NewsFlashes
Cover Stories
Elisa Zinberg, D.C.
the-zen-of-dr-zinbergOne of the top female wellness executives and consultants in America, Dr. Zinberg was an entrepreneur and private practitioner prior to joining The Masters Circle in 2000.  She also serves as the company’s director of its Chiropractic Assistant (CA) certification program and now leads day-to-day operations, overseeing coaches, seminars, and product development. Elisa Zinberg exemplifies the spirit and dedication of The...
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TAC Staff
products-a-software-to-help-you-work-with-insurance-to-get-paid Oftentimes, the tools used will determine the possibility for success in accomplishing any task. Making the right decision with regard to the documentation software, record keeping and other products you use will have a tremendous impact on the heights that your clinic may be able to reach. Use this market review to get to know some of your options.     Acom Product...
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TAC Staff
secrets-of-marketing  Successful Marketing the "CLA WAY" by Patrick Gentempo Jr., D.C., CEO of Chiropractic Leadership Alliance. Marketing is a primary function for any successful business, whether it be a chiropractic   You may contact Dr. Patrick Gentempo at 1 International Blvd., #750, Mahwah, NJ 07495. Phone 1-201-252-3220, Executive Assistant Mike Thompson, Ext. 114, or visit www.subluxation.com  or www.creatingwellness.com. practice or a Fortune 500...
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Arthur Croft, D.C.
25-years-of-whiplash-research Dr. Croft is the Founding Director of the Spine Research Institute of San Diego. He has been actively engaged in whiplash research for the past twenty-five years and has co-authored a best-selling textbook on whiplash (Whiplash Injuries: the Cervical Acceleration/Deceleration Syndrome, 3rd edition, 2002) and temporomandibular joint disorders (Whiplash and Temporomandibular Disorders: an Interdisciplinary Approach to Case Management), along...
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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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Allan Dyer, B.S., M.D., Ph. D.
decompression-is-more-than-traction Dr. Allan Dyer has a Bachelor of Science degree in Pharmacy and is a doctor of Internal Medicine. He was also awarded a Ph.D. for his graduate studies and pioneer work in Transthoracic Cardiac Defibrillation. During his career as a senior administrator and Deputy Minister of Health, he instituted the hospital services quality assessment, generic drug substitution program, prescription...
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Interviews
Steven Visentin, D.C.
marketing-machineMarketing Machine Interview with Steven Visentin, D.C.   The American Chiropractor recently heard about an e-book written by Dr. Steven Visentin (SV), Blow Your Head Off: Practice Building Secrets. Dr. Visentin graduated  from the National College of Chiropractic and decided to practice in  Denver, Colorado, for its excellent quality of life.  Unfortunately for him, many other chiropractors had the same idea and the...
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George Michalopoulos, D.C.
million-dollar-chiropractic-features-dr-george-michalopoulosEach article in the MILLION DOLLAR CHIROPRACTIC series () 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. George Michalopoulos an extremely successful chiropractor who has practiced in Illinois,...
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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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TAC Staff
defining-food-enzyme-nutrition-an-interview-with-howard-loomis-dcHoward F. Loomis, Jr., DC has been the leader in the clinical application of plant enzymes and is the person responsible for bringing food enzyme nutrition to the forefront of the health care field.  After graduating from Logan Chiropractic College in 1967, he entered practice in Missouri and practiced there for 26 years.    In 1980, he was introduced to the work...
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Ken Murkowski, DC
dr-dick-versendaal-a-pioneer-of-modern-chiropractic-wellnessDr. Dick Versendaal is one of the last living doctors of chiropractic who studied under Dr. B.J. Palmer. Today, he still practices with the “big idea” in mind.    In a Q & A session with Dr. Ken Murkowski, Dr. Versendaal talks about his past and present.  Also revealed are some of the interesting beginnings of Contact Reflex Analysis® (CRA), as well...
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TAC Staff
president-of-david-singer-enterprises-interview-with-dr-david-singerDr. Singer received his undergraduate degree from Rutger’s University, his M.S. degree in nutrition from the University of Bridgeport, and his Doctorate from the New York College of Chiropractic. Graduating with honors as the salutatorian of his class, he was inducted into Phi Chi Omega, the International Chiropractic Honor Society.    In his first year of practice, Dr. Singer was seeing more...
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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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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
un-complicating-nutrition-part-2Part 1 of this article series (Volume 28, Issue 2) discussed how to eat an anti-inflammatory diet. Specific diseases and diets for specific diseases were not discussed. The goal with the anti-inflammatory diet is straightforward…the goal is to create an anti-inflammatory state, that is, to reduce the inflammatory potential of our tissues. This is a very important dietary goal, as...
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John H. Maher, D.C.
baby-boomers-nutrition-a-superfood-solutionMost all of us who are baby boomers know of Jack LaLanne. Some of you who, like me, started paying attention to nutrition back in the 1960’s, probably know of other long lived icons of the mid twentieth century natural food movement, such as Paul Bragg, Bob Delmontique and even Dr. N. W. Walker of juicing fame. All have preached...
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Mark Percival, D.C., N.D.
all-things-a-poison-plus-silicon-an-overlooked-trace-mineralIf you are recommending trace minerals to your patients, chances are you are recommending toxic substances.  The strange paradox is, many of these toxic minerals are also essential for life!  With the recent popularity of coral calcium, colloidal mineral cocktails, and other supplements containing seventy or more trace minerals, the question of how toxic elements, such as arsenic, cadmium, antimony,...
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Dr. James P. Cima, D.C.
why-high-cholesterol-by-itself-is-not-a-good-indicator-of-heart-disease Whenever I run a blood test on any patient, the first thing they all want to know is, "Doc, how is my cholesterol?" They think, because their cholesterol levels are normal, they have nothing to worry about. Unfortunately, they do not know that about 50 percent of patients who die from cardiovascular disease have "normal cholesterol levels". They also do...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
syndrome-x-and-c-reactive-proteinSyndrome X is most easily viewed as a Pre-Diabetic State,as it is characterized by hyperinsulinemia and hyperglycemia. Syndrome X can initially exist without symptoms and, as it progresses, symptoms such as fatigue can develop, which are considered a “normal” part of aging, rather than the outcome of a pathological state. Metabolic features of syndrome X:1   1. Increased production...
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Orthotics
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.
adult-flatfeet-and-orthotic-support Flatfoot (the absence of a medial longitudinal foot arch) is normally found during early human growth and development.  During childhood, we all start out with little or no arch.  Some people, however, never develop normal feet arches.  This situation differs from the collapse of normal arches due to excessive loading and eventual plastic deformation.  Are “normally” flattened feet a clinical...
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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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Dr. Paul B. Bindell, D.C.
audit-proof-your-practice The curse is that insurance companies use computers to burden and audit you. The blessing is greater because the computer protects you from audits, minimizes paperwork and eliminates 95% of paper filing.   Doctors praise Electronic Health Record (EHR) computers. When audited, those doctors produced high quality SOAP records that matched the bills. The only loss was a small amount of...
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John J. Danchik, D.C.
lower-extremity-conditions-and-postural-supportHistory and Presenting Symptoms A 37 year-old male presents with a report of pain in his lower back and right hip. Further discussion elicits a history of previous right hamstring strain during high school soccer, along with several episodes of ankle sprains. He has had arthroscopic surgery to evaluate recurrent left knee pain and stiffness, which found no specific...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
increased-running-increases-pain History and Presenting Symptoms A 33-year-old female presents with ongoing pain and discomfort in her left lower leg, which responds only temporarily to anti-inflammatory medications. She has been running regularly for the past six months, but develops left leg pain whenever she tries to increase her mileage. She ices her leg for fifteen minutes after each run, and...
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Practice Management
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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Peter G. Fernandez, D.C.
the-associateships-from-hellThe 5 types of associateships to avoid…and why. Becoming an associate doctor is not a demeaning career move.  Trying to open a new practice when you or your finances are not ready…is.  Being an associate should be an honorable, rewarding and learning experience. You will hit net profit your first week in practice (your paycheck), you will work fewer hours, and...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
rules-of-time In this time of an economic downtrend, I see so many of my peers depressed. If money is your key to happiness, your life, like Wall Street, will have continual ups and downs. The most valuable commodity in your life is time. Time is more valuable than money. Ask any dying person how much they would pay for one more...
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Kathy Mills Chang, MCS-P
what-do-insurance-companies-really-want-from-meDo you ever sit at your desk, look around at the stacks of requests, letters, and charts and ask yourself, “What do insurance companies really want from me, anyway?”  The volume of new regulations and rules are raining down at a fast and furious pace, and may feel like an out of control, runaway train.  We just master one new...
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Dr. Eric Plasker, D.C.
the-financial-stability-of-family-practiceChiropractic Family Practice is extremely profitable. Rather than working harder and harder for their money, chasing insurance companies only to be denied payment, losing patients because their insurance doesn’t cover the care anymore, and dealing with the incredibly stressful, high overhead that comes with other types of practices, thousands of chiropractors are becoming the family wellness providers for their communities. The...
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Dennis Perman, D.C.
self-esteem-the-missing-link-in-practice-success-and-satisfactionThe most important things in life come from inside out – happiness is inside-out, love is inside-out, health is inside-out, and indeed, success in chiropractic practice is also inside-out. So, what do you need inside you to experience the level of success and satisfaction in practice that you desire? There are many qualities that figure into this equation – discipline, creativity,...
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Radiology
Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
sacral-fracturesCase History:  This male patient was working on the roof of his garage when he slipped and fell 12 feet to the concrete pavement of his driveway.  He has sharp pain over his proximal sacrum. Does he have a fracture? Diagnosis:  Note the fracture through the anterior surface of the second sacral segment creating an acute offset of its anterior cortical...
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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.
sacral-fracturesHistory This patient fell off a horse while competing in a high level equestrian event. The patient fell directly over the sacrum and experienced immediate severe localized pain in the sacral area. Discussion Sacral fractures usually occur as the result of a fall upon the buttocks or following a direct traumatic blow. There are two types: Horizontal and Vertical. Horizontal (transverse) Fractures These are 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.
gout-versus-osteoarthritis-which-is-it Case History This 60-year-old male complains of sharp pain in the great toe. He has a family history of gout and is worried he has developed gout. What’s your diagnosis?   Diagnosis: Degenerative Osteoarthritis Of The Great Toe.   General Considerations Degenerative Osteoarthritis   Foot Of all forefoot articulations, the most commonly involved articulation is that of the first metatarsophalangeal joint. The radiographic signs are distinctive but, on...
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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.
an-occult-lesion-of-the-calcaneusHISTORY This active adolescent athlete sprained his foot while playing tennis.  Radiographs revealed a large radiolucent lesion in the calcaneus.  What is this? DIAGNOSIS:  SIMPLE BONE CYST The geographic lytic expansile lesion in the floor of the calcaneus is well circumscribed and has all the characteristic appearances of a benign lesion.  Benign lytic lesions of the calcaneus are most commonly simple bone cysts...
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Paul Sherman, D.C.
a-case-of-radish Discussion:     RA/DISH is a disorder involving two conditions: rheumatoid arthritis (RA) and diffuse idiopathic skeletal hyperostosis (DISH), which is also known as Forestiers disease or ankylosing hyperostosis.1,3,5 RA is considered the most common inflammatory arthritide.1 It is a systemic connective tissue disorder that primarily affects the synovial lined joints.1 It is characterized by an inflammatory, hyperplastic...
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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.
degenerative-spondylolisthesis HISTORY   This 50-year-old female patient presents with a six-month history of lower back pain without peripheral radiation. DISCUSSION Degenerative spondylolisthesis (Type III) has been referred to as a “pseudospondylolisthesis” by Junghans, to differentiate spondylolisthesis with an intact neural arch from those with a true defect of the neural arch.1 Macnab2 prefers the phrase “spondylolisthesis with an...
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Rehabilition
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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Stephen W. Boyles D.C,CKTI
chiropractic-and-elastic-therapeutic-taping-helping-a-young-athlete-finish-the-gameWe all employ a variety of techniques with our patients, and even with people we may not originally have thought of as patients. In almost 20 years as an educator and practicing DC, I have often been asked to share in unexpected areas. Kinesio Taping, or Elastic Therapeutic Taping, has been a valuable tool for me since 1999, and I...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
getting-hip-muscles-back-in-balance The hip muscles form a vital link in the lower extremity kinetic chain by transferring ground-reaction forces from the legs to the trunk during gait.  These muscle groups supply coordinated propulsion and provide balanced stability for the pelvis and spine.  However, through repetitive use patterns and after injuries, it is not unusual for some of these muscles to develop shortening...
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John K. Hyland, D.C.
exercise-for-healthy-agingThere is now a wealth of data that supports the value of aerobic and resistance exercise for the geriatric population. Improvements are seen in weight and body composition, greater insulin sensitivity, decreased falls/improved balance, better psychological health, less frailty and improved function. With exercise, the resting blood pressure lowers, and there is a reduction in the risk of all-cause mortality.1...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
rehab-for-busy-schedulesThere have been various recommendations over the years in our profession about the recommended number of repetitions and sets of exercises that patients should perform.  To judge for yourself what numbers are best for those in your care, you need to consider several factors — not the least of which is the hectic, fast-paced lives many of your patients already...
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Dr. Mark R. Payne, D.C.
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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Techniques
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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Marshall Dickholtz, Sr., D.C.
what-is-a-totally-balanced-spine-what-every-chiropractor-and-chiropractic-researcher-should-knowTo start with, an imbalanced spine is because an atlas subluxation is affecting the brain stem. This affects the muscle balancing mechanism in the central reticular formation. As a result, it produces spastic muscles on one side of the body, more than the other side, and produces a distorted pelvis and a contracted ilium. It also...
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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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Robert C. Gordon, D.C.
clinically-justifying-mua-in-the-field-of-pain-managementFrom a clinical standpoint, MUA has never been questioned as an alternative to correcting fixated articulation, and shortened muscles. But, as a procedure performed by the chiropractic profession, it is questioned constantly. Manipulation Under Anesthesia or medication-assisted manipulation has long been used by the orthopedic, and osteopathic professions to correct joint fixation. Chiropractic physicians started using this technique in the late 80’s as...
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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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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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