NewsFlashes
Cover Stories
Kathy Mills Chang
coding-the-right-way Since 1983, Kathy Mills Chang has been providing chiropractors with hands-on training, advice and a broad range of solutions aimed to effectively assess and improve the financial performance of their practices. A well-known and sought-after speaker, Kathy Mills Chang has served in National and State level chiropractic organizations, sits on diverse boards and advisory councils related to the profession, and...
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George LeBeau, D.C.
the-quest-for-athletes-peak-performance Dr. George Le Beau is a 1972 graduate of Cleveland Chiropractic College of Los Angeles. His thirty-four years of continuous private practice have been devoted, in large part, to the treatment of athletes from Gymboree toddlers to the Senior ...
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National University of Health Sciences (NUHS)
innovative-educationNational University of Health Sciences (NUHS) prides itself on providing students with the most complete academic and professional education for a career in the health sciences. For over 100 years, the university has led the chiropractic profession with academic excellence, dynamic faculty members and innovative leadership. Integrative Medicine Since 2000, when National changed from The National College...
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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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TAC Staff
secrets-of-marketing  Successful Marketing the "CLA WAY" by Patrick Gentempo Jr., D.C., CEO of Chiropractic Leadership Alliance. Marketing is a primary function for any successful business, whether it be a chiropractic   You may contact Dr. Patrick Gentempo at 1 International Blvd., #750, Mahwah, NJ 07495. Phone 1-201-252-3220, Executive Assistant Mike Thompson, Ext. 114, or visit www.subluxation.com  or www.creatingwellness.com. practice or a Fortune 500...
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TAC Staff
adjusting-table-shopping-guideWe contacted all of the major adjusting table manufacturers in the chiropractic profession for information and prices on their best selling tables.  We ended up with over a dozen of the best tables you can get at prices that vary from the top of the line to the most cost-effective.  All of the tables and companies featured here offer a...
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Interviews
Dr. Mitch Mally
million-dollar-chiropractic-featuring-dr-mitch-mallyEach article in the MILLION DOLLAR CHIROPRACTIC series (M$C) focuses on the top surveyed issues facing chiropractors today.  Recruiting new patients, retention, profitability, marketing and staffing are each a determining factor in the growth, potential and success of the practice. The subject of this issue’s profile is Dr. Mitch Mally, a 1981 graduate of Palmer College of Chiropractic who...
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TAC Staff
changing-times-interview-with-gary-tarola-dc-dabcoDr. Tarola earned a BA degree from Marshall University, 1973 and was a Suma Cum Laude graduate of Palmer College of Chiropractic, 1976. He began private practice in Fogelsville, Lehigh Valley, Pa. in 1976. He obtained Diplomate status in Chiropractic Orthopedics in 1983. He was a post graduate faculty member of several chiropractic colleges. From the late 1980’s through 2005,...
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TAC Staff
chiropractic-for-pregnant-women-interview-with-karen-gardner-bagnell-dcFor more than eighteen years, Dr. Karen Gardner Bagnell has studied the mechanisms of breech and transverse presentations, pregnancy and delivery. Dr. Gardner Bagnell has guest lectured at The University of Pennsylvania School of Nursing and Chestnut Hill Hospital in Philadelphia on the importance of Chiropractic care during pregnancy, labor and the post partum period, as well as at the...
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Bill Koch, D.C.
applied-kinesiology-demystified-interview-with-eugene-charles-dcWhen it was suggested that I do an interview with Applied Kinesiology practitioner and instructor, Dr. Eugene Charles, I was hesitant to accept the assignment.  Of all the well known chiropractic techniques, Applied Kinesiology was the one in which I had the least interest.  Throughout the years, I had seen numerous demonstrations of what had been represented to be AK...
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TAC Staff
dr-david-m-brady-breaks-the-glass-ceiling-in-academia-interview-with-david-m-brady-dc-nd-ccn-dacbn  Dr. David Brady, a 1991 Texas Chiropractic College (TCC) graduate, is the first DC worldwide to break the "glass ceiling" within academia by being conferred vice provost of the health science division at the University of Bridgeport in Connecticut. He is the first and only chiropractor to attain that elevated status worldwide in a major university and, because of his...
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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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Nutrition
Michael Dobbins, D.C.
the-care-and-feeding-of-athletesI get the calls, just as you do: “Doc, what about taking creatine? Should I?” or “What about the powdered entrails of the Mongolian muskrat? Have you seen the studies?” And on and on. Everyone wants magic. As our baby-boomers (and I am one) reach, what I shall politely call, maturity, many are suddenly becoming “athletes” in their quest to...
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Frank J. King Jr., N.D., D.C.
enhancing-the-benefits-of-nutritionIn our culture, we are finding that most patients are open to new ideas and desire to explore alternative therapies to answer their healthcare needs.  Such progressivism is great, but that openness has spawned an enormous and sometimes  unwieldy explosion in alternative healthcare products, procedures, and professions in the market today. In the vast ocean of health products, from...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
super-sized-and-inflamedMovie producer/director Morgan Spurlock has been very helpful in illustrating the pro-inflammatory nature of our modern fast food eating habits. His documentary, entitled Supersize Me, has been airing on cable movie channels and is also available as a video/CD. If you have not seen Supersize Me, you need to see it now and waste no time about it…and then share...
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Christopher Fuzy, M.S.,R.D.,L.D.
weight-loss-without-dieting-drugs-packaged-meals-a-new-years-resolution-incorporating-nutrition-counseling-into-your-practice-during-a-recessionAs a practicing clinical and sports nutritionist for 20 years, I am experiencing a substantial increase of patients from varied backgrounds seeking nutritional counseling. Individuals with a very basic nutritional understanding are coming in as a result of side effects from prescribed medications or abnormal lab results from a recent blood test and are being told by their doctor to...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
lots-of-questions-one-basic-answerEvery month I get lots of email questions about what to give for X, Y, Z conditions. In short, there is no good data on taking vitamin X or herb Z to cure condition Q. Medications don’t work that way, and neither do supplements. In other words, you can’t cure depression with Prozac, St. John’s Wort, 5-htp, SAM-e or anything...
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Mark Sanna, D.C.
the-new-lifestyle-chiropractic-exercise-nutrition-a-wellnessPhysical Activity and Good Nutrition It’s a sad fact that chronic disease accounts for seven of every ten U.S.  deaths, and for more than 60% of medical care expenditures.  The prolonged illness and disability associated with many chronic diseases decrease quality of life for millions of Americans.  The chiropractic profession long has taken the stance that, with proper intervention and education,...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
heel-pain-in-a-cross-country-runner History and Presenting Symptoms A 21-year-old female cross-country runner presents with pain around her right heel that extends into the underside of her large toe, and is limiting her running. The pain has been present for about six weeks and has not responded to her use of stretching, ice and ibuprofen. She has also noticed that her altered gait is...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
tight-band-sidelines-fitness-walkerTight Band Sidelines Fitness Walker by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   History and Presenting Symptoms A 34-year-old female reports persistent pain at her right knee with walking. She localizes this pain to the lateral aspect, and says that it becomes worse as she continues her regular fitness walking program. She has been trying to walk three miles daily...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
a-non-surgical-approach-to-chronic-knee-painHistory and Presenting Symptoms The patient is a 41-year-old male, who describes persistent pain and occasional stiffness in his left knee, which is not associated with any specific activity.  He reports several years of recurring episodes of medial knee pain that just comes and goes, with no swelling or inflammation.  Previous evaluations, including a knee MRI, have resulted in a diagnosis...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
ankle-sprains-and-active-supportAnkle sprains are common injuries, because the ankle is required to perform complex movements under high forces during normal walking.  This can be particularly important for patients who participate in recreational activities and sports that require running and jumping.  Proper evaluation and management in the early stages of an ankle sprain are very important in preventing chronic instabilities.  With appropriate...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
bunions-bother-a-businesswomanHistory and Presenting Symptoms The patient is a 44-year-old female, who is the regional sales representative for several lines of gift items and pottery. She reports frequent pain in her feet, worse on the right side. The aching pain is located around the base of her first toes, both of which have a noticeable bulge. This pain is now interfering with her visits to...
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Dr. John Danchik, D.C.
the-value-of-observing-gaitThe Value of Observing Gait by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   The patient is a 58-year-old female, who has recently started a personal health and wellness program. In addition to eating more sensibly, she has initiated a daily walking program. After four weeks, she has progressed to 30 minutes of brisk walking everyday. She reports that she ...
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Practice Management
Gregory M. Kingsbury, D.C.
looking-beyond-statistics-how-to-buy-a-chiropractic-practice Buying an existing chiropractic practice should be the most efficient and fastest way to financial success. For the new graduate, associate practitioner ready to branch out, or an experienced D.C. looking to expand, the benefits are numerous and the potential pitfalls many. For the last twenty-eight years, we have assisted hundreds of chiropractors in their quest to purchase the...
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William Owens Jr., DC, DAAMLP, CPC
working-with-the-medical-community-without-losing-our-identity Building a working relationship with the medical community is a wonderful way to reach patients and create a referral network that will continue for the life of your practice.  If done properly, chiropractic can stand as a separate and distinct treatment option.  Many doctors erroneously think that you have to “change” chiropractic for us to be accepted into the medical...
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TAC Staff
practice-management-directoryPractice Management The 2X+1 Chiropractic Mastermind A mastermind of the world’s wealthiest doctors who have quietly revolutionized their practices using the proprietary 2X+1 system which is the OPPOSITE of what practice management or coaching “gurus” teach.  These docs are now serving on a higher, more profound level, while enjoying record practice growth AND more fun and time off than ever before. ...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
financial-management-for-future-freedomBUDGETING & PLANNING Budgeting includes short- and long-term plans Look beyond next year! This article was written to help you on budgeting for your chiropractic practice.  We’re starting now to develop your practice’s 2003 budget.  It amazes me how many doctors spend more than they make.  We are fortunate to drive luxury cars, live in large homes, take great vacations.  But, we...
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Claude Cote
going-paperless-or-fully-automated-paperlessby Claude Cote   There is no doubt that one of the most popular trends in chiropractic is going paperless.  Software companies have never been so active at programming all kinds of paperless office systems.  Most chiropractic offices are already using computers for front desk tasks such as billing, appointments, etc. For most chiropractors, going paperless is the elimination of the health...
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Daniel Dahan, D.C.
maximize-your-practices-potentialIn an effort to help you maximize all your services, Dr. Daniel Dahan has identified 7 departmental areas in your practice, which need to be addressed.  Each of these areas will be dealt with beginning with this issue and continuing in subsequent issues of The American Chiropractor.  By following the steps given, your office will not only maximize its potential,...
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Radiology
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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drmarks380
mri-spine-protocolsYour pateint has radicular pain in the lumbosacral distribution that is status post-motor vehicle accident and you order a lumbar MRI. The report rendered by a board certified general radiologist concludes mild disc bulging at L5-S1. However, upon further review by both a neuroradiologist and yourself (once you have been certified and trained to interpret MRI), you realize the general...
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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.
c2-to-c3-congenital-block-vertebraDescription. When two adjacent vertebrae are osseously fused from birth, this joined unit is called a congenital block vertebra. Embryologically, this is the result of failure of the normal segmentation process of the somites during the period of differentiation at 3-to-8 fetal weeks.1 The block vertebra, by itself, is clinically insignificant. As there is no motion allowed at the fused...
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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.
prostate-osteoblastic-metastasisHISTORY   This 60-year-old male patient presents with a history of prostate cancer with surgical removal. Note the metallic clips in the pelvic basin consistent with prostatectomy. There are multiple "snowball" areas of blastic metastasis scattered throughout the pelvis and proximal femora. This radiographic appearance is consistent with osteoblastic metastatic carcinoma from the prostate gland.     DISCUSSION   The sacrum and bones of...
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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
posterior-arch-fracture-of-the-atlasHistory This young adult patient has had a motor vehicle accident with a “whiplash” type injury.  Painful hyperextension of the cervical region is experienced by the patient.   Figure 1. Note the unilateral fracture of the posterior arch of the atlas. Discussion The radiolucent unilateral defect in the posterior arch of this patient’s atlas represents a complete acute vertical fracture. Fractures of the posterior...
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Rehabilition
Mark R. Payne D.C.
building-your-practice-on-a-strong-foundationBuilding Your Practice on a Strong Foundation by Dr. Mark R. Payne D.C.   In keeping with this month’s focus on practice management and coaching, I wanted to take a slightly different twist with this article. While I make no pretense at being a practice manager or coach, I have started and operated two successful practices in my career plus...
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Tim Maggs, D.C.
high-school-athletes-and-structural-managementrDid you know...?  • All high school athletes in this country must undergo a physical exam prior to participating in their sport. That exam, however, is a medical exam (eyes, ears, nose and throat). (See Fig. 1)   Eyes______________________________ Skin (Non- communicable)_________________  Ears (Otoscope) ___________________ Epilepsy __________________________________ Lymph Nodes _____________________ Nervous System ___________________________  Thyroid __________________________ Speech ___________________________________ Nose _____________________________  Nutrition __________________________________  Tonsils ___________________________  Height ______________ Weight ______________  Teeth ____________________________  Vision ____________________________________  Heart _____________________________  Hearing __________________________________  Blood Pressure ____________________  Orthopedic _______________________________  Lungs ____________________________                  Feet...
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Dr. Mark R. Payne, D.C.
managing-fhp-in-the-elderlyI recently got some great questions from a doctor in south Florida who frequently encounters aging patients with large forward head translations, yet have pronounced, sometimes even hyperlordotic, cervical curves. We've all observed this posture, common among elderly patients, but many doctors aren't aware it needs to be managed differently than the typical case of FHP associated with cervical hypolordosis. Typically,...
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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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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. Joe Ventura
oh-baby-my-back-hurtsAs if the prospect of morning sickness, constipation, rashes and changes in hormone and wardrobe weren’t daunting enough, 80% of pregnant women will develop back pain and almost 100% will develop poor posture. The pain can last up to three months past the delivery date. Typically pain is experienced in the following areas: Hip Joints Low Back Mid-back Neck Shoulders TMJ or Jaw joint Unfortunately, the poor...
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Techniques
Tedd Koren, D.C.
medical-manipulation-or-chiropractic-adjustingChiropractic can be practiced either empirically or mechanistically. How could that be? Why is it important? Chiropractic’s approach to healthcare is similar to the empirical approach of classical homeopathy, classical osteopathy and other “holistic” healthcare systems. That approach, to balance or harmonize the individual within him/herself and to balance or harmonize the individual to his/her Source (soul, spirit, Tao, God), is...
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Ted Koren, D.C.
are-you-missing-an-important-subluxation Doctor: "You feel tired much of the time, don’t you?" Patient: "Yes, I feel exhausted all the time. How did you know?" Doctor: "Your femur heads are anterior. Most of your energy is being used to hold your body up." One of the most fascinating subluxations is of the femur heads. The femur head is ball-shaped and located at the top of...
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Paul Yanick, Ph.D.
the-quantum-repatterning-technique-The Quantum Repatterning Technique™ (QRT) provides specific tools for identifying precisely what is taking place in the weakened or disordered physiology associated with unresponsiveness of the immune and endocrine systems.  In the chiropractic profession, it is recognized that all disease originates with a disturbance in the flow of innate communication.  When innate is inhibited or blocked, there are reactions that...
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Tedd Koren, D.C.
the-posture-of-subluxations-subluxations-are-state-specific Years ago, Dr. Lowell Ward of Long Beach, California, had a patient who felt fine standing, but had head, back and sciatic pain while seated. Standing X-rays showed a balanced, unsubluxated spine. He wondered, "What would I find if I X-rayed her in the seated posture?" Her seated films revealed an unbalanced, subluxated spine. No wonder she hurt when she was...
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Tedd Koren, D.C.
adjusting-the-holographic-body If 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     What happened to our connection? We are born destined to...
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R.B. Mawhiney, DC
reduce-spinal-scoliosis-without-braces-or-surgeryDr. Hugh B. Logan, who founded Logan College of Chiropractic, first developed the basis for this procedure for the correction of scoliosis.  Over the last fifty years, I have modified, improved and updated the procedure to allow the chiropractor to produce consistent results. I established the International Scoliosis Research Center to provide research, consultation and seminars to the profession on...
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