“Craniosacral is actually a nice treatment. I don’t do any craniosacral in my practice but I do have some osteopathic friends who specialize in manual medicine only. And I’ll refer the patients who have persistent OA dysfunction or some subtle symptoms, whether maxillary or other skull-based symptoms that don’t match up to any of the other things that we talked about with referred pain patterns. Whether from trigeminal / C1-C2 or Sclerotomal or some other referred pain pattern that doesn’t make sense. So to be concise, my point is, is when things are subtle in the head that are persistent and it doesn’t tie with cognitive symptoms, exertional symptoms, ocular symptoms, vestibular symptoms. I use my craniosacral friends to help out in those circumstances. And we’ve had some success there. I don’t pretend to have a very extensive vocabulary in terms of what’s impacted that way. So I refer out in those circumstances.”
RESOURCES & LINKS:
This Q&A is an excerpt from the Vestibular Health Summit Sessions
Thomas S. Bottiglieri, DO, is a sports medicine physician specializing in the management of orthopedic injuries and disorders impacting athletes at all skill levels from adolescents to seniors. In addition to treating the full spectrum of muscle, bone, tendon, and joint injuries, Dr. Bottiglieri is a nationally recognized expert in the field of concussion care. His practice stresses shared decision-making with patients and their families and uses the latest medical technology, evidence-based sports medicine, and a compassionate, patient-centered approach. Dr. Bottiglieri is a regular contributor to local educational initiatives and an invited speaker at national medical conferences on the diagnosis and management of concussions, as well as the use of biologics in sport medicine.
Angela Rich, PT, OCS, ScD, ATC
Angela Rich was a private practice owner for 16 years, specializing in orthopaedics and sports medicine. In 2015, she turned her focus to teaching as an Assistant Professor in Texas State University’s Doctor of Physical Therapy Program with responsibilities in Orthopaedics and Therapeutic Interventions. In 2017, Dr. Rich was recognized with the Faculty Excellence Award in Teaching for the Department of Physical Therapy and the College of Health Professions. Her research agenda focuses on the identification of movement system dysfunction and impairment-based intervention.
Bridgett Wallace, PT, DPT
Bridgett Wallace, PT, DPT, has a doctorate of physical therapy and holds competency-based certifications in vestibular rehabilitation and concussion management. Dr. Wallace has been treating patients with dizziness and balance disorders for more than 20 years and is the founder and President of 360 Balance & Dizziness – a specialty clinic for the evaluation and treatment of dizziness and balance disorders that includes both audiology and therapy services. She is also the co-founder and Director of Clinical Education for 360 Neuro Health Institute, which provides online, mobile, and live educational offerings for healthcare providers.
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