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Practical Guide to Cranial Adjusting
|  | This is a hands-on and detailed guide that covers ROM testing, sutural adjustment techniques, rapid eye movement, analysis and application, clinical recordings and case histories. It contains short, simple and yet specific instructions, making it an easy-to-use guide.
To purchase the book click here |
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Learn SOT From Clinical Case Studies
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Explore an eclectic approach to actively learning how SOT can be used in a clinical practice by utilizing actual case studies from an experienced SOT practitioner's office. To purchase the book click here.
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Compendium of SOT Literature 1984-2000
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All SOT peer reviewed published literature from 1984-2000 has been professionally reformatted into one text. Aside from offering excellent research information the majority of the articles offer extensive methods for treating patients utilizing SOT and cranial procedures. To purchase book click here.
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Compendium of SOT Literature 2000-2005.
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All SOT peer reviewed published literature from 2000-2005 has been professionally reformatted into one text. Aside from offering excellent research information the majority of the articles offer extensive methods for treating patients utilizing SOT and cranial procedures. To purchase book click here.
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SOT Manual
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This state of the art sacro occipital technique (SOT) text takes SOT into the "evidenced based" 21st century while remaining true to the work of Dr. DeJarnette. While using clear explanations and graphics, this book helps eliminate the mystery and dogma from SOT so that the doctor can understand the why behind various methods of treatment. To purchase book click here.
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Join the SOT
Case Studies
Q & A Forum
"Ask Questions and Learn From Discussions"
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Dear Colleague,
This newsletter has been created by Dr. Harvey Getzoff an instructor, researcher, and practitioner of SOT for over 35 years. [See biography below] Case studies or reports are wonderful ways to combine learning about SOT, incorporating novel treatment methods, and creating a forum for discussion and learning.
These newsletters will be shared quarterly. To make this process dynamic a specific yahoo group has been created to discuss these newsletters with Dr. Getzoff and create an open question and answer forum. To join this forum please click here.
The following is a novel case history of a 77-year-old patient treated at Dr. Getzoff's office. Following the case history some terms will be discussed such as Sacro Occipital Technique: A systems approach, mastoid squamosal sutural release, sitting disc technique, and SOTO.
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| Case Study #1 | BASIC HISTORY: A 77-year-old female entered our office July 31, 2009 experiencing, right occipital, suboccipital, neck and facial area pain. Significant pain was noted in the right eye and the right maxillary sinus areas. The pain was constant but varied in intensity. The onset was 23-years prior. The symptoms furthered intensified over the last 10-years. Her medications included Synthroid and Cytomel for thyroid function, Ibuprofen and Percoset for pain, and Prevacid for chronic gastroesophageal reflux (taken as needed). The patient has had physical therapy and chiropractic care and feels that her head pain is primarily an endocrine problem.
FINDINGS: Plumb line analysis revealed motion in all directions, with no unilateral thoracic/first rib palpation differences. Her head and shoulder position were inferior on the right with a mild spinal curve towards the left. Sitting cervical ranges of motion were limited in right rotation, left lateral flexion, and forward flexion. A left prone leg deficiency (left short leg) was noted, iliofemoral restriction (reduced hip external rotation) was found on the left, and a right Step Out Toe Out (SOTO) elicited no pain but restricted when compared to the left side. There was a line 2 area 4 occipital fiber, thoracic 6. The primary cranial restriction was the right maxillary/malar suture. There was no heel tension finding and the arm fossa test was negative.
ADJUSTING METHODS: Category III blocking incorporated the right SOTO restriction as a chief indicator, with 2 applications, 2 minutes apart of right SOTO to normalize restriction and hip range of motion. Left iliofemoral mobilization (goading) was performed to reduce any myofascial contribution. Line 2 area 4 stimulation with T6 adjustment was performed followed by T6 chiropractic manipulative reflex technique (CMRT). Cervical stair step and corrective figure 8 methods were applied. Cranial sutural adjustments focused to the right; utilizing sutural release [Described below], maxillary spread and lift, malar lift and maxillary rotation. Sitting disc technique was performed to lumbar 4/5 level.
SUMMARY: The patient steadily improved both symptomatically and functionally over the remaining five months of the year, receiving 9 adjustments, and no longer experiences facial or head pain. She managed the need to support and care for her neck and the nutritional needs of someone with a pancreatic (T6) line two fiber, by eliminated foods with added sugar, high fructose corn syrup and white flour products. She changed her sleeping position to support the cervical curve and was more careful with her head posture while reading, watching TV and working on the computer.
This case meets the requirements of Category Three for the following reasons: There was no heel tension or arm fossae findings, no unilateral first rib/T1 differences, the patient had a spinal curve that could be induced by cranial and/or cervical postural distortions, and the SOTO maneuver elevated the pelvis from the table on one side even with no sciatic pain present and range of motion improved with two further applications two minutes apart.
The line two fiber while not an indicator for any category can be performed whenever indicated and was used, in this case, while the patient was on the Category Three blocks. I believe that by adjusting this patient within a system (Category Three) I was able to maintain all parts of the structural system in relationship. By doing the line 2 fiber along with CMRT and the nutritional changes the patient was also able to address her organ system needs. I also believe that her participation in her own care further enhanced her successful recovery.
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 Mastoid Squamosal Sutural Release |  The mastoid squamosal sutural release is a standard part of the sutural adjustment part of the DeJarnette Sutural Technique. This release is performed by placing one thenar on the patient's mastoid and the opposite thumb on 6 points along the temporal/parietal, temporal/malar, temporal/sphenoid and pterion and stretch in opposite directions creating expansion in the sutures. |
| SOT: A Systems Approach |  "Dr. DeJarnette understood that systems were operating either in a process of growth or decay. He established an indicator system to identify its state of operation. He knew the body systems had memories but would react to stimulation, so he spent endless time an energy developing methods to stimulate the systems in a way that the body would learn and process. A good example of this is blocking, placing blocks in optimum functional position for reorganization." Getzoff H. Sacro Occipital Technique Categories: a System Method of Chiropractic. Chiropractic Technique. May 1999; 11(2): 62-5. |
| Sitting Disc Technique & SOTO |  "The intent of this article is to provide a format for chiropractors to learn a Sacro-Occipital Technique (SOT) adjusting procedure (known as Disc Technique) for treating patients with lumbar discogenic syndromes. Disc Technique along with the 'Step Out Toe Out' procedure (SOTO) are central to the SOT Category III protocol. Other SOT Category III procedures will be discussed so that Disc Technique can be understood in its context. Disc Technique requires only a stool or an armless chair, a willing patient and your thumb."
Getzoff H. Disc technique: An adjusting procedure for any lumbar discogenic syndrome. J Chiropr Med. 2003 Fall; 2(4): 142-144.
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| Dr. Getzoff's Bio |  Dr. Getzoff was board certified in Sacro Occipital Technique in 1981 through Dr. M. B. DeJarnette. He became a board certified Craniopath by the International Craniopathic Society in 1982 and later received his Fellowship and Diplomate status in Sacro Occipital Technique in 1990, also by the International Craniopathic Society. Dr. Getzoff co-authored three articles in the Journal of Manipulative and Physiological Therapies (JMPT) on "The Dental-Chiropractic Co-Treatment of Structural Disorders." He also authored four papers in the Journal of Chiropractic Technique and one paper in the Journal of Chiropractic Medicine. Dr. Getzoff has authored the following books: "A Practical Guide to Cranial Adjusting," published January 1996 and "Learn SOT From Clinical Case Studies, " published January 2006. He has practiced in Marlton, New Jersey since 1973. |
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Hopefully together through SOT clinical case studies we can explore the many facets of clinical experiences possible in chiropractic practice.
Sincerely,
Harvey Getzoff, DC
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