Cranial Facial Release (CFR) is a specialized, non-invasive chiropractic technique that uses a small medical balloon inserted into the nasal passages to gently mobilize the bones of the skull (especially the sphenoid bone). This helps release tension, improve cerebrospinal fluid flow, open nasal airways, and restore proper cranial movement. It is commonly used to address breathing issues, snoring, sleep apnea symptoms, chronic headaches, sinus problems, and support recovery from concussions or head trauma.

Most patients describe the procedure as causing only mild pressure or a brief “popping” sensation similar to having your ears pop on an airplane. It is generally not considered painful. Any minor discomfort usually lasts only a few seconds during the balloon inflations. Many patients feel immediate relief afterward. Temporary side effects (like light nasal drip or a mild headache) are rare and typically resolve within hours.

The number of sessions varies depending on your condition and how long you have had symptoms. Most patients complete a series of 4–8 treatments over 2–4 weeks. Some people experience significant improvement after just a few sessions, while others with chronic or complex issues may benefit from maintenance visits every few months. Dr. Steinhardt will create a personalized plan after your initial evaluation.

Yes, CFR is considered very safe and gentle when performed by a trained practitioner. It is commonly used with children who have chronic sinus issues, breathing difficulties, bedwetting related to poor sleep quality, or recovery support after concussions. The pressure used is adjusted appropriately for age and size.

CFR is often considered an elective or specialized procedure and is not always covered by insurance plans. Many patients pay out-of-pocket (cash-pay). We provide transparent pricing and flexible payment options. Traditional chiropractic adjustments (when part of your care plan) may be covered under many PPO plans — please bring your insurance card so we can verify benefits.

CFR is particularly effective for:

• Chronic headaches and migraines
• Snoring and sleep apnea symptoms
• Nasal congestion and sinus issues
• Poor nasal breathing / mouth breathing
• Brain fog, poor focus, and cognitive fatigue
• Recovery support after concussions, TBIs, or head trauma
• TMJ/jaw pain and tension
• Some cases of dizziness or balance issues related to cranial tension

It is often used in combination with traditional chiropractic care, functional rehabilitation, and home exercise programs.

Traditional chiropractic focuses primarily on the spine and extremities. CFR specifically targets the cranial bones and facial structures using an internal balloon-assisted approach. This allows direct influence on the sphenoid bone and nasal passages — areas that cannot be effectively addressed with hands-only adjustments. Many patients combine both therapies for the best outcome.

Yes. We accept personal injury liens and workers’ compensation cases. If you were injured in an auto accident or at work, please let us know at the time of scheduling so we can properly document your case and work with your attorney or adjuster.

Your initial visit includes:

• A thorough health history and discussion of your symptoms
• A comprehensive chiropractic and cranial evaluation
• Discussion of findings and whether CFR or other care is appropriate
• If appropriate, your first treatment (many patients receive gentle care the same day)

Please wear comfortable clothing and bring any relevant imaging reports or records.

Jeffrey Steinhart DC has been a licensed chiropractor since 1984 and has specialized training and extensive experience in Cranial Facial Release. He focuses on difficult-to-treat cases involving breathing, sleep, cranial tension, and neurological symptoms.

We are located at:

2707 Congress Street, Suite 2A
San Diego, CA 92110

Office hours are by appointment — call (619) 234-2221 to schedule. Se habla español.

Yes — many patients combine CFR with acupuncture, physical therapy, massage, functional exercise programs, or detox protocols for enhanced results. Dr. Steinhardt is happy to coordinate care with your other providers.