NewsFlashes
Cover Stories
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
instrument-adjusting-panel• Activator Adjusting Instrument • Impac’s Pro-ArthoStim • Neuromechanical Innovations’ Impulse® and Impulse iQ® • Sense Technology’s PulStar So many great adjusting instruments out there, but who’s got the time to figure out which one is right for them, right? Well, as always, we here at The American Chiropractor Magazine know exactly what you are looking for. We...
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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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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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TAC Staff
inspiring-millions-to-become-more-fulfilled-and-successfulInspiring Millions to Become More Fulfilled and Successful   Dr. John F. Demartini earned his Bachelor of Science degree while majoring in Biology and Biochemistry at the University of Houston in 1978 and was accepted at Texas Chiropractic College earlier that year. In 1982, Dr. Demartini acquired his Doctorate Degree and graduated Magna Cum Laude, as Salutatorian...
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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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Interviews
TAC Staff
chiropractic-for-pregnant-women-interview-with-karen-gardner-bagnell-dcFor more than eighteen years, Dr. Karen Gardner Bagnell has studied the mechanisms of breech and transverse presentations, pregnancy and delivery. Dr. Gardner Bagnell has guest lectured at The University of Pennsylvania School of Nursing and Chestnut Hill Hospital in Philadelphia on the importance of Chiropractic care during pregnancy, labor and the post partum period, as well as at the...
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Steven Visentin, D.C.
marketing-machineMarketing Machine Interview with Steven Visentin, D.C.   The American Chiropractor recently heard about an e-book written by Dr. Steven Visentin (SV), Blow Your Head Off: Practice Building Secrets. Dr. Visentin graduated  from the National College of Chiropractic and decided to practice in  Denver, Colorado, for its excellent quality of life.  Unfortunately for him, many other chiropractors had the same idea and the...
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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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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
president-of-david-singer-enterprises-interview-with-dr-david-singerDr. Singer received his undergraduate degree from Rutger’s University, his M.S. degree in nutrition from the University of Bridgeport, and his Doctorate from the New York College of Chiropractic. Graduating with honors as the salutatorian of his class, he was inducted into Phi Chi Omega, the International Chiropractic Honor Society.    In his first year of practice, Dr. Singer was seeing more...
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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
Stan Guberman, D.C.
how-to-make-your-practice-more-profitable-add-an-in-house-nutritional-center-to-your-practiceWe, as chiropractors, should begin or continue our thinking process into as many natural healing avenues, so that we can become known as the natural healing source in our communities. We should be known as the "go to guy" when a patient or community member has any question concerning what he or she has been ...
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Ronald J. Grisanti, D.C.
nine-powerful-supplements-to-reverse-heart-disease Half of your patients are going to die of heart attacks and strokes; half your family members are going to die of heart attacks or strokes; you, if you can reduce yourself to a statistic for a moment, stand a 50 percent chance of dying of a heart attack or a stroke. Despite the "progress" of medical science over the...
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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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Charles C. DuBois
standard-process-providing-the-tools-for-better-health-careThe American Chiropractor (TAC) interviews Charles C. DuBois, President of Standard Process, Inc., about his company’s efforts to “give back” to the chiropractic profession. TAC: Tell us a little bit about the history of your company. DuBois: For more than 75 years, Standard Process has provided health care professionals with the best whole food supplements and herbal products for themselves and their...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
omega-3-fat-confusion-and-the-beginning-of-a-krill-oil-krazePharmaceutical grade fish oil…NOT Misinformation abounds when it comes to fish oil, such as that created by marketers of “pharmaceutical grade” fish oil, a recent buzzword. Readers should be aware that there is no such thing as pharmaceutical grade fish oil. This is a term created by a nutritional supplement supplier. Nutrition companies are notorious for marketing very basic and common...
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Paul Yanick, Ph.D.
innate-enhancement-via-oral-chelation-and-ionic-detoxificationOur modern day environment has drastically disturbed the body’s ionic balance, critically important for innate intelligence and communication.  Excessive positive ionization, a result of water, food, and air pollution, causes what Albert Krueger, MD (the late University of California (UC), Berkeley, researcher) termed “positive ion poisoning.”  Russian scientists (supported by over 5,000 scientific studies) report that systemic ionization with negative...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
wellness-support-for-an-obese-patientHistory and Presenting Symptoms A 32-year-old male presents with a history of mild to moderate lower back pain, and aching tightness in his neck.  He states that his back pain comes and goes, with no specific triggering activities.  His neck tension is worse with long and stressful workdays.  He participates in no recreational sports or exercise activities, and recalls no back...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
popliteus-tendinitis-in-a-softball-playerPopliteus Tendinitis in a Softball Player by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   History and Presenting SymptomsThe patient is a 27-year-old male who participates in an adult softball league on weekends. He describes recurring episodes of pain and swelling along the back and outside of his right knee, which has limited his knee extension for the past several...
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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.
the-value-of-observing-gaitThe Value of Observing Gait by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   The patient is a 58-year-old female, who has recently started a personal health and wellness program. In addition to eating more sensibly, she has initiated a daily walking program. After four weeks, she has progressed to 30 minutes of brisk walking everyday. She reports that she ...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
leg-pain-in-a-ball-playerHistory and Presenting Symptoms An 18-year-old baseball player presents with aching pain and tightness in his left lower leg.  He describes a collision injury during a game four days earlier, which resulted in pain and bruising in the front of his leg after sliding into second base.  Despite repeated icing, the area still feels swollen.  He describes this as “shin splints.” Exam...
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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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Practice Management
Maurice A. Pisciottano, D.C.
understanding-is-key-to-retentionPatient Retention in a chiropractic practice is defined as the number of times a patient visits your office for chiropractic care.  In order to increase your Patient Retention, you need to increase your patient’s level of understanding.  Patients will follow your recommendations for care if they have a high level of understanding about how your care is helping them.  Retention...
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Mark Sanna, D.C.
utilization-guidelinesWe cannot escape regulation. Whatever we do in our practices requires that we learn our rights, scope of practice, standards of practice, and choice of therapies and modalities. Virtually no activity in clinical practice escapes regulation. However, all too often, practitioners employ a “shoot-from-the-hip” approach to case management, where the doctor or therapist applies his or her own individualistic methodology,...
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Dr. Richard E. Busch, III, D.C.
how-to-systematize-your-staff Whether you are a seasoned veteran doctor or just setting up shop, one thing is certain: you didn’t spend all those years in school to do administrative and office work. That is why you have a support team. You should be the doctor—free to practice and not tied up in the details. Where do you start, what do you...
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Peter Fernandez, D.C.
the-associateships-from-hell Five Types of Associateships To Avoid…and Why. Becoming an associate doctor is not a demeaning career move. Trying to open a new practice when you or your finances are not ready…is. Being an associate should be an honorable, rewarding and learning experience. You will hit net profit your first week in practice (your paycheck), you will...
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Michael Failla, D.C.
streamlining-your-data Recently I have talked to a number of doctors about the types of software that they are using in their offices and it has become apparent to me that many of them have taken a piecemeal approach to creating a paperless office. They are using one program for billing, another for scheduling and yet another for doctors notes. Often these...
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Marc Swerdlick, D.C.
unintended-marketingIt is said that albert einstein had a sign hanging in his office at Princeton University that read, "Not everything that counts can be counted, and not everything that can be counted counts." The point that I want to take from that quote is that there are some not-so-pretty byproducts from marketing a chiropractic clinic that certainly count, but are...
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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.
c2-to-c3-congenital-block-vertebraDescription. When two adjacent vertebrae are osseously fused from birth, this joined unit is called a congenital block vertebra. Embryologically, this is the result of failure of the normal segmentation process of the somites during the period of differentiation at 3-to-8 fetal weeks.1 The block vertebra, by itself, is clinically insignificant. As there is no motion allowed at the fused...
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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.
multiple-myeloma HISTORY This 65-year-old female patient presents with acute symptoms of right-sided radiculopathy, paresthesia and pain in the right upper extremity. There has been no trauma. DIAGNOSIS Observe the gross osteoporosis about the entire cervical spine. There has been pathological collapse of the C5 vertebral body, which is uniform in configuration. This is very characteristic of a malignant...
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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.
sacral-fracturesHistory This patient fell off a horse while competing in a high level equestrian event. The patient fell directly over the sacrum and experienced immediate severe localized pain in the sacral area. Discussion Sacral fractures usually occur as the result of a fall upon the buttocks or following a direct traumatic blow. There are two types: Horizontal and Vertical. Horizontal (transverse) Fractures These are the...
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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.
idiopathic-wrist-pain History This young adult male patient complains of wrist pain after physical activity. Plain film radiographs showed no abnormalities of any of the bones of the wrist, nor was there any joint disease in the carpal bones. Because of persistent pain, an MRI scan was performed. Diagnosis: Kienbock's Disease  Osteonecrosis may occur at any carpal bone as a result of traumatic...
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Peter Fernandez, DC
what-practice-structure-suits-you-best-starting-a-new-practice-v Solo Practitioner (No Incorporation) This type of practice structure is when a doctor is not incorporated.  In this case, the doctor does not have the personal asset protection advantage that a corporate shield has to offer.  Being non-incorporated, if someone files a malpractice suit against the doctor, they will not only be after all his business assets (equipment, accounts...
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Rehabilition
Daniel Dahan, D.C.
step-by-step-rehab-centerAbout 83 million people in the U.S. (42% of the adult population) used at least one alternative therapy in 1997.  Usage among those 35-40-years-old is even higher, at 50%. The estimated number of visits in 1997 to providers of “unconventional therapy”  (629 million) was greater than the number of visits to all primary care medical doctors nationwide (386 million)....
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Dr. Joe Ventura
oh-baby-my-back-hurtsAs if the prospect of morning sickness, constipation, rashes and changes in hormone and wardrobe weren’t daunting enough, 80% of pregnant women will develop back pain and almost 100% will develop poor posture. The pain can last up to three months past the delivery date. Typically pain is experienced in the following areas: Hip Joints Low Back Mid-back Neck Shoulders TMJ or Jaw joint Unfortunately, the poor...
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John K. Hyland, D.C.
avoid-rehab-overloadMost of us know that exercises are an important key to full recovery of spinal function. Unfortunately, I have found that the more knowledgeable doctors are in rehab procedures, the more likely they are to overwhelm their patients with exercises. The result is frequently a long laundry-list of exercises given to each patient. This often includes stretches for all of...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
getting-hip-muscles-back-in-balance The hip muscles form a vital link in the lower extremity kinetic chain by transferring ground-reaction forces from the legs to the trunk during gait.  These muscle groups supply coordinated propulsion and provide balanced stability for the pelvis and spine.  However, through repetitive use patterns and after injuries, it is not unusual for some of these muscles to develop shortening...
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Dr. Mark R. Payne, D.C.
simple-effective-home-traction-for-the-cervical-lordosisIn our March article, we discussed how the physical properties of tight, contracted, paraspinal tissues create resistance to the corrective forces of your adjustments. Last month, I showed you a great example of how one case of scoliosis was successfully managed using simple blocking techniques to introduce sustained stretching forces into the spine. In this article, I want to discuss...
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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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Techniques
Jeanne Ohm, D.C.
the-webster-technique-in-pregnancy-for-safer-easier-birthsChiropractic care is essential for the pregnant mother. Her systems and organs are now providing for two, and their optimal function is critical for the baby’s healthy development. The mother’s spine and pelvis undergo many changes and adaptations to compensate for the growing baby, and the risk of interference to her nerve system is substantially increased. Specific chiropractic care throughout...
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Mark R. Payne, D.C.
protective-postures-part-1-Lot's of doctors don't incorporate postural rehab (or any other type of rehab for that matter)  into their care programs.  Possibly because postural chiropractic methods have been associated almost entirely with a particular technique in the past, many doctors view the concepts as somehow contradictory to what they do in their offices.  Strangely, many doctors  resistant to embracing postural rehab...
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Tedd Koren, D.C.
medical-manipulation-or-chiropractic-adjustingChiropractic can be practiced either empirically or mechanistically. How could that be? Why is it important? Chiropractic’s approach to healthcare is similar to the empirical approach of classical homeopathy, classical osteopathy and other “holistic” healthcare systems. That approach, to balance or harmonize the individual within him/herself and to balance or harmonize the individual to his/her Source (soul, spirit, Tao, God), is...
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Tedd Koren, D.C.
the-panic-patternFight or Flight Life has its scary moments and, in a life or death situation, the proper reaction may make the difference between, well, life or death. Fortunately, we are “hard-wired” to improve our chances of surviving dire emergencies with our “fight or flight” or “acute stress” response. How does it work? At the sign of danger, we have two options:...
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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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Deed E. Harrison, D.C.
appropriate-use-of-a-cervical-orthotic-for-abnormalities-of-the-cervical-lordosisIntroductionMore and more, Chiropractors are becoming interested in rehabilitation of the abnormal cervical lordosis due to its potential relationship with a number of patient health disorders.1-3 Chiropractic techniques often recommend the use of both in office equipment as well as supplementation of at home orthotics for rehabilitation of the abnormal cervical lordosis in appropriate cases,4 while other chiropractors use at...
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