Quote Originally Posted by jesspt View Post
linbin,

Good luck finding a high quality study related to the sacrum playing a role in cervico-genic headache.

Certainly there is research that implicates the cerivical/sub-occipital muscles in these headaches, and I would agree with both you and Centered that these should be addressed when treating a patient with Cervicogenic HA.

Centered,

I've asked for references from you in another post. I think it would be nice if you can support your craniosacral approach with some decent research. In keeping with full disclosure, I don't think you're going to be able to provide much.

Hello again Jess. Again thank you for challenging my posts, I am enjoying it. Unfortunately, I do not rely as heavily as you do on research studies, and the explanation is simple. I have learned over the years, in both performing research and studying research articles, that for every research article that proves one thing there are typically at least one other article that disproves the same thing. And before you discredit that statement, I ask you to please do a peer review of all ultrasound research articles. You will find that there are more research articles that debunk the effectiveness of ultrasound than there are that support its use. (I have done this in the past and was quite surprised at what I found, it quite literally shook my understanding of PhysioTherapy and turned it upside-down) And despite this PTs all over the world rely heavily on ultrasound as an effective modality, and I believe rightfully so.

Again, I am not going to supply you with the numerous research studies supporting CranioSacral, because you and anyone else for that matter can name at least hundreds of others that discredit the CranioSacral model. If you are interested in learning I can recommend reading anything by John Upledger, Leon Chaitow, Rollin Becker, Viola Fryman, etc.

In regards to the sacrum contributing to headaches, I simply say how can it not? Once you expand your box and begin to see that a craniosacral model is an appropriate model to explain motility of the nervous system, the explanation is in front of you. Very simply, the direct link between the cranium and the sacrum is the dural tube.

I believe that this post is a wonderful opportunity for the world community of PhysioTherapists to interact with each other and share their thoughts, comments and concerns regarding a wide spectrum of topics. I also understand that people abide to different philosophies, whether it be treatment approaches, diagnostic approaches or even general life beliefs such as spiritual philosophies. I simply ask people to be open minded.

"There are many paths to the top of the mountain, but the view is always the same."