Dr. Brimhall’s approach is based on a principle that he developed called “The Six steps to Wellness”. In this model he identifies six major parts of, what he refers to as the “health puzzle”. Dr. Brimhall claims that in order for a person to hold a chiropractic adjustment, all six parts of the health puzzle must be addressed. He states that “subluxation causes disease, but we must identify what causes the subluxation(s) for each patient”.