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Craniosacral
Therapy is a system of alternative medicine intended to relive pain
and tension by gentle manipulations of the skull regarded as harmonizing
with a natural rhythm in the central nervous system.
Uses
This controversial
form of hands-on therapy seeks to cure disease by manipulating the
bones of the skull. Practitioners assert that certain disorders
are caused by obstructions in the normal flow of the cerebrospinal
fluid that bathes the brain and spinal cord. By gently nudging the
head, spine, sacrum (lower spine), rib cage, and limbs, they believe
they can break up these obstructions, re-establish the natural rhythm
of cerebrospinal flow, and thus relieve associated illnesses. Among
the disorders targeted by craniosacral therapy are trigeminal neuralgia
(stabbing pains in the jaw), headaches, sinusitis, visual disturbances,
strabismus (an imbalance in the eye muscles), transient cerebral
ischemia (temporary 'mini-strokes'), traumatic brain surgery, vertigo
and certain cases of mental retardation. Some proponents also suggest
it for asthma, sinusitis, ear-nose-throat problems, cerebral palsy
and muscle tension headache (to the degree that biochemical problems
cause these conditions). Others recommend it for children with learning
disabilities, attention deficit-hyperactive disorders, pervasive
developmental delay, cerebral palsy, ear infections, genetic and
neurological disorders, and autism. It is also proposed for certain
soft tissue injuries to the head, torso and extremities. Advocates
of craniosacral therapy (also known as cranial osteopathy) cite
numerous case studies as proof of its effectiveness. Nevertheless,
mainstream physicians and medical organizations refuse to recommend
it. They say that manipulation of the bones of the skull is impossible,
since they are all fused together. They add that, whether the bones
move or not, there have been no scientifically controlled clinical
trials to prove the techniques success.
Procedure
of Treatment
Unlike the chiropractic
adjustments that pop a joint back into proper alignments, craniosacral
therapy is done with light touches to the head, spine, sacrum, ribs,
and extremities. The version of the therapy propounded by Dr. John
Upledger is particularly noted for its light touchequivalent
to the weight of a nickel in the palm of the hand.
Treatment
Time: Sessions typically last 30 minutes to 1 hour.
Treatment Frequency: Varies with the problem and patient.
Benefits
Cranial
osteopathythe initial form of this therapyis a neglected
subspeciality of general osteopathy (treatment of disease through
adjustment of the bones). Developed in the 1930s by William Garner
Sutherland, it attempts to diagnose medical problems by evaluating
the motion of the skull and sacrum, and by feeling the 'cranial
rhythmic impulse' throughout the body. This impulse is said to reflect
the flow of cerebrospinal fluid as well as the motion of the brain,
spinal cord, and surrounding membranes, along with movement in the
skull bones and sacrum. It is said that a trained practitioner can
feel it. Cranial osteopaths hold that trauma to the head or body
can alter or hinder the flow of fluids or change the skull's natural
configuration, thereby causing illness. Birth trauma, for example,
is said to lead to colic, chronic ear infections, inability to suck
or swallow, and developmental delays. Manipulations that restore
the normal flow of fluids are thought to relieve such problems.
While cranial osteopathy is included in the general osteopathic
curriculum and appears in the osteopathic board exams, few osteopaths
include it in their practice. Out of mo re than 40,000 DOs in the
United States, only 1,000 are members of The Cranial Academy, cranial
osteopathy's professional organization. A more recent variation
of this therapy, emphasizing a light, gentle touch, was developed
in the 1970s by John Upledger, DO. Dr. Upledger's interest in this
area was ignited when, while assisting in surgery, he observed movement
of the membrane that lines the skull and covers the brain and spinal
cord. His work built upon that of Dr. Sutherland. Much like cranial
osteopaths, his followers hold that touching the head, feet or other
area can reveal restrictions in the 'craniosacral rhythm'. The same
touch that finds the rhythm is also said to relieve symptoms. Is
there really a craniosacral rhythm, and can manipulating the skull
really affect it? According to most mainstream doctors, the answers
are clear-cut. It is a well-known, long-established, physically
evident fact, they say, that the bones of the skull fuse into a
single unit around the age of two, and cannot be manipulated thereafter.
Craniosacral therapists, however, simply do not accept this. They
say that research reported in the Journal of the American Osteopathic
Association as recently as 1996 has confirmed the existence of motion
around the sutures of the skull bones. Using infrared markers attached
to acupuncture needles or stuck to the skin, the researchers say
they not only detected movement, but actually identified a cranial
rhythmic impulse. Dr. Upledger himself made intensive efforts to
establish the existence of the craniosacral system, working with
anatomists, physiologist, biophysicists and bioengineers at Michigan
State Universitys College of Osteopathic Medicine from 1975
to 1983. He cites many published reports in support of the existence
of a craniosacral system. In the end, however, he argues that "positive
patient outcomes
should weigh greater than data from designed
research protocols".
Who
Should Avoid This Therapy?
According
to its critics, no one should try this therapy since it cannot possibly
help. And even its practitioners say it is not worth trying unless
the problem has a biomechanical origin (is caused by abnormal pressure
or stress). Whatever your problem, you should definitely forego
craniosacral therapy if you have a known or suspected brain haemorrhage
or aneurysm, or have any other condition that makes it ill-advised
to alter the pressure of intracranial fluid. The treatments are
also considered unwise for small children with recently fused skull
bones, although no problems have actually been reported.
Side-effects
The
chances of triggering any adverse reaction seem extremely slight.
Nevertheless, problems have been reported in traumatic brain injury
patients receiving craniosacral therapy as part of an outpatient
rehabilitation programme. The symptoms included headache, vomiting,
diarrhoea, cardiac palpitation, angry thoughts, paranoia, explosive
behaviour and a total body spasm. Whether they were caused by the
therapy or the underlying injury remains undetermined.
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