About CranioSacral

The craniosacral system is a recently recognized functioning physiological system which comprises of the cranial bones (skull), vertebrae and sacrum, the meningeal membranes, the cerebrospinal fluid and the central and autonomic nervous systems (brain and spinal cord). The craniosacral system has a direct impact on the musculoskeletal, circulatory, lymphatic, respiratory and endocrine systems and therefore plays an integral role in the overall functioning and homeostasis of the body.

Sandra Smit interview about her craniosacral therapy and homeopathy on Expresso national tv, October 2012:

Sandra Smit Therapist Dr Craniosacral Homeopathy Cape Town

Craniosacral Therapy induces a deep state of relaxation through gentle manipulation of the craniosacral system.  As cerebrospinal fluid gets produced within the ventricles (cavities) of the brain, it circulates within the enclosed space between the brain and the meninges, down the spinal cord and then back again, to be reabsorbed into the venous system. This produces a subtle rhythmical motion (about 6-8 cycles per minute), which can be palpated on the cranium (head), as well as particularly on the bony articulations of the body.

The craniosacral therapist uses this rhythmical motion, produced by the cerebrospinal fluid, as a diagnostic tool to assess where there are restrictions, adhesions and blockages in the body.  These may be due to inflammation, lesions, scar tissue, surgery, strokes, the accumulation of toxic waste in tissues due to dietary errors, as well as physical or emotional trauma and stress. It has been found that the body is responsive to gentle manipulation and self-restoration while in a deep state of relaxation or under parasympathetic nervous system influence, whereas crude manipulation may bring about a bracing effect of the muscles and tissues, due to activation of the sympathetic nervous system.

Sandra Smit Cranio-Sacral treatment

Craniosacral Therapy thus also works on calming the nervous system. As modern day living may be exceedingly stressful, the sympathetic nervous drive is overstimulated, which means our heart beat remains increased which leads to elevated blood pressure. We eat on the run, which means our digestive system suffers and peristalsis becomes reversed often spastic, hence irritable bowel syndrome. Our muscle tone increases and leads to muscular tension and pain etc. We struggle with the ability to relax properly and may suffer from insomnia.

The central nervous system governs brain activity e.g. reasoning, memory, conceptualization and planning. It has a sensory part whereby we perceive stimuli and a motor part whereby we react either voluntarily or involuntarily. The autonomic nervous system consists of the sympathetic nervous system and the parasympathetic nervous system and enables us to automatically react to dangerous situations with the necessary fright, fight or flight response. The sympathetic nervous system stimulates adrenalin which makes our heart beat faster, sending blood to our muscles so that we can jump to action, it makes our breathing faster increasing oxygen availability, our pupils enlarge in order to perceive better etc.

The parasympathetic nervous system governs relaxation activities such as digestion, peristalsis and sleep. Blood is directed to internal organs for proper functioning of digestion, metabolism and elimination. Also our ability to perform sexually depends largely on a healthy parasympathetic nervous system.

If our sympathetic nervous system is not adequately and regularly balanced by parasympathetic influence, we become at risk of strokes and heart attacks, stomach ulceration, a compromised immune system and emotionally suffer from anxiety. The loss of our autonomic adaptability leads to ineffective homeostasis in general.

The body’s chronic stress hormone is cortisol, which becomes excessively elevated when we experience chronic stress. Cortisol is an immune-suppressant as well as a mood depressor. The logic behind this is that one tends to withdraw from the stressful environment due to lack of motivation. Social withdrawal is also common and the depressed individual becomes increasingly introspective and questioning. Ideally at this stage, therapy and counseling is sought whereby the individual may bring about a change in circumstances or better management of stress.

Many people are tempted to self-medicate with alcohol and other substances in an attempt to alleviate either their anxiety or depression. If successful, even just temporarily, an emotional dependency is created along with the physical need for the drug which further compromises the individual’s ability to cope with stress.

Similarly the indiscriminate longterm use of psychiatric medication may well palliate but often at the cost of living passionately and creatively. It may also blind us to recognising opportunities and rob us of the motivation to bring about the the necessary changes in unhappy circumstances. Unfortunately medication does not make our issues go away, it merely postpones us facing up to them. Sooner or later we have to acquire the skills to deal with these challenges on our journey towards wholeness.

Craniosacral therapy has been proven successful in lowering abnormally high cortisol levels, reducing sympathetic tone and increasing parasympathetic nervous system balance. This improves our immunity and eases pain. The deep release of physical and emotional tension frees up energy which enables us to respond to life with more vitality. By letting go of mental processing during the treatment, the body is reminded of how to relax properly and access this state with more ease in future. By relinquishing mental activity during the treatment we connect deeply with our inner nature which allows us a healthier perspective on our individual challenges.

23 responses to “About CranioSacral

  1. hi Dr Smit

    do you offer craniosacral therapy on infants to alleviate symptoms associated with collic?

    • Hi Nathan, absolutely. Colic is distress in the gastrointestinal system and craniosacral therapy is particularly recommended to relieve colic in babies and adults with IBS.

  2. Hi Sandra, I live in Sea Point, Cape Town, and would like to see a Cranio sacral therapist. Could you recommend anyone near me? Thanks!

  3. Hi Sandra
    I’m one of your old patients, not sure if you remember me at all. Debbie Davidse, I think we last saw each other when you were still pregnant way back when….I have a need for Cranio Sacral Treatment. Please could you mail me on my email below & I’ll fill you in…tks Debbie

  4. My neck is fused (C5-6). Can I still have this therapy?

    • Hi Marilyn,

      Yes, absolutely. I’ve treated many people with severe back problems including laminectomies, fusions and disc prolapses, sciatica, arthritis, scoliosis and kyphosis, spondylitis and degenerative spinal conditions. Injury, disease, pain and surgery more often than not cause restrictions which inhibit the flow of cerebrospinal fluid and the circulation of metabolites. Craniosacral therapy aids in improving circulation in these instances which results in optimizing healing conditions for the spine.

  5. Mariam Francis-Ismail

    Hi Dr Smit,

    I have bad fibromyalgia and my physiotherapists isn’t really experienced in dealing with the disease and I really need some pain relief. Is their anyone close by I can see. I’m in Plumstead , Cape town.

    I’d appreciate your advice.

    Kind Regards
    Mariam

    • Dear Mariam,

      From a craniosacral perspective fibromyalgia is a complex of symptoms brought on over a period of time where there has been chronic stress which has overwhelmed the system. It involves the digestive, immune, endocrine (hormonal), nervous and musculoskeletal systems. It often needs a multidisciplinary approach addressing these issues and bodywork is essential. Craniosacral therapy is a safe and gentle, non-manipulative, therapy allowing the body to unwind and relax. While reducing pain and inflammation it is also holistic, bringing about an overall improved state of well-being. Personally, I combine CST with homeopathy and supplements.
      Please contact me via email for more information on therapist in your area.

  6. Hi Sandra
    I have had sever Tinnitus and Hyperacusis for 5 years. I am very stressed by it. Would craniosacral therapy help me. I live in Noordhoek. Do you have a practice in Muizenberg?

    • Hi Gill,

      Typically if there is a compression of the vestibulocochlear nerve (providing for hearing and balance) inside the head, craniosacral therapy is very useful in the release of that. However I have found that any restriction in fascia (the membrane system in our body’s that interconnects all our tissues and structures) may lead to a torsion in the bones of the head which in turn may compress this nerve. Craniosacral therapy addresses fascial restrictions that may produce symptoms elsewhere.
      I cannot guarantee success but in my opinion craniosacral therapy is one of the only therapies that can bring about releases at this level.
      I practice from home in Muizenberg. Please contact me on my cell or via email to make an appointment.

      Kind Regards,
      Sandra

  7. Hi Sandra

    My grand daughter is 18 months old and started going to nursery school this year. Since that she has not slept through and refuses to pooh. Will cranial sacral therapy help for this?

    • Dear Lillian,

      Your grand daughter is experiencing distress which is activating her sympathetic nervous system to mobilise a fight or fright reaction. This is causing her insomnia and constipation and probably a great deal of anxiety. Craniosacral therapy will certainly help restore the balance by bringing her system back into parasympathetic respons which will calm her down, and bring her body to function normally again. This will also enable her to cope much better with nursery school. Please contact me via email to make an appointment or seek a therapist near you.

      All the best,
      Sandra

  8. Hi Sandra
    I would like to know if you have any experience or knowledge of CST making a difference in lowering intra ocular pressure (IOP). My son who is 31 yrs old has been diagnosed with raised IOP/ possible glaucoma, he is on eye drops to reduce the pressure. He will have pressure readings done late December to see if the drops have worked, as you may know he will have to be on the drops for the rest of his life. I feel that CST may work but I am guessing!

    Thanks Joanne

    • Hi Joanne,
      Craniosacral therapy is definitely recommended for raised IOP. There are various factors influencing the drainage of aqueous humor from the front portion of the eyes. If drainage is insufficient, fluid pressure builds up inside the eye and may consequently exert pressure on the optic nerve and affect vision. Drainage problems may be from structural misalignment, chronic stress and anxiety, high blood pressure, and especially diabetes or oxidative damage due to excess refined carbohydrates in the diet.
      I suggest that your son gets regular intra ocular pressure readings for monitoring improvement while receiving regular craniosacral therapy.

      All the best,
      Sandra

  9. I have 3 questions
    1. My daughter has P.O.T.S. postural othostatic tachycardia syndrome which is caused by a disregulation of the autonomic nervous system. She has also been told by a psychologist and a natural health practitioner that she is mostly running in sympathetic mode. Can CST bring her into balance with parasympathetic /sympathetic modes?

    2. I have IIH idiopathic intracranial hypertension and fibromyalgia. Too much cerebral spinal fluid causing headache and inflammation of the optic nerve. Can CST help reduce the amount of fluid? Or help with this?

    3. Is CST different from myofascial therapy? Or a different component of it? I am receiving MFT. Is CST something that can be added in if they are trained in it?

  10. Hi Valancy,

    1. As you know there are various degrees of severity and multiple causes of POTS. The term “Craniosacral” refers to the two areas where parasympathetic nerves sprout from. The parasympathetic is that branch of the autonomic nervous system that brings us into relaxation and self regulation. I would highly recommend craniosacral therapy to help address the cause of your daughter’s POTS, whatever the reason for it may be (trauma, hormonal, illness, cardiovascular etc).

    2. As regards to yourself, sometimes elevated intracranial pressure is due to improper drainage of cerebrospinal fluid back into the venous circulation via the arachnoid granulations in the superior sagital sinus. This can be due to tension in the sutures or intracranial membranes. Often head injuries (even at birth), whiplash or misalignment anywhere else in the body can cause tension and via the continuity of fascia affect the membranes and cranial bone alignment which in turn will impede the drainage and circulation of the cerebrospinal fluid. It is important to rule out the possibility of brain haemorrhage during CST. Other causes of raised intracranial pressure that would contra-indicate CST may be blood clots in the subdural space or in the veins of the brain, acute infection such as encephalitis or meningitis (however CST is excellent for subsequent problems caused by these infections), blood vessel abnormalities or tumours.

    3. The two therapies are complimentary. Craniosacral therapy might be gentler (depending on the therapist) since it is non-manipulative and non-adjusting. Bringing the body into deep relaxation, the therapist merely reflects back to the body the patterns of held tensions (from trauma, injury, disease, stress etc) which causes impediment to the circulation of blood, lymph, cerebrospinal fluid. Through gentle holds these tensions are released so that the whole system can unwind. The specific cranial holds facilitate optimal cranial alignment and flow of cerebrospinal fluid along the spine which affect the entire central nervous system which in turn affects every other system in the body. Pain, deep seated trauma and anxiety respond very well to CST.

  11. Stephanie Armstrong

    Hi. My daughter is 21 and lives in Stellenbosch. She suffers from completely debilitating fybromialgia. We have taken her to every specialist known to man and she has been on every kind of medication and treatment.
    She is very interested in coming to see
    you and is hoping you can help alleviate her suffering. Do you only work from CT?

  12. Dear Stephanie,
    I can highly recommend cst for fibromyalgia. I work in Muizenberg most days but come to Stellenbosch on Fridays. Please let your daughter text (084 7000 690) or email me (drsandrasmit@gmail.com) for an appointment there.
    Best Regards,
    Sandra

  13. Pam Patterson

    Hi Sandra.
    Just wanted to say hi and let you know that it’s July 2019 and I’m still menieres free (since 2011). I still have a treatment once a month and that seems to keep me stable.
    You definitely have healing hands. I have not found anybody in the UK who has quite your touch.
    Kind regards
    Pam

  14. Hi dear Pam,
    So good to hear from you and that you are still doing well. Thank you for the compliment Pam – I always enjoyed your sessions very much :)
    All the best to you and do pop in whenever you’re in SA again.
    Love,
    Sandra

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