The International Classification of Procedures in Medicine ICD-9 places craniosacral therapy under the code 93.3824 Manual therapy methods - Craniosacral therapy, in light of current research, as provably effective and clinically appropriate for achieving successful health outcomes.
Preceded by a detailed medical history, physiotherapeutic activities aimed at a local problem in the body or its diagnostic determination are based on many years of practical experience, reliable anatomical and physiological knowledge, as well as a patient-centered approach.
Craniosacral therapy combines subtle palpation and non-invasive fascial techniques in order to balance membrane tensions, relax myofascial structures, and improve the functioning of the body with the (re)activation of vital forces.
At the level of clinical significance, this therapy reduces symptoms provoked by the existence of blockages in the craniosacral pathway, which imply changes in the natural movements of cranial structures, altering their coordinative dynamics relative to the sacrum, and further generating atypical membrane tensions. As a result, intracranial disorders and secondary distal changes are organized.
We integrate our actions in clinical diagnoses manifesting as:
- craniomandibular dysfunctions
- dysfunctions of the orofacial, pharyngeal, and laryngeal structures
- dysfunctions of the nasal cavity, paranasal sinuses, and olfactory system
- orbital dysfunctions
- sacral area dysfunctions
- post-traumatic and stress-related disorders
- sleep disorders consisting of insomnia
- sleep disorders with excessive sleepiness
- breathing-related sleep disorders
- circadian rhythm sleep-wake disorders
- elimination disorders marked by enuresis
- bowel disorders marked by constipation
- disorders with restriction or avoidance of food intake caused by neuromuscular, structural, and congenital conditions related to feeding difficulties
- eating disorders designated as anorexia nervosa (AN)
- disorders caused by prenatal alcohol exposure designated as FAS/FASD
- disruptive, impulse-control, and conduct disorders directed at others (aggression)
- disruptive, impulse-control, and conduct disorders directed at oneself (self-harm/autoaggression)
- peer relationship development disorders marked by a lack of or failure to initiate interactions
- concentration disorders
- attention disorders in terms of shifting, divisibility, and sharing
- hyperkinetic disorders with attention deficit occurring in a complex form or predominantly with: inattention, hyperactivity, and impulsivity, as well as other specified or unspecified problems consolidated by attention deficit and hyperactivity - not resulting from upbringing, causing the perpetuation of a pattern that disrupts organization, focus, and persistence
- depressive disorders with intensified self-destruction
- anxiety disorders proceeding with atypical muscle tension, hypervigilance, and avoidance behavior
- manifestations of episodic or chronic pain of (un)known origin in the head/neck/chest/abdomen and internal organs/pelvis/upper and lower limbs
In the case of a burdened neurological medical history, due to altered tissue biophysics and/or the need to apply other direct forces, the physiotherapist may propose supplementing the therapy process with positional release techniques / soft tissue mobilization / supporting relaxation exercises / breathwork / medical acupuncture and dry needling (MDN) / manual techniques appropriate in the case of significant disorders related to food intake and speech production, and other ailments resulting from an altered potential of body function and activity.
In the case of a burdened perinatal medical history, the physiotherapist may propose working with the mother.
In the case of a burdened neuropsychiatric medical history, it is recommended to schedule a consultation on the first Saturday of every month between 8:00 AM and 3:00 PM, making available the complete documentation of the child, updated successively during periods of situational transitions.
