NewsFlashes
Cover Stories
Frederick Carrick, D.C.
neurology-a-chiropractic Frederick Robert Carrick, D.C., Ph.D., is the Distinguished Post Graduate Professor of Clinical Neurology at Logan University and is Parker College of Chiropractic’s Professor Emeritus of Neurology. He serves as the President of the American Chiropractic Association’s Council on Neurology and is the President of the American Board of Chiropractic Specialties of the American Chiropractic Association. Professor Carrick is...
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Gerard Clum, D.C.
over-34-years-in-service-to-the-professionDr. Gerard W. Clum, the profession’s most senior chiropractic college president in the world, received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1973. He was a member of the Palmer faculty and practiced in Davenport, Iowa, in 1974 before becoming a member of the founding faculty of Life Chiropractic College in...
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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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TAC Staff
addiction-a-unique-chiropractors-pursuit-of-the-sourceInterview with Jay Holder, D.C.Dr. Holder is the first American to receive the Albert Schweitzer Prize in Medicine from the Albert Schweitzer-Gesellschaft, Austria. Dr. Holder is Adjunct Professor, St. Martin's College, Milwaukee; held appointment to the faculty at the University of Miami, Center for Addiction Studies and Education and held appointment as post graduate faculty at numerous chiropractic colleges including...
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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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Dennis Woggon, DC, B.Sc.
straight-answers-on-curved-spinesDennis Woggon grew up in Onalaska, Wisconsin—a small town just outside of La Crosse—and attended Wisconsin State University in La Crosse. Dr. Fred Barge, a pioneer in chiropractic and scoliosis, was his field doctor. Dr. Woggon graduated cum laude from Palmer College of Chiropractic in 1974 and has a Bachelor of Science degree in biology. He...
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Interviews
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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Karl Parker, D.C.
dr-karl-parker-shares-his-dream-for-chiropracticAfter a controversial change of leadership at Parker College of Chiropractic 7 years ago, which stunned the entire United States chiropractic community, Dr. Karl Parker, son of the late Dr. James Parker, was summarily “relieved of his duties” as President of the college, an institution founded by his late father, leaving the former PCC President and heir apparent to the...
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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
perspective-from-the-outside-in-interview-with-andrew-cheesmanAndrew Cheesman, who has been with NAOMI/RF System Lab since 2007, is Sr. VP of Marketing and Sales for North America. Having an extensive background in merchant banking, Cheesman has lived in eight countries and has done business with 52 various countries over the years. Born and raised in the UK – and now residing in Lincoln, NE – you...
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Tedd Koren, D.C.
challenge-check-and-correct-the-entire-structural-systemTedd Koren, D.C., is certainly one of the most widely read Doctors of Chiropractic today. Through Koren Publications, over 50 million of his popular patient education brochures have been distributed. His monthly patient and professional newsletters are among the most popular in the profession. He is the author of Chiropractic: Bringing Out the Best in You!, Chiropractic Wellness:  Health from...
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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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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
time-to-tune-up-yourPatient compliance is an issue for all doctors.   And, let’s face it, when we feel well, we often cheat on our exercise or diet plans.  After all, we are only human.  This short article provides some great ammunition to motivate us—and our patients—to follow-through with good nutritional practices.  Recently Dr. Bruce Ames, a famous toxicologist from the University of California,...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
your-lifestyle-tells-your-genes-to-express-diseaseMore and more research is demonstrating how our genes determine the types of diseases we develop and our degree of susceptibility to a given disease. This issue should not be taken lightly, particularly when making specific suggestions to patients.  For example, most have probably heard the “urban legend” that grilled meat causes colorectal cancer. Is this true? The answer is...
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Dr. James P. Cima, D.C.
strategic-nutritional-marketing-for-the-chiropractic-office-its-a-natural Who else but Chiropractic Physicians should be discussing nutrition with their patients? There are more people in agreement with nutrition and health than with chiropractic care. So, as chiropractors, we should link this common bridge and "span the gap" with the general public by offering nutrition in our offices. We live in a society that is literally poisoned through our food...
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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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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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Barry Sears, Ph.D.
brain-drain-due-to-silent-inflammationThe mind is the last frontier of medical science. Your brain contains thousands of unexplained mysteries. Researchers remain humbled by its complexities as they try to pinpoint the exact areas of the brain responsible for how you speak, experience love, learn to hate, and express creativity. Because of the complexity of neurological function, your brain is very sensitive to silent inflammation....
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Orthotics
johndanchik
back-surgery-averted-for-a-teenaged-boyHistory and Presenting SymptomsThe patient is a 13-year-old boy who was identified at a school screening to have a discrepancy in his shoulder heights. His parents were advised to contact an orthopedic surgeon for further evaluation. They reported that the orthopedist found evidence of a scoliosis, but recommended a “watch and wait” approach. No treatment was offered, but if the...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
awkward-gait-in-a-young-runnerHistory and Presenting Symptoms The patient is an eight-year-old boy being brought in by his parents, who are concerned about his awkward style of running. He has no symptoms or painful limitations, but his mother and father are both worried that his inefficient gait could...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
the-rights-and-wrongs-of-orthotic-selection Why is there so much disagreement in the field of professional foot orthotics?  When I read articles and research regarding support of the feet and lower extremities, I am constantly reminded that there are two major camps.  Each side seems to make a strong argument.  If I tell a podiatrist about the types of orthotics I find to be...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
metatarsalgia-and-orthotic-supportFoot pain can interfere significantly with normal activities, and severely limit participation in sports.  Metatarsalgia is foot pain involving the metatarsal bones in the forefoot—the complaint of pain on the bottom of the ball of the foot. Metatarsalgia may be due to overuse of the foot during sports, improper footwear,1 excessive weight, foot subluxations, or other factors.  The underlying cause is...
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Dr. Paul B. Bindell, D.C.
marketing-using-your-ehr-computer-system  Everyone knows that Electronic Health Record (EHR) systems are mandated under an assortment of Federal laws and Presidential edicts. Other than maintaining patient SOAP documentation and billing records, the better EHR programs include many marketing tools to build your practice and increase your income. How much income did your computer create for you? Is your computer program capable of doing more...
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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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Practice Management
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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Dr. Eric Kaplan, D.C., F.I.A.M.A.
winning-leaves-marksWinning Leaves Marks by Dr. Eric Kaplan, D.C., F.I.A.M.A.   Early in my chiropractic career, I wanted to know why some doctors made it and others didn’t. I wanted to know what the winners know. Winning and success go hand in hand. If you win, you are a success. So I began my journey; I began searching for the ...
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Tom Owen III, and Todd Osborne, D.C.
5-warning-signs-that-youre-not-developing-your-staff One of the areas in business management that is consistently overlooked is staff development. Most chiropractors dislike the management side of running a chiropractic business because their hearts are dedicated to serving their patients. The reason why so many doctors continue to improve their clinical skills and techniques long after graduation is that they are designed by nature to be...
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Patrick Gentempo, Jr., D.C.
making-purpose-profitable7 Secrets on How to Stay Purpose-driven & Profitable in Any Market   In my 25 years as a chiropractor, business consultant to chiropractors, and CEO of Chiropractic Leadership Alliance (CLA), I have seen many challenges dealt to the field of chiropractic. Through it all, my job has been to help DCs face these challenges and thrive. In this article, I’m going...
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Maurice A. Pisciottano, D.C.
create-your-future-use-of-an-effective-business-expansion-planning-calendarLet’s face the facts.  Although the average chiropractor does see an occasional “walk-in” new patient, this is more the exception than the rule.  We, as chiropractors, consider that there is a minimum number of new patients that we need to see each week in order to be satisfied that our practice will continue to grow at the expected rate. The...
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tomowen
practice-equity  Mark Cuban, owner of the Dallas Mavericks, once said about his basketball franchise, "Everyone has thousands of entertainment choices and we don't want to create any excuses for them to go and spend their money somewhere else." This is the way every chiropractor must think in a 21st century, service oriented, practice.   Consumers have more choices for which they can choose...
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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.
partial-agenesis-of-the-c-1-posterior-archEmbryology—Ossification of the first cervical vertebra begins about the seventh fetal week at the lateral masses and proceeds perichondrally in a dorsal direction, creating the posterior arch of the atlas.  In the second year of life, a secondary growth center for the posterior tubercle develops between these neural arches.  Complete fusion of the posterior arch should be noted between the...
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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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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.
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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Tedd Koren, D.C.
the-upper-thoractic-hump-pattern“Doctor, I’ve been worried about my hump. Will it get worse? Can you fix it?” Unlike the better-known dowager’s hump, the upper thoracic hump (see photos and illustrations) is more common and is found in younger as well as older people. Patients are concerned about their humps and are very motivated to get them fixed. They should be. Along with its unattractiveness,...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, R.N., D.C.
unilateral-spondylolysisCase History: This is a young college student who plays competitive basketball and is complaining of chronic mid lumbar spine pain. She hurts on hyperextension and has some relief on flexion. The specific diagnosis is? Figure 1.    Diagnosis:  Unilateral Spondylolysis (pars defect) with contralateral sclerotic hypertrophy of the opposite pedicle. Unilateral Spondylolysis  Spondylolysis may involve only one pars interarticularis of a single vertebra and...
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Rehabilition
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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John K. Hyland, D.C.
exercise-for-healthy-agingThere is now a wealth of data that supports the value of aerobic and resistance exercise for the geriatric population. Improvements are seen in weight and body composition, greater insulin sensitivity, decreased falls/improved balance, better psychological health, less frailty and improved function. With exercise, the resting blood pressure lowers, and there is a reduction in the risk of all-cause mortality.1...
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David Rick, D.C. and Alan Oolo Austin, D.C.
rapid-rehabilitation-of-a-hamstring-strain-a-case-studyHamstring Strain Discussion Hamstring strains are an extremely common occurrence in the sport of soccer. The hamstrings span two joints and are, therefore, subject to stretching at more than one point. Therapies for this type of injury have traditionally involved different forms of physiotherapy and soft tissue techniques. Dorman2 reported on 140 hamstring injuries and found that they usually occurred either quite early...
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John K. Hyland, D.C.
rehab-after-injuryCommunication skills are vital to achieving good results when dealing with patients after an injury. One of the most important components of post-injury rehabilitation is to give very clear instructions when the patients first start to exercise. This is because it is easy for patients to do too little or too much, and both will interfere with the desired outcome....
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John K. Hyland, D.C.
sport-specific-rehabThe rehabilitation process for injured athletes is often divided into three distinct phases: acute, recovery and functional.1 A comprehensive rehabilitation plan will include different types of exercises tailored for each of the three healing phases. Each phase is important for a successful return to sports activity, but the last one may be the most critical, and is the one that...
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Burl Pettibon, D.C., F.A.C.B.S., F.R.C.C.M., Phd. (Hon)
the-misunderstood-component-in-musculo-skeletal-health-careIs it possible to walk through a doorway when the door is closed? That strange question is a metaphor that can be used to describe the difference in research-based rehabilitation to prepare the spine for corrective procedures with little to no pain versus no preparation at all or, worse yet, substituting bilateral strengthening exercises for rehab to prepare the spine...
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Techniques
Scott Walker, D.C. and Deborah Walker, D.C.
help-for-chronic-subluxationsYou try all your regular approaches and the patient reports that “it’s a little better,” but your adjustment doesn’t seem to hold. If you’re like most chiropractors, this has happened in your office, too.  You could keep adjusting the patient every week, but what if you could address the patient’s “emotional physiology of thought” and then your adjustments would hold? ...
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George Roth, D.C., N.D.
snoring-and-sleep-apnea-structural-implicationsThe uvula and soft pallet may come into partial or total contact on the back wall of the upper airway.  When the contact is partial or intermittent, snoring (a loud vibration of these soft tissues) may result.  The tongue may also drop posteriorly onto the back wall of the upper airway, coming into contact with the uvula and soft pallet,...
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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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Mark R. Payne D.C.
protective-postures-part-2- Last month we discussed the problems associated with hypolordotic lumbar postures as well as the protective effects of a healthy lumbar lordosis. I want to use this month's column to cover the same ground as it pertains to the cervical spine. Patients walk into your office every day with complaints related to the cervical spine. Of the many symptomatic presentations...
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Scott Walker, D.C. and Deborah Walker, D.C.
our-three-brains-and-the-emotional-component-of-healthThree Brains? … Normally we think of the brain as singular! However, that concept changed when Neuroscientist Paul MacLean, Ph.D., identified three different parts of the brain: the Reptilian, Mammalian and Neocortex Brains. Each is distinctly unique and radically different from the other in chemistry, structure and behavior. MacLean describes the three brains saying, "Stated...
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Charles L. Blum, DC
sacral-cup-treating-the-malposition-of-sacral-segments The Sacral Cup Test and adjustment can be an extremely important tool for the chiropractor because of its ability to help stabilize a chronic unstable sacroiliac (SI) joint, especially if it is slow to respond to traditional category two pelvic procedures. [Figure 1] In addition, it gives the doctor a tool to determine the presence of a complication in...
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