NewsFlashes
Cover Stories
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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TAC Staff
adjusting-table-shopping-guideWe contacted all of the major adjusting table manufacturers in the chiropractic profession for information and prices on their best selling tables.  We ended up with over a dozen of the best tables you can get at prices that vary from the top of the line to the most cost-effective.  All of the tables and companies featured here offer a...
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Market Review
real-marketing-from-the-expertsReal Marketing from the Experts Michelle Geller Dr. C. J. Mertz MGV Marketing, Inc Team WLP William D. Esteb Dr. Mark Sanna Patient Media Breakthrough Coaching Dr.Daniel T. Drubin Dr. Timothy J. Gay ProPractice Partners Ultimate Practice Dr. Mark Studin Dr. Eric Plasker CMCS Management The Family Practice     We’ve gathered eight top experts in the Chiropractic field, just for you, to provide you with fundamental methods of marketing that can be integrated right now, on...
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TAC Staff
by-chiropractors-for-chiropractors-since-1979Three Cheers for The American Chiropractor magazine!  Hip, Hip, Hooray!  This marks the 30th anniversary for The American Chiropractor in publication, and things have never been more exciting!     Our Mission Evolving over the years from its beginning as a high energy upstart, for the "Education and Entertainment of The American Chiropractor," today The American Chiropractor (TAC) is "Dedicated to the...
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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; $20 patients’ price (this is a one to two month supply) Product...
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Interviews
Tim Emsky
turning-the-tablesEmsky founded CERT Health Sciences in 2001 after spending more than six years managing and operating back clinics that provided spinal decompression therapy. After his experience with these clinics and getting feedback from other doctors, Emsky saw a need for a table that improved patient comfort as well as accommodated a wider variety of patients. Emsky led a team of...
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Rick Markson, D.C.
million-dollar-chiropractic-features-dr-rick-marksonEach article in the MILLION DOLLAR CHIROPRACTIC series (M$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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Paul White, D.C.
optimizing-the-well-being-of-the-patient Nutri-West was founded in 1981, a small nutritional supplement company offering a limited, but effective line of its own products. The company was the creation of a successful Wyoming chiropractor and nutrition expert, Dr. Paul White, and his wife Marcia. Their children, Tony, Michele and Tiffany, have been actively involved with the business since they were very young and know...
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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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TAC Staff
leading-care-through-innovation-and-passionDr. Kevin Jardine graduated from Canadian Memorial Chiropractic College in 2002 and has been in practice for just over a decade. Dr. Jardine comes from a background in exercise science from the University of New Brunswick.    Dr. Jardine is the co-creator of SpiderTech which has become a globally recognized brand delivering kinesiology taping products and education. On top of providing the...
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Thomas G. E. DePuydt, M.D.
finding-common-grounds-and-goalsThomas DePuydt is an M.D. who specializes in Sports Medicine, and recognizes the importance of taking an integrated approach to treating musculoskeletal injuries. In an interview with The American Chiropractor (TAC), Dr. DePuydt discusses the “paradigm change” which he sees taking place in modern day medicine. TAC: Give our readers some background information about yourself. DePuydt: I grew up in Northern Michigan wanting to...
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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
omega-3-fat-confusion-and-the-beginning-of-a-krill-oil-krazePharmaceutical grade fish oil…NOT Misinformation abounds when it comes to fish oil, such as that created by marketers of “pharmaceutical grade” fish oil, a recent buzzword. Readers should be aware that there is no such thing as pharmaceutical grade fish oil. This is a term created by a nutritional supplement supplier. Nutrition companies are notorious for marketing very basic and common...
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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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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
important-multivitamin-and-magnesium-updateMultivitamins Only until recently, has the use of supplements been generally accepted by the mainstream healthcare community.  Naturally, there remain pockets of resistance, and that is likely to last forever; however, we just need to recall the comments made in an article in the Journal of the American Medical Association last year:1 “In the absence of specific predisposing conditions, a...
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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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Dr. Rodger Murphree, D.C.
excuse-me-can-we-talk-about-poop-Not necessarily the Best Topic for a Cocktail Party, I agree. However, for over 40 million Americans who have been diagnosed with irritable bowel syndrome (IBS), bowel movements are an important topic. Some experts report that irritable bowel syndrome affects approximately 10–20 percent of the general population. Irritable bowel syndrome is characterized by a group of symptoms in which abdominal...
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Dr. Howard F. Loomis, D.C.
the-five-stages-of-pregnancy-part-iiiLactation and Depression Once the joyous day arrives and the healthy and happy baby has been delivered, it is time to address the postpartum nutritional requirements for both the mother and the baby. The American Academy of Pediatrics has long advocated the use of breast milk as the primary food source for full-term infants.  In 1997, this advisory was extended...
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Orthotics
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. Richard E. Busch, III, D.C.
small-businesses-keeping-up-with-online-presence The world of marketing is changing. It is not the same as five years ago, ten years ago, or even one year ago. Because of this, it is imperative for us to begin to look at all of our marketing efforts and avenues, and make changes accordingly. Change should be made not only in the way we target...
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johndanchik
growth-asymmetry-in-an-outdoorsmanHistory and Presenting Symptoms A 41-year-old male presents with recurring episodes of pain in his low back and left hip. He recalls no injury to the region, and cannot identify any precipitating activities or events. On a Visual Analog Scale, he rates his low back pain as varying from 30mm to 65mm, while the left hip pain is usually around 35mm.  He...
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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.
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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Practice Management
Michael Megehee, D.C.
dcs-aligned-for-1-billion-department-of-transportation-dot-market Chiropractic Physicians have an insurmountable competitive advantage over other health care professions to draw substantial new income into their practices. Nowhere else is the opportunity greater; all that is needed is for Chiropractic Physicians to "align" their practices to include driver physicals, alcohol and drug testing for the transportation industry. The "adjustment" of where $1 Billion is spent annually is imminent,...
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Daniel Dahan, D.C.
business-departmentIn an effort to help you maximize all your services, Dr. Daniel Dahan has identified 7 departmental areas in your practice, which need to be addressed.  Each of these areas is being dealt with sequentially in The American Chiropractor.  By following the suggestions given, your office will not only maximize its potential, but also delineate areas of weakness that need...
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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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Tom Owen III and Todd Osborne, D.C.
the-importance-of-maintaining-an-attitude-In Dale Carnegie’s How to Win Friends and Influence people, one of the most important qualities he mentions in getting along with people is honest and sincere appreciation. What happens when you don’t show others appreciation? You communicate that you don’t care what they’re doing, that they really don’t matter all that much to you, and that what they do...
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Mark Sanna, D.C.
be-aware-of-your-giftsThere are no guarantees in life. We all come into the world with our own unique personalities and gifts. Your purpose is to steer your path toward those channels that will enable you to most effectively express your gifts in a positive way. With an open mind, you can remain cognizant of the opportunities the world presents to you, and...
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Glen David
choose-your-space-wiselyWhen opening a new practice, selecting a facility that best suits your needs begins with a solid foundation. Now, more than ever, countless chiropractors are being misled by representations from their landlord or realtor that, if not carefully understood, could cost you tens of thousands of dollars.  Start with good questions and learn their language. A Different Language Landlords and Realtors have...
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Radiology
Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
the-positive-fat-pad-sign-what-is-itA useful sign of an intraarticular fracture of the elbow is the clear depiction of displaced humeral capsular fat-pads.1  In the normal elbow, a layer of fat (“fat-pad”) lies between the synovial and fibrous layers of both the anterior and posterior joint capsules.  In the lateral projection of the normal elbow, the anterior fat-pad is seen as an obliquely oriented...
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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.
osteolytic-metastatic-carcinomaOsteolytic Metastatic Carcinoma by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.       CASE HISTORY  This adult male patient complains of back pain, especially at night, and it awakens him from sleeping. Diagnosis: Osteolytic metastatic carcinoma of the left L-3 pedicle and vertebral body. This is the "one-eyed pedicle" sign or the "winking owl sign" of...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
compression-fracturesHistory: This 60-year-old male patient presents with acute lower thoracic pain after a fall while skiing.  Axial flexion compression force occurred during this fall.  The radiographic examination demonstrates how many compression fractures?  Are these compression fractures benign or malignant? DISCUSSION Compression fractures of the lumbar spine are the result of a combination of truncal flexion and axial compression.  The extent of the...
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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
intertrochanteric-fracture-of-the-proximal-femurIntertrochanteric Fracture Of The Proximal Femur by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.   CASE HISTORY This elderly female patient slipped getting out of the bath tub. She heard a crack and felt immediate pain. DIAGNOSIS Fractures around the proximal femur are relatively uncommon in young to middle-aged patients with a sharp increase in...
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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. 
fractures-of-the-pubis-and-ischium[Case History] This patient presents following severe trauma to the pelvic region after a motorcycle accident.   Diagnosis:  This patient has bilateral fractures of the superior and inferior pubic rami which has been referred to as a STRADDLE FRACTURE. Fortunately, this patient had no injury to the bladder, as bladder trauma is often present with fractures such as this. Of incidental notation is...
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Rehabilition
Dr. Stephen Kaufman, D.C.
can-frozen-or-painful-shoulders-really-be-unlocked-in-minutes-even-after-years-or-decades-of-pain-and-immobilityOn 2002, at a seminar in Denver, a doctor in his 30’s stated he had had only 90° shoulder abduction for ten years. After applying this technique, his arm immediately rose to almost full abduction of 160°. In Oregon, a doctor had had severe pain and limitation of motion for over thirty years. In front of...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
spinal-exercises-in-rehabSpinal exercise is an important part of any spinal rehabilitation program. The timing of the prescription of spinal exercises is very important, so as not to cause more trouble for the injured patient. Recommendations on Exercise The use of active methods of care, such as exercise, have been discussed in some detail in published articles and books on the subject.1,2,3 Guidelines have been...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
preventing-injury-during-summer-activitiesWith the approach of summer, more of our patients are turning their attention to getting outdoors and exercising. Activities can range from walking to the mailbox to running local 5K races. Regardless of our patients’ activity levels, an important factor in keeping them out of pain is addressing the shoes they are wearing. Different Activities, Different Needs Commonly, someone who begins...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
children-and-rehabilitationChildren, like adults, often need to do some exercises as part of their chiropractic treatment.  But, how safe is exercise for children, especially exercise with resistance?  How much weight is appropriate for a growing body?  And which exercises are most effective?  Because of these and similar questions, doctors of chiropractic may hesitate to recommend exercises for their younger patients.  Let’s...
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Dr. Dennis Woggon & Dr. Josh Woggon
the-importance-of-good-formWhat Scoliois Can Teach Us about Postural Rehab  Manifestation of any health problem is not a spontaneous event; before the clinical onset, precluding factors exist.  Although these factors are unique in each patient, understanding how they contributed to the malady is the first step in reversing it.  Regardless of the specific disorder, the crux of the issue is mal-adaptation: the body...
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Dr. Mark R. Payne, D.C.
compression-counterstressing-traction-in-the-professional-office Last month, I discussed the Dakota Traction™, a simple home device for use in restoring the cervical lordosis. This time, I want to discuss a simple extension traction procedure for use within the professional office. In-Office traction has two key advantages over home traction: It helps insure some degree of compliance, especially during the early phase of care, and...
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Techniques
Tedd Koren, D.C.
fix-allergies-with-chiropracticYour immune system works to keep you 100% natural, organic, unadulterated, you! It recognizes and destroys bacteria, viri, pollutants, dust, pollen, drugs, tumors, debris and artificial substances (metal and plastic, however, don’t trigger an immune reaction). Many things influence how well your immune system functions: your nervous system, endocrine system, diet, genes and emotions.1-3 Allergens...
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Robert "Rick" Wiegand, DC
get-primalDr. Robert “Rick” Wiegand graduated from Palmer College of Chiropractic in 1980 and entered into private practice. Early on in practice, he became intrigued with the question of how the human neural system processes very subtle types of stimuli. In 1982, Dr. Wiegand and a colleague, Dr. Ed Blumenthal, began investigating methods to help heighten awareness of subtle responses that...
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Dennis Woggon, DC, B.Sc.
posterior-to-anterior-thoracic-spinal-adjusting-in-the-scoliosis-patient-is-contraindicated-by-spinal-biomechanicsPosterior to Anterior Thoracic Spinal Adjusting in the Scoliosis Patient Is Contraindicated by Spinal Biomechanics by Dennis Woggon, DC, B.Sc.   It would make sense to understand normal spinal biomechanics when putting adjustive forces into the spine, especially in a complicated spine such as a scoliosis. It seems that spinal biomechanical forces are frequently ignored when it comes to ...
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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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Tedd Koren, D.C.
why-are-dcs-so-sick Accidental Discovery I discovered Koren Specific Technique (KST) in the best tradition of empirical healthcare: by accident. D.D. Palmer had Harvey Lillard. I had a seven-foot-high piece of heavy laminated furniture. I was blindsided as it crashed down on me, almost cutting off most of three fingers. Luckily, my head was in the way or I would have lost my...
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Rebecca S. Fischer, D.C.
is-conservative-care-right-for-your-cts-patientsPublished research shows treatment options for carpal tunnel syndrome (CTS) are mixed and often conflicting. In general, there are a number of accepted treatments for CTS that range from invasive (surgical and steroid injections) to non-invasive (manipulation, splints, topical patches, laser light) or combinations of all of the above. The American College of Rheumatology states, “Despite the prevalence of CTS...
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