NewsFlashes
Cover Stories
Elisa Zinberg, D.C.
the-zen-of-dr-zinbergOne of the top female wellness executives and consultants in America, Dr. Zinberg was an entrepreneur and private practitioner prior to joining The Masters Circle in 2000.  She also serves as the company’s director of its Chiropractic Assistant (CA) certification program and now leads day-to-day operations, overseeing coaches, seminars, and product development. Elisa Zinberg exemplifies the spirit and dedication of The...
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TAC Staff: Nutritional Supplements
best-selling-nutritional-products AC GRACE Price Range: $9.50-$35.50 UNIQUE E Mixed Tocopherols Concentrate: Pure, all-natural mixed tocopherols vitamin E complex–700mg softgel capsules with 400 I.U. of d-alpha, and 300mg d-gamma content. No soy oil as filler. For more information, call 1-800-833-4368.        Be well homeopathic Wholesale: $9.75; SRP: $15.90 Flu Terminator 2 Oz (Also Available in1 Oz spray) (Ten Ingredients) FDA Registered....
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Dr. James L. Chestnut , D.C., F.I.C.C., F.A.C.C.
evidence-based-wellness-careDr. James L. Chestnut has been studying human wellness for over 25 years. He has a Bachelor of Physical Education degree, a Master of Science degree in exercise physiology with a specialization in neurological adaptation, is a Doctor of Chiropractic from the Canadian Memorial Chiropractic College in Toronto, Canada, and holds a post-graduate Certification in Wellness.   Award....
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Dr. Eric Plasker, D.C.
fitness-and-chiropractic-a-critical-niche-for-your-practice-and-the-chiropractic-profession The fitness and nutrition industries are poised to take a leadership role in health care. They have all the research that demonstrates their role in achieving optimum health and prevention of sickness and disease. These elements of a healthy lifestyle are being sought after by the public who are trying to decipher between the good and the bad, the real...
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Allan Dyer, B.S., M.D., Ph. D.
decompression-is-more-than-traction Dr. Allan Dyer has a Bachelor of Science degree in Pharmacy and is a doctor of Internal Medicine. He was also awarded a Ph.D. for his graduate studies and pioneer work in Transthoracic Cardiac Defibrillation. During his career as a senior administrator and Deputy Minister of Health, he instituted the hospital services quality assessment, generic drug substitution program, prescription...
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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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Interviews
Dr. Rand Swenson, MD, DC
expanding-the-horizon-of-diagnosticsDr. Rand Swenson, a second-generation chiropractor, received his chiropractic degree summa cum laude in 1976, from the National College of Chiropractic. He subsequently entered the graduate program in the Department of Anatomy at Loyola University Medical Center in Maywood, IL. His graduate research was in the field of neuronal plasticity and he received his PhD in 1981. After a two-year post-doctoral...
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Vernon Temple, D.C.
raising-standardsVern Temple, D.C., has been part of the testing community for nearly thirty years, first as a member of the Vermont Board of Chiropractic Examination and Registration, National Board of Chiropractic Examiners (NBCE) delegate for the state of Vermont and, subsequently, as an NBCE Director for the past seven years, six years as District III Director...
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George Goodheart, D.C.
muscle-testing-a-manipulation George Goodheart is a second generation Doctor of Chiropractic and graduated from National College of Chiropractic in 1939. In 1964, Dr. Goodheart began making a series of revolutionary observations about muscle function and health and disease that evolved into applied kinesiology. By stimulating various neurological receptors and observing excitatory and inhibitory responses of muscles to manual testing, Dr. Goodheart was...
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William H. Koch, DC interviews
interview-with-jeff-rockwell-dc-of-manual-neuroscience-methodsr-Dr. Jeff Rockwell, DC is a chiropractor, bodyworker and somatic educator, with a passionate interest in the neuroscience of manual therapy.  A pioneer in the use of instrumentation in neuromuscular therapy, Rockwell has been a popular teacher on the seminar circuit for the past twenty years. Professor of Clinical Sciences at Parker University for many years, he is the author...
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Thomas G. E. DePuydt, M.D.
finding-common-grounds-and-goalsThomas DePuydt is an M.D. who specializes in Sports Medicine, and recognizes the importance of taking an integrated approach to treating musculoskeletal injuries. In an interview with The American Chiropractor (TAC), Dr. DePuydt discusses the “paradigm change” which he sees taking place in modern day medicine. TAC: Give our readers some background information about yourself. DePuydt: I grew up in Northern Michigan wanting to...
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Joe Mershon
chiropractors-on-tv-national-tv-campaign The fastest way to affect public opinion is through television.  Shows like CBS’ Two and a Half Men, in which one of the lead characters is a chiropractor, show that the profession has, indeed, entered the mainstream of American culture… albeit with a less than ideal portrayal of a chiropractor, it’s a start.   So how do you use this mega-tool to...
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Nutrition
Robert Anderson M.D. and Perry Chinn, D.C.
what-are-the-health-benefits-of-supplementing-with-the-amino-acid-l-arginineThere has been a flurry of discussion, speculation and even hard to believe health claims surrounding the supplementing of the amino acid L-arginine. L-arginine is considered a conditionally-essential amino acid, meaning that it is not found in sufficient levels in the “normal” human diet. Amounts that produce the clinical effects suggested by research highlighted below must be received in supplement form. ...
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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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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.
syndrome-x-and-subluxationSome 40 million Americans are thought to have syndrome X,1 and there are likely to be several million who are rapidly moving in that direction.  Syndrome X is thought to be a driver of heart disease, hypertension, cancer, diabetes mellitus, obesity, depression, and other diseases.2  Syndrome X refers to an abnormal metabolic state that is characterized by insulin resistance, hyperinsulinemia,...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
why-magnesium-for-the-chiropractic-patientBack in 1992, Elin referred to mag-nesium as the fifth, but forgotten, electrolyte.1  This is not surprising, as magnesium’s importance is rarely mentioned, perhaps due to our culture’s obsession with calcium.   One would never know that magnesium plays a crucial role in bone metabolism, for it is never mentioned.  Even certain researchers do not consider magnesium when studying osteoporosis.  Alexandersen,...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
the-supplements-i-take-and-whyNutritional supplements have been around for a long time. For example, the two oldest companies that currently service our profession are Anabolic Laboratories and Standard Process. Each was family owned some 80 years ago and they remain that way today. As a child, some 35 years ago, I walked into a health food store for the first time. Supplements and various...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
orthitics-for-work-bootsMany people wear special footwear at work.  Occupational health guidelines and employers often require the use of protective work boots.  When fitting patients for orthotics, ask what type of footwear is worn throughout the workday, as well as during recreation and relaxation periods.  An orthotic designed for work boots can be very helpful.  While generic insoles and off-the-shelf foot supports...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
orthotic-support-for-all-three-archesA close evaluation of the anatomy and structure of the foot reveals three arches that form the plantar vault.1  This architectural design provides substantial strength, while still permitting sufficient flexibility to accommodate changes in terrain, and to provide propulsion.  The foot’s arched structure is not present at birth, but develops during childhood, by age 6 or 7 in most people.2 ...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
arch-collapse-in-an-active-womanHistory and Presenting Symptoms A 62-year-old female presents with a recent history of moderate pain in her lower back.  Her back pain responds well to chiropractic adjustments, but recurs within a couple of days.  There are no specific triggering activities, although being up and active seems to bring on the pain more rapidly.  She describes her current level of low back...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
is-your-little-leaguer-pitching-too-muchShoulder injuries are common in sports. The category of rotator cuff injuries has numerous names ranging from painful arc syndrome, bursitis of the shoulder, or rotator cuff tears, to just name a few—all usually present with decreased range of motion and pain in the shoulder area. There are three groups of people who are most vulnerable to these types of...
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Lisa Goldberg
ask-the-advisor I am always trying to bring in new products and services to expand my practice, but it is difficult to know what will work and what will not.  What are some things that I should be aware of before bringing new products and services into my office that will help me understand my rate of return on my investment of...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
upper-extremity-conditions-and-orthotic-support History and Presenting Symptoms A 43-year-old female presents with persistent pain in and around her left shoulder, accompanied by tightness extending into her middle back region. Upon further discussion, she recounts a history of a right carpal tunnel syndrome that was treated surgically, with only partial improvement. She has also had several episodes of left elbow tendinitis. She denies any...
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Practice Management
Dr. Eric Kaplan, D.C., F.I.A.M.A.
the-keys-a-principles-for-successThe Keys & Principles for Success by Dr. Eric Kaplan, D.C.   Make Clear Cut Goals "If you don’t know where you are going, how do you know how to get there?" Goals are like maps, they help us set direction in our personal as well as our business lives. There are many similarities between business and war. In both cases,...
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Maurice A. Pisciottano, D.C.
qi-dont-have-enough-timeqThe battle cry of so many chiropractors today seems to be, “I don’t have enough time!”  The funny thing about this statement is that everyone has exactly the same amount of time–24 hours a day, seven days a week.  Why is it that some people seem to accomplish so much, and others can barely boast about completing a few small...
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Tom Owen III, and Todd Osborne, D.C.
dont-confuse-motion-with-progress Over the years, we’ve listened to the stories of hundreds of chiropractors who have asked us to help them make a living doing what they love to do, which is change lives through the healing art of chiropractic. These doctors come to us with a myriad of situations. Some of them seek us out because they are opening their doors...
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Eric Kaplan, D.C.,N.D.
purpose-principles-policies-the-3-psTo succeed in Life, in Practice you must have purpose. Being a chiropractor is not a purpose, it is a job. Your purpose is your reason for being, doing. Your office should have a written statement of purpose. Everyone needs to be on the same page. An office on purpose is an office that will succeed. The purpose of these...
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Mark Sanna, D.C.
practice-management-tipsQ: There is a lot of confusion about medical integration these days.  It can be a frightening thing for some, due to some negative national publicity.  What is the latest on chiro-medical integration? A:  There are two seemingly divergent trends that are affecting the practice of chiropractic today.  The first trend is consolidation.  Approximately 30 percent of medical physicians remain in...
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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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Radiology
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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
an-occult-lesion-of-the-calcaneusHISTORY This active adolescent athlete sprained his foot while playing tennis.  Radiographs revealed a large radiolucent lesion in the calcaneus.  What is this? DIAGNOSIS:  SIMPLE BONE CYST The geographic lytic expansile lesion in the floor of the calcaneus is well circumscribed and has all the characteristic appearances of a benign lesion.  Benign lytic lesions of the calcaneus are most commonly simple bone cysts...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R. Alicia M. Yochum, D.C., R.N., B.S.N.
anomalies-of-the-c-1-posterior-arch[Case History] This young adult was in a car accident and has suboccipital pain. Do you see a fracture? Agenesis of the Atlas Posterior Arch Synonyms. Aplasia or congenital absence of the posterior arch. Description. Lack of ossification of the posterior arch of the atlas may be complete and bilateral, may be purely unilateral, or may manifest as small clefts (i.e., spina...
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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.
gout-versus-osteoarthritis-which-is-it Case History This 60-year-old male complains of sharp pain in the great toe. He has a family history of gout and is worried he has developed gout. What’s your diagnosis?   Diagnosis: Degenerative Osteoarthritis Of The Great Toe.   General Considerations Degenerative Osteoarthritis   Foot Of all forefoot articulations, the most commonly involved articulation is that of the first metatarsophalangeal joint. The radiographic signs are distinctive but, on...
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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.
transverse-process-fracturesDiscussion Transverse Process Fractures Transverse process fractures are the second most common fractures of the lumbar spine, with compression fractures being the most common. They occur usually secondary to a severe hyperextension and lateral flexion blow to the lumbar spine from avulsion of the paraspinal muscles. The most common segments to suffer transverse process fractures are L2 and L3. Radiographically, the fracture line appears...
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Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
mris-herniated-discs-survey-results-and-the-chiropractic-team Being a principled, subluxation-based or structural-based chiropractor is not mutually exclusive to being responsible for diagnosing your patient accurately. If the patient has a radiculopathic or myelopathic clinical presentation, the question is, "Why?" This has nothing to do with your practice paradigm; it has to do with your patient’s well being and what the cause is for that nerve pressure....
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Rehabilition
M. Kirk Meier, D.C.
muscle-spasms-how-to-overcome-the-chiropractic-nemesis It’s happened to all of us many times. a patient comes into our office barely able to move and in excruciating pain. They have difficulty lying on the table, let alone moving through any range of motion and we want to get them into a side posture position. RIGHT!!!!! So, in lieu of any type of chiropractic manipulative therapy, we...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
case-report-lumbar-disc-lesion-with-altered-lordosisIntroduction In our last article, we presented the history of lumbar traction for normalization of the lumbar lordosis in chiropractic.  In this article, we will present a case report of a patient with a herniated lumbar intervertebral disc, who had been referred to us by a medical neurologist. Case report Figure 1A demonstrates the pre-treatment lateral lumbar radiograph of a 28-year-old female travel...
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Mark R. Payne D.C.
dirty-harry-scoliosis-and-youDirty Harry, Scoliosis And You by Dr. Mark R. Payne D.C.   A man has got to know his limitations." Clint Eastwood growls the famous line right after administering a lethal case of justice to some villain foolish enough to take on Inspector "Dirty" Harry Callahan. Just goes to show there are some things in life you shouldn’t ever try....
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Jon Pettibon, DC
rehab-results-speak-for-themselvesWhat happens with your patients if you are no longer physically able to adjust them using manual manipulation on a short-term or long-term basis? After experiencing some major medical issues I found myself in just that position, asking the same question.   When I was able to return to my office, an infection had left my lumbar spine in such bad shape...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
soft-tissue-stress-and-rehabilitationThe body’s soft connective tissues (such as muscles and ligaments) are generally exposed to stress throughout life.  Such structures respond and adapt to the usual amount of stress exposure.  Damage occurs when soft tissues are exposed to higher-than-usual stress levels.  This can be a single, sudden, excessive stress, or it can be the result of repetitive stress to the muscle...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
hamstring-strains-and-orthotic-supportHamstring injuries and athletic running seem to go together.  The injuries also tend to reoccur and become chronic.  Often, the recovery rate becomes frustrating for the athlete as well as the practitioner.  While the etiology remains controversial, the primary causes may be considered, in order to enhance recovery and prevent reinjury. Main Causes Some of the most common causes of hamstring muscle...
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Techniques
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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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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Peter J. Levy, D.C.
go-to-the-source-of-subluxation-with-neuromuscular-reeducationAre you looking for a way to improve your skills?  Get patients better faster? Build a large referral base? Have a cash practice? Charge what you’re worth? Read on!!! What is the answer to the ongoing problems with insurance companies, work comp, personal injury and the volumes of paperwork and billing required?  How do you, the practitioner, actually get someone better quickly...
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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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Charles L. Blum, DC
managing-acute-low-back-patientsImagine a scenario where a patient walks into the clinic or your office in acute pain—grimacing in pain, antalgic, and guarded in all movements.  You’re barely able to take vital signs, and neurological and orthopedic examinations are difficult to perform due to the patient’s severe apprehension.  A radiograph or MRI finds no fracture or osteopathology, but possibly some degree of...
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Tedd Koren, D.C.
the-sphenoid-pattern"Gentlemen, damn the sphenoid bone!" - Oliver Wendell Holmes (1809-1894), opening an anatomy lecture at Harvard Medical School I don’t know what Holmes was complaining about; perhaps he was frustrated at his inability to adjust the sphenoid (he was an MD after all). For most of my chiropractic career, I limited my practice to correcting spinal subluxations. While developing Koren Specific Technique (KST),...
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