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Cover Stories
Parker Chiropractic College
parker-college-of-chiropractic After thirty-one years of Parker Seminars, experiencing exceptional growth and success, Dr. James Parker’s colleagues urged him to establish Parker College of Chiropractic. A group of twenty-seven students made a leap of faith in September 1982. They were the first students to enroll at Parker College of Chiropractic. Parker College’s curriculum—both basic and chiropractic—continues to be integrated with the...
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Fabrizio Mancini, D.C.
interview-with-fabrizio-mancini-dcFabrizio Mancini came to the United States in 1978 from Colombia, South America.  His dream was to become a doctor to help alleviate the suffering of others.  His journey began in Dallas as he studied pre-medicine at the prestigious University of Dallas where he was preparing to be a neurosurgeon.  He later discovered the chiropractic profession and enrolled at Parker...
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William H. Koch, D.C.
adventures-in-practice We have all grown up with the dramas of medical practice, depicted in popular TV programs.  There was Dr. Ben Casey doing brain surgery, and also the fatherly Marcus Welby, M.D., who practiced medicine in a small town, providing each patient with a level of patience, competence and benevolence that everyone would love to have from their doctor.  Who can...
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Jeffrey Slocum, D.C.
interview-with-jeffrey-slocum-dcDr. Slocum graduated from Logan College of Chiropractic in April 1993. He has been the owner of his practice for over fourteen years. Dr. Slocum is a fourth generation chiropractor and has focused on developing a family wellness based practice that uses state of the art technology and focuses extensively on staff development. Dr. Slocum...
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TAC Staff
up-close-and-personal-the-proadjuster-edgeRight off the heels of the most successful ProAdjuster National Symposium ever, The American Chiropractor magazine’s Editorial Board Member, Dr. Frank Corbo, had the opportunity to sit down with ProAdjuster President and CEO, Dr. Maurice A. Pisciottano.  The testimonials were still pouring in from the May National, one of two annual ProAdjuster Business Symposiums, and it is being described as...
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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; $20 patients’ price (this is a one to two month supply) Product...
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Interviews
George Michalopoulos, D.C.
million-dollar-chiropractic-features-dr-george-michalopoulosEach article in the MILLION DOLLAR CHIROPRACTIC series () focuses on the top surveyed issues facing chiropractors today.  Recruiting new patients, retention, profitability, marketing and staffing are each a determining factor in the growth, potential and success of the practice. The subject of this issue’s profile is Dr. George Michalopoulos an extremely successful chiropractor who has practiced in Illinois,...
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Dr. Paul Pugsley
million-dollar-chiropractic-interview-with-dr-paul-pugsleyOriginally from upstate New York, Dr. Paul Pugsley moved to California during grade school. After meeting his wife, Marilou, in undergraduate college, the couple decided to attend chiropractic school in Atlanta, Georgia, at Life Chiropractic College. In their last year at Life, Paul and Marilou had their first of five children. After graduating, Dr. Pugsley and family moved back to...
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Rick Markson, D.C.
million-dollar-chiropractic-features-dr-rick-marksonEach article in the MILLION DOLLAR CHIROPRACTIC series (M$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. Rick Markson, an extremely successful chiropractor who has practiced in Florida for the...
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David Chapman-Smith
working-together-worldwideDavid Chapman-Smith, a Toronto lawyer and author of The Chiropractic Profession (NCMIC Group, 2000) is Secretary-General of the World Federation of Chiropractic.  He is also editor/publisher of The Chiropractic Report (www.chiropracticreport.com).   His introduction to chiropractic took place when he acted as counsel for the New Zealand Chiropractors’ Association before the New Zealand Commission of Inquiry into Chiropractic in 1978-79. In the...
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Ken Krimpelbein, DC
empowering-patients-from-the-inside-outDr. Ken Krimpelbein, former high school physical education teacher and personal trainer, and a 1995 graduate of Cleveland Chiropractic College, is now the owner of a successful multidiscipline practice in Oak Creek, Wisconsin. He presently employs three chiropractors, a massage therapist, a registered dietician, five personal trainers and will soon have a physical therapist and a neurologist on staff. “Treat...
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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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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
low-back-pain-needs-a-nutritional-adjustmentNo matter what chiropractic college you went to, your main approach to patient care is likely to be the chiropractic adjustment.  This statement is not surprising to most, and it gives a clue as to how we think as chiropractors.  We, basically, utilize a mechanical or biomechanical approach to care for our patients.  Whether you believe the adjustment is replacing...
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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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Michael Dobbins, D.C.
the-care-and-feeding-of-athletesI get the calls, just as you do: “Doc, what about taking creatine? Should I?” or “What about the powdered entrails of the Mongolian muskrat? Have you seen the studies?” And on and on. Everyone wants magic. As our baby-boomers (and I am one) reach, what I shall politely call, maturity, many are suddenly becoming “athletes” in their quest to...
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Roger D. Deutsch
food-factors-and-athletic-performanceWant to improve athletic performance?  Find your personalized eating plan. Avoid the foods you do not tolerate.  FOOD INTOLERANCE IS A RAPIDLY INCREASING PROBLEM THAT DIFFERS FROM FOOD “ALLERGY” IN THAT SYMPTOMS ARE USUALLY CHRONIC AND DELAYED, PERHAPS BY SEVERAL HOURS OR EVEN DAYS.  HENCE THEY HAVE RECEIVED RELATIVELY LITTLE ATTENTION. NONETHELESS, KNOWING WHAT FOODS YOU DO NOT TOLERATE MAY BE...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
type-ii-diabetes-inflammation-and-disc-degenerationType II diabetes represents a significant health risk. Individuals with diabetes are at greater risk for developing cardiovascular disease and other chronic diseases. Insulin resistance represents part of the pre-diabetic state and it is thought that some 40 million Americans have insulin resistance, which means that numerous individuals are at risk for developing diabetes (isoma).  Isomma states (, “the insulin...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
lots-of-questions-one-basic-answerEvery month I get lots of email questions about what to give for X, Y, Z conditions. In short, there is no good data on taking vitamin X or herb Z to cure condition Q. Medications don’t work that way, and neither do supplements. In other words, you can’t cure depression with Prozac, St. John’s Wort, 5-htp, SAM-e or anything...
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Orthotics
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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
runner-for-the-cure-develops-heel-painHistory and Presenting Symptoms A 25-year-old female presents with pain around her right ankle and heel. The pain has been present for about three weeks and gets worse upon weightbearing activity. She also relates running about six times per week for five miles a day, in preparation for her first half-marathon run in support of breast cancer...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
ankle-sprains-and-active-supportAnkle sprains are common injuries, because the ankle is required to perform complex movements under high forces during normal walking.  This can be particularly important for patients who participate in recreational activities and sports that require running and jumping.  Proper evaluation and management in the early stages of an ankle sprain are very important in preventing chronic instabilities.  With appropriate...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
popliteus-tendinitis-in-a-softball-playerPopliteus Tendinitis in a Softball Player by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   History and Presenting SymptomsThe patient is a 27-year-old male who participates in an adult softball league on weekends. He describes recurring episodes of pain and swelling along the back and outside of his right knee, which has limited his knee extension for the past several...
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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. John Danchik, D.C., C.C.S.P., F.I.C.C.
case-study-ankle-pain-in-a-young-athleteHistory and presenting symptoms: The patient is a 16-year-old athlete who plays football and baseball.  He reports recurrent pain in his left ankle over the past year, especially after lengthy running practices.  Occasionally, the ankle will swell, which he treats with an ice pack and over-the-counter anti-inflammatory drugs.  He recalls no specific injury and has no significant disability, but is concerned...
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Practice Management
Ron Short, D.C., MCS-P
the-chiropractic-demonstration-project-final-report Well, the dust has settled and the reports have been published, The Chiropractic Demonstration Project is finally over. So, how did we do? Well, we won and we lost. The key points of the demonstration project were: • "Section 651 of Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) • Centers for Medicare & Medicaid Services (CMS) to conduct demonstration evaluating...
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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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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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Dr. Eric Kaplan, D.C., F.I.A.M.A.
8-ways-to-avoid-malpractice-suitsIt’s 3 A.M., and you’re wide-awake, awash in a cold sweat after another dream that you’re on the witness stand being cross-examined for medical malpractice. You lie there, knowing that you’ve got to do something about these recurring nightmares, but aren’t sure how to proceed. Begin by taking a hard look at how you collect information about your patients and how...
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Peter G. Fernandez, D.C.
murphys-law-3-when-starting-a-practiceDoing your own remodeling… will cost you more. Murphy's Law” is an old adage that is typically stated as: "Anything that can go wrong will go wrong". When you start a new practice you’ll experience many examples of Murphy laws.  I’ve opened over 3,000 new practices. Just when I think I’ve heard them all, a new twist on Murphy’s Law...
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Eric Kaplan, D.C.,N.D.
the-power-to-winOver the last few months, my articles have moved from pure business to success philosophy.  Why? Because, day after day, I speak with doctors; some are up, some are down.  The winners keep winning and the whiners keep whining.  Well, I’m here to help and it starts with the power of belief.  I believe in the power of belief: Belief...
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Radiology
Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., Chad J. Maola, D.C. and Alicia M. Yochum, RN, BSN, Senior Intern at Logan College of Chiropractic
sacral-and-coccygeal-fracturesCASE HISTORY This young male patient fell off a horse and landed on his buttocks. SACRAL FRACTURES Sacral fractures usually occur as the result of a fall upon the buttocks, direct trauma or in association with pelvic fractures.  Isolated fractures of the sacrum are uncommon and a diligent search for an associated fracture of the pelvic ring or symphysis pubis is often beneficial...
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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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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.
os-odontoideumCASE HISTORY This young adult patient presents with neck pain following an MVA.  You note an abnormality in the upper cervical spine at C1 & C2.  Is this a fracture?   DISCUSSION Anomalies of the odontoid process are considered uncommon (1) and are usually discovered by the principle “traumatic determinism.”  This means that the underlying condition predated the injury and is not caused by...
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Terry R. Yochum, D.C., D.A.C.B.R.
spondylolysis-andor-spondylolisthesis-lets-get-it-right-and-stir-things-up The topic of spondylolysis and/or spondylolisthesis has been clouded with confusion for many years. To understand the true etiology as a stress fracture rather than an inherited congenital anomaly or predisposition has been a lifelong quest for me. The normally developing pars interarticulares is a fully ossified structure at birth and without a local synchondrosis to undergo nonunion. There has...
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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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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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Rehabilition
George LeBeau, D.C.
are-your-shoes-killing-youDuring my early years of practice, while working with youth sports, I met an Athletic Trainer named Bob Ragsland (“Rags”). He had been working with college athletes for many years and emphasized to me the importance of proper equipment fitting. I spent many hours with him learning techniques for fitting shoulder pads, helmets and other sports equipment. Then, one afternoon at...
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Jay Kennedy, D.C.
build-your-practice-with-active-therapeutic-movementsActive Treatment Strategies Improve Patient Outcome & Clinic Profits Building a profitable practice takes the right equipment, skills and a commitment to excellence.  Certainly central to that is a clear, results-oriented treatment strategy.  Spinal adjusting and passive modalities are ubiquitous in chiropractic. Decompression/traction is also becoming a staple of passive care.  However, exercise and specific movement therapy is fast becoming...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
one-simple-approach-to-exerciseIn our last article, we discussed a couple of different methods of cervical extension traction for the rehabilitation of cervical lordosis.  In this article, we will discuss extension exercise in the context of rehabilitation of cervical lordosis. Loss of cervical lordosis and loss of cervical motion have both been associated with cervicogenic headaches.1,2   Cervical extension traction and cervical extension exercises...
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Mark R. Payne D.C.
building-your-practice-on-a-strong-foundationBuilding Your Practice on a Strong Foundation by Dr. Mark R. Payne D.C.   In keeping with this month’s focus on practice management and coaching, I wanted to take a slightly different twist with this article. While I make no pretense at being a practice manager or coach, I have started and operated two successful practices in my career plus...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
foot-problems-and-athletic-injuriesFoot position and alignment are important factors that must be considered in our active population. As we encourage more of our patients to walk, jog, and exercise, we need to be prepared for the "side effects" of our recommendations if any foot problems exist. For example, a 1998 study of runners found that those who pronated more while running had a...
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Mark R. Payne D.C.
dirty-harry-scoliosis-and-youDirty Harry, Scoliosis And You by Dr. Mark R. Payne D.C.   A man has got to know his limitations." Clint Eastwood growls the famous line right after administering a lethal case of justice to some villain foolish enough to take on Inspector "Dirty" Harry Callahan. Just goes to show there are some things in life you shouldn’t ever try....
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Techniques
Anthony Criscuolo, DC
energize-your-practice-with-active-release-techniques-artHow would you like to dramatically improve your patient outcomes and have patients enthusiastic about their treatment?  Would you like to see positive post treatment changes in range of motion, muscle strength, and pain in one treatment?  Well, thousands of doctors have discovered these benefits and more by utilizing ART in their practices. So, what is ART? ART is a hands-on touch...
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Lisa Upledger, D.C.
craniosacral-therapy-releases-hold-on-subluxationsThis gentle hands-on method of working with the craniosacral system, has helped thousands of practitioners effectively remedy a wide range of medical problems associated with pain and dysfunction. You, too, can learn how to enhance the body’s natural healing process. Like most chiropractors, I spent many years focused on the subluxation factor. Ironically, it wasn’t until I began practicing a different hands-on...
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Tim Maggs, D.C.
the-structural-fingerprint-exam-bill-rodgers-marathon-runnerIn the past ten years, I’ve received many emails from injured athletes.  Injuries are part of all athletes’ lives but, when the injury prevents them from participation, they get crazy. Except one:  Bill Rodgers, the famed marathoner who’s finished first four times each in both the Boston Marathon and the New York Marathon.  He’s run fifty-eight marathons, and, to this...
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Charles L. Blum, DC
sacral-cup-treating-the-malposition-of-sacral-segments The Sacral Cup Test and adjustment can be an extremely important tool for the chiropractor because of its ability to help stabilize a chronic unstable sacroiliac (SI) joint, especially if it is slow to respond to traditional category two pelvic procedures. [Figure 1] In addition, it gives the doctor a tool to determine the presence of a complication in...
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Dennis Woggon, DC, B.Sc.
scoliosis-correction-clear-solutionsScoliosis is a dis-ease of the neuro-muscular skeletal system. The medical “Gold Standard” of treatment, which is bracing and surgery, has few positive results.  As spinal experts, the chiropractic profession should take the lead in the correction and stabilization of the scoliotic patient. 90% of the time the scoliosis patient presents with a standard posture; forward head posture, right head tilt,...
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Loren Marks, DC
contact-reflex-analysisWe are living in the midst of a “Wellness Revolution.”  Patients, primarily the baby boomers, are seeking greater levels of natural health care as they age. They are wealthier and more educated than their parents and are willing to spend more to attain a level of health that allows them to be stronger, healthier and more resistant to disease. The insurance...
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