Advanced Cranial Osteopathy

Goals & Objectives

Goals

• To diagnosis and treat various types of facial and head pain associated with somatic dysfunction of the cranium by using explicate advanced Cranial Osteopathic manual procedures.
• To accurately diagnosis the Primary Respiratory Mechanism (PRM), thereby identifying the specific boney, membranous, fluid, and energetic restrictions to vitality and health.
• To develop an efficient and explicate Cranial Osteopathic treatment plan using the appropriate level of the identified somatic dysfunction and successfully carry it out.

Objectives

The Osteopath will be able to demonstrate knowledge, skill, and ability to:

• Diagnosis and successfully treat somatic dysfunction of the craniosacral mechanism at four out of the five levels of potential dysfunction; bone, membrane, dense brain tissue, fluid, and Qi/Energy.
• Diagnosis each boney/sutural restriction of the 22 bones of the head.
• Diagnosis all membranous restrictions of the head and sacrum.
• Diagnosis two out of the three following items associated with somatic dysfunction: dense brain tissue, fluid, or Qi/Energy.
• Develop an ideal treatment plan for the patient based upon the specific location of the restriction, the level of restriction and the best activating force for this condition and the patient’s state.
• Treat all boney, membranous, and fluid restrictions found in their lab partner’s cranium with various and appropriate activating forces taught in class.

Programme

Day 1 - Outline

• Goals & Objectives
• Anatomy & Physiology
• Primary Respiratory Mechanism
• 5 Levels of Cranial Somatic Dysfunction

Principles of Diagnosis:                       

• History and Physical Examination
• Diagnosis by position
• Diagnosis by motion
• Diagnosis by Bones
• Diagnosis by membranes
• Diagnosis by dense matter
• Diagnosis by fluid
• Diagnosis by Qi/Energy

Principles of treatment:

• Direct Method - engagement, disengagement, molding
• Indirect Method – exaggeration, balanced: membranes, Qi, fluid
• Combined Method (opposite physiologic motion) – one part direct, second part indirect

• Observation diagnosis – Discussion & Lab
• Palpation diagnosis - Lab
• Procedures of Cranial Base - Lecture & Lab
• Procedures of Face – Lecture & Lab
• Developing an Ideal Treatment Plan – Discussion & Lab

5 Level/Sources of Cranial Somatic Dysfunction

Bones

Diagnosis and Moving Bones/Suture

a)  Bone squama

b)  Sutures

c)   Synchondrosis

• Perceiving motion or lack thereof, exact location
• Diagnosis by position
• Diagnosis by motion testing each bone around the suture or boney part
• Determining activating force
• Initiate treatment
• Asking it to move
• Monitoring it
• retesting it, verify improvement

Membranes

Diagnosis and Moving Membranes

a)  Attachments

b)  Falxes

• Perceiving the big and specific membrane condition
• Determining activating force
• Initiate treatment Initiate treatment
• Asking it to move
• Putting your hands in the exact correct place
• Monitoring it

Dense Matter (Gray/White)

Diagnosis and Moving Dense Matter

a) light - localized increase metabolic activity

b) dark - localized decrease metabolic activity

• Perceiving Dense Matter- light, dark
• Determining activating force
• Initiate treatment
• Asking it to move
• Monitoring it

Fluid

Diagnosis and Moving Fluid

a)  CSF

b)  Vascular

• Longitudinal fluctuation
• Lateral fluctuation
• Determining activating force
• Initiate treatment
• Asking it to move
• Monitoring it

Qi/Energy

Diagnosis and Moving Qi

• Perceiving Qi/Energy/Life
• Determining activating force
• Initiate treatment
• Asking it to move
• Monitoring it

Day 2 - Procedures

Cranial bases

Diagnostic procedures and Multiple Treatment Methods for Lesions SBS

• Flexion
• Extension
• Torsion
• Sidebending rotation
• Vertical strain
• Lateral strain
• Lateral shear
• Compression
• Intraosseous strains

Diagnostic procedures and Multiple treatment methods for for Lesions of Temporal

• Internal rotation: unilateral, bilateral
• External rotation: unilateral, bilateral
• Temporoccipital (Petrobasilar - Petrojugular - Occipitomastoid)
• Temporoparietal (Parietomastoid - Parietosquamous)
• Temporosphenoid (Sphenosquamous - Sphenopetrous)
• Temporozygomatic
• Temporomandibular
• Ossicular
• Intraosseous

Diagnostic procedures for – Lesions of Frontal

• Internal rotation: unilateral, bilateral
• External rotation: unilateral, bilateral
• Frontosphenoidal
• Frontozygomatic
• Frontomaxillary
• Frontoethmoidal
• Frontoparietal

Multiple treatment methods for Lesions of Frontal

• Internal rotation: unilateral, bilateral
• External rotation: unilateral, bilateral (Greater wing - Lesser wing)
• Frontozygomatic
• Frontomaxillary
• Frontoethmoidal
• Frontoparietal
• Intraosseous

Diagnostic procedures for Lesions of Parietal

• Internal rotation: unilateral, bilateral
• External rotation: unilateral, bilateral
• Parietofrontal-bregma
• Parietosquamous-vertex
• Parietooccipital-lambda

Treatment Methods for Lesions of Parietal

• Internal rotation: unilateral, bilateral
• External rotation: unilateral, bilateral
• Parietofrontal-bregma
• Parietosquamous-vertex
• Parietooccipital-lambda

Day 3

Face

Diagnostic procedures and Treatment Methods for Lesions of Ethmoid

• Internal rotation: unilateral, bilateral
• External rotation: unilateral, bilateral
• Compression of Cribriform plate

Diagnostic procedures and Treatment Methods for Lesions of Zygoma

•  Internal rotation: unilateral, bilateral
• External rotation: unilateral, bilateral
• Frontozygomatic
• Temporozygomatic

Diagnostic procedures and Treatment Methods for Lesions of Maxillae

• Internal rotation: unilateral, bilateral
• External rotation: unilateral, bilateral
• Maxillofrontal
• Maxilloethmoid
• Intermaxillary
• Maxillopalatine
• Intraossious

Diagnostic procedures and Treatment Methods for Lesions of Palatines

• Pyramidal process of Palatine and Pterygoid Internal rotation: unilateral, bilateral
• Pyramidal process of Palatine and Pterygoid External rotation: unilateral, bilateral

Diagnostic procedures and Treatment Methods for Lesions of Vomer

• Flexion
• Extension
• Torsional strain

Diagnostic procedures and Treatment Methods for Lesions of Mandible

• Internal rotation
• External rotation
• Protrusion
• Retraction
• Anterior one side /posterior opposite side = malocclusion

Diagnostic procedures and Treatment Methods for Lesions of Nasals

• Internal rotation
• External rotation
• Cephalad
• Caudad
• Torsion

Diagnostic procedures for and Treatment Methods Lesions of Lacrimals

• Internal rotation
• External rotation
• Cephalad
• Caudad
• Torsion

Diagnostics and treatment of Inferior Concha

• Treat maxillae, ethmoid, palatines first
• Then use Qi techniques

Developing the most efficacious Ideal Treatment Plan

• Diagnosis is complete
• Where is the problem located?
• Where is the restriction at, Level? In the bone, membrane, dense brain tissue, fluid, and Qi/Energy?
• What can the patient tolerate? Indications and Contraindications-Red Flags for Cranial OMT
• What do you know, i.e., knowledge, skill, experience?
• What should be treated first: which location, treatment method and activating force?
• Execute the plan
• Re-evaluate