You Mastered the Spine, Now Complete Your Clinical Algorithm. 🧩
The Gonstead system was built on one principle: specificity. Beyond the Spine brings the world’s most specific standard to every extremity in the body — so you never have to guess or leave a patient half-helped again.
The only chiropractic extremity training that gives you a plug-and-play care plan system that pays for itself in your first week back in the office—and turns your $1K seminar investment into a $100K skillset.
If you practice specific chiropractic, watch this first. It's 90 seconds.
This isn't a gap in your ability. It's a gap in your training.
Most chiropractors don’t have a plan or path when their existing patients show up for their visit with an extremity complaint. In fact, most chiropractors mainly try to influence the extremities through the spine. That means the ankle driving the knee driving the hip driving the SI joint — that full kinetic chain — goes unaddressed in millions of patients every year.
The DC who sees all of it doesn't just get better outcomes. They become the doctor patients drive past three other offices to see, even if they are paying more $$$ for their care.
Four Pillars of Extremity Care
Pillar 1: Neurological Clarity
This pillar trains you to care for extremities based on indicators rather than pain, so you're treating the actual driver of dysfunction instead of just chasing symptoms.
Pillar 2: Specific Analysis & Adjusting
This pillar gives you a structured way to assess what's really happening in front of you and the confidence in correcting subluxations beyond the spine.
Pillar 3: Care Planning
This pillar teaches you to translate the findings into a clear, progressive plan for your patients — one that converts them from skeptics into understanders.
Pillar 4: Clinical Mastery
This is the confidence that shows up in your hands, your conversations with patients, and your reputation in your community.
Starting Your Training Here — Level 1: The Foundation Four
Extremity Neurology
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Dyskinesia
Dysafferentation
Dysautonomia
Dysponesis
Hands-On Technique
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Digital X-ray Protocols for Shoulder, Elbow, Wrist, Knee, Ankle, and TMJ
X-ray Analysis and Listings Shoulder, Elbow, Wrist, Knee, Ankle, and TMJ
Ankle/Foot Palpation and Adjusting
Bunion Protocol
Knee Palpation and Adjusting
Shoulder Palpation and Adjusting
Elbow Palpation and Adjusting
Wrist Palpation and Adjusting
TMJ/Nasal Palpation and Adjusting
Kinetic Chain Hierarchy
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Spine first approach
Major stabilizers of the upper and lower extremities
Proximal to distal vs distal to proximal
Clinical algorithm
Care Plans & Marketing
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Day 1 & Day 2
Report of Findings
Care Plan Templates
This training is perfect for…
Students in chiropractic school looking to greatly expand their extremity training.
Start-ups just getting started in practice and expanding their value and care plan offerings.
Pain-based chiros looking to add value to their patients and communicate more effectively.
Established family practices wanting to increase revenue without adding more new patients.
Existing extremity-Focused practices wanting to achieve clinical mastery and create even more impact in your community via expanded marketing and improved systems.
Still on the fence? Dr. Bobby Fano addresses the question every serious DC asks before registering.
What's Included:
2-day hands-on clinical intensive
X-ray analysis and listing protocols
Plug-and-play extremity care plan system
Marketing Strategies for extremity conditions
Investment
$1,500 · One Weekend · Career-Changing
Most DCs make this back their first day back in the office. One new extremity finding. One patient who finally gets complete care —or we'll work with you until you do.
Only 10 spots left at this price.
By Attending Our Level 1 Training, You May Earn Up To 12 Approved Hours Applied To The 300-hour Requirement To Take The GCSS Diplomate Test
Additionally, CE credits may be available and is sponsored by Life West Postgraduate Department at an additional fee. Please contact us to see if your state accepts CE credits for attending our seminars.
I came in with numbness in my extremities and a reversed cervical curve. After two weeks of care: A complete life-changing experience."— Krystal, Vertical Chiropractic of Sarasota, FL
Here’s A Sample of What Our Students Have Said About The Transformation In Their Own Lives
Frequently Asked Questions
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The Neurological Clarity Pillar is based on the “noisy joint concept of Dr. Mark Charrette.
The Analysis and Adjusting Pillar is sourced from the work of Dr. Gonstead, Dr. Mark Werking, Dr. David Sheekey, and Dr. Richard Burns.
Kinetic Chain Heirarchy Pilla is sourced from the work of Dr. Mark Werking.
Care Planning Pillar is drawn from the experience of Dr. Bobby Fano, who has run high-volume, multi-state, cash-based family practice clinics for almost two decades.
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Yes! The program is completed with 12 hours of in-person CE credits approved by the Life West College of Chiropractic Postgraduate Education Department. Additionally, our 36-hour certificate program is eligible for CE credits. If you are looking to attend for CE credits, we must be notified at least 95 days in advance to reserve your state. Please reach out to our team.
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FRIDAY 1-5
General considerations in extremity care:
To develop a general approach protocol for the treatment of extremity conditions
The 4D Concept of neurological clarity
Vertebral subluxations play a major role in extremity conditions
X-ray protocols of the lower extremities:
X-ray analysis - a reasonable and customary factor in the treatment of extremity conditions
The routine, standard views for the extremities
Specialty views that apply for specific extremity conditions
Specific x-ray conditions
Specific procedures in patient positioning
Patient protection
Weight-bearing joints need to be x-rayed in anatomically neutral, while weight-bearing for
proper analytical value
Proper x-ray positioning for the lower extremities, weight-bearing, positioned to anatomical
neutral at specialty views
X-ray analysis protocols for the lower extremities
Structural and neurological influences to the lower extremities:
How pelvic misalignments influence and create knee misalignments
Vertebral subluxations of the lower lumbar spine and its influences to lower extremity conditions
Foot and arch instabilities and how they influence lower extremity conditions
Knee:
Procedures for line drawing analysis on x-ray for a routine comparative knee series
Static and motion palpation for proper evaluation of the conditions and misalignments
Corrective adjustments
Foot and ankle:
Proper motion and static palpation of the foot and ankle
General considerations resulting from inversion sprain, dynamics
Corrective adjustments
SATURDAY 9-5
X-ray protocols of the upper extremities:
X-ray analysis - a reasonable and customary factor in the treatment of extremity conditions
The routine, standard views for the extremities
Specialty views that apply for specific extremity conditions
Specific x-ray conditions
Specific procedures in patient positioning
Patient protection
Weight-bearing joints need to be x-rayed in anatomically neutral, while weight-bearing for
proper analytical value
Proper x-ray positioning for the lower extremities, weight-bearing, positioned to anatomical
neutral at specialty views
X-ray analysis protocols for the upper extremities
The shoulder complex:
Signs and symptoms for specific shoulder complex misalignments and conditions
X-ray protocols and procedures
X-ray analysis
Motion Palpation
Static and motion palpation and corrective adjustment procedures
Corrective adjustments
Elbow:
Specific signs and symptoms for elbow conditions
X-ray protocols and procedures for the elbow
Specific static and motion palpation and corrective procedures for the elbow
Specific analytical procedures
Corrective adjustments
Wrist and hand:
Specific signs and symptoms for wrist and hand conditions
X-ray protocols and procedures for the wrist and hand
Specific static and motion palpation and corrective procedures for the wrist and hand
Specific analytical procedures
Corrective adjustments
TMJ:
Specific signs and symptoms for wrist and hand conditions
X-ray protocols and procedures for the TMJ
Specific static and motion palpation and corrective procedures for the TMJ
Specific analytical procedures
Corrective adjustments
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Our team will send you a welcome email including suggested places to stay, our itinerary, and other details to make sure you're all set for planning your travel.
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For seminars 60 days or more out, we do offer a 2-part payment plan. Final payments are due prior to the start of the seminar. Please reach out to our team.
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Due to the demand for our Beyond The Spine seminars, we are offering them all throughout the year. New times will be announced soon. Scroll down the page and fill out the form to be notified when new dates are announced.
Your Extremity Expert Guide
Dr. Bobby Fano, DC, is the leading Gonstead Extremity teacher worldwide and a former instructor for the hands-on portion of the Werking on Extremities Certification program. Dr. Bobby Fano, DC, is a Gonstead Diplomate with the GCSS, holds a Master in Science from Life University Sports Science Institute with a focus on sports injury management, is a former GCSS board member, and was co-organizer of the re-birth of the Gonstead Extravaganza at Life University in 2008. Dr. Fano was certified by Dr. Werking in 2008 and, in 2009, completed the advanced extremity seminar with him at his clinic in Peoria, Illinois. With over 16 years of experience treating extremity conditions, the Werking on Extremities way, serving over 10,000 patients and delivering 200,000 Gonstead adjustments, seeing 300-400 patients per week for over a decade. Dr. Fano overdelivers with his charisma, knowledge, and vast experience in patient care to help you improve and enhance your chiropractic skills.
Dr. Bobby Fano, DC, not only has a clinical gift that has led to patients traveling miles to seek his care, but he is also a skilled serial chiropractic entrepreneur. Dr. Bobby Fano, DC, is the Chief Creative Officer of Vertical Chiropractic®, which has multiple licensed locations in California and Florida. Under Dr. Fano’s portfolio of success, he has started six very profitable offices from scratch in five different states in the USA. His understanding of the chiropractic business has made him a sought-after authority in the business of Gonstead chiropractic. During his seminars, he can't help but teach you the business of extremity care.
Nervo-Scope Sales/Repairs
BTS Success Partners
Larsen Filtration System
X-ray Platform
Radiology Reports Made Simple
