How does opposed motion relate to flexion/extension?

Posted by John Dalton on August 11, 2008

+ How does opposed motion relate to flexion/extension? - October 05

Hey JD,
Enjoying your Q and A’s.
Here’s my Q.
How does opposed motion relate to
flexion/extension?

Thanks
B.F. London.

>>>MY COMMENTS:

Glad you’re enjoying the NL, B.F.
I’m guessing you do a lot of text messaging on
your ph.
Here’s my C’s.

When you first learned cranio sacral, you were
probably told how the cranio sacral system moves
in flexion and extension.   ‘In flexion, the
parietals flex and extend around a medial axis
running along the sagittal suture.’ and so on . .

That’s called the similar motion model.  The
main characteristic of which is that everything
moves symmetrically around the midline of the
body.

What you will have found in practice is that
some people just don’t flex and extend in
symmetrical way.

The fact is that no person fits into the
theoretical models of flexion and extension all
the time.  Some never.  No person’s head moves in
the same way from one day to the next.

It is important to learn flexion and extension
in the beginning so that you can refine your
palpatory skills to really be able to perceive
flexion and extension in all its nuances.

With the opposite motion model flexion and
extension are felt asymmetrically.  When one
parietal is moving into flexion the other one will
be going into extension.  This creates an
asymmetrical peddling motion within the whole
cranium.

The frontal bone will move anterior and
inferior on one side (flexion) while the other
side moves superior and posterior (extension).

The squamous portion of the occiput will flare
and move inferior and slightly posterior as it
tucks under (flexion) on one side while the other
side is narrowing and moving superiorly
(extension).

The sphenoid torsions around its body.  One
greater wing will nose dive  (flexion) while the
other side will be arching superiorly.

It’s probably easier to get a mental visual of
it all if you think of the membranous balloon
lining the cranium, filling on one side while it
empties on the other.  This will help you make
sense of what the bones are doing.

Trying to figure out every bone movement in the
opposed motion model will do your head in.

Not recommended.

Get the idea of the way the membranes move and
the bones will follow.

You’ve probably felt this motion already and
may have put it down to your inability to feel
flexion extension correctly.

Well you were right, there is a motion like
that and it’s called opposed motion.

Some days our system will move in similar
motion flexion and extension and on other days it
will have this opposed motion feeling.

Hope that was of H.

‘Am I making it up?’

Posted by John Dalton on July 2, 2008

+ What I feel with my hands, am I making it up? - September 05

Mr Dalton.
I feel I am at a crossroads in my craniosacral
training. I have been studying CST for six months.

I have listened carefully to my trainers.
I have read books on CST. I understand the fluid
mechanics of what is happening, in theory.

When I tune into the system I begin to feel things.

Then I begin to wonder am I feeling the rhythm
because I expect to feel it. I wonder if I am
not imagining the whole thing. What I feel with
my hands is so tenuous that I could very well
be making it up.

My trainers say that the feeling will become
clearer with time and practice.

It has been six months now. While I can feel more
than I could at the beginning it is nowhere
as clear as I expected.

I understand that with your experience and in
your position you have a strong vested interest
in ‘believing’ in what you do.

I would appreciate it if you could answer me as
honestly as possible.

Do we make it up?

Regards.

M.S.

Somerset.

>>>MY COMMENTS

Let me tell you right now, it’s not going
to get any easier.. . .

What you are looking for is a kind of certainty.

Where you put your hands on someone’s body and
it lights up like a Christmas tree and you can
see EVERYTHING, every restriction pattern,
every cause.

And the road to health for that person looking
like a well lit highway.

And all this without that awful squirmy feeling
like you are groping around in the dark not really
sure of anything.

I feel for you, but it’s never going to
happen. There is something about this work that
always keeps you at the limit of yourself.

I’ll explain.

When you started to learn six months ago and you
heard about flexion and extension, it probably
all made sense.

Then you put your hands on someone and you tried
to feel it and all you could feel was NOTHING!

And it felt awful.

You trusted your trainers and you persevered.

As time passed you learned new things like feeling
lesion patterns in the sphenoid or some such
and when you tried to feel them, all you could
feel was NOTHING!

And it felt awful.

You looked forward to the day when you wouldn’t
feel that awful feeling.

You didn’t notice two important things.

1) Your palpatory skill was improving and
changing. You were actually feeling more. When
you were struggling to feel whether the sphenoid
had a flexion or extension lesion, you failed to
notice that you were feeling flexion and extension
with relative ease.

2) The awful feeling wasn’t changing. It was the
same awful feeling six month ago that you are
feeling now.

As good as your palpatory skills get,
as good as your diagnostic skills get,
as good as you perceptive skills get,
you will still have that voice in the back of
your head wondering, ‘Am I making this up?’

Outstanding cranio sacral therapists haven’t
eradicated uncertainty, they have mastered it.

It’s not like you get it sorted and never have
to deal with it again. It’s something that goes
on every time you treat someone. It’s one of the
most difficult aspects of cranio sacral work.

I know all this because I went/go through it myself
and I have seen ALL the people I have trained go
through it in one way or another.

Here’s what I suggest: put the question on hold for
another six months. Make a deal with yourself that
for the next six months you are not going to ask
yourself that question. For the next six months
you are just going to take it that what you are
feeling is true. It’s not forever, its just for six
months.

I’m not talking about kidding yourself.
You need to understand what you are trying to do.
You haven’t been conditioned to think in the way
that you’re trying to think when you do cranial work.

Your neuronal pathways are formed in a different way.

Continually asking yourself if you are making it
up won’t allow new neuronal pathways to form.

We are not MRI machines. This is science, but not as we
know it, Jim.

Asking if we are making it up is a question from
another approach.

Because we are not machines we have the capacity
to go far beyond our own expectations and pull miracles
out of the bag. It also means we have the capacity to
have an off day and get it wrong.

To answer your very specific question.

Do we make it up?

Sometimes.

Mostly in the beginning of training.

With experience, 1-2 years minimum, you can begin to
discern when you are making it up? You can spot it
and in time it too becomes another thing to note,
along with the multitude of other things you are
registering as you work.

‘The rhythm is changing, I wonder what that means?

The patient is feeling sadness, I wonder what that
means? Now they are angry, I wonder what that means?
I just made that bit up, I wonder what that means?
Now they are about to release this bit, I wonder what
that means? The sadness is still there. .’ and so on.

Have a good look at what I’ve written. Talk it out with
people who know you and care about you. Cranio sacral
therapy may not be the thing for you. It doesn’t suit
everyone. There are lots of modalities that offer
much more of the certainty you are looking for.

Having said that, I encourage you to persevere.
The rewards far outweigh the difficulties.

And the weird thing is as you become familiar with
and master uncertainty, it permeates your whole life
and it becomes more . . well . . fluid.

Maxillae

Posted by John Dalton on July 2, 2008

+ CST and orthodontic work? - April 08

Hi John,

Thanks for your reply to my letter regarding
cancer in the New Years Newsletter.
As to what to call you how about the “enlightened
one”?
Your reply to my question made me laugh but if I
had received it a few weeks earlier I would have
cried, can I remind you of your words

“the chances of you giving yourself a major
fright and setting you palpatory skills back years
is very high.

For example, let’s say you go against your
teachers/mentors recommendation and start treating
someone who is in the middle of dealing with
cancer.
And let’s say they have a major episode the day
after you treat them and end up in hospital.

“Take a minute and think about how you would
feel.  Can you imagine how difficult it would be
to stay objective about your contribution to their
being in hospital.  Can you imagine how hard it
would be to avoid putting yourself through the
wringer wondering if your intention was too heavy
or too light, how you could have missed what was
coming and so on.”

Well I can tell you how I felt !!, my Aunt had
been given the all clear following Non hodgkinson
and all the horror that the treatments entailed,
bald and full of life she stayed with us for a
week over xmas on the day she was leaving I asked
if she would like to try some cranio (are you
wincing?) her system did not react and as I had
not practiced for some weeks thought it was me so
pushed the intention a bit harder but all she got
was a nice still point and a vision of a being in
a crater looking at the blue sky (that made me
wince!). She phoned me 3 days later to say she had
not been out of bed since she got home she could
not stay awake (but she felt good) I told her to
go to the Drs asap! she had no white cells and was
very close to dying.

So how did I feel! all of the above! my teacher
was on holidays but when I finally contacted her
she believed the cranio probably brought it to the
surface alot faster. My Aunt is doing alot better
they think she is one of the rare ones that get a
reaction to some injection they give post Chemo,
but they also discovered her heart and lungs are
stuffed from the Chemo! I offered her Cranio and
we both laughed (but I don’t think either of us
will go there!)

I have been going through all your archives a
couple at a time as it makes my head hurt! so many
questions!

So I will start with; I read about your case
study, the girl you helped with facial disorders,
my 18yr old son has a protruding lower Jaw they
have done one lot of orthodontic work and are now
waiting until he stops growing to operate on the
lower jaw to pull it back ( a nasty sounding
operation) and then a couple more years of braces
to correct the bite. Do you believe that cranio
could stop the jaw coming forward anymore and even
better bring it back slightly? and my daughter 15
has had two years of braces but because she had to
a have a baby tooth removed that had no adult
tooth to replace it they expect she will have
braces for two more years! Do you believe cranio
can really help in these situations, I have read
in some of the Cranio books to seek out a
orthodontist that works with Cranio but I don’t
think there is such a person in Australia? I asked
my orthodontist and he was very “polite” “what
the?!!!”

Many thanks
God opps John
Karen
Australian

>>>MY COMMENTS:

Hello Karen,
Thanks for sharing your experience about your
Aunt.  It must have been awful for you.  Our
palpatory skill is a wonderful but fragile thing.

I’ve had a few emails from different people
asking about orthodontic work and cranio sacral
therapy and since both your questions are about
that too, I’ll kill the few birds, humanely of
course, with one stone and answer them all
together.

Can cranio sacral therapy really help in these
situations?

Hell, yes.

Let’s start with the basics. Teeth are
basically bone and contrary to common perception,
bones ain’t bone china.  Bone is plastic and wet
and it grows and most importantly responds to the
pressure it is placed under and adapts.

Wolf’s law and all that, don’t you know.

What’s Wolf’s law?

Wolf’s law states that the son of two wolves is
equal to the son of the bears on the other two
hides. . . or . . something . . like . .that.

It basically means that bone will adapt to the
loads it is placed under.

That is how they can dig up someone from a
thousand years ago and from a careful study of the
shape of the bones of their forearm, work out that
the person used to be a charioteer.

The fact they were buried in a chariot helped
but it was the bones, Jim, the bones.

So just because our teeth are sitting in bone
and our bite is essentially made of bone that
doesn’t mean that it is fixed for all eternity.

When you think about, that’s what Orthodontists
are kind of banking on.

From our perspective, you could think of braces
as being like a form of direct technique, carried
out over a numbers months or years.

When I think of our ‘bite’, and this is
probably because I used to be a carpenter, I
always think of the mandible as being like a door
and the temporo mandibular joints as being like
the hinges of the door, with the temporals and the
maxillae making up the doorframe.

Thinking of it like this helps keep all the
different parts in their rightful place.

The mandible is roughly solid.  Yes, I know it
used to be in two parts and in some ways still
behaves as if it is but compared to everything
else involved that still ARE in separate parts, it
helps to think of it as solid. . . like a door.

So if a person’s bite is off it is probably not
the mandible itself but the temporals or the
maxillae.

Because if the doorframe is not straight the
door will keep banging on the frame and never
close properly.

Now let’s look at the two examples you gave.

You write that your son’s lower jaw is
protruding.  The first thing I would ask myself is
why is it doing that? Is the mandible sticking out
or is the face pushed in? or is a bit of both.

I would palpate his whole face and try and get
a sense of what the overall pattern was.

Once you do that you can begin to look at the
hinges and the doorframe.   For example: There
could be a pattern where his temporals are
torsioned anteriorly and inferiorly in a kind of
temporal nose dive and this in turn could have the
knock-on effect of pushing his mandible
anteriorly.

Or both his maxillae could be driven
posteriorly.

If it is in the temporals I would treat it with
indirect technique.

If it is his maxillae I would treat it with a
combination of indirect and then direct technique.
Indirect to follow into the pattern and help it
release then direct because the influence of the
cranial rhythm is weaker in the maxillae and they
can need a little help getting where they want to
go.

If the maxillae are driven posteriorly you will
need to assess the palatines and help them release
too if the pattern goes back that far.  You will
also need to look at how the sphenoid is affected
by this pattern, particularly the pterygoid
plates.

With your daughter, it sounds like they are
trying to even out the gap left by the extraction.

Again, I would palpate her whole face and try
and get a sense of an underlying pattern that
might have caused the situation.

If nothing major presents itself, it may be a
case that her body doesn’t register the situation
in her mouth as being a problem.  This would make
you work a lot more difficult and require a lot
more direct technique.

Assuming that your daughter’s braces are not
fixed, you can work on the teeth individually.
You can take each tooth and ‘unwind’ it.  That in
itself may begin to even out the gaps.

And finally, as a general note about working
with the mouth, the bite and teeth, it’s important
to rely on the fact that our body is NOT
predisposed to have a banging, jarring,
disharmonious bite. It wants to bite right.

All you have to do is help it. Having said that
I have found as a general rule that while bone is
responsive it can take a while for it to grow in
new directions and by a while I mean 2 to 4
months.