NewsFlashes
Cover Stories
Parker Chiropractic College
parker-college-of-chiropractic After thirty-one years of Parker Seminars, experiencing exceptional growth and success, Dr. James Parker’s colleagues urged him to establish Parker College of Chiropractic. A group of twenty-seven students made a leap of faith in September 1982. They were the first students to enroll at Parker College of Chiropractic. Parker College’s curriculum—both basic and chiropractic—continues to be integrated with the...
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Richard R. Shaker, D.C., R.T.P., C.P.T.I., C.C.S.P., A.C.R.B., C.S.C.S.
chiropractic-in-the-nflFor four seasons in the NFL, after having suffered a chest injury while playing my rookie year, I had not been able to breathe properly. I also had severe pain in my chest and rib cage. Previous to Dr. Shaker, I had seen every medical specialist, including other chiropractors—no one could help me. I was struggling to survive in...
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Susan Karnovsky
dr-lester-bryman-a-the-50-year-evolution-of-nutrition-response-testing In 1958 he was the Only One…. Fifty years ago, when Dr. Lester Bryman began his career, he felt like he was the only practitioner in his field that thought or talked about a nutrition oriented practice: No one he knew ever wondered about the therapeutic value of eating, let alone that whole foods (non-processed products) were healthy and non-foods...
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Dennis Woggon, DC, B.Sc.
clear-scoliosis-case-studyCLEAR Scoliosis: Case Study by Dennis Woggon, DC, B.Sc.   THE PATIENT PRESENTED in 2008 with a 48 degree right thoracic Cobb angle. It was initially diagnosed in 2005 at 25 degrees. The patient had a history of birth trauma. The scoliosis previously was treated with traditional Chiropractic Care. The standard CLEAR Scoliosis examination was performed. Her X-rays revealed...
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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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Western Sciences Chiropractic College
western-states-chiropractic Being a successful chiropractor can mean different things to different people. Should success be based solely on the amount of income earned in a given year or the number of vacations taken in a lifetime? Is it determined by total income generated divided by hours worked and multiplied by vacations taken? At Western States, our students and alumni have...
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Interviews
Boyd Williams, D.C.
a-practice-based-on-purpose-passion-and-never-ending-trainingDr. Boyd Williams is a 1987 graduate of Northwestern Chiropractic College who practices in his hometown, Rochester, Minnesota, with his wife, Cindy, a 1996 graduate of NWCC. Beginning his practice as a sole practitioner in 1988, Dr. Williams became a certified Chiropractic Sports Physician in 1991 and the first sports chiropractic diplomate in Minnesota in 1994. Then, he enthusiastically set out...
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TAC Staff
the-scoop-on-postural-adjusting-interview-with-burl-r-pettibon-dc-fabcs-frccm-phd-honAfter receiving an honorable discharge from the U.S. Air Force Burl Pettibon attended Cleveland Chiropractic College in Kansas City, MO.  He graduated in 1956 and practiced in Tacoma Washington while developing clinics in other locations.  Dr. Pettibon was a department head for two years in the college that is now Palmer West.  He has guided The Pettibon Institute’s direction, continuing...
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John K. Maltby, D.C.
meet-the-new-president-of-the-icaAfter the dust had settled and the ballots were tallied, on April 15, 2005, the International Chiropractors Association had elected a new president in a landslide vote.  Who is this doctor who inspired such an impressive mandate by the oldest national chiropractic organization in the world, and what is his vision for chiropractic?  Find out, in the following interview between...
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Dr. Steve Querio
million-dollar-chiropractic-interview-with-dr-steve-querioDr. Steve Querio's M$C Profile PERSONAL: Married to wife, Lisa for 5 years and has 3 children; Nikki, age 10; Luke, age 3; and Emily, age 1 1/2. Recreation and Leisure:  I enjoy spending time with my kids.  I also enjoy traveling and watching Green Bay Packer football.  Professional Affiliations: Wisconsin Chiropractic Assn., American Chiropractic Assn., Green Bay Chamber of...
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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
amazing-chiropractor-interview-with-dr-steven-m-horwitz-dc-ccsp-cscs-cktp-sports-injury-practice-with-a-focus-on-injury-preventionDr. Steven Horwitz is a graduate of Cornell University and the National College of Chiropractic. He is a certified Chiropractic Sports Physician, Strength and Conditioning Specialist, USA Weightlifting Club Coach, Kettlebell Instructor, USA Track and Field Level 1 Coach, and Sports Nutritionist. In 2010, Dr. Horwitz was named to Washingtonian’s list of top experts in sports medicine. In 2006, he...
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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
what-about-the-recent-glucosamine-studyThe February 23rd, 2006, issue of the New England Journal of Medicine published an article on the treatment of osteoarthritis (OA) of the knee with glucosamine hydrochloride and chondroitin sulfate. Some of the news reports suggested this study demonstrated that glucosamine was ineffective in the treatment of arthritis. A closer look at the article suggests the opposite conclusion may be...
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Ronald J. Grisanti, D.C.
how-to-treat-and-prevent-asthma-attacks-with-nutritional-medicineAsthma is a disease that affects a person’s essential ability to breathe and is one of the most demanding pathologies on the human being, both physically and mentally. Asthma Facts • 20.3 million Americans report having asthma. • More than 70% of people with asthma also suffer from allergies. • The prevalence of asthma increased 75% from 1980-1994. From 1982-1996, the prevalence...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
a-pandemic-vitamin-d-deficiencyLike many of you, I grew up in “healthcare” with the view that vitamin D toxicity is a significant concern for those taking supplements. Even today, individuals with nutrition degrees maintain the notion that vitamin D supplementation is a risky endeavor. Consider your own visceral response to the following: “Many individuals would do well to take 10,000 IU’s of vitamin D...
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David R. Seaman, DC, MS, DABCN
an-easy-way-to-add-nutrition-to-treat-your-patients-in-pain Low back pain is one of the most common reasons patients visit all physicians in the United States and it represents a substantial financial burden on society (1). The most common treatments are pharmaceuticals, which are either prescribed or self administered, and manual care, which is delivered largely by chiropractors. Nutrition is not generally considered in the treatment of...
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Dr. James P. Cima, D.C.
why-high-cholesterol-by-itself-is-not-a-good-indicator-of-heart-disease Whenever I run a blood test on any patient, the first thing they all want to know is, "Doc, how is my cholesterol?" They think, because their cholesterol levels are normal, they have nothing to worry about. Unfortunately, they do not know that about 50 percent of patients who die from cardiovascular disease have "normal cholesterol levels". They also do...
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Ellen Cutler, D.C.
defeat-the-energy-robbers-with-enzyme-therapyNext to depression and allergies, lack of energy is the third most prevalent health concern in America, affecting 33 million people. In fact, half of the people who come to my clinic complain of exhaustion. Some feel tired when they wake up in the morning. Others experience an energy crisis in the afternoon. Still others have chronic fatigue throughout the...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
recurrent-ankle-sprainsHistory and Presenting Symptoms The patient is a 38-year-old male, who plays soccer in an adult league on weekends.  He describes recurring episodes of pain and swelling along the outside of his right ankle for the past several years.  He presents for treatment of his lower extremity biomechanical faults, and wants to prevent future problems and improve his athletic performance...
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John Danchik, D.C.
the-aging-footHistory and Presenting Symptoms A 64-year-old female presents with recurring, unresolving episodes of moderate pain in her lower back and left knee.  She recalls no specific back or knee injuries, and states that these problems have developed over the past couple of years, getting more noticeable in the past six months.  On a 100mm Visual Analog Scale, she rates her...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
low-back-pain-leads-to-lifestyle-changes History and Presenting Symptoms A 41-year-old male presents with a history of recurring episodes of mild to moderate pain in his lower back. He states that his back pain just seems to come and go, with no specific triggering activities. He does not participate in any competitive or recreational sports, and recalls no injury or trauma to his back. He has...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
mature-knee-painMature Knee Pain by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.     History and Presenting Symptoms The patient is an active 58-year-old male, with a history of participation in many team sports (baseball and football) in his younger years. He describes recurring pain and stiffness in his right knee, which is especially noticeable in the mornings and also when he plays...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
tarsal-tunnel-syndrome-a-orthotic-supportTarsal tunnel syndrome (TTS), while not common in the general population, is occasionally seen among athletes.  In addition, many TTS symptoms can be confused with conditions commonly treated in the chiropractic office.1  Because its etiology is often related to hyperpronation and, therefore, spinal complaints, TTS patients may be concentrated in the chiropractic office.  When a patient complains of burning pain...
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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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Practice Management
Peter Fernandez, D.C.
how-to-choose-a-hot-state-in-which-to-practice-starting-a-new-practice-viii I’m sure some of the readers will wonder why this author is discussing states in which to practice. Why not skip this step and go directly to helping you determine a good practice location within a town or city? The answer is simple. Some states have excellent practice and insurance laws that support and encourage the practice of chiropractic. These...
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Phil Mattison
i-am-not-a-salesmanDoctors of chiropractic generally are attracted to the profession from a desire to heal others. The majority of DCs we come into contact with say they were attracted to chiropractic because they saw it as a way to “make a difference” in the world and truly “heal” people. There are all different kinds of DCs – with varying philosophies –...
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Mark Sanna, D.C.
gaining-balance I’ve learned some strategies that have helped me simplify my own life and gain more balance. Look for opportunities to apply them to your circumstances. It is perfectly acceptable to say, "No." If you are constantly telling others and yourself that you are too busy, then you probably are! Why are you so busy anyway? Living with intention...
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Laurent Goldstein
5-ways-to-facilitate-a-successful-practiceOne of my favorite movies of all times is Woody Allen’s Annie Hall. At the end of the movie, Woody’s character tells the story of a guy visiting a psychiatrist. “Doc, my brother is crazy; he thinks he is a chicken!” the guy says. “Why don’t you bring him in?” says the psychiatrist. “I would! But we need the...
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Maurice A. Pisciottano, D.C.
chaos-vs-control-are-you-organized-for-successOrganization is a large word that can have a great impact on the success of your practice.  Without a systematic way of organizing your practice, chaos and havoc will rule with no guidelines to help sort out the confusion.  In a chiropractic practice there are three components to building a successful organization:  Policies, procedures and systems. Policies, procedures and...
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tomowen
why-chiropractors-need-a-coach-to-succeedAlthough chiropractors are generally hardworking, dedicated professionals who strive to correct subluxations in order to benefit the overall well-being of their patients and community, they still might be clueless on how to run an efficient and profitable practice. Technique expertise and talent are not enough.    Matter of fact, the myth upon graduating simply isn't true. We've all heard it before: Get...
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Radiology
Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
lumbar-spine-compression-fracturesThe radiographic signs of vertebral compression fracture are often subtle.  Radiographs of optimal quality are necessary in order to adequately demonstrate these fractures.  Lateral radiographs best demonstrate the fracture features.  Radiographic signs of vertebral compression fracture include a step defect, wedge deformity, a linear zone of condensation, displaced endplate, paraspinal edema and abdominal ileus.  Step Defect—Note, in the presented image, a...
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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
pending-spondylolysis-andor-spondylolisthesis-whats-it-all-meanCase History This 18-year-old female gymnast is complaining of unilateral left-sided lumbar spine pain at the L5 level.  Standard plain film radiographs show no evidence of pathology, pars defects or spondylolisthesis.  Because this patient’s pain did not respond to conservative treatment, an MRI scan was performed for further evaluation.   Imaging Findings of this Patient Observe the area of bright (white) signal intensity seen...
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Terry R. Yochum, D.C., D.A.C.B.R.
spondylolysis-andor-spondylolisthesis-lets-get-it-right-and-stir-things-up The topic of spondylolysis and/or spondylolisthesis has been clouded with confusion for many years. To understand the true etiology as a stress fracture rather than an inherited congenital anomaly or predisposition has been a lifelong quest for me. The normally developing pars interarticulares is a fully ossified structure at birth and without a local synchondrosis to undergo nonunion. There has...
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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.
hangmans-fractureHistory This adult male patient was involved in a car accident.  He struck his head on the windshield and was then thrown into hyperextension. Discussion Hangman’s Fracture (Traumatic spondylolisthesis). Fractures of the neural arch of the axis are one of the most common injuries of the cervical spine. Up to 40% of axis fractures are hangman’s fractures.1  They are usually...
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Dwight C. Whynot, D.C.
the-cervical-acceleration-deceleration-practitioner So, you want to treat patients that have suffered a cervical acceleration/deceleration (CAD) trauma. Then you must learn to examine and treat a CAD injured person properly and with the proper tools. First of all, if you have never treated these types of injuries before, then you should arm yourself with the knowledge of the etiology of CAD trauma....
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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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Rehabilition
Dr. Mark R. Payne, D.C.
worlds-best-traction There are basically two types of chiropractors: those concerned with correcting spines and those who aren't. Truthfully, the latter group probably won't even bother reading this article. Since you're here, I'll assume you have at least some genuine interest in trying to deliver real and lasting structural corrections to your patients. As you've probably found out, it's kind of hard...
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Kirk Lee, D.C.
back-injuries-in-the-young-athleteBack injuries in adolescents are not very common, but add participation in athletics and you increase the opportunity of experiencing some form of low back pain. According to Micheli, back injuries of young athletes are a significant phenomenon, estimated to occur in 10 to 15 percent of participants1. The prevalence will vary, based on certain sports. In sports like gymnastics...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
getting-the-most-support-from-assisted-devicesAn elderly patient enters your office with complaints of low back pain. She is using an assisted device (e.g., cane, walker, crutches). As you watch her walk, you think to yourself, "She looks like Yoda from Star Wars, and I would hurt also if I were walking like that." Or your patient asks, "Dr. Bones, am I using my cane...
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Dr. Mark R. Payne D.C.
extension-traction-good-for-discs Chiropractors have long used spinal traction methods to relieve abnormal pressure and bulging of the IVD. The more popular methods have employed long axis traction and/or flexion distraction to relieve IVD (intervertebral disc) pressure. Consequently, many doctors are reluctant to employ extension traction methods which seem so radically different. I'm frequently asked if extension traction is good for injured...
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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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Dr. Kirk A. Lee, D.C., C.C.S.P.
traveling-with-a-wellness-lifestyle With the treatment of any new patient following initial consultation, evaluation and management we must make some decisions; or to meet our E&M requirements we have some "medical decision making" to do. How many Chiropractic Manipulative Therapies (CMT), do we schedule before our next progress exam or re-evaluation? Are we scheduling any type of conjunctive therapy like muscle stimulation,...
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Techniques
Loren Marks, DC
contact-reflex-analysisWe are living in the midst of a “Wellness Revolution.”  Patients, primarily the baby boomers, are seeking greater levels of natural health care as they age. They are wealthier and more educated than their parents and are willing to spend more to attain a level of health that allows them to be stronger, healthier and more resistant to disease. The insurance...
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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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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.
adjusting-the-holographic-body-part-three-locating-and-correcting-emotional-subluxationsIf 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 some...
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Tedd Koren, D.C.
adjusting-the-holographic-body-part-five-weight-loss-smoking-and-other-bad-habitsIf 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 The posture of subluxation (POS) is not limited to physical or...
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Dr. Mitch Mally
chiropractic-a-carpal-tunnel-syndromeWhen attempting to gain entry into the industrial health care delivery system for the treatment, rehabilitation and prevention of repetitive stress injuries (RSI’s), the chiropractor must first know how to diagnose differentially, follow a standard protocol, be prepared to disclose how many cases he/she has successfully treated and provide references, as well as identify additional specialized training and expertise in...
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