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.

Burch for advice on managing clients who present with cervical stenosis. One of Vickowski’s clients has anonymously shared an MRI and neurosurgical consultation report detailing long-term neck pain and related symptoms. Burch’s recommendations include emphasizing the importance of medical imaging, understanding the nature of stenosis, the value of individual assessment for locating the primary cause of pain symptoms, and surgical considerations that the client may need to consider with their physicians.

ABSTRACT Talking about his book Assessment and Treatment Methods for Manual Therapists (2023), Jeffrey Burch reflects on his years of studying and teaching manual therapy techniques. A lifelong learner, Burch discusses Dr. Rolf, osteopathy, and developing his manual therapy toolbox. Interviewer Jeffrey Kinnunen asks Burch to differentiate some manual therapy terms: direct/indirect, barrier, lesion, adhesion, and restriction.

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.

ABSTRACT Certified Advanced Rolfer® Jeffrey Burch has worked with people who experienced knee pain and then had their knees replaced, as well as having also personally experienced knee pain and both his knees replaced. This article is a discussion of what he experienced and learned from his own knee replacements, through his manual therapy lens.

ABSTRACT This article describes inflammation, what it is, what it is not, how to recognize when it is a valuable part of healing, and when it may be an impediment to healing. Emphasis is given to finding the source(s) of inflammation as a key to healing.

ABSTRACT Jeffrey Burch presents a step-by-step approach to assess and then do manual interventions with the psoas and the iliacus. His concise and clear discussion, with an efficient technique, may change your elbow-in-the-abdomen method

ABSTRACT This article describes the innervation of the eye and the container of the eye. Assessment methods are described to reduce tensions in nerves to the eye, the lining of the eye socket, and the eyelids.

The author provides a comprehensive view of sleep-disordered breathing (SDB), both sleep apnea and other syndromes, that may be factors behind our clients’ musculoskeletal issues. He gives specific attention to when a practitioner may suggest that a client should be assessed for SDB.

This article describes a less commonly recognized form of ankle sprain/strain, known as a high ankle sprain. The substantial consequences of this type of strain for the whole body, including for the progress of a series of structural integrations (SI) sessions, are described. Mechanisms of injury, assessment methods, and treatment methods for high ankle sprains are detailed.