Fibromyalgia and CST

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Tothepoint

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I currently have a client who has Fibromyalgia. Normally I use Lymphatic Drainage (LDT) with some success, however she is very excited about CST and yesterday when she came in for her appointment she requested I use CST for her 30 minute appointment. I would love some feedback on her session from anyone who has treated FM with CST and any direction you can give me.

I have had CST 1 and won't be taking CST 2 until October, so I am limited in my knowledge and usage. During her appointment I did:
Still Point
Diaphragms
L5-S1 Decompression

She began feeling great - until I got to the Occipital Cranial Base - when she began to feel pain again in the tender points superior medial sacrum. I went 20 minutes over in session time attempting to calm them down (holding pelvic diaphragm) so she wouldn't leave in pain. When she did leave, pain was gone but she had an "awareness" in the same area, however, her upper body felt great- very relaxed. The CS rhythm did change. While her pain is in the right side, her left CS rhythm was choppy and shortened. By the end, both sides were much better quality and more asymmetric although fairly short.

This said I have several questions...Was there something I did to cause the pain in the lower back? Would completing the 10-step protocol have more success? Is there a step I need to insert? Is my knowledge too limited to deal with FM using CST? If so, I can refer out although I hate to do so as she's only had 2 - 30 minute sessions so far and I'd like to see a few more sessions to see cummulative effect.
 


Speaking from my own personal experience w/ Fibromyalgia and CST -- it is one of the few techniques that really helps my body and my mind unwind at the same time. The gentility of it and the strength of it can help you do some really phenomenal work.

As for what may or may not have happened with your client, there have been occasions when I have had similar experience with my own treatment, and it often times because there is so much "stuff" going on with my body and/or mind that it adds weirdness to the equation.

TRUST YOUR GUT INSTINCTS WITH THIS AND IT WILL BE OKAY!!! I say that as one who trusts her LMT to use CST as her instincts guide her and it works well for me... even on those days when my body is a bit more "wonky" than I realized outwardly.


fwiw...
J
 
Fibromyalgia and CST

Hi Vita!!

It sounds to me like you did a great job. I know it stinks to go 20 minutes over in a session. But I must say, it can be difficult to only have 30 minute sessions with someone with FM. It is really ideal to have a full hour, that way if things do flare up, there's time to address them before the client leaves. (obviously my opinion - this is not set in stone)

Don't worry about your "limited knowledge". You have more knowledge than you realize!! Use your intuition to help you out. With that said, here are a few suggestions I have for you:

Make sure you perform a thorough Thoracic Diaphragm release and Hyoid release before moving to the Occipital Cranial Base (OCB). You did not cause the pain in her lower back. It sounds like she has quite a bit of compression at the OCB to bring up pain in the sacrum. Remember it's all connected. Did you stay with the OCB release until it completed or did you move to the sacrum?

Stillpoints are great! Could you get her a stillpoint inducer or show her how to use tennis balls for stillpoints? This self care will make a big difference when she comes in for sessions. The other tool I recommend is the Sacro-Wedgy. It not only helps to release the SI joints and 'free up' the sacrum, but it is like a stillpoint inducer at the sacrum.

CSTII will definitely give you more tools to evaluate and work with the body in a more specific way. However until then, you have many techniques that are very effective. If you only have 30-minutes with her, my suggestion (without evaluating her) is to do pelvic diaphragm release, L5-S1 release, and ASIS compression to free the sacral end of the dural tube. Then do thoracic diaphragm, hyoid, and OCB releases to free the dural tube at the occipital end. You may need to modify the OCB platform if it's too much for her. Once the 'ends' are free spend a bit of time doing dural tube rock and glide. A free moving dural tube is important for those with FM. (you'll learn about facilitated segments in CSTII)

If you have time to do a respiratory diaphragm release, great! But with only 30-minutes I think you'll be pressed for time. Also keep in mind that you can start with the thoracic/hyoid/OCB. That way if it brings up the sacral pain, you will be finishing the session there.

Once you've seen her for 4 or 5 sessions, you may want to check in with the cranium to see what's going on there. It's important to balance the 'body' work with the cranial work.

One final suggestion is that if the sacral pain comes up while working on the OCB, you can use direction of energy to help both the OCB and the sacrum. Use your intention to send energy down the dural tube to the spot in the sacrum that has pain. That way you are working both at the same time!

Again, it sounds like you are doing a great job. You made change in the quality of the rhythm. That means you were able to remove some restrictions so that her body's natural healing ability can be enhanced. Stick with it and I'm sure you will see positive changes.


Brian
 


Thank you for your feedback and encouragement! I felt a little like a fish outta water using something new for FM and while I tried not to let her know it, I wanted to be better prepared for her next session tomorrow.

She is definately not a "normal" FM case and has struggled along with her doctors to get control of it for several years so I do know there's lots of "stuff" going on. I will keep that in mind tomorrow while working.

Thank you, again! You've been a great help.

AnastasiaB said:
Speaking from my own personal experience w/ Fibromyalgia and CST -- it is one of the few techniques that really helps my body and my mind unwind at the same time. The gentility of it and the strength of it can help you do some really phenomenal work.

As for what may or may not have happened with your client, there have been occasions when I have had similar experience with my own treatment, and it often times because there is so much "stuff" going on with my body and/or mind that it adds weirdness to the equation.

TRUST YOUR GUT INSTINCTS WITH THIS AND IT WILL BE OKAY!!! I say that as one who trusts her LMT to use CST as her instincts guide her and it works well for me... even on those days when my body is a bit more "wonky" than I realized outwardly.


fwiw...
J
 
Fibromyalgia and CST

I was hoping you'd have time to chime in! Thank you!

cstbrian said:
It sounds to me like you did a great job. I know it stinks to go 20 minutes over in a session. But I must say, it can be difficult to only have 30 minute sessions with someone with FM.

Thank you. I don't mind the 20 minutes over really. I had the time and I'm happy to do it when I can :-) I was worried about sending her out in pain. But I did suggest to her an hour session. She comes weekly and I think she's concerned about cost, but I may be able to work something out with her.

cstbrian said:
Did you stay with the OCB release until it completed or did you move to the sacrum?

Yes, I did complete it and was just about to close when the pain got bad enough to keep her on the table. I'm assuming that I do need to be careful about making sure I hold to completion on each diaphragm? I swear I thought I was going to have to hold the sacrum for the whole 30 minutes :-)

Great idea about the stillpoint inducer! A long time ago I had a friend who specializes in CST make me one from raquetballs and a sock (the raquetballs are smaller, but not as hard as the tennis balls) so I'm going to make one to take to my client tomorrow.

Thank you again for all the wonderful tips and kind words. I will apply them tomorrow at her next session. I'll definately be going in with more confidence. I love this place! :-)
 
Fibromyalgia and CST

Vita said:
I was hoping you'd have time to chime in! Thank you!
You are welcome!! :D

Vita said:
Yes, I did complete it and was just about to close when the pain got bad enough to keep her on the table. I'm assuming that I do need to be careful about making sure I hold to completion on each diaphragm? I swear I thought I was going to have to hold the sacrum for the whole 30 minutes :-)

It's great that you stayed with the OCB through a release. You may find this will be necessary at each session. You'll continue to work through the layers of compression.

As far as diaphragm 'completion' goes, remember your release signs. If you get one or two releases at a diaphragm, you are good to move on. If you work too long at one diaphragm it might bring up some deep layers of restriction and maybe hard for the body to balance itself. It's not a 'horrible' thing to be too long or to have a lot of release at one particular diaphragm, but I find with FM a balance is needed. You'll learn additional techniques in CSTII on how to release energy cysts. Sometimes I can be working on one energy cyst for 30-40 minutes. But I always leave time to do some balancing work before I finish. Those are things like dural tube work, stillpoints, OCB release, sphenoid decompression. Once you 'learn' arcing in CSTII, you'll know where you need to work to help balance the session.

I put 'learn' in quotes because I believe most bodyworkers already do this, we just give it a formal introduction and a formal name. It's the best evaluation tool to have for any type of bodywork you do; especially CST.

Vita said:
Great idea about the stillpoint inducer! A long time ago I had a friend who specializes in CST make me one from raquetballs and a sock (the raquetballs are smaller, but not as hard as the tennis balls) so I'm going to make one to take to my client tomorrow.

I went to Target and bought a package of athletic socks (the long ones) and a bag of tennis balls. I keep them in the office to give to clients as self care tools. Both for stillpoints and self massage techniques. I mention using raquetballs if the tennis balls feel too firm. I've debated keeping stillpoint inducers to sell. But the tennis/raquet balls work so well, I'd rather just give them as a freebie.

Vita said:
Thank you again for all the wonderful tips and kind words. I will apply them tomorrow at her next session. I'll definately be going in with more confidence. I love this place! :-)

Keep us posted with your progress. And thanks for your post!

Brian
 


This is all so good to read, and I for one sure appreciate Brian's expertise. Maybe this has been addressed in the past, but I just want to run an idea past admin:
What about a section on CranioSacral work like we have on MFR? There are at least a few schools of thought/training represented here by MassagePlanetL members. I, for one, practice it a great deal and come from a different training than the Upledger model. Might be a good way to foster community and share our differences and similarities.

Sorry for the brief hijack~
 


Update:

My client didn't come in yesterday, but sent her husband in to take her appointment. Fortunately he had issues with which I knew exactly how to deal and had a very successful appointment.

I did talk to her via phone and got some interesting feedback. She came to me with pain dominantly on her Right side - especially in the typical tenderpoints (particularly OA, neck, shoulders and medial/sup sacrum). She told me that this pain decreased, however she had pain for 4 days in her left side (the side I kept getting drawn to using both CST and LDT). We discussed possibilities and things we discussed here and when she comes next week I'm going to show her how to do the stillpoint and try CST again. She's frustrated, disappointed and may have had some unreal expectations about this work (and LDT for that matter), so I hope we can move past that to continue to work on this a little bit longer to see at least some results.

Much thanks to you all again for the feedback and encouragement. You are an amazing and priceless resource!
 


I'm sorry but this last post comes off like the sales pitch of a "snake oil salesman."

Your product may be fantastic but with claims like that and the lack of information available on your website....well, it comes off wrong.

Angie
 


Moogie, I see what you mean. Brian, what is in this oil and lotion? Can you provide a little science as to how it "cures" these conditions?
 


Vita,

Glad to hear what little I had to say gave you some help. Always glad to help when I can, if I can.

As for the lotion/oil whatever --- sounds like snake oil to me.... tried so much stuff like that that I automatically don't trust anyone who makes claims of being able to "cure" or "remedy" fibro and the like with the application of such stuff........
 
I have nothing to prove with my so called snake oil!

I've seen it work so if you don't believe me it's your loss I have countless stories and testimonies from using it over the last 9 years and am tired of trying to prove the oil valid. It works and does what I say.
 
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    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน2 girls ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ5124 Dundas St W Etobicokeโ˜Ž๏ธ416-817-3366๐Ÿ‘ New โ—๏ธ New girl Anna dainty and cute! Sexy body Hot body slide, super enjoyable๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ very provocative service๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜, professional super Luna deep tissue massage, has therapeutic effect to loosen bones and relieve muscle pressure and will bring you unexpected service effects, she will bring you a little surprise๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜โค๏ธYou are welcome to make an appointment at any time or walk in the back door with plenty of p
  29. DareDevil:
    Blackpink Wellness โ™ฅ๏ธโ™ฅ๏ธ90 Marycroft Ave. Unit #2, Vaughan, ๐Ÿญ๐ŸฌON L4L 5Y1 (647) 395-3188. BEAUTIFUL AND SEXY GIRLS TODAY: ๐ŸŒนSuperstar Bobo and Beautiful Tiffany on duty๐ŸŒน.
  30. DareDevil:
    ๐Ÿฌ๐ŸญARIA WELLNESS ๐Ÿฌ๐ŸญADDRESS: 360 HWY 7, UNIT #6, โ™ฅ๏ธRICHMOND HILL,647-222-5683 (PHONES CALL ONLY, NO TEXT'N AVAILABLE) โ™ฅ๏ธTODAY'S Schedule!โ™ฅ๏ธ Loaded lineup with Beautiful Girls : New Young Helen, Yoga Lucy, New Girl Eva, Magical Mia and Work out๐Ÿ‹๐Ÿšด๐Ÿ’ช Babe Amy! BUY 10 HOURS (GET 11 HOURS) **TODAY'S PICK OF THE DAY IS ๐Ÿฌ๐ŸญHelen and Lucy๐Ÿฌ๐Ÿญ**
  31. EMSpa_schedule:
    Tomorrow's sneak peek: On Tuesday May 6, 2025, our attendants will be Ada โค, Christina ๐Ÿ”ฅ, Ivy ๐Ÿค—, Cici ๐Ÿ˜˜ and Monica ๐Ÿคฉ. Call us at โ˜Ž๏ธ(905) 479-6668โ˜Ž๏ธ to book!
  32. SL East Spa:
    ๐Ÿ’†โ€โ™€๐Ÿ’–Monday ๐Ÿ’œ๐Ÿ’– Ultimate destination for Asian massages๐ŸŽ‰ Two fab spots: SL Richmond Hill & SL West Oakvilleโœจ Your passport to paradise with 10 enchanting girls fr China, HK, Japan & Korea โ€” Top Star Jenny, ๐Ÿ†• Elsa, Coco, JPN Yui, Cindy, Kelly, busty Cici, Amber, Echo & Juliet โ€” ๐Ÿ๐ŸŽˆ Hit up 647-695-6354๐Ÿค™ or text to ๐Ÿ“ฑ647-578-8169 โœจ160 East Beaver Cr., Unit 12, Richmond Hill ๐Ÿ’ฐWhere Eastern charm meets Western comfort - your bliss awaits๐Ÿ™Œ
  33. Lilyspa1:
    Lily Spa :๐Ÿ’•๐Ÿ’•Monday Schedule : ๐Ÿ‡ฎ๐Ÿ‡ณ๐Ÿ‡ฎ๐Ÿ‡ณKatrina 22, Punjabi student โค๏ธElena ( Latino ) Big Nature Boobs & SuSu ( Asian )Slim , all bbbj Dfk ๐Ÿ˜๐Ÿ˜Porn Service ๐Ÿ”ฅDuo ๐Ÿ”ฅ,โ˜Ž๏ธ 6475318288
  34. DareDevil:
    Blackpink Wellness โ™ฅ๏ธโ™ฅ๏ธ90 Marycroft Ave. Unit #2, Vaughan, ๐Ÿญ๐ŸฌON L4L 5Y1 (647) 395-3188. BEAUTIFUL AND SEXY GIRLS TODAY: ๐ŸŒนSuperstar Julie, Sexy Bonnie and Beautiful Tiffany on duty๐ŸŒน.
  35. DareDevil:
    ARIA WELLNESS โ™ฅ๏ธโ™ฅ๏ธADDRESS: 360 HWY 7, UNIT #6, RICHMOND HILL,647-222-5683 โ™ฅ๏ธโ™ฅ๏ธ(PHONES CALL ONLY, NO TEXT'N AVAILABLE) โ™ฅ๏ธTODAY'S Schedule!โ™ฅ๏ธ Loaded lineup with Beautiful Girls : New Pretty Girl Cici, Young RMT Student Helen, Magical Mia and Work out๐Ÿ‹๐Ÿšด๐Ÿ’ช Babe Amy! BUY 10 HOURS (GET 11 HOURS) ๐ŸŒน๐ŸŒน**TODAY'S PICK OF THE DAY IS ๐Ÿญ๐ŸฌCICI or Helen๐Ÿฌ๐Ÿญ**
  36. Nu spring spa888:
    ๐ŸŒน๐ŸŒน๐ŸŒนsexy hot Latino ๐Ÿ’– Malaysian ๐Ÿ’– Korean girls ๐Ÿ‘working at Nu spring spa๐Ÿ’‹๐Ÿ’‹โ˜Ž๏ธ416-669-8508๐ŸŒน๐ŸŒน๐ŸŒน
  37. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธAletta๐ŸŒธSami๐ŸŒธLynda๐ŸŒธSummer๐ŸŒธTiffany Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  38. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธBrandy๐ŸŒธCarly๐ŸŒธKellyCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  39. Spa in Markham:
  40. BlueXado Therapy & Spa:
  41. Pink Flower Spa:
  42. Moneylee:
    All season wellness center :Young girl big boobs beautiful face deep massage Midi ,New Young girl big boobs beautiful face deep massage Baby ,Young girl big breasted beautiful buttocks charming temperament big boobs Yoyo ,Young girl Big breasted saucy naughty Ella ,Enchanting sexy petite deep massage Sherry , address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  43. Moneylee:
    Full season wellness center: New Young girl Big-breasted big Big boobs big butts May, Young girl big breasted beautiful buttocks charming temperament big boobs Vita ,Young girl big boobs beautiful face deep massage Bobo, Young beautiful face sexy body and good deep massage maggie,Enchanting sexy petite deep massage Mary. 2560 Shepard ave Mississauga unit 1 .โ˜Ž๏ธ4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿฆต๐Ÿฆต๐Ÿ‘…๐Ÿ‘…
  44. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  45. luckywellness:
    Lucky Wellness Center 4379721888 New Add bookmark #199 We had three girls working today, Kiki Sarah and Vivi. 295 Eglinton Ave E,Unit 7,Mississauga
  46. AliceSpa:
    MONDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”, 4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 Sexy Young Girls Today at Alice Spa. Open 10am to 9pm : LUCKY (12:30pm-9pm): is Vietnamese, small body, busty D cup, very beautiful face, Young/Cute/Petite/Pure/Submissive, Fair Skin/Perky Ass/Sweet, Super Open-Minded bbbj cim cof rim, excellent service, also strong massage. SUGAR (10am-9pm): is young,petite, 5'1"
  47. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ (647) 891-9688โ˜Ž๏ธ โ˜Ž๏ธ (416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Judy๐Ÿ˜˜๐Ÿ”ฅOur new Asian massage girl Judy is a vision of refined sensuality, with a graceful figure and smooth, flawless skin that radiates warmth and allure. Her striking black hair frames her delicate features, and her poised
  48. ForeverWarden:
    Monday at ๐Ÿซฆโค๏ธ๐Ÿ”ดโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ 2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Bella, Yumi & Cindy. Bella is around 5โ€™3โ€ with a thin to medium build, C Cups, and a pleasing personality. She can offer dfk, bbbj and cfs as well as a good massage experience. Yumi is a young half Chinese / /half Korean very sexy & slim beauty, can do bbbj cim, excellent services...
  49. HolidaySpa:
    Monday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: AMY, FIONA & CINDY. AMY is an attractive young lady with larger breasts and a nice bottom. She has outstanding oral skills, and is very popular. Donโ€™t miss out on her special skills! FIONA is a slim hottie with long dark hair, great melons and ass, and nice services.
  50. bnwellness_wilson:
    We have 4 young girls are working today, young pretty Lily 25โ€™s with curve body and young sweet Mia 25โ€™s, young sexy Michelle 25โ€™s with curve body open mind and Cute GFE Ella are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
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