Dr. Frye has taught his Chiropractic technique in places like South Korea at the neurological division of the SeoulMedicalCollege. Lastly, Dr. Frye is a nutritional formulator and a National Board licensed Doctor of Naturopathy in traditional naturopathy. He has formulated a complete line of nutritional formulas that are the primary recommendations by many clinics and websites across the country. View Nutritional Formulas

Below is basic neurologically correct adjusting.  On site clinical instruction is available.  Call (918) 665-0036 for more information.   One-on-one training classes are held in Dr. Frye's clinic in Tulsa, Oklahoma. We allow up to 3 doctors to spend a day or two with Dr. Frye treating patients and the doctors learning the information that will allow them to start practicing Alpha wave therapy and Air Adjustor technique. There is no better way anywhere to learn than to attend a one-on-one class with Dr. Frye.                           
               
          

Neurologically Correct

Cervical Technique

By

Dr. Bruce Frye

T1-T3:    Picture of Technique          

Opponeus Pollicus:  Adductor test, ulnar nerve.

Exam Technique: With patient seated, direct patient to “hold your thumb and little finger together.” With the two middle fingers (3^rd digit of doctor) of each hand apply resistance to the patient. This is a quickly learned technique. Sufficient pressure should be applied to reveal weakness of fingers. It should be noted that a slightly greater pressure may be applied to the index and middle finger as these are generally much stronger than the 4^th and 5^th digit.

Manual muscle testing is denoted as less than +2 upon resistance in neurological testing standards. Muscle test all fingers on both hands and record findings prior to adjusting. It is recommended to perform this neurological exam once a week upon a patient under consistent care or upon any exacerbation or new complaint. It should also be noted that although the exam procedure is part of the adjusting technique it is also a medically correct neurological exam from T1/T3 through C6.

Prone adjusting is acceptable however, seated is preferred.

Seated Adjustment Technique: Instruct patient to “Turn your head” opposite the side of nerve occlusion. Example: Weak left 5^th digit, Instruct patient to” turn head to Right” to obtain end range of motion and adjust. Seated adjusting is preferred as the rotation, flexion, extension and lateral flexion can be included in the treatment process, further aiding patient in range of motion.

Post adjustment test should reveal absence of weakness (strengthening of weak muscle)

Discopathy and flexion/extension mal-position

The above pictures show a T1-T2 adjustment for an extension mal-position. The same position is also used for the treatment of discopathy throughout the spine however with discopathy alpha pulse setting is used.

A bilateral weakness indicates a flexion /extension mal-position or a discopathy. Bilateral radiculopathy accompanying a bilateral weakness should support evidence of a discopathy.

Discopathy Technique: Alpha pulse should be applied for 7 to 10 seconds. While a flexion extension mal-position may accompany a discopathy instruct patient to move the head forward and backward 7 times (flexion and extension) while pulsing in a superior anterior direction. When patient moves into flexion the inter-spinous space opens up and a more unobstructed pulse into the disc is obtained.

C8 Nerve: Tl vertebrae:      

C8 Nerve: 4^th digit. Instruct patient to “hold” while muscle testing 4^th digit for C8 nerve innervation weakness.  

 C7 Vertebrae:

Median Nerve: 3^rd digit. Manuel muscle test and adjust as previously described.

C6 vertebrae

Radial Nerve, 2^nd digit.

C5 Vertebrae

Suprascapular Nerve: The deltoid, Supraspinatus and Levator Scapula muscles. Instruct patient to “raise up your arm” while placing one hand on shoulder and the other on the lateral arm of patient. Instruct patient to “hold” as you muscle test the shoulder (middle deltoid and spraspinatus) muscle. Test bilaterally

Lateral Cervical Adjustment line of dive should be in a superior and lateral vector. C5 is a common lateral nerve root occlusion.

Below is pictured a lateral C5 adjustment. 

Lateral C5 nerve occlusion is a common cause of many shoulder conditions: Alpha pulse in the lateral cervical vertebra should always be considered in cases of radicular shoulder, hand pain or numbness as well as extremity conditions including shoulder dysfunction, rotator cuff, elbow pain, hand numbness or pain. Utilizing knowledge of the nerve innervation of the areas of pain will lead the doctor to the appropriate lateral nerve root. In this example the shoulder pain occurs at the supraspinatus or middle deltoid. Alpha Pulse should be applied in same superior lateral vector as the adjustment.

C4 

Trapezius. The trapezius and levator scapulae are innervated by C4 nerve and can be treated as a posterior and a lateral adjustment. C4 is also the nerve supply for the phrenic nerve.
   Anterior cervical use Alpha Pulse only.    

Phrenic nerve treatment discussed in advanced training. Symptoms of phrenic nerve are C4 area lateral neck pain, pectorallis axillary breast pain, shortness of breath, stomach nausea.

C2 C2 and C3 are easily palpable and determined for rotation or lateral translation. There are no medically recognized neuromuscular or neurological tests for the upper cervical.

It is the intent of Dr. Frye’s technique to focus on well-documented neurological tests and nerve innervations for the purpose of exams, treatment and medically recognized reliability. Some ortho-neuro tests have been slightly modified for Chiropractic/ Osteopathic procedure however the integrity of all tests are maintained within the bounds of medically recognized neurological exams.

Neurological Adjusting

Technique

Lumbar Series

S2 & S1:  Picture of Technique

Modified Toe Walk: Direct patient to” Push your toes against me” while placing a fist shaped hand on doctors anterior legs for support. This maneuver correctly replicates orthopedic test Toe walk for S1, S2.  Note shaky, weak or tardy foot response. Direct patient to relax feet and legs then check for short leg side. Short leg side should correspond to any noted weakness etc. Post Adjustment even leg length.

Post check: repeat Modified Toe Walk post adjustment. Test should be negative. More severe cases may require repeat adjustment to clear post check.

Symptom: Pain in buttocks and down posterior leg, may extend to heel, lateral foot and little toe side of foot.

L5:

 Modified Heel Walk,

Instruct patient to “Pull your feet toward the table” This maneuver correctly replicates the orthopedic Heel walk test for L5. Again note shaky, weak or tardy foot response as compared bilaterally. Short leg side is side of nerve occlusion. Instructions for post test etc. refer to all tests as indicated with S1 instructions.

Symptoms: Pain or numbness in buttocks and/or posterior leg. May extend to heel and anterior middle toes.

L4:

Rectus Femoris Knee Extensor

Direct patient to “Push your legs against me” Same rules apply as former tests. Feeling for weakness etc. check for short leg side indicating nerve occlusion.

Symptoms: Pain and numbness in buttocks, generally traveling to anterior thigh, knee pain, may extend to great toe. Bladder incontinence or frequency in the absence of kidney/bladder infection or constipation is common complaints accompanying L4 nerve occlusion.

L3  

Thigh Flexor (Sartorius muscle)

Instruct patient to” Pull your legs toward your head” while doctor resists and pulls inferiorly and laterally. The sartorius acts to flex and invert the lower legs as in a cross legged sitting position.

Symptoms: Hip (Acetabular) region pain, pain or numbness down lateral thigh, generally does not extend but a few inches past lateral knee.

L2/L1

Psoas Adductor

Instruct patient to “Squeeze your knees together while doctor places hands inside legs and resists. This test is at first difficult for doctor to feel muscle strength however, after much use improvement in strength testing here will improve. Leg shortening indicates nerve occlusion.

Symptoms: The psoas muscle extends from the T12 to the L5 and intervertebral discs of these vertebrae.  With Psoas Syndrome the patient will complain that they are worse when getting up from sitting as the psoas contracts or shortens when sitting or bending forward. The common spinal occlusions occur at L1 and L2 and again at L5 or S1 (the beginning and ending origins) of this large muscle. The muscle acts to flex the torso toward the knees. Bending and sitting causes flexion or shortening of this muscle.

In addition one should always test for an L1/ L2 nerve occlusion in cases of lumbar discopathy. An L5 or L4 disc may well have an accompanying L1 or L2 psoas contracture as this muscle attaches on the discs of all the lumbar vertebrae. Pulse technique into the interspinous disc space may also be required. (See disc technique)

Symptoms may also include pain into the inguinal canal and down the inner thighs. Testicular or ovary area pain may accompany nerve occlusion. Adrenal fatigue, hypoglycemia, orthostatic hypotension or allergy exacerbation may be present. 

Alpha Pulse Technique