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More Evidence That Craniosacral Therapy Works?
By Chris Centeno on
October 28, 2016
craniosacral-therapy-studies
I blogged a few months back on how we arrogant MDs needed to write an
apology to our alternative medicine colleagues based on new discoveries
that showed that craniosacral therapy works. Now another new study shows
just how stupid we have been, finding new lymph connections in the brain
that would further explain why craniosacral therapy is effective as well
as chart a link between the immune system and the brain. Let me explain.
*The Recent Research on Craniosacral Therapy*
The craniosacral therapy research
I shared with
you in August showed that craniosacral therapy (CST) improved neck pain
more than a placebo. There was also an improvement in physical function
in the CST group.
How did they come to this conclusion? Fifty-four patients were
randomized into two groups: one group received CST, and the other
received a light-touch placebo therapy. This was a “blind” study,
meaning that the patients did not know whether they were getting
craniosacral therapy or the placebo (a sham treatment). The authors kept
the patients truly blinded to which treatment group they were in, even
telling patients that they were testing two different CST methods.
*What Is the Lymphatic System?*
The lymphatic system falls under the umbrella of our circulatory system,
which consists of the structures in our body involved in circulating
blood (cardiovascular system) and lymph (lymphatic system) throughout
our body. The structures that make up our lymphatic system include the
thymus gland, bone marrow, spleen, lymph nodes, tonsils, and lymphatic
vessels. The organs and tissues of the lymphatic system circulate lymph
rich in white blood cells, such as lymphocytes, through the intricate
channels of our lymphatic vessels, supporting our immune system. Think
of the lymphatic system as both a waste disposal system and one that can
help fight infection.
*Why We’re Still Finding Important Anatomy, We Didn’t Know Existed*
Cadaver dissection is a mess. The body has many delicate structures that
the most careful anatomists destroy. This is what happened in this case.
The delicate lymphatic vessels that ran with the arteries in the brain
were so fine that they were being lost once even the most skilled
anatomist tried to explore the brain’s structure.
Another reason we keep missing structures, like the recently discovered
anterolateral ligament (ALL) in the knee, is a combination of arrogance
and bias. First, we’re not looking because we believe that we already
know all there is to know. That’s a very dangerous place to be, as the
obvious can sail right past you and you wouldn’t recognize it. You can’t
underestimate how believing that you know all there is to know destroys
scientific insight and curiosity. I see it every day in medicine:
physicians who don’t have a clue about how the human musculoskeletal
system truly works despite excellent training in orthopedics, physical
medicine, interventional spine, or other similar disciplines. Once they
think they know everything, they simply stop looking.
Second, spending 20 minutes with an ultrasound probe that lets you look
at surface muscle, tendon, and ligament anatomy with hundreds of times
the resolution of an MRI will show you just how wrong our anatomy texts
are. For example, a muscle tendon that you’ve seen a hundred times in a
hundred separate images go from point A to point B does go that
direction, but it often sails right by point B and then blends in with
the next tendon down the line. However, trying to dissect all of this
out in a cadaver just destroys this structure. Regrettably, almost all
of our textbooks are based on those clumsy dissections.
*The New Brain Lymphatic Discovery*
A recent study
out of the University of Virginia School of Medicine found channels of
the lymphatic system in a place they were previously unknown to exist.
These lymphatic vessels were discovered in the dural sinuses. They were
easily missed all this time due to their proximity to the blood vessel
and because they were so delicate and fragile. The study analysis
states, “These structures express all of the molecular hallmarks of
lymphatic endothelial cells, can carry both fluid and immune cells from
the cerebrospinal fluid, and are connected to the deep cervical lymph
nodes.” This forms a new connection between the central nervous system,
specifically the brain, and lymphatic system and could impact the
diagnosis and treatment of neurodegenerative conditions, such as
Alzheimer’s disease and Parkinson’s disease. Why? Remember that this is
one of the waste disposal systems of the brain. Waste that isn’t removed
builds up; leading to toxic levels of chemicals that can poison brain cells.
The upshot? It’s exciting that we’re still discovering body parts and
systems in the early 21st century. That apology letter to all of those
craniosacral practitioners just got a little bit bigger and longer. In
the meantime, never assume that you know all there is to know about any
subject, *especially medicine*. That’s a surefire way to make yourself
into a mediocre practitioner of whatever it is that you’re practicing.
It’s also a surefire way to be an idiot.
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Read 3 Comments
1.
*Farrukh* says:
October 28, 2016 at 11:29 pm
Thank you Chris for this lovely piece of advise wrapped up with
cover of test results and scientific explanations. Human being is
truly one of the most complex yet complete fully functional piece of
art gifted to us by Nature and there are still a lot of things need
to be uncovered in terms of body anatomy and physiology.
Reply
2.
*Laura * says:
October 31, 2016 at 5:48 pm
I am so impressed by your willingness to own up to a previous blind
spot. This is a rare and precious thing in the medical field and I
deeply appreciate it. Your patients are blessed to have a truly
thoughtful doctor
Reply
1.
*Regenexx Team* says:
November 1, 2016 at 7:37 pm
Thank you Laura!
Reply
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Next: My 2018 Bone Marrow Ortho…
»
By Chris Centeno on
October 28, 2016
Chris Centeno, M.D. is a specialist in regenerative medicine and the new
field of Interventional Orthopedics. Centeno pioneered orthopedic stem
cell procedures in 2005 and is responsible for a large amount of the
published research on stem cell use for orthopedic applications. Centeno
regularly lectures on regenerative medicine and has spoken twice at the
Vatican Stem Cell Conference, as well as the NFL Combine.
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