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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 are 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 a66 year old male patient seen at this office April 2012. He presented with the following complaints; bilateral buttock and upper posterior leg pain, bilateral posterior knee pain and restriction predominant on the right. He had an MRI 10 days earlier and was told by his family doctor that the MRI diagnosis was "L3-4 slippage."
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 Case Study #4 | BASIC HISTORY: The 66 year old male patient noted the onset of these problems was fairly sudden 3 to 4 weeks prior with no previous history and no recent trauma. His most difficult action was getting up from a seated position. He further stated that since the onset of this problem he averages getting up during sleep to urinate 8 times per night. He has been taking 1600 to 2400 mg of Advil per day, along with Neurontin. One other concern was restricted upper body movements that coincided with the onset of his lower body symptoms. Another significant finding he reported was a serious neck injury that occured when he was a high school football player.
KEY FINDINGS: On the plumb line he moved in all directions with no unilateral first rib/ thoracic one finding. He postured his head to the right and inferior and his spine to the right on the plumb line. Looking at him laterally his head was significantly forward of his body. Cervical sitting Ranges of Motion revealed no extension motion, right rotation 60 degrees and extremely limited left lateral flexion.
The Step Out Toe Out (SOTO) maneuver revealed no pain but was limited on the right. The Straight leg raise (SLR) was bilateral 65 degrees with no specific area of pain and there was no psoas muscle discrepancy.
There was no Arm/Fossae finding. Palpation of the lumbar spine in the prone position revealed tenderness at the lumbar 4 spinous tip along with limited interspinous space L3/4, L4/5. Lumbar 4 and 3 also palpated more anterior of lumbar 5. The patient had pain and difficulty in the lumbosacral area executing the Sitting Disc Technique (SDT).
The primary impressions as reported by the Radiologist were Degenerate disease of the lower thoracic and lumbar spines along with anterolisthesis of L3 over L4 and L4 over L5.
QUESTIONS FOR DISCUSSION: -
Any additional information needed from patient?
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Any additional tests needed to clarify the diagnosis and treatment needs?
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Thoughts concerning Adjusting protocol and methods?
Come and the join the SOT Case Study "Question and Answer" Forum.as students, doctors starting out, and other with over 20-30 years of experience share their wisdom and create dynamic dialogue for us all to learn.
To join the forum click here.
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Sitting Disc Technique (SDT)
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The patient sits on a flat table, a table board, or just on a chair with the doctor behind. The edge of block or a thumb is placed just under spinous process of involved vertebra. As patient inhales, he pulls the chin toward the chest, leans forward, and forces lumbar spine into kyphosis, applying pressure to the block so as to lift itself. The patient then exhales, and extends the spine, while the doctor relaxes pressure. The cycle is may be repeated three times and its progress can be monitored by evaluation of the SLR.
Getzoff H, Disc Technique: An Adjusting Procedure for any Lumbar Discogenic Syndrome. Journal of Chiropractic Medicine. Fall 2003; 2(4): 142-4.
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Step Out Turn Out (SOTO)
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Patient is prone (on or off blocks) and the doctor stands on the side of affected piriformis (or iliofemoral restriction in external rotation)  supporting the lower thigh and foot. Doctor lifts the leg off the table, moves it laterally until hip rises off the table, and then externally rotates it. The leg and foot is held in this position for 15 seconds and then replaced on the table. Repeated after waiting 1-2 minutes.
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Straight Leg Raise (SLR) Test
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The SLR (Lasegue Test) can be performed during the physical examination to determine whether a patient  with low back pain has an underlying herniated disc, commonly located in the lower lumbar region. With the patient lying down on his/her back on an examination table/or exam floor, the examiner lifts the patient's leg while the knee is straight. With this case Dr. Getzoff found that improvement in the SLR was a sign that the SDT was effective. Getzoff H. SOT procedures, case studies, and standard orthopedic testing: A case series. 3rd Annual Sacro Occipital Technique Research Conference Proceedings: Nashville, TN. 2011:65-72. [Annals of Vertebral Subluxation Research. November 10, 2011:165-182.]
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| SOTO-USA Symposium and Research Conference | |
The 13th SOTO-USA Clinical Symposium was a great opportunity to learn and share and next year's should be another amazing event.
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 2, 2013 in Atlanta, submission deadline is January 31, 2013. 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 as well as searchable through MANTIS and chiroindex.org. This years 2012 SOT Reesarch Conference was videotaped and available free on YouTube. 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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| Conclusion |
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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