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

215.431.LIFE Cell

215.443.7779 Office

© 2017 by Brian Solofsky, DC

Oregon Chiropractic

Association

Continuing Education February 2-3, 2017

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OUR MASTERPIECE 1961OUR 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.

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.

Pre Post

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DD Palmer

The Adjuster: Chiropractic is the name of a systematized knowl-

edge of the science of life-biology, and a methodical comprehen-

sion 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 three-

hundred articulations of the human skeletal frame, more espe-

cially 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

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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 215-431-LIFE!

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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

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

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

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

Lines of Correction

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C1 S-I

C2 I-S

C3 Straight Way - SW

C4 S-I

C5 S-I

C6 S-I

C7 S-I

T1 S-I

T2 S-I

T3 S-I

T4 S-I

T5 Straight Way - SW

T6 Straight Way - SW

T7 Straight Way - SW

T8 Straight Way - SW

T9 Straight Way - SW

T10 I-S

T11 I-S

T12 I-S

L1 I-S

L2 I-S

L3 Straight Way - SW

L4 S-I

L5 S-I

Sacrum S-I

Torque to close the open wedge

Segmental Lines of Correction

The line of drive is one of the most

important aspect of the adjustment!

...AND THE LEASED HONORED!

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S

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I

3

S

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!

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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

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Fig. 2

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.

PLI-L

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

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Fig. 1

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

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When you were in school how When you were in school how

many new patients did you many new patients did you

start in clinic without xstart in clinic without x--ray?ray?

This individual has

not had any recent

accidents or injuries!

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Should this individual be adjusted without x-rays?

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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

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Studies are about one year apart!

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Before After

Studies are about 18 months apart!

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Before After

If a patient is under your

care for years, should their

spinal structures improve

over time or deteriorate?

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Wife Pre Care Mother-In-Law Grandma

Chiropractic Family

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September 18, 2014

Age 71 Age 81 Age 83

July 1, 2008 July 2, 2004

Patient had six visits, pain free, returned 4 years later. Then only came in when she hurt!

L1/L2

L2/L3

L1/L2

L2/L3

L1/L2

L2/L3

After 12 visits, pain free,

discontinued care.

Patient returned ten years

later, when pain returned. After completing

corrective care plan

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Approximately one year Later!

After completing

corrective care plan

After completing

corrective care plan

Age 62

Pre-care

Age 38

Pre-care

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“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

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, break-

down scar tissue, and increase circulation. This is accomplished

through vibration, impact, and proprioception.

In my practice I use

Hand Adjusting, Drop Tables,

ArthroStim® and VibraCussor®

Getting Toggled by BJ Palmer

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Adjusting Positions Were you taught how to adjust:

1. Prone

2. Supine

3. Side Posture

4. Seated

5. Standing

The

Original

Instrument

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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”?

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Destroying the cervical curve

Enhancing the cervical and lumbar curve

Enhancing the cervical curve

Supine Cervical

Prone Cervical

Prone Cervical Prone Cervical

Supine Cervical Supine Cervical

Forward

Flexion

Forward

Flexion

Extension Extension

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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!

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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?

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Does it

add up

yet?

___________________

___________________

___________________

___________________

___________________

___________________

___________________

___________________

___________________

___________________

___________________

___________________

Love your spine!

Final Views

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Final Views

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Results

When patients are adjusted with

proper biomechanics the results

will speak for themselves.

After Before

After Before

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After Before

After Before

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ArthroStim® and

VibraCussor®

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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.

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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. Depend-

ing 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.

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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 poste-

rior 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.

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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.

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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!

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Before After

After

After Before

Before

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Before After

Before

After

Before After

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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 215-431-LIFE