Tag: Fibromyalgia

  • Cranio Sacral Therapist and Student Newsletter 30

    December 24 – 2007

    Questions and comments for this issue:

    + Terry Collinson on Stillness Trainings
    + Is fibromyalgia similar to chronic fatigue?
    + How do I get a mentor?
    + Question about shingles.

    Hello John,

    Apparently it’s the season to be jolly – I
    didn’t realise I was out of step the rest of the
    year.  If you know what I’m supposed to be doing
    in the other seasons, can you let me know.

    So in the spirit of the season, here’s a little
    gift for you. john@wellnessda.com

    No, don’t thank me, it’s all part of the
    service and as I said ’tis the season.  Why is
    everything to do with Christmas in Olde English?
    ‘Hark, tis the postman.  I see him on yonder
    hill.’

    Anyway pop that little beauty, john@wellnessda.com
    in your email address books and when I send you
    updates from my Wellness Detective Agency they
    won’t bounce off your spam filter and you will
    actually get them.

    Updates from my what I hear you ask.  Well the
    notion of being your own Wellness Detective is
    gathering momentum and to keep up with it my
    website has become a resource for people who are
    taking responsibility for their health and
    happiness.

    It starts with adopting the perspective that
    nothing in your life happens by accident. If
    nothing is random then everything is a clue.  As
    well as the Wellness Detective Agency email
    updates, in the New Year I will be releasing audio
    and video segments too.
    http://www.WellnessDA.com/

    Speaking of gift giving, if you are looking for
    a present for the person who has everything, then
    you could always about get them a personal genome
    map.  All you need is a swab from the inside of
    the mouth and $1000 USD. https://www.23andme.com/

    Aw, you shouldn’t have.  No really, you
    shouldn’t have.

    Anyhu, let’s get on with the
    mailbag.  The first letter is from Terry Collinson
    of stillness trainings.  I really like the way she
    talks about the training she teaches with Brendan
    Pitwood from New Zealand.

    ***TERRY’S LETTER***

    Hi John,

    Lovely to hear from you. Hope all is well with you
    and your new life in Ireland.

    Our training (Stillness Trainings) began early
    this year with 12 wonderful students.  They are
    loving the teaching and the work and Brendan and I
    are heartened with our efforts and with the way it
    is all going.

    We put in place so many aspects to nurture and
    support the students learning and process, as well
    as that of the teaching team.  As you know the
    teaching is of the ‘biodynamic’ approach, but we
    also keep it very pure and true to Paul’s teaching
    of Resonance, plus our development or deepening of
    being in relationship from Brendan’s training with
    Ray Castellino (pre and perinatal psychology).

    We are lucky to have four assistants who graduated
    in Australia with Resonance Trainings – Sarah,
    Tanya, Michelle and Glenn.  We spend two days
    before each seminar to grow ourselves as a team
    and our own process so that we are ‘healthy’ and
    bonded and are able to deeply support each other
    and so then the group.

    Because of our course/school accreditation with
    PACT we have added nutrition to the teaching, and
    we decided to add applied pathology throughout the
    course, which as added a great dimension to the
    work we had not foreseen.

    Thank you for your encouragement and support to go
    ahead and teach what I/we have to offer.

    with love
    Terry

    ***QUESTION***

    Hello John

    Your website is simply brilliant! I don’t know why
    I hadn’t seen it before.

    I am a newly qualified craniosacral therapist
    (biodynamic model) and the info on the student
    newsletter is very helpful. I have a new client
    with Fiobromyalgia and wondered what tips you had
    for working with this?

    I feel this condition is similar in some respects
    to chronic fatigue ME with the reduced thresholds.
    I have a sense that facilitated segments also have
    a role here.

    Working with stillness is so wonderful but this
    isn’t always possible initially as the person and
    their system needs to be met where they are.

    I qualified in July and want to develop my skills
    and experience by doing an apprenticeship of sorts
    by working alongside a very skilled and
    experienced CST practitioner. I have been trying
    to find a host practitioner to do this in the UK
    but my enquiries have drawn a blank as people
    appear not to want anyone else within their client
    space. I am a CSTA UK member.

    Any suggestions please?

    Do you do any student mentoring yourself?

    I look forward to your reply.

    Many thanks for a very useful website.

    DP
    U.K.

    MY COMMENTS:

    Thank you for your kind words about my
    websites.  I’m glad you found them helpful.

    I have found often the root of Fibromyalgia can
    be located in the cerebro spinal fluid itself.  It
    has a particular quality to it.  A bit like static
    electricity or fizz in the cerebro spinal fluid.
    When the person has an ‘attack’ this static-fizz
    quality can be felt radiating out along the nerve
    pathways, particularly the intercostal nerves.

    I have found the underlying root cause can be
    similar to chronic fatigue in so much as they both
    put the persons life on hold.

    The similarity stops there as the mechanics feel
    different to me.  Fibromyalgia has a much more
    aggressive quality.  There is usually a lot of
    pain involved and this sets up a very different
    dynamic within the person than chronic fatigue.

    As I think about the people I have treated with
    Fibromyalgia, what they all have in common is that
    the root cause has nearly always been very core.
    So while it important to work with the physical
    and emotional expressions of the disharmony,
    without addressing the core issue, the results
    will be temporary at best.

    I know – core stuff – heavy jelly – who needs
    it?  Such is our work.  Best not to resist it and
    know that if you couldn’t help they wouldn’t have
    come to you.
    How’s that for a double negative.

    In relation to your mentoring question, I think
    most practitioners will be reluctant to allow you
    to be in their room when they are working.  This
    is because they have heard about all you and let’s
    face it, you’re trouble!

    Just kidding, couldn’t resist.  They will be
    reluctant because of the intimate nature of the
    work and the trust that builds up between the
    therapist and patient.

    One way around this is for you to bring the
    experienced practitioner into YOUR session.  Bring
    a patient to their rooms and work with them as
    they tune into what you are doing.

    You can do this in two ways.  You can bring
    someone you have been practicing on.  Someone who
    is NOT ill.  You can get feedback about specific
    techniques from your mentor as you are doing the
    technique.  You can use this way to get feedback
    about any aspect of your practice that you are
    unsure about.   Obviously the person you bring
    will need to be very comfortable with hearing
    where you need improvement.

    Don’t bring a fellow student or therapist.  I
    have found that their intention makes it very hard
    to assess what is going on.  For example, if you
    are getting feedback about your frontal lift, then
    person’s intention will be involved immediately in
    lifting their frontal bone.  For that reason it is
    better to bring someone who knows nothing about
    cranio.

    The second way is to use your mentor as a
    ‘second opinion.’  For this you would be bringing
    one of your own patients.  You can get your
    mentors help in a couple of different ways.  They
    can tune into the person and help you deepen and
    enhance your sense of what the root cause of the
    problem is.

    You can have your mentor tune in as you treat
    the person.

    You can treat the person and have your mentor
    work with you as your assistant.

    You can have your mentor be the lead therapist
    and you act as their assistant.

    In all the different permutations of this
    second way the common thing is that you don’t
    discuss the person in front of them.

    The only thing your mentor should say to the
    person is to confirm whichever aspect of your
    treatment are going in the right direction and add
    the different expanded bits they may want to add.

    Anything else won’t be appropriate.  Talking
    about technique and how you can improve will
    undermine you in the eyes of your patient.

    The thing to remember is that they are your
    patient.  They have come to you because they
    recognise that you can help them.  I don’t mean
    this in a territorial way but more on a larger
    scale about how patients find who they need.

    And yes, I do mentoring.

    Speaking of which, I intend to include a list
    of mentors in addition to the therapist lists  I
    have on my websites.  Being a mentor basically
    means making yourself available for a student on a
    one to one basis.

    You should get paid for it at the very least
    what you charge for treating people.  Time wise
    that is.  Let me know if you are interested in
    being included in the mentor list.

    ***QUESTION***

    I am Training in craniosacral therapy, a friend
    has shingles around the sacrum, in the past she
    had shingles on the brain and almost died. Do you
    suggest any holds or ideas on treatment.
    Thank you M – Australia.

    MY COMMENTS:

    Shingles is one of those conditions that evoke
    the hands thrown up in horror kind of response.
    Like the poor person has got something strange,
    foreign or alien that the rest of us don’t have.

    So just in case you didn’t know – if you’ve had
    chickenpox as a child you will have latent
    varicella zoster virus lying dormant in your
    dorsal root and cranial nerve ganglion.

    Should it become activated it will travel down
    your axon causing a lot of pain along the way and
    finally erupt on the surface of your skin in very
    painful blisters – and at that point it will be
    called shingles.

    SHINGLES!! RUN FOR YOUR LIVES!!!

    Once you understand this then you can see that
    the question you need to be asking yourself is why
    has this person’s immune system become so low as
    to allow the reactivation of this virus.

    One thing that can do it is stress.  Physical
    stress like working too much and not playing and
    working some more and still not playing and
    generally being a dull boy.

    What I have seen more often is emotional
    stress.  The kind of impossible emotional dilemma
    sort of stress like being sick of taking care of
    the kids but having no way out.  Hating the job
    but needing the money.  Not wanting to take care
    of the aging parent but not wanting to put them in
    a home either.

    Another useful question to ask yourself is, ‘Of
    all the symptoms this person could have got, why
    did they get such a painful one?’  I’ve never had
    shingles myself but from what I am told and have
    felt, it is very painful.

    The good news is you are in with a winning
    chance from the get go.  As you know cranial work
    has this wonderfully soothing effect on the
    nervous system.  All that focus on the cerebro
    spinal fluid and still points and what not.

    Because shingles is closely involved with the
    nervous system it can respond very quickly.  The
    person should get enough of a relief to think that
    this cranio thing is top notch and will keep
    coming to see you as you both work through the
    deeper, less fun, if I can use that expression,
    reasons why they had these particular symptoms in
    the first place.

    Lastly, a high proportion of people who get
    shingles are over 50.  I bring this to your
    attention because their immune system may simply
    be clapped out from years of abuse.

    That’s it for this issue.  I wish you a very merry
    Christmas and a fantastic new year.

    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.