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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 |
Learn SOT From Clinical Case Studies |  |
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. |  |
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 62-year-old female patient treated at Dr. Getzoff's office. Following the case history some terms will be discussed such as Sacro Occipital Technique: A systems approach, R+C Factors, Cervical Stairstep, and Maxillary/Malar Adjusting.
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| Case Study #2 | | BASIC HISTORY:
A sixty-two year old female patient was seen at this office with her chief complaint of neck pain, posterior and lateral. The pain was acute for the last 3-months, especially when lifting her head and flexing her head forward. Her additional symptoms included generalized head and jaw pain. Previous medical testing involved a computerized tomography scan and spinal tap with both essentially negative. Medications included Advil, a nasal spray, and Musinex. Medically her diagnosis was facial neuralgia.
KEY FINDINGS:
At the initial office visit the plumb line analysis noted excessive motion in all directions, with the head postured to the right of the plumb line and a unilateral T1 first rib difference on testing. Category 2 patients will have one side moving in excess of the other when they forward flex there head with your thumbs contacting the T1/1st rib articulation There was a right leg deficiency (short leg) in both prone and supine. A left lower fossa or inguinal ligament sensitivity associated with the arm/fossae test was found positive. Cervical ranges of motion testing found of significance: right rotation 60 degrees, left lateral flexion 50 degrees, and forward flexion 40 degrees. The primary cranial finding was the right maxillary/malar suture, with restricted motion found through cranial range of motion testing. Both jaw joints were restricted on opening. X-rays revealed a reversal of the mid-cervical spine with disc space narrowing along with marked boney remodeling. My diagnosis was a loss of the cervical curve.
ADJUSTING METHODS: Thoracic 3/8, R plus C (resistance + contraction), T3 (R) reacts to T8 (C). Stimulate with thumb pressure T3 inferior lateral spinous process on most resistant side. Adjust T8 as an anteriority or on the most contracted side. (Other common thoracic findings are T4/7 and T2/9 found by palpation of interspinous spaces and posterior transverse processes). Treatment included category 2 blocking, cervical stairstep figure 8 adjusting, cranial maxillary/malar sutural adjusting (maxillary rotation and maxillary straddle and a malar lift on the right side) and left sternocleidomastoid (SCM) sutural technique adjusting.
COMMENTARY: The arm/fossae test and the supine leg deficiency were normal by the third adjustment. The cervical ranges of motion improved 50% by the completion of the initial adjusting treatment plan (8 adjustments). The patient reported no further need for medication, no head pain and very little cervical discomfort, even though her cervical ranges of motion improved only 50%. A dental consult revealed a need for extensive dental work that the patient refused due to cost. The patient has been an active member of the therapeutic process by continuing with supportive chiropractic care once per month and actively continuing her home-care as instructed: consisting of good postural habits, sleeping, watching TV, reading and working on the computer. I believe this case illustrates the importance of the use of Category 2 therapies even when there are no sacroiliac patient complaints and the value of patient participation in the treatment process.
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 Resistance + Contraction (R+C) Factors
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R+C factors are relationships between segments of the vertebral column that can be used to assess their functional position and whether treatment was successful. This case presents an interesting method of utilizing R+C Factors as a method of analyzing and treating the vertebral segments within the thoracic spine.
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Cervical Stairstep
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"While current research has found that the high velocity low amplitude (HVLA) cervical adjustment, when properly applied by a chiropractor, is a safe procedure for patients complaining of neck or head pain, SOT has another method of treating the cervical spine that is both effective and offers another option for for treatment other than the HVLA cervical adjustment. If a patient presents to your office wishing you not to "crack" their neck the cervical stairstep is good alternative. Blum CL. Sacro Occipital Technique (SOT) - The Cervical Stairstep Adjustment. SOTO-USA Position Statement: Sacro Occipital Technique Organization - USA. 2010. |
The Malar (Zygoma), The Key Bone
|  "The malar is the most significant bone in the cranium and the cranial bone most often diagnosed with cranial restriction. It is relevant to the sinuses, the orbit of the eye, and the nasal passages It joins the face to the cranium. It articulates with the temporal, maxillary, frontal, and sphenoid bones. It is made from intramembranous tissues; therefore, it can adapt and respond to sensory organ development, respiratory function, and dental occlusion."
Getzoff H. A practical guide to cranial adjusting: Understandable techniques for everyday practice. Weidner & Sons Publishing: Riverton NJ.1996:49.
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| SOTO-USA Symposium and Research Conference |
The 13th SOTO-USA Clinical Symposium is getting finalized and you can get information about the schedule and how to get special early bird registration rates. Click here
Case reports are wonderful ways to share the interesting cases you may have in your practice, for help in writing a case report click here. A perfect place to share your valuable case is at the SOT Research Conference May 3, 2012 in Atlanta. Your case, if accepted, will be published in the SOT Research Conference Proceedings and its abstract published on the SOTO-USA website, the SOT Compendium of Literature, and Annals of Vertebral Subluxation Research. To submit your case or for more information click here. |
| 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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Do you have questions about this case or others? Would you like to have a forum where you can ask your questions and received answers from Dr. Getzoff and other SOT doctors with decades of experience, then please join the SOT Case Study "Question and Answer" Forum.
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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