Caution Column

ABSTRACT Jan H. Sultan offers an overview of nerve work from a structural perspective. He describes how the work of physiotherapist David S. Butler and osteopath Jean-Paul Barral, DO, has led the way to understanding the role neural connective tissue manipulation can play in facilitating recovery from many chronic pain symptoms. Sultan maps out some ideas about nerve structure, cranial nerve paths, and the ligamentous nature of some people’s neural tissue. While Jeffrey Burch is also a structuralist, his discussion focuses on giving insight into his process of treating nerves. As a well-studied manual therapy technician and author, Burch has a few thoughtful examples to consider and where to apply caution.