NewsFlashes
Cover Stories
Dr. Terry Yochum D.C.; D.A.C.B.R.; Fellow, A.C.C.R.
interview-with-terry-r-yochum-dc-dacbr-chiropractic-radiologist-a-author-of-the-essentials-of-skeletal-radiology“This July will see the publication of the third edition of Dr. Terry Yochum's textbook, The Essentials of Skeletal Radiology.  It's hard to express the importance that this work has had in raising the profile of the chiropractic profession.   Before Dr. Yochum's text, there had never been a chiropractic textbook published by a major publisher.  The text is now one...
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Maurice A. Pisciottano, D.C.
the-piezoelectric-sensor-the-heart-of-the-proadjuster-patient-care-system Technique + Business = Results. Within this simple equation is the formula to business success. If you see your practice as a business and implement the most innovative, forward-thinking techniques, you will undoubtedly achieve the results you’re after. In this lesson, I would like to discuss the methodologies of the ProAdjuster patient care system. The business principles we teach our...
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George LeBeau, D.C.
the-quest-for-athletes-peak-performance Dr. George Le Beau is a 1972 graduate of Cleveland Chiropractic College of Los Angeles. His thirty-four years of continuous private practice have been devoted, in large part, to the treatment of athletes from Gymboree toddlers to the Senior ...
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TAC Staff
the-landmark-victory-for-surface-emgIn January of 2005, David Marcarian and his company, PBI/MyoVision, defeated a group representing most of the major insurance companies and the State of Florida, who questioned the validity of surface EMG.  The case was appealed to the Superior Court of Florida, with an attempted appeal to the Supreme Court of Florida. Marcarian and MyoVision again prevailed with a unanimous...
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Kathy Mills Chang
coding-the-right-way Since 1983, Kathy Mills Chang has been providing chiropractors with hands-on training, advice and a broad range of solutions aimed to effectively assess and improve the financial performance of their practices. A well-known and sought-after speaker, Kathy Mills Chang has served in National and State level chiropractic organizations, sits on diverse boards and advisory councils related to the profession, and...
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John L. Stump D.C., Ph.D., Ed.D.
stroke-a-different-perspectiveStroke…  A Different Perspective by John L. Stump D.C., Ph.D., Ed.D.   In May 1999, upon returning Sunday evening from one of his many trips, John Stump and his wife went out for dinner. Arriving home they decided to begin packing for the upcoming lecture he was scheduled to do in New Zealand. He glanced at the clock; it...
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Interviews
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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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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TAC Staff
interview-with-leander-eckard-dc Dr. Leander Eckard attended his first year of chiropractic college at Palmer College of Chiropractic in Davenport, Iowa, in 1959 and 1960. He transferred to Cleveland College in Kansas City and graduated from there in 1964. Upon returning to his home in Spokane, Washington, he opened his first practice in late 1964. He practiced in the state of Washington...
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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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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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Terry Schroeder, D.C.
humble-dc-to-lead-team-usaIn 1900, men's water polo became the first team sport introduced at the modern Olympic Games. The rules of the game were different in Europe, so in the 1904 Olympic Games in St. Louis the Europeans refused to participate. As a result, the USA won the gold, silver and the bronze. Ironically, this is the only gold medal that the...
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Nutrition
Charles C. DuBois
standard-process-providing-the-tools-for-better-health-careThe American Chiropractor (TAC) interviews Charles C. DuBois, President of Standard Process, Inc., about his company’s efforts to “give back” to the chiropractic profession. TAC: Tell us a little bit about the history of your company. DuBois: For more than 75 years, Standard Process has provided health care professionals with the best whole food supplements and herbal products for themselves and their...
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Laurie Endicott Thomas, MA, ELS
genetics-diet-and-ankylosing-spondylitisSome health problems are purely genetic. Others have nothing to do with genetics but are purely the result of environmental influences, such as diet, infection, or trauma. Then, there are many conditions in which some genetic predisposition interacts with the environment to produce the disease. The classic example is celiac disease, which is tightly linked to genetics but can be...
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Mark Percival, D.C., N.D.
coral-calciumdebunking-the-debunkingWith the FTC filing law suit against Bob Barefoot for false and misleading advertising, and the discovery of lead in one coral calcium brand both happening in June, coral calcium has been severely wounded.  Others jumped on the anti-coral bandwagon and suggested coral was no different from cheap calcium carbonate or limestone–that it was just an overpriced calcium supplement.  ...
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Stan Guberman, D.C.
how-to-make-your-practice-more-profitable-add-an-in-house-nutritional-center-to-your-practiceWe, as chiropractors, should begin or continue our thinking process into as many natural healing avenues, so that we can become known as the natural healing source in our communities. We should be known as the "go to guy" when a patient or community member has any question concerning what he or she has been ...
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howardloomisjr
internal-health-a-chiropractic-specialty-the-lower-extremitiespart-iiLast month, I started a three-part series on the short leg syndrome and the absolute necessity of not only properly identifying it, but finding the exact cause, and tracing the effects up the leg into the pelvis and onto the spine. I discussed the frequency of short leg syndrome in the population and its relevance to low back pain. We described...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
inflammation-and-diet-a-growing-concernThe January 1st issue of the New England Journal of Medicine (NEJM) contained an editorial entitled, “From asthma to atherosclerosis–5-lipoxygenase, leukotrienes, and inflammation.”  Inflammation is something we are all aware of, and I have written about in most of my TAC articles this past year.  What about 5-lipoxygenas and leukotrienes; what are they? Our cell membranes are made...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
tight-band-sidelines-fitness-walkerTight Band Sidelines Fitness Walker by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   History and Presenting Symptoms A 34-year-old female reports persistent pain at her right knee with walking. She localizes this pain to the lateral aspect, and says that it becomes worse as she continues her regular fitness walking program. She has been trying to walk three miles daily...
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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.
leg-pain-in-a-ball-playerHistory and Presenting Symptoms An 18-year-old baseball player presents with aching pain and tightness in his left lower leg.  He describes a collision injury during a game four days earlier, which resulted in pain and bruising in the front of his leg after sliding into second base.  Despite repeated icing, the area still feels swollen.  He describes this as “shin splints.” Exam...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
patellofemoral-pain-in-a-fitness-walker History and Presenting Symptoms A 38-year-old female reports the recent onset of pain at her left knee. She had started a fitness walking program in the past six months, and had gradually increased to two miles every day. She doesn’t recall any specific injury, and describes the pain as an aching soreness in her left knee that builds up during...
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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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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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Practice Management
Mark Sanna, D.C.
utilization-guidelinesWe cannot escape regulation. Whatever we do in our practices requires that we learn our rights, scope of practice, standards of practice, and choice of therapies and modalities. Virtually no activity in clinical practice escapes regulation. However, all too often, practitioners employ a “shoot-from-the-hip” approach to case management, where the doctor or therapist applies his or her own individualistic methodology,...
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Eric Kaplan, D.C.,N.D.
the-quest-for-successToday’s Lesson in Excellence... To be the best, you have to give it your best.  Excellence is more than a state of mind; it is a commitment.  Over the last few, months we spoke of attitude and organization.  This month, we will speak of systems.  An excellent office is about the entire office buying into the program of success. ...
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David Singer, D.C.
new-patientsTo manage, per Webster’s dictionary, means to control.Areas of your practice are either managed properly or improperly.  They are either in control or out of control. If you ever felt new patients were out of control, please read on and perhaps I can help you address this most vital area of practice. Without new patients, there is no practice.  With...
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tomowen
the-economy-the-boll-weevil-and-your-unexpected-prosperity  Talk to just about anyone, in any profession these days, and a similar theme weaves itself throughout the conversation; our nation’s poor economy has left few untouched. Many chiropractors have certainly felt the sting of this unfortunate downturn. We’ve had numerous conversations with several practicing chiropractors in recent months and no doubt, times are tough out there.  However, we’ve noticed...
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tomowen
small-business-strategy-4-vital-tips-for-successMuch hard work goes into beginning a new business, and we all know that blood, sweat, and tears are the primary ingredients for success.  However, it takes much more than that to establish a thriving business. In building your chiropractic business, many other factors also come into play. After many years of running a chiropractic business, my partners and I...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
how-do-you-avoid-an-on-site-privacy-rule-investigation-cooperateRing.… Ring! You answer the phone and an investigator with Health and Human Services’ (HHS) Office for Civil Rights (OCR) is on the horn. What you say and do during this phone call could mean the difference between a slap on the wrist and a visit from the OCR’s investigators. First: Answer All Correspondence ASAP: In cases for which OCR suspects an...
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Radiology
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
what-is-the-vacuum-signby Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.   History:  An adult male patient with a long history of low back pain. Discussion:The vacuum sign (of Knutts en) is an important early radiographic finding.  Essentially, this represents collections of nitrogen gas in nuclear and annular fissures and  presents as an area of linear radiolucency in the disc space.1  ...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Tim Maggs, D.C.
100-of-my-patients-get-custom-orthotics-what-about-yours  We all are victims, in many ways, of the existing healthcare crisis.  The auto industry is addressing their crisis through new laws for improved mileage per gallon and stricter pollution controls.  The energy crisis continues to search for more efficient and alternative means to produce renewable energy.  The healthcare crisis, unlike the above two, is merely shifting responsibilities with regard...
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Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
mris-herniated-discs-survey-results-and-the-chiropractic-team Being a principled, subluxation-based or structural-based chiropractor is not mutually exclusive to being responsible for diagnosing your patient accurately. If the patient has a radiculopathic or myelopathic clinical presentation, the question is, "Why?" This has nothing to do with your practice paradigm; it has to do with your patient’s well being and what the cause is for that nerve pressure....
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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.
vertebra-plana-what-is-the-real-cause History This 12-year-old male patient presents with neck pain, following heading a soccer ball. Discussion Eosinophilic granuloma is the least severe but most common (60-80%) of all the histiocytoses.1,2 Peak incidence comes between the ages of 5 and 10 years and 75% of cases occur in individuals less than 20 years of age. Symptoms primarily are localized pain and swelling of less than...
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Rehabilition
Dr. Mark R. Payne, D.C.
worlds-best-traction There are basically two types of chiropractors: those concerned with correcting spines and those who aren't. Truthfully, the latter group probably won't even bother reading this article. Since you're here, I'll assume you have at least some genuine interest in trying to deliver real and lasting structural corrections to your patients. As you've probably found out, it's kind of hard...
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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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Dr. Mark R. Payne, D.C.
what-works-what-doesnt Everyday, countless patients consult chiropractors seeking a solution for their problems. While some doctors confine themselves to purely symptomatic care, others will recommend treatment well beyond simple relief of pain. Such programs are typically geared toward "correcting the cause" of trouble and often require a considerable commitment of time and money by the patient. Unfortunately, many such programs which...
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John K. Hyland, D.C.
hamstringswhat-about-stretching An interesting study has found that there is a more effective way to stretch the hamstring muscles.1 The new procedure is easy to teach to patients, and can be done anywhere and just about anytime. Unlike some forms of hamstring stretching, it does not require an assistant or any special equipment to achieve significant improvement in flexibility. The new stretch...
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David Rick, D.C. and Alan Oolo Austin, D.C.
rapid-rehabilitation-of-a-hamstring-strain-a-case-studyHamstring Strain Discussion Hamstring strains are an extremely common occurrence in the sport of soccer. The hamstrings span two joints and are, therefore, subject to stretching at more than one point. Therapies for this type of injury have traditionally involved different forms of physiotherapy and soft tissue techniques. Dorman2 reported on 140 hamstring injuries and found that they usually occurred either quite early...
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Dr. Mitch Mally
inflammation-management-an-updateA cascade of physiological, biomechanical and biochemical events complicate Acute and Repetitive Injuries. Musculoskeletal pain and range of motion is affected by biomechanical aberration, joint dysfunction, segmental hyper/hypo-mobility and the result of several pathways and stimuli. However, the inflammatory response may be treated anecdotally by ice, compression and elevation. Allopathic recommendations often include anti-inflammatory medication with significant side effects (consumed like...
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Techniques
Sheila Laws, D.C.
nimmo-receptor-tonus-techniqueRaymond Nimmo, D.C., graduated from Palmer School in 1931, and set up his practice in Fort Worth, Texas. He soon became thirsty for more knowledge, so he studied and taught Logan Basic Technique and other techniques. His quest brought him to the realization that what chiropractors had been taught in chiropractic colleges was not scientifically sound. He rationalized that the...
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Ted Koren, D.C.
are-you-missing-an-important-subluxation Doctor: "You feel tired much of the time, don’t you?" Patient: "Yes, I feel exhausted all the time. How did you know?" Doctor: "Your femur heads are anterior. Most of your energy is being used to hold your body up." One of the most fascinating subluxations is of the femur heads. The femur head is ball-shaped and located at the top of...
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Dr. Stephen Kaufman, D.C.
case-history-gall-bladder-attack-responds-instantly-to-chiropractic-care Marjorie was a 62 year old chiropractor’s wife who presented in my office with classic signs of acute cholecystitis- a gall bladder attack, along with the presence of gallstones. She had severe right-sided abdominal pain, radiating into her right shoulder, as well as excessive belching, nausea and bloating. She had been up most of the night. Examination revealed exquisite abdominal...
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R.B. Mawhiney, DC
preventing-sids-sudden-infant-death-syndromeOH, NO!!! PLEASE, LORD, NO!!! She has stopped breathing! CALL 911!! HURRY!!! This happens up to five thousand (reported) times a year in the United States. Sudden Infant Death Syndrome has become a scourge to young and old parents, alike. I have raised three children and have suffered through many nights wondering if I should shake my child to see if it’s...
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Dennis Woggon, B.Sc., D.C.
mvas-affect-form-and-function-of-the-c-spineTrauma, especially motor vehicle crashes (MVC), can change an individual’s posture. This will, in turn, affect the victim’s stance and gait, due to soft and hard tissue injuries which cause abnormal function. Humans adapt in time and need to their environment. The human body must adapt when external forces damage the internal environment. This induced...
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Tedd Koren, D.C.
health-a-hydrationWhy isn’t this patient holding her adjustment?” I wondered. Koren Specific Technique (KST) practitioners are happy to find that their patients hold their adjustments for longer periods and rarely return with the same subluxation pattern. That is why I was so startled to find a patient whose subluxations returned. Why wasn’t she holding her adjustment? Her chronic migraines had decreased only...
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