MANUAL THERAPY




Craniosacral Therapy (CST) is a light-touch approach that releases tensions deep in the body to restore the body’s homeostasis, relieve pain and dysfunction and improve whole body health and performance. This treatment technique was developed by Dr. John Upledger, Doctor of Osteopathy.

Craniosacral therapy works with the neurological and myofascial systems. Various parts of the body (ie: cranial sutures, skeleton and myofascia) are gently touched to monitor the rhythm of the cerebrospinal fluid (CSF) that surrounds and nourishes the central nervous system.  By carefully listening with the hands to appreciate the quality, rate, amplitude and symmetry of the CSF in the body it is possible to locate areas of weak fluid flow or tissue motion and thus areas of dysfunction.   Areas of the body are held to facilitate an unwinding of tissue tension and release of structural malalignments to encourage optimal CSF flow and thus improve the functioning of the central nervous system.  Benefits include decreased pain, increased body relaxation, released myofascial restrictions, promotion of structural alignment, increased mental alertness and reduction of anxiety, somato-emotional releases.


Craniosacral therapy is recommended for many conditions including colic in babies, earaches and hyperactivity in children, for infants who are not sucking well during breast feeding, and following a difficult delivery to make certain the bones and soft tissues of the infant's head are in proper alignment (treatment frees up restrictions in movement and promotes normal functioning of the nervous system, as well as optimal flow of blood and lymph). He also recommends cranial osteopathy for treatment of migraine headaches, disturbed sleep cycles, asthma, neck pain, sinus infections, TMJ syndrome, Ménière's disease and ear problems in adults.


Craniosacral Therapy for Pediatrics A newborn CST session can minimize or eliminate the repercussions of difficult births and help ensure good health for healthy babies. All babies can benefit from Craniosacral evaluations and treatments as soon as possible after birth. Children should continue to receive pediatric CST periodically throughout childhood as they adapt to the process of growing up.


During the birth process, the baby’s head molds to fit through the mother’s pelvis.  It is normal for the cranial bones to override each other.  After birth, these overrides and other accommodations in the baby’s skull should not persist.  If they do not correct themselves, they can interfere with proper cranial nerve function leading to colic, breathing, swallowing, digestive or sensory-motor impairments and more.  Sometimes babies are injured in the birth process.  The injuries may be both physical and emotional.  CST can address these injuries as well as the effects of prolonged labor, vacuum extraction, forceps or ceasarean birth.


Visceral Manipulation (VM) evaluates and treats the dynamics of motion and suspension in relation to organs, membranes, fascia and ligaments. It assists functional and structural imbalances throughout the body including musculoskeletal, vascular, nervous, urogenital, respiratory, digestive and lymphatic dysfunction. VM increases proprioceptive communication within the body, thereby revitalizing a person and relieving symptoms of pain, dysfunction, and poor posture. This treatment technique was developed by Dr. Jean-Pierre Barral, Doctor of Osteopathy.


Aromatherapy with Essential Oils We all know about the everyday power of scent: how a particular perfume reminds you of an era of time in your life or the smell of your favorite food can give you comfort. But did you know that some scents can actually improve your health? Essential oils can also help with pain, help you relax or sleep, or improve your skin or digestion — their benefits go well beyond a pleasant smell.  An essential oil is a liquid that is generally distilled (most frequently by steam or water) from the leaves, stems, flowers, bark, roots, or other elements of a plant.  The chemical composition and aroma of essential oils can provide valuable psychological and physical therapeutic benefits. These benefits are usually achieved through methods including inhalation and application of the diluted oil to the skin. Technically, essential oils aren’t oils at all, as they lack fatty acids. Rather, they’re highly concentrated plant components. It can take a huge amount of a plant to get out even a small portion of essential oil — 4,000 pounds of Bulgarian roses are needed to get just one pound of oil, for example.


Myofascial Release

muscles and fascia are gently stretched according to their orientation and course.

A techniques for stretching the fascia and releasing bonds between fascia, integument (skin), muscles, and bones are applied with the goal of eliminating pain, increasing range of motion and balancing the body. The fascia is manipulated, directly or indirectly, which allows the connective tissue fibers to reorganize themselves in a more flexible, functional fashion

Kinesiotape

The Kinesio Taping® Method is applied over muscles to reduce pain and inflammation, relax overused or tired muscles, and support muscles in movement on a 24-hour-a-day basis. The taping is non-restrictive and allows for full range of motion. The taping is used to treat anything from headaches to foot problems and everything in between. Just a few examples include rehabilitation from sports injuries, carpal tunnel syndrome, lower back strain/pain (subluxation, herniated disc), knee, shoulder conditions and many more.

Traction

Therapeutic spinal traction uses manually or mechanically created forces to stretch and mobilize the spine. Traction may alleviate back pain by stretching tight spinal muscles that result from spasm and widen intervertebral foramen to relieve nerve root impingement.

Strain Counter Strain

releases restriction by placing the affected muscle in the position of comfort.  The strain/counter strain technique was initially discovered by an osteopathic doctor named Dr. Lawrence Jones. Dr. Jones identified tender points, which are tiny tender spots on the body that result from an abnormal reflex (unnatural movement). When sloppy movements (for example bad posture) are carried on for a number of years, eventually strain and injuries will develop.

    Once the muscles are in their natural position, the strain/counter strain treatment is applied by the practitioner, who gently stretches the injured muscle in its natural position; while at the same time shortens the dysfunctional tender point so that it becomes rebalanced with the rest of the body. When the original position is resumed, the muscles are now realigned in their natural position and the pain should disappear.


Joint Mobilization

Mobilization is a passive movement or force applied by a clinician to a skeletal joint or at the surface of articulating bones to mimic the gliding that occurs between bones. It is used to manage musculoskeletal dysfunction an pain. Mobilizations are usually completed at slow speed, sometimes with oscillations, and even with a "hold" or stretch. This technique is used when range of motion or mobility is lacking as needed with releasing adhesions when there is lack of movement at a joint.


Muscle Energy Technique

Isometricly contracted muscles are used to release tension on a skeletal position and restore alignment and optimal movement. It is based on reciprocal inhibition, where the muscles located to one side of a joint relax when the muscles on the other side of the joint contract.  It helps to re-establish muscular and postural balance in the body.

Neural glides

Neural glides mobilize a peripheral nerve to prevent or correct adhesions within the nerve sheaths and promote nerve signal transmission needed for sensation and movement. Postural deviations and compression of the nerve as well as muscle cramping around the nerve are released to reverse a compromised signal transmission.


ROM: Passive, Active, Active Asssisted ROM

ROM exercises help keep your muscles and joints as mobile and healthy as possible. ROM exercises may be active or passive. Active ROM exercises are done by a person who can do the exercises all by himself. Active-assisted ROM exercises are done by the person and a helper. Passive ROM exercises are done for a person by a helper. The helper does the ROM exercises because a person cannot do them by himself either because of pain, weakness or dysfunction.

    Active ROM exercises help build up or keep your muscles as strong as possible. They help keep your joints flexible (bending and moving in the right way). Doing ROM exercises will help keep good blood flow going to the joint area that is being exercised. They may help prevent blood clots as it keeps circulation from pooling in the venous system. Active- Assisted ROM is a movement in which a patient is assisted in moving a joint through the range of motion either by mechanical or manual means.


Proprioceptive Neuromuscular Facilitation (PNF)

It is a combination of passive stretching, isometrics and resistance applied to the extremities in various movement patterns to encourage flexibility and coordination throughout the limb's entire range of motion.


Contract Relax

Is a form of proprioceptive neuromuscular facilitation.  It involves the therapist asking the patient to fire the tight muscle isometrically against the therapist's hand for a few seconds. Then, the patient relaxes and the therapist lengthens the tight muscle and applies a stretch at the newly found end range of motion.

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