Tag: Double blind studies

  • Cranio Sacral Therapist and Student Newsletter 27

    September 14 – 2007

    Questions and comments for this issue:

    + Follow on comment from last issue from Etienne in Belgium.
    + Link between breast-feeding and CST.
    + Working with the blueprint.
    + CST clinical trials.

    Hello,

    I was passing a news stand the other day and the
    headline ‘Crocs can kill,’ shrieked out at me from
    the front page of Britain’s ‘The Sun’ newspaper.
    Having lived in Australia for ten years I thought
    it had taken a rather a long time for that bit of
    obviousness to reach GB and certainly didn’t
    warrant a headline.

    But it turns out they weren’t talking about
    those ridged chompers so beloved of the late Steve
    Irwin.
    They were talking about the brightly coloured,
    perforated clogs adored for their comfort by
    doctors and nurses, charged by the fashion police
    with crimes against style, and flaunted by
    Presidents and pop stars alike eager to capitalise
    on their quirky cachet.

    The paper reported the banning of the shoes by
    some Sheffield hospitals, apparently because of
    claims that static electricity generated by Croc-
    shod medical staff could knock out vital
    equipment.

    So that’s what those static electric shocks are
    all about.  I just thought everyone was releasing
    a lot last week.

    Note to self: Don’t wear crocs when
    treating again.

    Anyhu, I can’t stand around here lollygagging
    with you about the pitfalls of being fashionable.
    We’ve got a mailbag to get on with so let’s have at it.

    ***FOLLOW ON COMMENT FROM LAST ISSUE FROM ETIENNE IN BELGIUM***

    Hi John,
    I stated about the tennis sock  … if their
    system can take it … even if you are not crazy
    about it, its their system that has the answer !

    If you can bring the elderly past their
    compensations you will find they are all too happy
    to go into babyhood, how do you do that … only
    if you drop the idea that they will go
    automaticlly into compensation (which they will do
    as a defense mechanism, because they do not know
    what else to do) , but it is your job not to step
    into that pile but via your own system show their
    system (in complete silence) how to go beyond the
    mind, thats all, of course you have to drop all
    prejudice for that, do not forget, knowingly or
    unknowingly they are preparing for death … and a
    guide out of their cr.p is welcome

    There is a very good therapist in St Martin de
    Lon… something (South west France) Margo Berr

    Have fun,
    Etienne

    MY COMMENTS:

    Hello Etienne,
    Thank you for your swift and passionate
    response.

    I am not wild about the tennis sock thing for
    two reasons.

    Firstly I think it negates all the years we
    spend developing our palpatory skill and learning
    about timing and sensitive responding to a persons
    system.

    I agree that the person’s system has the answer
    but there needs to be someone there to hear and
    respond to the answer, not an inanimate object.
    The person’s system will change in the time
    between treatments.  If their system can’t handle
    it the tennis sock will give them a headache or an
    uncomfortable feeling of pressure.

    Secondly.  The people that I treat are by and
    large uninterested in natural medicine or
    alternative approaches.  I think most of them
    would be more than happy if the Doctor was able to
    help them.  They only come to see someone like me
    because they are desperate.

    I am very aware of this and aim to make it as
    easy for them as possible because I know that the
    really confronting thing will be their having to
    take responsibility for their own health.

    So I try and minimise the other stuff.  I am
    conscious of the environment they will be
    returning to and the sort of resistance they may
    have to put up with from family and friends.

    From a sceptics perspective the tennis sock
    thing looks and sounds kooky.  For its benefits,
    which I think are minimal at best, compared to the
    undermining effects it could have on the person’s
    whole process, I don’t think it’s worth it.

    As for the elderly, you are right of course.
    Having any kind of preconception about how a
    treatment is going to go is never good.  Whether
    it is that the elderly are like babies and they are
    so happy to ride the wave or that they are like
    babies that are locked behind 500 layers of
    compensation.  We must always treat what we find.

    ***QUESTION***

    Dear John,

    I’m contacting you after being very encouraged by
    your informative website – particularly the area
    on “the top ten causes of trauma”

    I have had a very positive experience myself with
    Cranio-sacral – jaw work – which helped me to
    breastfeed successfully after 18 months of minimal
    supply (20ml max)

    My problem related to a fractured cheekbone –
    where the displaced bone impacted the brain – not
    enough to cause brain damage or to stop the
    pituitary function, but enough to take away any
    room for the gland to swell slightly with greater
    need (such as breastfeeding).  The treatment I had
    (with the intention of bringing relief to neck and
    shoulder pain – not breastfeeding – I’d given up
    on that by then) – included jaw work – and worked
    to balance a very unstable xyoid process – and
    when that balanced – my breast milk flowed like
    I’d dreamed for so long (my baby was allergic to
    most formulas – hence the repeated pneumonia from
    a supposed hypo-allergenic formula).

    I have since quizzed Moms who struggled to
    breastfeed in my practice – most of them had some
    kind of serious trauma to the head or spine in
    their lifetime.

    Considering the vital importance of breastfeeding,
    it might be so beneficial to have some kind of
    research project done on this one day…. do you
    have any idea who could do it /how this might be
    done?  Should I contact Upledger directly?

    Kind regards,
    C
    South Africa.

    MY COMMENTS:

    Hello C,
    Thank you for your feedback about my website.
    I’m glad you found it helpful.

    In my practice I don’t think I have ever had a
    mother come for treatment specifically for help
    with breast milk production.

    Improvements in breast milk supply have usually
    come in the way you have described it, a happy
    secondary bonus but not as the main focus of
    treatment.

    I never really thought of it as a specific
    problem that could benefit from cranio sacral
    treatment until I received your email.  But once
    you say it, it’s obvious.  I will add it to the
    list of conditions that can be helped with cranio
    sacral therapy on my websites.

    I agree with you that it is an important area
    and I am sure the Upledger Institute would be
    interested in your idea
    http://www.upledger.com/
    as would the Craniosacral Association of South
    Africa http://www.cranial.za.org/
    and possibly Le Leche League http://www.llli.org/

    I will include your letter in my cranio sacral
    therapist and student newsletter and pass on any
    enquiries or feedback I receive.

    ***QUESTION***

    Hi John

    Thanks so much for your continuing newsletter and
    the great tips and humour.
    I have a double question.

    It’s often a lonely place at the coalface and I
    seem to have people come to me with “last resort”
    problems that require much from me – I am doing a
    lot of anatomy and physiology research these days.

    First question. Do you think it’s possible for a
    young man whose body doesn’t make testosterone to
    get that working again?
    He is 23 and came to me essentially for massive
    headaches and his lack of testosterone problem. It
    was diagnosed at age 15 when he had major back
    pain.

    Bone testing revealed his bone age was that of an
    8 year old. He has to inject himself 3 x weekly
    for the testosterone cycle to happen. This
    injecting ritual is also affecting his mental
    health – facing this for the rest of his life is
    depressing.

    So, he has major lesion patterns in his head, esp
    membranes, akin to birth trauma (although his
    mother reports a “perfect” birth), and his pelvic
    girdle/sacrum.

    Unwinding those complex restriction patterns is
    top of the list, with my intention also on all
    sites for the production cycle to work normally
    (including cerebral cortex, hypothalamus and
    pituitary and testes). I can’t see any reason it
    won’t, but there seems to be an issue with the
    ‘kick starting’ of the process.

    If he is injecting and producing LSH, then his
    body may not have the opportunity to take over.
    He has had all the tests and specialists do not
    have any idea why this is happening in his body.
    They can only offer injections for his lifetime.
    Can you give me any clues here?

    Second question. I have a lot of people with
    conditions related to experiencing terror in-
    utero. So, the main problem seems to lie in the
    central nervous system, and glitches in its
    development.

    These all have the quality of having to return to
    the blueprint as the major goal. This requires a
    lot, from both practitioner and client. (This is
    also the situation for the young man already
    mentioned)

    Can you give some insight into the process of
    returning to the blueprint?

    Luckily, I have had success already in this area,
    but the symptoms and conditions I’m treating
    lately, (as well as the overall goal of returning
    to the blueprint), are extreme and debilitating
    for the clients.
    Patience seems to be the major virtue. Have you
    any other insights?

    Thanks so much for your continued support.
    Cheers,
    J
    Australia

    MY COMMENTS:

    Thanks for the feedback J, I’m glad you are
    finding the newsletters useful.

    ‘Do you think it’s possible for a young man
    whose body doesn’t make testosterone to get that
    working again?’

    Yes.  When it comes to people and their bodies
    I think anything is possible.

    Both of your questions revolve around the
    blueprint and how to work with it so I will answer
    them together.

    It sounds like your palpatory skills are at the
    point where you are beginning to feel the
    blueprint, which is great.   The downside is that
    it sounds like you are finding it a bit daunting.

    But daunt not because it doesn’t need to be.
    The ironic thing is that you have been working
    with the blueprint from the very beginning of your
    cranio sacral training.  The difference is that
    now you have reached a level of refinement where
    you can differentiate the blueprint from the rest
    of what you are a feeling.

    As you know the blueprint is the energetic
    framework that underpins our bodies.  The cells of
    our bodies being a bit like iron filings on a
    piece of paper.  When a magnet is brought to the
    underside of the paper the filings are drawn to
    form the shape of the magnet.

    The magnet is like the blueprint.  The
    difference is that the blueprint is not a static
    rigid thing but moves and grows.  The growing part
    being particularly relevant for your testosterone
    light patient.

    Like many aspects of cranio sacral work, we
    feel something and learn to work with it but have
    very little scientific evidence or terminology to
    describe it.  10 years ago science was enraptured
    with the mysteries of genetics, with few voices
    who was saying anything different, one of which
    was Rupert Sheldrake and he was labeled a kook.

    Then the genome was finally mapped and when the
    party was over there was a dawning that it didn’t
    have all the answers.  That everything wasn’t
    determined by our genes.   This is reflected in
    the work of the likes of Bruce Lipton in what is
    being called the New Biology.

    The idea of an energetic field or blueprint
    underpinning our body has been around for yonks
    and shows up in different cultures in different
    ways, meridians, charkas, assemblage point and so
    on.

    As I said, the blueprint unfolds during
    embryonic development.  The timing of this
    unfoldment directs the pace and progress of our
    embryonic development and once started moves
    forward with its own pace and rhythm.

    It’s like a piece of music that begins at the
    moment of conception and continues for the rest of
    our lives.  Within the overall piece of music
    there are movements, passages that have the
    general themes of the overall music but have their
    individual beginnings, middles and ends.

    If something happens to interrupt the music or
    a particular beat is missed, it is very hard for
    the body to fill in the blanks.
    No magnet – so the iron filings don’t know where
    to go.

    For example the maxillae meet each other and
    form the hard palate at about the seventh week of
    embryonic development.  If this doesn’t happen
    then person will end up with a cleft palate.

    It sounds like all went well with your patient
    during the embryonic phase of his development.  He
    decided he was going to be male and the initial
    flood of testosterone ensured this.

    The beat that was missed was in his puberty.
    The second wave of testosterone never happened. So
    he never matured into a man.  It is this point
    that I would look at in his blueprint.

    So how to work with it?
    I have found that knowing about the blueprint
    is the beginning of being able to work with it.
    It’s the same as when knowing what flexion and
    extension were, before tried to feel for them, was a
    help in being able to feel them.

    A useful initial access to feeling the
    blueprint is to use the cranio sacral rhythm.
    Think of it in terms of William Sutherland’s
    description of it as being the ‘breath of life’.

    Think of flexion as the in-breath and extension
    as the out-breath of this breath of life.  He also
    described the movement of this breath of life as
    adding potency to the cells of the body.

    I find this kind of imagery helpful in getting
    in touch with the blueprint.  It always reminds me
    of a beach, in particular that part of the beach
    where the sand meets the water.  Where, if you
    write your name in the sand the water will come in
    and wipe it away and smooth the sand out.

    With my hands in contact with the person’s
    system and my eyes closed, tuning into the cranio
    sacral rhythm and feeling it in terms of an in-
    breath that vitalises and recreates an energetic
    blueprint, each in-breath washes across the cells
    of the body and they become luminous. Any
    anomalies in the blueprint itself begin to reveal
    themselves.

    The daunting thing about working with the
    blueprint is that is energetic.  You don’t feel it
    in the same way as you feel flexion and extension,
    for example, which is a physical movement.  It is
    felt in the same way you can feel something
    between your palms when you hold them close
    together. It’s the same sort of something.

    The good news is that once it is felt the
    blueprint behaves and responds in the same way the
    body does.  So if you get a sense that there was a
    disturbance in the unfoldment of the puberty
    movement of his blueprint ‘music’ then it is the
    same as it would feel if there was a trauma that
    had occurred to him during his puberty.

    But instead of looking to get a sense of a
    trauma you are looking to get a sense of what
    interrupted the unfoldment of his blueprint,
    which, ironically could have been a trauma.

    Once you get a sense of where the gap is then
    you can use your intention to fill it.  But not in
    a directed forceful, ‘I know what needs to be done
    here.’ sort of way.   More with a sense of
    providing a bridge with your intention across the
    gap.

    It is a little like direct technique in as much
    as you are encouraging his system to fill in the
    gap but you don’t make it happen.

    As kooky as the blueprint may sound it is still
    a mechanical kind of thing to work with.  Just
    because it is energy doesn’t automatically imbue
    it with mystical dimensions.

    If he doesn’t improve through working with the
    blueprint you would have to look deeper.

    What is deeper than the underpinning energetic
    blue print that holds the cells of our bodies in
    place?

    Well as I said the blueprint is in essence a
    mechanical structure.  It is used by the part of
    us that knows the bigger picture of ourselves.
    What our life is about.  Why we are a man or a
    woman, why we chose the parents we did, the
    country we were born in and so on.

    That is a different part of the questions you
    would be asking yourself about the bigger picture
    of what his symptoms might mean in the context of
    the deeper issues he may be working out in his
    life.

    Is he resisting letting go of being a boy and
    becoming a man?  Or is he resisting growing up?
    The movie, ‘The Tin Drum’ comes to mind.  Were the
    headaches just a way to get him to come and see
    you or are they part of the mechanical aspect of
    how this disharmony is expressing itself.

    ***QUESTION***

    Hi John
    Thank you very much for your newsletters and all
    the wonderful info.
    It was really exciting to read about Harvard
    Medical School’s dept of psychiatry including CST
    in their continuing education programme.
    Hopefully this leads the way for other schools to
    do the same. Do you know of any others?

    My question today is how do you answer:
    patients
    medical practitioners
    the public
    who ask you for scientific evidence to support the
    effectiveness of CST?

    Yours sincerely,

    John Rosen.
    South Africa

    MY COMMENTS:

    Hello John,
    Thank you for the feedback it means a lot to
    me.  I don’t know of any other medical schools
    including cranio sacral in their curriculum as yet
    but I will let you know if I hear of any.

    Scientific evidence to support the
    effectiveness of cranio sacral therapy is pretty
    thin on the ground.  There is a lot of what is
    called anecdotal evidence, which is basically
    people saying it is good or helpful or wonderful,
    but not a lot of hard scientific evidence.

    One of the reasons for this is the difficulty
    of applying the normal scientific testing
    procedures to cranio sacral treatment.  They say
    it is hard to do the usual double blind
    experiment.
    In a drug trial the test group is divided in
    half.  One half is given the test drug and the
    other half, called the control group, is given a
    sugar pill.  The people undergoing the test don’t
    know which group they are in.

    The amount of improvement is measured in the
    two groups and if the drug is effective there will
    be a substantial improvement in the group that
    received the test drug.

    The difficulty with applying this model of
    testing to cranio sacral treatment is with the
    control group.  Their contention being that once
    you know how to do cranio you can’t not do it and
    so provide a viable neutral group.

    This has never made sense to me because I’m
    sure you could show non-cranio sacral therapists
    how to place their hands at different places on a
    person’s body to affect the appearance of giving a
    cranio sacral session.

    My knowledge of this area is quite limited so
    there is probably more to it than that.

    I’ve never had a lot of faith in medical trials
    to begin with but particularly so after what
    happened with the medical trial carried out on the
    Buteko method of breathing.

    Buteko is a method of breathing that was
    developed in Russia.  It is very effective with
    Asthma.  There was a large, well organised
    clinical trial held at the Mater Hospital in
    Brisbane in 1995.  The trial showed that the
    Buteko method demonstrated a 90% improvement rate.
    This is an excellent result for a clinical trial.
    Most drugs are doing well if they get a 50%
    improvement.

    For some reason the results of the trial got
    delayed.  When they were finally released it was
    10 years after the trial had been carried out.
    The results were deemed invalid because the
    testing methods were obsolete.

    Do Doctors and Scientists think cranio sacral
    therapy is valid?  By and large, the official
    answer is no and I think we are partly to blame
    for that ourselves.  The combination of in-
    fighting between schools and approaches, the
    dilution of the therapy to the level of adjunct to
    massage in parts of the world and a unilateral
    lack of good assessment of students.

    All of which have led to some pretty shocking
    people calling themselves cranio sacral
    therapists.  As you might have noticed John I am a
    passionate advocate of cranio sacral therapy yet
    even I am very cautious about referring people to
    cranio sacral therapists I don’t know.

    So not very helpful I’m afraid John but let me
    ask the gang.

    – O –

    Do you know of any trials or Scientific evidence
    to support the effectiveness of cranio sacral therapy?

    That’s it for this issue. Cheerio for now.

    Till the next time.

    Your Mate,

    John D.

  • Cranio Sacral Therapist and Student Newsletter 35

    August 2 -2008

    Questions and comments for this issue:

    + Report on feasibility study on the effectiveness of cranio sacral therapy on migraine.
    + Open letter from Cranio Suisse®, the Swiss cranio sacral association.
    + Comment from Al Pelowski in response to Joyaa Antares and maxillae.
    + Comment from Cathryn Nitschke in Australia about her Osteopathy training and how it compares to cranio.
    + Question about therapist burnout.
    + Question about talking about emotional issues.

    Hello,

    Well it’s a positively groaning newsletter this
    Time it is so full.  Lots happening in the world
    of cranio sacral with a report on migraine and an
    interesting initiative from the Swiss cranio
    sacral association but more on that later.

    I have spent quite a bit of time reworking the
    training part of the Open Source Cranio website,
    making it a better learning tool.  I have begun to
    add my training notes and to lay out a learning
    schedule.

    One of the new features is a search function
    which should make it easier to search the site for
    specific topics.

    Another new function is the comments feature.
    This allows you to leave comments directly on the
    site, under specific articles.  You have to click
    the comments tab.  So you can comment on the
    article and letters in this newsletter directly on
    the site if you want.
    I encourage you to leave comments or send me an
    email letting me know what you think.  The more
    feedback I get the better I can make it.

    I also encourage you to send me articles that
    you think might help someone in a developing
    country who is using the material to begin their
    cranio sacral learning and I will post them.

    I have fixed the problem with the newsletter
    subscription block so if you tried to resubscribe
    before and it didn’t work it’s working now.

    Speaking of learning let me direct you to a
    website I came across and intend to use a lot in
    teaching.  It is called the Visible body and is an
    online 3D anatomy viewer.  You can view the demo
    for it here.
    http://www.open-source-cranio.com/sacral-training/3d-anatomy/
    If you like the look of it you need to go to
    their site and register and then you can use the
    models yourself.  If you’re a Mac user forget PC
    only.  Discrimination rears its ugly head again,
    sigh, pout.

    Rightio, let’s get on with the mailbag.

    ***REPORT***

    Below is an extract from a press release I
    received about a proposed test for the
    effectiveness of cranio sacral therapy on
    migraine.  They propose to use low-strength static
    magnets as the control group.

    Double blind studies are not my field of
    expertise and is it just me or what, but I think
    people would know the difference between a
    therapist and a magnet.

    Ah well, they’re trying.

    ————————————————–
    Craniosacral therapy for migraine: protocol
    development for an exploratory controlled clinical
    trial.

    Migraine affects approximately 20% of the
    population.  Conventional care for migraine is
    suboptimal; overuse of medications for the
    treatment of episodic migraines is a risk factor
    for developing chronic daily headache.

    The study of non-pharmaceutical approaches for
    prevention of migraine headaches is therefore
    warranted. Craniosacral therapy (CST) is a popular
    non-pharmacological approach to the treatment or
    prevention of migraine headaches for which there
    is limited evidence of safety and efficacy.

    In this paper, we describe an ongoing feasibility
    study to assess the safety and efficacy of CST in
    the treatment of migraine, using a rigorous and
    innovative randomized controlled study design
    involving low-strength static magnets (LSSM) as an
    attention control intervention.

    Methods: The trial is designed to test the
    hypothesis that, compared to those receiving usual
    care plus a treatment with low-strength static
    magnets (attention-control complementary therapy),
    subjects receiving usual medical care plus CST
    will demonstrate significant improvement in:
    quality-of-life as measured by the Headache Impact
    Test (HIT-6); reduced frequency of migraine; and a
    perception of clinical benefit. Criteria for
    inclusion are either gender, age >11, English or
    Spanish speaking, meeting the International
    Classification of Headache Disorders (ICHD)
    criteria for migraine with or without aura, a
    headache frequency of 5 to 15 per month over at
    least two years.

    After an 8 week baseline phase, eligible subjects
    are randomized to either CST or an attention
    control intervention, low strength static magnets
    (LSSM). To evaluate possible therapist bias,
    videotaped encounters are analyzed to assess for
    any systematic group differences in interactions
    with subjects.

    Results: 169 individuals have been screened for
    eligibility of which 109 were eligible for the
    study. Five did not qualify during the baseline
    phase because of inadequate headache frequency.

    Nineteen have withdrawn from the study after
    giving consent.

    Conclusion: This report endorses the feasibility
    of undertaking a rigorous randomized clinical
    trial of CST for migraine using a standardized CST
    protocol and an innovative control protocol
    developed for the study.

    Subjects are able and willing to complete detailed
    headache diaries during an 8-week baseline period,
    with few dropouts during the study period,
    indicating the acceptability of both
    interventions.

    Author: John D Mann, Keturah R Faurot, Laurel
    Wilkinson, Peter Curtis, Remy R Coeytaux,
    Chirayath Suchindran and Susan A Gaylord

    Credits/Source: BMC Complementary and Alternative
    Medicine 2008, 8:28

    Published on: 2008-06-10

    You can read the full report here.
    http://www.biomedcentral.com/1472-6882/8/28

    ***OPEN LETTER FROM CRANIO SUISSE®.***

    I was forwarded this open letter from Cranio
    Suisse® who have launched an initiative to
    encourage communication between different schools
    and therapists which, as you know, I am all for.

    Their website is not in English so that limits
    the initiative immediately but other than that I
    think it’s great.

    If you want to read their site in English you
    can run it through Google translate.
    http://translate.google.com

    You need to scroll to the bottom of the page and
    enter their web address.
    http://www.craniosuisse.ch/

    ————————————————

    *International Networking for the Advancement of
    Craniosacral Therapy*

    Dear collegues,

    All the schools and therapists for Craniosacral
    Therapy in Switzerland have organized themselves
    in a new association – Cranio Suisse®. We are now
    number two among the associations for
    complementary therapies. The goal of this
    organization is to bring together all the
    different approaches of Craniosacral Therapy
    within Switzerland and to guarantee a good quality
    of schools and therapists. Cranio Suisse® is the
    official representative of Craniosacral Therapy
    towards governmental institutions and health
    insurance companies. In short, Cranio Suisse® is
    supporting and promoting Craniosacral Therapy
    within in the Swiss Health System.

    Furthermore the association acts as connecting
    link between patients and therapists. You will
    find more details under http://www.craniosuisse.ch/

    This year Cranio Suisse® established a new *study
    group for international contacts and research*. My
    task within this group is to establish contacts
    with associations/schools all over the world, thus
    building the basis for an efficient networking
    beneficial to all of us.

    I should therefore be very grateful if you could
    let me know whether you are interested in such an
    exchange of thoughts and knowledge.

    We would suggest the following procedure:

    *Step 1*: We put together a list of all
    associations/schools interested in putting up a
    Craniosacral “Knowledge Network”.

    *Step 2*: Evaluation of the importance and
    positioning of Craniosacral Therapy within the
    health system of each country (questionnaire). The
    final goal will be to exchange research reports
    and study designs or even realize common research
    projects to get more and broader evidence based
    facts about Craniosacral Therapy.

    Are you interested in such a project and if yes,
    do you agree with the proposed procedure or do you
    have different suggestions?

    We are convinced that an exchange of knowledge
    like this would create positive synergies for all
    of us, whether it be with regard to the handling
    of public health aspects for complementary
    therapies in general or strengthening the position
    of Craniosacral Therapy specifically.

    We are looking forward to your feedback. If you
    feel that there is some other institution, school
    or person who could be interested in the above
    project, please let us know.

    Thank you for giving our ideas a friendly,
    constructive thought.

    With best regards

    Barbara Liniger

    praxis@barbaraliniger.ch

    Member of the study group for international
    contacts and research of Cranio Suisse®

    http://www.craniosuisse.ch/

    PS: Between July 8 and August 24 I will not be
    able to answer any emails. I will get back to you
    in September as soon as possible. Thank you.

    Contactaddress:

    Barbara Liniger

    Praxis für klassische Homöopathie und
    craniosacrale Osteopathie

    Alpenstrasse 14
    6300 Zug

    Tel 041 720 03 20

    praxis@barbaraliniger.ch
    www.barbaraliniger.ch

    Barbara Liniger

    Praxis für klassische Homöopathie und
    craniosacrale Osteopathie

    Alpenstrasse 14
    6300 Zug

    ***COMMENT FROM AL PELOWSKI IN RESPONSE TO JOYAA ANTARES AND MAXILLAE***

    Joyaa query, comments:

    Maxillary hypoplasia, where the maxillae have not
    grown properly, as distinguished from impaction,
    is a feature of some craniosynostotic syndromes.

    We see quite a few babies with that here in
    Africa.  I had a query on that yesterday in fact.

    In these cases you find hydrocephalus, premature
    closure and ridging of the sutures, bulging vault
    bones, protruding fontanels, webbing between
    fingers and toes, and distorted distal phalanges,
    all in varying degrees.  The maxillae can be
    unable to hold in the eyes.

    I had one case a few years ago where I had to push
    an eyeball back in..!  Most of these kids end up
    with craniofacial surgery and shunts.  Some of
    them can respond to cranio!  But by no means all.
    Many die young gagging with oropharynx
    restrictions.

    As to possible causes and complications I could
    speculate at length, but it wouldn’t amount to
    much (estrogenic pollution, dioxins, severe
    malnourishment in mother during 1st trimester,
    etc..).

    I would be interested if any of your readers have
    come across this and worked with it.
    Al in Joburg

    ***COMMENT FROM CATHRYN IN AUSTRALIA***

    Dear John
    Thanks for the link. I have just had a quick wizz
    through the site and I think what you are doing is
    brilliant, worthy and highly commendable. Good on
    you.

    I first met you maybe around 2002 or 3 when you
    were still in Brisbane. I did one of your
    introductory CST courses and really enjoyed it. I
    believe that the school wound down shortly
    thereafter (my memory is not the greatest so
    perhaps this is not quite the case). Anyway, I was
    keen to look more deeply into CST which led me to
    doing Patricia Farnsworth myofascial release/cst
    course and then Roger Gilchrist came to Australia
    for 4 years to teach biodynamic CST.

    I have also studied with Mike Boxhall in England,
    who I think is wonderful and have made contact
    with Charles Ridley whose writings really inspire
    me. Since then I enrolled in osteopathy at RMIT in
    Melbourne, thinking this would take me more deeply
    into the world of CST. I have just finished my
    first semester there and it has been somewhat of a
    let down. I really hear you when you talk about
    problems with CST training or training of any
    hands on healing modality. I find that the push
    towards health degrees and measurable outcomes is
    taking away from the power of the apprenticeship,
    “hands on” model and I lament this.

    I had studied at university before, but this was
    in the arts faculty in the early 90’s.  The
    science faculty as I find it in the late noughties
    is a very different world. The lecturers are
    generally not very competent or inspiring teachers
    and they seem to find students a nuisance rather
    than an opportunity. One of them told me I was
    only allowed to ask one question per semester and
    seeing as I had already used up my quota in the
    first week, that was it.

    I thought he was joking, but he wasn’t! This was
    disappointing because he is a very knowledgeable
    anatomist and I wanted to pick his brains, but
    obviously this is not meant to be. Some of the
    osteo lecturers find my questions challenging and
    potentially threatening, especially the ones
    firmly entrenched in the biomechanical model.

    On the first day of practical osteo classes, we
    practiced range of motion on the lower lumbars.
    The technique left me with an instant sore back
    and I had to self-treat with cranio work for the
    next two days to relieve it! I thought, do I
    really want to learn and be subjected to this? I
    enjoy the philosophy and principles of osteopathy,
    however, the prac classes seem pretty basic and
    archaic compared to CST. I feel like it is a
    backwards step for me. However, I have enjoyed
    delving more deeply into the anatomy and
    physiology, so my intention is to continue with
    the medical sciences part of the course and drop
    the osteopathic parts. Did you know that
    osteopathy in the cranial field is only briefly
    touched upon in 5th year?  All the rest of the
    time is spent on HVLA, MET, counterstrain,
    myofascial release, etc.

    Many of my CST colleagues lament that they never
    studied osteopathy and they seem to hold it up as
    the holy grail of osteopathy.  This is not my
    experience I can now say and I am glad that I
    checked it out. I noticed that osteopaths in
    Australia all have a pretty similar and extensive
    training but in my experience there are some
    pretty ordinary osteos around.

    I am obviously not a fan of the “rub and crack”
    school. And I have found a few gems whom I highly
    admire and have as mentors. So this makes me
    ponder what makes the difference b/w the
    practitioners I adore versus the ones whose
    treatments either leave me feeling worse or at
    best, like I didn’t even have a treatment. I put
    this down to the more subtle realms that CST takes
    the time to unpack and explore. Consciousness,
    presence, empathy, openness, etc. Such vital
    qualities in a health practitioner of any
    persuasion in my opinion.

    So really what I want to say to you is good on
    you. I admire the time and energy you put into
    your newsletter and website to expose more people
    to CST and encourage a discussion around all
    things CST. I think this is vital work to bring
    together a sense of community and to share ideas.

    I notice the osteos have a very close knit
    community and I think there is strength in that. I
    love the opportunity to exchange ideas,
    information, experiences with other health
    practitioners with a biodynamic bent (gentle and
    holistic). Also, I think that osteopathy is held
    up as something quite exclusive and prestigious in
    comparison to CST. They go to great lengths to
    align themselves as primary practitioners with a
    solid medical training. It seems that in turn, the
    medical world rejects them and they are not really
    embraced by the ‘natural therapies’ brigade
    either. They are positioned in a potential no-
    man’s land or on the flip side a potential
    powerful middle way.

    My greatest wish is to study this ‘stuff’ with a
    mentor, one on one. I think anyone can teach
    themselves certain things like anatomy and
    physiology out of a book, but the influence of
    someone who has walked the path before is
    invaluable to point out some of the pitfalls, the
    shortcuts and which bits of the scenery are worth
    lingering on.

    I have a chiropractic friend who I have great
    discussions with, and he maintains that he could
    teach me the ‘guts’ of the chiro 5 year training
    in an afternoon and I believe him. This work isn’t
    hard, as such, but the universities certainly turn
    it into a cerebrally challenging exercise filling
    the students heads with reams of facts at the
    expense of understanding.

    A phrase that speaks so much to me is “lose the
    techniques” as I heard from Gangaji. After all the
    study, to let it all go, and see what arises, to
    follow the heart and the gut and the fingers and
    the senses and feelings and to give the mind a
    rest.  This is what I love and see as the power of
    biodynamic CST.

    So in conclusion, I think any monkey can be taught
    the techniques, the vital part is how they are put
    together in the final package, the quality of the
    touch and the presence and care of the
    practitioner.

    I wish you all the best with this project.
    kind regards

    Cathryn Nitschke
    somewhere between Brisbane, Melbourne and
    Adelaide.

    MY COMMENTS:

    Thank you for all your kind words Cathryn.
    What a great letter.  I cannot agree with you more
    about the mentors, they are vital.

    I think I was lucky because that whole,
    ‘osteopaths are a more exalted form of cranio
    sacral therapist’ thing was nipped in the bud for
    me early in my training.

    Liz Kalinowska (http://www.craniosacralstudies.co.uk/about/frames.html)
    was one of my tutors.  She told me that she
    had become an osteopath first because she thought
    it would prepare her to become a cranio sacral
    therapist.  She spent 7 years becoming an
    osteopath.  She told me she felt she had wasted
    her time.  If anything she had to unlearn some of
    what she was taught.

    I have found over the years that it is very
    hard to resist the temptation to ‘pop’ something
    back into place if you know how.  I am lucky
    because I never learned how to do any thrusting or
    strong techniques so I don’t know how to ‘pop’
    things back into place.   I am forced to sit and
    wait and that is one of the reasons why I, and the
    people I have trained, get such great results.

    ***QUESTION***

    Hi John

    Thank you for the very valuable information shared
    by you and other CS therapists.  I’ve been a
    little out of circuit lately – life’s little
    challenges – so even though you may have not had a
    response from me, I’m still keen to remain
    connected.

    My preference would be more frequent shorter news
    rather than the other.
    Kindly advise what the donations will be used for.

    Any suggestions for therapist burn out? A long
    awaited holiday is needed, I know ,and am busy
    working toward one.  My forearms are taking strain
    and was told that Kinesiology NOT treatment can
    help.  I’m pretty good at caring for myself but
    what with juggling teaching yoga, CST, VM and my
    latest baby, doing readings it has all suddenly
    caught up with me.  I keep the yoga, therapy and
    readings for separate days giving me enough time
    to replenish.  Please throw some light (energy) on
    this subject.

    Kindly yours

    Peni in Cape Town

    MY COMMENTS:

    Hello Peni,
    There are lots of different energetic
    considerations when considering burnout but the
    one that stands out to me, from what you have
    written, is that you are doing A LOT!

    It may be nothing to do with any of the
    therapies that you are doing individually.  It may
    be that you are doing so many plus your new baby.
    I’m getting tired just thinking about it.

    It sounds like you know what I am going to say
    next but I’ll say anyway.  It’s important to find
    a way, that works for you, of removing any
    residual energy after you treat someone.

    For some people this means a full shower for
    others it is simply letting water run over their
    hands.

    Avoid seeing too many people in a week.  I have
    found that somewhere between 12 and 18 adults is
    about as much as most people can treat with cranio
    sacral therapy without burning out very quickly.

    Even if you find a way of removing excess
    energy after each person and you don’t see too
    many people you will still need to take a break
    every 3 months for at least 7 days.

    On top of all that you need to take a long
    break, around 6 months, every 10 years.

    It took me 12 years to figure that one out.

    What will the donations be used for?

    Well mainly to keep me in cigars and wine, oh
    yes and also to help me run open source cranio.
    It takes a lot of time and I do have to pay for
    things like web hosting etc.  I also plan to put
    teaching videos on the site and these all cost
    money to make.

    Primarily the ‘donate’ button is an opportunity
    for people to give back.  This is good for me, not
    just because of the cigars and wine, but also
    because it’s important to be able to receive, me
    included.  I have found that if you can’t receive
    comfortably then you can’t really give.

    ***QUESTION***

    Dear John,
    Thank you for your wonderful newsletters they are
    so helpful.  I find your wellness detective agency
    idea novel and very useful.

    I have a particular patient with chronic fatigue
    and Fibromyalgia for 6 years.  She is in a lot of
    pain.  The cranio sacral treatment itself is going
    reasonably well but I feel she has emotional
    issues that make her condition worse.

    I have broached exploring the emotional causes of
    her condition with her but she becomes very
    defensive and then frustrated and then despairing.

    Do you have any suggestions on how to approach
    these issues with her.

    Thanks again.

    PM
    Perth.

    MY COMMENTS:

    The secret weapon of cranio sacral therapy is
    silence.

    Personally, I can talk a lot about the other
    stuff.  Why the person might be sick and so on.
    I can talk about that stuff so much I wrote a book
    about it for crying out loud.

    But for some people talking can only make
    things worse.  They will usually have been sick
    for some time, like your patient, and will usually
    have seen quite a few other therapists.  They will
    have a number of theories crashing around in their
    heads as to why they are ill.  Ironically each new
    ‘helpful’ perspective you might offer can push
    them deeper into confusion rather than helping to
    clarify.

    That’s when silence really works. Just let them
    get on the table and begin your work.  You can
    chat with them but don’t initiate it or keep it
    going.  Eventually silence descends and in that
    silence and the depths of your work, changes will
    percolate to the surface from the depths of them.

    Over time deep changes will occur and no one
    will talk about it.  Sometimes if you are lucky
    they will tell you an insight they may have had
    and when they do it will usually have a deep ring
    of truth to it.

    So that’s it for this issue.

    Cheerio for now.

    Your Mate,

    John D.