Tag: shunts

  • Cranio Sacral Therapist and Student Newsletter 36

    October 2 -2008

    Questions and comments for this issue:

    + Shunts?
    + 2 cases from Australia.
    + The wonders of entrainment.

    Hello,

    I’m delighted to report that the Boikarabelo Children’s
    eco village in Johannesburg, South Africa have begun to use
    my training materials on Open Source Cranio in the training
    3 of their careers. Which is great. All I have to do now is
    finish putting all the training material up.. yikes!!!

    Which reminds me if you haven’t had a chance to look at
    ‘The Visible Body’ definitely have a look – it is awesome.
    http://www.visiblebody.com/
    Because it doesn’t work on Apple computers I couldn’t get
    a decent look at it so I snaffled my wife’s laptop one night
    and four hours later I was still at it.

    I don’t care where you are in your cranial career you can’t
    but find this useful. To be able to look at these structures
    from whatever angle you like, to peel off layers and see how
    one structure relates to another. It just helps so much.

    If you haven’t already done so have a look
    and let me know what you think.

    Speaking of visuals I want to tell you about the beautiful
    cranial artwork of Ray Lacy.  As you know I used to work in
    animation before I became a cranio sacral therapist so I
    got to work with lots of first rate artists and I can tell
    you Ray is right up there. He has produced see beautiful
    drawings of the structures we work with. Have a look
    then if you feel so moved, write a review and send it to Ray.
    http://www.craniosacral-art.com/index.php

    Anyhu, on with the mailbag.

    ***QUESTION***

    Hi John

    Your newsletter’s archive is fantastic.  Very easy to use
    (much better than mine). Thanks.
    My question today is about treating people with a shunt
    in the head. Do you(or anyone else) has experience with that?
    Is there a risk of having the shunt come out of place
    (and causing big problems to the personn) when working
    on the personn? I was wondering because of the movements of
    the bones and membranes in the head (things coming back
    in place).
    Any comments will be much appreciated.
    Odile. Brisbane.

    >>>MY COMMENTS:

    Hello Odile,
    I’m glad you find the newsletter archive useful.
    I’m hoping the ‘search’ function makes it easier for
    people to find what they are looking for across the
    whole site.

    I have treated quite a few people with shunts.
    I’ll just explain what they are for any of the other
    readers who don’t know.

    A shunt is tube that is fitted surgically to relieve
    cerebrospinal fluid pressure. There is a one way valve
    in the shunt that stops the cerebrospinal fluid coming
    back up the tube.  They are usually fitted in people
    who have prolonged or extreme hydrocephalus.

    The types of shunts I have treated have fallen into
    two categories.  Cranio shunts and spinal shunts.
    Spinal shunts go from the drural tube and drain into
    the stomach. Cranial shunts drain from the cranium into
    the heart.

    From my experience they are pretty robust arrangements
    and I have never got the feeling that they would dislodge
    with treatment. The main thing I have felt when treating
    people with shunts is how the fluid dynamics of their
    cerebrospinal fluid is screwed up. Their cranio sacral
    rhythm is usually confused.

    Most of my work has been firstly dealing with the
    underlying cause of the hydrocephalus and then helping
    the person’s system come to terms with the foreignness
    of the shunt.

    This is similar to any kind of work where there is a
    foreign object in a person’s body be it a pin or a screw
    or a pacemaker.

    ***QUESTION***

    Dear John

    From reading your emails its great to see that the world
    of cranio is opening up.. I have to say the enquiry coming
    in to the clinic for treatment for complicated cases from
    all over Australia is amazing. And hence I am in need of
    some guidance with a couple of troubled young lads..

    The first is 15…born with a large head that expanded
    from the parietals but little frontal growth, at 12 months
    his head was so heavy he carried it on the side…at 8 had
    a head on collision on a jet ski into a tree an acquired a
    compressed skull fracture and brain injury
    …although the extent of that is not clear as they suspected
    ADD anyway…has learning difficulties, class clown and
    recently attempted to throw himself off the tallest building
    at school. He has 5 steel plates in his head holding the
    parietals and frontal together…his system is very
    sensitive and flexion, extension inhibited by the plates..

    The second boy is 14, a difficult birth resulting in
    emergency c section, swallowed blood and meconium has
    chronic asthma, seems ok at school but suffers anxiety
    especially separation from mother… she bought him
    because 3 separate clairvoyants told her he died in birth and
    came back and that there were issues for him to sort out.

    Both these boys seem to have a space or separation in their
    system from which they are operating that does not seem to
    belong to them but is quite a definite separate space…then
    there is a pretend who I am and a big hole to the other…
    where do I start…seeing that both these boys are seeming
    in a serious situation for themselves..

    Your pearls of great wisdoms will be greatly appreciated
    as usual!!!

    LK
    Brisbane

    >>>MY COMMENTS:

    Well these certainly are serious cases and my response
    has to be based on what you have written only. Which is
    another way of saying I could be completely wrong.

    I had to read the part about the sense of space or
    separation you were feeling quite a few times to get an
    idea of what was going on.  The main thing that it sounds
    like to me is the detachment that comes from shock.

    If I am right it should resolve like any other trauma.
    I suggest you don’t treat it any differently to any other
    kind of trauma even though it may feel more intense to you.

    With the first chap, the 15 year old, it sounds like
    you are dealing with 3 separate issues.

    The first sounds like a developmental problem. Why didn’t
    his frontal develop in tandem with the rest of the bones in
    his skull? Why did his head become so full?

    My guess would be some problem with his embryonic
    development and if that’s the case then it will probably by
    a problem with his blueprint.
    I’ve written about this before so won’t bore you with it again.
    If you need a refresher go here
    http://www.open-source-cranio.com/sacral-training/
    and search for blueprint.

    Love that ‘search’ function.

    The next thing be has going on is the head trauma he
    received from the jet ski accident. So  now you have a
    system with underlying blueprint problems, so its healing
    response is compromised to begin with, trying to deal
    with a major trauma.

    The the third layer is all the surgery and the ensuing
    plates in his head.

    It’s enough to make someone detach. .hmmmm. . .

    It would be nice to deal with each thing separately but
    in practice it probably won’t work out like that. It will
    probably be a bit of a mash up of all three layers.

    Probably the best way to deal with this is to see it as
    whatever arises is what needs attention at that moment.

    So in any given session the blueprint issue may come up,
    then the head trauma, then the plates in his head, then the
    head trauma again and so on.

    The second chap sounds like a straightforward case of
    birth trauma, if you can call any case of birth trauma
    straight forward.

    It sounds like he is stuck in chronic alarm as a result
    of his birth.  I have found that issues relating to Mother
    can often end up in the lungs and chest area.
    I suggest you focus your treatment on the birth trauma
    first, then as the separation anxiety begins to ease you
    can focus on what remains of the asthma.

    ***QUESTION***

    Hello John

    I have been practicing CST for two years, but have the most
    amazing results since switching to the biodynamic style of
    work.  I am always enthralled by the intelligence of the body,
    as it guides the healing process. Clients are just as
    captivated, felling me remaining absolutely still while the
    Breath of Life takes over within them.

    Recently I have seen two people with head injuries, one
    from a surfboard blow, the other from a fall backwards onto
    the occiput. The first man was blown away, exclaiming that
    his head had completely changed shape over our three sessions,
    and that he could sleep at night, something rare in his
    experience. During a large part of his session time his body
    chose to work on trauma from ear surgery 3 years ago, for
    which he was relieved and grateful. The second client, a woman,
    felt as though a veil was lifted from her head after the first
    session, she almost needed to wear sunglasses, the world looked
    so bright and clear. She still had some nausea and dizziness
    but was well enough to drive herself to the second session.

    Sometimes I feel in my own body what is happening with the
    client, and other times I sense directly what they are
    experiencing. Can you shed any light on this?

    Christine Whitelaw

    Moruya NSW
    Australia

    >>>MY COMMENTS:

    Hello Christine,
    Thanks for sharing your stories. It sounds like you are
    doing great work.

    Now to your question. When you are treating someone your
    system becomes entrained with theirs.  Entrainment is a
    multi-spectrum connection that includes a lot more than
    just your cranio sacral rhythms coming into sync.

    Once entrainment happens the persons system will show
    you everything you need for the session.  Sometimes this
    is a strong sense of what the person is feeling.  At other
    times you might feel what they are feeling directly in
    your own body.

    Feeling things in your own body is fine in small doses
    but if it is persistent it can be tiring.
    If you can’t stop feeling things in your body and it
    becomes a problem you might want to look at your boundaries.

    So that’s it for this issue.

    Till the next time.

    Your Mate,

    John D.

  • Cranio Sacral Therapist and Student Newsletter 37

    January 4 -2009

    Questions and comments for this issue:

    + Bring someone international to your practice
    – from Nica in Berlin.
    + Follow on comment on Shunts from Malcolm Hiort,
    Director, Australian Craniofascial Therapy School
    + Follow on comment on Shunts from Al Pelowski in Durban.
    + Question about self doubt.
    + Question about unwinding from Nellian Bekker.
    + Question on Death and ReBirth from Ingrid Hoffman in Ireland.

    Hello,

    It may only be 5 days old but so far 2009 is shaping
    up to be a great year. I start back into my practice
    tomorrow after 10 glorious days of rest and excess.
    My batteries are charged and I’m ready to go.

    Here are the latest additions to Open Source Cranio. . . .

    I finally finished updating the list of cranio
    sacral therapy schools around the world.  I know
    it’s not exhaustive so if I haven’t listed your favorite
    school let me know and I will include it.
    Cranio sacral therapy schools

    Speaking of listings I am in the process of updating
    the therapists listings. I want to set them up so that
    you can access and update your own listing and I want
    to link the listings to some sort of google map so that
    it will be easier for people to find therapists near them.

    So if any of you are computer whizzes and would like
    to help please get in touch.

    You will notice that I have changed the design of
    the site.  Hopefully it is now easier to read and
    works better as a learning resource.
    Let me know what you think.

    Forum.
    Here are some of the topics being discussed on
    the Open Source Cranio Forum. . . .

    There is a nice post from Xavia in South Africa
    about a 4 year old girl who has Angleman’s syndrome.

    Another good post from Thespeni Calogero-Allen
    in South Affrica about a 2 year old releasing a burn trauma.

    There was a question about insurance from Sara.

    And a discussion about depression.

    Masterclass DVD Series.
    I have been busy preparing my DVD masterclass series.
    This will be about 8 hours of video taken from a post
    graduate seminar I did in Cape Town.  It’s looking
    like it will be an 8 or 9 DVD set. I will let you
    know more about it when it is closer to completion.

    Another cranio newsletter. . .
    James Nemec, a cranio sacral therapist from America
    has started a cranio sacral therapy newsletter.
    I think it is worth checking out as it’s always
    good to get different perspectives.
    http://www.craniocean.com/

    I came across this article about a girl with
    vacterl syndrome, it’s alright I didn’t know what
    it was either,  it’s a series of birth defects that
    affected a number of internal organs including her
    heart, esophagus and stomach, as well as caused
    irregularities with her spine and anus.

    She also had a severe scoliosis.  She is getting
    great results with cranio sacral therapy but her
    insurance company won’t cover it.  Local town did
    fund raising to help her continue with her treatment.
    Personally I find the cost of her treatment high
    but that could be just me.
    What do you think?

    And finally the other thing I have been up to is
    making goofy videos about learning to use my all
    -terrain roller skates, ominously called Doomwheels,
    in conjunction with my Kitewing, which is a cross
    between a hang-glider and a windsurfing sale.

    You can see my shenanigans, if that’s the sort
    of thing that interests you, here . .

    Anyhu, let’s get on with the mailbag.

    ***INVITATION FROM NICA IN BERLIN***

    Dear john,
    How are you doing?

    I am wondering if there would be any possibility,
    that I could spend a few weeks, working in another
    practice as an idea of exchanging experiences?

    Maybe there are people who would love to have –
    for a limited period, – another craniosacral-therapist
    from abroad in his/her place to be able to grow
    together,etc.?

    What are your thoughts?

    Lovely greetings out of berlin! Aswell to your wife!
    Nica

    Nica Berndt – Caccivio
    Berlin

    >>>MY COMMENTS:

    nicaI met up with Nica and her husband in Berlin,
    when I was there last year.

    She would bring a lot to any practice
    or exchange program.

    ***FOLLOW ON COMMENT FROM MALCOLM HIORT***

    Hi John,
    Re Odile’s email/your reply:
    My experience of clients with shunts is that their
    cranial rhythms are compromised.
    Specifically, I notice that maximal expansion/flexion
    is never reached.
    The end-point of movement has a ‘rebound’ quality
    to it, without the ‘tapering’ effect normally palpated.
    I have felt this characteristic diminished amplitude
    throughout the body.

    Another consequence of a shunt is that inducing a
    still point cannot be achieved, at least in my
    experience.
    It seems that when CSF back-pressure begins to
    build within the ventricles, it is vented by the
    shunt.
    Again, this is a bodywide occurrence, no matter
    where the technique is applied.

    I would be interested to get any feedback on my
    remarks at info@craniofascial.com
    www.craniosacralart.com was interesting.

    cheers John, keep up the good work.

    Malcolm Hiort, Director,
    Australian Craniofascial Therapy School

    >>>MY COMMENTS:

    Thanks for that Malcolm.
    Shunts certainly compromise the fluid dynamics of the system.

    ***FOLLOW ON COMMENT FROM AL PELOWSKI***

    There’s a good description and pics of shunts in
    the Netter Collection of Medical Illustrations,
    V.1, the Nervous System, Part II -Neurologic and
    Neuromuscular Disorders.

    In there you’ll see that shunts can be set to
    drain into the peritoneal space rather than the jugular v.

    Peritoneal drainage is often preferred in babes
    and kids because the longer tube allows for growth.

    But, either way, shunting tubes have to penetrate
    several layers of membrane, muscle and fascia.
    This can, and often does lead to chronic infections
    and irritation.

    Another problem is the silting up of the valve and
    the thin cannula–CSF is loaded with salts (electolytes)
    that can crystallise out of solution in the margins
    of turbulent flows and eddies in the apparatus.

    Shunting therefore can require frequent reinsertions
    + drugs (e.g. antibiotics and steroids)

    Some of the risk factors are covered in
    Toru Fukuhara et al, “Risk factors for Failure of
    Endoscopic Third Ventriculostomy for Obstructive
    Hydrocephalus,” in the journal Neurosurgery, V.46,
    No. 5, May 2000, where you will also find
    some 40 references.

    It might also be useful to see*
    *CRANIOSYNOSTOSIS SYNDROMES by **J. Cary Moorhead,
    MD, in Grand Round Archives June 24, 1993.

    I’ve worked cranially with maybe a dozen babies
    and kids with shunts.
    It’s vital to know the history of it and to be
    aware that tubal irritation and immune suppression
    will distort and disempower the child’s responses.
    There are loads of cautions in this work, but no
    firm contraindications I can think of.
    Other practitioners seeing cases of craniosynostosis?
    Please get in touch.

    I believe it’s a mushrooming problem worldwide.

    >>>MY COMMENTS:

    Thanks for that Al.

    For those of you that don’t know, Craniosynostosis,
    is a condition where some or all of the sutures in the
    skull of an infant or child become fused.

    I have treated a few children with it in Australia.
    The cranium felt like it was made of marble.
    Hardly any movement.  In all cases it felt like
    a blueprint problem to me.  It felt like the
    developmental process of the system was accelerated.
    It felt like the sutures had met each other with such
    force that they fused in a solid way that no adult would.

    In all the children I saw, the condition had got to
    the point where they needed surgery to separate the
    sutures. My sense was that if I had seen them earlier
    we could have avoided the surgery.

    What have your experiences with Craniosynostosis
    been like?

    ***QUESTION***

    Thank you for creating such a helpful website!

    I am writing to you in relation to Trigeminal Neuralgia.

    I read your response to a fellow CS therapist
    and applied these principles to my treatment
    of a patient with this diagnosis.

    I have seen her for 6 sessions and she tells me
    that she experiences 1 or 2days relief from symptoms.
    Her response was to make a longer gap between sessions
    (3 weeks).

    I wish I had contacted you earlier for feedback
    as I am seeing her again tomorrow, but well……
    my query is about if no big results after 6 sessions
    are you being ineffective?

    I doubt my ability as a CS therapist…..frequently…
    …but have had some patients with great results
    from treatment.

    I will say to her tomorrow that it is best to
    make the sessions weekly for a few weeks and
    work from there, if she is willing to try this.

    It is difficult when working with self-doubt
    and a general lack of patients (slow pace of clients).

    I have been in practice for 2 years and studied
    at Craniosacral Therapy Educational Trust in
    London with Ged Sumner and Michael Kern.

    Any feedback on my dilemma would be gratefully received.

    Thanks

    R.A.
    Gloucester, U.K.

    >>>MY COMMENTS:

    To answer your query, ‘if there are no big
    results after 6 sessions are you being ineffective?’
    I would need to know how far apart the sessions were.
    If your patient was getting 1-2 days relief with
    sessions 3 weeks apart, then she would probably
    get better results if you saw her every week.

    The thing is, it would have saved you both some
    grief if you persuaded her to do that from the
    beginning.  Now you have both lost confidence
    in the process.

    I always encourage people to come every week
    at the beginning of the treatment program.
    I explain it in this way: –
    (Feel free to borrow it.)

    ‘Your system is in the habit of being restricted.
    When you come for treatment your system begins to
    release those restrictions and it starts to ‘remember’
    the way it was before it became restricted.
    Over the course of the week the habitual pattern
    of restriction starts to reassert itself.
    Because of this it is very important to come
    for treatment every week, particularly at the
    beginning of the your treatment program, to help
    your system get some momentum.’

    With regard to your self-doubt let me refer
    you to these previous letters.

    Do patients need to believe?

    Am I making it up?

    ***QUESTION***

    Hi John,

    I am not sure wether this would be a case for your
    fantastic Newsletter…….

    I have been working on this young man (17) since
    October 2006- originally came for sinusitis,
    which healed.

    He has never been in an accident, but had a fall
    at school which his parents were not told about??
    He scored the highest in 7 out of his 8 subjects
    in Grade 12 this year (German), and the matric
    exams is a joke for him. He wants to become a doctor.
    He was always sickly as a child.
    His mother was  in labour for 12 hours before he
    was born by emergency caesarian because his heart
    had stopped beating.

    He had bad scoliosis which is a lot better.
    The lesion in his lower thoracic Level T8, his scapula
    positions, kifosis and lordosis are some of the
    things that I am working on, as well as his
    ‘pinched’ face.  It does not matter where I touch him,
    he starts unwinding, pulling into all sorts of positions,
    and the body sometimes pulls straight up from the bed
    with only his head and feet touching, then he would flip,
    feet over his head, and then be relaxed and exhausted,
    leaving me half dead as well.

    His dad is also a client of mine.  I got the impression
    that they do not have a great relationship.
    He has a younger sister.

    Any insights from your side that can help both of us PLEASE?

    I know that you are the best!

    Enjoy your day!

    Nellian Bekker
    Cape Town

    >>>MY COMMENTS:

    Hello Nellian,
    I think you need to reassert your authority
    in the situation.  From what you are describing
    it sounds like his system is like a bucking bronco
    and you are trying to hang on.   It is an easy
    enough mistake to make in unwinding as we can
    become so focused on following the persons
    system we can cross the line into being pulled
    along by it.

    The trick is to stop it before it becomes a
    problem.  You do this at the beginning of the
    unwinding.  Right at the point where you have
    done the articulation and you have taken up a
    contact in readiness to begin the unwinding.
    When you are at that point, do the following…

    WAIT.

    Don’t don anything.  Don’t allow the persons
    system to move you. Simply hold it and . . .

    Wait.

    If you don’t wait you will just get pulled
    along and it’s very hard to effect any substantial
    releases that way.

    Waiting conveys your authority in the situation
    because the communication from your system to
    theirs, while you are holding and waiting is,
    ‘I choose to follow.’

    In that choice lies your authority and once
    you establish it the persons system will feel
    much more secure with you and reveal very
    delicate restrictions because it knows you
    can support it through them.

    Specifically regarding your patient,
    if he continually goes into vigorous unwinding
    and you get the feeling that it isn’t productive
    then I suggest you direct the energy of his
    unwinding back into his system.  Basically
    this requires you to hold his system and not
    let it move around too much while at the
    same time using your intention to direct
    what releases that are occurring back into
    his system.  This has an implosive rather
    than an explosive quality.

    Because his system is used to moving
    around a lot it may be difficult in the
    beginning but if you persevere you will
    find that you will get to deeper levels
    of release.

    ***QUESTION***

    Death and Rebirth:

    Dear John

    Winter will soon bring our energies inwards
    and with the Winter Solstice approaching,
    here in the North, I find that many of my
    clients are suffering with melancholy and
    soul loss.

    How can CST help?

    Ingrid Hoffman.
    Rathfeigh Tara Ireland

    >>>MY COMMENTS:

    Hello Ingrid,

    Don’t get me started on the winters in
    Ireland.  They are SOOO depressing.
    Getting up in the morning in darkness,
    going to work in darkness, coming home
    in darkness and in between, grayness
    – if you’re lucky!
    If you’re not lucky it will be raining
    gray sheets of liquid concrete.

    No wonder the pagans used to throw a
    big party at the winter solstice.
    Can you blame them?
    Even though they knew they were in for
    another couple of months of depressing
    weather, just the knowledge that the
    days were getting a little longer,
    even if it was only by a couple of
    minutes each day, was cause enough
    for celebration.

    Having said all that I have found
    that while the weather can get a person
    down, it won’t cause depression.

    Now before you start quoting me all
    the statistics on SAD’s,  [Seasonally
    Affected Depression] I’m not saying
    it doesn’t exist or that it isn’t
    linked to the weather.  What I am
    saying is that I haven’t found the
    weather to be the root cause.

    When I used to live in Australia
    I treated just as many people for
    depression and they were up to their
    armpits in sunshine.

    The sense of being a ‘lost soul’
    is something that goes deeper and
    will surface regardless of the
    environment.

    It is where a person feels like
    their life has lost its meaning.
    Where the joy has gone and they
    are ‘off track’. Day to day feels
    like just going through the motions
    and nothing has any real meaning.

    They feel their life doesn’t represent
    them at all. It is often described to
    me as waking up one morning and realizing
    that they are not living the life they
    thought they would or know they should.
    If you’re feeling like that and the
    weather is awful it will amplify the
    feeling for sure but as I said it’s
    not the cause.

    Cranio sacral work is particularly good
    at helping with this kind of lost soul
    feeling because it works with the deeper
    disharmonies that lead to this kind of
    condition.

    So that’s it for this issue.

    Let me wish you all the very best for 2009.

    Till the next time.

    Your Mate,

    John D.

  • Working with shunts.

    + How do you work with people with shunts? – September 08

    Hi John,

    Your newsletter’s archive is fantastic.  Very easy to use
    (much better than mine). Thanks.
    My question today is about treating people with a shunt
    in the head. Do you(or anyone else) has experience with that?
    Is there a risk of having the shunt come out of place
    (and causing big problems to the person) when working
    on the person? I was wondering because of the movements of
    the bones and membranes in the head (things coming back
    in place).
    Any comments will be much appreciated.
    Odile. Brisbane.

    >>>MY COMMENTS:

    Hello Odile,
    I’m glad you find the newsletter archive useful.
    I’m hoping the ‘search’ function makes it easier for
    people to find what they are looking for across the
    whole site.

    I have treated quite a few people with shunts.
    I’ll just explain what they are for any of the other
    readers who don’t know.

    A shunt is tube that is fitted surgically to relieve
    cerebrospinal fluid pressure. There is a one way valve
    in the shunt that stops the cerebrospinal fluid coming
    back up the tube.  They are usually fitted in people
    who have prolonged or extreme hydrocephalus.

    The types of shunts I have treated have fallen into
    two categories.  Cranio shunts and spinal shunts.
    Spinal shunts go from the drural tube and drain into
    the stomach. Cranial shunts drain from the cranium into
    the heart.

    From my experience they are pretty robust arrangements
    and I have never got the feeling that they would dislodge
    with treatment. The main thing I have felt when treating
    people with shunts is how the fluid dynamics of their
    cerebrospinal fluid is screwed up. Their cranio sacral
    rhythm is usually confused.

    Most of my work has been firstly dealing with the
    underlying cause of the hydrocephalus and then helping
    the person’s system come to terms with the foreignness
    of the shunt.

    This is similar to any kind of work where there is a
    foreign object in a person’s body be it a pin or a screw
    or a pacemaker.

    ***FOLLOW ON COMMENT FROM MALCOLM HIORT***

    Hi John,
    Re Odile’s email/your reply:
    My experience of clients with shunts is that their
    cranial rhythms are compromised.
    Specifically, I notice that maximal expansion/flexion
    is never reached.
    The end-point of movement has a ‘rebound’ quality
    to it, without the ‘tapering’ effect normally palpated.
    I have felt this characteristic diminished amplitude
    throughout the body.

    Another consequence of a shunt is that inducing a
    still point cannot be achieved, at least in my
    experience.
    It seems that when CSF back-pressure begins to
    build within the ventricles, it is vented by the
    shunt.
    Again, this is a bodywide occurrence, no matter
    where the technique is applied.

    I would be interested to get any feedback on my
    remarks at info@craniofascial.com
    www.craniosacralart.com was interesting.

    cheers John, keep up the good work.

    Malcolm Hiort, Director,
    Australian Craniofascial Therapy School

    >>>MY COMMENTS:

    Thanks for that Malcolm.
    Shunts certainly compromise the fluid dynamics of the system.

    ***FOLLOW ON COMMENT FROM AL PELOWSKI***

    There’s a good description and pics of shunts in
    the Netter Collection of Medical Illustrations,
    V.1, the Nervous System, Part II -Neurologic and
    Neuromuscular Disorders.

    In there you’ll see that shunts can be set to
    drain into the peritoneal space rather than the jugular v.

    Peritoneal drainage is often preferred in babes
    and kids because the longer tube allows for growth.

    But, either way, shunting tubes have to penetrate
    several layers of membrane, muscle and fascia.
    This can, and often does lead to chronic infections
    and irritation.

    Another problem is the silting up of the valve and
    the thin cannula–CSF is loaded with salts (electolytes)
    that can crystallise out of solution in the margins
    of turbulent flows and eddies in the apparatus.

    Shunting therefore can require frequent reinsertions
    + drugs (e.g. antibiotics and steroids)

    Some of the risk factors are covered in
    Toru Fukuhara et al, “Risk factors for Failure of
    Endoscopic Third Ventriculostomy for Obstructive
    Hydrocephalus,” in the journal Neurosurgery, V.46,
    No. 5, May 2000, where you will also find
    some 40 references.

    It might also be useful to see*
    *CRANIOSYNOSTOSIS SYNDROMES by **J. Cary Moorhead,
    MD, in Grand Round Archives June 24, 1993.

    I’ve worked cranially with maybe a dozen babies
    and kids with shunts.
    It’s vital to know the history of it and to be
    aware that tubal irritation and immune suppression
    will distort and disempower the child’s responses.
    There are loads of cautions in this work, but no
    firm contraindications I can think of.
    Other practitioners seeing cases of craniosynostosis?
    Please get in touch.

    I believe it’s a mushrooming problem worldwide.

    >>>MY COMMENTS:

    Thanks for that Al.

    For those of you that don’t know, Craniosynostosis,
    is a condition where some or all of the sutures in the
    skull of an infant or child become fused.

    I have treated a few children with it in Australia.
    The cranium felt like it was made of marble.
    Hardly any movement.  In all cases it felt like
    a blueprint problem to me.  It felt like the
    developmental process of the system was accelerated.
    It felt like the sutures had met each other with such
    force that they fused in a solid way that no adult would.

    In all the children I saw, the condition had got to
    the point where they needed surgery to separate the
    sutures. My sense was that if I had seen them earlier
    we could have avoided the surgery.