NewsFlashes
Cover Stories
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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dagmar
x-ray-in-motionWhere other chiropractors were eager to open up their practice, Dr. Postlethwaite had different plans...   Dr. John Postlethwaite, the big man with the big idea. Dr. John, as he’s known in the profession, graduated from Palmer Chiropractic College in 1987. He moved to the Tampa Bay area of Florida and received his Florida License in 1989. He also...
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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
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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Market Review
nutritional-support-for-healthNutritional Support for Health   Many Chiropractors use some form of nutritional support to assist in the healing process of their patients. See here, in alphabetical order, the newest nutritional products in the market to suggest to your patients and/or add to your practice.     Anabolic Labs: Ultra K2D3 Price Range: $10 doctors’ price; $20 patients’ price (this is a one to two month supply) Product...
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Arthur Croft, D.C.
25-years-of-whiplash-research Dr. Croft is the Founding Director of the Spine Research Institute of San Diego. He has been actively engaged in whiplash research for the past twenty-five years and has co-authored a best-selling textbook on whiplash (Whiplash Injuries: the Cervical Acceleration/Deceleration Syndrome, 3rd edition, 2002) and temporomandibular joint disorders (Whiplash and Temporomandibular Disorders: an Interdisciplinary Approach to Case Management), along...
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Interviews
Dr. Daniel J. Murphy D.C., D.A.B.C.O.
interview-with-dan-murphy-dcWith this issue’s focus on Seminars & Education Opportunities, The American Chiropractor (TAC) interviews one of the most knowledgeable and respected speakers and educators in the chiropractic profession, Dr. Daniel Murphy. A 1978 graduate of Western States Chiropractic College, Dr. Murphy began clinical practice in 1978, in Oregon.  Not long after, he became a part-time faculty member at Life Chiropractic College...
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Tedd Koren, D.C.
challenge-check-and-correct-the-entire-structural-systemTedd Koren, D.C., is certainly one of the most widely read Doctors of Chiropractic today. Through Koren Publications, over 50 million of his popular patient education brochures have been distributed. His monthly patient and professional newsletters are among the most popular in the profession. He is the author of Chiropractic: Bringing Out the Best in You!, Chiropractic Wellness:  Health from...
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Dr. Deane Mink
million-dollar-chiropractor-interview-with-dr-deane-mink  Dr. Deane Mink's M$C Profile PERSONAL Married to wife, Sue, for 15 years; 7 children:  Mark, 43; Debbie, 41; Mike, 39; Matt, 36; Mitch, 29; Cheri, 32; and Christie, 25; 10 grandchildren. Recreation and Leisure:  Fishing and/or netting shrimp almost every week; boating; weekends at Florida waterfront properties; season ticket holder for Univ. of Florida football team. "GO GATORS!" Professional...
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Todd Singleton, D.C.
one-doctors-solution-to-the-insurance-problemIncrease Your Practice by Expanding Your Focus from the 7% to 12% of Your Town Who Seek Chiropractic Care, to the 66% to 86% of Your Town Who Are Seeking This…   Todd Singleton, D.C., is an author, speaker, consultant and a practicing doctor.  He graduated from Los Angeles College of Chiropractic in 1990.  For many years he ran the largest...
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James Mathis
how-to-get-paidJames J. Mathis has been employed in the insurance industry for more than fifteen years.  Formerly with Allstate Insurance and State Farm Insurance, during that time, he was also a claim representative as well as a manager in charge of all Med-Pay claims and Personal Injury Protection claims in the State of Washington.  In addition, he was designated the company...
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TAC Staff
the-unlikely-defender-of-the-subluxation-interview-with-gary-jacob-dc-lac-mph-dipmdtGary Alan Jacob, DC, LAc, MPH, DipMDT completed his baccalaureate studies in Philosophy of Science. He graduated from Los Angeles College of Chiropractic in 1978 and the California Acupuncture College in 1981. He was the first DC and the 12th individual to receive the Diploma in Mechanical Diagnosis and Therapy in 1991 from the McKenzie Institute International. In 2003, he...
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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
new-review-on-the-pro-inflammatory-modern-dietOver the past several years, Dr. Loren Cordain, author of The Paleodiet, has kept us abreast on the nature of the “hunter-gatherer” diet and its importance in human health. His most recent paper was published in the February issue of the American Journal of Clinical Nutrition. With several notable coauthors, Cordain describes the development of our “modern” Western diet and...
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Dr. Stephen Kaufman, D.C.
should-chiropractors-treat-intestinal-problems Can Pain Due to Intestinal Disorders Be Stopped in Minutes with a Simple Soft Tissue Technique? Inflammatory bowel disease, irritable bowel syndrome, and other intestinal disorders often respond extremely well to a combination of soft tissue techniques and nutritional supplementation. Various studies show between one person in one hundred to one thousand in North America will experience ulcerative colitis...
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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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Howard F. Loomis, Jr., D.C., F.I.A.C.A.
internal-health-a-chiropractic-specialty-increased-referrals-by-solving-problem-casesIn presenting the concept of internal health—a chiropractic specialty—I have been advocating an examination approach that recognizes that muscle contraction accompanied inevitably with loss of range of motion can be caused not only by a structural problem but visceral function as well. In other words, they should not be separated when we attempt to establish the cause of chronic recurring...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
inflammation-and-diet-a-growing-concernThe January 1st issue of the New England Journal of Medicine (NEJM) contained an editorial entitled, “From asthma to atherosclerosis–5-lipoxygenase, leukotrienes, and inflammation.”  Inflammation is something we are all aware of, and I have written about in most of my TAC articles this past year.  What about 5-lipoxygenas and leukotrienes; what are they? Our cell membranes are made...
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Dr. Howard F. Loomis, D.C.
what-do-you-have-to-see-before-you-know-what-to-doStructural Stress During the 20th century, chiropractors established themselves as the experts in the recognition and correction of structural deviations from normal. The chiropractic profession has survived the slings and arrows of its detractors by producing consistent results for relief of back pain, headaches, sprains and strains, and many other structural problems. Important contributions have been made in the management of...
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Orthotics
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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
groin-strains History and Presenting Symptoms A 45-year-old male presents with occasional, moderate pain in his left hip and groin. He has been evaluated for hernia and arthritis, with no definitive diagnosis and no successful treatment. Physical therapy with various modalities and exercises felt good, but didn’t resolve his problem. He says that he has noticed these symptoms for at least the past...
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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.
going-the-extra-mile-with-the-orthotics-processThe main values of providing custom orthotics are the postural support, protection, and comfort they offer to your patients.  Another important aspect of the orthotics process, however, is the help you can give your patients in getting reimbursed for these products.  Many patients hope that their orthotics will be considered a covered expense by their insurance companies.  For some...
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johndanchik
athlete-back-on-the-ice-thanks-to-chiropractic-careHistory and Presenting Symptoms The patient, a 24-year-old male semi-professional hockey player, reports a recent right hamstring “grab” that just does not seem to be improving. His history includes several injuries to the same hamstring muscle during his collegiate playing career with mixed attempts to stretch and rehab. He also describes varying levels of pain in his lower back and left...
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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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Practice Management
Craig Hennequant, DC
update-on-workers-compensationA graduate of Palmer Chiropractic College in 1996, Dr. Craig Hennequant has been spending much of the past four years working with chiropractors nationwide to help them become more evidence-based and improve their documentation and care management. In his interview with The American Chiropractor (TAC), Dr. Hennequant describes his findings and the future of chiropractic. TAC:  Tell us something about yourself. Hennequant:  Well,...
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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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Daniel Dahan, D.C.
business-departmentIn an effort to help you maximize all your services, Dr. Daniel Dahan has identified 7 departmental areas in your practice, which need to be addressed.  Each of these areas is being dealt with sequentially in The American Chiropractor.  By following the suggestions given, your office will not only maximize its potential, but also delineate areas of weakness that need...
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Maurice A. Pisciottano, D.C.
feeling-vs-functioning-a-simple-solution-to-a-common-practice-problemDespite our extensive background in the philosophy of our profession, we, as chiropractors, often fall into the “MEDICAL MODEL OF THINKING.” We may find ourselves making care decisions based upon the symptoms the patients report on the day we see them, rather than relying upon objective data collected that day or at a previous appointment. People in today’s society have been...
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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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tomowen
how-to-control-your-appointment-bookOne subject that tends to get overlooked when it comes to the overall management of a chiropractic practice is simple appointment book control. A lot of doctors haven’t learned that there needs to be a certain rhyme and reason to every minute that is controlled by the appointment book for the practice. Because really, when it boils down to it,...
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Radiology
Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.
fracture-of-the-wrist-affecting-the-young-and-oldCASE HISTORY: This 8-year-old fell and hyperextended his wrist. Diagnosis: Torus fracture–distal radius. FRACTURES OF THE WRISTDistal Radius Fractures. The distal radius is one of the most common sites of fracture in the wrist. Care must be taken to search all projections for these fractures, many of which are often subtle and obscure. In the...
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Dwight C. Whynot, D.C.
the-cervical-acceleration-deceleration-practitioner So, you want to treat patients that have suffered a cervical acceleration/deceleration (CAD) trauma. Then you must learn to examine and treat a CAD injured person properly and with the proper tools. First of all, if you have never treated these types of injuries before, then you should arm yourself with the knowledge of the etiology of CAD trauma....
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
hangmans-fractureHistory This adult male patient was involved in a car accident.  He struck his head on the windshield and was then thrown into hyperextension. Discussion Hangman’s Fracture (Traumatic spondylolisthesis). Fractures of the neural arch of the axis are one of the most common injuries of the cervical spine. Up to 40% of axis fractures are hangman’s fractures.1  They are usually...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
whiplash-injury History This patient was in a motor vehicle accident and hyper-extended her neck. A fracture was seen–where is it?   Introduction Fractures of the spinal column are found most commonly at C1-C2, C5-C7, and T12-L2. There has been a significant rise in spinal fractures and spinal cord injuries that appears attributable to an increase in automobile accidents and sports activities.1 Approximately 20% of spinal...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R. Alicia M. Yochum, D.C., R.N., B.S.N.
anomalies-of-the-c-1-posterior-arch[Case History] This young adult was in a car accident and has suboccipital pain. Do you see a fracture? Agenesis of the Atlas Posterior Arch Synonyms. Aplasia or congenital absence of the posterior arch. Description. Lack of ossification of the posterior arch of the atlas may be complete and bilateral, may be purely unilateral, or may manifest as small clefts (i.e., spina...
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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.
soft-tissue-neoplasm-or-hematomaSoft Tissue Neoplasm or Hematoma? by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.   History: This 25 year old female has recently noticed a palpable mass in the upper inner thigh. She doesn’t recall any fall but does ride her horse on a regular basis. Diagnosis: Post-traumatic myositis ossificans. Note the calcific mass near the...
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Rehabilition
Mark R. Payne D.C.
science-posture-and-personal-injuryScience, Posture and Personal Injury by Dr. Mark R. Payne D.C.   Personal injury patients inevitably present with a unique set of challenges. From a clinical standpoint they are often in more acute, severe pain. Pre existing conditions are extremely commonm and need to be taken into account. Finally, there will almost always be real and legitimate concerns related...
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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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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
lack-of-spinal-movementFor every doctor of chiropractic, a factor for consideration in patient care is spinal motion.  Abnormal movement is one of the most frequent findings, whether in the form of, “Doc, I just can’t bend,” or  “There is a lack of normal motion on examination.” Or perhaps, “There is a fixation of C4.”  But, in whatever form it occurs, abnormal motion...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
hamstring-strains-and-orthotic-supportHamstring injuries and athletic running seem to go together.  The injuries also tend to reoccur and become chronic.  Often, the recovery rate becomes frustrating for the athlete as well as the practitioner.  While the etiology remains controversial, the primary causes may be considered, in order to enhance recovery and prevent reinjury. Main Causes Some of the most common causes of hamstring muscle...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
the-functional-approach-to-rehab-exerciseSelecting the ideal exercises for patients with back conditions requires judgment based on clinical experience and scientific evidence.  There are several approaches to rehabilitation, and many different types of exercises are available; however, patients have a limited amount of time, willingness, and enthusiasm to exercise.  Therefore, we must always try to give our patients the most effective exercises for their...
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James C. Antos , D.C.
why-every-chiropractor-should-be-a-dme-durable-medical-equipment-supplierAfter 34 years of private chiropractic practice, I have found that some fundamental keys to practice security, financial security, and peace of mind lie in these simple facts.     First, as a chiropractor I must be able to get positive results for my patients concerning both their goals and mine.  The patients must feel that I am there “for them” and...
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Techniques
Scott Walker, D.C. and Deborah Walker, D.C.
your-present-technique-works-better-than-you-think-it-does Today we have a lot of procedures and techniques available to help our patients. As chiropractors, we try to figure out what is the best approach for each of our patients and apply our skills to assist the body in its natural healing process. So, what is the best technique for your patients? The answer, of course, is...
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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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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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Deed E. Harrison, D.C.
postural-alignment-a-health-disorders-a-scientific-connection  INTRODUCTIONPosture has probably been one of the longest studied aspects of humans. The correlation of posture and health has driven us to study our posture since at least the time of Hippocrates.1 Since Hippocrates’ time, many have attempted to categorize man into constitutional posture types.1-3  Before any possible consequences of abnormal posture can be addressed, normal posture must be defined...
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Tim Maggs, D.C.
the-structural-management-programDr. Tim Maggs has been in practice for 27 years, and travels the country speaking on his Structural Management™ Program.  He worked 4 years with the New York Giants, writes a sports medicine column for many running/triathlete magazines around the country, and also writes for many chiropractic magazines. In an interview with The American Chiropractor (TAC), Dr. Maggs discusses The Structural...
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Paul Yanick, Ph.D.
breakthrough-pre-adjustment-technique-to-fully-activate-innate-and-de-stress-the-bodyCan you imagine having a fuller understanding of why adjustments hold or don’t hold and a more accurate description of why innate’s powerful influence on healing in the organism may be inhibited? The key to unlocking multiple channels of innate intelligence is related to adrenal gland physiology and the body’s ability to store, maintain and balance coherent energy. Yin and Yang...
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