Under Development

Dr. Hanner and the Carolina Center for Functional Medicine utilizes a system for approaching chronic illness called the ADAPT Framework. ADAPT stands for: Advanced Diagnostics And Personalized Treatment. In Functional Medicine, there is no “one size fits all”. Functional Medicine doesn’t treat diseases. It treats individuals, using the most advanced, evidence based diagnostic methods to determine the true underlying cause of their health problems and create a treatment plan personalized to them and their health goals. Patient goals vary from someone with no symptoms wanting to optimize their health, to an individual with complex chronic illness and a desire to get their life back. Patients regularly see Dr. Hanner looking for help with issues like Irritable Bowel Syndrome, Migraine Headaches, Chronic Pain, Autoimmune Disease, and PTSD.  Treatment is prescribed from a truly holistic perspective, and may include anything from lifestyle advice and health coaching, to a multi-specialty team approach, depending on the complexity of the patient’s health concerns. 


Functional -vs- Conventional Medicine


Conventional Medicine looks to identify a disease or syndrome by making a diagnosis. Then it treats the patient based on that diagnosis. If 10 people present for conventional medical treatment and are diagnosed with Rheumatoid Arthritis, those 10 individuals will almost certainly receive the same treatment and advice. That is because the protocols used for treatment in Conventional Medicine are based on that specific diagnosis. The treatment will typically either involve suppressing symptoms (i.e. medications for migraine headaches) or suppressing the disease process (i.e. medication for hypertension, or immune suppressing drugs for M.S.). Conventional Medicine is not set up to look for the cause of, or to support the prevention of disease, and is typically not enacted until a disease diagnosis has been made. Often at this point, a significant amount of damage has been done. The main tools used in Conventional Medicine are drugs and surgery.


Functional Medicine seeks to identify the underlying cause of the condition. It treats the individual, not the diagnosis. If 10 people go to a Functional Medicine office and are diagnosed with Rheumatoid Arthritis, those 10 individuals may in fact receive 10 different approaches to treatment. This is because, although the outward manifestation of their pathology is ‘Rheumatoid Arthritis’, the underlying cause of that condition is a product of that specific individual’s genetics, environment (current and past), and lifestyle.  Genetics will always play a part in the equation. However, environment and lifestyle play a much larger part. In fact, scientists have now shown that up to 90% of all chronic illness is caused by environment OVER genetics. For one individual the greater cause could be a food intolerance, for another - a gut infection, for another - heavy metal toxicity, for another – nutritional imbalances, for another – a mold/biotoxin illness, and yet for another – stress, and its effect of chronic nervous system dysregulation. Functional Medicine doesn’t aim to suppress symptoms, it aims to correct the functional imbalances that have caused the condition in the first place. A side effect of doing this, of course, is that the symptoms improve and go away.  Functional Medicine commonly utilizes nutritional therapy, herbal medicine, supplements, lifestyle modifications, stress management, and detoxification. However, in the Functional Medicine model of care, conventional methods are also utilized when deemed necessary in the treatment of that individual patient.

Carolina Center for Functional Medicine

to the practice at Fernview

Craniosacral Therapy

Benefits and uses

CST is thought to relieve compression in the head, neck, and back. This can soothe pain and release both emotional and physical stress and tension. It’s also thought to help restore cranial mobility and ease or release restrictions of the head, neck, and nerves.

Cranial sacral therapy can be used for people of all ages. It may be part of your treatment for conditions like:

  • migraines and headaches

  • constipation

  • irritable bowel syndrome (IBS)

  • disturbed sleep cycles and insomnia

  • scoliosis

  • sinus infections

  • neck pain

  • fibromyalgia

  • recurrent ear infections or colic in infants

  • TMJ

  • trauma recovery, including trauma from whiplash

  • mood disorders like anxiety or depression

  • difficult pregnancies

There’s plenty of anecdotal evidence that CST is an effective treatment, but more research is needed to scientifically determine this. There’s evidence that it can relieve stress and tension, though some research suggests that it may only be effective for infants, toddlers, and children.

Other studies, however, indicate that CST may be an effective treatment — or part of an effective treatment plan — for certain conditions. One 2012Trusted Source study found that it was effective at reducing symptoms in those with severe migraines. Another study found that people with fibromyalgia experienced relief from symptoms (including pain and anxiety) thanks to CST.


Procedure and technique

When you arrive for your appointment, your practitioner will ask you about your symptoms and any preexisting conditions that you have.

You’ll typically remain fully clothed during the treatment, so wear comfortable clothing to your appointment. Your session will last about an hour, and you’ll likely begin by lying down on your back on the massage table. The practitioner may begin at your head, feet, or near the middle of your body.

Using five grams of pressure (which is about the weight of a nickel), the provider will gently hold your feet, head, or sacrum to listen to their subtle rhythms. If they detect it’s needed, they may gently press or reposition you to normalize the flow of the cerebrospinal fluids. They may use tissue-release methods while supporting one of your limbs.

During the treatment, some people experience different sensations. These may include:

  • feeling deep relaxation

  • falling asleep, and later recalling memories or seeing colors

  • sensing pulsations

  • having a “pins and needles” (numbing) sensation

  • having a hot or cold sensation



Cranial sacral therapy may be able to provide relief for certain conditions, with the strongest evidence supporting it as a treatment for conditions like headaches. Because there’s a very low risk for side effects, some people may prefer this to prescription medications that come with more risks.

Dr. Hanner will be taking referrals for Functional Medicine Consultations, Craniosacral Therapy & Somatic Experiencing commencing in April 2020.