Craniosakrala

Craniosakrala, typically referred to in English as the craniosacral system, is a concept in anatomy and osteopathic medicine describing a functional relationship between the cranium (skull), the spine, and the sacrum, mediated by the meninges and cerebrospinal fluid. The system emphasizes the production, circulation, and reabsorption of cerebrospinal fluid and the existence of a subtle rhythmic motion that can be palpated at the skull, spine, and sacrum. Practitioners often describe fluctuations in pressure and tension within the membranes that surround the brain and spinal cord.

Craniosacral therapy (CST) is a manual therapy derived from these ideas. It employs very light, hands-on touches to assess and influence the craniosacral rhythm with the aim of releasing restrictions in the membranes and related soft tissues. Proponents claim CST can alleviate a range of conditions, including chronic pain, headaches, stress-related disorders, neck and back pain, and temporomandibular joint dysfunction. CST is used by some osteopathic physicians, physical therapists, and other complementary medicine practitioners.

The scientific support for CST is limited and controversial. Critics note that the existence of a clinically meaningful craniosacral rhythm is difficult to demonstrate reliably, and rigorous studies generally show no large or consistent benefit beyond placebo for most conditions. Consequently, major medical organizations consider CST a complementary or alternative modality rather than a proven therapy. If used, CST should be performed by trained practitioners, and it is typically considered adjunctive rather than a substitute for conventional medical care. Safety is generally high in healthy individuals, though emphasis is placed on avoiding harm in patients with acute intracranial conditions or other contraindications.