Sorry, a bit of a delay in responding properly. Briefly I can say that such a sympathetic and constructive overview of C/S is more than welcome. Such an approach can only lead to improvements in treatments. I might have some reservations about usefulness of exercises / manipulations in the waking hours, but if some relief is achieved, and as long as there are no new symptoms appearing, that's ok. Inevitably, I keep returning to the fact that I don't necessarilly see an inclination towards further exploration of how the sleeping process, which in my opinion, is the catalyst by which all associated symptoms (as distinct from actual trapped nerve symptoms ) are instigated. Or, for that matter, why the sleeping process is not therapeutically investigated to reveal the benefits it can offer. Best I usually get is the default assumption that, of course, sleeping posture can affect the C/S experience. But where's the therapeutic plan in that ? Over 30 years, I've never had sleeping postures advised or explained to me, and my worry is that it might take the average C/S patient many years of unnecessary discomfort before arriving at such a conclusion themselves about how to somehow control what they are experiencing. I have to be frank and say, it seems to me to be an area of obvious benefit, certainly to someone who experiences those benefits, which has been ignored in terms of proper assessment, for whatever reason. Currently I'm trying to put together a good case for explaining why, in terms of assessing good therapies for C/S, it is all important to focus on what occurs during the sleeping process, and perhaps, that all external therapies should compliment the reactions instigated whilst asleep. Will post anon.

Gerry