Dural Tube Kink

[*:]$un$hine[:*%]

I need to some from my peeps here :grin:

I have a female client who had a baby about 18 months ago and she had a epidural. And everything that could go wrong with the epidural did :shocked: She got a spinal leak from it and then the DR. did a blood patch wrong the first time and got blod in the spinal fluid, so they had to do it again. :irked:

After all of this the poor thing has been really sick, had a year long spinal headache that finally went away. After her left lung is not right, I Have done some MFR breathing work on her and there is a lot of wheezing on the left side, but that is not what I am having a hard time with.

I feel very strongly that CST is the way to go with her bc her spinal fluid is F%^&^%# up. When I check to she where she is off for the day I also feel like there is static electrcty in the spnial fluid. But here is the even weirder part for me. Her cranial bones are also ways lifted, by the time she gets to me. And when her cranial bones are lifted thats went she is the most uncomfortable. She feels a lot of pressure in her head. So I can get the cranial bones back into place.

And I have been trying every trick I have in the book to keep that darn dural tub from kinking up on me. I can get if to let go the stech out while I am at her head. But when I am trying to do it at her tail bone forget it, the dural tub doesn't want to move.

So I need some help getting more ideas to help keep those cranial bones down. My work only lasts a day so we are bumping up to twice a week to see if that will help.

And the Dr's that she has seen have no clue what is going on. And all the tests they have run on her are negative.

PS She also has some numbing on the left side of her body. My client seem to think she had a mini stroke from the first bad blood patch.

 

[funny girl]

Dural Tub Kink

There's really not much you can do, it sounds like the spinal cord may have been punctured or nipped. I've had several clients over the years who've come in from those mistakes-- from a misplaced epidural. The symptoms are varied and weird. Over time they should lessen (hopefully). The most you can do is help her to relax. You're already on the right track by using soothing therapies. Anytime you have a sensitive nervous system, deep tissue techniques are very aggravating and will worsen symptoms.

 

[ErrrGrrr]

Dural Tub Kink

When a friend was in a Regional rehab hospital after spinal surgery, her roommate was a young woman who had an epidural and became paralyzed. She is 19, has a new baby and is now permanently in a wheelchair.

There are risks associated with epidurals that they just don't seem to warn people about.

Have you tried more of an MFR type of work? Work along the length of the spine and feel for restrictions or tight areas, especially over the site of the epidural. It is a scar and should be able to be released with gentle sustained pressure. Scarring is likely to be worse for her as they had to do the procedure twice.

 

[Lotamel]

Dural Tub Kink

Holy cow :shock:

As if I wasn't already freaked out about having kids, now I'm reading I might be paralyzed if I get an epidural! :

I'm sorry I can't offer you anything as far as your work goes, but I'd also say you are on the right track.

 

[fadekemi]

Dural Tub Kink

I'm a beginner at CST, but I'm wondering if you are familiar with the biodynamic style and if that might not be a good fit here.

 

[yet-knish!]

Dural Tub Kink

I'm a beginner at CST, but I'm wondering if you are familiar with the biodynamic style and if that might not be a good fit here.

No I am not familiar with the biodynamic style, it is on my to do list of things I would like to learn :

 

[Madeline]

Dural Tub Kink

What I read in your post is that you are "doing" everything you can think of to "do"... and my understanding of the biodynamic work is that all of that is let go, and the therapist simply holds the space and pays attention with neutral presence... to allow the body to do the doing, in its own right way and its own right timing. Check out Ridley's book Stillness if you haven't already.

I'm a beginner at CST, but I'm wondering if you are familiar with the biodynamic style and if that might not be a good fit here.

No I am not familiar with the biodynamic style, it is on my to do list of things I would like to learn :

 

[blueberry]

Dural Tube Kink

I got the dural tube to un-kink today :

 

[FIDMpaige]

Dural Tube Kink

Fantastic! Well done. What method worked in the end?

 

[Pompal 09.]

Dural Tube Kink

Fantastic! Well done. What method worked in the end?

I held the tail bone from in between her legs. And this has never worked before. And yesterday as soon as my hand was settled her tailbone wanted the traction.

She has been having a lot of head pressure these days and now brown and salty tasting post nasal drip. She is also having a motion issue where when she is driving and when she stops she still feels like she is moving.

 

[plmkoi]

Dural Tube Kink

She just had a spinal tap done. And the Dr. found out that her spinal fluid pressure is too low, but they don't know why yet.

 

[familyguy]

Dural Tube Kink

I am wondering where the phrase "dural tube kink" comes from. Was this an official diagnosis? Where did it come from?

 

[Got My MoJo Working]

Dural Tube Kink

Dural Tube Kink was one of the first things I learned to feel for in my CST classes

 

[Jack D]

Dural Tube Kink

What is it? Please provide a description.

 

[Caryn]

Dural Tube Kink

What is it? Please provide a description.

The dural tube holds the spinal cord and it is like a garden hose. And when there is a kink in the dural tube, it is just like the kink in the garden hose.

To check for a kink there is gentle traction to the tail bone and head. And when there is a kink you will feel the tube not stretching anymore.

 

[Marlena C]

Dural Tube Kink

What is it? Please provide a description.

The dural tube holds the spinal cord and it is like a garden hose. And when there is a kink in the dural tube, it is just like the kink in the garden hose.

To check for a kink there is gentle traction to the tail bone and head. And when there is a kink you will feel the tube not stretching anymore.

Anatomically, this doesn't make much sense. Do you have a non-metaphor description handy? I am trying to understand what it actually is.

 

[idol24fan4life]

Dural Tube Kink

What is it? Please provide a description.

The dural tube holds the spinal cord and it is like a garden hose. And when there is a kink in the dural tube, it is just like the kink in the garden hose.

To check for a kink there is gentle traction to the tail bone and head. And when there is a kink you will feel the tube not stretching anymore.

Anatomically, this doesn't make much sense. Do you have a non-metaphor description handy? I am trying to understand what it actually is.

http://books.google.com/books?id=LFBOhaD1JHwC&pg=PA617&lpg=PA617&dq=dural+tube+kink&source=bl&ots=9Gs1_BTMTl&sig=Bt6hLohdqS6RnlcFLyqehU99_wI&hl=en&sa=X&ei=eOgGT925N4PL0QH8t528Dw&ved=0CDIQ6AEwAg#v=onepage&q&f=false

I came across this link in an A&P book

 

[tritran5555(poetri)]

Dural Tube Kink

Nice link, thanks! However, I already knew what the dural tube is, and have plenty of A&P references on hand. I am questioning the "kink" part of your description. What is structurally different about the dural tube and/or its position when it has a "kink"? It surrounds the spinal cord, so the garden hose metaphor can't possibly be an anatomically accurate explanation.

 

[Jenna H]

Dural Tube Kink

Nice link, thanks! However, I already knew what the dural tube is, and have plenty of A&P references on hand. I am questioning the "kink" part of your description. What is structurally different about the dural tube and/or its position when it has a "kink"? It surrounds the spinal cord, so the garden hose metaphor can't possibly be an anatomically accurate explanation.

I don't have what you are looking for at hand. All of the references I have about CST use the garden hose metaphor. But I will keep hunting

 

[Shaneice]

Dural Tube Kink

I did a little searching on the internet and came across these journal article references that may or may not be helpful (I have naver taken any CST course-work, so I am limited:

References

1. Retzlaff E.W., et al, Nerve Fibers And Endings In Cranial Sutures Research review, Journal of the American Osteopathic Association, 77:474-5, 1978.

2. Retzlaff E.W., et al, Possible Functional Significance Of Cranial Bone Sutures, review, 88th Session American Association of Anatomists, 1975.

3. Retzlaff E.W., et al, Structure Of Cranial Bone Sutures, research review, Journal of the American Osteopathic Association, 75:607-8, February 1976.

4. Retzlaff E.W., et al, Sutural Collagenous And Their Innervation In Saimiri Sciurus, Anat. Rec., 187:692, April 1977.

5. Retzlaff E.W., Mitchell FL Jr., The Cranium and its Sutures, Germany: Springer-Verlag Berlin Heidelberg, 1987.

6. Upledger, John E., The Reproducibility Of CranioSacral Examination Findings: A Statistical Analysis, Journal of the American Osteopathic Association, 76:890-9, 1977.

7. Upledger, John E., Relationship Of CranioSacral Examination Findings In Grade School Children With Developmental Problems, Journal of the American Osteopathic Association, 77:760-76, 1978.

8. Upledger, John E., Mechano-Electric Patterns During CranioSacral Osteopathic Diagnosis And Treatment, Journal of the American Osteopathic Association, 1979.

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In the book The Myofascial Release Manual, Fourth Edition / Carol J. Manheim MS, MEd, PT, LPC / $73.95 / ISBN 10 1-55642-835-9 / ISBN 13 978-1-55642-835-7 / 312 pp Hard Cover / Pub. Date: 2008

it looks like there is some information on Dural Tube Dysfunction:

• Testing for Dural Tube Dysfunction
  Criteria for Performing a Dural Tube Release
  Dural Tube Anatomy Metaphor
  Dural Tube Release

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I believe what JLWmassage is referring to as a kink, would be better rendered as a "restriction" or "tension".

I don't know much about Cranio-Sacral work, but I found a few other articles:

• CranioSacral Therapy - Working With the Body's Self Correcting Mechanisms
• Techniques: Headache Honcho
• CranioSacral Therapy
• Upledger Institute Article List
• http://www.drfarid.com/chapter.html

"When was CranioSacral Therapy developed?

It was in 1970, during a neck surgery in which he was assisting, that osteopathic physician John E. Upledger first observed the rhythmic movement of what would soon be identified as the craniosacral system. None of his colleagues nor any of the medical texts at the time could explain this discovery, however.

His curiosity piqued, Dr. Upledger began searching for the answer. He started with the research of Dr. William Sutherland, the father of cranial osteopathy. For some 20 years beginning in the early 1900s, Sutherland had explored the concept that the bones of the skull were structured to allow for movement. For decades after, this theory remained at odds with the beliefs of the scientific and medical communities. Dr. Upledger believed, however, that if Sutherland’s theory of cranial movement was in fact true, this would help explain, and make feasible, the existence of the rhythm he had encountered in surgery.

It was at this point that Dr. Upledger set out to scientifically confirm the existence of cranial bone motion. From 1975 to 1983 he served as clinical researcher and Professor of Biomechanics at Michigan State University, where he supervised a team of anatomists, physiologists, biophysicists and bioengineers in research and testing. The results not only confirmed Sutherland’s theory, but led to clarification of the mechanisms behind this motion — the craniosacral system. Dr. Upledger’s continued work in the field ultimately resulted in his development of CranioSacral Therapy."