Inhalation and exhalation are not passive events in the craniosacral system—they are primary drivers of dural tension and cerebrospinal fluid dynamics. On inhalation, changes in dural tension allow lateral expansion of the cranial vault, ventricular expansion, and a posterior movement of the sacral base that assists CSF flow toward the cranium. On exhalation, the system reverses, redistributing pressure and refilling the sacral well. This rhythmic flexion and extension of the dural meningeal sys
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