Caution Column

ABSTRACT This article discusses dural tube adhesions, their causes, and a manual therapy point of view for their release. Author, Certified Advanced Rolfer™, and continuing education instructor Jeffrey Burch explores how adhesions form due to trauma (for example, whiplash) or infection (for example, meningitis), and how they may restrict spinal movement, leading to discomfort. Burch describes a manual intervention method that involves palpating vertebrae to assess the dural tube restrictions and then applying specific techniques to restore glide within the dural tube. He emphasizes precision and caution when working with the dural tube of your client.