Uploaded on Dec 11, 2011
http://www.gohlclinic.com - Gonstead L5 explanation for students and doctors.
In this low back adjustment, I adjusted L5. I used the Delta-T to determine the location of the interference prior to video.
To adjust L5 properly the pelvis must be stabilized. The client's knee is between your knee and your hip is lying on the pelvis of the client. This locks the low back so now just one segment, the L5 can be adjusted forward.
Notice the position of my body is behind the client. This is essential so the thrust is straight thru the spine, not into the table. My forearm is almost parallel to the client.
The slack is taken out not by twisting or bending the pelvis. Slack is taken out by the pisiform directly on the segment, in this case L5. The pelvis should be as upright as possible, not twisted.
The thrust is straight ahead, across the table, not into the table. Try and keep the client's pelvis upright. There is only one clunk at the end of the adjustment, not multiple cracks, which you don't want. Not every adjustment will make a noise. I post checked her with the Delta-T and it indicated we moved the segment in the correct direction.
The thrust happens pretty quickly at full speed. Slack is taken out by pushing the L5 forward until it stops. When the video is slowed down, you can clearly see the thrust is straight across the table. Also, the only goal of the non-thrusting hand is to hold the shoulder, not to thrust backwards and twist the spine. Thrusting straight down into the table makes a lot of noise but doesn't set the segment in the proper direction.
For more information, please contact your Encinitas chiropractor.
Joseph P. Kametz, DC
Gohl Clinic of Chiropractic