Upcoming June CE: DermoNeuroModulation

TO REGISTER: Click here

EVENT DETAILS:

DATE: June 20-23, 2019

TIME: 9am-5:00pm the first three days, 9am-3pm the last day

LOCATION: Toronto, ON

VENUE:  St. Matthew’s United Church, 729 St Clair Ave W

COST: $900 CAD

ABOUT THE CLASS:

Registration open to all Manual Therapy Practitioners!

Tunnel Syndrome

« A tunnel syndrome is basically a cranky nerve whose tunnel has become a compressive or tensional threat to the neurons inside it; nociceptive neurons embedded within the nerve walls that confine them signal « danger ». Causes can be medical or metabolic or hormonal (e.g., pregnancy, diabetes, myxoedema), or non-medical. Non-medical tunnel syndromes may arise because of too much movement of a repetitive kind, or simply not enough movement of any kind. Nociceptive neurons within a nerve, complaining, activate others nearby, to create a so-called sterile inflammation, or peripheral sensitization, inside the nerve itself. « Neuritis » is currently classified by IASP as a special category of neuropathic pain. This is a kind of persisting pain that manual therapy can be very useful for treating. » – Diane Jacobs

DNM is essentially directed towards the treatment of cutaneous nerves. These nerves carry all the body surface information, which is transmitted to the CNS. Information from the mechanoreceptors, of course, but also from all those fibres that will measure our external environment, temperature, skin chemistry, nutrition, pH, etc. And they have almost always been forgotten or neglected. I think this is because we don’t see them: they don’t seem as important as muscles, fascias, or other structures even sometimes imaginary. The human is thus made, he must see to believe.

Two important books confirm that tunnel syndromes are not reserved for « large » peripheral nerves, but that small nerves could also be affected. These books are: Nerve Injury and Repair by Göran Lundbord and Tunnel Syndromes by Marko M. Pećina.

A very recent research was published 21 November 2018 on cutaneous nerve entrapment : « Ultrasound Imaging for the Cutaneous Nerves of the Extremities and Relevant Entrapment Syndromes: From Anatomy to Clinical Implications »  – Ke-Vin Chang et al. J. Clin. Med. 2018, 7, 457; doi:10.3390/jcm7110457

In this class, you are going to learn all about the cutaneous nerves, to draw them and to relieve them from a possible compression.

Pain

« An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. » – www.iasp-pain.org

« The word « potential » in this definition suggests to us that pain is not irrevocably correlated to tissue damage, rather to « danger », and to the brain’s own opinion about the state of its body. When we experience pain, it is we for whom the experience is unpleasant, sensory, and emotional. Our predictive brains do not particularly care what « we » experience, which might be « pain »; they just do their own work, filtering input, in the moment, from a large number of sources, including whatever experiences we have had through a lifetime, the current context they are in, and ongoing sensory input, to decide what current reality is. Our spinal cords simply do not care; their job is to reflexively protect and guard. » – Diane Jacobs

DNM addresses neuropathic pain. It is not involved in pain whose causes are medical, such as injuries like cuts or fractures, deep somatic pain, visceral pain, and suspicious pain of unknown origin.

This class is science-based evidence and neurophysiology oriented. We learn so much about physiology that any manual therapy now starts to make sense. After all, we all share the same physiology, regardless the therapy we choose to practise.

ABOUT THE INSTRUCTOR:

Louise Tremblay has been teaching manual therapies since 2000, in 20 countries and many languages. She is the author of « The Therapeutic Pause in Osteopathy, Manual Therapy and Bodywork » published in 2015 by Handspring Publishings. To learn more about her, please visit her website at www.louisetremblay.com.


CE Review: The Upper Thoracic Aperture with Juan David Vélez

This October, 2018, Juan David Vélez, a faculty member of the Rolf Institute, came to Toronto for the Upper Thoracic Aperture CE workshop. While the focus was on the territory of the upper thoracic aperture, the discussions, explorations, and strategies were of a more global nature. The CE covered the bio-mechanical paradigm and the more abstract concepts of body perception, cortical maps, and pain science to give a full picture of how our work affects and effects our clients. We learned new diagnostic techniques, and simple, effective interventions (sometimes direct and sometimes indirect). One of the main themes of the class was, appropriately, « integration », and what that is.  Juan David talked about moving from the common symptom orientation towards a system integration orientation, demonstrating among other things how tension in the scalenes can originate in the pelvis. The CE workshop ran from October 19-21 and was 3 Intermediate credits for RISI/RAC, and 21 credits for AISI.

Juan David is an excellent speaker. He is open to discussions, answers questions clearly, and provides good demonstrations and assistance on how to apply the techniques. I found the content to be very interesting, useful, and easily applicable into my practice. The CE workshop provided me with additional diagnostic techniques and wonderful speaking points as education for clients.  Juan David also has a pelvic CE workshop, and everyone who attended this CE event, including myself, are looking forward to when he can return to Canada to speak on this topic. I would highly recommend taking one of Juan David’s CEs if you are able to. 

Stephanie Brossard, Certified Rolfer™

 


CE Class Review: Guided Movement Techniques with Steven Radiloff

In December 2017, Steven Radiloff, a Certified Advanced Rolfer™ of 40 years, offered a CE for 2 manual (intermediate) credits on incorporating guided client movement in conjunction with hands-on work during sessions, as well as how to better see, evaluate and strategize patterns in a 360˚ view.

 

Benefits of incorporating guided client movement in sessions are:
  • Direct client involvement in the session creating a more conducive and inclusive participation in their own process and consciousness
  • Rolfer™ and client become more of a unified team
  • Enhancing the evolution and education of the client in their specific needs and goals
  • Reducing the “pain” factor of a passive client during the more challenging moments of change
The course was interesting, practical, and very useful. Incorporating the guided movement into my sessions was intuitive and easy to do. This course helped me to better « see » patterns in clients during body-readings, and to strategize what should be focused on during the session. I find that incorporating movement helps me to better see and feel what is happening in the client’s body (so I can feel if the knee wants to pull in or out with knee bends, can draw the client’s awareness to this, and can then help to correct this with manual manipulation). I can also use the movement to help ensure that joints are functioning in the proper planes of motion. « Put it where it belongs and ask for movement » (IPR). Should Steven offer this course again, I would recommend taking it. 

 

– Stephanie Brossard, Certified Rolfer™, B Comm, Certified yoga instructor.