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Our Autonomic Nervous System (ANS), is the conductor of the inner orchestra in our body, responsible for the control of our bodily functions not consciously directed, such as breathing, the heartbeat, blood pressure, sweating and digestive processes. The ANS is always humming at a certain beat and how well it operates, determines our physical, mental and emotional health. In previous blogs I have written about the ANS. Our ANS was previously seen as having only 2 divisions: the Sympathetic Nervous System (SNS), fight or flight and the Parasympathetic Nervous System (PNS), relax and digest. Stephen Porges, Polyvagal Theory describes a new model of our nervous system. He describes how we respond to threats in 3 different biologically pre-programmed hierarchical ways. In this new model the PNS is divided into 2 branches, each with their own unique pathways and neural influences. Here, the PNS is divided into the Ventral Vagus Nerve (VNN) branch (also known as our Social Engagement System) and the Dorsal Vagus Nerve branch (DVN) which is characterised by immobilisation, freeze, shut down and withdrawal. This new model has great implications for the advancement of our health and well-being both practically and in therapy as each of these states, comes with their own set of physiological and emotional states, well-being and behaviours. (see also previous blog: Depression, Anxiety and Vagus Nerve).  In this blog we will delve into the VVN, our Social Engagement System, the implications on our health and well-being and how craniosacral therapy can successfully help. The Social Engagement System. The Ventral Vagus Nerve (VVN) is associated with increases in health and emotional wellbeing as it generates positive states of relaxation and social engagement. Our Social Engagement system is functioning optimally when we feel safe and connected to the world and other people. Throughout the day we constantly receive cues and triggers through our senses and fascia, which acts like a 2nd nervous system. We have an external environment -the outside world but we also have an internal environment-the physiology of our body, like diving into a deep sea, so much is happening underneath the surface, wave after wave. Our subconscious internal filtering system will immediately evaluate whether we are safe or need to take action. This happens without us even being aware of it or having to think about it. When we feel safe, we can relax, expand, go forward and step out into the world. When there is stress or a perceived threat in our minds, we rely on our social engagement system to establish a sense of safety and connection. This can be achieved through a conversation, a call for help, making eye contact, or hearing a calming voice. This will send signals down to our heart and lungs, slowing down our heart rate and deepening our breathing. It very much functions as a foot brake - a Vagal Brake - and has a calming and soothing effect on our nervous system. Picture the opposite: For example, a person says something to you that causes you to feel upset. What happens? We tend to change our facial expression signalling our upset, the tone of our voice changes often to an angrier, louder or higher pitch, we seek validation, we pick up the phone and talk to someone. If the social engagement system fails to resolve the stress and it remains active in our body, then we will automatically resort to the older biological response, one step down the ladder into fight/flight, with the Sympathetic Nervous system kicking in. What are the areas innervated by the VVN? The VVN innervates the areas above the diaphragm: face, throat, voice box, larynx, middle ear, heart, lungs and serves the social engagement system. This system is regulated by 5 cranial nerves and when these nerves function well, we can enjoy optimal physical and emotional health including great friendship, support, bonding and loving relationships. When we are socially engaged, we can be creative, positive, productive and happy. Socially engaged means we are free from threats, danger, unnecessary worries and in good physical health. The Social Engagement System guides us in orientation, communication and facial expression and comprises the following cranial nerves, which all originate in the brainstem.
Behaviours we display when Socially Engaged:
Craniosacral Therapy When our ANS is in a state of stress or shutdown we often have problems with our physical health, emotional states and relationships. Therefore, it makes total sense to have an optimal working nervous system and Craniosacral Therapy is one of the best modalities to address the nervous system. Craniosacral therapy assists our clients to shift into their social nervous system, inhibiting the SNS, improving vagal tone, addressing the cranial nerves and has a great and positive effect on regulating the entire nervous system. Clients typically report a significant reduction or disappearance of their physical symptoms but also an increased sense of happiness, connection, oneness and openness with the world and feeling safe. This is because clients have come out of Fight or Flight and gone into Ventral Vagus Healing, which is connected to increases in health and emotional well-being. Here, the goal of Craniosacral treatments is:
On the flip side what I have also experienced is that clients who are in excessive overwhelm or in a depressed, dissociated dorsal vagus state, may experience a sudden increase in anxiety or sleepless nights. This causes them to question if they are on the right track and why this would happen. One thing to consider is that it can actually be a good sign as it means the body is coming out of shut down Dorsal State, up the hierarchical ladder and is shifting into Fight and Flight, Sympathetic State, which may mean perhaps a temporarily increase in anxiousness or other aroused states. Here as Biodynamic Craniosacral Therapists we can assist them in finding a sense a safety through resourcing, grounding, embodiment, breathing, so they can start feeling safe and shift into their social engagement system. In biodynamic craniosacral therapy we can also guide clients through their internal emotions and enhancing their capacity for self-regulation, which is important to maintain a good nervous system. Polyvagal Wrap up The application of the polyvagal theory in craniosacral therapy makes total sense for physical symptoms and particularly for Trauma, Depression, Anxiety, Chronic and Complex Pain and illnesses. In past blogs I have written about my own personal trauma and the extensive Dr’s rounds which brought no luck in addressing or alleviating my symptoms, as the primary innate biological forces that controlled my symptoms seemed to be overlooked, disregarded and not addressed. I was at the bottom of the hierarchical ladder and totally not socially engaged. For months I was in shut down, collapse, disassociation and hibernation, with little recollection. I was in Dorsal Vagus State and off-line. As for Ventral State and the associated nerves: I could not bear any bright lights or flashes and my ears were high pitched ringing. To my embarrassment as I could not hide it, my voice had gone up a few notches higher due to my anxiety. As the physical part (but emotional part also played a role as brain stem implicated) of the trauma was to my neck and head, my SCM and Trigeminus were in hyper tonus and over firing on a neural level in my face. I did heal my myriad of symptoms not by chemical pills for every symptom I had but by addressing the ANS: the Dorsal State, the Sympathetic Chain and finally coming back into Ventral Vagus through weekly & to start, twice-weekly Craniosacral Therapy sessions, which I combined with Homeopathy & Naturopathy. I did not get fixed, I did not get cured but I healed, from the inside, out. It took time and dedication–it is not a magic bullet – addressing physical symptoms, pain, the nervous system, uncoupling and processing strong emotions takes time but when you overcome your own health problems by the innate power of the body to heal, which we all have, the gratitude is infinite and it is a gift you want to keep on giving. Psychiatrist Dr. Bessel van der Kolk – explains the polyvagal theory and the use of oa yoga, meditation and Craniosacral therapy so well in his brilliant book: The Body keeps the Score. “The polyvagal helps us understand and explain why seemingly unconventional techniques work so well. It activates the social engagement system, calming the physical tension in the body. It helps people shift out of their fight/flight states, reorganising their perception of danger. If mind/brain/body is the royal road to emotion regulation this demands a radical shift in our therapeutic assumptions" and “Touch, is the most elementary tool we have to calm down. You can’t fully recover if you don’t feel safe in your skin. Therefore, I encourage all my patients to engage in some sort of body work like Craniosacral Therapy”. Like on Facebook: The Sydney Craniosacral Centre References:
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The title almost sounds like the start of a joke, right? Four people enter a pub – depression, anxiety, the Vagus nerve and craniosacral therapy. During my Craniosacral education we studied the Vagus Nerve, learning the theory and practicing the different vagal tones by doing hands on work, feeling for the dorsal and ventral branch of the Vagus Nerve. At the time for me, the theory was mostly words on paper about Stephen Porges Polyvagal theory. This is not a light subject matter to begin with and as my course and study materials were conducted in German…well let’s just say Stephen Porges “Die Polyvagal theorie: die phylogenetische entwicklung des Nervensystems” got filed away in the “one day – too hard” basket of my brain. Many years later and firmly established in my own clinic, that one day came, when a Psychiatrist started to refer some of his clients with various diagnoses like: Insomnia, Anxiety, Depression and Fibromyalgia to me. This psychiatrist advocates non-medicinal treatment in finding alternative ways to help his clients through TMS, neurofeedback and stimulating the Vagus Nerve, in my case, through Craniosacral Therapy. As I treated his clients, I started to notice various similarities. All had an under-activated dorsal branch of the Vagus nerve, a compression at the Cranial base and different parts of the brains that would be overactive, i.e. over fire on a neural level. I knew I had to revisit Stephen Porges Polyvagal theory and as it turned out, it also confirmed a piece in my own personal journey. The Vagus Nerve and the differences between the functions of the ventral and dorsal branch of the Vagus Nerve have great implications in the healing of our physical, mental and emotional health. In this blog I will mainly focus on the Dorsal Vagal Nerve, as a chronic activation of dorsal vagus circuit is accompanied by depressive feelings as in loss of interest in activities and surroundings, digestive problems, reduced energy, not being active, sad and/or being anxious. Working with the Dorsal Vagus Nerve through CST, has a great potential for treating people with Depression, Anxiety and Insomnia.  Vagus Nerve In previous blogs I have written about the Autonomic Nervous System (ANS) and its 2 key branches the Parasympathetic nervous system (PNS - rest and digest) and Sympathetic nervous system (SNS - fight and flight). They should ideally go up and down during the day in a balanced rhythmic way. The Vagus Nerve is part of our PNS and is one of the 12 Cranial Nerves (Cranial Nerve X) that regulates most of our bodily functions for our health, relaxation and emotional well-being (75%), i.e. stabilising our heart rate, breathing & digestion. The Vagus is the largest ANS nerve, starting in the brainstem at the base of the skull and going through the neck into the chest and abdomen regulating many of our organs, from the heart, to the lungs, to the gut. In below picture you can see its pathway into our organs, where the fibers of the Vagus Nerve act as a surveillance team of our internal organs sending the information up to our brainstem for processing and actioning.  New Model - Polyvagal
Polyvagal as a relative new model (1994) states we have the SNS – fight and flight but that the relax and digest Vagus Nerve has 2 branches (in the classic ANS model the assumption is one vagus nerve). Polyvagal states that there are 2 separate distinct vagal nerves that originate in 2 different locations and have 2 different neural pathways. They are:
Ventral Vagus Nerve When there is a threat or stress in our environment, we rely on our VVN to establish a sense of safety and connection, this can be through conversation, a call for help, making eye contact, a calming voice etc. This will send signals down to our heart and lungs, slowing down our heart rate and deepening our breathing. It is also referred to as the Social Nervous System and in essence functions as brake – Vagal Brake – having a calming and soothing effect on our nervous system. If the social nervous system fails to resolve the stress and it remains active in our body, then we will automatically resort to the older biological response of fight/flight. Dorsal Vagus Nerve When the fight/flight mode fails to resolve the stressor, we then subsequently resort to our oldest biological primitive ultimate emergency response through the Dorsal Vagus Nerve. A sudden extreme surge in dorsal vagal activity can for instance happen when we are faced with great danger. It is a defensive strategy that helps us cope in a traumatic event, or with prolonged extreme stress or danger, real or imagined and can bring our body in a state of “immobilisation with fear”. Much like a cockroach playing dead when he knows his time is up and senses a human being with a spray in their hand (Very much a Sydney thing:). “A chronic activation of dorsal vagus circuit and its physiology is characterised by depressive feelings. For example, loss of interest in activities that were once pleasurable, loss of appetite, overeating, digestive problems, reduced energy, sad, anxious, problems remembering, making decision and also fibromyalgia. Diagnosis of depression are usually accompanied by a state of activation of the dorsal branch of the Vagus nerve. If the transition into a dorsal state has involved a sudden surge in dorsal branch activation, via a shock, a shutdown results. In a dangerous situation, it is a natural reaction to dissociate from one’s own body from the here and now, and to shut down physically, emotionally and mentally”. (Stephan Rosenberg, 2017). It is exactly in these words that I found the missing piece of my own personal puzzle. In a previous blog I have written about my own physical and emotional trauma. I was certainly displaying symptoms of depression after the trauma and had many other symptoms including insomnia, anxiety and digestive problems. I was given the label of Depression and heaps of chemical pills. I felt I was not depressed in the classic sense of Serotonin deficiency and I did not want a different pill for every one of my symptoms. I intuitively knew but did not have the knowledge at the time that my answers did not lie in the medical chemical world. It seemed like a valued but incomplete model, as the primary innate biological forces that controlled all of my symptoms seemed to be overlooked, disregarded and not worked with. I now understand that there was a huge activation of my Dorsal Vagus Nerve – partly due to the physical head trauma and partly due to the shock and trauma that accompanied it and therefore pills and classic talk therapy did not work for me, as it did not address nor rebalance my Vagus Nerve, its pathway into my organs and digestive system or my Trauma. Symptoms of Dorsal Vagal State – Shock/ shutdown The body is truly amazing and in my humble opinion quite undervalued in the western medical conditioned ‘machine-like’ approach. We don’t always have to take out parts, replace parts or fill it up with chemicals to suppress symptoms. We can work with the body, feel the body, regulate the body, regulate the nervous system, reset its physiology, get nerves to fire under their threshold in many ways, and here through the Vagus Nerve. I witness this every day in my practice and am always humbled by the body’s innate power, it’s infinite wisdom and the body's capacity to heal. The below symptoms are designed to keep the basic functions going as it can override less important functions in the body, in times of stress or emergency. The problem lies, when we stay in that very state that was initially only designed to save us and when chronic, will turn against us. Physical and emotional symptoms of Dorsal Vagal activation:
Craniosacral Treatment for Chronic Dorsal Vagal Activation The basic goal of CST treatment is to lift the client from a chronic Dorsal Vagal state into activation of Ventral Vagus Nerve. During a CST treatment and with our subtle movements and it’s subtle as we listen, feel, touch and work with the most delicate structures of the body, we aim to:
Conclusion The positive effects of craniosacral therapy are cumulative. Over time our ANS becomes more resilient each time we can restore a state of our social nervous system following activation of the dorsal vagus branch. The long-term goal is to encourage the ANS to return naturally, on its own from a state of dorsal stress to a state of social engagement, were we feel physically and emotionally safe. Healing the Nervous system does take time, but with time and for me personally with skilled hands-on craniosacral work for all my physical and emotional symptoms, I was able to shift back into the Ventral Vagal state, into a state of social engagement - my Social Nervous System where I was able to reconnect, relax and feel immense joy and happiness again. As Stephen Rosenberg writes in his book – Accessing the Healing Power of the Vagus Nerve: “prior to Polyvagal, depression and depressive behaviours issues lacked a physiological model in terms of the nervous system. Perhaps why it is difficult to find effective treatments for conditions like depression. With Stephen Porges Polyvagal theory we have a clear focus on relationships of the ANS, the emotions and the behaviours”. The Vagus Nerve is responsible for our health and essentially controls our entire rest and digest and all the associated organs. So, depression, anxiety, the Vagus nerve and insomnia walk into a bar, ordering craniosacral. All having a healthy drink together around a communal table, working together in harmony, in a balanced rhythmic way, with no side effects or hangover. What are you ordering? ___________________________ My next blog will focus on the VVN – Social Nervous System and the implications for our physical, mental and emotional health through Craniosacral Therapy. Would you like to connect with me? Please feel free to email me at dorinesiccama@yahoo.com and/or like my Facebook Page: The Sydney Craniosacral Therapy Centre References: The base of all my blogs is: ‘would my mother understand it’? – I purposely leave out jargon and aim to simplify as best as I can. Great detailed information and recommended reading:
Tinnitus is an internal noise or a hyperactivity in the central auditory system normally experienced as a ringing noise in the ears, coming from within the person. In some cases it is temporary and goes away over time. Unfortunately for others the ringing noise can be constant and impact their daily life. Tinnitus can be experienced in one or both ears. It can make different sounds and can vary in intensity. Tinnitus can be brought on by many different causes including dental trauma, loud music, TMJ (jaw problems), a physical trauma, long-term work stress, trauma or anxiety. Tinnitus is much more widespread than generally known with around 25% of Americans and around 20% of Australians suffering from it.
Tinnitus is considered a neurological/audiological condition but has eluded medical treatment and scientific understanding so far. Initially, sufferers consult an Ear Nose and Throat (ENT) specialist, audiologist and/or a neurologist. In the majority of cases (around 80%) no known cause is found. If nothing specific is found, then sometimes medication is prescribed like Valium or Amitriptyline but thankfully more and more mindfulness meditation. Sufferers are often told by their doctors that not much can be done, to shift their focus, unscramble the picture and mask the sound. At best the brain will adapt and learn to live with it. However if we view Tinnitus as not just being about a "hearing/ear" problem but a nervous system problem with a whole body reaction, we might be a step closer in bringing relief to Tinnitus sufferers. I believe there is a largely untapped potential in understanding the variables, common threads and biological nervous system responses in Tinnitus sufferers and approaching it in a new light. This calls for a treatment model that not only incorporates the physical body and the Craniosacral system of the physical body but also the mental and emotional body and this is exactly the strength of Craniosacral Therapy. Craniosacral Therapy views Tinnitus oa as a signal where the adrenal flight and fight response seems to be manifested through the auditory system as noise in the ears, leaving a certain hyper vigilance, which keeps the brain active. This leaves your system so sensitive that you actually hear your own internal noises like ie: nerve impulses, structural movement and/or fluid movement, as well as the external noises. In my personal Craniosacral practice, Tinnitus clients, describe their ringing as: cicadas, kettle boiling, a high pitched dog whistle, the pinging of a microwave, humming of a fridge or as a high frequency. Often, but not always clients symptoms appeared in or around a major event in their life, or related to an echo of past difficult experiences. In these circumstances I usually find, that whatever the trigger was for the tinnitus to occur, it usually is the last overwhelm of previous layering challenges to the clients long suffering system, that breaks the "donkeys" back, like in the kids game Buckaroo. The last suitcase may have triggered Buckaroo's back to buckle but many other suitcases were loaded on top first. Tinnitus is about our nervous system and brain as our brain continually scans our inner and outer world for threats. When any threats are detected the stress response automatically fires up. As you go through life the brain acquires expectations based on your experience and in particular negative one’s. When situations occur that are even remotely similar, the brain automatically applies its expectations to them, if it expects pain or loss or even just the treat of these, it pulses fear signals, creating hyper vigilance, keeping the brain active (Buddha's Brain-2009). Most of the time these seems to happen subconsciously as people are not aware of how their bodies respond in their day to day life, to stress or threats and how this can manifest as ringing in the brain. A new scientific study at the University of Illinois (July 2017) seems to validate this. Using MRI, this new study found that tinnitus is in the hearer's brain. They found that chronic tinnitus is associated with changes in certain networks in the brain. A tinnitus patients brain seems to be not truly at rest even when they are resting, as the brain stays more alert. This could also explain why sufferers also feel tired more often. I personally view Tinnitus more as a Syndrome than a condition as the whole central nervous system is on high alert and tinnitus is just one of the many side effects of this whole body reaction with everybody's Tinnitus being different. Some clients may have a slight hearing loss but not all clients with hearing loss have tinnitus, some clients have neck and shoulder problems and then again some have TMJ issues and/or temporal bone(s)/muscular dysfunction but the common denominator seems to be (unconscious) anxious and/or unprocessed stressful times and patterns lodged in the body. Some people may be aware off of this, some totally unaware but in all cases it has not been dealt with on a bodily level. I find looking at our evolutionary biological stress pathways and the structures involved around Tinnitus very insightful. Let me break it down: (Please view My blogs on our biological Stress Pathways, TMJ and our 3 Brains for more in-depth background information).
The strength of Craniosacral Therapy is that it addresses all of the above: working structurally around the auditory tube structures i.e. temporal bones, cranial nerves, intra-oral work, TMJ - jaw, neck & shoulders, releasing any tissue and bone restrictions, resting the brain & the meninges (brain tissue). Craniosacral is known to resettle the Nervous System, so stored tensions can be released, decreasing “the fight and flight” hyper vigilant sympathetic nervous system and increase the "rest and digest" parasympathetic system, lowering the tone of the Vagus Cranial Nerve. Craniosacral therapy sees symptoms as a signal of the body and unpacking any issues and unconscious thought processes that may have contributed to the onset off their Tinnitus can be very helpful, Having more awareness means you can make a choice. The body tends to hold tension and emotional conflict deep inside until it feels safe and is ready to process it. UK based Julian Cowan Hill is an ex-Tinnitus sufferer. He found his cure in Craniosacral Therapy and has since become a CS practitioner himself. He has written a book about Tinnitus “From tyrant to friend" which I recommend. It is a handy practical little book, packed with information and a Wellbeing Matrix with levels and exercises to go through. He also has You Tube videos that people find helpful. Simon Baker (an ex DJ with hearing damage) is also an ex Tinnitus sufferer and has also become a CST practitioner himself and is a Professional Tinnitus advisor with the British Tinnitus Association. A link to one of his articles: https://djmag.com/content/hearing-damage-djs-guide-preventing-tinnitus Tinnitus treatments are about regular treatments rather than a one quick fix. It is a gradual process, as it is about regulating and rewiring the nervous system and brain, learning to switch off the whole central nervous system. Grooves and patterns are often hardwired and they take time to change and integrate, to build a new road. My advice would be that if you do suffer from Tinnitus, try Cranio earlier at the onset of your symptoms. Cranio is one of the best therapies around for settling the nervous system, treating TMJ, resting the brain and cranial nerves and clearing any unprocessed shock, becoming less hyperactive and if applicable uncovering any unconscious emotional conflict. My clients that develop the best results are the ones that don't expect to be just fixed but are prepared to put in the work as well by adopting a multi-disciplinary approach and new life style regimen through diet, meditation, exercise and unpacking any issues. For some clients, the ringing in the ear becomes less intrusive and they don’t focus on it anymore, some clients find the noise has backed off and even forget about it and some clients make a full recovery. As Julian Cowan Hill says: "The state of your nervous system is very changeable and reversible, as the nervous system is a fluid, constantly altering state of balance, when the right conditions come along, it changes". He should know, he cured his. References:
Keep up to date with news, research and my upcoming book with oa Tinnitus case studies. Facebook page: The Sydney Craniosacral Therapy Centre or follow me on Instagram: craniosacralsydney. Whiplash is often referred to as a pure soft tissue (ligaments and muscles) injury in the neck. It is caused by a sudden very strong bending and/or hyperextension of the head, causing a painful cervical spine, tension in the neck and shoulders and can also impact the ligaments of the joints in the jaw. In a worst-case scenario, there can also be damage to the intervertebral discs and/or compression of cervical nerve roots.
Whiplash is most often caused by a car accident but also can happen through a sporting accident, like boxing, karate, diving and rugby or as a result of a physical trauma. In all cases, the head is violently thrown forward, backward or sideways in two different directions. Pain could be immediate but pain can also happen after a delay of several hours or even days. The diagnosis of Whiplash varies from person to person. Whiplash sufferers often have numerous complaints and can have long periods of pain that may not seem in proportion to the sustained physical injury. It may also not heal in the standard 6-8 weeks that is usually given for soft tissue injuries. However, if we look at the components of whiplash and not only view it as a soft tissue injury, it makes perfect sense why this can be the case. This calls for a treatment model that not only incorporates the soft tissue of the physical body but also the craniosacral system of the physical body plus the mental and emotional body and this is exactly the strength of Craniosacral Therapy. Let me break it down: Whiplash not only comprises soft tissue injuries that result in headaches, neck pain and stiffness but the lack of control of the head with all the sensory organs and messages to the brain during the impact can also generate neurological complaints that can range from dizziness or vertigo, ringing in the ears, blurred vision, balance difficulties to concentration and memory problems. It can even trigger emotional symptoms like depression, irritability or anxiety as the shock to the nervous system can linger for months. A disturbance in the entire craniosacral system is often possible due to increased tension of the dura matter (the outermost toughest membrane/fascia which envelopes the brain and spinal cord). Disturbances in the Central Nervous System (CNS) – brain and spinal cord – can relay many different symptoms like a chain reaction that cannot be explained by soft tissue injury alone. Pains that occur can also be of a psychosomatic nature and can fluctuate and worsen with life and emotional stress. The force of the injury can also cause minor traumatic brain injury with post-concussion syndrome, which leads to cognitive symptoms as well as balance and often visual complaints. Victims of major accidents and/or trauma that result in whiplash may also experience disassociation or freezing at the time of the incident. This is used as an intelligent defensive self-protective mechanism where the sensory and motor overload in the body and the brain was too great to handle all at once. If these physiological states do not come to a natural end with a successful resolution or discharge, it can lead to PTSD or PTSI where the unconscious survival brain – the brain stem – see my blog our 3 brains – may be tricked into thinking that the threat is still present with all its physiological consequences and storage of the autonomic motor and sensory experiences. My own Whiplash was caused by a direct physical Trauma where my head was forcibly thrown sideways at a high and quick speed. I experienced all of above symptoms, from the physical to the neurological to the anxiety and the dissociation with a time delay from the original incident. Initially I was put in a neck brace, had all the medical tests but my symptoms did not heal nor could be explained or addressed in the current model alone. When the Neurologist suggested Occipital Nerve block injections, I thought: "hmm let's not". Whiplash is not always straight forward and the road to recovery can be slow and unpredictable, with periods of worsening, particularly if there is Trauma involved. This is because (traumatic) memories can be stored in our body and these memories are linked to the arousal circuitry within the amygdala (Limbic System -pls see my blog on the brain). Any head movement can perpetuate symptoms that is similar to the trauma. I found this out the hard way when on my road to recovery I sledged hard and fast down a long snowy Mountain with the usual bumps only to find that all my symptoms had worsened the next day. Not only did those movements perpetuate my symptoms but my sacrum had transmitted the forces up to my neck and head that was only just recovering. I continued addressing my physical, mental and traumatic part with CST and eventually saw all my complaints completely disappear. The reason why CST works well for Whiplash is because it has a great effect on the autonomics and linked spinal cord segments. After a whiplash the sutures between bones can be compressed, which creates restrictions that impede the motion of the cerebrospinal fluid (CSF). CST will free these cranial immobility’s and enhance fluid exchange throughout the body and brain. CST also addresses myofascial pain and any emotional effects that may serve as contributing factors to chronic neck pain or shoulder pain and CST has a great ability to reduce stress and anxiety. CST provides a holistic approach, bringing together all elements, reducing physical discomfort as well as emotional shock and trauma, as it truly integrates Mind, Body and Spirit. Case Study In my own practice I treated a 56 years old lady who had a Quad bike accident and was diagnosed with whiplash. She also suffered from inexplicably fatigue. She has been referred by her doctor for a course of 9 sessions of CST (NB: this was overseas where Craniosacral Therapy is very much part of the medical model). Case history revealed she had another Whiplash injury 4 years ago due to another accident. First examination reveals a weakening in the cranial system rhythm around neck and shoulder area and an increased tension in the whole craniosacral system and attached fascia. Particularly her right shoulder and neck area reveal inertial patterns with big swirling movements around the place of impact where the incoming force of the collision is retained. In the first few sessions the focus is on bringing the central nervous system to rest, working on the general tension around the craniosacral system and the hyper tonus around the cranial base in particular, so fascia can gently unwind, trapped nerves freed and the self-healing capacity of the body stimulated. The client experienced a sharp increase in pain during the session that immediately disappeared when the session was finished. This increase in pain seemed to be related to the old whiplash injury she had sustained and was re-triggered by the new impact. As her system is clearing up the old and new debris she feels very tired, experiences intermittent pain and not capable of doing much but just relaxing. When the immediate fragility of her system has disappeared and she is starting to experience improvement of her symptoms, the focus of the later part of the sessions are more on myofascial release particularly in the muscles of the neck region and the trapezius muscle in the right shoulder. During one of our sessions the clients literally experiences a structural and emotional release at the same time by sensing and hearing a “plop” inside her body – she can’t really describe it but says “it just felt like something disappeared from my neck, like taking the plug out of the bath”. When she gets off the table she feels no pain, no restrictions in head and neck movements and says she actually feels radiant and full of energy. When she comes back for the last couple of prescribed sessions, she indicates she is actually already better but would like to finish her prescribed treatments as she has seen improvements in many “unrelated” areas as well like her digestion, sleep patterns and overall mood. This case study and many more conditions and case studies will be more detailed in my upcoming book: Integrative Healing through Craniosacral Therapy. Want to be kept up to date? Please like my facebook page: The Sydney Craniosacral Therapy Centre or follow me on Instagram: craniosacralsydney. References: Myofascial Release - SchleuderTrauma - Roland Kastner at Future Health Cranial Institute Zurich Switzerland What is TMJ? TMJ stands for the temporomandibular joint, which connects the lower jaw (mandible) to the temporal bones of the skull. The TM joint is one of the most used joints in the body, we use it at least 2000 times a day when we speak, chew, swallow, yawn, kiss or snore and it has a biting power of 70 kg. A variety of cranial nerves synchronise all of the above activities and it is because of its physiology that this complex structure acts differently than other joints in the body. The TM joint and the powerful muscles attached to it are directly linked to the central nervous system and the whole craniosacral system. For a long time TMJ was considered to be a dental problem but it is now widely regarded as a multifactorial condition. Wearing a splint can provide relief for TMJ symptoms like headaches and protect the teeth but it does not address any underlying causes. In addressing TMJ issues, clenching, grinding, whiplash, slips and falls, braces, stress, trauma, emotional factors, structural imbalances and integration of all structures – upper jaw, lower jaw, surrounding muscles, temporal bones and cranium needs to be taken into account, including whole body strains. A few specialists have now upgraded the name from TMJ to the Cranio Mandibular joint and some are working with cranially trained osteopaths and craniosacral therapist to achieve whole body integration. (Dr. Wojciech Tarnowski). TMJ Syndrome or TMJD - Temporomandibular joint Disorder – can range from mildly annoying to a highly debilitating condition which can manifest itself not only in the classic symptoms of jaw and facial pain, but also in:
Causes TMJ dysfunction can be caused by a derangement of the actual disk or arthritis but what is often not addressed effectively, is that many persistent issues and jaw problems arise as a result of stress, manifesting for example as teeth grinding, muscle spasm or as a variety of other forms of TMJ Syndrome. TMJ syndrome is usually a symptom not a cause. 90% of cases are not primary temporomandibular joint disturbances ((Upledger, 1987, Beyond the Dura). They are usually a result of craniosacral system dysfunction: temporal bone, hard palate, intra-oral imbalances, fascial restrictions and/or due to stress factors like poor posture or emotional tension. How Does Cranio Treat TMJ? Cranio addresses the whole person not just a body part, i.e. Cranio looks at the interconnected of the systems in the body. The TMJ’s have many interrelationships with the whole body, so treating TMJ issues may involve work on other parts of the body as well. Practically this means that Cranio releases and integrates all surrounding structures: upper and lower jaw, the jaw (masseter) muscle, temporal bones, upper cervical (neck) vertebrae and the whole cranium. Cranio looks at postural imbalances like hip problems or forward head posture but also addresses craniosacral imbalances in other areas that may have ricochet up to the TMJ’s. Stress and emotional states do play a big role in TMJ issues and here Cranio addresses the emotional states first as it causes a deregulation in the nervous system and no amount of mechanical treatment will otherwise completely resolve the problem. Four easy things you can do at home to start alleviating TMJ issues: Depending on the cause of your TMJ disorder, different self-care strategies work really well.
Some random facts that might just make you win that Trivia Quiz one day:
Conclusion Because of the jaw’s unique physiology, it’s important to treat the root cause of your pain as soon as possible. As a practitioner what I love about treating TMJ patients is that clients respond really well. Some find immediate relief if acute and some find gradual overall relief if more chronic with regular and consistent treatment. “Craniosacral Therapy has the potential for being the most effective holistic therapy of all for TMJ by restoring homeostasis”. (Dr. Wojciech Tarnowski - Dentist). Here are some comments clients have texted me after their appointment. “Thank you Dorine. Amelia felt amazingly relaxed and released after last session”. (Amelia - 9 years old) “Today was amazing, thank you so much. I can almost get two knuckles in! Feeling very positive about this and looking fwd to seeing our progress. Thanks again”. (DM) “Thank you very much for yesterday. I am feeling a lot better today! My muscles in my jaw/cheeks are a lot more relaxed, my neck feels less tense and I have had minimal headaches today”. (JF) References Thomas Attalee D.O., R.C.S.T (2016)– Face to face with the face Dr Upledger, J. (1987) – Beyond the Dura Dr. Wojciech Tarnowski – The biomechanics of Dentistry – Fulcrum – issue 65 - 2015 Like us on Facebook Life Lesson number 9: have a Craniosacral treatment.
A translated extract from an article featured in a prominent Dutch newspaper with Hollands leading neurologist. Lesson 1: You can’t keep burying your emotions “I was working as an intern in a hospital when I noticed that for months I had become angrier, more anxious and depressed. I had actually deeply buried those emotions since the death of my father when I was 12. It had become my survival strategy but now the panic, sadness and anger kept resurfacing. My rock bottom came when I recognized the face of my father in one of my Senior Doctors, I wanted to kiss him. I was so happy to see him. At that moment I realised that I could not continue anymore”. Lesson 2: When a child loses a parent, it determines the rest of your life. “The death of my father shattered the unity in our household. Everything collapsed. The only way I could deal with this immense sadness was by studying. Knowledge became my safety net. I had wanted to become a Vet but just before the death of my father he had said – “would it not be great if you become a neurologist as well". Had life been different I may have taken a different road but in his absence, I fulfilled his last wish”. Lesson 3: Remember your dreams At 15, my mother wanted to send me to a psychiatrist, presumably because she saw how I struggled with my feelings and emotions. I did not want to go, I was FINE. Finally at the age of 28, I did go into therapy, twice a week for 4 years. My psychiatrist made me relive the trauma of my father’s death, she taught me how to cry, she taught me how to laugh and – very importantly – she taught me to remember my dreams. Dreams are the window into your subconscious and they help you to recognise and name your emotions so you can get to know yourself a bit better. Lesson 4: Mind and body are one Bizarrely and ironically, half the countries population does some form of Mindfulness. Yet at the same time most people do not want to deal with the fact that physical symptoms have a mental and emotional component. Many patients and Doctors still think that chronic pain or for example fatigue is a just mechanical problem. To me, this is really a redundant approach. We are not just our body or just our mind: it is One. It is my mission as a Doctor to make this clear, in particular to people that have complaints that don’t fit into our current medical way of thinking. Their symptoms are real but they are just misunderstood. I see how unhappy they are, whilst their body could be working fine. These cases fascinate me as a Doctor, as they are unsolved puzzles and I won’t rest until somebody is satisfied. Lesson 5: A misunderstood symptom is also a real symptom Just because you can’t find a plausible cause for a symptom doesn’t make the complaint less real. With 20% of new patients a GP will not find a clear cause for a physical complaint. The majority recovers within a couple of week by themselves. But with some patients, even after extensive medical tests, research and treatment, the problems keep persisting. In the medical field this is known as “Idiopathic Somatic Complaints”. Like for instance a 55 year old smoking working women – recently divorced and has been suffering for a few months from fatigue and headaches. One day she wakes up and finds that she can’t lift her right arm at all. Doctors can’t find a medical reason. You don’t have to be an Einstein to understand that her personal situation probably plays an important role. However that does not make the complaint less real. She really can no longer lift her arm. The connection between body and mind allows to your experience your symptom. Sometimes there is a medical reason and sometimes there is not. Many people find that hard to accept. Only when you approach body, mind, emotions and individual life circumstances as One, then you can really do something about unexplained medical symptoms. Lesson 6: Name and claim happiness, before its too late I had been having headaches for 6 months and I noticed that I started to talk more nasally. If a patient had come to me with those complaints, I would have sent him or her straight for an MRI, but I ignored it. I knew like no one else how awful the outcome could be and buried my head in the sand. When I finally did have it checked out I was diagnosed with cancer, a tumor above the hard palate in my mouth. I was 39 with a wife and young children. The tears kept coming. I did not work for a year and the treatment did leave me with quite a few residual effects and symptoms. I did not become a different person but it taught me how important it is to treasure the happy times and moments. Lesson 7: Go under Hypnoses Once a week a hypnotherapist comes to the hospital for our patients who have medically unexplained physical symptoms. Around 500.000 Dutch people suffer from irritable bowel syndrome: tummy aches, bloated, constipated or diarrhea without a clear medical cause. The brain and intestines are in constant communication with one another, without you being aware of it. One can’t instantly regulate the inner works of the intestines, nor the heart or blood pressure for that matter but under hypnoses you can. Whilst you are completely relaxed, imagine your tummy is soft and healthy. You can positively influence the intestines this way. I am convinced that many people with medically unexplained symptoms but also with understood symptoms could benefit from it immensely. Lesson 8: Exercise! There is nothing better for body and mind than to exercise. If I don’t exercise every day I get aches and pain, I don’t sleep as well and become grumpy. So I cycle to work every day and on my days off I run. Top athletes know, like no other people, how mind and body are one. Reference Online:https://www.trouw.nl/samenleving/de-levenslessen-van-neuroloog-emile-keuter-een-onbegrepen-klacht-is-ook-echt - 11 June 2017 Chronic Fatigue – You can’t sleep your way out of it “Nobody realises that some people expend tremendous energy merely to be normal". Albert Camus Chronic Fatigue Syndrome (CFS) is a complex condition with a vast range of symptoms involving the immune, endocrine, gastro-intestinal system and brain. The root cause of CFS often includes several factors simultaneously like:
CFS is marked by a multitude of physical symptoms. For example: Muscular pain, jaw and throat pain, extreme fatigue and exhaustion, restless sleep, headaches, insomnia, depression, poor bowel movement, sensory hypersensitivity, intolerance to exercise, emotionally helpless and feeling wired yet tired at the same time. Currently there is no known medial cure for CFS, however sufferers can find great relief in complementaries therapies. Craniosacral is a great complementary therapy for CFS, as it brings the body into a healing state and out of its CFS characteristic dominant state of sympathetic overdrive. Getting the body out of overreactive responses will allow the body to self-correct, find homeostasis and to reset its physiology so it can regulate and perform the correct immunological and neurological functions. On Vimeo there is a great video by 2 Doctors called: "Chronic Fatigue - cutting through the B.S". Dr Martin Rutherford does an excellent job describing what happens in the body when the fight-flight response in the brain is stuck in the ON position in relation to CFS. "The stress signalling patterns in the brain changes your neurochemistry and disrupts your physiology". He also explains that "if you don't address this sympathetic dominance first, other treatments will fail because this hole needs to be plugged first". "This is a key procedure that produces successful results". And this is exactly what Craniosacral Therapy does, it plugs that hole so to speak. Craniosacral therapy is one of the best, if not The best therapy to get people out of chronic fight or flight sympathetic dominance, changing the brain's stress signalling patterns, and therefore it's neurochemistry, "plugging that hole" and as a domino effect, changing one's physiological state. Here is how I address CFS in my six step approach: 1. Working with the physiological state of a person. During a typical day human beings swing back and forth in their nervous system from activated “sympathetic” mode to the recovery “parasympathetic mode”. The physiological state of someone with chronic fatigue is very different than a non-chronic fatigue person. A chronic fatigue body lives in a physiologically stressed and emergency mode ALL the time. One way to look at this is that relatively healthy people start their day with a full fuel tank that has been replenished during the night and starts to run low as the day progresses. CFS sufferers start their day on a virtually empty tank, where they need to keep their foot down on the accelerator, burning fuel and living off the fumes left in the tank. Sufferers are not able to fill up their tank, as they have to expend many extra critical physical resources and energy on a day-to-day basis just to be, that their body is just not able to go back and access the critical “rest and digest” healing recovery state. In essence a CFS person is not able to regulate their output and as the body gets pushed, it has to use more and more activated sympathetic nervous system energy from the reserve tank, whilst in the meantime, the dashboard starts flashing and beeping with warning signs. Rest, unfortunately is not refreshing as the body remains in survival mode, which leaves sufferers tired but wired. Cranio is a great therapy for switching the body out of emergency mode and into a healing state so it can click into that recovery mode. Here the body can start to self-correct and self-regulate in order to perform the correct immunological and neurological functions, changing the physiological state. 2. Cranio works directly with the nervous system as a way to improve health Chronic Fatigue people are often operating from a subtle perception of threat in their environment. This can happen subconsciously as it may be linked to something in the past for example, not feeling safe, feeling rejected or abandoned, in other words when one of our three primal survival needs were not met on a consistent basis. You may not even be fully conscious of this but your brain and body are. We essentially live with a 200 million year old part in our brain – called our reptilian brain - which is not there to make us happy but to protect us and to make us safe at all cost. This part of the brain reacts in a nano-second through our senses and has put itself into action long before it reaches our consciousness. Settling the nervous system is a top priority for Chronic Fatigue people as the body’s response to stress underlies many of the symptoms. Cranio works with the nervous system stress and survival responses to these stressors, reducing adrenaline and normalising cortisol output, allowing for the body to come out of overactivation and back into balance. 3. Working with Brain Plasticity to improve health Chronic Fatigue people are often primed to be more sensitive to stress and sensory triggers. Cranio aims to alter the neural pathways that contribute to this sensitivity through hands on treatment and also by incorporating body awareness exercises so sufferers can track body sensations more effectively, recognise triggers more easily and change the input. I personally also incorporate neuro-associative exercises and emotionally focused techniques to let go of any old patterns and to activate new neural pathways. Healing old patterns and creating new and more effective patterns form an integral part of my treatment plan. 4. Pacing It is very important for CFS to go at their own pace, not to trigger any flare-ups or setbacks. Craniosacral therapy is by nature client led. We go as fast as the slowest part is able to let go in an effective and gentle manner. With the client we look at resourcing and creating more effective coping strategies. Pacing will allow a client to know when to rest and when to build up strength and activity as chronic fatigue people have a natural tendency to push beyond their energy levels. 5. Cranio works with Trauma For many Chronic Fatigue people a traumatic incident triggered the onset of the disease causing shock in the body. Trauma can cause an overwhelming expenditure of energy in a person’s body. When this is ongoing and the nervous system recognises that the amount of energy/hyperarousal is too high, it has one last card to play and that is to apply a very powerful brake, which leads to parasympathetic shock and immobility. CF people are living on an empty fuel tank with one foot down on the accelerator causing hyperarousal, whilst simultaneously the other foot is down on the brake causing an overwhelming helplessness. Cranio works with trauma and in particular with the effects and survival patterns that are left and imprinted in the body. The important part is and this is what Cranio does so well as a body therapy: the nervous system will only recognise that danger has passed when the mobilised energy has been discharged on a bodily level. You can talk all you want but you if don't discharge that high primal energy on a bodily level it will keep on circulating in your body. 6. Cranio works with Physical pain CFS people often have various aches, pain and inflammation in their body. Back pain, shoulder, arms, face, jaw and headaches are all part of the syndrome. Cranio address this through soft tissue release and unwinding techniques, improving the physical and physiological state of the body’s internal environment and reducing pain. Cranio allows for the body to switch out of the fight or flight/freeze response and to move into the rest and repair mode. This breaks the circuitry of exaggerated nerve signaling and allows the immune and nervous system to reset itself so it can start working in an improved and enhanced capacity. Cranio deals with the root causes, not just the symptoms, leading to improved health and wellness. References: Factsheet online http://sacfs.asn.au/about/general_info/fact_sheet.htm Virtual Medical Centre https://www.myvmc.com/diseases/chronic-fatigue-syndrome https://vimeo.com/227497273 - Chronic Fatigue - cutting through the B.S on Vimeo - Dr Martin Rutherford Waking the tiger - Peter A. Levine (1997) Kientalerhof (Switzerland): International School of Biodynamic Craniosacral Therapy. Class Notes (2010). Teacher: Friedrich Wolf
When my favorite Cranio teacher – think Eckhart Tolle meets the Dalai Lama – told me that the brain was malleable, pliable and that it has a tremendous capacity to heal and grow, I thought “really”? “Aren’t we born with a brain that is static and am I not defined by the genes that I am blessed with”? Nope, it turned out it is called neuroplasticity and refers to the brains ability to create new neural pathways.
My teacher went on to say that we are all driven by the needs that we have. In order to meet those needs our brain has developed a preference to do things, as we have used it in a certain way for 20, 30 or 40 years and it was really a matter of rewiring it. Retraining that muscle – like in the Gym – as the brain is in a constant state of flux and adapts itself based on the input we give it. Neuroplasticity can break old unsustainable habits by making new thoughts, patterns and ultimately new and more productive habits. As with everything, it is a matter of practice and repetition, the more you do something, the more your brain responds to support that activity and embeds it in your nervous system. We were shown a video where brain synapses were being pruned away as a pattern of thought or behavior was literally unlearned and we saw how new brain synapses were created, primed and strengthened by retraining, by learning a new skill or habit. As the saying goes in neuroscience: “ what fires together, wires together” in other words: what you put your attention on, grows. That same night, all of us students had to put it to the test and do something positive that we had never done before, observing how it felt in our body and in our mind and repeating the behavior, as we were literally going to create new neural connections and synapses ourselves. Our teacher sent us off with the words: ”Hug the unknown, we suffer from expectations”.“You may just have an incredible experience you always wanted but never had before”. I decided to step out of my comfort zone, approaching and chatting to people I would normally never dare to approach as I, well lets just say for the better part of my life, I was very good at hiding myself away. So I did. I took the first step on that path, doing something new, creating and hard wiring new neural connections and in doing, with repetition over the following years, changed my brain chemistry. Recently I had the pleasure of quite unexpectedly experiencing neuroplasticity again. Ever done those Louise Hay type of affirmation cards, where you find yourself standing in front of the mirror having to say a quote like “I am beautiful” for 24 times? But really sarcastically thinking “yeah right” “not really feeling this one”? Well, whilst meeting Mrs. V from Mrs. V Society for the first time, she showed me her personally developed V shift affirmation cards. The instructions were: Shuffle the cards, pick a random card, read the affirmation on the card and add your own “first come to mind” sentence to the word to complete the sentence. The card I randomly picked said “I am Grateful because:” and a sentence immediately popped into my mind. And there it was, as I was adding my OWN sentence, my own reason and emotion to complete the affirmation, for the first time I could actually feel being grateful. I could feel that despite all the good, bad and very ugly, I felt really grateful for all that had come my way. As I was doing that, scientifically speaking, I was probably changing my internal chemical environment, creating happy hormones by boosting my Serotonin levels. All I know is that for the remainder of that day, it left me with a smile on my face, a warm feeling and with a deep sense of achievement and gratitude. Neuroplasticity at its simplest and neuroplasticity at its best. The words of my Cranio teacher popped back into my mind and how right he had been: The brain is an organ that develops itself based on how its used and its experiences. It is an organ that is (re)programmable, whilst this is necessary for our survival, our growth, our development and ultimately our health. Tinnitus is an internal noise or a hyperactivity in the central auditory system normally experienced as a ringing noise in the ears, coming from within the person. In some cases it is temporary and goes away over time. Unfortunately for others the ringing noise can be constant, impacting their daily life. Tinnitus can be experienced in one or both ears. It can make different sounds and can vary in intensity. Tinnitus can be brought on by many different causes including dental trauma, loud music, TMJ (jaw problems), long-term work stress, trauma or anxiety. Tinnitus is much more widespread than generally known with around 25% of Americans and around 20% of Australians suffering from it. Tinnitus is considered a neurological/audiological condition but has eluded medical treatment and scientific understanding so far. Initially, sufferers consult an Ear Nose and Throat (ENT) specialist, audiologist and/or a neurologist. In the majority of cases (around 80%) no known cause is found. If nothing specific is found, then sometimes medication is prescribed like Valium or Amitriptyline but thankfully more and more mindfulness meditation as a complementary therapy. Sufferers are often told by their doctors that not much can be done, to shift their focus, unscramble the picture and mask the sound. At best the brain will adapt and learn to live with it. However if we view Tinnitus as not just being about a "hearing/ear" problem but a nervous system problem with a whole body reaction, we might be a step closer in bringing relief to Tinnitus sufferers. I believe there is a largely untapped potential in understanding the variables, common threads and biological nervous system responses in Tinnitus sufferers and approaching it in a new light. This calls for a treatment model that not only incorporates the physical body and the Craniosacral system of the physical body but also the mental and emotional body and this is exactly the strength of Craniosacral Therapy. Craniosacral Therapy views Tinnitus as a signal where the adrenal flight and fight response seems to be manifested through the auditory system as noise in the ears, leaving a certain hyper vigilance, which keeps the brain active. This leaves your system so sensitive that you actually hear your own internal noises like for example: nerve impulses, structural movement and/or fluid movement, as well as the external noises. In my personal Craniosacral practice, Tinnitus clients, describe their ringing as: cicadas, kettle boiling, a high pitched dog whistle, the pinging of a microwave, humming of a fridge or as a high frequency. Often, but not always clients symptoms appeared in or around a major event in their life, as a one-off or related to an echo of past difficult experiences. In all circumstances I usually find, that whatever the trigger was for the tinnitus to occur, it usually is the last overwhelm of previous layering challenges to the clients long suffering system, that breaks the donkeys back, like in the kids game Buckaroo. The last suitcase may have triggered to break Buckaroo's back but many other suitcases were loaded on top first. Tinnitus is about our nervous system and brain as our brain continually scans our inner and outer world for threats. When any threats are detected the stress response automatically fires up. As you go through life the brain acquires expectations based on your experience and in particular negative one’s. When situations occur that are even remotely similar, the brain automatically applies its expectations to them, if it expects pain or loss or even just the treat of these, it pulses fear signals, creating hyper vigilance, keeping the brain active (Buddha's Brain-2009). Most of the time these seems to happen subconsciously as people are not aware of how their bodies respond in their day to day life, to stress or threats and how this can manifest as ringing in the brain. A new scientific study at the University of Illinois (July 2017) seems to validate this. Using MRI, this new study found that tinnitus is in the hearer's brain. They found that chronic tinnitus is associated with changes in certain networks in the brain. A tinnitus patients brain seems to be not truly at rest even when they are resting, as the brain stays more alert. This could also explain why sufferers also feel tired more often. I personally view Tinnitus more as a Syndrome than a condition as the whole central nervous system is on high alert and tinnitus is just one of the many side effects of this whole body reaction with everybody's Tinnitus being different. Some clients may have a slight hearing loss but not all clients with hearing loss have tinnitus, some clients have neck and shoulder problems and then again some have TMJ issues but the common denominator seems to be (unconscious) anxious and/or stressful times and patterns lodged in the body. Some people may be aware off of this, some totally unaware but in all cases it has not been dealt with on a bodily level. I find looking at our evolutionary biological stress pathways and the structures involved around Tinnitus very insightful. Let me break it down: (Please view My blogs on our biological Stress Pathways, TMJ and our 3 Brains for more in-depth background information).
The strength of Craniosacral Therapy is that it addresses all of the above: working structurally around the auditory tube structures i.e. temporal bones, intra-oral work particular with dental work and TMJ - jaw, neck & shoulders, cranial membranes, releasing any tissue and bone restrictions, resting the brain, the meninges (brain tissue). Craniosacral is known to resettle the Nervous System, so stored tensions can be released decreasing “the fight and flight” hyper vigilant sympathetic nervous system and increase the "rest and digest" parasympathetic system, lowering the tone of the Vagus Cranial Nerve. Craniosacral therapy sees symptoms as a signal of the body, if necessary unpacking any issues and unconscious thought processes that may have contributed to the onset off their Tinnitus, why their brain is ringing as the auditory pathways are hard wired to the limbic system which is where the emotional centre lies in the brain. The body tends to hold tension and emotional conflict deep inside until it is ready to process it. UK based Julian Cowan Hill is an ex-Tinnitus sufferer. He found his cure in Craniosacral Therapy and has since become a CS practitioner himself. He has written a book about Tinnitus “From tyrant to friend" which I personally recommend. It is a handy practical little book, packed with information and a Wellbeing Matrix with levels and exercises to go through. He also has You Tube videos that people find helpful. Simon Baker (an ex DJ with hearing damage) is also an ex Tinnitus sufferer and has also become a CST practitioner himself and is a Professional Tinnitus advisor with the British Tinnitus Association. A link to one of his articles: https://djmag.com/content/hearing-damage-djs-guide-preventing-tinnitus Tinnitus treatments are about regular treatments rather than a one quick fix. It is a gradual process, as it is about regulating and rewiring the nervous system and brain, learning to switch off the whole central nervous system. Grooves and patterns are often hardwired and they take time to change and integrate, to build a new road. My advice would be that if you do suffer from Tinnitus, try Cranio earlier at the onset of your symptoms. Cranio is one of the best therapies around for settling the nervous system, treating TMJ, resting the brain and cranial nerves and clearing any unprocessed shock, becoming less hyperactive and if applicable uncovering any unconscious emotional conflict. My clients that develop the best results are the ones that don't expect to be just fixed but are prepared to put in the work as well by adopting a multi-disciplinary approach and new life style regimen through diet, meditation, exercise and unpacking any issues. For some clients, the ringing in the ear becomes less intrusive and they don’t focus on it anymore, some clients find the noise has backed off and even forget about it and some clients make a full recovery. As Julian Cowan Hill says: "The state of your nervous system is very changeable and reversible, as the nervous system is a fluid, constantly altering state of balance, when the right conditions come along, it changes". He should know, he cured his. References:
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Psychoneuroimmunology (PNI) is a relative new multidisciplinary medical approach that studies how emotions and thoughts influence our immune function, nervous system, endocrine system (hormones) and its relationship to illness and disease. Cranio views the body as one connected and sophisticated system. We are one whole person and your body and mind are 1 bi-directional system: what happens to one has an impact on the other and we treat so accordingly. Old Scenario - Isolation In the West wing: psychologists study the mind. In the East wing: immunologists study the immune cells. In the North Wing: endocrinologists study the hormones. In the South Wing: neuroscientists study the brain. New Scenario - Integration: PNI Here the specialists leave their individual wings and come together to study, learn and research together in the one communal kitchen. This new branch of medicine (with an integrated Body and Mind approach - yes!) no longer looks at things in isolation. PNI studies the influences of our emotional states (stress) and nervous system activity on our hormones and immune function in relation to the onset and progression of diseases. In other words it studies how stress can make you physically sick and lead to illness and how chronic inflammation can lead to cancer. Stressful emotions reduce the numbers and effectiveness of immune cells that directly attack foreign invaders and rid the body of cancer cells. Stressful emotions also reduce cells and processes that fuel chronic inflammation and promotes stimulation of ACTH (hormone released by pituitary gland in brain) which in its turns stimulates production of cortisol (hormone released by the adrenal glands). A great and recommended book is: “When the body says no” by Dr Gabor Mate, who also was a speaker at the 2017 Craniosacral Conference in London. In his book he explains not only PNI but also how, as a Doctor in his 30 years of practice, he has seen how repressed emotions especially Anger contribute to illness and disease. He explains how:
Stress It has been stated that 50-75% of the population consult their doctor for stress and tension related symptoms. It appears that their stress regulation has deregulated and the body is no longer able to come back to its natural balance (homeostasis), leading to ill-health. Stress is only ever intended to be short-term and for our own good e.g. catching a bus, doing a presentation. Unfortunately in this day and age most of us live in a chronic state of stress. We have dialled ourselves up so high, like an internal thermostat, that it actually feels normal. Chronic stress can lead to various stress related medical conditions like headaches, insomnia, pain (particular low back pain), allergies, arthritis, asthma, anxiety and depression, high blood pressure, exhaustion and fatigue. How many of these do you experience at least more than 1x a month? How does CST help in prevention and treatment strategy? Clinical application. Thoughts, emotions and health are linked. The 2 Questions I always ask are: 1. When did your symptoms start 2. What was going on around the time you developed your symptoms? Tell me what has been happening for you. Often there has been a stressful event that precipitated the symptom(s) either recently, but more often than not, from a long time ago that is only coming to the surface now, triggered by a recent event. Our body unconsciously remembers and can react to a new stimulus in the same way it did to a previous event, as every situation builds upon each other. As a client of mine said when she realised during a treatment how 2 seemingly unrelated events, were linked and contributed to her pain: "Different set of circumstances, but with the same distinct flavour". Her body was reacting based on the initial past event instead of the present. Work stress, family stress, loss of a job, a break-up, abuse, neglect, childhood wounds, emotional issues, we record and store all those events in our subconscious mind. If they are attached with a certain amount of stress, signals are received through the nervous system, which will alert the endocrine system to increase adrenaline and cortisol, which suppresses the immune system and here lies a fertile ground for inflammation, allergies, fatigue, aches and pain without us often even being aware of it. Many people deal with their stresses and symptoms through exercise and/or diet, which is 100% recommended for better brain health. If you have ongoing chronic problems, most people are not always aware that physical symptoms can have a mental, emotional component but prefer to see it as purely a mechanical problem. Thoughts and emotions directly impact your physiology - bottom-line. Clinical examination I always address the mechanical, physical symptom first, some are indeed just purely physical, a tight shoulder is just a tight shoulder but if warranted and with chronic problems, I look at potential underlying cause(s), treating the why instead of the what. During treatments, my hands are often met with overwhelmed nervous systems, palatable by oa nerve facilitation (hyper excitability), high buzzing and electrical loops and fast craniosacral rhythms. We may explore factors and emotions that have deregulated the feedback loop in the body and have impacted the nervous system in a holistic body-mind way. Cranio works with the nervous system as a way to improve health so homeostatic balance can be regained and all systems can be integrated. Benefits of CST One of the strongest proven effects of CST is that it has a profound effect on the nervous system: it calms our fight or flight responses down (sympathetic nervous system-SNS) and enhances our rest and digest responses (parasympathetic nervous system-PNS). The gentle touch of Cranio belies its power as it has a profound relaxing effect: impacting our nervous system, our hormonal system and elevating mood, decreasing anxiety, fatigue and stressful emotions and improving overall quality of life. In the words of Osteopath Dr. John Upledger–one of the founders of craniosacral therapy: “The Craniosacral system is a physiological system composed of cerebrospinal fluid, bones and tissues. It has a palpable, rhythmic motion and has a powerful influence over the nervous, endocrine and immune system and a total body effect”. References
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