NewsFlashes
Cover Stories
Dr. David Bass, DC:, D.A.A.M.L.P.
spinal-decompression-and-traction-what-is-the-difference In the 20th century, the electric motor became part of our culture. The creation of intermittent power traction became a reality. This remained unchanged until Dr. Allen Dyer introduced decompression therapy in 1991.1 Dr. Dyer felt that, to reach the inner disc core, traditional traction needed modification. Although intermittent traction is an effective therapy for elasticity, circulation, inflammation and facet...
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Peter Van Tyle, D.C.
new-york-chiropractic-collegeNew York Chiropractic College has gone to great lengths to create the country’s top healthcare professionals, providing them with an unparalleled education and offering exciting clinical opportunities. Its coursework accommodates a rapidly evolving healthcare market. NYCC students consistently score well on both the National Board Examinations and on Canada’s Chiropractic Board Exams, signifying that...
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Dr. James L. Chestnut , D.C., F.I.C.C., F.A.C.C.
evidence-based-wellness-careDr. James L. Chestnut has been studying human wellness for over 25 years. He has a Bachelor of Physical Education degree, a Master of Science degree in exercise physiology with a specialization in neurological adaptation, is a Doctor of Chiropractic from the Canadian Memorial Chiropractic College in Toronto, Canada, and holds a post-graduate Certification in Wellness.   Award....
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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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Susan Blackard, R.N., N.D.C, M.H.A., F.N.P.C
whats-your-solution-the-real-skinny-on-our-obesity-epidemic-no-pun-intendedIs there any one contributor to chronic health conditions more prevalent and dangerous than obesity? National obesity rates among adults has doubled since 1980 alone, yet it seems to be overlooked and misunderstood more often than any other disease catalyst. The explosion of weight loss products and the plethora of theories behind weight gain have seemingly done nothing more than...
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Dr. Eric Plasker, D.C.
fitness-and-chiropractic-a-critical-niche-for-your-practice-and-the-chiropractic-profession The fitness and nutrition industries are poised to take a leadership role in health care. They have all the research that demonstrates their role in achieving optimum health and prevention of sickness and disease. These elements of a healthy lifestyle are being sought after by the public who are trying to decipher between the good and the bad, the real...
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Interviews
George Goodheart, D.C.
muscle-testing-a-manipulation George Goodheart is a second generation Doctor of Chiropractic and graduated from National College of Chiropractic in 1939. In 1964, Dr. Goodheart began making a series of revolutionary observations about muscle function and health and disease that evolved into applied kinesiology. By stimulating various neurological receptors and observing excitatory and inhibitory responses of muscles to manual testing, Dr. Goodheart was...
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Dr. Steven Windwer
million-dollar-chiropractic-interview-with-dr-steven-windwer-dc Originally from New York, Dr. Steven M. Windwer, began working as a physical therapist the Boston area before moving back to Long Island and attending New York in Chiropractic College. He has played competitive basketball and soccer and now is the official chiropractor at Northeastern University, where he works with the athletic trainers and cares for athletes in all sports.   ...
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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
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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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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Rob Cooper
office-supplies-a-suppliersThe American Chiropractor (TAC), interviews Rob Cooper, President of Scrip, Inc., about his company's efforts to "give back" to the chiropractic profession. TAC: Tell us a little bit about the history of Scrip, Inc. Cooper:  I am just entering my 12th year with Scrip Chiropractic Supply, although Scrip has been serving the needs of doctors of chiropractic since 1968.  I know I...
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Nutrition
Barry Sears, Ph.D.
why-it-hurts-pain-and-inflammationPain is often the hallmark of disease. Chronic pain, itself, is not a defined medical condition, but rather a symptom in the body that something has gone awry. Pain usually stems from inflammation of the body’s tissues. Although there is no blood test for pain, the patient is acutely aware of its existence. Throughout the centuries, one of the most pressing...
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Mark Percival, D.C., N.D.
all-things-a-poison-plus-silicon-an-overlooked-trace-mineralIf you are recommending trace minerals to your patients, chances are you are recommending toxic substances.  The strange paradox is, many of these toxic minerals are also essential for life!  With the recent popularity of coral calcium, colloidal mineral cocktails, and other supplements containing seventy or more trace minerals, the question of how toxic elements, such as arsenic, cadmium, antimony,...
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John H. Maher, D.C.
drug-free-approach-to-hypertension The American Heart Association (AHA) estimates approximately 73 million American adults age 20 and over have hypertension, also known as the "silent killer," because only 60 percent of adults who have hypertension are being treated for it, and two-thirds of those don’t have it under control! The AHA defines hypertension as a systolic blood pressure (BP) of 140 mmHg or...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
garlic-ginger-and-turmeric-for-your-healthIf you are not spicing your meals with garlic, ginger and turmeric (GG&T), you need to be taking them as supplements. GG&T are known to be natural anti-inflammatory supplements, and are beginning to be viewed as foods and/or supplements for cancer prevention.1 In reality, GG&T should be viewed as agents that can prevent and/or help treat any disease that is...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
your-lifestyle-tells-your-genes-to-express-diseaseMore and more research is demonstrating how our genes determine the types of diseases we develop and our degree of susceptibility to a given disease. This issue should not be taken lightly, particularly when making specific suggestions to patients.  For example, most have probably heard the “urban legend” that grilled meat causes colorectal cancer. Is this true? The answer is...
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Dr. Howard F. Loomis, D.C.
the-five-minute-stress-evaluation Stress as a Specific Diagnosis Stress provokes a very exact physiological response by the body. Unfortunately, the term "stress" is so commonly used, it seems to have lost significance as a specific diagnosis. Everyone in our modern, fast-paced society seems to be "uptight" because life is so stressful. But, as clinicians, we should never lose sight of the fact that the...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
upper-extremity-conditions-and-orthotic-support History and Presenting Symptoms A 43-year-old female presents with persistent pain in and around her left shoulder, accompanied by tightness extending into her middle back region. Upon further discussion, she recounts a history of a right carpal tunnel syndrome that was treated surgically, with only partial improvement. She has also had several episodes of left elbow tendinitis. She denies any...
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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.
recurrent-ankle-sprainsHistory and Presenting Symptoms The patient is a 38-year-old male, who plays soccer in an adult league on weekends.  He describes recurring episodes of pain and swelling along the outside of his right ankle for the past several years.  He presents for treatment of his lower extremity biomechanical faults, and wants to prevent future problems and improve his athletic performance...
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johndanchik
back-surgery-averted-for-a-teenaged-boyHistory and Presenting SymptomsThe patient is a 13-year-old boy who was identified at a school screening to have a discrepancy in his shoulder heights. His parents were advised to contact an orthopedic surgeon for further evaluation. They reported that the orthopedist found evidence of a scoliosis, but recommended a “watch and wait” approach. No treatment was offered, but if the...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
high-arches-in-a-yoga-instructor History and Presenting Symptoms A 44-year-old female patient is a yoga instructor, who reports the recent onset of pain under her left heel. The foot pain is most noticeable in the morning when she first starts to walk. When her foot bothers her, she notices that her entire back is stiff and less flexible during yoga poses. In...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
recurring-calf-strains History and Presenting Symptoms   The patient is a 32-year-old mom, who also works part-time at the local middle school, where she is the school nurse. She reports numerous episodes of aching and tightness in her right calf over the past three years. She denies any recollection of injury or overuse activities. She has no significant disability, as she is...
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Practice Management
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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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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Maurice A. Pisciottano, D.C.
create-your-future-use-of-an-effective-business-expansion-planning-calendarLet’s face the facts.  Although the average chiropractor does see an occasional “walk-in” new patient, this is more the exception than the rule.  We, as chiropractors, consider that there is a minimum number of new patients that we need to see each week in order to be satisfied that our practice will continue to grow at the expected rate. The...
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tomowen
how-to-develop-an-entrepreneurial-mindsetWhen you first envisioned yourself as a chiropractor, you were probably focused on the opportunity to help people who were suffering from pain. However, most chiropractors realize quickly that the lessons they learned in school aren't enough to gain success in the real world. Chiropractors also need business knowledge and entrepreneurial spirit if they hope to run their own practices.   Of...
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Peter G. Fernandez, D.C.
finding-a-great-associateship  In my previous articles, I described the types of associateships that are, and are not, successful.  Now that you know the type of associateship you should look for—here’s how to find that “needle-in-a-haystack associateship from Heaven.” A potential associate should search for an established doctor who is earning $500,000 or more per year.  Do not associate with a doctor practicing below...
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Frank J. King Jr., N.D., D.C.
results-rule-in-practice-managementOur patient base is changing for the better!  Accep-tance of alternative medical modalities is a result of a number of positive and negative variables.  First, our culture is dogged with chronic conditions, many of which are given absolutely no hope of resolution through traditional medical treatment, and many have become progressively more discontented with traditional allopathic treatment.  Additionally,...
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Radiology
drmarks380
chiropractic-clinician-and-the-radiologist-a-partnership-with-a-caveatIt is critical for every chiropractor to have a support team of health care specialists in order to render the highest level of care for our patients. The radiologist is the first specialist that you should add to your team. In the triaging of our patients, the progression is to create an accurate diagnosis, prognosis and treatment plan and then...
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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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drmarks380
herniated-discs-a-advanced-imaging The patient enters your office and has significant pain radiating into an extremity. Being responsible, you adopt the policy of the insurers and treat the patient conservatively for 4-8 weeks and the pain doesn’t diminish; you then refer the patient to the imaging company for an MRI. In the report, there are minimal findings, so you continue to treat with...
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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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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
fractures-of-the-clavicleHistory The young patient fell on an outstretched arm while playing football. Discussion The “S” shape and normal overlap with the upper ribcage renders the clavicle a difficult structure to evaluate on straight anteroposterior projections.  The optimum view is anteroposterior projections with 15 degrees cephalad tube angulation.  Weights (10-15 pounds) may be held to aid in detecting undisplaced fractures.  The exposure factors should be...
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Rehabilition
Christian H. Reichardt, D.C., C.C.S.P.
vibrational-therapyIn the last issue of The American Chiropractor, I focused primarily on the issue of intergrating Whole Body Vibration (WBV) into your daily office procedures. When we, as Doctors of Chiropractic, are recommending a particular therapy to our patients, we want to be certain to understand the physiologic effects of the particular modality and the...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
achilles-tendon-rehab-proceduresMost injuries of the Achilles tendon are not due to a recent acute injury; they have actually developed gradually, over a period of weeks or months.  These are “overuse” or “misuse” conditions, and are caused by excessive and/or repetitive motion, often with poor biomechanics.  The end result is a microtrauma injury—the body is unable to keep up with the repair...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
establishing-a-care-plan-for-your-patientsThe use of rehabilitation procedures is becoming more of a mainstay within chiropractic health care. Core spinal musculature stabilizing exercises, proprioceptive training, as well as activities designed to enhance flexibility are currently being used to help support the chiropractic adjustment. Each of these methods has become a major point of interest to help a patient enhance his/her overall health...
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Dr. Mark R. Payne D.C.
reverse-postureqUsed to spend a lot of time and effort on postural adjusting. These days...not so much! It's not by chance that my columns are always centered around postural rehab with rarely a word about postural adjusting methods. That's because I find rehab methods to be much more effective at actually producing spinal corrections than any...
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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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Kirk Lee, D.C.
get-those-patients-walkingNow that we are in the middle of summer, many of our patients ask us about outdoor activities and what they should do and not do. We usually instruct our patients to warm up a little with some walking and some simple range of motion stretches involving the major muscle groups before starting their outdoor projects. For our more sedimentary...
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Techniques
Jeanne Ohm, D.C.
the-webster-technique-a-chiropractic-analysis-and-adjustment-for-pregnant-womenMore and more women are seeking the benefits of chiropractic care in pregnancy.  Many birth care providers are becoming aware of the efficacy of care throughout pregnancy and encouraging their patients/clients to find doctors of chiropractic who are interested in caring for pregnant women.  As with any specialty group within the population, there are specific types of spinal analysis and...
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Tedd Koren, D.C.
dont-limit-the-subluxationUsing different terminology, D.D. Palmer (chiropractic), A.T. Still (osteopathy) and Samuel Hahnemann (homeopathy) all recognized life as a triune of matter (physical), energy (emotion) and consciousness (intelligence) and viewed dis-ease as the result of disharmony amongst them. There is no purely physical or purely mental illness—all physical illness includes emotional symptoms and all emotional illness includes physical symptoms. Physical...
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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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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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Warren I. Hammer, DC, MS, DABCO
fascial-manipulationcfmModern myth has it that doctors in Europe are ahead of us in new methods of healing.  The truth of this may be dubious but it does underscore the importance of keeping abreast of healing advances in other countries as we strive to achieve the highest possible level in care for our patients.    Three years ago, I was invited to Italy...
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Randy B. Reed, D.C., C.C.S.P.
i-cant-believe-its-not-traction  After spending the better part of the last 6 years developing a seminar for Continuing Education Credits and speaking to over 2000 Chiropractors, Neuro & Orthopedic Surgeons, Osteopaths, and Physical Therapists on “Axial Decompression and Core Rehab for the Lumbar Disc Patient”, I am still amazed and intrigued by the one question that mainly chiropractors ask me.  I am asked...
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