to mindfulness practices.
- The tactile aspect of ASMR, which is often overlooked in research, and its relevance for manual therapists and massage practitioners. 
- The concept of ASMR as a spectrum, with varying levels of sensitivity and potential connections to conditions like ADHD, autism, and sensory processing disorders. 
- Strategies for incorporating ASMR techniques into massage sessions, such as creating a calming environment, explaining procedures, and using appropriate touch techniques. - The potential benefits of ASMR for individuals who may be touch-deprived or unable to receive physical touch, such as older adults or during the COVID-19 pandemic. 

Overall, the discussion explores the potential therapeutic applications of ASMR, particularly in the context of manual therapy and massage, while acknowledging the need for further research and empirical evidence.

The awesome as well as the awful: Heightened sensory sensitivity predicts the presence and intensity of Autonomous Sensory Meridian Response (ASMR) (Link at the bottom of the page)

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Self-organization is a rule that is incredibly valuable to therapists as it relates to hands-on care and  has significant benefits when addressed with exercise behaviour. Self-organizing collagen can become a patients best friend or worst enemy. When assessing injury repair, be it acute, sub-acute, chronic or rehabilitative, continuing to address the self-organizing cellular structures in the body becomes a vital aspect of care. 

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In this episode we go over the conversation that Dr. Giulia Poerio and I had about massage therapy and ASMR. I had to opportunity to discuss the potential relationship between ASMR and tactical stimulus as it relates to massage therapy. ASMR is a growing field of study and there are many possibilities for manual therapists to begin exploring touch and ASMR. I am excited to hear peoples feedback about this concept and any inspirations you get from it!

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In this podcast we discuss the inflammation and repair process from acute to chronic pain. We also look at the tissue resilience in each phase and how manual therapy should be adjusted to reflect the tissue strength. I hope you all enjoy.

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Posture equals pain! Or does it? The idea that posture is one of the major driving forces behind chronic pain is very popular and trendy. It is an idea that the majority of practitioners still place a large degree of importance on. In this podcast we look into some of the research that is questioning this idea and its importance to chronic pain. 

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In this episode we discuss some of Gretchen Schmelzer's work around learning and chronic pain. Highlighting the 3 basics of learning 'Urgency, Repetition, Association' as tools to help clients solve chronic pain. 

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In this episode we update our understanding of the Pain Gate Theory and how synaptic behaviour can help reduce chronic pain. Understanding habituation, sensitization and adaptation is essential to long term recovery for clients experiencing chronic pain. 

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Massage therapy is a therapeutic touch modality and the sympathetic and parasympathetic nervous systems can be accessed via touch. There is the potential to stimulate a change in chronic pain via these systems and I hope that massage therapy can further explore the sciences behind this idea. Enjoy!

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Fascia is a complex, evolving and often times frustrating tissue. It has become a buzzword for marketing in massage therapy and other disciplines and yet science rarely justifies the explanations, treatments and benefits of care. How do massage therapists reconcile the struggle between the  information available and the treatments being offered? The puzzle is what we look to discuss today.

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Chronic pain and our understanding of it is often outdated and poorly understood. Wether it is low back pain, arthritis or an old injury pain science has evolved and massage therapy care should evolve with it. Take the time to understand more about pain and see how it can improve your client outcomes. If you are looking for the science and research behind how pain has evolved and adaptations that therapists should be incorporating  you can go to www.sensoryapproach.com to take my online class.

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The skin is often over looked by massage therapists. It is the largest sensing organ yet is rarely addressed, treated, evaluated or talked about with therapists or clients. This needs to change. Take time to study the skin and see how it can improve your client outcomes. If you are looking for the science and research behind how the skin impacts the brain go to www.sensoryapproach.com to take my online class.

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