NewsFlashes
Cover Stories
Dr. David Bass, DC:, D.A.A.M.L.P.
spinal-decompression-and-traction-what-is-the-difference In the 20th century, the electric motor became part of our culture. The creation of intermittent power traction became a reality. This remained unchanged until Dr. Allen Dyer introduced decompression therapy in 1991.1 Dr. Dyer felt that, to reach the inner disc core, traditional traction needed modification. Although intermittent traction is an effective therapy for elasticity, circulation, inflammation and facet...
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David Chapman-Smith
the-international-growth-of-chiropracticWhat’s ahead for chiropractic? In the following interview with The American Chiropractor (TAC), David Chapman-Smith and Sira Borges, D.C., discuss the rapid growth of chiropractic in Latin America and worldwide. TAC: What are the roles of the WFC and FLAQ?Chapman-Smith:  Details of the WFC, whose voting members are national associations of chiropractors in eighty-six countries, including both the American...
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TAC Staff
the-future-is-here-chiropractic-collegesWhile there might be debate about where the future of chiropractic is headed, it’s certain that the colleges have a large influence.  That’s why TAC has compiled a comprehensive list of chiropractic colleges, to help illustrate the direction of the education of future chiropractors and of chiropractic as a whole. Each college has provided their primary and elective techniques, and...
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Susan Blackard, R.N., N.D.C, M.H.A., F.N.P.C
whats-your-solution-the-real-skinny-on-our-obesity-epidemic-no-pun-intendedIs there any one contributor to chronic health conditions more prevalent and dangerous than obesity? National obesity rates among adults has doubled since 1980 alone, yet it seems to be overlooked and misunderstood more often than any other disease catalyst. The explosion of weight loss products and the plethora of theories behind weight gain have seemingly done nothing more than...
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Bob Hoffman, D.C., Dennis Perman, D.C. & Larry Markson, D.C.
your-practice-is-youOnly 5 years ago, three friends, from completely ­different ­backgrounds, decided to join ­forces in a new business ­venture to help chiropractors achieve the same kind of ­success they had. Today, their ­supporters keep growing in number at a staggering rate. This “Identity-Based” ­program has helped ­thousands discover the value in understanding that "Your Practice is You" The Masters Circle was founded...
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TAC Staff
instrument-adjusting-panel• Activator Adjusting Instrument • Impac’s Pro-ArthoStim • Neuromechanical Innovations’ Impulse® and Impulse iQ® • Sense Technology’s PulStar So many great adjusting instruments out there, but who’s got the time to figure out which one is right for them, right? Well, as always, we here at The American Chiropractor Magazine know exactly what you are looking for. We...
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Interviews
TAC Staff
perspective-from-the-outside-in-interview-with-andrew-cheesmanAndrew Cheesman, who has been with NAOMI/RF System Lab since 2007, is Sr. VP of Marketing and Sales for North America. Having an extensive background in merchant banking, Cheesman has lived in eight countries and has done business with 52 various countries over the years. Born and raised in the UK – and now residing in Lincoln, NE – you...
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Dr. Deane Mink
million-dollar-chiropractor-interview-with-dr-deane-mink  Dr. Deane Mink's M$C Profile PERSONAL Married to wife, Sue, for 15 years; 7 children:  Mark, 43; Debbie, 41; Mike, 39; Matt, 36; Mitch, 29; Cheri, 32; and Christie, 25; 10 grandchildren. Recreation and Leisure:  Fishing and/or netting shrimp almost every week; boating; weekends at Florida waterfront properties; season ticket holder for Univ. of Florida football team. "GO GATORS!" Professional...
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TAC Staff
president-of-david-singer-enterprises-interview-with-dr-david-singerDr. Singer received his undergraduate degree from Rutger’s University, his M.S. degree in nutrition from the University of Bridgeport, and his Doctorate from the New York College of Chiropractic. Graduating with honors as the salutatorian of his class, he was inducted into Phi Chi Omega, the International Chiropractic Honor Society.    In his first year of practice, Dr. Singer was seeing more...
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Jeff Spencer, D.C.
on-the-roadDr. Jeff Spencer is a former champion cyclist who competed on the 1972 United States Olympic Team as a sprint cyclist and currently serves as chiropractor for the United States Postal Service Professional Cycling Team.  A 1975 graduate of the University of Southern California (USC), Dr. Spencer graduated summa cum laude from Cleveland Chiropractic College at Los Angeles in 1988. ...
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Dr. Steven Windwer
million-dollar-chiropractic-interview-with-dr-steven-windwer-dc Originally from New York, Dr. Steven M. Windwer, began working as a physical therapist the Boston area before moving back to Long Island and attending New York in Chiropractic College. He has played competitive basketball and soccer and now is the official chiropractor at Northeastern University, where he works with the athletic trainers and cares for athletes in all sports.   ...
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Ken Murkowski, DC
dr-dick-versendaal-a-pioneer-of-modern-chiropractic-wellnessDr. Dick Versendaal is one of the last living doctors of chiropractic who studied under Dr. B.J. Palmer. Today, he still practices with the “big idea” in mind.    In a Q & A session with Dr. Ken Murkowski, Dr. Versendaal talks about his past and present.  Also revealed are some of the interesting beginnings of Contact Reflex Analysis® (CRA), as well...
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Nutrition
Dr. Eric Kaplan, D.C., F.I.A.M.A.
alternative-healthcareOur Often Misguided Instincts Many of our beliefs were created by advertising.  A healthy body is the best advertisement.  It depicts a healthy life, which is the reality.  Beliefs are acquired throughout time, starting when we are very young.  We acquire a sweet tooth, and a taste for junk food.  We learn most of our behaviors from our culture, including our...
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Paul Frank, D.C
recommending-a-complete-supplement Americans consume large portions of highly processed, refined foods that have been stripped of nutrients.  These poor diet choices have lead to major diseases like heart disease and cancer.1,2,3,4,5  The nutritional supplement industry has attempted to rebalance the scale by supplying the nutrients that Americans are not getting from their diet.  However, rather than supplying nutrients as they would...
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Dr. James P. Cima, D.C.
james-p-cima-dc-blows-away-commonly-believed-nutrition-mythsQ:  What are the two most important things that a doctor needs to address concerning his or her patients’ nutritional protocol? Cima: A.  What type of food is right for my patient? (Synonymous with putting the right fuel into your car.) B. Are the organs and glands digesting, assimilating, metabolizing and detoxifying my food properly? (Synonymous with your car needing a tune...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
type-ii-diabetes-inflammation-and-disc-degenerationType II diabetes represents a significant health risk. Individuals with diabetes are at greater risk for developing cardiovascular disease and other chronic diseases. Insulin resistance represents part of the pre-diabetic state and it is thought that some 40 million Americans have insulin resistance, which means that numerous individuals are at risk for developing diabetes (isoma).  Isomma states (, “the insulin...
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Howard Berg, D.C., C.C.S.P., and Christopher Fuzy, M.S., R.D, L.D/N.
provide-far-reaching-benefits-using-a-lifestyle-nutrition-counseling-programProvide Far-Reaching Benefits Using a Lifestyle Nutrition Counseling Program by Howard Berg, D.C., C.C.S.P., and Christopher Fuzy, M.S., R.D, L.D/N.   As chiropractors, most of the nutritional counseling programs we offer our patients focus on nutritional supplements. Occasionally, meal replacements or packaged foods are recommended. Go to the weight management section in your local yellow pages. Everybody is advertising...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
low-back-pain-needs-a-nutritional-adjustmentNo matter what chiropractic college you went to, your main approach to patient care is likely to be the chiropractic adjustment.  This statement is not surprising to most, and it gives a clue as to how we think as chiropractors.  We, basically, utilize a mechanical or biomechanical approach to care for our patients.  Whether you believe the adjustment is replacing...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
lumbopelvic-pain-during-pregnancyHistory and Presenting Symptoms A 33-year-old female reports the recent onset of persistent aching pain and tightness in her lower back region.  The pain extends into both buttocks, and occasionally is felt around the left hip and into the left groin.  She is into her 7th month of her second pregnancy, and says that her back pain has increased with her...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
case-study-functional-scoliosisHistory and presenting symptoms The patient is a 12 year-old girl, who was identified at a school screening as having a discrepancy in her shoulder heights.  Her parents were advised to seek further evaluation by an orthopedic surgeon.  They reported that the orthopedist found evidence of a scoliosis, but recommended a “watch and wait” approach.  He offered no treatment, but said...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
awkward-gait-in-a-young-runnerHistory and Presenting Symptoms The patient is an eight-year-old boy being brought in by his parents, who are concerned about his awkward style of running. He has no symptoms or painful limitations, but his mother and father are both worried that his inefficient gait could...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
pelvic-and-hip-pain History and Presenting Symptoms A 27-year-old female describes a history of aching pain and tightness extending from her lower back into the pelvic region and both hips. She describes a recurrent pain that has bothered her since she was in a motor vehicle collision at the age of sixteen. As a passenger, she injured her right leg and hip during...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
adult-flatfeet-and-orthotic-support Flatfoot (the absence of a medial longitudinal foot arch) is normally found during early human growth and development.  During childhood, we all start out with little or no arch.  Some people, however, never develop normal feet arches.  This situation differs from the collapse of normal arches due to excessive loading and eventual plastic deformation.  Are “normally” flattened feet a clinical...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
diabetic-foot-requires-special-care History and Presenting Symptoms A 66 year-old female presents with aching lower back pain and numbness extending into both feet. She reports having had occasional lower back pain for many years, but has only noticed the foot numbness in the past six months. This is getting more constant, which concerns her. She recalls no specific back or foot injuries. On...
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Practice Management
Dr. Eric Kaplan, D.C., F.I.A.M.A.
winners-winwhiners-whine-There is a common thread between winners and losers.  That thread is attitude.  I have one client who will do in the range of seven million this year.  Yes, seven million. Health care is a trillion dollar industry and we are positioned nicely.  The world wants health care, which is what we offer in a disease conscious society.  Martin Luther...
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David Foster, DC and Joseph Labriola, DC
outsourcing-your-chiropractic-billing-a-collectionsAre you losing the “battle” with insurance reimbursement?  I say “battle” because that is what it has become. The insurance industry’s fiduciary responsibility is to their stockholders and profits, not providers. They have internally mandated that they will create systems that will increase profits and limit payment to all health care providers, especially chiropractors.  Why chiropractors? According to James J. Mathis,...
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Michael Failla, D.C.
the-healthcare-stimulus-package-navigating-the-buzz The Healthcare Stimulus Package: Navigating the Buzz by Michael Failla, D.C.   There has been a great deal of buzz lately about the government’s healthcare stimulus package. And, as Doctors of Chiropractic, the plan is of great interest…as well as great confusion. The promising news is that this package could potentially provide reimbursement payments to qualifying chiropractors of up to $44,000 over...
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tomowen
what-does-it-take-to-succeed-as-an-entrepreneurMaking the decision to open your own chiropractic practice can be both exciting and terrifying. First of all, congratulations on your decision to branch out from the comfort zone you have enjoyed while working for someone else's practice. Taking a leap into the unknown by becoming your own boss is risky, but that risk is an essential ingredient in your...
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Maurice A. Pisciottano, D.C.
create-your-future-use-of-an-effective-business-expansion-planning-calendarLet’s face the facts.  Although the average chiropractor does see an occasional “walk-in” new patient, this is more the exception than the rule.  We, as chiropractors, consider that there is a minimum number of new patients that we need to see each week in order to be satisfied that our practice will continue to grow at the expected rate. The...
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Ron Short, D.C., MCS-P
the-chiropractic-demonstration-project-final-report Well, the dust has settled and the reports have been published, The Chiropractic Demonstration Project is finally over. So, how did we do? Well, we won and we lost. The key points of the demonstration project were: • "Section 651 of Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) • Centers for Medicare & Medicaid Services (CMS) to conduct demonstration evaluating...
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Radiology
Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.
os-odontoideumCASE HISTORY This young adult patient presents with neck pain following an MVA.  You note an abnormality in the upper cervical spine at C1 & C2.  Is this a fracture?   DISCUSSION Anomalies of the odontoid process are considered uncommon (1) and are usually discovered by the principle “traumatic determinism.”  This means that the underlying condition predated the injury and is not caused by...
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Dr. Terry Yochum D.C.; D.A.C.B.R.; Fellow, A.C.C.R.
lung-pathology-or-pseudo-lesionIn the pre-antibiotic era, the only treatment for pulmo-nary tuberculosis was rest and or lung resection of the diseased segment.  Secondary or re-infection tuberculosis most commonly occurs in the lung apices.  This patient had surgery with resection of her right upper lung due to pulmonary tuberculosis.  To fill space left empty by the resected lung tissue and to avoid huge...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
sacral-fracturesCase History:  This male patient was working on the roof of his garage when he slipped and fell 12 feet to the concrete pavement of his driveway.  He has sharp pain over his proximal sacrum. Does he have a fracture? Diagnosis:  Note the fracture through the anterior surface of the second sacral segment creating an acute offset of its anterior cortical...
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Terry R. Yochum, DC, D.A.C.B.R., Fellow, A.C.C.R., & Alicia M. Yochum, DC, R.N., BSN
degenerative-spondylolisthesis-and-leg-pain-whats-the-connectionHistory This 60-year-old female patient presents with lower back and sciatica pain through the buttock into the posterior thigh.    Diagnosis:   Observe the extensive sclerosis and osteophyte formation occurring bilaterally at the L5/S1 facet structures. There is a degenerative anterolisthesis of L5 upon the sacrum of approximately 4 mm. No evidence of pars defects is seen at the L5 segment.   Degenerative Spondylolisthesis: Degenerative spondylolisthesis is...
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Tedd Koren, D.C.
adjusting-the-holographic-body-part-four-allergiesIf the body is sick, the mind worries and the spirit grieves; if the mind is sick, the body and spirit will suffer from its confusion; if the spirit is sick, there will be no will to care for the body or mind. – J.R. Worsley Posture of subluxation (POS) In Parts One and Two, we discussed how...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
osteolytic-metastatic-carcinomaOsteolytic Metastatic Carcinoma by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.       CASE HISTORY  This adult male patient complains of back pain, especially at night, and it awakens him from sleeping. Diagnosis: Osteolytic metastatic carcinoma of the left L-3 pedicle and vertebral body. This is the "one-eyed pedicle" sign or the "winking owl sign" of...
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Rehabilition
Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
children-and-rehabilitationChildren, like adults, often need to do some exercises as part of their chiropractic treatment.  But, how safe is exercise for children, especially exercise with resistance?  How much weight is appropriate for a growing body?  And which exercises are most effective?  Because of these and similar questions, doctors of chiropractic may hesitate to recommend exercises for their younger patients.  Let’s...
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Burl Pettibon, D.C., F.A.C.B.S., F.R.C.C.M., Phd. (Hon)
the-misunderstood-component-in-musculo-skeletal-health-careIs it possible to walk through a doorway when the door is closed? That strange question is a metaphor that can be used to describe the difference in research-based rehabilitation to prepare the spine for corrective procedures with little to no pain versus no preparation at all or, worse yet, substituting bilateral strengthening exercises for rehab to prepare the spine...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
lack-of-spinal-movementFor every doctor of chiropractic, a factor for consideration in patient care is spinal motion.  Abnormal movement is one of the most frequent findings, whether in the form of, “Doc, I just can’t bend,” or  “There is a lack of normal motion on examination.” Or perhaps, “There is a fixation of C4.”  But, in whatever form it occurs, abnormal motion...
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Dr. Mitch Mally
post-operative-carpal-tunnel-syndrome-ctsHistory and Subjective Complaints 53-year-old male factory worker/forklift operator complains of bilateral hand numbness, burning, tingling and loss of grip strenth in the thumb, index and ring fingers, bilaterally. Nocturnal aggravation of the hands resulted in a workers compensation case. Over the course of 9 years, the patient failed operative recovery: 4 left CTS surgeries, 3 right CTS surgeries and, subsequently,...
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Dr. Mark R. Payne D.C.
lumbar-lordosis I've spent a lot of time and ink over the past year, writing about the importance of, and how to rehabilitate, the normal cervical lordosis. This month, I want to spend a bit more time on the lumbar lordosis. Recall that, in the cervical spine, the normal lordosis should be a simple arc of a circle. Unfortunately, for us, the healthy...
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James W. Gudgel, D.C.
returning-the-injured-athlete-to-optimum-performanceLow back pain affects almost everyone during their lifetime, and this includes well-conditioned athletes. The very nature of athletics is that the athlete is performing an activity that requires a high level of skill, strength, power and/or coordination. Most athletic activities impart very high short-duration repetitive forces into various parts of the body, while other areas are subjected to less...
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Techniques
Mark R. Payne D.C.
protective-postures-part-2- Last month we discussed the problems associated with hypolordotic lumbar postures as well as the protective effects of a healthy lumbar lordosis. I want to use this month's column to cover the same ground as it pertains to the cervical spine. Patients walk into your office every day with complaints related to the cervical spine. Of the many symptomatic presentations...
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Jay Kennedy, D.C.
decompression-as-a-chiropractic-techniqueWe decided to develop a chiropractic decompression technique, the Kennedy Decompression Technique, to help establish a codified clearinghouse of information and resources available, but often untapped, regarding traction therapy and how it may create "Decompression" as an outcome. This in an effort to offer a viable counter to advertising claims, scientific doublespeak and negligent...
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Sheila Laws, D.C.
nimmo-receptor-tonus-techniqueRaymond Nimmo, D.C., graduated from Palmer School in 1931, and set up his practice in Fort Worth, Texas. He soon became thirsty for more knowledge, so he studied and taught Logan Basic Technique and other techniques. His quest brought him to the realization that what chiropractors had been taught in chiropractic colleges was not scientifically sound. He rationalized that the...
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Deed E. Harrison, D.C.
appropriate-use-of-a-cervical-orthotic-for-abnormalities-of-the-cervical-lordosisIntroductionMore and more, Chiropractors are becoming interested in rehabilitation of the abnormal cervical lordosis due to its potential relationship with a number of patient health disorders.1-3 Chiropractic techniques often recommend the use of both in office equipment as well as supplementation of at home orthotics for rehabilitation of the abnormal cervical lordosis in appropriate cases,4 while other chiropractors use at...
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Jay Kennedy, D.C.
decompression-deception-and-the-magic-machine  It is important to recognize that as we approach nearly twenty years since the initial entrance into the Chiropractic market of Decompression systems, we are still faced with the marketing of magic decompression machines, being somehow different than traction devices based upon mechanisms and pull patterns. For many people, logic, reason and basic physics, though compelling, can’t really compete with...
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Allan Gary Oolo Austin, D.C.
trigenicsr-a-neurological-evolutionThe quest for more complete care and sustainable results has come to a new conclusion with the evolutionary creation of a multimodal treatment system that utilizes synergistic functional neurology. This 3-dimensional assessment and treatment system is Trigenics® Myoneural Medicine. With neurology as the key, many doctors now using Trigenics neuromanual methods are claiming it to be the missing element of treatment...
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