CRANIAL NERVE TECHNIQUE3rd Cranial nerve: Oculomotor Nerve The ﬁrst test that we did for the 3rd cranial nerve was the pupilolight reﬂex. For this I shined a light into one eye

CRANIAL NERVE TECHNIQUE

By Raphael Rettner D.C. www.chirovideo.com

Version 1.00May, 2009

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Copyright © 2009 Raphael Rettner D.C. All Rights Reserved. Page 2 WWW.CHIROVIDEO.COM.

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About the Author

Dr. Raphael Rettner is a Palmer College of Chiropractic West graduate and has been in practice since 1982. Dr. Rettner is one of the most highly skilled and respected chiropractors in the United States. He has made numerous radio and T.V. appearances, is the author of Vegetarian Cooking for People with Allergies and has produced several DVDs including: End P.M.S Now!, The Ultimate Diet, and Twelve Causes of an Unstable Spine. He has studied both force and non-force techniques such as Advanced Biostructural Correction, Applied Kinesiology, Biophysics, Gonstead, S.O.T. and over a dozen others. With a combination of creative thinking and an insatiable quest for knowledge, Dr. Rettner has developed several new and exciting chiropractic techniques. Since 1994 he has taught these in his Applied Trigger Points seminar to chiropractors all across the United States, Australia, Canada and England.

You can reach Raphael at [email protected]


mailto:[email protected]

mailto:[email protected]



Table of Contents............................................................................................................Introduction 5

.............................................................................Chapter 1: Cranial Nerve Tests: 6

...............................................................................Chapter 2: Overview of CNT: 16

..................................................Chapter 3: Applied Kinesiology-Muscle Testing 20

..............................................................Chapter 4: Anatomical Tour of the Skull: 23

............................................Chapter 4: Cranial Nerve Technique Reflex Points: 25

...........................................................Chapter 4: Demonstration of Treatments: 34

...........................................................................................................Conclusion 40




Introduction

INTRODUCTION: The Cranial Nerve Technique was developed in order to help heal cranial nerve loss of the different senses. It works by accessing the cranial nerves through the spine. Rather than giving an osseous adjustment, we are working with the center of the brain for cranial nerves and directly affecting them through stimulation of the spine. I have found this to be valuable in restoring hearing loss and improving vision.

Success Stories: I personally had hearing loss after scuba diving 110 feet deep under water. My hearing was immediately restored as a result of the treatment. I had a patient who had blurry vision after a car accident. Her vision became instantly clear again. Another patient with Bellʼs palsy couldnʼt pucker her lips. I adjusted the reflex point for the 7th cranial nerve and she was able to pucker up after a single treatment.




Chapter 1: Cranial Nerve Tests:

1st Cranial Nerve:Olfactory Nerve-For this test what we did was to take a cotton ball and some alcohol and then occlude one nostril and place it under the nostril. “Do you smell that?” Now occlude the other nostril. “Do you smell that?”




2nd Cranial nerve:Optic Nerve In The first test I checked for perimetry. “I want you tell me when you first see this pen.” “I see it.” Normal is 180 degrees.

3rd Cranial nerve: Oculomotor Nerve The first test that we did for the 3rd cranial nerve was the pupilolight reflex. For this I shined a light into one eye and checked for constriction. If the constriction wasnʼt even, that may indicate functional hypoadrenia.




The second test was the consensual reflex. For this one I shined a light into one eye and look at the other one for constriction.

The next test was for distance accommodation. For this we blocked one eye and brought the pen close to the other eye. The pupil should constrict as we come closer.




Then we ask the patient to look inferior and lateral.

4th Cranial nerve: Trochlear Nerve For this we ask the patient to move their eyes superior and obliquely.




5th Cranial nerve: Trigeminal Nerve I tested the facial sense by taking a soft brush and touching the forehead, the cheek and the jaw. “Do you feel that?” Then you can fake it a few times to see if theyʼre actually feeling it. Itʼs good to test on both sides.

Next, I tested the strength of the masseter muscle. “Open your jaw please. Now close it against my resistance.” Weʼre checking for weakness here.




6th Cranial nerve: Abducens Nerve For this I did the lateral rectus test. “Just follow my finger as it moves from side to side.”

7th Cranial nerve: Facial Nerve For this I tested the muscles of expression. “Smile, frown and now wrinkle your forehead.”




8th Cranial nerve: Acoustic Nerve The first section I tested was the cochlear section which has to do with hearing. The first test I did was the Rinne Test. What I did first was take a tuning fork, hit it against my side and touch the patientʼs mastoid process of the temporal bone. “Please tell me when you stop hearing that.” “O.K.” Now place it against the ear, “Do you still hear that?” “Yes.” In this case, the air conduction was longer than the bone conduction, which is normal. If the bone conduction were longer than the air conduction that would be a positive test.




The next test is the Weber Test. For that one, again I hit the tuning fork and place it on top of the patientʼs skull. “Tell me which side is loudest.” “Theyʼre both the same.” Since theyʼre the same that test is normal. If one side was louder, that would be a positive test.

Next I tested the vestibular section. “Please stand up, close your eyes and stand on one foot.” Weʼre checking for loss of balance here. As we can see sheʼs losing balance, which is a positive test.




9th Cranial nerve: Glossopharangeal Nerve For this test I touched the patientʼs soft palate with a tongue depressor and checked for a gag reflex. Itʼs positive if thereʼs no gag reflex.

10th Cranial nerve: Vagus Nerve As the patient says “ah” the uvula should rise evenly. “Say ah please.” “Ah” It ʻs positive if the uvula rises to the side opposite of innervation.




11th Cranial nerve: Spinal Accessory Nerve For this test, the patient shrugged her shoulders against resistance. I checked for the strength of the muscle.

12th Cranial nerve: Hypoglossal Nerve The patient sticks out her tongue and moves it from side to side. Note for any restrictions in motion.




Chapter 2: Overview of CNT:

The Cranial Nerve Technique is a simple way to affect cranial nerve function by touching reflex points on the skull while stimulating the spine.

First, during history and examination evaluate the patient for sensory symptoms including hearing loss, myopia, tic douloreux and so on. Perform the appropriate cranial nerve tests.




Second, locate the reflex point on the skull and place the patientʼs finger on the point. You may confirm that this point is out of balance through muscle testing. If it is out of balance the arm will appear weak.




Test this point with the patientʼs body in flexion, extension, hyperextension, right rotation, left rotation, right side bending and left side bending.

With their eyes open and closed and while they look up, down, right, left and diagonal. Place the patient in the posture and eye position that tests weak.




Now adjust T2-4-6 in 3 phases of respiration with a double activator.

Then retest the arm. It should appear strong.

Finally repeat the cranial nerve test to evaluate the result.




Chapter 3: Applied Kinesiology-Muscle Testing

Next, I demonstrated the correct procedure for muscle testing.First find a strong indicator muscle. The most convenient one is the pectoralis major clavicular. This chest muscle helps bend and turn the arm at the shoulder. Have the patient hold their arm straight out, level with the shoulder, palm out and thumb pointed towards the feet. Push down on the




forearm, towards the feet and away from the body. When you test, be sure not be too close to the wrist or overpower the patient. This will give a false reading. Push only to the point where the muscle locks. Tell the patient youʼre going to push down and out and ask them to hold their arm in place. When you say hold, pause for a moment to allow the patient to resist. If you donʼt pause, you may overpower the patient and get a false reading. “Iʼm going to push down and out. I want you to hold your arm in place. Hold.” Applied kinesiology is a technique I have found to be useful in my practice.

How to do CNT without muscle testing

If you prefer not to use muscle testing, the cranial nerve technique will still be successful. 1. After performing the cranial nerve tests, simply locate the appropriate point. 2. Place your patients finger on it. 3. Stimulate the spine at T2-4-6 in 3 phases of respiration, using a double activator.




In most cases you will find a significant improvement in cranial nerve function. You may order a double activator from Victor Frank c/o Total Body Modification.




Chapter 4: Anatomical Tour of the Skull:

Next I took you on an anatomical tour of the skull. This is the frontal bone, the parietal bone, this is the temporal squama, the mastoid process of the temporal bone and this is the occipital bone. This point here is the EOP or external occipital protuberance.

Up the center of the frontal bone is the metopic suture. In the back is the occipital bone.




Then we have the squamosal points. This is right where the sphenoid bone meets the frontal bone and the parietal bones. We have squamosal 1.

Just past that is squamosal 2. A little bit further back is squamosal 3, squamosal 4, all the way to squamosal 7.




Chapter 4: Cranial Nerve Technique Reflex Points:

Next I demonstrated the cranial nerve technique reflex points. The test points for the cranial nerves are bilateral. That is they may occur on either the right or left sides of the skull. The CNT sequence for treating all the cranial nerves is T2-4-6 in 3 phases of respiration. The 1st cranial nerve is the olfactory. It controls the sense of smell. Symptoms may include colds. The test point is located one inch superior and 1 inch lateral to the EOP on the right or left occiput.




The 2nd cranial nerve is the optic. It controls sight and color discrimination. Symptoms include color and night blindness and blind spots. The test points for the optic nerve are 1/2 inch inferior and 1 inch lateral to the EOP on the right or left occiput.

The 3rd cranial nerve is the oculomotor. This controls the sphincter muscles of the iris in the eye. Symptoms may include squinting, strabismus and diplopia. The test point for the oculomotor nerve is 2 inches lateral to the EOP on the right or left occiput.




The 4th cranial nerve is the trochlear nerve. This innervates the superior oblique muscle, which rotates the eyeball outward and downward. Symptoms include: tilting of the head, ptosis and dizziness. The test point for the trochlear nerve is just inferior to squamosal 3 on the right or the left hemispheres.




The 5th cranial nerve is the trigeminal nerve. The ophthalmic branch affects sensations to the eye, forehead and nose. The maxillary branch controls sensations to the cheek, lower eyelid, nose, upper jaw, teeth and maxillary sinus. The anterior branch affects muscles of mastication and mucosa. The posterior branch runs the skin of the ear. mandibular joint, lower jaw, teeth and the tongue. Symptoms include tic douloreux, loss of sensation, hearing impairment and lockjaw. The test points for the trigeminal nerve are one inch superior and 1/2 inch lateral to the EOP on the right or left occiput.




The 6th cranial nerve is the abducens. This rotates the eyeball outward. test points are 3 inches superior and 1 1/2 inches lateral and to the EOP on the right upper quadrant or left upper quadrant of the occiput.

The 7th cranial nerve is the facial. This controls motor supply of the facial muscles and scalp. Symptoms include: Bellʼs palsy and facial spasm. Test points for the facial nerve are 1/2 inch inferior to squamosal 5 on the right or left side.




The 8th cranial nerve is the auditory or acoustic nerve. This affects hearing and balance. Symptoms include sea sickness, dizziness, vertigo and pain in the head, neck, nose, eyes, ear and tongue, as well as tinnitus and hearing loss. The test point for the auditory nerve is on squamosal 3 on the right or left hemispheres.

The 9th cranial nerve is the glossopharyngeal. This controls taste and sensation to the throat. Symptoms include: Loss of gag reflex, dysphagia and loss of taste. The test points for the auditory nerve is on squamosal 2 on the right or left hemispheres.




The 10th cranial nerve is the vagus nerve. Itʼs sensory fibers run to the skin in the back of the ear, the pharynx, larynx, tongue and abdominal viscera. Symptoms include: loss of voice, abdominal distention, loss of gag reflex, vomiting and dyspnea. The test points for the vagus nerve are 1 3/4 inches lateral to the EOP on the right or left occiput.




The 11th cranial nerve spinal accessory nerve. The cranial portion runs to motor the pharynx, upper larynx, uvula and palate. The spinal portion controls the sternocleidomastoid and trapezius muscles. Symptoms include: torticollis, difficulty rotating the head, shrugging, atrophy of the sternocleidomastoid and difficulty in raising the head. Test points for the spinal accessory nerve are one half-inch superior to squamosal 6 on the right or left. The 11th reflex point for the spinal accessory nerve is 1 1/2 inches superior to the posterior pinna of the right or left ear.




The 12th cranial nerve is the hypoglossal. This controls the muscles of the tongue. Symptoms include: paralysis of the tongue. The tongue deviates to the side opposite of the lesion. Other symptoms include: stammering stuttering and lisping. The test points for the hypoglossal nerve are 1 1/2 inches lateral to the EOP on the right or left lower quadrants of the occiput.These points are bilateral. They may show up on either side. The Cranial Nerve Technique may not be appropriate or sufficient treatment for all nerve related disorders but in many cases can affect miraculous and instantaneous results.




Chapter 4: Demonstration of Treatments:

Next I demonstrated the reflex point for the optic nerve. I also demonstrated an adjustment for the Cranial Nerve Technique. The optic nerve reflex point is 1/2 inch inferior and 1 inch lateral to the eop on the left occiput. Now touch this point right there.




Do you have any problem with vision? Yes. What is your problem?I wear contacts because Iʼm very nearsighted. Do you notice any difference in your vision? Oh my goodness, I do. Really? Whatʼs the difference? As I was looking outside through your blinds the blinds just kind of focused. Amazing. Itʼs like theyʼre moving. Gosh,thatʼs amazing! Goodness. More sharp and my head feels light headed. That was really a powerful experience right there.




Next, I demonstrated the reflex point for the auditory nerve. Itʼs at squamosal 3 on the right or left side.

“Hold your arm up. Touch right there.” I gave the adjustment for the 8th cranial nerve. T2-4-6 in 3 phases of respiration while the patient touched the reflex point at squamosal 3. That one was for hearing. “Do you notice any change in your hearing?” “Iʼm noticing a certain buzz that I hadnʼt noticed before.”




Next, I did a demonstration of the Glossopharengeal or 9th Cranial Nerve reflex point. The glossopharengeal point is right on squamosal 2 on the right.




Suzanne has a problem when she says ah her uvula deviates to her right. “Ah”

Next I adjusted T2-4-6 in 3 phases of respiration while the patient touched the reflex point at squamosal 2 on the right. Now weʼll recheck the uvula and see how it looks. “Stick out your tongue and say ah.” “Ah”




“Suzanne we took a look at your uvula and there wasnʼt 100% correction. But it is much improved. There is less deviation than there was before.” We donʼt always see 100% correction of all the senses but we always see some improvement.




Conclusion

The Cranial Nerve Technique is a new method of getting powerful releases related to the 5 senses, in a way previously unattainable. While the treatment may not be appropriate in all cranial nerve related disorders, in many cases Iʼve had immediate and astonishing results. I hope that youʼll benefit from the Cranial Nerve Technique in helping your patients to achieve a happier, healthier lifestyle.




Documents

CRANIAL NERVE TECHNIQUE3rd Cranial nerve: Oculomotor Nerve The ﬁrst test that we did for the 3rd cranial nerve was the pupilolight reﬂex. For this I shined a light into one eye