Evaluation and treatment of Somato-Visceral dysfunction of the head and face requires a thorough understanding of the complex integration of sympathetic and parasympathetic neural structures that control this area. This class will focus on assessment and treatment of the neural structures supplying parasympathetic feed to the HEENT (Head, Eyes, Ear, and Throat). These include CNIII (Oculomotor), CNVII (Facial), CNIX (Glossopharyngeal), and CNX (Vagus).The influence of CNV (Trigeminal) on Head pain will also be addressed, as well as the upper Cervical complex to C4.
Precise palpatory screening of the Cranio-facial structures involved with HEENT will be addressed. Cranio-facial structures can have either a direct influence on HEENT structures through Dural-Fascial restrictions, and/or through increased afferent load reflex patterns perpetuated from distal structures. In either event balancing of the Cranio-Facial complex is necessary to fully re-integrate autonomic balance to this region.
A thorough review and treatment assessment will be presented addressing C4 through the Cranio-Facial complex with emphasis on:
- Occiput (The "pelvis" of the cranium). In the Sutherland system, the occiput is one half of the spheno-basilar articulation and thought to drive the cranial system, and is the major influence on Temporal motion.
- Occipito-Mastoid Complex: Including the jugular foramen, composed of the intermediate petrosal sinus containing CN's IX, X, and XII.
- Spheno-Basilar complex: Area of flexibilty after age 25 influencing all cranial motion.
Temporal and TMJ Complex: Properly assessing the temporals is key to understanding most cranial dysfunctions.
- Fronto-Zygomatic Complex: Associated with most eye, headache, and sinus problems.
Pterygoid and Masseter Complex: Associated with the sphenopalatine ganglion, TMJ problems, swallowing, and ear stuffiness.
- Nasal Complex: Associated with sinus dysfunction, excessive tearing, and cervical and pelvic floor muscle tension.
- O-A to C2 Complex: Vagal relationships with pretty much every head and face structure.
- CNV and CNX relationships to pain referral patterns to the HEAD.
Treatment modalites will include Strain/Counterstrain, MFR, Balanced Ligamentous Tension, and MET.