EP 59 What Really Guides Us? Clues, Intuition, Experience, or Science

In this episode of The Fascia-Informed Therapist Podcast, we explore the often-unspoken but deeply felt elements that shape our clinical decision-making: clues, intuition, experience, and science. Starting from the familiar challenge of planning care in unpredictable therapeutic environments, we unpack how competence truly develops—not just through academic knowledge, but through experience, pattern recognition, and perceptual awareness. Amy shares personal stories from her clinical practice and teaching career, including how she learned to recognize pain through subtle nonverbal signals and why minimizing sensory input can sharpen diagnostic clarity. We also examine research on clinical intuition, revealing how practitioners in various disciplines use and refine it as a legitimate part of diagnostic reasoning. From anatomy trains and myofascial assessment strategies to the neuroscience of attention and the reflective wisdom of Blink by Malcolm Gladwell, this episode encourages therapists to trust what they feel—while also validating it with science and experience. Whether you're a new practitioner building your confidence or a seasoned clinician deepening your fascia-informed approach, this conversation invites you to think critically about what really guides you in the treatment room. 📚 References Gladwell, M. (2005). Blink: The power of thinking without thinking. Little, Brown and Co. Melin-Johansson, C., Palmqvist, R., & Rönnberg, L. (2017). Clinical intuition in the nursing process and decision-making: A mixed-studies review. Journal of Clinical Nursing, 26(23-24), 3936–3949. https://doi.org/10.1111/jocn.13814 Van den Brink, N., Holbrechts, B., Brand, P. L. P., & van Royen, P. (2019). Role of intuitive knowledge in the diagnostic reasoning of hospital specialists: A focus group study. BMJ Open, 9, e022724. https://doi.org/10.1136/bmjopen-2018-022724 Myers, T. (2020). Anatomy Trains: Myofascial Meridians for Manual and Movement Therapists (4th ed.). Elsevier.