NewsFlashes
Cover Stories
Christopher Kent, DC
a-man-of-many-hats Chiropractic Leadership Alliance’s versatile Co-Founder is one the most influential minds that the profession has ever known—and the perfect choice to lead the Wellness Revolution: the kind that would make him one of the most important chiropractic figures of his generation. A Man of Many Hats, Christopher Kent is a Doctor, a Lawyer, an Author, a Researcher, an...
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TAC Staff
calendar-of-conventions-and-seminarsSeminars!  We know that you’re interested in furthering your education and keeping on top of everything that happens in chiropractic, whether to fulfill your CE credits or simply to keep learning.  To assist you in planning ahead, this directory is designed to provide you with a list of upcoming seminars in order of general topic—national and international association and organization...
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Jay Kennedy, DC Michael Schneider, DC., PH.D David Seaman, D.C.
herniated-discs-and-conservative-treatments    Dr. Kennedy is a graduate of Palmer College and has been in both private and MD/DC practices in Berlin, PA, for over 23 years. He is a leading authority in North America on decompression and rehabilitation procedures and has successfully treated tens of thousands of patients. He has pioneered decompression therapy technique since 1993. Dr....
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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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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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Palmer Chiropractic College (PCC)
the-palmer-academic-health-center The new, three-story building taking shape on the Palmer College of Chiropractic campus in Davenport, Iowa, is impressive from the outside, but it’s what will happen on the inside that has administrators, faculty and students buzzing on Palmer’s main campus, The Fountainhead of the chiropractic profession. The Palmer College of Chiropractic Academic Health Center will be a unique feature...
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Interviews
Bill Koch, D.C.
applied-kinesiology-demystified-interview-with-eugene-charles-dcWhen it was suggested that I do an interview with Applied Kinesiology practitioner and instructor, Dr. Eugene Charles, I was hesitant to accept the assignment.  Of all the well known chiropractic techniques, Applied Kinesiology was the one in which I had the least interest.  Throughout the years, I had seen numerous demonstrations of what had been represented to be AK...
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Joe Mershon
chiropractors-on-tv-national-tv-campaign The 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...
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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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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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Dr. Mitch Mally
million-dollar-chiropractic-featuring-dr-mitch-mallyEach article in the MILLION DOLLAR CHIROPRACTIC series (M$C) focuses on the top surveyed issues facing chiropractors today.  Recruiting new patients, retention, profitability, marketing and staffing are each a determining factor in the growth, potential and success of the practice. The subject of this issue’s profile is Dr. Mitch Mally, a 1981 graduate of Palmer College of Chiropractic who...
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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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Nutrition
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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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
the-omega-6-mobileonly-diesel-vehicles-should-eat-n-6sAs discussed in previous columns in The American Chiropractor, our consumption of omega-6 (n-6) fatty acids is excessive and pro-inflammatory. In a recent TAC article, I discussed how most Americans have been corn-oiled. It takes some eighteen cups of corn to make just one...
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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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Barry Sears, Ph.D.
what-is-wellnessWe assume we have it, yet we take it for granted until we’re sick. I’m referring to “wellness.” Webster’s dictionary defines wellness as the quality or state of being in good, health especially as an actively sought goal. This means we have to make an effort if we want to be healthy—something...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
to-reduce-osteoporosis-put-a-little-fat-in-your-bonesOsteoporosis is an extremely costly condition; the expense for treating osteoporosis-induced fractures reaches about $38 million per day.1 Consider this in light of the fact that calcium fortification and supplementation is at a premium.  One day of shopping at Sam’s Club, as an example, leads to the realization that countless bottles of calcium are sold on a monthly basis. What does...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
syndrome-x-and-subluxationSome 40 million Americans are thought to have syndrome X,1 and there are likely to be several million who are rapidly moving in that direction.  Syndrome X is thought to be a driver of heart disease, hypertension, cancer, diabetes mellitus, obesity, depression, and other diseases.2  Syndrome X refers to an abnormal metabolic state that is characterized by insulin resistance, hyperinsulinemia,...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
lumbopelvic-pain-during-pregnancyHistory and Presenting Symptoms A 33-year-old female reports the recent onset of persistent aching pain and tightness in her lower back region.  The pain extends into both buttocks, and occasionally is felt around the left hip and into the left groin.  She is into her 7th month of her second pregnancy, and says that her back pain has increased with her...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
a-non-surgical-approach-to-chronic-knee-painHistory and Presenting Symptoms The patient is a 41-year-old male, who describes persistent pain and occasional stiffness in his left knee, which is not associated with any specific activity.  He reports several years of recurring episodes of medial knee pain that just comes and goes, with no swelling or inflammation.  Previous evaluations, including a knee MRI, have resulted in a diagnosis...
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Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
chiropractic-a-profession-in-dire-need-of-unification In 1989, as an 8 year practitioner, I was angry at the state of politics in New York. Not being one to be idle, I was determined to right the ship, so a group of five professionals got together and had a decision to make. Should we infiltrate the current state organization and "right the ship," or should we create...
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Kirk Lee, D.C.
consider-hobbies-to-determine-whats-causing-painAs chiropractors, when we conduct our case histories and examinations we typically determine mechanisms of injury to be related to specific instances of trauma, repetitive macrotrauma or microtrauma. However, we should also consider posture, activities of daily living and hobbies as these can sometimes be the root cause of a patient’s pain. Today we are going to take into consideration...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
metatarsal-stress-fractureHistory and Presenting Symptoms The patient is a 32 year-old personnel manager who has taken up running for stress reduction and weight control. She has been running for six months, and has been progressively increasing her mileage. She is experiencing recurring and worsening pain in her right foot, also increased low-back tightness. She recalls no specific injury to her foot or...
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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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Practice Management
Peter Fernandez, D.C.
the-independent-contractor-method-of-starting-a-new-practice-vii If you you are considering starting your own practice or purchasing an existing practice, ponder these points before you plunge in.   Independent Contractor In the business world, the term Independent Contractor usually refers to a person who contracts himself out (receives money for services), i.e., an independent fill-in doctor. However, in the chiropractic profession, the usual definition of an...
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tomowen
what-does-it-take-to-succeed-as-an-entrepreneurMaking the decision to open your own chiropractic practice can be both exciting and terrifying. First of all, congratulations on your decision to branch out from the comfort zone you have enjoyed while working for someone else's practice. Taking a leap into the unknown by becoming your own boss is risky, but that risk is an essential ingredient in your...
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Peter Fernandez, DC
an-associateship-that-worksThe Tandem Associateship, Two Doctors Successfully Treating The Same Patients. In the previous article of this, “How To Start A Practice” series, I discussed the “Associateships from Hell.” Unfortunately, most starting doctors get trapped in bad associate arrangements like ...
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Mark Sanna, D.C.
tipsQ: It used to be that to establish medical necessity for care, you need only submit a copy of your travel card and frequently you got paid. It is not that easy today and the fact that the patient had a subjective complaint is simply not enough. What are the carriers looking for to establish this "mysterious" medical necessity? A: Active...
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John Hayes Jr., D.C.
who-are-you-and-who-should-you-be- Irecently had a very interesting new patient—very apprehensive, but enthusiastic, young, highly educated and a prior patient of chiropractic care. When I asked her what she thought about our office, a story unfolded. First, she got our name from a local listing online. Afterwards, she "Googled" me. Consumers are "Googling" (using the search engine, "Google" or some other search engine)...
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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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Radiology
Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
lumbar-spine-compression-fracturesThe radiographic signs of vertebral compression fracture are often subtle.  Radiographs of optimal quality are necessary in order to adequately demonstrate these fractures.  Lateral radiographs best demonstrate the fracture features.  Radiographic signs of vertebral compression fracture include a step defect, wedge deformity, a linear zone of condensation, displaced endplate, paraspinal edema and abdominal ileus.  Step Defect—Note, in the presented image, a...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
melorheostosis[Case History] This male patient has a history of multiple traumas to his humerus.  Are these radiopacities exuberant callous formation from hematoma? Diagnosis:  The answer is no!! This is a rare sclerotic skeletal dysplasia referred to as “MELORHEOSTOSIS”. General Considerations Melorheostosis is a rare, sclerosing bone dysplasia that was first described in 1922 by Leri and Joanny.  Synonyms include Leri type of osteopetrosis, osteosis...
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Jean Pierre Gibeault, P: eng.
rasterstereography-radiation-free-technology-for-the-analysis-of-the-spine-and-pelvisRasterstereography: Radiation - Free Technology for the Analysis of the Spine and Pelvis by Jean Pierre Gibeault, P: eng.   RECENTLY IN THE LITERATURE: In a recent study, researchers demonstrated an excellent correlation between X-ray measurements and measurements made with rasterstereography (Schulte 2008). Schulte, et al., produced rasterstereographs and compared them to digitized A-P radiographs of the same 16...
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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
sacral-fracturesCase History:  This male patient was working on the roof of his garage when he slipped and fell 12 feet to the concrete pavement of his driveway.  He has sharp pain over his proximal sacrum. Does he have a fracture? Diagnosis:  Note the fracture through the anterior surface of the second sacral segment creating an acute offset of its anterior cortical...
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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.
compression-fracturesHistory: This 60-year-old male patient presents with acute lower thoracic pain after a fall while skiing.  Axial flexion compression force occurred during this fall.  The radiographic examination demonstrates how many compression fractures?  Are these compression fractures benign or malignant? DISCUSSION Compression fractures of the lumbar spine are the result of a combination of truncal flexion and axial compression.  The extent of 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.
intertrochanteric-fracture-of-the-proximal-femurIntertrochanteric Fracture Of The Proximal Femur by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.   CASE HISTORY This elderly female patient slipped getting out of the bath tub. She heard a crack and felt immediate pain. DIAGNOSIS Fractures around the proximal femur are relatively uncommon in young to middle-aged patients with a sharp increase in...
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Rehabilition
Dr. Stephen Kaufman, D.C.
can-frozen-or-painful-shoulders-really-be-unlocked-in-minutes-even-after-years-or-decades-of-pain-and-immobilityOn 2002, at a seminar in Denver, a doctor in his 30’s stated he had had only 90° shoulder abduction for ten years. After applying this technique, his arm immediately rose to almost full abduction of 160°. In Oregon, a doctor had had severe pain and limitation of motion for over thirty years. In front of...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
osteoporosis-and-spinal-excerciseAs the population ages and becomes more sedentary, we will be seeing more of our patients affected by osteoporosis and its complications.  Initially, there is a reduction in bone mass (osteopenia), which is considered a universal phenomenon of aging.  However, when the condition progresses to osteoporosis, bone strength is compromised, and fractures develop with trivial (or no) trauma.  These fractures...
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Dr. Mark R. Payne, D.C.
compression-counterstressing-traction-in-the-professional-office Last month, I discussed the Dakota Traction™, a simple home device for use in restoring the cervical lordosis. This time, I want to discuss a simple extension traction procedure for use within the professional office. In-Office traction has two key advantages over home traction: It helps insure some degree of compliance, especially during the early phase of care, and...
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Jay Kennedy, D.C.
active-therapeutic-movement-atm-therapy-in-a-chiropractic-clinicFor the past five years I have been a consultant for one of the largest rehab medical companies in the USA in charge of co-developing their flagship decompression table. Being in this position, I was also called upon by them to evaluate other company products. As such, a few years ago I was introduced to a new and dynamic rehabilitation...
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Dr. Mark R. Payne D.C.
free-marketing I’ve already addressed some basics of building the corrective care practice in both the May (Depression Era Marketing), and July (Building the Family Practice) issues. Now, let’s touch on a super powerful internal marketing tool for building both patient retention and new patient referrals. Oh, and best of all, this one won’t cost a dime. One of the most critical opportunities...
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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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Techniques
Karen Wilczewski
the-graston-technique-changing-the-treatment-of-soft-tissue-injuriesA clinically researched, innovative treatment modality is changing the way chiropractors are treating soft tissue injuries—including the most difficult repetitive stress diagnoses.  The mode of treatment, the Graston Technique, offers expanded options for treating all chronic and acute disorders. In less than a year since its introduction to the profession  (November 2001), more than 300 chiropractors nationwide have been trained...
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Robert C. Gordon, D.C.
clinically-justifying-mua-in-the-field-of-pain-managementFrom a clinical standpoint, MUA has never been questioned as an alternative to correcting fixated articulation, and shortened muscles. But, as a procedure performed by the chiropractic profession, it is questioned constantly. Manipulation Under Anesthesia or medication-assisted manipulation has long been used by the orthopedic, and osteopathic professions to correct joint fixation. Chiropractic physicians started using this technique in the late 80’s as...
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Arlan Fuhr, DC
where-when-and-when-not-to-adjustToday, with more and more studies concluding that the standard methods of chiropractic analysis are unreliable and not reproducible, many doctors of chiropractic are looking for a way to analyze the spine and extremities that can give them assurance.  Activator Methods Chiropractic Technique (AMCT) utilizes a protocol incorporating leg length analysis, pre- and post-adjustment, to determine exactly where, when and...
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Dr. Pamela Stone, D.C., C.A.C.C.P.
infertility-a-chiropracticIf you have been in practice for any length of time, you probably have heard a comment from a patient saying she has gotten pregnant while under chiropractic care. Sometimes inferences are made as a joke, "Hey, my chiropractor got me pregnant." People within the chiropractic profession aren’t always surprised by this, as improved function...
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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.
adjusting-disksAn alternative to spinal surgery Sometimes the most difficult cases are not due to subluxations of the vertebrae but to subluxations of the disks. As Richard Van Rumpt, DC, developer of directional non-force technique (DNFT) said decades ago, “If the disks are subluxated, the vertebrae won’t hold.” Is it possible to adjust disks? Yes, it is possible to easily...
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