NewsFlashes
Cover Stories
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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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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TAC Staff: Nutritional Supplements
best-selling-nutritional-products AC GRACE Price Range: $9.50-$35.50 UNIQUE E Mixed Tocopherols Concentrate: Pure, all-natural mixed tocopherols vitamin E complex–700mg softgel capsules with 400 I.U. of d-alpha, and 300mg d-gamma content. No soy oil as filler. For more information, call 1-800-833-4368.        Be well homeopathic Wholesale: $9.75; SRP: $15.90 Flu Terminator 2 Oz (Also Available in1 Oz spray) (Ten Ingredients) FDA Registered....
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TAC Staff
chiropractic-06Doctor, for the first time ever!  A seminar just for YOU on Technique, Healing, & the Technologies that help validate them all! Now in one place, techniques and healing methods of all philosophies presented together! Finally! You decide for yourself which techniques truly are the best for you and your patients! There are over one hundred chiropractic techniques, not to mention all of...
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David O'Bryon, ACC Executive Director
interview-with-david-s-obryon-executive-director-association-of-chiropractic-colleges David O’Bryon , J.D., LL.D (Hon), F.I.C.C., is founder and president of O’Bryon & Company. With more than thirty years of association and government experience, he has served organizations as an executive, consultant, and volunteer. His responsibilities have included policy formulation and implementation for associations; design and management of membership recruitment efforts; development and implementation of government relations strategies...
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Susan Blackard, R.N., N.D.C, M.H.A., F.N.P.C
whats-your-solution-the-real-skinny-on-our-obesity-epidemic-no-pun-intendedIs there any one contributor to chronic health conditions more prevalent and dangerous than obesity? National obesity rates among adults has doubled since 1980 alone, yet it seems to be overlooked and misunderstood more often than any other disease catalyst. The explosion of weight loss products and the plethora of theories behind weight gain have seemingly done nothing more than...
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Interviews
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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Rob Cooper
office-supplies-a-suppliersThe American Chiropractor (TAC), interviews Rob Cooper, President of Scrip, Inc., about his company's efforts to "give back" to the chiropractic profession. TAC: Tell us a little bit about the history of Scrip, Inc. Cooper:  I am just entering my 12th year with Scrip Chiropractic Supply, although Scrip has been serving the needs of doctors of chiropractic since 1968.  I know I...
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Bill Koch, D.C.
neuro-modulation-technique-interview-with-dr-leslie-feinbergWe live in what is often called “the age of information”. In recent decades the United States has been making the transition from a major producer of manufactured goods to a major provider of information as the primary national product. The healing arts with all of its specialties and sub-specialties has also been experiencing a transformation. Every profession is...
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Dr. Daniel J. Murphy D.C., D.A.B.C.O.
interview-with-dan-murphy-dcWith this issue’s focus on Seminars & Education Opportunities, The American Chiropractor (TAC) interviews one of the most knowledgeable and respected speakers and educators in the chiropractic profession, Dr. Daniel Murphy. A 1978 graduate of Western States Chiropractic College, Dr. Murphy began clinical practice in 1978, in Oregon.  Not long after, he became a part-time faculty member at Life Chiropractic College...
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William H. Koch, DC interviews
interview-with-jeff-rockwell-dc-of-manual-neuroscience-methodsr-Dr. Jeff Rockwell, DC is a chiropractor, bodyworker and somatic educator, with a passionate interest in the neuroscience of manual therapy.  A pioneer in the use of instrumentation in neuromuscular therapy, Rockwell has been a popular teacher on the seminar circuit for the past twenty years. Professor of Clinical Sciences at Parker University for many years, he is the author...
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Jeff Spencer, D.C.
on-the-roadDr. Jeff Spencer is a former champion cyclist who competed on the 1972 United States Olympic Team as a sprint cyclist and currently serves as chiropractor for the United States Postal Service Professional Cycling Team.  A 1975 graduate of the University of Southern California (USC), Dr. Spencer graduated summa cum laude from Cleveland Chiropractic College at Los Angeles in 1988. ...
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Nutrition
Dr. Howard F. Loomis, D.C.
the-five-stages-of-pregnancy-part-iiIn this, the second of a three-part series of articles, Dr. Howard Loomis discusses the five stages of pregnancy and their special nutritional requirements.  In the January/February issue of TAC, he focused on the first stage—conception.  This issue, he focuses on stages two, three, and four—the pregnancy itself. Stage Two: First Trimester Proper nutritional planning should be part of essential care before,...
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Freddie Ulan, D.C.
adding-a-successful-nutritional-component-to-your-chiropractic-practice I have studied many different patient management systems designed for chiropractors over the past twenty-five years.  But practitioners who try to use chiropractic systems to manage the nutritional aspects of a patient’s case will find themselves falling short of true success.  I had the same problem until I made the discovery that, while a chiropractic patient may benefit from...
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Dr. Howard F. Loomis, D.C
iron-deficiency-and-innate-intelligenceOne of my fondest memories of my chiropractic education occurred following a particular lecture on the Philosophy of Chiropractic. I remember leaving the classroom full of resolve and enthusiasm, believing that all I needed to get sick people well was the chiropractic philosophy and a system of specific spinal adjustments. I expressed this idea to a classmate who asked what...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
battling-the-bulge-is-a-war-against-inflammationIn the Beginning… As a youth, I was one of the many who could not gain weight if he tried. My goal was to gain lean mass; however, I couldn’t even gain body fat back in the high school days. I was very skinny, and being so light was not helpful for my efforts to play baseball and basketball in high...
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Roger D. Deutsch
food-factors-and-athletic-performanceWant to improve athletic performance?  Find your personalized eating plan. Avoid the foods you do not tolerate.  FOOD INTOLERANCE IS A RAPIDLY INCREASING PROBLEM THAT DIFFERS FROM FOOD “ALLERGY” IN THAT SYMPTOMS ARE USUALLY CHRONIC AND DELAYED, PERHAPS BY SEVERAL HOURS OR EVEN DAYS.  HENCE THEY HAVE RECEIVED RELATIVELY LITTLE ATTENTION. NONETHELESS, KNOWING WHAT FOODS YOU DO NOT TOLERATE MAY BE...
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Dr. Howard F. Loomis, D.C.
the-five-stages-of-pregnancy-part-iNutritional planning during pregnancy is pretty straightforward, isn’t it?  An extensive amount of literature has been written about the topic.  The problem is that it is broad, overwhelming, and, frankly, a bit boring.  For this reason, many of the solutions to pregnancy-related problems go untreated and often unnoticed. This is a topic that will affect many of your adult patients. ...
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Orthotics
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.
q-angle-problems-increased-running-increases-pain History and Presenting Symptoms The patient is a 22-year-old recent college graduate, who reports a history of participation in many team sports in school, including field hockey, soccer, and softball. She admits that she has always had occasional knee problems, especially on the left side. She is now running regularly for fitness, and her left knee is noticeably...
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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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
metatarsalgia-and-orthotic-supportFoot pain can interfere significantly with normal activities, and severely limit participation in sports.  Metatarsalgia is foot pain involving the metatarsal bones in the forefoot—the complaint of pain on the bottom of the ball of the foot. Metatarsalgia may be due to overuse of the foot during sports, improper footwear,1 excessive weight, foot subluxations, or other factors.  The underlying cause is...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
recurrent-ankle-sprainsHistory and Presenting Symptoms The patient is a 38-year-old male, who plays soccer in an adult league on weekends.  He describes recurring episodes of pain and swelling along the outside of his right ankle for the past several years.  He presents for treatment of his lower extremity biomechanical faults, and wants to prevent future problems and improve his athletic performance...
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John J. Danchik, D.C.
triathlete-troubled-by-tarsal-tunnel-syndromeby John Danchik, D.C., F.I.C.C., F.A.C.C   History and Presenting SymptomsA 31-year-old male athlete presents with burning pain and paresthesias affecting the ball of his right foot and toes, and extending along the sole of his foot.  He is a competitive triathlete, but doesn’t recall any specific injuries to his right foot.  These sensations are worse at night, and are aggravated by...
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Practice Management
Dr. Eric Kaplan, D.C., F.I.A.M.A.
require-new-associates-to-qearnq-partner-statusOften I am asked, “How do I pay associate partners?  How do I pay a medical doctor?  Do I make them partners?” The world of healthcare is changing.  More and more clinics are becoming group practices.  Whether integrating with a DC, a PT or an MD, the Stark Laws are in effect.  Last year, I was told by one doctor, “I...
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tomowen
know-your-numbersOften times we have the misconception that success is something we enjoy only after we master difficult concepts and complicated theories. However, it may surprise you to know that you learned some of the necessary skills required for a successful chiropractic office when you were in Kindergarten. Do you know your numbers?  If you don’t, then reading this article and implementing...
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Tom Owen III, and Todd Osborne, D.C.
5-warning-signs-that-youre-not-developing-your-staff One of the areas in business management that is consistently overlooked is staff development. Most chiropractors dislike the management side of running a chiropractic business because their hearts are dedicated to serving their patients. The reason why so many doctors continue to improve their clinical skills and techniques long after graduation is that they are designed by nature to be...
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Maurice A. Pisciottano, D.C.
create-your-future-use-of-an-effective-business-expansion-planning-calendarLet’s face the facts.  Although the average chiropractor does see an occasional “walk-in” new patient, this is more the exception than the rule.  We, as chiropractors, consider that there is a minimum number of new patients that we need to see each week in order to be satisfied that our practice will continue to grow at the expected rate. The...
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Ray Foxworth, D.C., FICC, MCS-P
7-steps-to-a-sound-financial-policy1 Know Your Numbers Many doctors do not really know the cost of doing business. We THINK we know about what it costs to run our practice. You may know what your monthly expenses are, but do you know the actual cost of providing an office visit? Don’t fool yourself into thinking it costs the same to adjust 10 patients as...
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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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Radiology
Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
prostate-osteoblastic-metastasisHISTORY   This 60-year-old male patient presents with a history of prostate cancer with surgical removal. Note the metallic clips in the pelvic basin consistent with prostatectomy. There are multiple "snowball" areas of blastic metastasis scattered throughout the pelvis and proximal femora. This radiographic appearance is consistent with osteoblastic metastatic carcinoma from the prostate gland.     DISCUSSION   The sacrum and bones of...
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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.
hangmans-fractureHistory This adult male patient was involved in a car accident.  He struck his head on the windshield and was then thrown into hyperextension. Discussion Hangman’s Fracture (Traumatic spondylolisthesis). Fractures of the neural arch of the axis are one of the most common injuries of the cervical spine. Up to 40% of axis fractures are hangman’s fractures.1  They are usually...
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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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Tedd Koren, D.C.
adjusting-the-holographic-body-part-four-allergiesIf 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...
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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.
idiopathic-wrist-pain History This young adult male patient complains of wrist pain after physical activity. Plain film radiographs showed no abnormalities of any of the bones of the wrist, nor was there any joint disease in the carpal bones. Because of persistent pain, an MRI scan was performed. Diagnosis: Kienbock's Disease  Osteonecrosis may occur at any carpal bone as a result of traumatic...
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Rehabilition
Dr. Mark R. Payne, D.C.
crac-traction-kicking-corrective-care-into-high-gearFeeling frustrated with the long time frames required for corrective care programs? Maybe you should try a little C.R.A.C. No…I’m not recommending you seek solace in some vicious street drug. Instead, you might want to try combining a well accepted muscle stretching technique with extension traction to speed up the corrective process. Here’s how it works. The acronym...
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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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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
soft-tissue-stress-and-rehabilitationThe body’s soft connective tissues (such as muscles and ligaments) are generally exposed to stress throughout life.  Such structures respond and adapt to the usual amount of stress exposure.  Damage occurs when soft tissues are exposed to higher-than-usual stress levels.  This can be a single, sudden, excessive stress, or it can be the result of repetitive stress to the muscle...
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Randy Reed, D.C., F.I.C.C., F.A.C.C.
mckenzie-spinal-rehab-methods-in-the-chiropractic-officeThe doctors that have protocols which include movements or forces that decrease disc displacement which, in turn, cause pain to decrease, disappear, or centralize with a rapid increase of lumbar ROM, see their patients get better. These types of movements should be pursued with decompression, exercises, mobilizations, and manipulations. Doctors, who fail to recognize...
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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.
patient-safety-and-extension-traction So far, we’ve discussed a couple of different variations on extension traction methods for restoring the cervical lordosis. Before we move on, let me just say a few words regarding patient safety and extension traction procedures. CAUTION: Extension traction procedures aren’t for everyone. There I said it. Of course, I’ve been saying it constantly for the past twenty years...
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Techniques
Jay Kennedy, D.C.
decompression-deception-and-the-magic-machine  It is important to recognize that as we approach nearly twenty years since the initial entrance into the Chiropractic market of Decompression systems, we are still faced with the marketing of magic decompression machines, being somehow different than traction devices based upon mechanisms and pull patterns. For many people, logic, reason and basic physics, though compelling, can’t really compete with...
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Allan Gary Oolo Austin, D.C.
an-advanced-method-for-treating-strokeRecently there has been much publicity surrounding the claims that neck manipulation by chiropractors can cause stroke or even death via cervical artery dissection.  This type of publicity has generated much concern for chiropractic patients and the general public.  Although, after carefully addressing the patient’s concern and informing them on the risk of neck manipulation (less than 1:500,000–1 million1), some...
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Dennis Woggon, DC, B.Sc.
scoliosis-correction-clear-solutionsScoliosis is a dis-ease of the neuro-muscular skeletal system. The medical “Gold Standard” of treatment, which is bracing and surgery, has few positive results.  As spinal experts, the chiropractic profession should take the lead in the correction and stabilization of the scoliotic patient. 90% of the time the scoliosis patient presents with a standard posture; forward head posture, right head tilt,...
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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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Randy B. Reed, D.C., C.C.S.P.
i-cant-believe-its-not-traction  After spending the better part of the last 6 years developing a seminar for Continuing Education Credits and speaking to over 2000 Chiropractors, Neuro & Orthopedic Surgeons, Osteopaths, and Physical Therapists on “Axial Decompression and Core Rehab for the Lumbar Disc Patient”, I am still amazed and intrigued by the one question that mainly chiropractors ask me.  I am asked...
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Donald Epstein, DC
somato-respiratory-integration-exercises-to-relieve-stressA patient calls in the middle of your weekend feeling great distress about their experience under your care; what do you tell them?  You have a patient who seems to be so unresponsive to care, you feel lost.  You are looking for your practice members to take more responsibility for their health, wellness and healing processes.  If you have ever...
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