The angularity of the drive is determined from the x-rays of the individual. The shape of the neck and position of the vertebra with respect to the occiput are determining factors.
The machine has been used in its original design except for changes in the size and shape of the adjusting tip. The original tip was about the size of a twenty-five cent piece, which was thought to be the size of a pisiform bone. Now the tip used for adjusting the atlas vertebra is about the size of a dime. This makes it possible to contact the transverse process in even the most difficult case. Failure to properly contact the transverse of the atlas accounts for most failures in adjusting the atlas vertebra.
Dr. Zimmerman never stops seeking more accurate means of adjusting vertebra to remove nerve pressure. In 1974, he began developing a still smaller tip for contacting some vertebra that are very hard to reach. Now in 1977, the use of the three-eights inch tip is a reality and the results follow removal of spinal nerve pressure in cases where it was impossible before.
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