NewsFlashes
Cover Stories
Dr. Eric Plasker, D.C.
achieving-longevity-through-a-healthy-and-drugless-lifestyle    Through the family practice, dr. Eric plasker helps chiropractors grow their practice and become life-style leaders in their community Dr. Eric Plasker is a graduate of Life Chiropractic College and former owner of two highly successful family practices, where he practiced for 16 years. In 2000, he founded The Family Practice, a personal coaching company that offers marketing and patient...
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Susan Karnovsky
dr-lester-bryman-a-the-50-year-evolution-of-nutrition-response-testing In 1958 he was the Only One…. Fifty years ago, when Dr. Lester Bryman began his career, he felt like he was the only practitioner in his field that thought or talked about a nutrition oriented practice: No one he knew ever wondered about the therapeutic value of eating, let alone that whole foods (non-processed products) were healthy and non-foods...
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Palmer Chiropractic College (PCC)
the-palmer-academic-health-center The new, three-story building taking shape on the Palmer College of Chiropractic campus in Davenport, Iowa, is impressive from the outside, but it’s what will happen on the inside that has administrators, faculty and students buzzing on Palmer’s main campus, The Fountainhead of the chiropractic profession. The Palmer College of Chiropractic Academic Health Center will be a unique feature...
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Frederick Carrick, D.C.
neurology-a-chiropractic Frederick Robert Carrick, D.C., Ph.D., is the Distinguished Post Graduate Professor of Clinical Neurology at Logan University and is Parker College of Chiropractic’s Professor Emeritus of Neurology. He serves as the President of the American Chiropractic Association’s Council on Neurology and is the President of the American Board of Chiropractic Specialties of the American Chiropractic Association. Professor Carrick is...
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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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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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Interviews
Albert Stabile, DC
patient-needs-go-firstTAC:  How did you become involved in chiropractic, Dr. Stabile? Stabile:  I was injured in an automobile accident in 1964, and was having extreme lower back pain. One of my college friends, who was planning on attending chiropractic college, advised me to see the chiropractor that he was being treated by. I had been to numerous medical providers, including two orthopedists,...
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George Goodheart, D.C.
muscle-testing-a-manipulation George Goodheart is a second generation Doctor of Chiropractic and graduated from National College of Chiropractic in 1939. In 1964, Dr. Goodheart began making a series of revolutionary observations about muscle function and health and disease that evolved into applied kinesiology. By stimulating various neurological receptors and observing excitatory and inhibitory responses of muscles to manual testing, Dr. Goodheart was...
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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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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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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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Nutrition
Carolyn Dean, M.D., N.D.
calcium-supplementation-without-a-proper-balance-of-magnesium-can-increase-risk-of-heart-attack-osteoporosis-and-kidney-stonesORANGE, Calif., Sept. 14, 2011 /PRNewswire/ -- The British Medical Journal recently published a large analysis based on the results of 5 clinical trials conducted in the U.S., Great Britain and New Zealand that involved more than 8,000 people. The analysis concluded that, "Calcium supplements ... increase the risk of cardiovascular events, especially myocardial infarction (heart attack) ... A reassessment...
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John H. Maher, D.C.
baby-qma-maq-and-qdha-dhaq Docosahexaenoic acid (DHA) is an omega-3 fatty acid that is an important structural element of the central nervous system and retina. The need for DHA may be most critical for brain and eye development from conception through the second year of life. Significant brain growth occurs during the third trimester of pregnancy and through the first two years of life....
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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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Dr. Howard F. Loomis, D.C.
the-five-minute-stress-evaluation Stress as a Specific Diagnosis Stress provokes a very exact physiological response by the body. Unfortunately, the term "stress" is so commonly used, it seems to have lost significance as a specific diagnosis. Everyone in our modern, fast-paced society seems to be "uptight" because life is so stressful. But, as clinicians, we should never lose sight of the fact that the...
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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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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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Orthotics
Kirk Lee, D.C.
make-me-run-fasterHow many times have you heard from an athlete, “Make me run faster!” or “Improve my performance!”? Many athletes would gladly take a little pain for better performance and faster speed. However, ignoring the warning signs of pain can be a no-no! We know that the long-term outcome of living for today and not for the future can lead to...
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TAC Staff
forum-your-letters-a-emails-Dear Sirs, I read with interest the two letters that appeared in your May 2009 issue regarding Personal Injury. Dr. Anonymous raised a few issues but he painted with a very broad brush. More interesting was Dr. Studin’s reply. I quite enjoyed Dr. Studin’s thoughtful, articulate and imaginative article in response to the anonymous and clearly...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
tarsal-tunnel-syndrome-a-orthotic-supportTarsal tunnel syndrome (TTS), while not common in the general population, is occasionally seen among athletes.  In addition, many TTS symptoms can be confused with conditions commonly treated in the chiropractic office.1  Because its etiology is often related to hyperpronation and, therefore, spinal complaints, TTS patients may be concentrated in the chiropractic office.  When a patient complains of burning pain...
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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.
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., C.C.S.P., F.I.C.C.
hamstring-injury-in-a-hockey-playerHistory and Presenting Symptoms The patient is a 26-year-old male amateur hockey player, who reports a recent left hamstring “pull” that just doesn’t seem to be getting better.  His history includes numerous injuries to the same hamstring muscle when he played in college, with mixed attempts to stretch and rehab.  He also describes varying levels of pain in his lower back...
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Practice Management
Maurice A. Pisciottano, D.C.
the-importance-of-continuing-educationEven though all chiropractic doctorate degrees are earned through the stringent studies of chiropractic education, the actual license to practice chiropractic is another story. Nearly all chiropractors are governed by requirements for keeping the ability to practice their trade, if you will.  These requirements are not in place for the purpose of annoying the doctors, or for giving them a reason...
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Peter Fernandez, D.C.
how-to-start-a-new-practiceIn previous issues of this series on "How to Start a Practice," I explained the importance of picking a "hot state". A "hot state" enables a DC to earn four times the income as a DC practicing in a "cold state." Next, I explained the importance of picking a "hot town" in which to practice. A "hot town" also enables...
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Eric Kaplan, D.C., N.D.
the-power-of-prioritiesTime is money and money is time. you can always get more money in life, but time spent, is spent. Economize your time to be successful in practice. People often ask how did I see two hundred patients in a day. My comical response is, "Quickly." The truth is we had a great staff and utilized...
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tomowen
how-to-raise-your-practice-expectations Surprisingly, many chiropractors do not know that the success or failure of their practice first starts in the mind. Even before a dollar is collected, a chiropractor that has limited himself in the goals he has set for his practice has also limited the amount of success his practice will receive. There is an old adage that states, "Aim for...
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tomowen
five-ways-to-manage-clinics-that-have-several-employeesIt is important to be proactive rather than reactive when addressing potential problems within your practice that occur when more than two or three people work in your clinic.   The greatest asset in a chiropractic practice is the staff. Unlike other assets, staffing is a dynamic resource in terms of productivity. The need to create the right operating environment for high...
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tomowen
why-chiropractors-need-a-coach-to-succeedAlthough chiropractors are generally hardworking, dedicated professionals who strive to correct subluxations in order to benefit the overall well-being of their patients and community, they still might be clueless on how to run an efficient and profitable practice. Technique expertise and talent are not enough.    Matter of fact, the myth upon graduating simply isn't true. We've all heard it before: Get...
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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.
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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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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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. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
osteoarthritis-of-the-handDegenerative Joint Disease (DJD) General considerations: • Non-inflammatory degeneration of joint cartilage with secondary effects on adjacent bone. • The most common form of arthritis. • Synonyms include osteoarthritis. Clinical Features: • Pain, stiffness, crepitus, deformity and swelling, with normal laboratory studies. • Three types identified:  Primary, secondary and erosive. Primary: Unknown cause, 5th-6th decade, females 10-1, weight-bearing joints. Secondary: Known cause, 2nd-6th decade, equal sex distribution, any joint. Erosive osteoarthritis (EOA):...
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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
vacuum-phenomenon-DISCUSSION The vacuum sign (of Knuttson) is an important early radiographic finding.1 Essentially, this represents collections of nitrogen gas in nuclear and annular fissures and presents as an area of linear radiolucency in the disc space.2  Studies have shown this to be a common sign of disc aging and degeneration, with an incidence of two to three percent in the...
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Rehabilition
Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
osteoporosis-and-spinal-excerciseAs the population ages and becomes more sedentary, we will be seeing more of our patients affected by osteoporosis and its complications.  Initially, there is a reduction in bone mass (osteopenia), which is considered a universal phenomenon of aging.  However, when the condition progresses to osteoporosis, bone strength is compromised, and fractures develop with trivial (or no) trauma.  These fractures...
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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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Clayton Stitzel. D.C. and Joshua Woggon, D.C.
dont-let-a-lifetime-be-defined-by-scoliosisNow that genetic pre-disposition testing for scoliosis progression risk is available, An Early Stage Intervention Program has also been developed to provide scoliosis patients a non-bracing, non-surgical treatment option that allows them to take immediate action in the prevention of the next stage of the standard treatment process. The three medically-sanctioned methods of scoliosis treatment—observation, bracing, and surgery—have been around for...
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Joseph Ventura D.C.
poor-posture-and-the-tweet-generationConsider the conclusions from two recent studies: “A significant linear trend for increasing sagittal plane postural translations of the head, thorax, pelvis, and knee was found in children age from 4 years to 12 years.”1   “Poor posture was diagnosed in 38.3% children, more frequently in boys. A significantly different occurrence of poor posture was found between 7-year-old and 11-year-old children (33.0% and...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
how-to-measure-successful-curve-restorationOne of the things that we have been discussing in past issues is the cervical lordosis.  There are probably few clinicians who have not drawn an association between the loss of cervical lordosis and headache.  This clinical observation is also supported in the scientific literature.1,2  But, of course, we’d like a quick, easy, accurate and inexpensive method to measure the...
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A. Joshua Woggon, D.C.
can-whole-body-vibration-be-harmful-to-your-health-questions-a-answers-for-chiropractors-utilizing-vibration-therapyOsteoporosis and obesity are important health concerns in the United States.  Whole-body Vibration (WBV) therapy has the potential to make a significant impact upon musculoskeletal health and wellness in the coming decade.1,2 It also has the potential of causing significant musculoskeletal harm, and becoming a significant source of doctor liability, if improperly applied. Many educated readers may recall the lawsuits that...
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Techniques
Dr. Mitch Mally
case-study-rotator-cuff-impingement-syndromeHistory and Subjective Complaints: A 24-year-old professional/international circuit tennis player presents with a right shoulder injury, 6 months post U.S. Open. Objective Findings: Decreased right shoulder flexion, abduction and external rotation. X-Ray: Absent 8-10 mm subacromial space, laterally rotated vertebral border of the right scapula, antetilted glenoid labrum. Diagnosis: Protracted laterally antetilted right scapula causing rotator cuff impingement syndrome. Treatment: Specialized manipulative decompression of involved protracted/antetilted right scapula, medial-inferior...
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Robert J. Goodman, D.C.
validating-the-truthValidating the Truth by Robert J. Goodman, D.C.   This year marks the coming of validation for the Upper Cervical Chiropractic techniques. Upper Cervical Chiropractors have appeared on mainstream television programs such as Good Morning America, The Montel Williams Show, and Discovery Health Channel, and our own Dr. Marshall Dickholtz Sr. won the ICA Chiropractor of the Year. Some...
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Judy Munroe
software-a-technologyWhen selecting a software package for your office, take your time and know exactly what you are looking for.  There are many applications on the market today to choose from and the search can be intimidating for someone who is not savvy on the latest technologies.  However, without having the technical knowledge, there are ways that you can make good...
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Warren Hammer, D.C.
the-benefits-of-instrument-assisted-soft-tissue-mobilizationExperts agree that a crucial component of healing is soft-tissue treatment. Indeed, since the works of British orthopedist James Cyriax, clinicians have routinely employed cross-friction massage as a means of breaking up the web of adhesions and restrictions that normally form after injury. However, it is my contention that our profession is insufficiently informed about the advantages of soft-tissue methods...
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Tim Maggs, D.C.
the-structural-management-programDr. Tim Maggs has been in practice for 27 years, and travels the country speaking on his Structural Management™ Program.  He worked 4 years with the New York Giants, writes a sports medicine column for many running/triathlete magazines around the country, and also writes for many chiropractic magazines. In an interview with The American Chiropractor (TAC), Dr. Maggs discusses The Structural...
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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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