EPISODE · Jun 8, 2026 · 17 MIN
29- Stop Adjusting The Cranium Before You Clear The Pelvis
from The Cranial Doc | A Chiropractic & Cranial Mastery Show for Pediatric, Family, and Neurologically-based Chiropractors · host Dr. Anthony Pellegrino
If you're jumping straight to the cranium without clearing pelvic instability first, there's a good chance you're chasing compensation instead of solving the pattern. This episode breaks down the progression Dr. Anthony sees over and over: The infant with sphenoid restriction and feeding issues. The kid who never sleeps deeply and mouth breathes through half of elementary school. The teenager grinding their teeth every night. Then the adult sitting in your office at 35 with severe TMJ, chronic bruxism, forward head posture, garbage sleep, and a nervous system that never really settled down. Same pattern. Just decades later. Inside this episode: How sphenoid restriction can alter palate development, gag reflex stability, torticollis patterns, and airway mechanics Why severe TMJ cases keep failing when pelvic instability is ignored The T1 measurement Dr. Anthony checks before ever prescribing a cervical denneroll The sutures that take the biggest beating in chronic bruxers, especially sagittal and intermaxillary patterns What patients usually feel immediately after a proper sagittal suture release The posterior ponticus pattern repeatedly showing up in his TMJ population Why "corrective care" without measurements eventually turns into educated guessing One of the biggest mistakes docs make in cranial work is going after the sexy part first. Everybody wants to adjust the cranium. Meanwhile the pelvis is unstable, the rib cage is compensating, the diaphragm is locked down, and the patient keeps grinding themselves right back into the same tension pattern every night at 2am. That's why some patients feel incredible after an adjustment and still can't hold a week later. The body always tells the truth if you stop skipping steps. If you're serious about cranial work, TMJ, airway, and long-term corrective results, this episode will sharpen the way you evaluate these cases. Join the Foundations of Cranial Work Founder's Cohort: thecranialdoc.com/founder And if you've been seeing posterior ponticus show up in your TMJ population too, drop your findings in the comments. I want the numbers. 00:00 Introduction and Energy 00:19 Welcome to Cranial Doc 00:50 ICPA Weekend Reflections 01:52 Cranial Subluxation Mechanism 03:11 Lifetime Progression of Subluxation 04:32 Working with Older Patients 05:13 SOT Framework Basics 05:57 Pelvic Stability Assessment 06:55 Anterior Head Carriage 07:34 Denneroll and Corrective Care 08:43 T1 Angle Considerations 10:16 Cranial Evaluation Components 10:47 Upper Cervical Complex 11:30 Learning Cranial Work Properly 12:31 Sagittal Suture and Midline 13:49 Immediate Results and Adjustments 14:46 Treatment Approach Summary 14:59 Posterior Ponticus Observation 15:51 Upcoming Seminar Announcement 16:38 Closing and Resources
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29- Stop Adjusting The Cranium Before You Clear The Pelvis
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