NewsFlashes
Cover Stories
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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John L. Stump D.C., Ph.D., Ed.D.
how-to-build-a-sports-health-care-practice Preface In business, “toke wa karinary” is the Japanese term for “time is money.” The Japanese feel that maximizing these two factors is the key to the success of any endeavor,1 especially the sports health care practice. Many doctors, when they get out of...
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Don Oyao, MA.,DC.(USA)ND., MA Sp.Chiro Sci(Australia)
hall-of-famers-metallica-swear-by-chiropractica What do rock stars and Olympic athletes have in common? No, this isn’t the lead up to a punchline. Both share a need or desire for chiropractic care to enhance their demanding performances. Having been a team doctor for six Olympic competitions, my latest “gig” with Metallica has shown me that intense activity, endurance and strength are sought by both kinds...
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TAC Staff
addiction-a-unique-chiropractors-pursuit-of-the-sourceInterview with Jay Holder, D.C.Dr. Holder is the first American to receive the Albert Schweitzer Prize in Medicine from the Albert Schweitzer-Gesellschaft, Austria. Dr. Holder is Adjunct Professor, St. Martin's College, Milwaukee; held appointment to the faculty at the University of Miami, Center for Addiction Studies and Education and held appointment as post graduate faculty at numerous chiropractic colleges including...
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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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Interviews
TAC Staff
defining-food-enzyme-nutrition-an-interview-with-howard-loomis-dcHoward F. Loomis, Jr., DC has been the leader in the clinical application of plant enzymes and is the person responsible for bringing food enzyme nutrition to the forefront of the health care field.  After graduating from Logan Chiropractic College in 1967, he entered practice in Missouri and practiced there for 26 years.    In 1980, he was introduced to the work...
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TAC Staff
the-scoop-on-postural-adjusting-interview-with-burl-r-pettibon-dc-fabcs-frccm-phd-honAfter receiving an honorable discharge from the U.S. Air Force Burl Pettibon attended Cleveland Chiropractic College in Kansas City, MO.  He graduated in 1956 and practiced in Tacoma Washington while developing clinics in other locations.  Dr. Pettibon was a department head for two years in the college that is now Palmer West.  He has guided The Pettibon Institute’s direction, continuing...
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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
changing-times-interview-with-gary-tarola-dc-dabcoDr. Tarola earned a BA degree from Marshall University, 1973 and was a Suma Cum Laude graduate of Palmer College of Chiropractic, 1976. He began private practice in Fogelsville, Lehigh Valley, Pa. in 1976. He obtained Diplomate status in Chiropractic Orthopedics in 1983. He was a post graduate faculty member of several chiropractic colleges. From the late 1980’s through 2005,...
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TAC Staff
president-of-david-singer-enterprises-interview-with-dr-david-singerDr. Singer received his undergraduate degree from Rutger’s University, his M.S. degree in nutrition from the University of Bridgeport, and his Doctorate from the New York College of Chiropractic. Graduating with honors as the salutatorian of his class, he was inducted into Phi Chi Omega, the International Chiropractic Honor Society.    In his first year of practice, Dr. Singer was seeing more...
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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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Nutrition
Dr. Howard F. Loomis, D.C.
the-chiropractic-connection-the-structural-manifestations-of-elevated-homocysteine-levels Cardiovascular disease is the number one cause of death in the United States. The pharmaceutical industry spends an enormous amount of money on advertising prescription drugs that will lower “bad” LDL cholesterol to lower the risk of heart attack or stroke. In fact, according to a report aired on 60 Minutes,1 much more money is spent on advertising than...
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Leonid Ber, MD
resolving-vitamin-b12-deficiency-using-oral-supplementationNew research validates high dose methylcobalamin lozenge regimen Vitamin B12 (often referred to as cobalamin) is an essential nutrient that can only be  obtained from diet or supplements. Its main function in the body is to assist in the synthesis of DNA. As a result, quickly dividing cells such as red blood cells are among the most frequently affected by cobalamin...
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Life Pack Nano
news-byte-dietary-supplement-to-the-next-levelLifepak® nano is a nutritional anti-aging program formulated to nourish and protect cells, tissues, and organs in the body with the specific purpose of guarding against the ravages of aging. Lifepak® nano offers the highest bioavailability with a first-ever nanotechnology process and advanced levels of key anti-aging nutrients in a comprehensive formula available exclusively through Pharmanex.* Taking this product...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
the-supplements-i-take-and-whyNutritional supplements have been around for a long time. For example, the two oldest companies that currently service our profession are Anabolic Laboratories and Standard Process. Each was family owned some 80 years ago and they remain that way today. As a child, some 35 years ago, I walked into a health food store for the first time. Supplements and various...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
alternatives-to-nsaids-in-the-treatment-of-spinal-painThe treatment of pain with non-steroidal anti-inflammatory drugs (NSAID’s) is big business in America, which leads to a substantial number of deaths and extraordinary costs to treat NSAID-complications. Consider the following facts about NSAID use: • More than 70 million NSAID prescriptions each year in US • More than 30 billion OTC NSAID’s sold each year in US • 5-10% of US adult population...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
what-about-the-recent-glucosamine-studyThe February 23rd, 2006, issue of the New England Journal of Medicine published an article on the treatment of osteoarthritis (OA) of the knee with glucosamine hydrochloride and chondroitin sulfate. Some of the news reports suggested this study demonstrated that glucosamine was ineffective in the treatment of arthritis. A closer look at the article suggests the opposite conclusion may be...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
plastic-deformation-back-pain-in-a-walkerHistory and Presenting Symptoms A 48-year-old male presents with persistent pain in his lower back region. He describes his back pain as an aching tightness, which has been progressively worsening over the past six months. On a Visual Analog Scale, he rates his current level of pain at around 35mm to occasionally 45mm. He is unable...
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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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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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johndanchik
lower-extremity-aging-concernsHistory and Presenting Symptoms A 60-year-old female presents with recurring episodes of moderate pain in her lower back and right knee. As a full-time waitress/cashier, she spends almost half her workday on her feet. She recalls no specific back or knee injuries, and states that these problems have developed over the past couple of years and have been more noticeable in...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
diabetic-foot-requires-special-care History and Presenting Symptoms A 66 year-old female presents with aching lower back pain and numbness extending into both feet. She reports having had occasional lower back pain for many years, but has only noticed the foot numbness in the past six months. This is getting more constant, which concerns her. She recalls no specific back or foot injuries. On...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
surgical-repair-kneeds-extra-care History and Presenting Symptoms The patient is a 49-year-old male who reports frequent aching and stiffness in his lower back. He denies any back injuries, but does relate an injury to his right knee that resulted in a full tear of his anterior cruciate ligament (ACL). Two years ago, he had a surgical reconstruction of the ACL using...
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Practice Management
Dr. Eric Kaplan, D.C., F.I.A.M.A.
compliance-the-cornerstone-of-a-healthy-practiceToday, more than any time in our history, doctors are being watched.  Big Brother is watching!  So many offices are worried about HIPAA. Yes, if you violate HIPAA, you will receive a fine.  However, if you do not follow the rules of the OIG (Office of the Inspector General), you may not only be fined, you may face jail time. As...
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Mark Sanna, D.C.
treatment-protocols Treatment protocols are care paths, based upon accepted utilization guidelines and a consensus among the healthcare delivering team, that organize the diagnostic and therapeutic services that are appropriate to a patient’s condition and how often each should be performed. Essentially, treatment protocols map out case management decisions and are individualized according to each patient’s specific complicating or attenuating factors. They...
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Brent Detelich, D.C.
starting-at-the-top-getting-your-head-space-rightThere are lots of ways to succeed in a chiropractic practice. As they say, there is “more than one way to skin a cat.” Family practices, high volume practices, wellness practices, sports performance, DC/PT practices—any of them can be highly successful. But, in all my dealings with hundreds and hundreds of chiropractors, there is one area that must be...
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Susan Blackard, R.N., N.D.c, M.H.A., F.N.P.c
the-multidisciplined-approach-to-growing-your-practiceSo I bet you’re getting all the clients you can handle and don’t want any more right? Let’s be honest, we could all benefit by having at least a few more people walk through the door. But where do you start? To get more information, I caught up with Dr. Mark Steenerson of Minnesota. A few years ago, he was asking himself...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
why-and-how-to-conduct-a-hipaa-walkthroughMuch like the safety audits your office already performs, a walk-through can prevent violations before the Department of Health and Human Services’ Office for Civil Rights gets involved. Whether inspections are announced or executed without your staff’s knowledge, experts agree that they should be done at least annually for all departments and more often for high-risk areas. If you’ve found...
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Mark Sanna, D.C.
practice-management-tipsQ:  Which adjunctive services, if offered, have you found to be most beneficial for chiropractic practices? A:  The language of reimbursement today is the language of function.  In order to fully participate in the mainstream of healthcare, chiropractors must become proficient in objectively assessing and documenting the functional outcomes of their care.  It is extremely difficult, if not impossible, to...
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Radiology
Larry Willkins, D.C.
adding-decompression Dr. Larry Wilkins, Founder and Director of Laurel Mountain Chiropractic Clinic in Mt. Pleasant, PA, has added post-graduate hours in such studies as rehabilitation, manipulation under anesthesia, nutrition, pediatrics, exercise, and advanced work in the Pierce Chiropractic Method. As an involved professional, Dr. Wilkins has many accomplishments to his credit. He has served as a board member of two chiropractic...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
pending-spondylolysis-andor-spondylolisthesis-whats-it-all-meanCase History This 18-year-old female gymnast is complaining of unilateral left-sided lumbar spine pain at the L5 level.  Standard plain film radiographs show no evidence of pathology, pars defects or spondylolisthesis.  Because this patient’s pain did not respond to conservative treatment, an MRI scan was performed for further evaluation.   Imaging Findings of this Patient Observe the area of bright (white) signal intensity seen...
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andrewcheeseman
digital-x-rayThe technology used in conventional X-ray film is 100 years old. There are not many technologies that do not evolve and improve in 100 years, and the X-ray field is no different, although many doctors have not yet made the technology jump in this area. In the last 10 years alone, we have seen the development of affordable technology in...
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Dr. Terry Yochum D.C.; D.A.C.B.R.; Fellow, A.C.C.R.
lung-pathology-or-pseudo-lesionIn the pre-antibiotic era, the only treatment for pulmo-nary tuberculosis was rest and or lung resection of the diseased segment.  Secondary or re-infection tuberculosis most commonly occurs in the lung apices.  This patient had surgery with resection of her right upper lung due to pulmonary tuberculosis.  To fill space left empty by the resected lung tissue and to avoid huge...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
librarian-overdue-for-pelvic-pain-relief History and Presenting Symptoms A 37-year-old female describes a history of occasional pain in her lower back region, most noticeable on the left side.  She states that her low back pain “just seems to come and go,” with no obvious triggering activities.  Her pain is localized to the posterior hip region, and does not extend below the pelvis.  She is...
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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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Rehabilition
Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
rehab-for-busy-schedulesThere have been various recommendations over the years in our profession about the recommended number of repetitions and sets of exercises that patients should perform.  To judge for yourself what numbers are best for those in your care, you need to consider several factors — not the least of which is the hectic, fast-paced lives many of your patients already...
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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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Dr. Kirk A. Lee, D.C., C.C.S.P.
getting-the-most-support-from-assisted-devicesAn elderly patient enters your office with complaints of low back pain. She is using an assisted device (e.g., cane, walker, crutches). As you watch her walk, you think to yourself, "She looks like Yoda from Star Wars, and I would hurt also if I were walking like that." Or your patient asks, "Dr. Bones, am I using my cane...
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Iain G. Smith, D.C.
occupational-health-and-chiropracticA few years ago I met Patsy Mckenna, an Occupational Health Regional Manager for a large national gas pipeline company here in the UK. Patsy invited me to give a presentation to some of her colleagues at their head office in Birmingham, and although it was over 50 miles from my practice I agreed to do...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
a-brief-history-of-lumbar-traction-in-chiropractic-rehabilitationFrom its birth to the present, the chiropractic profession has been interested in methods to restore normal alignment (structure) to the spinal column, with the ultimate purpose of restoring normal function to the spine and nervous components housed inside.  Interestingly, mechanical traction has been used by chiropractors to reduce spinal misalignments, in spite of the fact that chiropractic is a...
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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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Techniques
David Jackson, DC
techniques-diversity-of-art-and-scienceChiropractic is an incredibly diverse profession, boasting more than 100 different techniques (one list puts the number closer to 120 and one online source even claims there are 200). Some are extremely well known, such as Diversified or Atlas Orthogonal Technique. Others possess a smaller (but often extremely loyal) following, such as the McTimody Technique or the Columbia Technique. Most doctors...
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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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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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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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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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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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