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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.
& so much more
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.
& so much more
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.
& so much more
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.
& so much more
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.
& so much more
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.
& so much more
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.
& so much more
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.
& so much more
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.
& so much more
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.
& so much more
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'.
& so much more
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.
& so much more
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.
& so much more
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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
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 Explore mindfulness practices and self-compassion exercises, such as the guided self-compassion meditation video available on Amanda's websiteImplement grounding practices and cleansing rituals to release emotional residue after intense or emotionally demanding work sessions Cultivate self-awareness by differentiating between one's own emotions and those of others, and practice setting boundaries to avoid absor& so much more
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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.
& so much more
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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
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. 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. Understand the unique pressures and expectations surrounding major events like the Olympic Games& so much more
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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.
& so much more
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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