Proceedings of the
14th Sacro Occipital Technique Research Conference
New Orleans, Louisiana, April 28, 2023
A 5½ mo female successfully treated for plagiocephaly/brachycephaly with sacro occipital technique cranial protocols: A case report. [Abstract]
Introduction: A 5½ month old female presented with a left head tilt, preference to look right and flattening along the right side of the head. Parents observed flattening at 2 months and shared she did not tolerate tummy time. At 4 months she could roll from back to belly. Also noted, mother laboured for 48 hours, baby’s head was ‘lodged’ into the mother’s right hip, and was delivered via an emergency cesarean.
Methods/Interventions: Sacro occipital technique (SOT) Cranial and spinal chiropractic adjustments were performed which included: Left anterior sacrum, left occipital slip and flexion correction, vagus release on the left, dural release of atlas on the left, dural release of axis on the right, T1 adjusted into extension, bilateral shoulders and 1st ribs release, sphenobasilar, frontal-zygomatic, maxillary-zygomatic, fruit jar, bilateral sphenoid wings with the sphenomaxillary suture release, frontal bone moulding and CSF technique.
Photographs and measurements using a Mimos craniometer and measuring tape were taken every 6th visit. After the 12th office visit a right internal frontal adjustment was added to deal with the patient’s brachycephaly.
Results: Initially plagiocephaly measurements were improving, while the brachycephaly index increased so after the 12th visit right frontal adjustment was added which address the patient’s left head tilt. The patient was treated for 5 months and during that time was seen for 23 office visits. As the patient’s head measurements improved during that five month period of care her parents concurrently noted that she was reaching her developmental milestones.
Conclusion: With difficult births it is not unusual to have cranial compression causing plagiocephaly/brachycephaly type presentations, so implementing cranial measurements and taking photographs regularly can offer objective findings that are effective in monitoring patient progress. Cranial asymmetry may be a component in affecting childhood psychomotor development as well as optimal development of the cranium for neural function.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; plagiocephaly; brachycephaly
Cite: Alvarez O. A 5½ mo female successfully treated for plagiocephaly/brachycephaly with sacro occipital technique cranial protocols: A case report. [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#Alvarez
Olga Alvarez, DC, CSP, CSCP is a family wellness Chiropractor in Hoboken, NJ. She is certified in the Webster Technique, the Sacro Occipital Technique and completed advanced certification in craniopathy. In seeking to elevate care for infants and dyads, she became a Certified Breastfeeding specialist. Dr. Alvarez was chosen by New Jersey Family magazine as one of 'New Jersey’s Favorite Kids’ Doctors' in 2018-2022.
Treatment of an ageing patient with cervicogenic and craniocervical related tinnitus: A case report [Abstract]
Introduction: A 83-year-old male patient presented with severe bilateral tinnitus, progressively worsening over the past 20-years. Initial examination revealed significant decreased cervical ranges-of-motion, particularly rotation and lateral flexion. Patient had a maxillary deficiency resulting in significant malocclusion. Evidence of clenching, significant mandibular tori was present, along with dysfunctional translation of his right TMJ.
Methods/Intervention: The patient received six-treatment with sacro occipital technique (SOT) protocols over a three-week period. Upon the first-treatment immediately after adjusting his C5, he reported profound reduction in left-sided tinnitus. He was referred to a dentist for a lower mandibular splint to stabilise his TMJ and reduce inner ear pressure. He was treated once-a- week, three-weeks in a row by the dentist to balance his lower split with each visit preceded by chiropractic care at this office. Chiropractic treatment focused on his cervical spine, occipital region and associated TMJ/cranial distortions.
Results: After the sixth-visit his cervical spine ranges-of-motion improved dramatically with no left-sided tinnitus and a 75% reduction of right-sided tinnitus.
Conclusion: Formal inquiry should determine whether other patients presenting with tinnitus are found to respond to similar dental chiropractic care.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; tinnitus; ageing; TMJ
Cite: Bloink TE, Blum CL. Treatment of an ageing patient with cervicogenic and craniocervical related tinnitus: A case report [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#BloinkBlumTinnitus
Thomas Bloink, DC, CSP, CSCP specializes in cranial-dental integration in Silicon Valley at the California Cranial Institute, which was founded in 1992. Dr. Bloink was on the board of advisors to help create SOTO USA and is actively involved in promoting the organization, presenting at research conferences throughout the world, and developing novel treatment approaches for functional neurological conditions. He works closely with many different specialists including dentists, orthodontists, and oral-maxilla surgeons. ENT's and others to ensure the best possible outcome for his patients.
Ehlers-Danlos Syndrome: Co-Treatment of SOT Chiropractic, The Tupler Technique and Microcurrent
Introduction: This case study presents co-treatment of a chronic Category II patient with Ehlers-Danlos Syndrome (EDS) using sacro occipital technique (SOT) chiropractic, Tupler Technique™ and microcurrent. A 56-year-old female long-standing chiropractic patient had frequent exacerbations of her sacroiliac joints. She was referred to a specialist to rule out EDS as she had multiple hypermobile joints, including the sacroiliac (SI) joints and has a history as a dancer. She was definitively diagnosed with the EDS a few years ago. She began the Tupler Technique program to address diastasis recti that was contributing to her core weakness and pelvic instability.
Intervention: In addition to biweekly SOT chiropractic adjustments, patient began the Tupler Technique™, which involves an 18-week program to address diastasis recti.
The Tupler Technique™ is a 4-step program that includes (i) Specific Tupler exercises for strengthening the transverse abdominus muscle, (ii) Wearing and holding splints, (iii) Holding in on the transverse muscle on the work of everything you do, and (iv) Getting up and down correctly.
Additionally, Microcurrent (Dolphin NeuroStim) was utilised over her cesarean section scar as well as along her midline (linea alba) at every Tupler appointment (Week 1, 3, 6, 9, 12, 15, and 18) for scar mobilisation and to strengthen the weak connective tissue along her midline.
Results: Significant improvement was noted in patient’s SI joint pain and dysfunction as well as improvement of the patient’s diastasis recti that appeared to be affecting her core and pelvic stability.
Conclusion: Further research is indicated to determine if other EDS patients might benefit from this multi-interventional care incorporating SOT Chiropractic, Tupler Technique and Microcurrent methods.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; Tupler Technique™; Microcurrent
Cite: Brayton L. Ehlers-Danlos Syndrome: Co-Treatment of SOT Chiropractic, The Tupler Technique and Microcurrent [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#BraytonEhlers-Danlos
Laura Brayton, DC, CSP, CSCP, CACCP, is a graduate of New York Chiropractic College and the I University of North Carolina at Chapel Hill. As a holistic chiropractor and speaker, she holds certifications in Chiropractic Pediatrics, Webster Technique for breech presentation, Sacro-Occipital Technique (S.O.T.), Craniopathy, is an advanced level practitioner of Nambudripad's Allergy Elimination Technique (NAET) and a Tupler Technique® trainer. She is the owner and founder of Hoboken Family Chiropractic + Wellness, in Hoboken, New Jersey.
Chiropractic care of a 6-year-old male child presenting with severe eye trauma: A case report
Introduction: Eye trauma that causes the loss of vision in one eye for a young child can be devastating and finding any possible avenue for help is something all healthcare providers would want to investigate. A 6-year-old male child presented with his parents wearing an eye patch on his right eye. Apparently while playing in his back yard, he found a rusty knife on the ground, threw it at a tree, and it bounced off and hit him in his right eye obliterating his lens, damaging his cornea and retina. He was seen at John Hopkins University (JHU) Hospital and had 4 surgeries, told he would be blind in his right eye, and was monitored for 2 years without any treatment. After that time, glasses were begun to be prescribed.
Methods: Treatment included Directional Non-Force Technique, Sacro Occipital Technique, Applied Kinesiology, Clinical Kinesiology, and Ontological Kinesiology.
Results: Within 12 treatments during the first year of care he said to his father that he could detect movement, shapes and colours with his right eye. During treatment that has spanned over 7 years he has received 64 treatments, an average of 9 visits per year. While his vision was slowly improving at 6 years, at his parent’s request, his visual acuity was re-tested at 20/125. Seven months later with glasses he measured at 20/70. At this time (2023) he is now a star pitcher in Little League and travelling baseball teams striking out 17 of 19 batters and is the 2nd or 3rd best hitter on his team. He is also the leading scorer (scoring 1/3 of the team’s points) on his basketball team.
Conclusion: While JHU referred to this patient as a ‘statistical outlier’ the positive gradual improvement that began with chiropractic care and progressed over the years suggests a possible temporal relationship. Greater study is needed to determine if other children or adults with visual disturbances might be helped with this type of chiropractic intervention.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; vision, eye-trauma, paediatrics
Cite: Boro WJ. Chiropractic care of a 6-year-old male child presenting with severe eye trauma: A case report [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#BoroEyeTrauma
William J. Boro, DC has been in private practice in Annapolis, Maryland for over 30 years. Dr. Boro uses sacro occipital technique, applied kinesiology, and Van Rumpt technique, in addition to using other standard methods of diagnosis, for the evaluation of structural, chemical and mental aspects of health. He is intent on increasing other doctor’s knowledge and understanding of how chiropractic is beneficial in cases other than strictly musculoskeletal problems. He has taught and presented papers nationally and internationally and looks forward to presenting more case studies in the future.
Asymmetrical lumbar facets complicating a diversified HVLA lumbar side posture adjustment: A case report
Objective: Asymmetrical lumbar-facets may complicate a diversified HVLA lumbar-side-posture adjustment.
Clinical Features: A 22-year-old male patient presented with chronic pain, aching, and numbness following a chiropractic lumbar side posture adjustment. Since earlier trauma he had received multiple chiropractic and physical therapy treatments over a year, but his condition had not progressed so he was unable to work and quality of life was compromised. Assessment of presenting radiographs indicated he had asymmetrical lumbar facets and prior care did not take that factor into account. While the radiographs did show an intersegmental lumbar vertebral rotation the side posture adjustment multiple thrusts had been preformed into the coronal facet that ultimately limited the rotational correction.
Intervention/Outcome: The Sacro occipital Technique orthopedic block placement for lumbar rotation was used until related cervical indicators resolved. Following treatment he reported immediate pain relief and improvement of function for the first time since his trauma. However he was lost to follow up.
Conclusion: When a patient has a poor response to a lumbar side posture HVLA adjustment it may be important to radiograph the lumbar region to assess for facet asymmetry.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; facet asymmetry; iatrogenesis; LBP; radiography
Cite: Blum CL. Asymmetrical lumbar facets complicating a diversified HVLA lumbar side posture adjustment: A case report [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#BlumFacets
Charles L. Blum, DC, CSP, CSCP is in private practice Santa Monica, California and past president of SOTO – USA, now their research chair. He serves as Adjunct research faculty at Cleveland Chiropractic College, associate faculty at Southern California University of Health Sciences and Palmer College of Chiropractic West teaching the SOT Elective. Dr. Blum is a Certified SOT Cranial Practitioner, and on the peer review board of the Journal of Craniomandibular and Sleep Practice (CRANIO), Association of Chiropractic College Conference Peer Review Committee, and Journal of Chiropractic Medicine. He has lectured nationally and internationally, has written various SOT related texts, compiled SOT and cranial related research, and has extensively published in multiple peer reviewed indexed journals and at research conferences from 1984 to the present.
Sacro occipital technique (SOT) cranial techniques incorporating myofascial tongue therapy for acute neck restricted motion: A case report
Introduction: A 72 year old man was referred to my office for non-traumatic induced acute neck pain and severe limited range of motion of two weeks duration. He awoke two weeks prior with a stiff neck that progressively stiffened up through the day and eventually ‘locked up’, virtually not allowing him any motion. At his best during this time he might have no more than 10° of movement. Other than the neck pain and stiffness he reported no other issues with his body though he did have a history of global arthritic stiffness, poor balance, and has fallen several times recently
Methods/Intervention: Since the patient was so guarded and apprehensive with pain and limited motion, after a brief examination it was clear that I wouldn’t be able to use any forceful manual adjusting to his upper thoracic or cervical spine directly. Due to the limitations in what I could do therapeutically I experimented by using a tongue myofascial technique that I had developed. I had him stick out his tongue and focused care on the adjacent glossal myofascia as well as pulled and stretched his tongue in specific directions. He was seen three times and on the second and third visit I was able to incorporate some SOT procedures.
Results: After the first visit when the myofascial tongue treatment was applied we were both surprised that he had improved his cervical range of motion 10-15% immediately, by over 40% by the 2nd visit, which was also associated with decreased pain. After the second visit his range of motion was 80% improved and following the third visit he had full range of motion with no reports of pain. He was seen three times during a one week period. The patient also reported that his balance improved
Conclusion: This case demonstrates care of a patient with acute cervical spine pain and restriction unresponsive to chiropractic and physical therapy being treated with SOT techniques incorporating myofascial tongue therapy. With intractable patients incapable of receiving direct care for acute traumatic/nontraumatic neck pain further research into myofascial tongue therapy may be of value.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; tongue therapy, glossal myofascia; acute neck pain
Cite: Gerardo RC. Sacro occipital technique (SOT) cranial techniques incorporating myofascial tongue therapy for acute neck restricted motion: A case report [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#GerardoTongueTherapy
Richard C. Gerardo, DC, CSP, CSCP has been in private practice in Burbank, California, since 1985 and in the past years with a second private practice in Thousand Oaks, California. He is a certified Sacro Occipital Technique Cranial Practitioner and a Cranial TMJ Specialist. He has lectured nationally for 25 years on the interdisciplinary approach to treating TMJ and associated issues. Dr. Gerardo has authored several published case studies as well as a paper on the Cranial Dental Functional Model and has co-treated over 3000 TMJ and orthodontic patients with numerous dentists over the last 25 years.
Emotional or Mechanical: Assessing for referral and co-treatment of jaw pain as a Body Psychotherapist
Narrative abstract: Temporomandibular Disorder (TMD) is a common and impairing form of musculoskeletal pain that involves chronic pain and tension of the jaw and facial muscles. In spite of its pervasiveness, TMD’s exact causes remain uncertain and optimal treatments are undecided. Current evidence suggests that stress and emotional experiences may be related to experiences of TMD, and some research suggests that psychotherapeutic approaches may be beneficial for TMD. However, minimal research specifically examines how somatic therapy may be applied to TMD.
In this paper, I review current ways of defining TMD and methods of treatment. In addition, I look at how somatic theorists view these symptoms, and review evidence that suggests body psychotherapy could be a useful intervention for TMD, either on its own or in conjunction with other care. I offer suggestions and considerations for body psychotherapists when working with jaw pain.
Based on current research, it appears that body psychotherapy may be uniquely positioned to support clients with TMD, given its ability to help clients process their relationship to pain, bring awareness to underlying stressors, and support self-care practices. However, additional research is needed to further explore the potential benefits of body psychotherapeutic approaches for this population, as well as the development of more accessible assessment tools to support body psychotherapists in working collaboratively with other allied health care practitioners.
Indexing terms: Chiropractic; Body Psychotherapist; psychotherapy; jaw pain; TMD; co-management
Cite: Blum JD. Emotional or Mechanical: Assessing for referral and co-treatment of jaw pain as a Body Psychotherapist [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#BlumJawPain
Jeffrey D. Blum BAnthropol, MA (Clinical Mental Health) is a Licensed Professional Clinical Counsellor practicing in Boulder, CO. He completed his clinical internship at the University of Colorado Boulder as an Alcohol and Other Drug Early Intervention Facilitator. Also, he has coached rock climbing for the last 10 years, working with children and adults to help support present moment experience and arousal regulation.
60 year old female presenting in acute pain wheeled into an office on a dolly
Introduction: A late-60s year old female was brought into the office on a dolly because she was in acute pain, completely incapacitated, and unable to be weight bearing. She reported that she had been out for a walk and bent to pet a cat when her hip seized up and she was unable to walk. She called her assistant who, along with her husband, got her onto a dolly and wheeled her into the office.
Methods/Intervention: With her husband and assistant we were able to get her off the dolly and prone on the treatment table. She was then placed on category three blocks according to sacro occipital technique (SOT). She permitted some gentle massage to her lower back allowing her body to relax somewhat. Her gluteus medius and piriformis muscles were goaded on the involved side and manual traction to her lower back was applied, while on the blocks, and then she was able to turn supine.
From the supine position myofascial therapies were applied to the hip joint capsule and the surrounding musculature. Muscle testing revealed that her affected femoral head appeared to be displaced in a posterior direction so with her knee bent the femoral head was directed posterior-anterior.
Results: Following the supine femoral head adjustment the patient was asked if she would stand and was able to do so and walked out of the office without distress. She was seen for one follow up office visit and it appeared that her symptoms had completely resolved.
Conclusion: An incapacitated patient in acute pain responded to SOT category three blocking, traction, myofascial techniques, and femoral head adjustment. It was quite dramatic to witness a patient wheeled into the office on a dolly crying out in pain and then following treatment being able to walk out without demonstrating any distress.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; posterior femoral head; acute pain; ageing
Cite: Greene M. 60 year old female presenting in acute pain wheeled into an office on a dolly [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#GreeneAcutePain
Michelle Greene, DC graduated from Cleveland Chiropractic college in December 1992. She has been practicing in the Los Angeles area since that time. She was introduced to chiropractic as a teenager while running with the Santa Monica Track Club. She continues to compete in the aqua-bike division of Triathlons and focuses her practice on combining soft tissue work with chiropractic adjustments.
Treatment of a patient with cervicogenic related vertigo: A case report [Abstract]
Introduction: A 70-year-old female patient presented with persisting (months) unresponsive severe left neck pain and vertigo. The patient had been successfully treated at this office 6y earlier for left-sided TMJ dysfunction, so returned for an assessment when her symptoms became unbearable. Current examination revealed significant left-sided neck pain (C5-C7) without radiculitis. She also received treatment at Stanford Medical Center from an allopathic pain management doctor who diagnosed her with cervicogenic vertigo. He treated her with acupuncture and advised her to continue with chiropractic treatment.
Methods/Intervention: The patient received 9 sacro occipital technique (SOT) treatments over a period of six-weeks. Along with SOT care, adjustments focused to C5, cervical-traction therapy, myofascial treatment to her left scalene muscles, and LED infrared therapy.
Results: Over the course of treatment as her neck pain diminished her vertigo symptoms diminished concurrently. By the 6th week of treatment the patient reported no further vertigo symptoms.
Conclusion: It is difficult to rule out placebo effects, regression to the mean, or other confounders so further research is needed to determine which patients with cervicogenic vertigo might be good candidates for this collaborative care.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; cervicogenic; vertigo
Cite: Bloink TE, Blum CL. Treatment of a patient with cervicogenic related vertigo: A case report [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#BloinkBlumVertigo
Thomas Bloink, DC, CSP, CSCP specializes in cranial-dental integration in Silicon Valley at the California Cranial Institute, which was founded in 1992. Dr. Bloink was on the board of advisors to help create SOTO USA and is actively involved in promoting the organization, presenting at research conferences throughout the world, and developing novel treatment approaches for functional neurological conditions. He works closely with many different specialists including dentists, orthodontists, and oral-maxilla surgeons. ENT's and others to ensure the best possible outcome for his patients.
Sacro occipital technique care for a 7-year-old male patient with ADHD: A case report
Introduction: Sacro-Occipital Technique (SOT) is a chiropractic technique that restores normal CNS function through correction of the cranial sacral respiratory mechanism. The aim of this case report is to explore the effectiveness of SOT in the treatment of ADHD symptoms in a 7year-old male patient. The patient had been diagnosed with ADHD and was experiencing symptoms such as hyperactivity, impulsivity, thoracic pain, neck muscles tightness and afternoon fatigue from poor sleep quality.
Methods/Intervention: The patient underwent 4 sessions of SOT treatment over a 3 month period, with each session lasting approximately 30 minutes.
Results: The results of this case study showed a significant improvement in the patient's ADHD symptoms. Parent reported a behavioural improvement on hyperactivity and impulsivity. Patient also reported no pain at thoracic region and no tightness at neck muscles. Additionally, the patient's parents reported a significant improvement in sleep quality and day time energy following the SOT treatment.
Conclusion: These findings suggest that SOT may be an effective treatment option for paediatric patients with ADHD. Further research is needed to confirm these results and to determine the optimal treatment frequency and duration of SOT for ADHD. Nevertheless, this case study provides initial evidence for the potential effectiveness of SOT in treating ADHD symptoms in paediatric patients.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; ADHD; paediatric
Cite: Lee E. Sacro occipital technique care for a 7-year-old male patient with ADHD: A case report. [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#LeeADHD
This abstract includes a detailed technique description
Ethan Lee, DC, CSP, originally from Taiwan, moved to Seattle with his family at the age of 18. Immediately following graduation from Palmer Chiropractic College, Dr. Lee worked in an intense clinical environment focusing on nutritional protocols treating complex pain conditions such as Lyme, SIBO, and fibromyalgia. Aside from nutritional health, Dr. Lee utilizes kinesiology muscle testing and Vector Point Cranials to help patients maintain neuromuscular integrity. He has certifications in Sacro Occipital Technique (SOT) and Applied Kinesiology (AK) and is currently completing a PhD in Integrative Medicine.
Sexuality in our 55 year old and older patient population
Narrative abstract: My thesis sought to explore finding a way of supporting sexual desire in the fifty-five and older population by offering a different perspective to what might constitute romantic sexual intimacy. when our patients hint that their sexual romantic life is not the greatest, how can we integrate some possible solutions into the conversation and support the whole person which includes their sexual health?
Pleasure is how we make connections with ourselves and with the other. The implications of renewed connections may reach beyond the bedroom and become part of fostering wellbeing for a population who even pre-pandemic suffered from an epidemic of loneliness.
Indexing terms: Sexuality; Chiropractic; holism
Cite: Mirell M. Sexuality in Our 55 Year Old and Older Patient Population. [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#MirellSexuality
Margie Mirell, Ph.D., LMFT has been a psychotherapist for over 37 years and is currently practicing in Santa Monica, California. She has a specialty in treating eating disorders, addictions and most recently, she expanded her expertise earning a Ph.D. in Clinical Sexology from Modern Sex Therapy Institutes. She has extensive training in Jungian dream work, relationship counseling, hypnosis at Semel Institute UCLA and Somatic Experience Trauma Therapy. Her clinical focus has been on the intersection of neuro-psychology, affect regulation and the impact of family systems with a psychodynamic approach.
50y male overweight veteran presenting with acute LBP, discopathy, and PTSD treated with SOT and myofascial techniques: A case report
Introduction: A mid-50s male overweight (> 136kg, 300lbs) 183cm (6 feet) tall veteran presented to the clinic for evaluation and treatment of acute lower back pain radiating down the posterior leg to the foot. As a veteran he also suffered from post-traumatic stress disorder (PTSD) and was on complete disability. Examination findings were consistent with disc pathology with radicular syndrome.
Methods/Intervention: The focus of care was on pain reduction and he was initially treated as a sacro occipital technique (SOT) category three using blocks under his pelvis while prone. While on the blocks myofascial release techniques were applied to his lumbar paravertebral muscles until he noted more ease. A large myofascial contracture was found on one side of L3 that he reported was significantly painful but the trigger point was goaded until relaxation was noted. Next the lumbar spine was tractioned in rhythm with with his breathing.
Results: He returned in 2 days with more than 50% resolution of pain. He was seen 2 times a week for 6 weeks, however after the third visit he experienced a complete resolution of his pain. Care continued for 12 visits since he began exercising and fairly quickly dropped some weight. By the 6-week mark he increased his activity and during that time his condition stabilised and his pain had not returned.
Conclusion: A 50 year old male overweight veteran presenting with acute low back pain, discopathy, and PTSD was successfully treated with SOT and myofascial techniques. Further research is needed to determine if other challenging cases with patients suffering from acute low back pain, overweight, and PTSD might benefit from this type of care. As a practitioner working with veterans it is very rare that someone actually puts their hands on them and actually touches the areas that hurt.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; PTSD; Veteran
Cite: Greene M. 50y male overweight veteran presenting with acute LBP, discopathy, and PTSD treated with SOT and myofascial techniques: A case report [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#GreeneAcutePain
Michelle Greene, DC graduated from Cleveland Chiropractic college in December 1992. She has been practicing in the Los Angeles area since that time. She was introduced to chiropractic as a teenager while running with the Santa Monica Track Club. She continues to compete in the aqua-bike division of Triathlons and focuses her practice on combining soft tissue work with chiropractic adjustments.
Grade three anteriolisthesis L5/S1 of a 28 year old female: A case report
Introduction: A 28 year old female patient presented for chiropractic care secondary to having a side posture lumbar adjustment to her lumbar spine causing her severe lower extremity radicular syndrome and weakness. She was scheduled for a surgical intervention but was encouraged to be seen at this office for a second opinion.
Methods/Intervention: The patient was treated with sacro occipital technique orthopedic blocking procedures specific for anterolisthesis, release of psoas muscle tension to L5, suction cupping to draw L5 in a posterior direction, and a series of exercises seeking to encourage directing abdominal muscles to stabilise L5 in a posterior direction on all body movements.
Results: After 2 weeks of care the patient cancelled her surgery and after 2 months of care at 1-2 times per week she was fully functional with no limitations or pain of movement or lifting heavy objects. At the three month mark she was being seen once a month for supportive care. A follow-up x-ray was taken which revealed no change in the grade three anterolisthesis. A 10-year follow up MRI also revealed no change in the anterolisthesis, suggesting that her condition was stable.
Conclusion: The majority of anterolisthesis presentations are stable and this case illustrated a patient’s positive response to conservative chiropractic care directed at reducing stress on the anterior ‘pull’ of the vertebra and improving the posterior stabiliser muscle function. With some anterolisthesis cases it is important to focus more on improving function and less on whether or not a structural change will occur.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; anterolisthesis; lumbar
Cite: Blum CL. Grade three anterolisthesis L5/S1 of a 28 year old female: A case report [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#BlumAnterolisthesis
Charles L. Blum, DC, CSP, CSCP is in private practice Santa Monica, California and past president of SOTO – USA, now their research chair. He serves as Adjunct research faculty at Cleveland Chiropractic College, associate faculty at Southern California University of Health Sciences and Palmer College of Chiropractic West teaching the SOT Elective. Dr. Blum is a Certified SOT Cranial Practitioner, and on the peer review board of the Journal of Craniomandibular and Sleep Practice (CRANIO), Association of Chiropractic College Conference Peer Review Committee, and Journal of Chiropractic Medicine. He has lectured nationally and internationally, has written various SOT related texts, compiled SOT and cranial related research, and has extensively published in multiple peer reviewed indexed journals and at research conferences from 1984 to the present.
The effect of sacro occipital technique (SOT) category one procedures on Chiari type 1 and cystic syringomyelia: A case report
Introduction: The purpose of this investigation was to determine if sacro occipital technique (SOT) category one procedures, cervical stairstep technique, and cranial manipulation have an effect on a Chiari malformation with Cystic Syringomyelia. A 42 year old female noted that with cervical spine flexion she had symptoms of blurred vision, radiating pain, weakness and neuralgias of bilateral upper extremities (especially with coughing), cervicothoracic stiffness and pain, and tension at base of skull, head and jaws.
History: An MRI of cervical spine (March 2019) revealed a cystic syringomyelia of the cervical spinal cord from C3-T2, occupying the majority of the spinal cord from C6-T2. Chiari Type 1 malformation was also noted with inferior displacement of the cerebellar tonsils 7-8mm. The goal of care was to reduce cerebellar tonsil displacement, slow, halt, or reverse advancing development of spinal syringomyelia cyst, improve CSF circulation to cervicothoracic spinal cord and related nerve roots, thus reducing the patient’s symptoms and improving mobility.
Methods/Intervention: Examination revealed anterior/posterior body standing sway with bilateral T1 costovertebral tenderness and hypermobility. With gentle pressure of the doctor’s thumb over the prone patient’s L5 spinous, found upon their coughing that the thumb ‘jerked’ headward (SB- cough test) consistent with a sacrum restricted in counternutation/flexion. The patient’s symptoms were aggravated with cervical traction, better with cervical stair step procedures and restricted motion was noted in the upper thoracic spine.
Treatment focused on basic one cranial technique, frontal occiput pumping, sphenobasilar range of motion, and cervical stairstep technique, which were performed to potentially reduce the drag on the cerebellar tonsils. SB- blocking with sacral base pressure on sustained exhalation and bilateral arm traction (by the patient) were repeated in sets of three when SB-cough test was indicated. This was performed in an effort to improve the craniosacral pumping mechanism and reduce dural torsion as well as improve cerebrospinal fluid circulation and meningeal function around the spinal cyst. Eventually, gentle osseous mobilisation of the upper thoracic spine was successfully performed and the chiropractic manipulation was relatively effortlessly received. The patient was treated generally twice monthly between the first (December 2019) and last (November 2022) MRI.
Results: The inferior displacement of the cerebellar tonsils reduced from 7-8mm (December 2019) to 7mm (December 2020) then 6-7mm (November 2022). Syringomyelia remains unchanged (April 2019 - November 2022). The thoracic spine began gaining more mobility with SB-blocking technique preceding gentle osseous manipulation. By November 2022 she noticed significant improvement in upper extremity weakness, neuralgias, radiations, cranial torsion, cervicothoracic stiffness/pain. Unfortunately the symptoms that were unchanged were visual disturbances with cervical flexion.
Conclusion: This case illustrates conservative chiropractic care providing relief for a patient with Chiari type 1 and cystic syringomyelia. The patient has made good progress under care however warrants continued therapeutic surveillance since these conditions may be degenerative in nature, particularly if there is ever trauma either acute or chronic (e.g. ergonomic) to the upper cervical and cervicothoracic regions.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; Chiari Type 1; SB-blocking technique
Cite: Nichols K, Nichols J. The effect of sacro occipital technique (SOT) category one procedures on Chiari type 1 and cystic syringomyelia: A case report [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#NicholsNicholsChiari
Keila Nichols, DC has been practicing in the Northeast Dallas, Texas suburbs since 1989. She utilizes traditional chiropractic techniques, including Sacro Occipital Technique, Craniopathy, Manipulative Reflex Technique (CMRT), as well as homeopathy and functional medicine. She enjoys spending any functional medicine.
Jesse Nichols is a second generation Chiropractor and is currently a student at Parker University in his 7th Trimester. Mentored by his mother Keila Nichols, DC he is currently undertaking a deep dive into studying SOT.
Chiropractic in a integrative medical health practice: A narrative
Narrative abstract: On March 28th 2022 I signed on with Wiseman Family Practice ~ an integrative medical practice in Austin, Texas. Wiseman Family Practice is one of if not the largest and most successful integrated practices in the entire state of Texas. It is a highly respected and sought after integrated practice for patients. I would hear great accolades about them while telling my friends about my experience going through the interviewing and hiring process.
By background was steeped with sacro occipital technique (SOT). I have studied and utilised SOT since I was an intern in college. I am blessed and grateful to have the great privilege to have studied under Drs. Charles Blum, David Simmons, Jeffrey Mersky and several of the other extremely talented chiropractic doctors who mentored me in my early years of chiropractic when I began my study of SOT, cranial adjusting, and chiropractic manipulative reflex technique (CMRT).
Early on I also assisted Dr. Simmons when he was teaching SOT at the Southern California University of Health Sciences (SCUHS) in Whittier, California, since teaching is a powerful way of embedding knowledge and practicing chiropractic techniques such as SOT.
At Wiseman Family Practice patients are always amazed and impressed by my style which I contribute all to the SOT method. They often tell me how my style is so inclusive and expansive compared to any of the other chiropractic doctors they’ve been to and it makes my life meaningful and work satisfying to hear how I’m helping them with my services. As my patients improve and appreciate the care I render my allied health colleagues gain respect for what chiropractic can bring to interdisciplinary relationships.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; integrative medicine; integrative care
Cite: Stowell LM. Chiropractic in a integrative medical health practice: A narrative [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#StowellIntegrative
Lisa Stowell, DC focuses on the safest and most natural approach to chiropractic care ~ utilizing cutting edge techniques such as SOT (sacro-occipital technique). Having studied nutritional components of health related interventions she incorporates 'Food First' as part of her approach to customise personal dietary needs. Lisa also utilises a computerised diet analysis for absolute personal dietary needs and goals. Besides head, neck and low back pain Dr. Stowell addresses conditions such as diabetes, fibromyalgia and even depression and fatigue.
40-year-old female presenting with chronic bruxism, menorrhagia and digestive issues successfully treated with sacro occipital technique methods and eye movement desensitisation reprocessing: A case report
Introduction: A 40-year-old female presented with chief complaint of bruxism (temporomandibular joint disorder – TMD), menorrhagia and digestive issues since childhood that had been treated by a variety of therapies including spinal manipulation, diaphragm release, naturopathy, homeopathy, Neuro Emotional Technique, and Nambudripad Allergy Elimination Technique. None of these therapies had a lasting effect on presenting symptoms. Sacro occipital technique (SOT) analysis showed category two presentation with significant restriction in the diaphragm and pseudohiatal hernia as well as multiple distortions in the cranium and teeth #18 and #27. After correction of these patterns her mouth guard was determined to be recreating the distortion of the cranium and she stopped using it.
The patient was effectively treated with SOT focused on category two correction, diaphragm release and cranial corrections, however relief would not last more than a few days. The same subluxation findings occurred over 16 visits in a four-month period with no lasting resolution. Further exploration of the patient’s mental status showed symptoms of Post Traumatic Stress Disorder (PTSD). The patient agreed to undergo a treatment of Eye Movement Desensitisation Reprocessing (EMDR).
Methods: The patient underwent 2 EMDR sessions. Chiropractic analysis was done before and after each session. Chiropractic adjustments were made as indicated after each session. There was a visit in-between the two EMDR sessions where a chiropractic correction was made. EMDR was done with bilateral tactile input through the hands at patient’s preferred settings. As defined in traditional EMDR protocols, focus was on cognitions, emotions and somatic sensations around trauma.
Results: On the day of the first session of EMDR, the patient presented with the same category two, diaphragm and cranial-dental indicators. The reprocessing of the trauma was incomplete at the end of the first session and chiropractic analysis was repeated. All chiropractic findings before the session were gone after the first session and a new finding of atlas subluxation was presented and corrected.
The patient displayed the same atlas finding at the next chiropractic visit which did not include EMDR. The atlas was corrected. The patient returned for another EMDR session the next visit and pre-EMDR treatment chiropractic analysis displayed the same atlas finding. Reprocessing was completed and post-reprocessing chiropractic analysis showed elimination of any subluxations and restoration of motion to the cranium.
The patient was tracked over a 6-month period with no recreation of any subluxation findings or symptoms she presented with. This included being under periods of high stress. She was treated for gallbladder dysfunction with Chiropractic Manipulative Reflex Technique (CMRT) and was co-managed with a naturopath with symptom relief when the patient was compliant with her care plan.
Conclusion: Chronic sacroiliac joint problems can present a challenge to the SOT practitioner. This case presented with concurrent symptoms of PTSD. Cases of bruxism chronic category two TMD cases should be checked for underlying emotional factors that may be contributing to their condition and referred to a licensed mental health professional when not responsive to chiropractic techniques.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; PTSD; TMD; bruxism; EMDR
Cite: Tuttle D. 40-year-old female presenting with chronic bruxism, menorrhagia, and digestive issues successfully treated with sacro occipital technique methods and eye movement desensitisation reprocessing: A case report [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#TuttleBruxism
Daniel Tuttle, DC, MSW is both a Chiropractic Physician and Licensed Clinical Social Worker. He is a licensed QEEG Diplomate and has practiced Neurofeedback for 16 years. He led the first randomized control study on the effects of SOT chiropractic adjustments on the brain using qEEG analysis. He practices in Clearwater, Florida using both licenses to develop innovative methods of treating both the mind and body. Dr. Tuttle has extensive experience in treating patients utilizing SOT, cranial, and innovative TMJ treatment and assessment procedures.
Successful co-management of a patient with C7/8 nerve dysfunction scheduled for surgery: A case report
Objective: To discuss chiropractic and orthopedic surgical co-management of a patient with C7/8 nerve dysfunction scheduled for surgery.
Clinical Features: A patient presenting with right-sided C7/8 nerve dysfunction consistent with radiating neck pain, reduced grip strength and finger (4/5th digits) approximation/separation, and scheduled for orthopedic surgery. Chiropractic evaluation suggested there were also some ascending (lumbar) and descending (TMJ) contributions to his cervical spine imbalance and a report was sent to his orthopedic surgeon.
Intervention/Outcome: Surgery was going to be performed if his pain increased or grip strength did not improve. He was treated with chiropractic using sacro occipital techniques for lumbo-cervical involvement, TMJ/craniocervical relationships, and using the cervical stairstep technique. He was given home exercises to stimulate his C7/8 nerve and cervical (Pronex) traction. Following the second office visit (2 weeks apart) he reported no pain and improved dynamometer graded grip strength. He was seen by his orthopedist a few days following the second office visit and surgery was cancelled.
Conclusion: During periods of time when a patient is awaiting surgery a trial of chiropractic care would seem prudent. Ideally chiropractic and orthopedic surgery collaborative care would be expected to yield greater patient outcomes.
Indexing terms: Chiropractic; sacro-occipital technique; SOT; nerve dysfunction; co-management
Cite: Blum CL. Successful co-management of a patient with C7/8 nerve dysfunction scheduled for surgery: A case report [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#BlumNerveDysfunction
Charles L. Blum, DC, CSP, CSCP is in private practice Santa Monica, California and past president of SOTO – USA, now their research chair. He serves as Adjunct research faculty at Cleveland Chiropractic College, associate faculty at Southern California University of Health Sciences and Palmer College of Chiropractic West teaching the SOT Elective. Dr. Blum is a Certified SOT Cranial Practitioner, and on the peer review board of the Journal of Craniomandibular and Sleep Practice (CRANIO), Association of Chiropractic College Conference Peer Review Committee, and Journal of Chiropractic Medicine. He has lectured nationally and internationally, has written various SOT related texts, compiled SOT and cranial related research, and has extensively published in multiple peer reviewed indexed journals and at research conferences from 1984 to the present.
Improvement in nasal turbinate and adenotonsillar hypertrophy and its concomitant symptomatology with paediatric chiropractic care: A case report
Introduction: Nasal turbinate and adenotonsillar hypertrophy appear to be common complaints for infants, toddlers, even adults. From a chiropractic standpoint, subluxation-based care that ensures optimal neural function can contribute to both immunological and hormonal balance.
Subluxation-based care is a successful initial conservative low risk intervention as opposed to surgery. We present here a case study of a 4-year-old girl whose mother reported her experiencing since birth, nasal turbinate and adenotonsillar hypertrophy with sleep and respiratory disturbances, dental bruxism, chronic upper respiratory tract infections, and behavioural issues.
Methods/Interventions: Subluxation-based care was rendered that utilised sacro occipital technique (SOT) pelvic block placement, orthopedic block adjusting of L3, and cranial techniques along with Thompson Technique leg check for pre and post assessment purposes. Also utilised at one visit was a diversified side posture adjustment with minimal general torque at L3, and sustained digital pressure with cervical spine range of motion assist to adjust any subluxated cervical vertebra
Results: The chiropractic care proved to be highly effective in a relative brief period of time. The results were documented and verified independently by the patient’s otorhinolaryngologist and dentist who initially were unaware of chiropractic care.
Conclusion: Chiropractic care for the correction of pelvic, spinal, and craniofacial bone subluxations may provide a viable alternative to long term antibiotic treatment and surgical intervention for nasal turbinate and adenotonsillar hypertrophy. Further studies are needed to further corroborate these findings.
Indexing terms: Chiropractic; sacro-occipital technique; Nasal turbinate; adenotonsillar; bruxism; subluxation
Cite: Weiner G, Murzycki T. Improvement in nasal turbinate and adenotonsillar hypertrophy and its concomitant symptomatology with paediatric chiropractic care: A case report [Abstract]. Asia-Pac Chiropr J. 2023;4.1 URL apcj.net/SOT-Abstracts-2023/#WeinerTurbinates
Gilbert Weiner, DC graduated from New York Chiropractic College, now Northeast College of Health Sciences, in 1978 going directly to Puerto Rico to begin his private practice. There he had an interest in scoliosis and noticed various comorbidities, mainly temporomandibular joint disorders (TMD). Since beginning his private practice he has actively been investigating scoliosis, its cause and treatment.
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