NewsFlashes
Cover Stories
TAC Staff
products-a-software-to-help-you-work-with-insurance-to-get-paid Oftentimes, the tools used will determine the possibility for success in accomplishing any task. Making the right decision with regard to the documentation software, record keeping and other products you use will have a tremendous impact on the heights that your clinic may be able to reach. Use this market review to get to know some of your options.     Acom Product...
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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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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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Dr. Richard E. Busch, III, D.C.
success-enhanced-with-axial-decompression Dr. Richard E. Busch III, a second-generation chiropractor, has been in practice for almost eleven years. Busch Chiropractic is a cash-based, single practitioner, blended practice of standard quality chiropractic care, personal injury and pain center, focusing on chronic low-back and cervical disc cases that are facing invasive care, such as surgery, or have had previous failed surgeries. Many of Dr....
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TAC Staff
by-chiropractors-for-chiropractors-since-1979Three Cheers for The American Chiropractor magazine!  Hip, Hip, Hooray!  This marks the 30th anniversary for The American Chiropractor in publication, and things have never been more exciting!     Our Mission Evolving over the years from its beginning as a high energy upstart, for the "Education and Entertainment of The American Chiropractor," today The American Chiropractor (TAC) is "Dedicated to the...
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L. John Faye, DC
still-going-strongDr. L. John Faye graduated from the Canadian Memorial Chiropractic College (CMCC) in 1960, having completed both chiropractic and naturopathic undergraduate courses. He has practiced as a chiropractor ever since. The first fourteen years, he was in Southampton, England, and then returned to Canada for ten years. After nine years in Canada, Dr. Faye was the first chiropractor ever appointed...
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Interviews
Dr. Paul Pugsley
million-dollar-chiropractic-interview-with-dr-paul-pugsleyOriginally from upstate New York, Dr. Paul Pugsley moved to California during grade school. After meeting his wife, Marilou, in undergraduate college, the couple decided to attend chiropractic school in Atlanta, Georgia, at Life Chiropractic College. In their last year at Life, Paul and Marilou had their first of five children. After graduating, Dr. Pugsley and family moved back to...
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Steve Thaxton, D.C.
treating-everything-from-anger-to-zygomycosisDr. Steve Thaxton is a graduate of Abilene Christian University (ACU) and Parker College of Chiropractic, a Board Certified Acupuncturist and Rehabilitation Specialist, and Brimhall certified. Dr. Thaxton served as the personal chiropractor and fitness consultant for the rock band Guns N’ Roses for their 2-1/2 year world tour, and has also been Jon Bon Jovi’s personal chiropractor and personal fitness...
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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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TAC Staff
great-technique-plus-great-nutrition-program-leads-to-outstanding-results-interview-with-peter-heffernan-dcDr. Peter Heffernan has been in practice 37 years in the same location in Waukesha, Wisconsin. He built a 100-patient-per-day practice within one year of graduating from Logan College of Chiropractic in September of 1975. By the end of his second year in practice, he had built a 500-patient-per-week practice. “We did a 90-minute pre-care class educating patients and families...
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Steve Shanks
low-level-lasers-for-pain-therapyInterview with Steve Shanks, Vice President of Erchonia Medical. TAC: Tell us about your product and what it does? Shanks: The Erchonia laser is the first low level laser to receive FDA market clearance; Erchonia opened a whole new industry in non-invasive patient care. We currently have FDA approval for chronic neck and shoulder pain and post-surgical pain. We should have another...
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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
Virender Sodhi, N.D., M.D.
chronic-inflammation-an-ayurvedic-perspectiveThe Ayurvedic approach to pain management is a holistic one. When treating a patient with chronic pain, I always advise an integrated approach, and look beyond the outward pain to discover the underlying source. Very often, chronic pain is caused by an inflammatory response within the body. Ayurvedic herbal treatments are effective for healing and...
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Todd Singleton, D.C.
have-you-considered-using-nutrition-to-help-patients-with-neuropathyAbout seven years ago, I switched from an insurance-based practice treating solely musculoskeletal conditions to an all-cash practice treating some musculoskeletal conditions as well as a lot of additional conditions like obesity, diabetes, fibromyalgia and candida. During my first 20 years of practice, when a patient came in with serious neuropathy in their feet or hands, I was not able...
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howardloomisjr
internal-health-a-chiropractic-specialty-sympathetic-dominance-parasympathetic-weaknessThis month, I begin a series of 24 articles each designed to highlight a set of symptoms that collectively point at a specific visceral problem that is perpetuating muscle contractions, loss of joint range of motion, and reoccurring structural misalignments that have become chronic and defy permanent correction. It is exactly these problems that cause patients to seek alternatives to...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
nutritional-adjustment-with-coenzyme-q10Myopathology is considered by  most, if not all, chiropractors to be a component of subluxation.  This is a reasonable view, as degenerative changes are known to occur in muscle after injury, during hypomobile states, and as part of the so-called normal aging process.  Most will recall that muscles, and all other cells for that matter, function properly as a consequence...
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Dr. James P. Cima, D.C.
the-truth-about-weight-loss-and-obesityThe Truth about Weight Loss and Obesity by Dr. James P. Cima, D.C.   Why Diet and Exercise Do Not Work and How Our Profession Can Spear-Head the Obesity Epidemic How many patients and or loved ones do you treat where there is a direct correlation between their weight and their physical condition(s)? There are many instances when patients come into my...
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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. 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.
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.
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. 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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Kirk Lee, D.C.
understanding-the-mechanism-of-plantar-fascitisAs chiropractors, our primary focus of care is the chiropractic adjustment. Based on our education in science, art and philosophy, we decide how and where to apply the chiropractic adjustment. Our treatment of a patient’s condition is based on the reduction or stabilization of the resulting subluxation complexes. We listen to our patients’ concerns and answer their questions, but we...
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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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Practice Management
tomowen
small-business-strategy-4-vital-tips-for-successMuch hard work goes into beginning a new business, and we all know that blood, sweat, and tears are the primary ingredients for success.  However, it takes much more than that to establish a thriving business. In building your chiropractic business, many other factors also come into play. After many years of running a chiropractic business, my partners and I...
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Michael Failla, D.C.
the-healthcare-stimulus-package-navigating-the-buzz The Healthcare Stimulus Package: Navigating the Buzz by Michael Failla, D.C.   There has been a great deal of buzz lately about the government’s healthcare stimulus package. And, as Doctors of Chiropractic, the plan is of great interest…as well as great confusion. The promising news is that this package could potentially provide reimbursement payments to qualifying chiropractors of up to $44,000 over...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
the-professional-pi-practice-know-the-rules-and-do-it-rightAs a consultant, I find more and more doctors turning to Personal Injury.  Why?  The great bank robber Willie Smiths was once asked, “Why do you rob banks?”  His response was, “That’s where the money is.”  As regular insurance is becoming more difficult to collect, more and more DC’s are turning to PI.  Why?  Again, that is where...
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Susan Blackard, R.N., N.D.c, M.H.A., F.N.P.c
the-multidisciplined-approach-to-growing-your-practiceSo I bet you’re getting all the clients you can handle and don’t want any more right? Let’s be honest, we could all benefit by having at least a few more people walk through the door. But where do you start? To get more information, I caught up with Dr. Mark Steenerson of Minnesota. A few years ago, he was asking himself...
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Maurice A. Pisciottano, D.C.
creating-a-high-quality-imageIn today’s society, image is everything.  Public perception of a service or product can actually make or break a business.  Lets face it…chiropractic has had a less than positive public perception for over 100 years.  Do you ever contemplate your image?  What does the public perceive when they are introduced to you and to your practice?  What do they notice...
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Mark Sanna, D.C.
tipsQ: What is the difference between active and passive care? A: One of the primary trends of healthcare is one away from the passive model of patient care toward an active model of care.  The paradigm of passive care with which chiropractors have practiced since the inception of our profession is now defunct.  Many practices that were established ten or eleven years...
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Radiology
Ryan Everhart
digital-x-ray-solutions-for-chiropracticX-rays play an important role in determining the exact cause for many health complications in patients. The advancements in radiography are allowing physicians to pinpoint the exact cause of complications through high quality output in a matter of seconds. As a chiropractor, it is important to determine what part of the body is causing the trouble, and you can do...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
librarian-overdue-for-pelvic-pain-relief History and Presenting Symptoms A 37-year-old female describes a history of occasional pain in her lower back region, most noticeable on the left side.  She states that her low back pain “just seems to come and go,” with no obvious triggering activities.  Her pain is localized to the posterior hip region, and does not extend below the pelvis.  She is...
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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.
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.
the-positive-fat-pad-sign-what-is-itA useful sign of an intraarticular fracture of the elbow is the clear depiction of displaced humeral capsular fat-pads.1  In the normal elbow, a layer of fat (“fat-pad”) lies between the synovial and fibrous layers of both the anterior and posterior joint capsules.  In the lateral projection of the normal elbow, the anterior fat-pad is seen as an obliquely oriented...
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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
transverse-process-fracturesDiscussion Transverse Process Fractures Transverse process fractures are the second most common fractures of the lumbar spine, with compression fractures being the most common. They occur usually secondary to a severe hyperextension and lateral flexion blow to the lumbar spine from avulsion of the paraspinal muscles. The most common segments to suffer transverse process fractures are L2 and L3. Radiographically, the fracture line appears...
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Rehabilition
Dr. Mark R. Payne, D.C.
dueling-paradigms-why-every-chiropractor-should-embrace-postural-rehabilitation-concepts The seventies and eighties brought huge changes to chiropractic. In the early years, chiropractic was founded around a paradigm of restoring normal spinal alignment (structure), thereby allowing the patient to return to a more optimum state of health (function). Many more traditional chiropractors continue to view patient care strictly within this "structural" paradigm. Consider this from the International Chiropractors...
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Dr. Mark R. Payne, D.C.
managing-fhp-in-the-elderlyI recently got some great questions from a doctor in south Florida who frequently encounters aging patients with large forward head translations, yet have pronounced, sometimes even hyperlordotic, cervical curves. We've all observed this posture, common among elderly patients, but many doctors aren't aware it needs to be managed differently than the typical case of FHP associated with cervical hypolordosis. Typically,...
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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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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
getting-the-rehab-job-doneA large percentage of patients don’t perform the home-based rehabilitative exercises that are recommended to them.1  Even though you spend precious time deciding which exercises will be helpful and explaining them to the patient, your experience has probably been the same as most chiropractors:  Too many patients just can’t seem to do their exercises.  And yet, you know that if...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
iliopsoas-muscle-pain-in-a-dance-instructor History and Presenting Symptoms A 25-year-old female presents with a combination of recurring pain in the lower back region and pain and tightness in the front of her right hip. She is very frustrated by her condition, since she has already had six weeks of physical therapy for her hip pain (with only a little relief), and she...
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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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Techniques
Allan Oolo Austin, DC, DO, NMD, CCRD, CCSP, DAc, FIAMA, CFIS, PhD (Hon)
how-to-prevent-sports-injuries-using-qfunctional-muscle-neurologyqrWithout question the main cause of elite athletes not attaining their goals is injuries.  Debilitating injury to muscles or tendons being the culprit. Much has been discovered in recent years relating to the imbalance mechanisms of aberrant and imbalanced pull pattern muscule function. (Janda, Lewit, Leibenson, et al, etc.) Creating an afferent barrage for a neurosummation effect using the Trigenics...
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Tedd Koren, D.C.
fix-allergies-with-chiropracticYour immune system works to keep you 100% natural, organic, unadulterated, you! It recognizes and destroys bacteria, viri, pollutants, dust, pollen, drugs, tumors, debris and artificial substances (metal and plastic, however, don’t trigger an immune reaction). Many things influence how well your immune system functions: your nervous system, endocrine system, diet, genes and emotions.1-3 Allergens...
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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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Deed E. Harrison, DC
chiropractic-biophysics-cbp-mirror-image-posture-adjustingPosture is used by many in chiropractic to demonstrate to the patient that their structure is in abnormal alignment; e.g., health fair and mall screenings, plumb line analysis, visual analysis, and computerized plumb line analysis. However, few DC’s use the scientific analysis of head, rib cage, and pelvis postures in three-dimensions (3D) as rotations and translations along the three X,...
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Brice Vickery, D.C.
tvm-vs-a-chiropractic-wastelandChiropractic, a Wasteland? Things have never been better.  Accepted in all states, academic accreditation, almost full members of the healing arts is the way most see it.  This euphoria disappears when you compare it to what it could become and what it did become for me, and the little group of doctors who have studied TVM (The Vickery Method). It would...
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Lisa Upledger, D.C.
craniosacral-therapyCranioSacral Therapy (CST) is a manual modality that has made its way into the chiropractic clinic as an effective adjunctive therapy.  It focuses on normalizing the craniosacral system, which extends from the skull, face and mouth down to the sacrum and coccyx. The craniosacral system consists of a compartment formed by the dura mater membrane, the cerebrospinal fluid within the membranes,...
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