NewsFlashes
Cover Stories
TAC Staff
the-state-of-the-chiropractic-professionAs The American Chiropractor celebrates its 30 Year Anniversary, our panel of leaders look back on just how far the chiropractic profession has come and what lies ahead.     Dr. Louis Sportelli President of NCMIC Dr. Sportelli has served in many capacities throughout his 47-year career in chiropractic. He is currently serving as President of NCMIC Group ...
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Allan Dyer, B.S., M.D., Ph. D.
decompression-where-it-all-beganDr. 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...
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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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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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Freddie Ulan, D.C.
nutrition-adding-value-to-a-chiropractic-practiceDr. Ulan earned his Doctor of Chiropractic degree at the Chiropractic Institute of New York, completing the 4500-hour, nine-semester program in thirty-six consecutive months. He graduated with honors in 1965. Ulan Nutritional Systems (UNS) is a training center where nutritionally-oriented practitioners gather to learn, and attain mastery of the clinical and practice management techniques Dr. Ulan used in building his highly...
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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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Interviews
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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TAC Staff
orthopedic-surgeons-alternative-care-to-back-surgery-interview-with-arieh-grobermdGraduated in 1977 from Haifa-University Technion Medical School, Israel. Dr. Grober assumed Post-Graduate studies at Tel-Aviv University and worked for many years as an Orthopedic Surgeon in the Beilinson Campus, Rabin Medical-Center where he specialized in Orthopedic Surgery. In 1999, he invented and registered the patent on Cervico 2000 – a cervical traction unit.    He became the owner and manager of...
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Jeff Hockings, D.C.
chiropractors-on-tv--infomercials-made-easyThe 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 promote...
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George Michalopoulos, D.C.
million-dollar-chiropractic-features-dr-george-michalopoulosEach article in the MILLION DOLLAR CHIROPRACTIC series () 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. George Michalopoulos an extremely successful chiropractor who has practiced in Illinois,...
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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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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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Nutrition
Leonid Ber, MD
resolving-vitamin-b12-deficiency-using-oral-supplementationNew research validates high dose methylcobalamin lozenge regimen Vitamin B12 (often referred to as cobalamin) is an essential nutrient that can only be  obtained from diet or supplements. Its main function in the body is to assist in the synthesis of DNA. As a result, quickly dividing cells such as red blood cells are among the most frequently affected by cobalamin...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
syndrome-x-and-c-reactive-proteinSyndrome X is most easily viewed as a Pre-Diabetic State,as it is characterized by hyperinsulinemia and hyperglycemia. Syndrome X can initially exist without symptoms and, as it progresses, symptoms such as fatigue can develop, which are considered a “normal” part of aging, rather than the outcome of a pathological state. Metabolic features of syndrome X:1   1. Increased production...
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John H. Maher, D.C.
drug-free-approach-to-hypertension The American Heart Association (AHA) estimates approximately 73 million American adults age 20 and over have hypertension, also known as the "silent killer," because only 60 percent of adults who have hypertension are being treated for it, and two-thirds of those don’t have it under control! The AHA defines hypertension as a systolic blood pressure (BP) of 140 mmHg or...
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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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Ronald Grisanti D.C., D.A.B.C.O., M.S., and Rick Bramos
obesity-why-exercise-doesnt-workAre you guilty of recommending exercise to help your overweight patients lose unwanted fat? The answer could have a major impact on your clinical outcomes. Do you really believe that juggling balls for a few minutes daily—as seen on NBC recently—will burn enough calories to get the job done?   Do you not find the advice to buy a pedometer to track...
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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.
case-study-pedal-imbalance-with-associated-conditionsHistory and subjective complaints The patient has suffered from a postural imbalance most of her life, causing stress and strain to the pelvic and spinal areas.  The patient states that she has received chiropractic care “on and off” most of her life. As the patient has grown older, she has experienced more frequent and intense pain in her lower back, right leg,...
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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. Mark Studin DC, FASBE, DAAPM, DAAMLP
how-to-get-paid-with-insurance You treat Mrs. Jones today, complete your fee slip, and your insurance staff has every document necessary to bill the claim. They have the application for benefits and/or proper claim forms from the patient, along with the correct policy numbers. The staff also has all of the completed notes/letters of necessity/results required ready as attachments to send with the claims,...
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Kirk Lee, D.C.
consider-hobbies-to-determine-whats-causing-painAs chiropractors, when we conduct our case histories and examinations we typically determine mechanisms of injury to be related to specific instances of trauma, repetitive macrotrauma or microtrauma. However, we should also consider posture, activities of daily living and hobbies as these can sometimes be the root cause of a patient’s pain. Today we are going to take into consideration...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
patellofemoral-pain-in-a-fitness-walker History and Presenting Symptoms A 38-year-old female reports the recent onset of pain at her left knee. She had started a fitness walking program in the past six months, and had gradually increased to two miles every day. She doesn’t recall any specific injury, and describes the pain as an aching soreness in her left knee that builds up during...
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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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Practice Management
Maurice A. Pisciottano, D.C.
important-answers-to-report-of-findings-questionsNew patients typically come in to your office with many unanswered questions. They are somewhat apprehensive and are just looking for solutions to their problems.  Most will have a very limited, if any, understanding of chiropractic care.  They have entered a new world and are not quite sure what they will find, but they are open-minded enough to give it...
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Dr. Eric Plasker, D.C.
the-financial-stability-of-family-practiceChiropractic Family Practice is extremely profitable. Rather than working harder and harder for their money, chasing insurance companies only to be denied payment, losing patients because their insurance doesn’t cover the care anymore, and dealing with the incredibly stressful, high overhead that comes with other types of practices, thousands of chiropractors are becoming the family wellness providers for their communities. The...
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Dr. Steven J. Kraus, D.C., D.I.B.C.N., C.C.S.P., F.A.S.A.
electronic-health-record-identification-and-incentive-payments In all my recent meetings with government officials, including several trips to Washington, D.C., and participation in numerous reform initiatives, like the regional White House Forum on Health Care Reform, major buzz surrounds the electronic health records portion of the economic stimulus plan. To date, much has been discussed about the American Recovery and Reinvestment Act (ARRA) of 2009 and...
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michaelfailla
keys-to-a-successful-paperless-practiceThe benefits of a paperless office are numerous, but for many this goal has been elusive. Instead, the computer age has generated more paper than ever before. But with the right approach, it is possible to build a successful paperless chiropractic office and eliminate the paper piles.   Why Switch to a Paperless Office? Here are a few of the many benefits reaped...
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Mark Sanna, D.C.
practice-management-tipsQ:  What do you predict for the future growth of chiropractic practices? A:  Approximately 30% of medical physicians remain in private practice, and the day of the solo chiropractic practice is gone as well.  The chiropractor of the future will be a member of a group practice.  With student debt running at over $100,000, the financial resources required to open...
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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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Radiology
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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
osteitis-pubisHISTORY: Both of these female patients are complaining of focal pain at the pubic articulation. One of them developed this pain after a difficult delivery of a child and the other patient after surgery for a retroverted uterus.   Figures 1 & 2. Characteristic changes are visible at the pubic...
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Lori Puskar, D.C.
caring-for-the-supermomWhen I was thirteen, my two-year-old brother was suffering from a serious case of torticollis, which had been misdiagnosed as possible meningitis. After just one chiropractic treatment, he was virtually cured. At that moment, I knew that my contribution to healthcare would be in the chiropractic field. Like any idealistic young chiropractic student, I was electrified by the story of Harvey...
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drmarks380
herniated-discs-a-advanced-imaging The patient enters your office and has significant pain radiating into an extremity. Being responsible, you adopt the policy of the insurers and treat the patient conservatively for 4-8 weeks and the pain doesn’t diminish; you then refer the patient to the imaging company for an MRI. In the report, there are minimal findings, so you continue to treat with...
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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
melorheostosis[Case History] This male patient has a history of multiple traumas to his humerus.  Are these radiopacities exuberant callous formation from hematoma? Diagnosis:  The answer is no!! This is a rare sclerotic skeletal dysplasia referred to as “MELORHEOSTOSIS”. General Considerations Melorheostosis is a rare, sclerosing bone dysplasia that was first described in 1922 by Leri and Joanny.  Synonyms include Leri type of osteopetrosis, osteosis...
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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.
degenerative-spondylolisthesis HISTORY   This 50-year-old female patient presents with a six-month history of lower back pain without peripheral radiation. DISCUSSION Degenerative spondylolisthesis (Type III) has been referred to as a “pseudospondylolisthesis” by Junghans, to differentiate spondylolisthesis with an intact neural arch from those with a true defect of the neural arch.1 Macnab2 prefers the phrase “spondylolisthesis with an...
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Rehabilition
Dr. Kirk A. Lee, D.C.
preventing-injuries-requires-more-than-a-strong-corePreventing Injuries Requires More Than a Strong Core by Dr. Kirk A. Lee, D.C.   Whether we are confronted with developing an exercise rehab program for a male patient (who is sedentary, overweight, and experiencing low back pain) or developing a strengthening program to fine tune a professional athlete, some emphasis must be placed on the core musculature. With...
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Christian H. Reichardt, D.C., C.C.S.P.
effects-of-whole-body-vibration-on-posture-and-kinesthetic-perception Many patients who present themselves to the chiropractic office suffer from musculo-skeletal disorders. More and more research confirms what we know to be true from our own daily anecdotal knowledge. There is hardly a modality that works better for these conditions than chiropractic. Yet there are a number of modalities that can enhance the benefits of adjustments. One of these...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
rehab-for-busy-schedulesThere have been various recommendations over the years in our profession about the recommended number of repetitions and sets of exercises that patients should perform.  To judge for yourself what numbers are best for those in your care, you need to consider several factors — not the least of which is the hectic, fast-paced lives many of your patients already...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
healthy-sleep-for-rehab-patientsPatients receiving rehab care for various chronic or acute neck problems often come across advertisements promoting special “neck support” pillows.  Cervical support pillows are recommended by many chiropractors, physiotherapists, and even surgeons.  In a 1998 comparison study of three types of bed pillows, the authors write, “From a patient’s perspective, neck support is an important part of a comprehensive physiotherapy...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
child-development-and-structural-supportThe most common questions parents ask us involve concerns over proper development of their children. These developmental questions can spur from anxiety about height, weight, muscle and skeletal development. One area I am asked about quite frequently is a child’s walking or gait pattern. These questions often focus around concerns of not walking by a certain age, concerns about the...
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Randy Reed, D.C., F.I.C.C., F.A.C.C.
mckenzie-spinal-rehab-methods-in-the-chiropractic-officeThe doctors that have protocols which include movements or forces that decrease disc displacement which, in turn, cause pain to decrease, disappear, or centralize with a rapid increase of lumbar ROM, see their patients get better. These types of movements should be pursued with decompression, exercises, mobilizations, and manipulations. Doctors, who fail to recognize...
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Techniques
Marshall Dickholtz, Sr., D.C.
what-is-a-totally-balanced-spine-what-every-chiropractor-and-chiropractic-researcher-should-knowTo start with, an imbalanced spine is because an atlas subluxation is affecting the brain stem. This affects the muscle balancing mechanism in the central reticular formation. As a result, it produces spastic muscles on one side of the body, more than the other side, and produces a distorted pelvis and a contracted ilium. It also...
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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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Robert C. Gordon, D.C.
clinically-justifying-mua-in-the-field-of-pain-managementFrom a clinical standpoint, MUA has never been questioned as an alternative to correcting fixated articulation, and shortened muscles. But, as a procedure performed by the chiropractic profession, it is questioned constantly. Manipulation Under Anesthesia or medication-assisted manipulation has long been used by the orthopedic, and osteopathic professions to correct joint fixation. Chiropractic physicians started using this technique in the late 80’s as...
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Arlan Fuhr, DC
piriformis-syndrome-assessment-a-correction-of-affected-structuresIs sciatica a frequent complaint in your practice? Did you know that the piriformis muscle, when inflamed, releases a biochemical agent that irritates the sciatic nerve? Find out how the Activator Adjusting Technique can help you bring relief to these patients. One of the more common complaints in any chiropractic office is that of buttock and/or posterior thigh pain, generally referred...
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Charles L. Blum, DC
the-evolution-of-bloodless-surgery-and-chiropracticBloodless Surgery or Chiropractic Manipulative Reflex Technique (CMRT) encompasses the  relationship between somatovisceral and viscerosomatic reflexes and, therefore, between the somatic and autonomic nervous systems. R. J. Last in his book, Anatomy: Regional and Applied, points out: There is only one nervous system.  It supplies the body wall and limbs (somatic) and viscera (autonomic).  Its plan is simple.  It consists of...
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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...
20160

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