Handle Complex Upper Cervical Cases with Greater Confidence
Learn a precise, repeatable clinical system that helps you make clearer decisions, deliver patient-specific corrections, and reduce the physical strain of adjusting.
When a Case Gets Complicated, Guesswork Isn't Good Enough
You take your patients' care seriously. But difficult upper cervical cases can still leave you questioning the measurements, correction vector, or next clinical step.
You may be dealing with:
Corrections that are hard to repeat
The same findings should lead to the same correction, on any day, in any hands.
Cases that do not respond as expected
A stalled case should tell you what to look at next, not leave you guessing.
Uncertainty about what needs to change
Clear decisions come from clear information, not from a longer deliberation.
A technique that depends too heavily on the doctor
A clinical system should outlive any one pair of hands — including yours.
Physical wear from years of manual adjusting
The length of your career should not be decided by your shoulders and wrists.
You should not have to rely on trial and error to move a case forward.
A More Precise and Repeatable Way Forward
Advanced Orthogonal is a complete upper cervical clinical system built around detailed analysis, patient-specific correction vectors, instrument-based adjusting, and continued evaluation.
It gives you a clear process to follow—not only when a case is simple, but when the findings are more difficult.
Build a Clinical Process You Can Trust
Make Clearer Decisions
Use patient-specific measurements and a defined clinical process to guide each correction.
Improve Repeatability
Reduce variables that can make results depend too heavily on the individual doctor.
Approach Difficult Cases with Confidence
Follow a system designed to help you evaluate results and make informed changes.
Reduce Physical Strain
Deliver the correction through a table-mounted instrument instead of relying on forceful manual adjusting.
Keep Advancing
Continue your training through seminars, certification, mentorship, and an active community of upper cervical doctors.
See Whether Advanced Orthogonal Fits Your Practice
Take the Free Intro Course
Get a two-hour overview of the principles, procedures, and clinical approach.
Start the Free CourseTrain Hands-On
Build your skills through seminars, Intensives, and Bootcamp.
Explore 2026 SeminarsWork Toward Certification
Show your understanding and ability through the Institute's certification process.
The Certification PathBuilt for Doctors Who Refuse to Stop Improving
The Advanced Orthogonal Institute brings together practicing doctors, instructors, and students who believe upper cervical care should keep moving forward.
Through training, research, collaboration, and certification, the Institute helps doctors develop a more precise and dependable approach to care.
Is This Training Right for You?
Advanced Orthogonal may be a strong fit when you are:
Upcoming Training Opportunities
AdvO Intensive & Bridging the Gap
A focused, hands-on event for experienced doctors who want to improve precision and consistency while transitioning into the Advanced Orthogonal approach.
AdvO Bootcamp
Five days of hands-on training, guest education, clinical updates, and connection with the Advanced Orthogonal community.
AOI Annual Conference
Advanced training, special topics, professional connection, and the Institute's annual community gathering.
Frequently Asked Questions
Who is Advanced Orthogonal training for?
Training is designed for chiropractors and chiropractic students who want to learn a precise, instrument-based upper cervical approach. It may also be useful for doctors trained in Atlas Orthogonal, EPIC, Orthospinology, or other upper cervical systems who want to cross-train.
Do I need experience in upper cervical care?
No. The free Intro to AdvO course has no prerequisites and is a good starting point for doctors and students who are new to the technique.
What happens after the free course?
After the introduction, you can continue into the Fundamentals Series, attend a hands-on Intensive or Bootcamp, and begin working toward certification.
How long is the free course?
The Intro to AdvO course is self-paced and takes about two hours.
Does the technique use manual adjusting?
Advanced Orthogonal uses a percussive sound-wave instrument to deliver a patient-specific correction.
What equipment is needed?
You do not need to own equipment to begin. The free Intro course requires nothing but your time, and hands-on seminars provide the instruments and imaging you train on.
Clinical use of Advanced Orthogonal requires a percussive sound-wave instrument and access to the imaging the analysis depends on. Contact the Institute for current equipment details before you invest.
How is Advanced Orthogonal different from other upper cervical methods?
Advanced Orthogonal combines detailed digital measurements, patient-specific correction vectors, instrument-based adjusting, and a reproducible clinical process.
Can students attend seminars?
Yes. Chiropractic students are welcome at Institute training, and students are part of who this work is built for. Where a student rate is offered it is published on the event page — the 2026 Annual Conference student rate is $347. Bring proof of current enrollment.
How long does certification take?
The time needed depends on your previous training, seminar attendance, clinical experience, and completion of the Institute's requirements.
Do I need to become a member?
Membership is not required to begin with the free course.
Stop Guessing and Start Building a More Repeatable Process
Whether you are new to upper cervical care or ready to refine years of experience, your next step can be simple.
Start with the free two-hour Intro to Advanced Orthogonal course and see whether the approach fits your goals, your practice, and the patients you serve.