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Therapist Questions - February 2012

Make a protocol for craniosacral therapy from case study.

Client has migraines that happens once a week that lasts two days.  Has 3 crowns on the upper molars of the right side of the maxilla.  Has had a broken jaw and fractured pelvis and femur from 14 years ago from crash in cycling where he couldn't get out of the way of a fallen rider and crashed over him hitting his head.  Right side is usually side that hurts.  He favors his left leg when he walks.  Swings pelvis forward, while stepping forward, with the right leg.  Jaw and face show visual signs of compression.  Right side of face seems to spiral into the temporal mandibular joint.  The maxilla seems posteriorly compressed on the same side.  Has asymmetry when comparing the right eyebrow, eyelid, and angle of the jaw to the left.  Tilts his head to the left.  Left shoulder elevated with lateral rotation at the head of the humerus.  Anterior rotation of right ASIS.  Cranial assessment shows little flexion and no extension on the right side of his entire cranium and face.   It is palpable across the sagittal suture, moving from the right side to the left.  Discernable flexion and extension over the left cranium and face, but amplitude of flexion is much greater than that of extension.  Palpation at shoulders shows decreased amplitude of flexion and extension around the right glenohumeral joint.  The sacrum demonstrates flexion and extension-however, the symmetry is unequal.  Need to design a protocol for the following and he wants craniosacral therapy.

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