NewsFlashes
Cover Stories
Freddie Ulan, D.C.
nutrition-adding-value-to-a-chiropractic-practiceDr. Ulan earned his Doctor of Chiropractic degree at the Chiropractic Institute of New York, completing the 4500-hour, nine-semester program in thirty-six consecutive months. He graduated with honors in 1965. Ulan Nutritional Systems (UNS) is a training center where nutritionally-oriented practitioners gather to learn, and attain mastery of the clinical and practice management techniques Dr. Ulan used in building his highly...
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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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Frederick Carrick, D.C.
neurology-a-chiropractic Frederick Robert Carrick, D.C., Ph.D., is the Distinguished Post Graduate Professor of Clinical Neurology at Logan University and is Parker College of Chiropractic’s Professor Emeritus of Neurology. He serves as the President of the American Chiropractic Association’s Council on Neurology and is the President of the American Board of Chiropractic Specialties of the American Chiropractic Association. Professor Carrick is...
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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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Dennis Woggon, DC, B.Sc.
can-chiropractic-care-help-scoliosisAccording to Dr. Charles Lantz, “Full-spine chiropractic adjustments with heel lifts and lifestyle counseling are not effective in reducing the severity of scoliotic curves”.  (JMPT 2001 Jul-Aug;(6):385-93, Lantz CA, Chen J.) In an article published by Dr. Mark Morningstar, et al, the abstract states: “In this study, we investigate[d] the possible benefits of combining spinal manipulation, positional traction, and neuromuscular reeducation...
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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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Interviews
Jeff Hockings, D.C.
chiropractors-on-tv--infomercials-made-easyThe 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 promote...
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TAC Staff
amazing-chiropractor-interview-with-dr-steven-m-horwitz-dc-ccsp-cscs-cktp-sports-injury-practice-with-a-focus-on-injury-preventionDr. Steven Horwitz is a graduate of Cornell University and the National College of Chiropractic. He is a certified Chiropractic Sports Physician, Strength and Conditioning Specialist, USA Weightlifting Club Coach, Kettlebell Instructor, USA Track and Field Level 1 Coach, and Sports Nutritionist. In 2010, Dr. Horwitz was named to Washingtonian’s list of top experts in sports medicine. In 2006, he...
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Dr. Steve Querio
million-dollar-chiropractic-interview-with-dr-steve-querioDr. Steve Querio's M$C Profile PERSONAL: Married to wife, Lisa for 5 years and has 3 children; Nikki, age 10; Luke, age 3; and Emily, age 1 1/2. Recreation and Leisure:  I enjoy spending time with my kids.  I also enjoy traveling and watching Green Bay Packer football.  Professional Affiliations: Wisconsin Chiropractic Assn., American Chiropractic Assn., Green Bay Chamber of...
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Joe Mershon
chiropractors-on-tv-national-tv-campaign The fastest way to affect public opinion is through television.  Shows like CBS’ Two and a Half Men, in which one of the lead characters is a chiropractor, show that the profession has, indeed, entered the mainstream of American culture… albeit with a less than ideal portrayal of a chiropractor, it’s a start.   So how do you use this mega-tool to...
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George Michalopoulos, D.C.
million-dollar-chiropractic-features-dr-george-michalopoulosEach article in the MILLION DOLLAR CHIROPRACTIC series () focuses on the top surveyed issues facing chiropractors today.  Recruiting new patients, retention, profitability, marketing and staffing are each a determining factor in the growth, potential and success of the practice. The subject of this issue’s profile is Dr. George Michalopoulos an extremely successful chiropractor who has practiced in Illinois,...
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Dr. Mitch Mally
million-dollar-chiropractic-featuring-dr-mitch-mallyEach article in the MILLION DOLLAR CHIROPRACTIC series (M$C) focuses on the top surveyed issues facing chiropractors today.  Recruiting new patients, retention, profitability, marketing and staffing are each a determining factor in the growth, potential and success of the practice. The subject of this issue’s profile is Dr. Mitch Mally, a 1981 graduate of Palmer College of Chiropractic who...
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Nutrition
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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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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Dr. Howard F. Loomis, D.C.
the-five-minute-stress-evaluation Stress as a Specific Diagnosis Stress provokes a very exact physiological response by the body. Unfortunately, the term "stress" is so commonly used, it seems to have lost significance as a specific diagnosis. Everyone in our modern, fast-paced society seems to be "uptight" because life is so stressful. But, as clinicians, we should never lose sight of the fact that the...
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David R. Seaman, D.C., M.S., D.A.B.C.N., D.A.C.B.N.
sports-nutrition-a-perspective-on-prevention-Mental state or supplements for an improved performance? There is little evidence to support the notion that we can take nutritional supplements and improve performance or increase strength in a significant fashion. In all likelihood, the mental state of the athlete is the deciding factor. An example of this was a placebo study that involved the perceived use of anabolic steroids....
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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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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
why-magnesium-for-the-chiropractic-patientBack in 1992, Elin referred to mag-nesium as the fifth, but forgotten, electrolyte.1  This is not surprising, as magnesium’s importance is rarely mentioned, perhaps due to our culture’s obsession with calcium.   One would never know that magnesium plays a crucial role in bone metabolism, for it is never mentioned.  Even certain researchers do not consider magnesium when studying osteoporosis.  Alexandersen,...
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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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John Danchik, D.C.
the-aging-footHistory and Presenting Symptoms A 64-year-old female presents with recurring, unresolving episodes of moderate pain in her lower back and left knee.  She recalls no specific back or knee injuries, and states that these problems have developed over the past couple of years, getting more noticeable in the past six months.  On a 100mm Visual Analog Scale, she rates her...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
hamstring-injury-in-a-hockey-playerHistory and Presenting Symptoms The patient is a 26-year-old male amateur hockey player, who reports a recent left hamstring “pull” that just doesn’t seem to be getting better.  His history includes numerous injuries to the same hamstring muscle when he played in college, with mixed attempts to stretch and rehab.  He also describes varying levels of pain in his lower back...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
the-rights-and-wrongs-of-orthotic-selection Why is there so much disagreement in the field of professional foot orthotics?  When I read articles and research regarding support of the feet and lower extremities, I am constantly reminded that there are two major camps.  Each side seems to make a strong argument.  If I tell a podiatrist about the types of orthotics I find to be...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
a-non-surgical-approach-to-chronic-knee-painHistory and Presenting Symptoms The patient is a 41-year-old male, who describes persistent pain and occasional stiffness in his left knee, which is not associated with any specific activity.  He reports several years of recurring episodes of medial knee pain that just comes and goes, with no swelling or inflammation.  Previous evaluations, including a knee MRI, have resulted in a diagnosis...
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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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Practice Management
Patrick Gentempo, Jr., D.C.
making-purpose-profitable7 Secrets on How to Stay Purpose-driven & Profitable in Any Market   In my 25 years as a chiropractor, business consultant to chiropractors, and CEO of Chiropractic Leadership Alliance (CLA), I have seen many challenges dealt to the field of chiropractic. Through it all, my job has been to help DCs face these challenges and thrive. In this article, I’m going...
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Maurice A. Pisciottano, D.C.
understanding-is-key-to-retentionPatient Retention in a chiropractic practice is defined as the number of times a patient visits your office for chiropractic care.  In order to increase your Patient Retention, you need to increase your patient’s level of understanding.  Patients will follow your recommendations for care if they have a high level of understanding about how your care is helping them.  Retention...
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Tom Owen III, and Todd Osborne, D.C.
you-dont-know-what-you-dont-know We’ve never met a chiropractor who came out of Chiropractic College with the business wisdom that they needed. The average chiropractor or chiropractic student has spent anywhere from $150,000 to $200,000 to be educated in the philosophy, science, and art of chiropractic but, upon graduation, they still come out with little to no business education or experience. It’s not that...
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Dr. Richard E. Busch, III, D.C.
luck-is-when-opportunity-meets-preparationWe are all aware there is great division over universal healthcare coverage. The federal healthcare bill that is now in the Senate has, for months, debated spending, coverage, negotiations and—keeping with transparency—publically reported, after the fact, "back room" deals that are secretly happening. What will managed care look like, if—or when—the government takes over? The answer is simple–tax, waste and...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
why-and-how-to-conduct-a-hipaa-walkthroughMuch like the safety audits your office already performs, a walk-through can prevent violations before the Department of Health and Human Services’ Office for Civil Rights gets involved. Whether inspections are announced or executed without your staff’s knowledge, experts agree that they should be done at least annually for all departments and more often for high-risk areas. If you’ve found...
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John Davila, D.C.
medicare-audits-becoming-more-common-in-deteriorating-economyMedicare Audits Becoming More Common in Deteriorating Economy by John Davila, D.C.   Recently, Iowa Senator Grass ley started looking into Medicare’s acknowledgment that the amount of money overpaid to Durable Medical Equipment (DME) providers, due to fraud and abuse, has increased by 44% in the past few years. You may ask, what does this have to do with...
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Radiology
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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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., Chad J. Maola, D.C. and Alicia M. Yochum, RN, BSN, Senior Intern at Logan College of Chiropractic
sacral-and-coccygeal-fracturesCASE HISTORY This young male patient fell off a horse and landed on his buttocks. SACRAL FRACTURES Sacral fractures usually occur as the result of a fall upon the buttocks, direct trauma or in association with pelvic fractures.  Isolated fractures of the sacrum are uncommon and a diligent search for an associated fracture of the pelvic ring or symphysis pubis is often beneficial...
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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.
anomalies-of-the-c-1-posterior-arch[Case History] This young adult was in a car accident and has suboccipital pain. Do you see a fracture? Agenesis of the Atlas Posterior Arch Synonyms. Aplasia or congenital absence of the posterior arch. Description. Lack of ossification of the posterior arch of the atlas may be complete and bilateral, may be purely unilateral, or may manifest as small clefts (i.e., spina...
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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.
c2-to-c3-congenital-block-vertebraDescription. When two adjacent vertebrae are osseously fused from birth, this joined unit is called a congenital block vertebra. Embryologically, this is the result of failure of the normal segmentation process of the somites during the period of differentiation at 3-to-8 fetal weeks.1 The block vertebra, by itself, is clinically insignificant. As there is no motion allowed at the fused...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, R.N., D.C.
unilateral-spondylolysisCase History: This is a young college student who plays competitive basketball and is complaining of chronic mid lumbar spine pain. She hurts on hyperextension and has some relief on flexion. The specific diagnosis is? Figure 1.    Diagnosis:  Unilateral Spondylolysis (pars defect) with contralateral sclerotic hypertrophy of the opposite pedicle. Unilateral Spondylolysis  Spondylolysis may involve only one pars interarticularis of a single vertebra and...
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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.
osteitis-pubisHISTORY: Both of these female patients are complaining of focal pain at the pubic articulation. One of them developed this pain after a difficult delivery of a child and the other patient after surgery for a retroverted uterus.   Figures 1 & 2. Characteristic changes are visible at the pubic...
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Rehabilition
Dr. Mark R. Payne, D.C.
simple-effective-home-traction-for-the-cervical-lordosisIn our March article, we discussed how the physical properties of tight, contracted, paraspinal tissues create resistance to the corrective forces of your adjustments. Last month, I showed you a great example of how one case of scoliosis was successfully managed using simple blocking techniques to introduce sustained stretching forces into the spine. In this article, I want to discuss...
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Tim Maggs, D.C.
high-school-athletes-the-new-injury-prevention-plan32 years ago, when just starting in practice, I contacted our local high school football coach and offered my services to his team.  A couple times a week I would work on any players who asked for help.  As great as the job seemed, it was short lived.  As soon as the school physician got wind of my involvement, I...
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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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Dr. Mark R. Payne, D.C.
worlds-best-traction Last month I discussed why there's no adjusting technique which is demonstrably better in terms of spinal correction. Obviously, there may be a host of situations when one technique is indicated (or contraindicated). That's just common sense. But, in terms of actually effecting real structural change to the spinal curves, it just doesn't matter much how or which technique system...
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Dwight Whynot, D.C.
to-rehab-or-not-to-rehab If you are not performing rehabilitation in your clinic right now, you should consider doing rehab in the near future because it is these types of CPT® codes that are getting doctors paid better by the insurance companies. The insurance companies pay better because the patients not only get better faster, but the patients stay better longer.     Table 1—Case Management...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
getting-the-most-support-from-assisted-devicesAn elderly patient enters your office with complaints of low back pain. She is using an assisted device (e.g., cane, walker, crutches). As you watch her walk, you think to yourself, "She looks like Yoda from Star Wars, and I would hurt also if I were walking like that." Or your patient asks, "Dr. Bones, am I using my cane...
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Techniques
Dr. Mitch Mally
case-study-rotator-cuff-impingement-syndromeHistory and Subjective Complaints: A 24-year-old professional/international circuit tennis player presents with a right shoulder injury, 6 months post U.S. Open. Objective Findings: Decreased right shoulder flexion, abduction and external rotation. X-Ray: Absent 8-10 mm subacromial space, laterally rotated vertebral border of the right scapula, antetilted glenoid labrum. Diagnosis: Protracted laterally antetilted right scapula causing rotator cuff impingement syndrome. Treatment: Specialized manipulative decompression of involved protracted/antetilted right scapula, medial-inferior...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
the-quiet-mouse-gets-no-cheeseAre you a man or a mouse?  You were tops in your class out of chiropractic college, read every report on new techniques and technology and are the Leonardo DaVinci of the examination room.  BUT, it doesn’t matter; for, all your expertise, golden hands and charming mannerisms are not assets in a wanting waiting room.  You need patients in order...
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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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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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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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Lisa Upledger, D.C.
craniosacral-therapyCranioSacral Therapy (CST) is a manual modality that has made its way into the chiropractic clinic as an effective adjunctive therapy.  It focuses on normalizing the craniosacral system, which extends from the skull, face and mouth down to the sacrum and coccyx. The craniosacral system consists of a compartment formed by the dura mater membrane, the cerebrospinal fluid within the membranes,...
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