Cranial Facial Release in Naples, FL

Specialized CFR Technique to Improve Breathing and Relieve Pressure

Session Time 10-15 minutes
Downtime None
Typical Series 4 visits, 4 days
Results Onset Often same visit
Cranial facial release in Naples, FL performed with the endonasal balloon technique at Bergtold Chiropractic

Cranial Facial Release for Head Pressure

Dr. James Bergtold, DC is certified in cranial facial therapy for headache and post-concussion treatment and has treated more than 5,000 patients across 25+ years of practice. He offers CFR as one option among the therapies and advanced treatments at his Naples clinic, and only when the exam supports it.

Patient breathing easily after cranial facial release treatment at Bergtold Chiropractic in Naples

When Blocked Breathing Calls for Cranial Facial Release

Restricted breathing does not stay in your nose. When airflow through one side is limited, you mouth-breathe at night, wake up unrefreshed, and carry a dull band of pressure across the forehead and cheekbones through the day. Head pain settles behind the eyes and the jaw feels tight. Most patients who ask us about CFR have already worked through saline rinses, allergy medication and a steroid spray, and some have seen an ENT who found nothing that needed surgery.

Cranial facial release approaches that pattern mechanically rather than chemically. A small balloon is placed in a specific nasal passage and inflated for a second or two, applying a brief, controlled stretch to the bones of the face and skull and the connective tissue between them. Patients commonly report easier airflow and less facial pressure within the first visits. Research on this specific technique is limited, so Dr. Bergtold treats it as something to try and reassess, not a promise.

What Is Cranial Facial Release?

Endonasal Balloon Adjusting

Cranial facial release (CFR) is a manual technique in which a small balloon is passed into a nasal passage and briefly inflated to mobilize the bones of the face and cranium. It grew out of the older bilateral nasal specific method. CFR is a hands-on procedure, not a device or a drug, so no FDA clearance applies, and the published evidence for it remains limited.

Each inflation lasts about two seconds and repeats across different passages. Most patients feel brief pressure, not pain. The goal is freer motion at the cranial sutures and easier airflow. CFR is usually given as four visits over four consecutive days, often alongside chiropractic adjustments when the upper neck contributes.

First Signs Often same visit
Full Effect After 4 day series
Treatment Time 10 to 15 minutes
Recovery None

Cranial Facial Release Treatment Areas

Head, Face and Airway

Chronic Sinus Pressure

Aims to ease fullness and improve drainage across the sinuses

Headaches and Migraines

Used with neck care when head pain keeps coming back

Restricted Nasal Breathing

Targets the nasal passages when airflow feels blocked

Post-Concussion Symptoms

Supportive care for lingering head pressure after an injury

Jaw and Facial Tension

Addresses facial bone restriction that loads the jaw joint

Snoring and Poor Sleep

May help when limited nasal airflow disturbs sleep at night

Benefits of Cranial Facial Release

Drug-Free and Brief

2000+ Satisfied patients
  1. 01

    Drug-Free Technique

    No medication, no injections and no surgical incision

  2. 02

    Short Sessions

    Each visit takes about 10 to 15 minutes with no downtime

  3. 03

    Quick Feedback

    Most patients can tell within a visit or two whether it helps

  4. 04

    Airway Focused

    Works on nasal airflow, which few manual therapies address

  5. 05

    Defined Course

    Typically four sessions, not an open-ended treatment plan

  6. 06

    Combines With Spinal Care

    Pairs with adjustments when the upper neck also drives symptoms

Cranial Facial Release vs. Alternatives

TreatmentMechanismTimeResultsDurationDowntimeBest For
Cranial Facial Release Endonasal balloon inflation 10-15 minutes Often within a session Varies, repeat as needed None Blocked airflow, head pressure
Chiropractic Adjustment Spinal joint manipulation 10-20 minutes Often the same visit Held with a care plan None Neck-driven headaches
Cold Laser Therapy Photochemical light energy 10-20 minutes Builds over sessions Held with a care plan None Inflammation and slow healing
Nasal Steroid Sprays Reduces mucosal swelling Daily at home 1 to 2 weeks While used daily None Allergy-driven congestion
ENT Referral Medical or surgical care Consult plus workup Weeks to months Often long term Days to weeks if surgery Structural or infectious disease
Confident adult patient considering cranial facial release at a chiropractic clinic in Naples FL

Who Is a Good Candidate for Cranial Facial Release?

Finding the Right Approach

Ideal Candidates for Cranial Facial Release
  • Adults with ongoing sinus pressure or facial fullness that medication has not resolved
  • Patients with headaches and migraines that also involve head or facial pressure
  • People with lingering symptoms after a concussion who have been medically cleared
  • Patients whose neck pain and headaches respond partly to adjustments but not fully
  • Anyone who prefers a drug-free option and has realistic, short-term expectations
  • Patients already receiving spinal decompression or adjustments for a related problem
Who Should Wait or Avoid Cranial Facial Release
  • Recent nasal, facial or skull fracture, or recent sinus or nasal surgery
  • Active sinus infection, nosebleed or an untreated infection in the nasal passages
  • Bleeding disorders or current anticoagulant therapy
  • Known nasal polyps, tumors, or a suspected cerebrospinal fluid leak
  • Uncontrolled high blood pressure or recent stroke
  • Children, unless a physician has specifically recommended it

What Happens During Cranial Facial Release

Step-by-Step Process

  1. 01

    Exam

    Dr. Bergtold takes your history, checks the neck and airway and confirms CFR is reasonable.

  2. 02

    Setup

    You recline while a small balloon is fitted to a hand bulb and lightly lubricated.

  3. 03

    Inflation

    The balloon enters one nasal passage and is inflated for about two seconds, then removed.

  4. 04

    Sequence

    The step repeats across the passages on both sides, taking 10 to 15 minutes in total.

  5. 05

    Recovery

    You sit up and breathe through each side while the eyes water off for a minute or two.

  6. 06

    Reassessment

    Dr. Bergtold rechecks breathing and pressure before deciding whether to continue the series.

Risks and Side Effects

What to Know

Common Cranial Facial Release Side Effects

The technique is uncomfortable for a few seconds at a time. Expect watering eyes, a brief burning or pressure sensation in the nose, and sneezing or a runny nose afterward. Mild facial soreness, a short-lived headache and tiredness the same evening are also reported, and these generally clear within a day.

Less Common Effects

A minor nosebleed can occur, particularly in dry conditions or in patients on blood thinners. Temporary lightheadedness is possible. Because CFR is not widely studied, the true rate of rare complications is not well established, which is one reason it is not used when there is a fracture, an infection, a bleeding disorder or a suspected cerebrospinal fluid leak.

Safety and Regulatory Status

CFR is a manual procedure, not a regulated device, so no FDA approval or clearance applies. It is not a treatment for any disease. Persistent or worsening head pain deserves a medical workup, and the National Institute of Neurological Disorders and Stroke lists the warning signs that call for prompt evaluation.

Cranial Facial Release Cost in Naples

Pricing and Payment Options

How Much Does Cranial Facial Release Cost in Naples?

Cost depends on how many sessions are recommended, whether CFR is delivered on its own or alongside adjustments and other therapies, and whether an exam or imaging is needed first. CFR is normally delivered as a short series rather than a single visit, so we quote a plan instead of a per-visit fee. Call (239) 593-6788 and our team will give you a clear number before anything is scheduled.

Insurance and Coverage

We accept Blue Cross Blue Shield, Aetna, Medicare, Medicare Advantage, UnitedHealthcare and Cigna. Coverage for cranial techniques varies a great deal between plans and many carriers treat CFR as a non-covered service, so we verify your benefits in advance and tell you what will be out of pocket before you start.

Flexible Payment Options
  • CareCredit - healthcare financing with monthly payment plans, applied for online or at the front desk
  • Written care plans - the series is bundled into one plan so the total is known up front

Marnie at the front desk handles benefit checks and financing questions, so cost is never a surprise partway through a series.

  • Medicare
  • Cigna
  • Blue Cross Blue Shield
  • UnitedHealthcare
  • Aetna

Why Choose Bergtold Chiropractic for Cranial Facial Release in Naples

Naples Certified CFR Provider

CFR Certified

Trained in cranial facial therapy for headache and concussion care

Exam Comes First

On-site X-ray and a full history before any technique is chosen

Honest Expectations

Clear about what the limited research on CFR does and does not show

Full Range of Options

Adjustments, laser, decompression and acoustic therapy in one clinic

25+ Years in Practice

More than 5,000 patients treated in Naples since November 2000

Rated 5.0 by Patients

A 5.0 Google rating from more than 200 Naples patient reviews

Frequently Asked Questions About Cranial Facial Release

Your Questions Answered

How much does cranial facial release cost in Naples?

There is no single price, because cost depends on how many sessions you need and whether CFR is combined with adjustments or other therapies. CFR is normally delivered as a series, so we quote the plan rather than a per-visit fee. Call (239) 593-6788 and our team will confirm the total and check your insurance benefits before anything is booked.

How long do the results of cranial facial release last?

That varies widely and is not well documented in published research. Some patients report easier breathing and less pressure that holds for months after a four session series, while others notice the benefit fading and return periodically. Dr. Bergtold reassesses after the first series and will tell you honestly if repeating it makes sense for you.

Does cranial facial release hurt?

It is briefly uncomfortable rather than painful for most people. Each balloon inflation lasts about two seconds and typically causes pressure behind the nose, watering eyes and an urge to sneeze. The sensation stops as soon as the balloon deflates. Patients who find the first inflation intolerable can stop at any point, and we will not push through it.

When will I notice a change after cranial facial release?

Most patients who respond notice something during or shortly after the first session, usually easier airflow through one or both nostrils. Any further change tends to build across the four visit series. If nothing has shifted after the first two visits, that is useful information and we will look at a different approach instead of continuing.

How often do I need cranial facial release?

CFR is typically delivered as four sessions over four consecutive days rather than as ongoing weekly care. Some patients repeat the series months later if symptoms return, especially seasonally. It is not designed as an indefinite treatment plan, and Dr. Bergtold will not keep scheduling sessions when they are not producing a change.

What is the difference between cranial facial release and a chiropractic adjustment?

A chiropractic adjustment applies force to spinal joints, usually in the neck or back. Cranial facial release works inside the nasal passages with a small balloon to mobilize the bones of the face and skull. They address different structures and are often used together when head pain has both a neck component and a facial pressure component.

Is there scientific evidence that cranial facial release works?

The published evidence for CFR specifically is limited to case reports and small case series, not large randomized trials. Broader research supports manual therapy for cervicogenic headache and migraine, which informs the rationale, but those studies did not test CFR. We tell patients that plainly so the decision is made with accurate information.

Can cranial facial release fix a deviated septum?

No. A deviated septum is a structural difference in the cartilage and bone dividing the nasal passages, and correcting it requires surgery. CFR may make breathing feel easier by mobilizing surrounding structures, but it does not straighten the septum. If your ENT has identified a septal deviation, that evaluation should guide your decision.

Can cranial facial release help after a concussion?

Some patients with lingering post-concussion pressure and head pain report improvement, and Dr. Bergtold holds certification in cranial facial therapy for post-concussion treatment. Evidence remains limited. Anyone with a recent head injury needs medical clearance first, and CFR is offered as supportive care alongside, not instead of, medical follow-up.

Can children get cranial facial release?

We do not offer CFR to children at this clinic unless a physician has specifically recommended it. The technique is uncomfortable and the evidence in pediatric patients is thin. Children with neck or posture-related complaints are better served by our pediatric chiropractic care, which uses gentle, low-force techniques.

Should I see an ENT before trying cranial facial release?

If you have never had your symptoms evaluated, yes. Chronic congestion, facial pain and pressure can stem from infection, polyps, allergies or structural problems that need medical treatment. Dr. Bergtold will refer you when the findings point that way. CFR is most appropriate once serious causes have been ruled out and other care has not resolved things.

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