NewsFlashes
Cover Stories
Cleveland Chiropractic College (CCC)
cleveland-chiropractic-collegeEnsuring the success of students and making a lasting impact on the future of chiropractic are the driving forces behind several positive developments being carried out at both the Kansas City and Los Angeles campuses of Cleveland Chiropractic College (CCC). Highlighting these developments are the relocation of the Kansas City campus, facilities improvements in Los...
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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
a-man-with-insightHe was a popular, charismatic high school student. A national AAU karate champion. An inexperienced, undersized member of the school’s wrestling team. How did Dr. Patrick Gentempo Jr. become one of the most influential minds in today’s chiropractic world? Well, being undersized and inexperienced may have actually helped. “I injured my neck in a wrestling practice and my mom took...
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Jack Dolbin, D.C.
principles-of-a-sports-medicine-practiceIn the fall of 1993, I was attending a Villanova versus Northeastern University football game. My son was a red shirt freshman wide out and me, a retired NFL veteran. We sat together as spectators, dissecting the game and the individual player performances. In events that would decide the game, the Villanova field goal kicker, Frank Venezia, missed two very...
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TAC Staff
second-generation-chiropractor-in-the-trenches-for-broad-based-educationDr. Richard G. Brassard was appointed president of Texas Chiropractic College (TCC) in 2004, following several years of association with TCC as a member and chairman of the Board of Regents. He is a 1965 graduate of Palmer College of Chiropractic, following in the footsteps of his late father, Dr. Jerry Brassard. He is licensed to practice in both Texas...
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Christopher Kent, DC
a-man-of-many-hats Chiropractic Leadership Alliance’s versatile Co-Founder is one the most influential minds that the profession has ever known—and the perfect choice to lead the Wellness Revolution: the kind that would make him one of the most important chiropractic figures of his generation. A Man of Many Hats, Christopher Kent is a Doctor, a Lawyer, an Author, a Researcher, an...
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Interviews
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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John Donofrio, DC
healing-from-withinDr. John C. Donofrio, Summa Cum Laude graduate of Pennsylvania College of Chiropractic, credits much of his success to his becoming a Board Certified Chiropractic Neurologist. Now practicing in Reading, PA, Donofrio also recognizes that “healing occurs from within….” In his interview with The American Chiropractor (TAC), this “Amazing Chiropractor” gives us a look at what drives him and what...
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Joe Mershon
chiropractors-on-tv-national-tv-campaign The fastest way to affect public opinion is through television.  Shows like CBS’ Two and a Half Men, in which one of the lead characters is a chiropractor, show that the profession has, indeed, entered the mainstream of American culture… albeit with a less than ideal portrayal of a chiropractor, it’s a start.   So how do you use this mega-tool to...
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Todd Singleton, D.C.
one-doctors-solution-to-the-insurance-problemIncrease Your Practice by Expanding Your Focus from the 7% to 12% of Your Town Who Seek Chiropractic Care, to the 66% to 86% of Your Town Who Are Seeking This…   Todd Singleton, D.C., is an author, speaker, consultant and a practicing doctor.  He graduated from Los Angeles College of Chiropractic in 1990.  For many years he ran the largest...
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James Mathis
how-to-get-paidJames J. Mathis has been employed in the insurance industry for more than fifteen years.  Formerly with Allstate Insurance and State Farm Insurance, during that time, he was also a claim representative as well as a manager in charge of all Med-Pay claims and Personal Injury Protection claims in the State of Washington.  In addition, he was designated the company...
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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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Nutrition
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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Robert Lupo, D.C.
nutrition-for-a-healthier-practiceNutrition can be a healthy addition to your chiropractic or multidisciplinary practice and help your patients achieve greater well-being.  Nutrition is low-cost, easy to implement and can make your treatments more effective.  A happy, healthy patient will refer friends and family. It has never been easier to test for the deficiencies or nutritional needs of your patients.  Nutrition companies have classes...
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Dr. Howard F. Loomis, D.C.
chiropractic-and-prescription-drug-use-restless-leg-syndromeAn important part of every case history, and even ongoing case notes, should be knowledge of the patient’s prescription and over-the-counter drug use. This has always been important because drugs mask symptoms and physical findings that are important in making an accurate assessment of the need for chiropractic care. However, at the dawn of the 21st century, prescription drug abuse...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
the-omega-6-mobileonly-diesel-vehicles-should-eat-n-6sAs discussed in previous columns in The American Chiropractor, our consumption of omega-6 (n-6) fatty acids is excessive and pro-inflammatory. In a recent TAC article, I discussed how most Americans have been corn-oiled. It takes some eighteen cups of corn to make just one...
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Barry Sears, Ph.D.
metabolic-syndrome-inflammation-and-the-aging-processMuch of anti-aging medicine is currently focused on hormonal replacement, especially those hormones that decrease with aging. However, relatively little attention is placed on reducing the levels of hormones that increase with aging.  In particular, the hormones associated with increased systemic inflammation are elevated levels of insulin and eicosanoids. The primary cause of the rise of these hormones is due to...
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howardloomisjr
internal-health-a-chiropractic-specialty-parasympathetic-dominance-sympathetic-weaknessThis is my third article in a series designed to highlight visceral dysfunctions that are perpetuating muscle contractions, loss of joint range of motion, and reoccurring structural misalignments that have become chronic and defy permanent correction. It is exactly these problems that cause patients to seek alternatives to continuing chiropractic care. I believe our profession must, in addition to specializing...
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Orthotics
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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johndanchik
providing-the-racers-edge-to-a-young-runnerHistory and Presenting Symptoms The patient, a 27-year-old female, is a media designer who has been running regularly for the past eight years.  She reports the recent onset and gradual worsening of pain in the front of her left lower leg, which is now limiting her regular physical activities.  The leg pain is described as an “aching soreness” that has...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
popliteus-tendinitis-in-a-softball-playerPopliteus Tendinitis in a Softball Player by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   History and Presenting SymptomsThe patient is a 27-year-old male who participates in an adult softball league on weekends. He describes recurring episodes of pain and swelling along the back and outside of his right knee, which has limited his knee extension for the past several...
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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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Kirk Lee, D.C.
understanding-the-mechanism-of-plantar-fascitisAs chiropractors, our primary focus of care is the chiropractic adjustment. Based on our education in science, art and philosophy, we decide how and where to apply the chiropractic adjustment. Our treatment of a patient’s condition is based on the reduction or stabilization of the resulting subluxation complexes. We listen to our patients’ concerns and answer their questions, but we...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
orthotic-support-for-knee-painThe knee has an impressive level of stability, despite the incongruent joint surfaces of the tibia and femur.  These two contrasting joint surfaces articulate only with the help of the crescent-shaped menisci.  Through their weight-distribution and shock-protection properties, the menisci help guide movements between the convex surfaces of the distal femur and the almost flat superior surfaces of the tibial...
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Practice Management
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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Kathy Mills Chang
the-financial-report-of-findings-say-it-and-they-will-pay-itOne of the most overlooked areas of practice management, meaning the management of your practice, is in the area of finances. For whatever reason, doctors of chiropractic have struggled with this area due to lack of knowledge, lack of the ability to confront the situation or lack of effective team members to assist in this important area. The most important...
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Tom Owen III, D.C.
thoughts-on-sailing-and-chiropracticThoughts on Sailing and Chiropractic by Tom Owen III, and Todd Osborne, D.C. Sometimes there are situations in our lives that desorient us   My father, Dr. Thomas Owen, has often made the statement, “Every principle in business and in life can be related to flying an airplane or sailing a boat.”  Growing up we spent a large amount of time sailing in the...
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Peter G. Fernandez, D.C.
an-associateship-that-worksThe tandem associateship: 2 doctors successfully treating the same patients. In the previous article of this, "How to Start a Practice" series, I discussed the "Associateships from Hell."  Unfortunately, most starting doctors get trapped in bad associate arrangements like these. However, this article describes an associateship structure that's very successful, an associateship in which both the established doctor and the...
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Tom Owen III, and Todd Osborne, D.C.
dont-confuse-motion-with-progress Over the years, we’ve listened to the stories of hundreds of chiropractors who have asked us to help them make a living doing what they love to do, which is change lives through the healing art of chiropractic. These doctors come to us with a myriad of situations. Some of them seek us out because they are opening their doors...
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Chris Peetros
cheeseburger-cheeseburger-cheeseburgerA friend of mine, a chiropractor, was listening to the tail end of a talk I was giving in Florida, and after the talk, asked me to explain this cheeseburger thing to him.  I told Mike, (that’s his name) that the cheeseburger phenomenon is something we coined to explain the product problems that we encounter which causes us to redesign...
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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
melorheostosis[Case History] This male patient has a history of multiple traumas to his humerus.  Are these radiopacities exuberant callous formation from hematoma? Diagnosis:  The answer is no!! This is a rare sclerotic skeletal dysplasia referred to as “MELORHEOSTOSIS”. General Considerations Melorheostosis is a rare, sclerosing bone dysplasia that was first described in 1922 by Leri and Joanny.  Synonyms include Leri type of osteopetrosis, osteosis...
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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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Peter Fernandez, DC
what-practice-structure-suits-you-best-starting-a-new-practice-v Solo Practitioner (No Incorporation) This type of practice structure is when a doctor is not incorporated.  In this case, the doctor does not have the personal asset protection advantage that a corporate shield has to offer.  Being non-incorporated, if someone files a malpractice suit against the doctor, they will not only be after all his business assets (equipment, accounts...
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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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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
pending-spondylolysis-andor-spondylolisthesis-whats-it-all-meanCase History This 18-year-old female gymnast is complaining of unilateral left-sided lumbar spine pain at the L5 level.  Standard plain film radiographs show no evidence of pathology, pars defects or spondylolisthesis.  Because this patient’s pain did not respond to conservative treatment, an MRI scan was performed for further evaluation.   Imaging Findings of this Patient Observe the area of bright (white) signal intensity seen...
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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.
lumbar-spine-compression-fracturesThe radiographic signs of vertebral compression fracture are often subtle.  Radiographs of optimal quality are necessary in order to adequately demonstrate these fractures.  Lateral radiographs best demonstrate the fracture features.  Radiographic signs of vertebral compression fracture include a step defect, wedge deformity, a linear zone of condensation, displaced endplate, paraspinal edema and abdominal ileus.  Step Defect—Note, in the presented image, a...
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Rehabilition
Christian H. Reichardt, D.C., C.C.S.P.
vibrational-therapyIn the last issue of The American Chiropractor, I focused primarily on the issue of intergrating Whole Body Vibration (WBV) into your daily office procedures. When we, as Doctors of Chiropractic, are recommending a particular therapy to our patients, we want to be certain to understand the physiologic effects of the particular modality and the...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
joint-rehab-and-exercise-tubingCurrent research describes the advantage of early, progressive rehabilitation exercise for many types of joint conditions.1-6  These benefits include: restoration of range of motion; decreased pain and swelling; decreased neural inhibition; quicker return of muscle function; and improved performance in sports and all daily activities.  Some studies even speculate that early rehabilitation programs may reduce the number of joint re-injuries.7-9 Contemporary...
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John K. Hyland, D.C.
rehab-after-injuryCommunication skills are vital to achieving good results when dealing with patients after an injury. One of the most important components of post-injury rehabilitation is to give very clear instructions when the patients first start to exercise. This is because it is easy for patients to do too little or too much, and both will interfere with the desired outcome....
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
rehab-of-cad-injuryPeople who present with whiplash injuries (Cervical Acceleration-Deacceleration) often do not respond completely to care.  In fact, persisting symptoms are common in this group.1  One review found that “between 14% and 42% of patients with whiplash injuries have chronic neck pain and that approximately 10% of this group experience constant, severe pain.”2  In fact, there is over 50 years of...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
healthy-sleep-for-rehab-patientsPatients receiving rehab care for various chronic or acute neck problems often come across advertisements promoting special “neck support” pillows.  Cervical support pillows are recommended by many chiropractors, physiotherapists, and even surgeons.  In a 1998 comparison study of three types of bed pillows, the authors write, “From a patient’s perspective, neck support is an important part of a comprehensive physiotherapy...
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Mark S. Matvey, D.C.
reducing-the-need-for-narcotic-medications-a-retrospective-case-reportIntroduction The purpose of this case report is to display the dynamics of a complete tear on an anterior cruciate ligament that required surgical intervention with a graph (cadaver) insertion via arthroscopy surgery and the chiropractic care and rehabilitation technique/procedures used to benefit and expedite the recovery process. In addition, the need for the routine narcotic medications prescribed for this type...
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Techniques
Howard F. Loomis, Jr., D.C., F.I.A.C.A.
what-do-you-have-to-see-before-you-know-what-to-do-the-significance-of-pottengers-saucer  Structure (anatomy) and function (physiology) cannot be separated. A deviation from normal in one has consequences in the other. Beginning with my February 2010 column, I have been describing a five-minute Source of Stress examination that can be done in your office any time you need to determine when a visceral dysfunction may be responsible for perpetuating structural misalignments and...
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George LeBeau, D.C.
effects-of-kinetic-resistance-mobilization-on-qfrozen-elbowq-syndrome-fesABSTRACT Introduction: This study presents an entirely new approach in the treatment of “Frozen Elbow” Syndrome (FES) using movement with resistance, Kinetic Resistance Mobilization (KRM). FES is described as a loss of normal Range of Motion (ROM) at the humeroulnar articulation. The attempted movements may or may not be associated with pain, weakness or parathesia; but, in the four cases presented...
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Sharon Pettibon
spinal-technicians-necessary-component-for-chiropractic-managementThe discussion of Chiropractic success and its varied components has been a major topic of discussion since I can remember. My first exposure was in 1972 when I was sent to Parker Seminars as conducted by Jimmy Parker, D.C. in Las Vegas. The first one I attended was at the old MGM Grand and Elvis was the headliner. The hairdos...
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Anthony Criscuolo, DC
energize-your-practice-with-active-release-techniques-artHow would you like to dramatically improve your patient outcomes and have patients enthusiastic about their treatment?  Would you like to see positive post treatment changes in range of motion, muscle strength, and pain in one treatment?  Well, thousands of doctors have discovered these benefits and more by utilizing ART in their practices. So, what is ART? ART is a hands-on touch...
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David Jackson, DC
techniques-diversity-of-art-and-scienceChiropractic is an incredibly diverse profession, boasting more than 100 different techniques (one list puts the number closer to 120 and one online source even claims there are 200). Some are extremely well known, such as Diversified or Atlas Orthogonal Technique. Others possess a smaller (but often extremely loyal) following, such as the McTimody Technique or the Columbia Technique. Most doctors...
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Tedd Koren, D.C.
do-cranial-bones-moveWe were taught in school that the cranial bones are fused and do not move after infancy. That’s because we weren’t taught in Italian. What does language have to do with it? Read on. Cranial motion was introduced to the osteopathic profession by William G. Sutherland, DO, in the 1920’s. Sutherland was inspired by the 18th century philosopher and scientist Emmanuel...
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