Dr. Brian Solofsky s

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Incorporating manual, drop table and instrumentation adjusting according to posture, range of

1 Oregon Chiropractic Association Continuing Education February 2-3, 2017 Dr. Brian Solofsky s How to put the WOW into you adjustment! Incorporating manual, drop table and instrumentation adjusting according to posture, range of motion, palpation, leg checks and x-rays in the chiropractic office! DrBrian@doctorbrian.com LIFE Cell Office 2017 by Brian Solofsky, DC

2 2

x-ray spinograph is another scientific instrument revealing internal

Being deeply imbedded they are beyond vision or palpation sense of accuracy.

3 3 OUR MASTERPIECE 1961 B. J. wrote, 1910 Spinal X-ray powerful enough to X-ray the Lumbar Spine BJ stated: The x-ray spinograph is another scientific instrument revealing internal dis-relation-ship between vertebrae where the NCM has located its interferences. Being deeply imbedded they are beyond vision or palpation sense of accuracy. Pre Post BJ Wrote, that the X-ray was destined to revolutionize the practice of Chiropractic from a hit or miss method to one of exactitude and scientific precision.

4 DD Palmer The Adjuster: Chiropractic is the name of a systematized knowledge of the science of life-biology, and a methodical comprehension and application of adjusting anatomical displacements,

in its preparation for the next step the life beyond.

4 4 DD Palmer The Adjuster: Chiropractic is the name of a systematized knowledge of the science of life-biology, and a methodical comprehension and application of adjusting anatomical displacements, the cause of biological abnormalities; also an explanation of the methods used to relieve humanity of suffering and the prolonging of life, thereby making this stage of existence much more efficient in its preparation for the next step the life beyond. BJ Palmer The Science of Chiropractic 1906: Chiropractic The science of the cause of disease and art of adjusting by hands all subluxations, as discovered and developed by Dr. D. D. Palmer, of the threehundred articulations of the human skeletal frame, more especially the 52 articulations of the spinal column, for the purpose of freeing impinged nerves, as they emanate thro the inter-vertebral foramina, causing abnormal functions, in excess or not enough, named disease. The Law of Chiropractic Macroscopic or microscopic anatomical dis-relation may interfere with the generation, transmission, distribution, or expression of nerve impulses, and cause disease. To the extant that such macroscopic or microscopic anatomical dis-relation can be corrected, to that extent health can be restored, allowance being made for irreparable pathology. J. Robinson Verner

5 5 Chiropractic care is designed to reduce or eliminate the vertebral subluxation complex, and to regain the integrity of the spinal column. The purpose of this correction is to stop or slow your health loss process, prevent future health loss, and to improve your Quality of Life. To order poster: Call LIFE!

6 6 Abbreviations and Terminology A-P Anterior to Posterior P-A Posterior to Anterior I-S Inferior to Superior S-I Superior to Inferior L-M Lateral to Medial M-L Medial to Lateral L-R Left to Right R-L Right to Left AOC Attachments of Choice LOC Line of Correction Superior Spinous Rotation PLS Spinous Left PRS Spinous Right Inferior Spinous Right and Left Rotation PRI-L,T, M Lamina-Transverse-Mamillary - Contacts PLI-L,T, M Lamina-Transverse-Mamillary - Contacts Superior Spinous PLS Spinous Left P-A, L-M or Left to Right PRS Spinous Right P-A, L-M or Right to Left Inferior Spinous Right and Left Rotation PRI-L,T,M Lamina-Transverse-Mamillary - Right Spinous P-A, L-M or Left to Right PLI-L,T,M Lamina-Transverse-Mamillary - Left Spinous P-A, L-M or Right to Left Torque Lines of Correction Always torque to close the open wedge PLS Spinous Left CCW PRS Spinous Right CW PRI-L,T,M CCW PLI-L,T,M CW Ilium PI P-A I-S PIEX P-A I-S L-M PIIN P-A I-S M-L IN P-A M-L AS P-A S-I ASEX P-A S-I L-M ASIN P-A S-I M-L Torque IN on left is CW -right is CCW EX on left is CCW -right is CW Sacrum BP P-A S-I P-R P-A L-M P-L P-A L-M Torque up spine Left CW Right CCW

7 7 Segmental Lines of Correction The line of drive is one of the most important aspect of the adjustment!...and THE LEASED HONORED! I 3 C1 S-I C2 I-S C3 Straight Way - SW C4 S-I C5 S-I C6 S-I C7 S-I T1 S S-I T2 S-I T3 S-I T4 S-I T5 5 Straight Way - SW T6 Straight Way - SW T7 Straight Way - SW T8 Straight Way - SW T9 9 Straight Way - SW T10 I-S T11 I-S T12 I I-S L1 I-S L2 I-S L3 3 Straight Way - SW L4 S-I L5 S S-I Sacrum S-I Torque to close the open wedge Whether you are Manual, Drop Table or Instrumentation adjusting you must honor proper line of drive and torque each and every adjustment, it doesn t happen any other way!

8 8 What is the listing of C3? PL or PR What is the line of drive of C3? P-A, R-L or L-R, Straight away

9 9 Fig. 1 C3 - PLI-L P-A R-L Straight Away This would move the gravity weight line further to the right. Causing right lateral flexion. C3 - PLS P-A L-R Straight Away This would move the gravity weight line to the left. Bring the spinous and the gravity weight line together. PLS Fig. 2 PLI-L

Fig. 1 10 Fig. 3 C5 - PRS P-A R-L S-I This would move the gravity weight line to the right.

10 Fig Fig. 3 C5 - PRS P-A R-L S-I This would move the gravity weight line to the right. Bring the spinous and the gravity weight line together. together. Fig. 2 Fig. 3 PRI-L P-A L-R S-I PRS

11 11 When you were in school how many new patients did you start in clinic without x-ray? x This individual has not had any recent accidents or injuries!

12 12 Should this individual be adjusted without x-rays?

13 13 THE POSTURE CONSTANT was developed and build for a specific purpose: to eliminate variable body-posture-changes and make them constant and consistent for purpose of building comparative spinographs and ascertaining true changes of an individual vertebra, or spinal column as a whole, when under adjustment and when compared by means of a series of films over a given period of time. Before After

14 Studies are about one year apart! 14

15 15 Studies are about 18 months apart! Before After

16 16 Before After If a patient is under your care for years, should their spinal structures improve over time or deteriorate?

17 17 Chiropractic Family Wife Pre Care Mother-In-Law Grandma

18 18 L1/L2 L2/L3 July 2, 2004 July 1, 2008 L1/L2 L2/L3 September 18, 2014 L1/L2 L2/L3 Patient had six visits, pain free, returned 4 years later. Then only came in when she hurt! Age 71 Age 81 Age 83 After 12 visits, pain free, discontinued care. Patient returned ten years later, when pain returned. After completing corrective care plan

19 19 Approximately one year Later! Age 62 Pre-care After completing corrective care plan Age 38 Pre-care After completing corrective care plan

20 Getting Toggled by BJ Palmer Early in Chiropractic school a doctor sat me down and told me that what I was doing in school, was acquiring a bag of tricks.

20 20 Getting Toggled by BJ Palmer Early in Chiropractic school a doctor sat me down and told me that what I was doing in school, was acquiring a bag of tricks. The more you read and study this manual the more you will expand your bag of tricks. Always remember there are things that I can do with my hands than I cannot do with adjusting instruments and there are things that I can do with adjusting instruments that cannot do with my hands. Brian L. Solofsky, DC In my practice I use Hand Adjusting, Drop Tables, ArthroStim and VibraCussor I like to use the ArthroStim and VibraCussor instrument prior to hand or drop table adjusting. This process either eliminates the need for hand adjusting or prepares and signals the brain, spinal cord, nerves, muscle, ligaments, and tendons to co-operate with the adjustment. Using the ArthroStim with new patients I tend to start with 3 or 6 impulses per second, later graduating to 12 impulses per second, depending on the severity of arthritic findings on x-ray and the amount of flexibility and joint play. After the adjustment I counter stress the patients spine according to their x-rays and posture studies with additional impulses at a rate of 12 impulses per second or I use a glider attachment for postural changes. I find using the ArthroStim and VibraCussor before hand adjustment makes the adjustment easier, and after the adjustment to rehabilitate joint function, breakdown scar tissue, and increase circulation. This is accomplished through vibration, impact, and proprioception.

21 21 1. Prone Adjusting Positions Were you taught how to adjust: 2. Supine 3. Side Posture 4. Seated The Original Instrument 5. Standing

22 22 Did anyone ever teach you when or Why to adjust Supine, Prone, Side Posture, Seated or Standing? Or did they just give you the keys to the car and say, GO?

23 23 Destroying the cervical curve Supine Cervical Prone Cervical Forward Flexion Forward Flexion Enhancing the cervical and lumbar curve Prone Cervical Extension Prone Cervical Extension Enhancing the cervical curve Supine Cervical Supine Cervical

24 24 Did your patient Subluxate on Inhale or Exhale? We usually adjust on exhale! WHY? The patient is usually more relaxed, and we don t want to break their ribs! However, if the patient Subluxated on inhalation! Can you truly clear them out neurologically, if you adjust them on exhale? With an ArthroStim and a VibraCussor one can adjust on Inhale or Exhale!

25 25 Does the patient have issues during an activity or while at rest? If it hurts while they are golfing, squatting, running, jumping, sitting, dancing or bending! Why don t you adjust them in that position or performing that action?

26 26 Does it add up yet? Final Views Love your spine!

27 27 Final Views

28 28 Results When patients are adjusted with proper biomechanics the results will speak for themselves. Before After Before After

29 29 Before After Before After

30 30 ArthroStim and VibraCussor

31 Establishing A Protocol True success is achieved through a series of proper adjustments over a period of time that improves range of motion, restores a

improving the Quality of Life. Each patient should be properly evaluated.

Orthopedic and Neurological testing offer addition information that may or may not alter the spinal analysis or technique that you may choose with an

31 31 Establishing A Protocol True success is achieved through a series of proper adjustments over a period of time that improves range of motion, restores a more stable posture, reverses arthritis, and reunites nerve impulses from the brain to every cell, tissue, organ, and body system in the body, while improving the Quality of Life. Each patient should be properly evaluated. Every Chiropractic evaluation should start with a spinal subluxation evaluation, posture, range of motion, and full-spine x-rays. Orthopedic and Neurological testing offer addition information that may or may not alter the spinal analysis or technique that you may choose with an individual patient. Most patients have a decreased cervical curve and forward head posture. This should be the first consideration: If a patient has forward head posture or loss of cervical curve their adjustment will start with the ArthroStim in a seated or standing position.

32 32 Then the patient is placed on cervical extension traction for 10 minutes. Some patients can not handle extension traction chairs. They can start with a neck harness placing them supine with their head in extension. Depending on what a patient can handle use 3, 5, or 6 pounds on the harness. Use double VibraCussor technique with the nose cone attachments to breakup scare tissue, increase circulation, relax soft tissue and fire the mechanoreceptors while under traction with the head in extension. Some patients will do either or both traction techniques.

33 33 While the patient is in extension with the weight harness, this would be a good opportunity to reduce any anterior pectoralis trigger points which can cause rounding of the shoulders and forward head posture. After cervical extension traction, the patient is then seated and checked for anterior pectoralis trigger points. Anterior pectoralis trigger points can cause rounding of the shoulders and forward head posture. Using the VibraCussor or ArthroStim one can reduce or remove these trigger points in a manner of seconds. The VibraCussor can then be used on the posterior of the body to support the thoracic or lumbar imbalance, removing rotation and posterior aspect on the subluxation! The patient is then positioned prone. With the ArthroStim each subluxation is adjusted improving the cervical curve, reducing the thoracic kyphosis, and improving the lumbar curve.

34 34 With the VibraCussor the subluxated joints can be stimulated and any increased kyphosis or loss of lumbar curve can be addressed. Trigger points in the lower extremities or joints that are going to be adjusted supine can be stimulated by the VibraCussor or ArthroStim, before patient turns. Each Subluxation should then be checked by hand and if any component of the Subluxation complex still remaining that component of the Subluxation complex should be removed or reduced by hand adjusting or drop table. Each adjustment must be biomechanically sound! The doctor must consider subluxation, x-ray findings and listings, range of motion, and posture! Anterior trigger points, cranial imbalance or digestive disorders can be addressed at this point.

35 35 Lower extremities can be adjusted next while the patient is now supine! The patient is then seated and the upper extremities are checked! The adjustment is usually ended with an upper thoracic (T1-5) lift! This will remove upper thoracic anteriority and hyper thoracic kyphosis while improving posture!

36 36 Before After Before After Before After

37 37 Before After Before After Before After

38 Dr. Brian L. Solofsky One must truly believe and love what they do in life, and I love and believe in Chiropractic.

The Principles 2 Practice seminar takes the doctor and staff through all the procedures to run a cash practice.

The next seminar is on chiropractic analysis and is called Principles 2 Analysis, which covers physical examination, digital range of motion and posture, and X-ray placement and an analysis which I

38 38 Dr. Brian L. Solofsky One must truly believe and love what they do in life, and I love and believe in Chiropractic. Over the years I have developed a four part seminar series called, Principles 2 Practice. The Principles 2 Practice seminar takes the doctor and staff through all the procedures to run a cash practice. The seminar covering marketing is called Principles 2 Marketing, covering the procedures to marketing a cash practice. The rules change when you remove the insurance companies. The next seminar is on chiropractic analysis and is called Principles 2 Analysis, which covers physical examination, digital range of motion and posture, and X-ray placement and an analysis which I personally created. The analysis is used for patient education, report of findings and designed to aid the doctor in their adjusting technique. My technique seminar is a protocol utilizing a combination of techniques and analysis, called Principles 2 Adjusting. This protocol utilizes principles from Palmer, Gonstead, Diversified, Pierce- Stillwagon, Thompson, Logan, Barge, Webster, De Jarnette and Fleet. While in chiropractic school at Life University in Georgia I created a system for understanding Life's Full-Spine Technique, which has transformed into a practice protocol. Life's Full-Spine Technique was nothing more than a combination of Gonstead and Diversified techniques combined in to one technique. Then through the Fraternity (Delta Sigma Chi) at Life and DE(Dynamic Essentials) meetings I became very close with Dr. J. Clay Thompson, whom developed the drop table and Thompson Technique. After which, I began studying and learning from him, last time I was with Clay I toggled him on a roll of toilet paper, no drop piece was available. From attending DE meetings I also became close with Dr. Larry Webster, whom founded the International Pediatric Association and Dr. Fred Barge, renown lecturer and author. Dr. Larry Webster later become my pediatric teacher and I attended his entire seminar series on Logan Technique. After which, Dr. Larry Webster became my Life faculty patient in Life's outpatient clinic. I also attend Dr. Fred Barge's seminars on scoliosis and read every book he has written, I highly recommend them. At Life University I learned the Palmer principles of Toogle and the principles from Dr. Major De Jarnette of SOT(Sacral Occipital Technique). After graduation from Life University I moved back to Pennsylvania. There I taught Full-Spine Adjusting Technique and Full-Spine X-ray analysis at Pennsylvania College of Straight Chiropractic as well as supervised the students in the Out-patient clinic, while starting my chiropractic practice. This is about the time I was introduced to The Concept-Therapy Institute, which I then went on to become an instructor. Several years later Dr. Karl Parker held his first seminar in Philadelphia. As an attendee at this seminar I met a friend of the late, at that time the great Dr. Jim Parker. He invited me to a private gathering in Dr. Karl's suite. As I entered the suite this doctor greeted me and then introduced me to Dr. Karl. Dr. Karl and I retreated into a private meeting for about an hour, leaving a suite full of guests. It was here that Dr. Karl adopted me into his inner circle and treated me as one of the family. From that time on Dr. Karl invited me to every venue and saw to it that I was scheduled as a speaker. This allowed me to develop my protocol and test it on doctors of chiropractic all over the country. The hardest moment for me ever on any stage or platform was speaking at Dr. Karl's memorial in Las Vegas. Earlier that year I was introduced to Ed Miller the owner of the Impac Instrument company which created and manufactures the ArthroStim and VibraCussor. I purchased these instruments and incorporated them into my protocol and practice. Immediately I noticed that I did not feel beat-up or feel sore after a day of practice. I decided to write an Adjusting manual on how to incorporate instrument, manual, and drop table techniques into a protocol that would improve a practitioners results and extend their careers without injuring themselves. The results have been incredible, in terms of Patient Satisfaction, Posture, Range of Motion and X-rays pre- and post- studies supported in my seminars, DVDs and manuals. I am available for seminars in: Adjusting Techniques Hands-on - Instrumentation - Drop Table X-ray Pre and Post Studies Cash Practice Procedures Personality Typing DrBrian@doctorbrian.com LIFE

Chiropractic Glossary

Chiropractic Glossary Anatomy Articulation: A joint formed where two or more bones in the body meet. Your foot bone, for example, forms an articulation with your leg bone. You call that articulation an