NewsFlashes
Cover Stories
William H. Koch, D.C.
adventures-in-practice We have all grown up with the dramas of medical practice, depicted in popular TV programs.  There was Dr. Ben Casey doing brain surgery, and also the fatherly Marcus Welby, M.D., who practiced medicine in a small town, providing each patient with a level of patience, competence and benevolence that everyone would love to have from their doctor.  Who can...
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John L. Stump D.C., Ph.D., Ed.D.
stroke-a-different-perspectiveStroke…  A Different Perspective by John L. Stump D.C., Ph.D., Ed.D.   In May 1999, upon returning Sunday evening from one of his many trips, John Stump and his wife went out for dinner. Arriving home they decided to begin packing for the upcoming lecture he was scheduled to do in New Zealand. He glanced at the clock; it...
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Jeffrey Slocum, D.C.
interview-with-jeffrey-slocum-dcDr. Slocum graduated from Logan College of Chiropractic in April 1993. He has been the owner of his practice for over fourteen years. Dr. Slocum is a fourth generation chiropractor and has focused on developing a family wellness based practice that uses state of the art technology and focuses extensively on staff development. Dr. Slocum...
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John L. Stump D.C., Ph.D., Ed.D.
how-to-build-a-sports-health-care-practice Preface In business, “toke wa karinary” is the Japanese term for “time is money.” The Japanese feel that maximizing these two factors is the key to the success of any endeavor,1 especially the sports health care practice. Many doctors, when they get out of...
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TAC Staff
removing-interferenceDr. M. T. Morter Jr. is an internationally recognized authority on health.  He is a past president of both Logan and Parker Chiropractic Colleges.  In his nearly forty-five years as a practicing chiropractor and health care specialist, Dr. Morter has developed the revolutionary Morter HealthSystem, which is based on his Bio Energetic Synchronization Technique.   B.E.S.T. has been at...
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David Fletcher, D.C., F.C.C.S.S.(C)
nerve-first-approach“Nerve First” Approach by David Fletcher, D.C., F.C.C.S.S.(C)   Dr. Fletcher is a 1980 graduate of Canadian Memorial Chiropractic College with a Fellowship in Chiropractic Sport Sciences. He trains and teaches thousands of chiropractors to interpret and communicate the power of chiropractic care, using CLA’s Insight scanning technologies. He continues to practice daily, while developing new strategies for...
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Interviews
TAC Staff
8-top-table-company-representatives-tell-us-whats-newWe interviewed eight representatives from the leading manufacturers of chiropractic tables to find out what’s new and what makes each company unique. From new, electronic features and tables made for specific techniques to tables that adapt to any technique, these companies, with a combined experience of almost 300 years, have something for everyone. Lloyd Table Company Lloyd Table Company is continually striving...
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Karl Parker, D.C.
dr-karl-parker-shares-his-dream-for-chiropracticAfter a controversial change of leadership at Parker College of Chiropractic 7 years ago, which stunned the entire United States chiropractic community, Dr. Karl Parker, son of the late Dr. James Parker, was summarily “relieved of his duties” as President of the college, an institution founded by his late father, leaving the former PCC President and heir apparent to the...
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TAC Staff
dr-david-m-brady-breaks-the-glass-ceiling-in-academia-interview-with-david-m-brady-dc-nd-ccn-dacbn  Dr. David Brady, a 1991 Texas Chiropractic College (TCC) graduate, is the first DC worldwide to break the "glass ceiling" within academia by being conferred vice provost of the health science division at the University of Bridgeport in Connecticut. He is the first and only chiropractor to attain that elevated status worldwide in a major university and, because of his...
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Harold McCoy, D.C.
mccoys-track-recordWith almost 30 years of experience in practice, Dr. Harold McCoy has established quite a track record in incorporating chiropractic to achieve optimal sports performance in world-class athletes. It all started in the 80’s, when Dr. McCoy treated Olympic athletes like Evander Holyfield and served seven years at the University of Washington as part of the Multidisciplinary Sports Medicine Staff,...
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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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Dr. Steven Windwer
million-dollar-chiropractic-interview-with-dr-steven-windwer-dc Originally from New York, Dr. Steven M. Windwer, began working as a physical therapist the Boston area before moving back to Long Island and attending New York in Chiropractic College. He has played competitive basketball and soccer and now is the official chiropractor at Northeastern University, where he works with the athletic trainers and cares for athletes in all sports.   ...
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Nutrition
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.
popular-topic-inflammationMost of my columns revolve around discussing how inflammation promotes most diseases, and how we can reduce inflammation with nutrition. Some docs find this subject confusing, as they believe that inflammation equals healing. Indeed, inflammation is needed for healing after injury; however, chronic inflammation is a driver of most diseases. DC's need to be aware of this fact because patients are...
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Lynn Toohey, Ph.D.
is-hormone-replacement-therapyDuring the third week in July of 2002, The Journal of the American Medical Association reported that a large scale clinical trial on hormone replacement therapy (HRT) had been halted five years into the study.1  Researchers at 40 clinics across the country had recruited 16,608 healthy volunteers, ages 59-79 (not at high risk for either heart problems OR breast cancer),...
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Dr. Rodger Murphree, D.C.
excuse-me-can-we-talk-about-poop-Not necessarily the Best Topic for a Cocktail Party, I agree. However, for over 40 million Americans who have been diagnosed with irritable bowel syndrome (IBS), bowel movements are an important topic. Some experts report that irritable bowel syndrome affects approximately 10–20 percent of the general population. Irritable bowel syndrome is characterized by a group of symptoms in which abdominal...
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John H. Maher, D.C.
flaxseed-for-heart-healthy-nutrition The use of flaxseed in food and beverages, functional foods and dietary supplements has risen dramatically. Such increased popularity is related to the increasingly recognized benefits of flax’s rich omega-3 fatty acid, lignans (powerful phytonutrient phytoestrogens/antioxidants) and fiber content. A typical flax profile is approximately 40 percent fat, being mostly omega-3 as alpha linolenic acid (ALA); 28 percent dietary...
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David R. Seaman, DC, MS, DABCN
an-easy-way-to-add-nutrition-to-treat-your-patients-in-pain Low back pain is one of the most common reasons patients visit all physicians in the United States and it represents a substantial financial burden on society (1). The most common treatments are pharmaceuticals, which are either prescribed or self administered, and manual care, which is delivered largely by chiropractors. Nutrition is not generally considered in the treatment of...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
leg-length-inequalityHistory and Presenting Symptoms A 42 year-old male presents with recurring episodes of moderate pain in his low back and right hip.  He denies injuring the region and cannot identify any precipitating activities or events.  On a Visual Analog Scale, he rates his low back pain as varying from 25mm to 60mm, while the right hip pain is usually around 30mm. ...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
callus-formation-in-a-corporate-executiveHistory and Presenting Symptoms   The patient is a 52-year-old male, who was previously treated successfully for a lumbar disc problem, and who now returns to this clinic reporting pain and skin thickening (callus formation) on the bottoms of both feet. He has tried several remedies, but his calluses always return. Exam Findings Vitals. This middle-aged, physically...
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johndanchik
growth-asymmetry-in-an-outdoorsmanHistory and Presenting Symptoms A 41-year-old male presents with recurring episodes of pain in his low back and left hip. He recalls no injury to the region, and cannot identify any precipitating activities or events. On a Visual Analog Scale, he rates his low back pain as varying from 30mm to 65mm, while the left hip pain is usually around 35mm.  He...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
case-study-knee-pain-in-a-tennis-playerHistory and Presenting Symptoms The patient is a 48-year-old real estate broker, who is also the president of the local Chamber of Commerce.  She reports pain in the front of her right knee, over the past several months, especially when playing tennis.  She denies any specific injury, and has no obvious swelling or discoloration.  She reports that she takes ibuprofen for...
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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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johndanchik
back-surgery-averted-for-a-teenaged-boyHistory and Presenting SymptomsThe patient is a 13-year-old boy who was identified at a school screening to have a discrepancy in his shoulder heights. His parents were advised to contact an orthopedic surgeon for further evaluation. They reported that the orthopedist found evidence of a scoliosis, but recommended a “watch and wait” approach. No treatment was offered, but if the...
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Practice Management
Chris Tomshack, D.C.
your-practice-in-2012-a-blueprint-for-constant-change-and-growth Way back in 1997, I realized my wildly successful practice was, in fact, broken. And it all began with a simple question posed to me by a former high school classmate.   “Chris, where’ve you been?” At the time, I had no answer. All day I had been busy. I saw a ton of patients, and each of their lives were improved...
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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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Dr. Eric Kaplan, D.C., F.I.A.M.A.
compliance-the-cornerstone-of-a-healthy-practiceToday, more than any time in our history, doctors are being watched.  Big Brother is watching!  So many offices are worried about HIPAA. Yes, if you violate HIPAA, you will receive a fine.  However, if you do not follow the rules of the OIG (Office of the Inspector General), you may not only be fined, you may face jail time. As...
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Claude Cote
going-paperless-in-2012-great-tips-on-how-to-choose-your-new-system To the benefit of chiropractors, there are more and more full automated paperless systems available for their practice. This rapid growth in the chiropractic software industry is due to the high demand of the product, which is great for chiropractors because it keeps prices down.  With all these choices of software systems, how can you make sure you choose...
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Peter Fernandez, DC
an-associateship-that-worksThe Tandem Associateship, Two 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 ...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
the-keys-a-principles-for-successThe Keys & Principles for Success by Dr. Eric Kaplan, D.C.   Make Clear Cut Goals "If you don’t know where you are going, how do you know how to get there?" Goals are like maps, they help us set direction in our personal as well as our business lives. There are many similarities between business and war. In both cases,...
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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.
posterior-arch-fracture-of-the-atlasHistory This young adult patient has had a motor vehicle accident with a “whiplash” type injury.  Painful hyperextension of the cervical region is experienced by the patient.   Figure 1. Note the unilateral fracture of the posterior arch of the atlas. Discussion The radiolucent unilateral defect in the posterior arch of this patient’s atlas represents a complete acute vertical fracture. Fractures of the posterior...
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Dr. Terry Yochum D.C.; D.A.C.B.R.; Fellow, A.C.C.R.
lung-pathology-or-pseudo-lesionIn the pre-antibiotic era, the only treatment for pulmo-nary tuberculosis was rest and or lung resection of the diseased segment.  Secondary or re-infection tuberculosis most commonly occurs in the lung apices.  This patient had surgery with resection of her right upper lung due to pulmonary tuberculosis.  To fill space left empty by the resected lung tissue and to avoid huge...
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Andrew Cheesman
digital-x-ray-do-i-need-one-in-my-officeSo, you are considering “transforming” your practice? Or maybe starting a brand new or satellite office? What are some of the things you should keep in mind in making decisions on just what your practice will offer? What should it look like? What kind of vibe would you like it to put out? And how does the decision of installing...
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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.
thoracic-spine-compression-fractures CASE HISTORY This 70-year old female lost her balance and stepped off the curb and experienced severe lower thoracic pain. DIAGNOSIS Observe the compression fractures of the T7, T8 and T9 vertebral bodies. Note the osteoporosis which contributed to the weakening of the vertebrae allowing these fractures to occur with minimal trauma. GENERAL CONSIDERATIONS   Radiographic Signs of Vertebral Compression Fracture....
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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.
soft-tissue-neoplasm-or-hematomaSoft Tissue Neoplasm or Hematoma? by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.   History: This 25 year old female has recently noticed a palpable mass in the upper inner thigh. She doesn’t recall any fall but does ride her horse on a regular basis. Diagnosis: Post-traumatic myositis ossificans. Note the calcific mass near the...
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andrewcheeseman
digital-x-rayThe technology used in conventional X-ray film is 100 years old. There are not many technologies that do not evolve and improve in 100 years, and the X-ray field is no different, although many doctors have not yet made the technology jump in this area. In the last 10 years alone, we have seen the development of affordable technology in...
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Rehabilition
Dr. Stephen Kaufman, D.C.
how-to-use-spinal-nerves-to-turn-off-pain-instantly Before I became a chiro-practor, I read many books about chiropractic. My limited understanding (a fantasy, really) was that chiropractors put some kind of secret pressure on spinal nerves that turned off pain instantly. After going to dozens of chiropractors and practicing for many years, I realized that this was, indeed, a hopeless fantasy. I never saw anything that...
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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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Jon Pettibon, DC
rehab-results-speak-for-themselvesWhat happens with your patients if you are no longer physically able to adjust them using manual manipulation on a short-term or long-term basis? After experiencing some major medical issues I found myself in just that position, asking the same question.   When I was able to return to my office, an infection had left my lumbar spine in such bad shape...
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Dr. Mitch Mally
inflammation-management-an-updateA cascade of physiological, biomechanical and biochemical events complicate Acute and Repetitive Injuries. Musculoskeletal pain and range of motion is affected by biomechanical aberration, joint dysfunction, segmental hyper/hypo-mobility and the result of several pathways and stimuli. However, the inflammatory response may be treated anecdotally by ice, compression and elevation. Allopathic recommendations often include anti-inflammatory medication with significant side effects (consumed like...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
iliopsoas-muscle-pain-in-a-dance-instructor History and Presenting Symptoms A 25-year-old female presents with a combination of recurring pain in the lower back region and pain and tightness in the front of her right hip. She is very frustrated by her condition, since she has already had six weeks of physical therapy for her hip pain (with only a little relief), and she...
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Daniel Dahan, D.C.
step-by-step-rehab-centerAbout 83 million people in the U.S. (42% of the adult population) used at least one alternative therapy in 1997.  Usage among those 35-40-years-old is even higher, at 50%. The estimated number of visits in 1997 to providers of “unconventional therapy”  (629 million) was greater than the number of visits to all primary care medical doctors nationwide (386 million)....
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Techniques
Tedd Koren, D.C.
dont-limit-the-subluxationUsing different terminology, D.D. Palmer (chiropractic), A.T. Still (osteopathy) and Samuel Hahnemann (homeopathy) all recognized life as a triune of matter (physical), energy (emotion) and consciousness (intelligence) and viewed dis-ease as the result of disharmony amongst them. There is no purely physical or purely mental illness—all physical illness includes emotional symptoms and all emotional illness includes physical symptoms. Physical...
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Allan Gary Oolo Austin, D.C.
trigenics-myoneural-medicineAs a chiropractor, I have been focusing on the human nervous system and correction of related neuromusculoskeletal dysfunction for over twenty years. Although chiropractic adjustments constantly produce tremendous results, the holding elements and soft tissue components of the subluxation complex and biomechanical dysfunctions have been largely undervalued. Trigenics is a form of manual medicine that provides a solution to correcting...
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Tedd Koren, D.C.
health-a-hydrationWhy isn’t this patient holding her adjustment?” I wondered. Koren Specific Technique (KST) practitioners are happy to find that their patients hold their adjustments for longer periods and rarely return with the same subluxation pattern. That is why I was so startled to find a patient whose subluxations returned. Why wasn’t she holding her adjustment? Her chronic migraines had decreased only...
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Warren I. Hammer, DC, MS, DABCO
fascial-manipulationcfmModern myth has it that doctors in Europe are ahead of us in new methods of healing.  The truth of this may be dubious but it does underscore the importance of keeping abreast of healing advances in other countries as we strive to achieve the highest possible level in care for our patients.    Three years ago, I was invited to Italy...
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Peter J. Levy, D.C.
go-to-the-source-of-subluxation-with-neuromuscular-reeducationAre you looking for a way to improve your skills?  Get patients better faster? Build a large referral base? Have a cash practice? Charge what you’re worth? Read on!!! What is the answer to the ongoing problems with insurance companies, work comp, personal injury and the volumes of paperwork and billing required?  How do you, the practitioner, actually get someone better quickly...
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Scott Walker, D.C. and Deborah Walker, D.C.
help-for-chronic-subluxationsYou try all your regular approaches and the patient reports that “it’s a little better,” but your adjustment doesn’t seem to hold. If you’re like most chiropractors, this has happened in your office, too.  You could keep adjusting the patient every week, but what if you could address the patient’s “emotional physiology of thought” and then your adjustments would hold? ...
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