Brown eye with makeup
Sinuses drawn on face

    Evaluation and treatment of Somato-Visceral dysfunction of the head and face requires a thorough understanding of the complex integration of sympathetic and parasympathetic neural structures that control this area. This class will focus on assessment and treatment of the neural structures supplying parasympathetic feed to the HEENT (Head, Eyes, Ear, Nose- sinuses, and Throat). These include CN III (Oculomotor), CN VII (Facial), CN IX (Glossopharyngeal), and CN X (Vagus). The influence of CN V (Trigeminal) on Head pain will also be addressed, as well as the upper cervical complex to C4.

    Precise palpatory screening of the Cranio-facial structures involved with HEENT will be addressed. Cranio-facial structures either a directly influence HEENT structures through Dural-Fascial restrictions or indirectly through increased afferent load reflex patterns perpetuated from distal structures. In either event, balancing the Cranio-Facial complex is necessary to fully re-integrate autonomic balance to this region.


inner ear

A thorough review and treatment assessment will be presented addressing C4 through the Cranio-Facial complex with emphasis on:


  • Occiput (The "pelvis" of the cranium). In the Sutherland system, the occiput is one half of the spheno-basilar articulation and thought to drive the cranial system, and is the major influence on Temporal motion.

  • Occipito-Mastoid Complex:  Including the jugular foramen, this area is composed of the intermediate petrosal sinus containing CN's IX, X, and XII.

  • Spheno-Basilar complex: Area of flexibilty after age 25 influencing all cranial motion.

  • Temporal and TMJ Complex: Properly assessing the temporals is key to understanding most cranio-facial and cranio-mandibular dysfunctions.

  • Fronto-Zygomatic Complex: Associated with most eye, headache, and sinus problems.

  • Pterygoid and Masseter Complex: Associated with the sphenopalatine ganglion, TMJ problems, swallowing, and ear stuffiness.

  • Nasal Complex: Associated with sinus dysfunction, excessive tearing, and cervical and pelvic floor muscle tension.

  • O-A to C2 Complex: Vagal relationships with pretty much every head and face structure.

  • CN V and CN X relationships to pain referral patterns to the head. 


Treatment modalites will include Strain/Counterstrain, MFR, Balanced Ligamentous Tension, and MET.

Endotracheal tube

Cranial Approach to Head and Face:

Somato-Visceral Dysfunction

Portland, OR, May 17-19th, 2019



Courtyard by Marriott Airport

Address11550 NE Airport Way, Portland, OR 97216

Phone: (503) 255-1500


Target audience: Healthcare providers including, but not limited to:

MD, DO, PT, AT, DC, MT, RN, OT, ND and other licensed or certified healthcare providers.


BOC Essential Level

18 contact hours – 18 1-A hours anticipated  


Instructors: Neal O'Neal, PT and Dennis Eaton, MPT

Class is held 9-5 Friday / Saturday and 8-12 Sunday.


Fees: $650/student, Course limited to 24 students.


Learning Objectives: Upon course completion, the participant will be able to-

1) Identify the components of the HEENT system to include the Parasympathetic and General Visceral Afferent neurons and their relevant course through the head and neck,

2) Identify, palpate and test irritation of the HEENT structures,

3) Identify and correlate to clinical symptoms autonomic and somatic function in the HEENT structures,

4) Demonstrate and describe effective use of Balanced Ligamentous Tension (BLT) technique in HEENT structures,

5) Assess the HEENT structures and Cervical Spine for dysfunction to employ appropriate treatment strategies,

6) Perform appropriate Global and Regional provocation tests for the head, neck, and HEENT structures.

Materials Provided: A binder of the course materials will be provided to each student to follow along and take notes during the lecture and lab portions of the class.


Purpose: The purpose of this class is to integrate knowledge of the Head, Eyes, Ears, Nose, and Throat structures, their innervation and symptom patterns,  and bridge the gap of how to successfully these centers. This class is important to all healthcare providers that treat patients with concussion, hyperaccusis, dizziness, balance problems, jaw dysfunction, and chronic sinusitis. 

Expected outcomes are to develop effective delineation and treatment strategies based upon a greater integration of knowledge of the anatomy, physiology, and embryology of the HEENT structures and recent evidence concerning the working of the body in this area.


This class will enhance participant learning through the use of discussion, audio-visual materials, recent research evidence as to the inner working of the parasympathetic, sympathetic, and neurohormonal axis of the body as well as new evidence of epigenetic changes that effect function secondary to inability to mesh parasympathetic center signaling.






9am – 10:30am        Neurology of HEENT Structures (Lecture)

10:30am – 10:45am Break

10:45am – 12pm      Neurology of HEENT Structures (cont’d) (Lecture)

12 – 1pm                   Lunch

1pm – 1:45pm          Global and Regional Provocation Tests (Lab)

1:45pm – 2:30pm     Pain referral patterns of CNs

2:30pm – 2:45pm     Break

2:45pm – 5:30pm     Testing for Irritated Structures (Lab)



8:30am – 9 am         Networking and discourse

9am – 9:30am          Review and discussion of Topics (Interactive Discussion)

9:30am – 10:30am   Somatic Treatment of HEENT Structures- BLT, MET (Lab)

10:30am – 10:45am Break

10:45am – 12pm      Somatic Treatment of HEENT Structures- MET, STM (Lab)

12 – 1pm                   Lunch

1pm – 1:45pm          Case Studies (Lecture and Interactive Discussion)

1:45pm – 2:30pm     Neurological Approaches- Sutural / CN 3, 5, 7, 9, 10 Inhibition (Lab)

2:30pm – 2:45pm     Break

2:45pm – 5:30pm     Neurological Approaches- 2-Hand Technique (Lab)



8am – 10am              Neurological Approaches- Chapman’s Neurolymphatic Approach (Lab)

10am – 10:15am      Break

10:15am – 11:15am Somatic Treatment of HEENT Structures- STM and Counterstrain (Lab)

11:15am – 12:15pm Review and case studies

12:15pm-12:30pm   Assessment- Interactive Discussion of Learning Objectives