1. health and fitness
2. therapy

2/11/15 Upledger Institute International
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P r e s e n t s !
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CranioSacral Therapy II
Karen Axelrod, BA, CST-D, CACMT
Welcome to class! A student comes to a Zen master. He says, “Hello, I would like to learn from you about Zen Buddhism.” The master says, “Would you like to sit down?” “Yes,” replies the student. “Would you like some tea?” “Yes.” The master pours some tea, and he conHnues pouring even aKer the cup is full. Finally the student says, “The tea is spilling all over, it is spilling all over!” And the master says, “Exactly. You come with a full cup. Your cup is already spilling over, so how can I give you anything? You are already overflowing with all that knowledge. Unless you come with empHness and openness, I can give you nothing.” And so we will have to pracHce emptying our cups to allow us to receive. —from Embrace Tiger, Return to Mountain: The Essence of Tai Ji Core CST II Concepts 1.  Use the least amount of pressure needed to get the job done 2.  Moving away from causality to systemic viewpoint 3.  Replacing protocols for process 4.  IntegraHng and layering skills. 1 2/11/15 CST Origins 1.  Dr. A. T. SHll – 
Body is a unit – 
Structure and funcHon are inter-­‐related – 
Body is self-­‐correcHng – 
Movement is health; stasis is disease CST Origins 1.  Dr. A. T. SHll 2.  Dr. William G. Sutherland, DO 3.  Dr. John Upledger, DO –  Father of CranioSacral Therapy –  ScienHfic confirmaHon of osteopathic principles –  Pressurestat Model •  Being, not doing Neutral TherapeuHc Presence •  Neutral witness •  No abachment to outcome. 2 2/11/15 CSR Review Flexion
Extension Superior Single bones
Inferior
Paired bones
External rot.
CSF
Fills
EmpHes Cranium
Widens
Narrows Internal rot. Page 3 Sutherland vs. Upledger Sutherland
1.  SBJ = key joint 2.  All bones accommodate around SBJ 3.  Bones and sutures 4.  SBJ is symphysis 5.  ContracHle brain model •  “Lesions” Upledger 1.  SBJ = key area 2.  SBJ accommodates to rest of body 3.  Membranes 4.  Synchondrosis 5.  Pressurestat model. Sutherland’s Sphenoid Lesions –  Flexion/extension Compensatory –  Torsion (problem external to dura) –  Sidebending –  Lateral strain –  VerBcal strain Non-­‐compensatory (problem w/in dura) –  Compression •  Named for direcBon of ease Page 23 3 2/11/15 Flexion/Extension Lesions Treatment: 1.  Evaluate [occiput + sphenoid] F/E from neutral 2.  Treat direcHon of ease first; hold Hl it releases (indirect) 3.  Treat direcHon of barrier; hold Hl it releases (direct) 4.  [Re-­‐evaluate] Page 12 -­‐ 13 Non-­‐Physiological Lesions 1.  Stabilize [occiput] in neutral 2.  Evaluate [sphenoid] movement in both direcHons 3.  Treat direcHon of ease; hold Hl release 4.  Treat direcHon of barrier; hold Hl release 5.  [Re-­‐evaluate] *Remember to bring sphenoid back to midline when done Page 14 -­‐ 21 Day 2 – Good morning! “Adopt the pace of nature; her secret is pa3ence.” -­‐-­‐ Ralph Waldo Emerson 4 2/11/15 Nasal Bones — 
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Movement in F/E IndicaHons How to treat 1. Internasal suture 2. Frontonasal suture 3. Nasomaxillary suture Page 34 Zygomas — 
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Movement in F/E IndicaHons How to treat 1. Lateral/anterior tracBon Page 38 -­‐ 39 ImplicaHons of Dental Work • 
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Bridges, palate expanders ParHal plates, dentures, retainers, Invisalign Braces CleK palates TMJ associaHons 5 2/11/15 Pediatrics 1.  Be sure you can palpate the CSR 2.  Super neutral energy (blend and meld very well) 3.  Stay grounded 4.  Never use force; do use intenHon 5.  Respect their boundaries 6.  Have toys handy 7.  Learn childhood developmental milestones 8.  Peds 1 and 2 classes; Sensory IntegraHon for CST Pediatrics: Challenges 1. Babies cry 2. Toddlers squirm 3. Youngsters can get bored 4. Teens can have artude 5. Watch parents’ reacHons –  Treat the group/family as one unit Children § 
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Child protocol pg. 68 Can treat cranial bones individually now No compressive techniques Lateral ear pull only Toddlers (2 – 3 years old) CSR = 12 – 15 cpm Books, food, DVDs, toys Take breaks as needed May encounter resistance Catch as catch can and do what you can Parents will want compliance Page 68 6 2/11/15 Day 3 – Welcome back! If you think you are doing nothing, know that something is happening. When you want to do more, do less. In the nothingness, there is everything. In the simplicity, we find the profound. Energy Cysts: What They Are Localized area of increased entropy • 
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Encapsulated foreign energy Caused by trauma • 
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Physical trauma, accidents, pathogenic microbes, infecHon, medicaHons, excessive radiaHon, toxicity, spiritual conflict, emoHonal upheaval, trauma, etc. Page 74 -­‐ 75 Energy Cysts: CharacterisHcs • 
Affects Hssue and energy around it • 
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Tissue feels devitalized, lacking life force, denser Energy feels fuzzy, chaoHc, foreign • 
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Energy cysts have a specific energy pabern Fast, oscilla3ng 7 2/11/15 Energy Cysts Why Do They Stay in the Body? • 
Energy and momentum of trauma gets stuck • 
Body can either: • 
Dissipate energy (first choice) –or– • 
Wall it off (second choice) Energy Cysts: Significance •  They are the primary underlying cause of current problems 1. DisrupHng facial organizaHon 2. Impairing organ funcHon 3. Blocking fluid flow 4. CreaHng facilitated segments 5. RestricHng the body’s restoraHve abiliHes 6. DisrupHng acupuncture meridians or chakras 7. DistorHng the vector/axis system Energy Cysts: How to Find Them • 
Arcing: finds energy cysts, aka “acHve lesions” Ac3ve lesions
Inac3ve lesions Energy cyst present
No energy cyst present DisHncHve energeHc pabern
No energeHc pabern Take priority over inacHve lesions Strain/restricHon; may be remnant of an old EC InflammaBon? 8 2/11/15 Energy Cysts: How to Treat 1.  Diaphragm releases 2.  DirecHon of energy 3.  PosiHonal Hssue release 4.  SER, therapeuHc imagery or dialog •  Energy cysts release vs. SER Other Forms of Arcing 1.  Classic arcing (as described) 2.  Energy in from feet 3.  Ask Inner Physician to show you an EC Page 72 Significance Detector •  The key to Upledger CST –  Indicates something very significant happening in the healing process •  A sudden, abrupt stoppage of the CSR •  An energeHc sense of tension •  Not a sBllpoint! 9 2/11/15 Significance Detector
S3llpoint Spontaneous
Spontaneous or induced Abrupt, sudden stoppage Gradual stoppage Edgy feel, tension
Mellow, soK feeling Off for moments or hours Off for few minutes Not really homeostaHc Great homeostaHc effect. Significance Detector •  Clinical significance 1.  Guides us in the facilitaHon process 2.  Different levels of quality 3.  Can indicate that a certain technique is complete. •  Releases energy cysts Regional Tissue Release •  Done in conjuncHon with significance detector •  Body oKen returns to the posiHon it was in at the Hme of trauma –  Tissue memory Page 76 10 2/11/15 Regional Tissue Release 1.  Locate EC 2.  Pick up limb and suspend it (removing gravity) 3.  Follow movement (do not induce) while monitoring CSR 4.  Stop movement and hold limb s@ll during SD 5.  Feel for Hssue release when SD ends 6.  Follow movement again when CSR resumes 7.  Repeat process unHl EC dissipates Page 76 Facilitated Segments: Significance 1.  HypersensiHve –  SHmulus threshold is decreased 2.  HyperacHve –  SHmuli triggers are increased 3.  Dysautonomia 4.  DysfuncHon of end organs/Hssues/structures –  Including organs, skin, glands, blood vessels, muscles, etc. Facilitated Segments: Significance •  Many Pieces to the Puzzle: 1.  Inflamed Spinal Cord Segment 2.  Restricted Vertebrae 3.  Restricted/Inflamed Dura 4.  Irritated Nerves and Ganglia 5.  Irritated End Organ/s 11 2/11/15 5. Further
increase in
facilitation
4. Sensory stimuli
related to dysfunction
sent back to spinal
segment
1. Hyperactive
motor root
3. Dysfunction/
deterioration
of target organs
2. Related sympathetic
ganglion becomes
hyperactive
Goal of treatment: address all of these above items Facilitated Segments: CharacterisHcs 1.  Palpable change in Hssue texture –  Local paravertebral muscles and connecHve Hssues feel "shoddy” 2.  Tissues are tender and oKen painfully irritable –  “FibrosiHs" in connecHve Hssues 3.  Joints are less mobile 4.  Changes in skin texture, sweat gland acHvity, and capillary blood supply to the skin Facilitated Segments: Treatment Goals • 
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Relax muscles Mobilize DT, joint, fluid Reduce postural stress Reduce signals from higher centers of CNS Interrupt self-­‐perpetuaHng acHvity of FS Release sympatheHc “overdrive” of ANS at FS 12 2/11/15 Facilitated Segments: How to Treat 1.  Find the segment with A.  Dural tube tracHon B.  Para-­‐spinal drag C.  Arcing (EC) 2.  Treat the segment with A. 
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Dural tube tracHon, R&G, or DirecHon of energy, or Diaphragm release on segment, or Segmental RTR/unwinding, or Any combinaHon of above Facilitated Segments: How to Treat 3.  Find the source (organ/structure) A.  Intuit, feel energeHcally, or arc from segment to discover source(s) 4.  Treat the source (organ/structure) with A. 
B. 
C. 
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DirecHon of energy, or Diaphragm release, or Segmental RTR/unwinding, or Etc. 5.  Treat the pathway A.  One hand on segment, one on source B.  DOEnergy or R&G along pathway ‘Hl no longer connected Good morning! Please fill out your course evaluaHon now and place it in the bag on the back door. Thanks! 13 2/11/15 Fascia §  The immediate environment of every cell in the body §  Provides structure, support, free movement §  Has nerve supply, stretch & reacHve receptors, and Hssue memory Fascial Glide •  An evaluaHon tool: to assess fascial mobility and •  A treatment tool: to remove fascial restricHons •  Can be used anywhere on the body —  Superficial or deep – be specific Fascial RestricHons §  May be inacHve lesions (no arcing) §  May be residue of EC §  May be caused by inflammaHon, trauma, etc. — or— §  EC may sHll be there 14 2/11/15 Fascial Glide: Treatment 1. Engage Hssue at depth – be specific 2. Check mobility in all direcHons 3. Apply 5 grams tracHon at depth in any or all direc@ons –  Treat with indirect or direct technique 4. Wait for release signs and increased mobility CSR/Listening StaHons •  Use the CSR to get very specific and precise —  Evaluate mobility of any bone or structure (down to the cellular level!) —  Find fascial restricHons •  Symmetry •  Quality •  Amplitude •  Rate Page 80 -­‐ 81 Stay in Touch! [email protected] www.karenaxelrod.com 15 2/11/15 § 
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Improving Your Skills PracHce, pracHce, pracHce! Study groups, classmates Get treatments Stay grounded and present – yoga, tai chi, meditaHon, Full Body Presence courses www.healingfromthecore.com Learn anatomy -­‐-­‐ reading, books, DVDs, posters Facebook -­‐-­‐ Upledger Alumni, Manual Therapy Forum, The Upledger InsBtute TAing CerHficaHon – Techniques Level + Diplomate UII Mentorship Program UII CST Mentorship Program •  Empower your growth & development •  Flexibility allows you to self-­‐guide •  CerHfied mentors to teach and assist you –  Receiving treatment from a CST or CST-­‐D –  One-­‐on-­‐one or group learning – in person or virtually •  At 24 hours of accumulated mentorship, you can submit and receive credit –  Help maintain your CST cerHficaHon status, and/or CerHfied Teaching Assistant status •  Details & hour tracking forms at upledger.com Upledger Institute International invites you to join us for… Beyond the Dura Research Conference April 22-­‐26, 2015 Jupiter Beach Resort Jupiter, FL Pricing: $695 -­‐ full price $495 -­‐ 60 day early discount $50 discount for IAHP Medallion Members To register or for more details
contact us at 800.233.5880
or Upledger.com
16 2/11/15 Further Studies SER I + II, Advanced Classes • 
CLASS
Clinical ApplicaHons
Sensory IntegraHon
DissecHon
EcoSomaHcs Equine 1, 2
CST for Chronic DepleHon
CST & Glial Cells 1&2
CST & Acupuncture Meridians 1, 2, & 3
CST Common Protocols
SER & Inner Physician
Pediatrics 1&2
Obstetrics & Birthing 1&2
Brain Speaks 1 & 2
Immune Response 1 + Thorax, Abdomen, Pelvis
CST for Longevity 1&2
ADV I, II, III
CST/SER BioaquaHc Dolphin-­‐Assisted Therapy
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PREREQ all levels CST I CST I CST I CST II CST II CST II CST II SER I SER I SER I SER I SER I SER I SER II All levels Intensive Therapy Programs
5-Day Intensive Programs
Specialized treatments include:
•  Autism Spectrum Disorder (3/15)"
•  Concussion (8/15)"
•  Post Traumatic Stress Disorder (10/15)"
•  Brain and Spinal Cord Injuries"
"Continuing Dr. John's work to
commemorate his life.""
•  Dolphin-Assisted Therapy (8/15)"
To inquire about participating, dates, locations and referring patients:
Call
561.622.4706
SomatoEmoHonal Release I + II —  SER I • 
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Mobilize the Avenue of Expression, inc. hypoglossal Hssues + hyoid muscles Locate and release energy cysts Learn dialoging and guided imagery techniques Chakras, meridians, vectors Release suppressed emoHons that may inhibit structural releases Improve palpaHon and whole-­‐body evaluaHon skills —  SER II • 
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Further explore dialoging, guided imagery methods, and avenue of expression CompleHon of biological process Explore Gestalt, Jungian, and Psychosynthesis models Develop holisHc mind-­‐body approaches to healing Explore resoluHon obstacles related to paHent/client progress and growth 17 2/11/15 Prepping for SER I —  Easily feel CSR —  Know if it is on or off —  Know the hard palate well —  Be comfortable working in the mouth —  PracHce 25 hard palate protocols —  Know the significance detector well —  Vs. sHllpoint —  Receive 5 – 10 CST sessions Process-­‐Oriented Work —  SER is a bodywide phenomenon —  A transiHon from local release to global —  Body’s natural process of releasing trauma —  SER just happens -­‐-­‐ we do not make it happen or do it to the client —  Be present and neutral; let client’s process unfold —  If an SER happens on your table . . . —  Remain present, neutral, and nonjudgmental —  Take a break if needed —  Refer out to a more advanced therapist or mental health professional if needed MarkeHng CST •  Free brochures and other materials available from UII —  800-­‐233-­‐5880 or [email protected] •  InternaHonal AssociaHon of Healthcare PracHHoners (IAHP) www.iahp.com —  $100/year Medallion membership —  Website presence —  Video review of classes 18