Manual Therapy, also known as Manipulative Therapy, can include many, many types of bodywork techniques and what we call hands on techniques as utilized by Chiropractors, Physical Therapist, Massage Therapist, manual Osteopaths and perhaps others.

Those practitioners utilizing Craniosacral Therapy can also lay claim to Manual Therapy. It is primarily used to provide pain relief for patients in a variety of settings. Myofascial Release is another form of Manual Therapy used in conjunction with Craniosacral Therapy

The earliest known mention of Manual Therapy dates back to 400 BCE in Europe. While it is a multidisciplinary practice, most practitioners using this method are seeking to provide relief to patients with the use of minimal pharmaceutical or surgical interventions.

Myofascial Therapy, a form of Manual Therapy utilizes three movement types to achieve pain relief; soft tissue mobilization, joint mobilization, and joint manipulation. The overall goal is to allow tense muscles to relax as well as freeing restricted joints to accomplish improved range of motion and pain relief. The three categories of movement types are “hands on” techniques.

Soft tissue mobilization works by applying pressure to the soft tissues throughout the body. The most common tissues of importance in Manual Therapy are muscles, tendons, and ligaments. Soft tissue mobilization is used to relax the muscles that have become tense for whatever reason. This tension often leads to a reduced range of motion and pain for the patient. Adhesions may develop internally as a result of a variety of stressors, including surgical. Adhesions are scar tissue within the body that can create range of motion and circulatory problems, soft tissue mobilization helps to break apart these adhesions.

Joint mobilization, the second form of Manual Therapy movements is utilized when the patient is experiencing decreased joint mobility or function. This decrease in function can lead to acute and chronic pain. If not treated a permanent reduction in range of motion and chronic pain may set in. The practitioner will apply sustained or rhythmic oscillating pressure to the joints of concern.

The third movement used among physical therapists in Manual Therapy is joint manipulation. This technique is what is commonly thought of in traditional chiropractic treatments. It is a high velocity and low amplitude thrust that is applied to the specific joint where the subluxation exists. The technique results in the traditional popping sound that has come to be associated with chiropractic adjustments. This popping is a result, as per one theory, is of gas being released from the joint space. Joint manipulation is typically used when joint mobilization is no longer an option for the patient due to a decrease in its efficacy. The benefits of this method are the same as with joint mobilization; to improve joint mobility and decrease pain.

Each field of medicine that uses Manual Therapy as a treatment for their patients are doing so with the primary goal being pain control. When the joints or muscles become restricted and unable to move properly several negative health outcomes may develop. Paint, discomfort, poor posture, altered function, and a decrease in mobility are just a few of the issues that may arise from this restriction. When myofascial release is applied to the affected joints or muscles the patient is able to experience improved movement, decreased pain, and overall improvement in their quality of life.

Manual Therapy should be sought as a legitimate method of treatment for conditions that result in acute or chronic pain. Fibromyalgia, migraines, temporal mandibular joint (TMJ) dysfunction, shoulder, knee, or hip pain, herniated discs, spinal stenosis, and muscle spasms are just a small segment of the possible conditions that are able to be treated effectively with Manual Therapy.

A patient undergoing Manual Therapy should expect to give a detailed history of their health and current medical conditions / ailments. The practitioner will review this against a physical examination. They may then use a variety of diagnostic tests to locate the areas where myofascial release should be applied to achieve the greatest outcome. Manual Therapy is a hands-on technique that should be given serious consideration when seeking pain relief.

Dr. Kaminsky, a NYC Chiropractor uses Craniosacral Therapy, Myofascial Release and other manual therapy techniques to bring forth pain relief and healing.

About Dr. Kaminsky & Craniosacral Therapy

Dr. Kaminsky is a 1999 graduate of the University of Bridgeport College of Chiropractic. He is licensed to practice in NY and has completed close to three thousand hours of professional continuing education since becoming licensed in March of 2000.

The primary approach used in his office is Craniosacral Therapy (CST) which is a method focusing on the cranium (head) and sacrum (a large bone at the base of the spine) scientifically proven to control life sustaining fluid flow throughout the body.

Craniosacral Therapy is a gentle, non-invasive, hands-on manual therapy approach that brings about healing via the fluidity of the body. The existence of the Craniosacral System was first discovered by Osteopath Dr. William Sutherland in the early 1900’s, calling it Cranial Osteopathy.  And later rediscovered, validated, and developed by Dr. John Upledger in the late 70’s early 80’s, who renamed it Craniosacral Therapy after doing five years of research at the Michigan State University, School of Medicine. In 1983 Dr. John, as he was fondly called, established a teaching institute in Palm Beach, Florida, to teach this cranial sacral method to all healthcare providers. The Upledger Institute is still very active today.

The craniosacral mechanism pumps fluid which is produced in the brain, called cerebro-spinal fluid (CSF), through the fascial network of the body, the purpose of which is to lubricate joints, muscles, organs, all cells and all tissues. It is the driving life force for your body’s systems to function properly, CSF also carries healing properties to bodily traumas, injuries and past surgeries.

The proper function of your cranial sacral mechanism, via CSF flow, maintains the normal tone of your muscles, provide nutrients to your organs, and keeps you out of pain. It sustains human life and allows your nervous system to stay responsive to challenges of daily living and your mind-body life experiences. The better your craniosacral mechanism functions, the better the flow of this life sustaining fluid, the better your body can handle physical and emotional stress. The uninhibited flow of this fluid throughout your body allows you to thrive, opposite of survival mode.

CSF is part of the Autonomic Nervous System (ANS) brain and spinal cord), which is physically encapsulated within the dural membranes of the spine and head.

One of the functions inside of your brain is to automatically generate energetic rhythmic impulses that function to pump CSF throughout your body, regulating your peripheral nerves, nervous system and organ systems, which in turn, sustain your function (physiology) and life. It is an important force that maintains everything functioning in your body. This is what we call the Craniosacral System, or Craniosacral Mechanism. It is the hydraulic, energetic and rejuvenating system of your body.

This measurable life force of moving fluid is palpable to a trained craniosacral therapist, like the heart rhythm, pulse rhythm, breathing rate, that can all be felt, so too can the Cranial Sacral Rhythm (CSR) be palpated and measured. It is the foundational diagnostic tool in real-time used to evaluate your current state of well-being (or lack thereof), and potential for health improvement and healing.

Compromises of your rhythmic impulse, correlates to CSF flow restrictions in the system which the body is unable to self-correct or overcome on its own. This is the reason why over time we develop pain, dis-ease, symptoms, conditions, mind-body disconnect and basically all human physical and psychological ailments.

When the fluid isn’t flowing optimally, your bodily rejuvenation is affected, and this is where the skill of an experienced craniosacral therapist becomes valuable. By placing his or her hands on your body, most commonly on your head and sacrum, for diagnostic purposes, the practitioner can detect, feel, evaluate, and rate the SSQAR (strength, symmetry, quality, amplitude, rate) of the rhythm; then bring forth correction of any limitations with subsequent experienced hand placements on different parts the body during a session.

A craniosacral therapist helps your rhythm reset, restore and renew allowing for healing to take place of the mind-body connection, musculoskeletal tightness and spasms, neurological deficits, autoimmune issues, organ function, many common conditions, and of course pain. Through a practitioners properly focused and attuned touch, your body is facilitated to release channels of fluid stagnation and flow restriction, which ultimately breakthrough, overcome and improve CSR and the function of vital fluid flow.

Dr. Alex Kaminsky is an advanced practitioner of Craniosacral therapy, having studied up to advanced levels including SER and pediatric courses. He has built a solid foundation with many years of experience, treating babies, children and adults.

To learn more, visit the other pages on this website. Call to schedule your appointment with Dr. Kaminsky.