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Therapeutic Interventions

Craniosacral Therapy and BBPT

By Riva Preil

The craniosacral (CS) system refers to the brain, spinal cord, and surrounding membrane (referred to as the Dura Mater). The CS system also contains cerebrospinal fluid (CSF) which is constantly being produced and reabsorbed. It is a semi-closed hydraulic system that undergoes pressure changes continuously due to the fluid pressure changes with the cerebrospinal fluid. The system was first explored by Dr. A.T. Still, an osteopath who studied the body as a unit, in the early 1900s. His student, Dr. William Sutherland, continued his work in the 1920s. Dr. Sutherland realized that the sutures of the brain, the joints where the cranial bones meet, are designed for movement and mobility. (This opposed the previously held belief by most in the medical community that the sutures are fixed and immobile structures.) He explained how impaired movement of these bones and joints can interfere with the craniosacral system and must be mobilized in order to restore full health and function. He also described the primary respiratory mechanism, the phenomenon of constant rhythmic motions, especially the temporal bone, due to the cerebrospinal fluid pressure changes.

Dr. Sutherland opened the Cranial Academy in 1947, where his student, Dr. John Upledger, known in the field as the father of craniosacral therapy, furthered his studies. He confirmed that the cranial bones are not fused, that the sutures are vascularized, innervated, and fibrous structures, and the presence of energetic fields. He also put forth the Pressurestat Model, the concept of the craniosacral rhythm being palpable throughout the body (not just within the brain and spinal cord) due to the aforementioned fluid filled hydraulic system. This model takes into account the effect of both the osseous (bone related) and membranous factors in contributing to the craniosacral system function. He also worked with children who have autism and discovered that cranial work helped improve their learning abilities, concentration, and social skills. Dr. Upledger created the Upledger Institute International which trains medical care providers in the practice of craniosacral therapy.

Several therapists at Beyond Basics Physical Therapy are trained in these techniques which help mobilize and restore function to the craniosacral system. To experience the benefits of this subtle yet powerful method, please contact us and we will be happy to answer any questions you may have regarding this powerful work.

—FAQ

Frequently Asked Questions

Pelvic Floor Disorders and Treatment

What is pelvic floor dysfunction and why does it happen?

Pelvic floor dysfunction is extremely common and occurs when the muscles, tissues, or nerves of the pelvic floor are weakened, tightened, or injured by trauma, chronic strain, or overuse. Pelvic floor disorders can result from traumatic injury such as a fall, from sporting activity, surgery, or childbirth. They can also happen from more chronic issues, such as infection or chronic inflammation such as endometriosis. Pelvic floor disorders can be a consequence of poor alignment or posture, overuse, or improper movement. The pelvic floor muscles surround the urethra, rectum, vagina and prostate; therefore, if there is a dysfunction in these muscles it can result in urinary, bowel, or sexual dysfunction in people of all ages.

Who should I see to get a proper diagnosis?

Many healthcare providers don’t assess – or don’t know how to assess – the pelvic floor muscles and nerves, so it’s important to get a proper diagnosis from a practitioner who specializes in pelvic floor dysfunction and pelvic pain. Too often patients tell us that they’ve been to 10 different doctors and healthcare providers and their symptoms have not improved, or have worsened. Find a specialist right away and get on the path to healing as quickly as possible.

Why do healthcare providers miss (or misdiagnose) pelvic floor dysfunction?

Long story short, the medical practice is divided into areas of the body: Urology. Orthopedics. Gynecology. But the body itself doesn’t have walls; every system interacts with everything else. Sometimes providers are so laser-focused on what they treat that they miss the whole picture. 

As more and more research emphasizes the importance of physical therapy as part of a complete treatment regimen, more and more physicians are learning how to recognize and treat pelvic floor disorder. In the meantime, if you’re not getting relief from your current treatment, make an appointment with a pelvic floor specialist to learn more.

How does pelvic floor dysfunction affect sex?

Pelvic floor muscles have a huge impact on sex. Muscles that are shortened or tight and are unable to elongate will not allow for good blood flow into the genitals. This can result in pain, weaker erections, diminished sensation, inability to orgasm, and even decreased lubrication. Pelvic floor PT can help with these issues by enhancing blood flow and improving muscle function. 

How can pelvic floor dysfunction cause bloating?

Pelvic floor dysfunction, a condition characterized by the inability to correctly relax and coordinate pelvic floor muscles, can significantly contribute to bloating due to its impact on gastrointestinal functions. When these muscles are not functioning properly, it can impact the ease of emptying and make it difficult for your body to pass stool and gas through the intestines. This obstruction leads to an accumulation of waste and gas in the gastrointestinal tract, causing bloating and abdominal discomfort.

Is it true there’s internal massage?

There can be. We do perform internal soft tissue mobilization of the pelvic muscles that are inside your pelvis and are accessible only through the vagina or rectum. We never do internal treatment without your consent and understanding.

What makes someone a pelvic floor PT vs a regular PT?

All pelvic PTs get additional training in pelvic floor internal treatment through continuing education and at our clinic. 

We pride ourselves on the level of training we provide, not just at the beginning but throughout the time our therapists spend at Beyond Basics. We know that learning is a life-long process.  We also provide additional training in physiology of the GI system and urinary system as well as sexual health and function and nutritional training. Most PT programs and schools do not provide the depth and breadth of knowledge that we provide all our PTs at Beyond Basics.

Get help now from a pelvic floor therapist.

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