Home Posts Categorized as “Upper Cervical Subluxation Complex”
Upper Cervical Subluxation Complex


No Comments


Helping Dr. Norris Golberg of KORU Chiropractic in Louisville, Colorado attain Level One in the National Upper Cervical Chiropractic Association (NUCCA) Certification Program has been one of my greatest honors. The NUCCA technique is known as the most difficult and rigorous chiropractic discipline — as is the NUCCA Certification Program. Doctors and students of NUCCA are a rare breed of perfectionists in pursuit of the easiest, most predictable and consistent reduction/correction of the Atlas Subluxation Complex (A.S.C).


Our new patients are most pleased with NUCCA’s precision and its benefits, and then surprised to learn that NUCCA is not a chiropractic standard which is taught and practiced everywhere. That conversation is enormously important, but this article is a celebration of an achievement by an extraordinary doctor of chiropractic. Suffice it to say that competitive, market-driven economics and politics pervade all areas of life.


For me, NUCCA training and practice, and its integration with other advanced chiropractic principles, requires commitment to lifelong personal growth. For me, that growth is in my ability to work with both sides of my brain, and become a scientist and an artist. Firstly, NUCCA practice requires detailed, technical focus upon the highest standards for pre and post- X-ray production, X-ray analysis and mechanisms of the NUCCA treatment procedure — and once that first NUCCA treatment is provided, taking post-X-rays (repeating two of the original 3 upper cervical pre-X-rays) and translating the post-X-ray analysis into verifying the calculations for correcting the Atlas Subluxation Complex (A.S.C) , or making any modifications indicated for refining that treatment procedure. Then, paying close attention while taking patient’s case histories, performing their physical examinations, diagnosing and providing them with my report-of-findings, accurate prognosis, effective treatment plans, and managing those plans through the diagnostic, corrective, stabilization, healing and wellness phases of care are different matters altogether. 


Here are Dr. Goldberg’s achievements from meeting the NUCCA Level One Certification Candidate Requirements:

An online examination passing grade of 80% demonstrating knowledge and applicable skills in:

  • Understanding of x-ray alignment procedures
  • Theory about distortion, magnification and collimation
  • Structural identification on x-ray
  • X-ray filtration
  • Proper x-ray technique and exposures, image quality
  • Patient adjusting steps and purpose of the individual steps
  • NUCCA Historical perspective
  • Use of NUCCA equipment for patient care
  • Leg check and Anatometer procedures
  • Neurological mechanisms of the cervical region
  • Patient positioning for cervical x-rays

 X-ray requirements for Candidates in Level One:

  • Four views of alignment films. Format can be found in the NUCCA textbook and past monographs. X-ray equipment must be aligned to NUCCA standards to participate in all three levels of certification.
  • Five pre-unanalyzed, consecutive sets of patient x-rays demonstrating necessary protocols for patient placement in all three views (Lateral, Nasium, Vertex).
  • Two consecutive sets of both pre and post x-rays, demonstrating necessary protocols for patient placement.

Critical points of consideration include proper exposures, the use of the appropriate filters, proper views of structures, (i.e. posterior arch on the nasal view), and minimal distortions (i.e. rotation and location of structure on the x-ray film).

Any submission provided for review, must be a current submission and the films taken must be within 30 days of the submission date.

Previously reviewed x-rays may not be resubmitted.

Once a doctor has completed and passed the online exam, alignment films, five consecutive pre x-rays, two consecutive pre and post films, they are eligible as a candidate for the second level of the NUCCA Board Certification process.


Our first step toward Dr. Golberg’s NUCCA Level One Certification was the alignment of his X-ray equipment — a daunting consideration for new NUCCA doctors. This required forty-hours of our time. Then there were the many hours of planning, design, construction, testing, critique and practice using the lead, NUCCA X-ray attenuating filters we made specifically for Dr. Golberg’s X-ray machine. There were hours-and-hours of studying the NUCCA textbook, coaching and refinement of his patient X-ray positioning and X-ray technique, of coaching and practicing the eight-step NUCCA corrective procedure, and the extensive self-assessment process required for achieving the NUCCA X-ray production and analysis standards. Then, Dr. Golberg submitted and re-submitted his X-ray machine alignment X-rays and his patient X-rays to NUCCA for critique and certification, and passed the NUCCA Level One Certification online examination. All of this was accomplished while Dr. Golberg was providing the best care for his patients, successfully promoting and managing his clinic, serving his community, and being an excellent husband and father.

Congratulations to Dr. Goldberg. And thank you for this opportunity for me to “pay it forward” from my NUCCA mentors and my mentor’s mentors to you.


No Comments

Why Did We Perform a NUCCA X-ray Alignment?

The silver-lining from our recent black mold evacuation, is finding a new chiropractor who is committed to providing the best NUCCA (National Upper Cervical Chiropractic Association) care, who has the best X-ray equipment for doing so, who is eager to engage in the NUCCA certification program and is willing to share that equipment with us black mold refugees.

Who Will Replace You?

For years, patients have asked me, “who will replace you when you retire?” “Will this person be able to diagnose, treat and get the results that you do?” Originally I had been screening chiropractic students and new chiropractors for my internship program in hopes of training them to become Boulder Chiropractic Clinic associates. That plan was postponed when our clinic was flooded, black mold infected, and we were forced to evacuated it.

Fortunately, we found Dr. Norris Golberg of KORU Chiropractic in Louisville, who has the X-ray equipment required for our National Upper Cervical Chiropractic Association (NUCCA) X-ray examinations. He had opened his office 2 years earlier and was committed to becoming an excellent NUCCA doctor.

How to Become an Excellent NUCCA Doctor?

Dr. Golberg committed to enter Level 1 of the three-level NUCCA certification program — the first step of which is NUCCA X-ray alignment. For accurate NUCCA X-ray analysis and diagnosis, the doctor must use an X-ray machine which is aligned so the central ray of the X-ray field intersects the center of, and is perpendicular to, the X-ray sensor. Additionally, the head-centering calipers, alignment mask or glabella bar, and chin-centering slot must be perfectly centered upon that central ray. By using a NUCCA-certified X-ray machine, patient placement and  X-ray technique, the doctor will produce images, the features of which may be identified, measured and interpreted with accuracy to a fraction of one degree. And this is just the beginning.

What About the Video?

This video is about the whys and hows of the alignment of Dr. Golberg’s X-ray machine. It represents 40 hours of our time, making the adjustments needed for the alignment, achieving and submitting the alignment-proving images to NUCCA, and NUCCA’s certification of that alignment. For the sake of time, it leaves out many of the details. We hope you appreciate the importance of this project for producing the best clinical outcomes for our patients.

Our Patient Achieves 300% – 400% Improvement In Meniere’s Disease

No Comments




Hello, my name is Kathy and I have Meniere’s Disease.

In 2009, I was doing yoga and was suddenly overcome by dizziness and fell over. It only lasted a few minutes and I had no idea what happened.  Then…nothing for a year and a half.  In 2011, I was at a chiropractor’s office and he did a neck adjustment and wham…I was so dizzy, I could not walk or drive. Someone had to come pick me up and get me and my car home.  An Ear, Nose and Throat doctor said I had benign positional vertigo and gave me some movements to do when I got dizzy. But then, I had an acute episode of vertigo. Luckily, I was at home at the time. I couldn’t walk or sit or lay down or even blink without the world spinning. Then came the cyclical vomiting. My husband had to take me to the emergency room because it wouldn’t stop. Every 20 minutes like clockwork. It was horrible. It was then that I was diagnosed with Meniere’s Disease. It was then that my life changed.

I was put on several medications for when I was having symptoms, and they help but they don’t solve the underlying problem

I was put on a low sodium diet and a diuretic. I have low blood pressure, so I could not tolerate the diuretic. I felt worse than I did before. They wanted to put me on some other medications that had worse side effects than the symptoms.  I said no. I don’t really like to take a bunch of stuff, especially when they didn’t even know if it would help.  I was put on several medications for when I was having symptoms, and they help but they don’t solve the underlying problem, nor the anxiety that goes along with not knowing when an episode will hit.

Meniere’s is a very frustrating disease to have.  No one knows exactly what is happening inside the ear, what causes it, or how to cure it.  They have theories, of course, and treatment is hit or miss. There is no treatment that seems to work for everyone. Currently it has no cure.  Just management.

I prefer a holistic, whole body approach to my healthcare, not just, “here, take this medication and see what happens.”

My doctor was not listening to me. He dismissed many of my questions. He said my case was minor compared to some he had seen and dismissed how this disease was affecting my life. He was convinced I had asymptomatic migraines and wanted to put me on an antidepressant that is used to treat migraines. Some of the more common side effects of that medication are dizziness and tinnitus. Those were some of the very symptoms I was trying to get rid of! Maybe if they could have proved to me that I actually had migraines, that would have helped convince me.  Yes, there is a correlation between people who have migraines and Meniere’s, about 50%.  But that means that there are 50% of Meniere’s sufferers who do NOT have migraines. The logic of “take this medication, for a condition you may or may not have, that may or may not actually help with the Meniere’s symptoms” was not something I could get behind.

I started to do a lot of research.

I wanted to find an underlying cause.  I wanted to treat the underlying cause, not just treat the symptoms. I had immunological testing, and allergy testing. I tried to reduce the stress in my life.  I changed my diet to eliminate things that are known to be inflammatory to the body. Inflammation is a cause of fluid retention. Fluid retention in the body means more fluid in the ears. Made sense to me. I have tried meditation, essential oils, massage. I tracked the occurrence of dizziness and vertigo against sleep patterns, menstrual cycles, stress.  It does appear to me that things that cause stress to the mind and body, aggravate the symptoms. Over the years, I have tried many things with varying degrees of success.

Then I came across some research addressing a possible cause of Meniere’s

by Dr Michael Burcon. Then I came across a book that took that research and went into it further.  The book is called “Say Goodbye to Meniere’s Disease: Here’s How to Make Your World Stop Spinning” by Neil G Bauman, PhD.  I read it.  This was the first thing I had seen giving an explanation of a possible underlying cause of Meniere’s and even better, a possible cure.  It made complete sense to me! And it fit with my personal medical history. I knew I had numerous issues with my back, shoulders, hips and neck that were a result of a pretty bad car accident I had when I was younger. But I didn’t realize that those could be the underlying cause of what was going on now.

But not just any chiropractor

I’m not going to go into detail here, but please get the book yourself, read it and see if it makes sense to you.  In a nutshell, what it came down to, was a misalignment of the cervical vertebrae.  And the treatment involves going to a chiropractor.  But not just any chiropractor – one that has extra certifications in upper cervical treatment.  Specifically, an expert, in adjusting the atlas and axis vertebrae (C1 and C2).

You may recall I mentioned earlier that my first real experience with vertigo was after I had an adjustment in a chiropractic office. I was fairly nervous to try it again.  But, all chiropractors are not created equal.  The previous chiropractor I saw was what I call a “twist and crack” chiropractor.  So, as recommended in the book, I went online and did a search for chiropractors that had this extra training, years of experience and the extra certifications.  There are only a couple in the whole state of Colorado.   Dr Tom Groover at the Boulder Chiropractic Clinic is one of them.

Then he determined exactly how to treat ME.

From my first visit, I realized this was going to be different from chiropractors I had seen before.  He took x-rays and measurements, so the adjustments could be precise and specifically for MY body and MY issues.  He determined exactly what was misaligned, and in exactly what way. Then he determined exactly how to treat ME.

I started seeing Dr. Groover in February 2018.  Besides the upper cervical misalignment, I had several other issues that needed to be corrected and stabilized in order for my body to hold the adjustments permanently. No, I didn’t experience a miraculous cure after one treatment. But I wasn’t expecting that. My body had been misaligned for 33 years. My muscles had been holding my bones in the wrong place for all that time.  I figured it was going to take some time to undo all that and retrain my muscles to hold my bones where they are meant to be.

Is it improved? Dramatically. Do I feel better? Definitely.

And best of all, since I started seeing Dr. Groover, I have not had one acute vertigo episode.  I do still experience dizziness, and there are times when I think it might get worse and I could have an acute episode. But it hasn’t happened. Am I cured? Honestly, I’m not sure yet. I’m cautiously optimistic. What I can tell you for certain, is that I feel better than I did before, and I do believe this path is the correct one for me.

For the first time in years, I have hope.

Read the book, read the research. See if it makes sense to you.  If it does, I recommend you make an appointment. What do you have to lose? It may just turn out to be the answer you’ve been looking for. It may be the turning point where your live begins to feel like it did before you were diagnosed with Meniere’s.  For the first time in years, I have hope. There might just be a light at the end of that tunnel. And I for one am looking forward to reaching it.

Best of luck to you and may you find a path that leads you back to a life of good health and balance!

Systemic Change: Boulder Chiropractic Clinic Profile

No Comments

Dr. Tom Groover of Boulder Chiropractic Clinic says, “We are devoted to facilitating the systemic changes needed to correct, stabilize and heal our patient’s conditions for them be well and to develop and live their full potential. For this purpose, our chiropractic is comprehensive in philosophy, diagnosis and treatment.”

Comprehensive Chiropractic

In principle, comprehensive chiropractic is inclusive and extensive. Its scope is multi-dimensional, expansive and at the same time detailed. It is about systems analysis and creating systemic changes as the basis for symptomatic relief, stabilization and healing of conditions.

Our comprehensive chiropractic is founded upon some fundamental core principles.

  • We have structural and functional definitions for what is normal and what is abnormal.
  • We diagnose abnormalities.
  • We restore normality as the basis for healing.
  • Our approach is inside-out, addressing the patient’s primary causes and complications first and remaining conditions according to priorities.
  • Our chiropractic paradigm is: correction, stabilization, healing and wellness.
  • Health is living your full potential: physically, mentally, emotionally and spiritually.
  • Systemic change is necessary for such transformation.
  • Normalizing upper cervical joint mechanics and neurology is essential for healthy physical structural integrity and motion and central nervous system function.
  • Normalizing the lumbar-pelvis-hip and neck-thorax-shoulder-rib complexes is essential for healthy physical structural integrity and motion and central nervous system function.
  • Correcting the Global Subluxation Complex is essential for optimum physical, mental, emotional and spiritual living.
  • Congruence of short and long-term health goals and objectives is necessary for optimal outcomes.

Systemic Chiropractic Approach

The symptomatic approach to chiropractic, in contrast to our systemic approach, usually focuses upon the adjustment of symptomatic regions and may provide short-term, incremental improvements.

We begin with diagnosis and treatment of fundamental structural and functional abnormalities which most influenced the whole person. We group these abnormalities into four fundamental subluxation complexes:

  • Upper Cervical Subluxation Complex.
  • Lumbar-Pelvis-Hip Subluxation Complex.
  • Neck-Shoulder-Rib Cage-Thoracic Spine Subluxation Complex.
  • Global Subluxation Complex.

Upper Cervical Subluxation Complex

The Upper Cervical Subluxation Complex impairs the movement and structural support of the upper cervical spine and the upper cervical spinal nerve roots. It may also impair cranial nerves which control and regulate your smell and vision, the sensation to your face, sinuses, teeth, tongue, throat middle ear, heart, lungs, trachea, bronchi, larynx, pharynx, GI tract and external ear. It may impair your taste, chewing and swallowing, salivary glands, facial muscles, hearing, equilibrium, smell, shrugging of your shoulders and motor control of your heart, lungs, palate, pharynx, larynx, trachea, bronchi and GI tract.

The Upper Cervical Spinal Subluxation Complex impairs the motor nerves passing through your upper cervical neural canal which control and regulate your posture muscles. this causes postural distortions and accompanying abnormal structural support and movement throughout the joints of your body.

Lumbar-Pelvis-Hip Subluxation Complex

The Lumbar-Pelvis-Hip Subluxation Complex is usually present whenever our patients complain of low back, hip, leg or pelvic floor pain and/or muscle weakness, deactivation, contraction, and muscle pain of these regions and of your abdominal core muscles. This subluxation complex impairs the ability of your lumbar and sacral plexus to give autonomic, motor, and sensory fibers to the lower extremities and to the body’s gluteal and inguinal (groin) regions.

Neck-Shoulder-Rib Cage-Thoracic Spine Subluxation Complex

Your Neck-Shoulder-Rib Cage-Thoracic Spine Subluxation Complex impairs your cervical and thoracic nerve roots responsible for cutaneous and muscular innervation of the entire upper limb and control of motor and sensory signals mostly for the upper back, chest and abdomen. They are responsible for movement of your shoulders, elbows, wrists and hands, respiration, coughing and sneezing.

Global Subluxation Complex

The Global Subluxation Complex are the physiological and mental impairments from the combined abnormal neurologic feedback from the mechanoreceptors of all spinal and extremity joint subluxations throughout your body.

Experience the Systemic Change

Prospective Patients:

  • Contact us for initial evaluation or consultation.
  • Long-distance patients, contact us for consulting with you and your chiropractor.

Chiropractic Students:

  • Contact us about Field Doctor Extension Faculty Intern Preceptorship Program

Doctors of Chiropractic:

  • Contact us about our chiropractor training in our chiropractic system and about our chiropractor consulting program.

Contact info:

  • Telephone: 303-442-7772
  • Web address:
  • Email address: