Venous sinus techniques: Transverse sinus and straight sinus

Venous sinus techniques: Confluence of the sinuses:

The finger tips of both middle fingers are placed on the external occipital protuberance

the fingers are in a vertical position and follow the intraosseous tensions. The weight of the head is on the fingers.

When a “softening” of the bone and the sinus is perceived and an even inherent movement is felt, one can move on to the next step of the treatment.

 Venous sinus techniques: Occipital sinus:

-        The fingers are moved one finger’s width caudally from the external occipital protuberance.

-        After perceiving a softening of the tissue, both middle fingers can be moved one finger’s width caudally again, along the occipital sinus.

-        This procedure is repeated until the fingers can not be placed closer towards the foramen magnum.

Venous sinus techniques: Transverse sinus and straight sinus:

-        The fingertips of both little fingers are on the external occipital protuberance, while the tips of the other fingers are placed along the superior curved line (linea nuchae superior) at the occipital bone.

-        The weight of the head is on the fingers again.

-        The thumbs are placed on top of each other at the sagital suture.

-        A connection is visualized from the thumbs to the anterior end of the straight sinus.

-        There is a perpetual contact of the fingers until a softening of the tissue is palpated.