January  18 – 2007

Questions and comments for this issue:

+ Talking during treatment.
+ How the face reflects the cranial rhythm.
+ Why is the ventricular system so important?

Hello,

Let me just put my Hula Hoop down for a second
so I can talk to you.  You don’t Hula?
Why, it’s the latest re-fad.  You know, a fad
that makes a comeback.

In America, “hip hooping” classes, videos and
Hoopster clothing lines are springing up across
the country. Beyonce and Charlize Theron are huge
fans.  They are always pestering me to join them
at hip hooping class.

I can see I’m wasting my time talking to you
about this.  You just want to hear about cranio.

Fair enough, let’s get on with the mailbag.

***QUESTION***

Dear John,

Thank you for your newsletters they are wonderful.

Here is my question.
I would like to get some of my patients more
involved in their process when we are working
together but I don’t want to do a full somato-
emotional release type thing with them.
Do you have any suggestions for an intermediary
type approach I could do?

Thanks again.
PR.
California.

MY COMMENTS:

Okey dokey.  Here’s something you can do.

Once the person is on the table and you are
settling in and chit chatting and generally
entraining with them.

No, not entertaining them, I said ENTRAINING
with them. Now take that clown suit off and lets
get back to the session.

Tell the person that you are going to do
something a bit different this week.  Keep your
tone light.

Take up a contact that allows you a good sense
of the whole cranio sacral system.  Ask the person
to close their eyes and begin to see themselves
shrinking on the inside until they are small
enough to walk around, inside the structures of
their body.

Whenever you are talking with a patient choose
your words carefully.  I used the word ‘see’ on
purpose.   ‘I want you to see yourself shrinking
on the inside until you are small enough to be
able to walk around inside the structure of your
body.’

Don’t say visualise or imagine as I have found
these words can short circuit the process before
it even gets started.

Why?

Well, because some people are convinced they
have no imagination and others have tried
visualisation before and are, ‘just no good at
it.’

Start off with a relatively restriction free
area.  Ask the person to describe what it looks
like.  Get them to describe the area in as much
detail as possible.  Encourage them to tell you
what they see, even though they may be inhibited
by their lack of anatomical knowledge.

They can shrink themselves to whatever size
they need to be to pass between structures or see
something in detail.  Ask them if everything looks
okay in the area.  If it is, move on to another
area, one where you sense a restriction, though
you don’t need to tell them you think it is
restricted.

If they tell you that everything is NOT okay in
an area, ask them to describe what it is that
looks unnatural.  Encourage them to be as specific
as possible.  You may need to move your hands
closer to the area they are describing.

Ask them what needs to happen for the area to
return to a more natural state.

Wait for their answer.

If they are having difficulty seeing a way to
correct the situation you can suggest solutions to
them using the symbols they have communicated to
you. Make full use of their size in the area.

They can climb in between bones and push them
apart.  They can pull and push things with their
hands in very specific ways. You can suggest
little tools that may help them, but avoid
frightening tools like hammers and saws etc.

You can suggest light beam machines to warm
cold areas.  Ice guns for cold.  Muscle oil
aerosol cans for tight or stiff muscles and so on.

All the time you will be monitoring and
following the changes they are making on the
inside with your hands.

This is generally an enjoyable technique for
you and the person.  It seldom has a huge
emotional aspect and is particularly good with
patients who are very out of touch with their
feelings.

Most people don’t find it threatening and are
amused by what they find in their bodies. They can
be surprised at the clarity of the images they
see. This is because the following of your hands
enables the person to see more clearly the
restriction in their bodies.

This technique is a very useful way to involve
the person and use their attention as an extension
of yours, to check things out and correct them
from the inside.

As you get more experience with it you will get
a sense of who this technique is appropriate for.
It is a good introduction for other forms of
therapeutic conversation which you may intend to
use in future treatment sessions with the person.

***QUESTION***

Dear John,
I am currently studying the face and the way it
moves with the cranial rhythm.  Frankly I find it
confusing and hard to remember.

I’m hopping you have some little analogy or trick
for making it a bit clearer.

Yours Sincerely.

KS.
Canada.

MY COMMENTS:

Before I get into the face I need to quickly
run through flexion and extension in the cranium.

Think of the cranium as a balloon.

During extension the balloon narrows and
elongates and during flexion it expands and
becomes squat.  Long and thin in extension, short
and squat in flexion.

To understand the way the face moves with the
cranial rhythm, take the balloon and add a small
box.  Attach it to the balloon roughly where the
face hangs off the cranium.

Now, lets look at how the box moves with the
balloon.

In extension the balloon will become long and
thin.  The box will arc inferiorly and narrow as
the whole balloon elongates

During flexion the balloon will become short
and squat.  The box will arc superiorly and
broaden as the balloon shortens and broadens.

So what does this feel like in practice?

Sit at the head of the person.  With their
permission, place your hands on their face, thumbs
on their forehead and fingers on their mandible.

During flexion you will feel your thumbs and
fingers move closer together while in extension
they will move further apart.

Once you get this overall movement you can work
out the specifics of each bone relatively easily.

Here are some other things to consider.  The
mandible and the frontal bone moving towards each
other in flexion could put stress on the bones of
the face but this compressive movement is
naturally absorbed by the orbits.

This makes the orbits particularly vulnerable
to any restriction patterns present in the face or
cranium, especially the posterior aspect of the
orbit.

Certain bones of the face are designed to
reduce the amplitude of the movement of some of
the larger bones they articulate with. These bones
are the palatines, the zygomae, the vomer and the
ethmoid.

You can think of them like ‘washers’ between
two larger bones.  William Sutherland called these
bones the ‘speed reducers’ but they do not
actually reduce the frequency of the rhythm, they
reduce the amount of movement or amplitude.  So a
40 micron movement of the frontal can be reduced
to a 10 micron movement in the Zygomae. [Remember
a sheet of writing paper is 100 microns thick.]

***QUESTION***

Hi John,
I am being repeatedly told that the ventricles are
very important but I am not sure why.  I have
asked this question of my tutors repeatedly but
never got a satisfactory answer.

I would be grateful to hear your explanation.
Thanking you in anticipation.
PB
South Africa

MY COMMENTS:

It may be easier for you to think of the whole
system in terms of plumbing, which it is in a way.
It’s a very important and significant plumbing
system.

The ventricular system, is a collection of
cavities and canals deep within the brain and
spinal cord. It consists of 4 ventricles connected
by various channels.  It always looks to me like a
model of a space ship.  Think Star Trek.

The four ventricles are made up of the 2
lateral Ventricles located within the two cerebral
hemispheres, each of which connect via an inter-
ventricular foramen to the 3rd ventricle which is
located between the two thalami of the brain.

The 3rd ventricle connects inferiorly through
the cerebral aqueduct (or aqueduct of Sylvius as
you will see it in some books) to the 4th
ventricle which is located between the cerebellum,
posteriorly and the pons and medulla, anteriorly.

The 4th ventricle continues inferiorly as the
central canal passing down the centre of the
spinal cord.

The whole ventricular System is filled with
Cerebrospinal Fluid.

So that’s the plumbing.  Now let’s look at
inlet and outlet valves.

The INLET valves are located in the roof of
each of the four ventricles and are called Choroid
Plexi.  These are filter like structures through
which cerebrospinal fluid is formed as a filtrate
from arterial blood.  Arterial blood enters the
choroid plexi from the cerebral arteries; then
blood cells, proteins and other large particles
are filtered out.  The pure colourless fluid that
filters through this choroid plexi into the
ventricular system is cerebrospinal fluid.

I will get to the outlet valves in a minute.
First I want to focus on something that is very
easy to get confused about.
We know that the membrane system contains
cerebrospinal fluid, right?

Just nod.

And now we have a good idea of how
cerebrospinal fluid enters the ventricular system.
And we also know the ventricular system is
contained within the membrane system.  The thing
is the ventricular system is, for the most part,
closed.
So how does cerebrospinal fluid get out of the
ventricular system into the membrane system?

Very good question.  It all happens in the 4th
ventricle.  In the posterior and lateral walls of
the 4th ventricle there are three foramina,  – the
foramen of Magendie which is in the middle
posteriorly and the 2 foramina of Luschka,
bilaterally.

It is through these 3 foramina that
cerebrospinal fluid passes out into the sub-
arachnoid space where it circulates around the
brain and spinal Cord.

Now back to the OUTLET valves.
Cerebrospinal fluid is eventually returned to
the blood via the Arachnoid Villi which protrude
from the sub-arachnoid space through to the
superior sagittal sinus of the Brain.  It re-joins
the venous blood which then drains from the venous
sinuses via the internal jugular Vein to be
returned to the heart.

So that’s the plumbing, the general flow and
the inlet and outlet valves.   The significance is
that this system is in continuous use which means
it has to be in working order all the time.  If
any one of the valves or canals of foramina are
not working properly the effects are serious.

Just think of the person having a spinal tap.
Only a tiny amount of cerebrospinal fluid is
removed yet the person will have to lie horizontal
for 24 hours to avoid severe headaches.

Also if there is a problem in this system it’s
not like you can just shut it down while repairs
are made.

So that’s it for this issue.

Cheerio for now.

Till the next time.

Your Mate,

John D.

May 06 – 2007

Questions and comments for this issue:

+ How to convince Doctors of the validity of cranio sacral therapy?
+ Migraine question.
+ Do you have to get ‘hands on’ when treating post vasectomy pain?

Hello,
I’m just back from a trip to Brisbane where I
was delivering my ‘Core Success’ seminar.
How did it go?
Very well, thank you for asking.

It was great meeting old friends and some new
ones too.  Some of the very first students I taught
in Australia were there, though they are seasoned
therapists now, and some therapists I hadn’t met
before, some of whom flew up from Sydney especially
for the event.

Jenny Palmer, who organised the seminar, is
going to write something about it so I will pass it
on when she does.

Lastly I want to point you to this wonderful picture I came across in the National Geographic. The man lying in the hospital bed is only days after open-heart surgery. He is having cranio sacral therapy.  I like the picture because it is confirmation of where cranio sacral therapy is heading.  But I’m getting ahead of myself,  as you will see when we get into the first letter in the mailbag.

***QUESTION***

Dear John,
I recently had a patient who told their Doctor they
were having craniosacral therapy.  The Doctor
dismissed it out of hand saying there was no
scientific basis for it and discouraged her from
‘wasting her money’.
My patient told me she wasn’t keen to continue
treatment.
I intend to visit the Doctor in question and see if
I can’t change his mind.
I know Dr John Upledger has done some scientific
studies on CST, I am just wondering if you know of
any other studies or can suggest some good
arguments for the validity of CST.
Thank you for your newsletters.

C.S.
Sydney.

MY COMMENTS:

I was only talking about this at the seminar in
Brisbane the other day.  The simplest way to
explain it is to ask you to look towards the
future.  About one or two hundred years in the
future.

Medicine will look very different.  The
exclusively mechanical model that is currently in
vouge will have expanded to include an appreciation
for the body’s ability to fix itself.  Cranio
sacral therapy, or whatever it is called then, will
feature largely.

Every ambulance and para-medical team will
include a cranio sacral therapist.  Emergency rooms
will include cranio sacral therapists as standard
members of staff.  Maternity wards, and in
particular, delivery rooms will all have cranio
sacral therapists.  Every child born will receive
cranio sacral treatment within the first hours of
life.
Rehabilitation facilities will be dealt with
predominantly by cranio sacral therapists.  The
treatment of chronic pain and illness will rely
heavily on cranio sacral therapy to provide lasting
solutions.
Inmate rehabilitation programs in prisons will
include cranio sacral therapy.  Children with
learning difficulties will receive cranio sacral
treatment as part of their special care.  The main
treatment for autism will be cranio sacral therapy.

On a hill there will be a golden castle where I
will ride out on my favourite unicorn, Tabatha.
No, hang on.
That last bit was a dream.

Now let’s come back to the present.  At the
moment, we are ahead of our time.  We are the front
runners, the pioneers.

The thing about being a pioneer is that it is
difficult.  Just ask anyone from the turn of the
century who was saying that one day humans would
walk on the moon. Or someone from the middle ages
who was saying that one day people would travel by
air.
Think about all the things that we take for
granted now, like radio and TV and the internet.
At one time they all seemed far fetched ideas.  Now
they are commonplace.

The flaws in the current medical model are
becoming more and more apparent to the general
public.  When you think about the future it doesn’t
make sense to seek the approval or ally yourself
with a model that is failing. This is one of the
reasons that I have never tried to convince a
Doctor of the validity of Cranio Sacral Therapy.

Another reason is that the methods of evaluation
and the science are not sophisticated enough yet to
measure what we do.  When they are sophisticated
enough than there will be more of a bridge for us
to talk.

Another reason is that we have not got our act
together enough as cranio sacral therapists.  There
is way too much infighting and ‘my-way-is the-
right-way’ sort of thing going on.  Too many 4-day
courses after which you can call yourself a cranio
sacral therapist.  Too much cranio sacral therapy
as an adjunct to other approaches.  We can’t even
stick to one name for crying out loud.
By the way I am renaming what I do, cranio-
vision-quest-bio-morphic-angelic-sacral-therapy-
approach.

Catchy, no?

Moving on.

It is like the underlying fear and insecurity
that often drives therapists to associations.  The
thinking being that if we all band together we will
be taken more seriously.

Which leads me to ask, by whom?
Doctors?  I don’t think so.
The public?  I doubt it.
In my experience the public will go with a
referral from someone they trust over any number of
qualifications and association memberships.

So I would discourage you from confronting the
Doctor.  Instead I encourage you to trust in the
part of your patient that brought her to see you.
It will do the right thing for her.

Also trust in the Doctor to acknowledge your
successes.

Your work hinges on your trust in the human
body’s ability to correct itself.  I am encouraging
you to trust in the body of humanity to correct
itself too.  It really is no different.

***QUESTION***

Hi John,

As always, these newsletters give me great insight,
so thank you for supplying us with it!

I just thought I’d give you some feedback about the
chronic fatigue client I posed a question about in
an earlier newsletter.

I treated the person before the newsletter reached
me, so didn’t have the added help from your
insights. I had been treating this woman for other
things for a while, when the time came to deal with
the chronic fatigue directly. In the space of only
3 weeks the whole issue seems to have been
resolved.

It started off with really good communication with
the hypothalamus, pituitary and membranes where
they were able to correct themselves and stay good.
Next week several past life traumas and associated
local restrictions needed to be released after
which chakras 1 and 2 were able to start releasing
their restrictions. The biggest problem was in the
2nd chakra where lots of damage had been done when
the client as a newborn was given drugs to
counteract kidney failure.

Those drugs caused damage to the nervous system,
which lasted for quite a few years. The result was
a very big block in the energy flow in the area.
I’m sure there were other contributing causes for
the chronic fatigue starting up 7 years ago, but it
wasn’t necessary to go into them. After one and a
half sessions over 3 days with work only with the
2nd chakra there was a definite endpoint, where her
whole body came to peace and I got a very strong
communication that that was the end of it.

She didn’t jump up and down like a two-year-old
right away, but has continued to get stronger and
more energetic every week since. She hasn’t had any
relapses since those treatments in November.

Question.
A friend of mine suffers really bad migraine and
I’m about to start looking for the reason. I don’t
know if it is always the same thing that is wrong
or if the causes are many and varied. I happened to
be there when my friend got really bad with the
migraine, so I tried to help. Someone else who was
there said migraine comes from the stomach
meridians being blocked and building up too much
pressure, giving pain behind the eyes (linking in
with the light fenomena sufferers experience) and
vomiting.
But when I sat with my sick friend and started to
tune in I got the feeling that that is only the
symptom, that the cause lies elsewhere, and her
pineal gland was very persistently engaging with me
and giving me the idea that the cause may have to
do with the pressure of fluid inside the head.

What is your experience in finding and treating the
cause of it?

Eva Kuhl Bornefelt
Central Coast
Australia

MY COMMENTS:

Thanks for the feedback Eva.  I am glad your
chronic fatigue patient made such a good recovery.

The first thing that stood out to me about your
migraine question is when you said, ‘I’m about to
start looking for the reason.’  I encourage you to
change this approach.  I have found it much more
effective to let the reason find you.

Instead of actively looking for the reason,
which is a very active dynamic, I encourage you to
trust the persons system and be available for the
reason to reveal itself to you.

On the nuts and bolts department the pain behind
the eyes can often indicate tentorial tension.
This happens because of the recurrent, meningeal
branch of the mandibular branch of the trigeminal
nerve.  It can be referred pain from the tentorium.

If you were being drawn to the pineal gland then
I would go with that.  Because you also mentioned a
feeling of pressure I would check the integrity of
the aqueduct of Sylvius.  If it is restricted it
can cause back-pressure problems.  You can read
about a woman I treated with this very problem

http://www.open-source-cranio.com/cases/intracranialtension.html

***QUESTION***

Hello John,
A guy is coming to see me next week to see if I can
help him with his vasectomy pain. Have you had any
experience with this? And if so do you have to
treat it ‘hands on’ so to speak.  I’m not
homophobic or anything but I’m really hoping that
you don’t have to.

Thanks.

B.A.
Perth.

MY COMMENTS:

A hundred cheap jokes swirl around my mind but I
am a bigger man than that and much as I might like
to, I will resist.

Fear not.  You can have excellent success
without having to get hands on.  A lot of the
problems with vasectomy pain come from trauma
inflicted during the surgery where the surgeon tugs
over zealously on the vas deferens to get it clear
of the scrotum so they can get on with the
procedure.

When you look at the anatomy of the vas deferens
you will see that it travels from the testes
superiorly into the lower abdomen where it makes a
hairpin bend in the inguinal area before
descending to the prostate.

I have found that the trauma gets stuck in this
bend.  Working in the area of this bend is roughly
where you would have your hands when working on the
pelvic diaphragm.  You can help whatever
restriction is present to release with this
contact.  You can also help any restrictions
further down or in the testes themselves from this
contact using your . . . intention.

So breathe a sigh of relief and be glad you
learned about intention.

So that’s it for this issue.

Cheerio for now.

Till the next time.

Your Mate,

John D.

<< Back to Basics 1 syllabus

*As with all anatomy I suggest you search for each new term on google then click on the ‘Images’ tab at the top of the page.  Look at as many different pictures of each structure, from as many different angles as you can. Then look at it on the Visible Body. This will help you get a 3 dimensional image of the structure in your head.

The Ventricular System is a system of cavities and canals deep within the brain and spinal cord. They have a thin membranous lining called the Ependyma.  The whole Ventricular System is filled with Cerebrospinal Fluid. The Ventricular System consists of four ventricles connected by various communicating channels.

These are:

❍ Two lateral Ventricles (1st and 2nd Ventricles) located within the two cerebral hemispheres, each of which communicates via an inter-ventricular foramen to

❍ The third Ventricle located between the two Thalami of the brain.
The Third ventricle communicates inferiorly through the cerebral aqueduct (aqueduct of sylvius) to

❍ The fourth Ventricle located between the Cerebellum (posteriorly) and the Pons and Medulla (anteriorly).  The fourth Ventricle is continuous inferiorly with the central canal passing down the centre of the Spinal Cord.

In the roof of each of the four ventricles are located Choroid Plexi.
These are filter like structures through which Cerebrospinal Fluid is formed as a filtrate from arterial blood.  Arterial blood enters the Choroid Plexi from the cerebral arteries; then blood cells, proteins and other large particles are filtered out (remaining in the blood).  The pure colourless fluid that filters through this Choroid Plexi into the Ventricular System is Cerebrospinal Fluid.

HOW DOES CEREBROSPINAL FLUID GET OUT OF THE VENTRICULAR SYSTEM?

In the posterior and lateral walls of the fourth ventricle are three foramina -

The Foramen of Magendie (medial aperture), posteriorly, and
Two Foramina of Luschka (lateral apertures), bilaterally.

Cerebrospinal Fluid flows throughout the Ventricular System. It passes out through the Foramina of Magendie and Luschka into the sub-arachnoid space where it circulates throughout the Sub-arachnoid space around the Brain and Spinal Cord.

Cerebrospinal Fluid also seeps through the walls of the ventricles into the nerve tissue of the Brain and Spinal Cord.  From the sub-arachnoid space it seeps through the Pia Mater into the tissues of the Brain and Spinal Cord. Cerebrospinal Fluid also seeps out with the peripheral nerves of the spinal cord as they leave the Central Nervous System and travel out to the periphery.

REABSORBTION
Cerebrospinal Fluid is eventually returned to the blood via the Arachnoid Villi which protrude from the sub-arachnoid space through to the Superior Sagittal Sinus of the Brain. It re-joins the Venous blood which then drains from the Venous Sinuses via the Internal Jugular Vein to be returned to the heart.

So the direction of flow is,

• Arterial blood is pumped into the Choroid Plexi in the roofs of the Ventricles where it is filtered into cerebrospinal fluid.
• The lateral ventricles drain into the Third Ventricle via Inter-ventricular foramina.
• The third ventricle drains into the Aqueduct of Sylvius to the Forth Ventricle.
• It is in the Fourth Ventricle that the cerebrospinal fluid leaves the ventricles and enters the sub arachnoid space via the foramina of Luschka and Magendie. (It also travels down the central canal of the spinal cord.)
• It travels throughout the sub arachnoid space.
• Some of it seeps out with the peripheral nerves and is reabsorbed as an extracellular fluid.
• The bulk of it is reabsorbed by the arachnoid granulations of the arachnoid villi. These transform it into Venous blood as they deposit it into the Venous sinuses, particularly the superior sagittal sinus.

<< Back to Basics 1 syllabus