NHAND Conference 2023 This lecture will look at the ways our body can hold onto trauma and its impact on the fascial system. Pain is one of the most common problems we see in modern medicine. When we experience emotional, physical, or psychological trauma our bodies go into survival mode (aka sympathetic over-drive). When our nervous system is in survival mode it will hold onto things that cannot be processed in the moment and store the trauma on a cellular level. When the trauma is not examined and worked through (energetically, emotionally, and physically) adhesions can start to form within the fascia. New research demonstrates the importance of an integrative approach to the deep impact of trauma and how it shows up in all disease processes, including mental health disorders. It also shows the impact of emotional stress as a cause of chronic pain syndromes such as fibromyalgia and migraines. These pain neural pathways are shown to change in response to a large stressor or traumatic experience creating a more attentive (sometime hyper vigilant) central nervous system. The shift in the neural pathways can be the cumulation effect of many small life events or larger traumatic events that change the course of a life. This can change the way our glial cells work within our brains and the types of neurotransmitters released into to cerebral spinal fluid. This shifts result in physiological changes in the way our body move, heal, and respond to our environment. Modalities in our tool box such as craniosacral therapy, homeopathy, drainage remedies, lymphatic massage, and energy work have vital impact on the physiological effects of trauma. These modalities bring the body closer to a healing vibrational state and allow the body to be supported by bringing it back into balance. Patients can also begin to break up these adhesions and create space for emotions to be released at a cellular level. Bringing this awareness into practice can allow physicians to bring a deeper level healing to patients who suffer greatly from their trauma.