Is craniosacral therapy right for everyone?

There are certain situations in which CST would not be appropriate. For instance, treatment would need to wait if you have had any of the following and your doctor has NOT cleared you for treatment:

  • A recent concussion
  • Cerebral (in the brain) swelling
  • Structural defects in the cerebellum, such as Arnold-Chiari malformation
  • Brain aneurysm
  • Traumatic brain syndrome
  • Blood clots

If you have a disorder that causes any problems with your cerebrospinal fluid, extra precautions would need to be taken. Talk with your CST practitioner and doctor before undergoing a CST session.

Is craniosacral therapy covered by insurance?

No, CST is not covered by insurance. You will need to pay for the treatment yourself.

Last reviewed by a Cleveland Clinic medical professional on 11/29/2017.


  • Haller H, Lauche R, Cramer H, et al. Craniosacral Therapy for the Treatment of Chronic Neck Pain. A Randomized Sham-controlled Trial. Clin J Pain. 2016 May; 32(5): 441–449. Published online 2016 Apr 18. doi: 10.1097/AJP.0000000000000290
  • Matarán-Peñarrocha GA, Castro-Sánchez AM, Carballo García G, et al. Influence of Craniosacral Therapy on Anxiety, Depression and Quality of Life in Patients with Fibromyalgia. Evid Based Complement Alternat Med. 2011; 2011: 178769. Published online 2011 Jun 15. doi: 10.1093/ecam/nep125
  • Jäkel A, von Hauenschild P. A systematic review to evaluate the clinical benefits of craniosacral therapy. Complement Ther Med. 2012 Dec;20(6):456-65. doi: 10.1016/j.ctim.2012.07.009. Epub 2012 Aug 22.

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