NewsFlashes
Cover Stories
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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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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Dennis Woggon, DC, B.Sc.
straight-answers-on-curved-spinesDennis Woggon grew up in Onalaska, Wisconsin—a small town just outside of La Crosse—and attended Wisconsin State University in La Crosse. Dr. Fred Barge, a pioneer in chiropractic and scoliosis, was his field doctor. Dr. Woggon graduated cum laude from Palmer College of Chiropractic in 1974 and has a Bachelor of Science degree in biology. He...
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Gerald R. Mattia, D.C.
sports-chiropractor-specialist-gerald-r-mattia-dc-shares-his-secrets-to-successWith over 175 professional athletes under care (as well as the CEO’s of major corporations such as Tupperware and Harris Corp.), Dr. Gerry Mattia shares his secrets to success. Gerald R. Mattia, B.S., D.C., has thirty-one years of experience as a chiropractic physician. He earned his chiropractic degree from New York Chiropractic College in 1977, and...
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TAC Staff
five-college-presidents-set-the-record-straight"Chiropractic is a remarkable profession with a legacy of dedicated men and women working diligently to make chiropractic universally available. As our profession grew and matured, so did chiropractic colleges.  They set the standard for what we can expect from our future doctors of chiropractic.  Our responsibility is to provide the best chiropractic education possible to the men and...
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TAC Staff
the-future-is-here-chiropractic-collegesWhile there might be debate about where the future of chiropractic is headed, it’s certain that the colleges have a large influence.  That’s why TAC has compiled a comprehensive list of chiropractic colleges, to help illustrate the direction of the education of future chiropractors and of chiropractic as a whole. Each college has provided their primary and elective techniques, and...
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Interviews
TAC Staff
orthopedic-surgeons-alternative-care-to-back-surgery-interview-with-arieh-grobermdGraduated in 1977 from Haifa-University Technion Medical School, Israel. Dr. Grober assumed Post-Graduate studies at Tel-Aviv University and worked for many years as an Orthopedic Surgeon in the Beilinson Campus, Rabin Medical-Center where he specialized in Orthopedic Surgery. In 1999, he invented and registered the patent on Cervico 2000 – a cervical traction unit.    He became the owner and manager of...
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Steve Thaxton, D.C.
treating-everything-from-anger-to-zygomycosisDr. Steve Thaxton is a graduate of Abilene Christian University (ACU) and Parker College of Chiropractic, a Board Certified Acupuncturist and Rehabilitation Specialist, and Brimhall certified. Dr. Thaxton served as the personal chiropractor and fitness consultant for the rock band Guns N’ Roses for their 2-1/2 year world tour, and has also been Jon Bon Jovi’s personal chiropractor and personal fitness...
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George Curry, DC
helping-people-get-their-lives-backFor Dr. George Curry, chiropractic is truly a family affair.  “I graduated from Palmer College of Chiropractic in 1982, my stepfather graduated from Palmer in the 60's, my stepbrother in the 70’s and my nephew graduated in 2002.  The two oldest of my six children plan to enroll in chiropractic college in 2006 and 2008,” says Dr. Curry. This Connecticut-based...
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Dr. Richard E. Busch, III, D.C.
chiropractors-on-tv-do-it-yourself-tv-advertisingThe 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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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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Dr. Deane Mink
million-dollar-chiropractor-interview-with-dr-deane-mink  Dr. Deane Mink's M$C Profile PERSONAL Married to wife, Sue, for 15 years; 7 children:  Mark, 43; Debbie, 41; Mike, 39; Matt, 36; Mitch, 29; Cheri, 32; and Christie, 25; 10 grandchildren. Recreation and Leisure:  Fishing and/or netting shrimp almost every week; boating; weekends at Florida waterfront properties; season ticket holder for Univ. of Florida football team. "GO GATORS!" Professional...
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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
an-apple-a-day-can-be-a-key-to-the-nutritional-adjustmentPatients are always looking for something that is easy to do when it comes to their health. So, eating more fruits and vegetables can be challenging for many; however, transitioning to a healthy diet can begin with something as simple as eating an apple every day. The old adage, “An apple a day keeps the doctor away,” is still quite...
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howardloomisjr
internal-health-a-chiropractic-specialty-the-lower-extremitiespart-iiLast month, I started a three-part series on the short leg syndrome and the absolute necessity of not only properly identifying it, but finding the exact cause, and tracing the effects up the leg into the pelvis and onto the spine. I discussed the frequency of short leg syndrome in the population and its relevance to low back pain. We described...
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Charles C.DuBois
five-reasons-why-incorporating-nutrition-will-launch-your-success-plus-one-tip-on-getting-startedTommy Thompson, former United States Secretary of Health and Human Services, and current United States Senate candidate is enthusiastic about wellness and prevention.   “Seven out of 10 deaths are caused by chronic diseases, and more than 75 percent of health care costs are spent treating conditions that are preventable,” Thompson said during an event held at Standard Process Inc. last year....
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Dr. Howard F. Loomis, D.C.
diet-and-diabetesMany chiropractors are searching for ways to ethically increase their patient loads and make clinical practice more rewarding professionally and financially.  Have you ever considered specializing in health care—preventing chronic degenerative conditions like diabetes before they can be recognized and measured quantitatively by medicine? “Sick care” is practiced by recognizing and characterizing disease conditions (diagnosis).  Once the diagnosis is pronounced,...
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howardloomisjr
internal-health-a-chiropractic-specialty-the-lower-extremitiespart-i- Successful doctors treat the cause of the problem, not the symptoms.  They are able to quickly and accurately determine the source of thepatient’s stress, devise a plan of treatment, and confidently convey their findings to the patient. They specialize in helping problem cases—the ones no one else can help. They solve these cases by identifying the specific cause(s) of the patients’...
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Mark Sanna, D.C.
the-new-lifestyle-chiropractic-exercise-nutrition-a-wellnessPhysical Activity and Good Nutrition It’s a sad fact that chronic disease accounts for seven of every ten U.S.  deaths, and for more than 60% of medical care expenditures.  The prolonged illness and disability associated with many chronic diseases decrease quality of life for millions of Americans.  The chiropractic profession long has taken the stance that, with proper intervention and education,...
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Orthotics
Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
how-to-get-paid-with-insurance You treat Mrs. Jones today, complete your fee slip, and your insurance staff has every document necessary to bill the claim. They have the application for benefits and/or proper claim forms from the patient, along with the correct policy numbers. The staff also has all of the completed notes/letters of necessity/results required ready as attachments to send with the claims,...
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Lisa Goldberg
ask-the-advisor I am always trying to bring in new products and services to expand my practice, but it is difficult to know what will work and what will not.  What are some things that I should be aware of before bringing new products and services into my office that will help me understand my rate of return on my investment of...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
shin-splints-in-an-amateur-runnerHistory and Presenting Symptoms The patient is a 28-year-old graphic artist who has been running regularly for the past ten years.  She reports the recent onset and gradual worsening of pain in the front of her right lower leg, which is now limiting her physical activity routines.  The leg pain is described as an “aching soreness” that has been getting progressively...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
pelvic-and-hip-pain History and Presenting Symptoms A 27-year-old female describes a history of aching pain and tightness extending from her lower back into the pelvic region and both hips. She describes a recurrent pain that has bothered her since she was in a motor vehicle collision at the age of sixteen. As a passenger, she injured her right leg and hip during...
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Kirk Lee, D.C.
consider-hobbies-to-determine-whats-causing-painAs chiropractors, when we conduct our case histories and examinations we typically determine mechanisms of injury to be related to specific instances of trauma, repetitive macrotrauma or microtrauma. However, we should also consider posture, activities of daily living and hobbies as these can sometimes be the root cause of a patient’s pain. Today we are going to take into consideration...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
low-back-pain-leads-to-lifestyle-changes History and Presenting Symptoms A 41-year-old male presents with a history of recurring episodes of mild to moderate pain in his lower back. He states that his back pain just seems to come and go, with no specific triggering activities. He does not participate in any competitive or recreational sports, and recalls no injury or trauma to his back. He has...
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Practice Management
Maurice A. Pisciottano, D.C.
important-answers-to-report-of-findings-questionsNew patients typically come in to your office with many unanswered questions. They are somewhat apprehensive and are just looking for solutions to their problems.  Most will have a very limited, if any, understanding of chiropractic care.  They have entered a new world and are not quite sure what they will find, but they are open-minded enough to give it...
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Marshall Dickholtz, Sr., D.C.
history-and-research-of-the-national-upper-cervical-chiropractic-associationPractically all authorities agree that a subluxated vertebra, by definition, includes movement of the vertebra from its proper position in several planes and directions. The reduction of the subluxation, the adjustment, must be a predetermined and pre-directed process of correction. Direction is a measurable factor in a subluxation; force is an inherent element of the adjustment....
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
winning-leaves-marksWinning Leaves Marks by Dr. Eric Kaplan, D.C., F.I.A.M.A.   Early in my chiropractic career, I wanted to know why some doctors made it and others didn’t. I wanted to know what the winners know. Winning and success go hand in hand. If you win, you are a success. So I began my journey; I began searching for the ...
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Tom Owen III, and Todd Osborne, D.C.
5-warning-signs-that-youre-not-developing-your-staff One of the areas in business management that is consistently overlooked is staff development. Most chiropractors dislike the management side of running a chiropractic business because their hearts are dedicated to serving their patients. The reason why so many doctors continue to improve their clinical skills and techniques long after graduation is that they are designed by nature to be...
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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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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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Radiology
Larry Willkins, D.C.
adding-decompression Dr. Larry Wilkins, Founder and Director of Laurel Mountain Chiropractic Clinic in Mt. Pleasant, PA, has added post-graduate hours in such studies as rehabilitation, manipulation under anesthesia, nutrition, pediatrics, exercise, and advanced work in the Pierce Chiropractic Method. As an involved professional, Dr. Wilkins has many accomplishments to his credit. He has served as a board member of two chiropractic...
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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.
partial-agenesis-of-the-c-1-posterior-archEmbryology—Ossification of the first cervical vertebra begins about the seventh fetal week at the lateral masses and proceeds perichondrally in a dorsal direction, creating the posterior arch of the atlas.  In the second year of life, a secondary growth center for the posterior tubercle develops between these neural arches.  Complete fusion of the posterior arch should be noted between the...
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Dwight C. Whynot, D.C.
the-cervical-acceleration-deceleration-practitioner So, you want to treat patients that have suffered a cervical acceleration/deceleration (CAD) trauma. Then you must learn to examine and treat a CAD injured person properly and with the proper tools. First of all, if you have never treated these types of injuries before, then you should arm yourself with the knowledge of the etiology of CAD trauma....
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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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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.
os-odontoideumCASE HISTORY This young adult patient presents with neck pain following an MVA.  You note an abnormality in the upper cervical spine at C1 & C2.  Is this a fracture?   DISCUSSION Anomalies of the odontoid process are considered uncommon (1) and are usually discovered by the principle “traumatic determinism.”  This means that the underlying condition predated the injury and is not caused by...
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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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Rehabilition
Mark R. Payne D.C.
healthy-doctors-practicing-and-preachingHealthy Doctors: Practicing and Preaching by Dr. Mark R. Payne D.C.   Can you imagine an overweight doctor counseling patients on nutrition? How about a physician who smokes urging patients to quit? Or a well-intentioned couch potato handing out exercise advice? We’ve all encountered doctors who dispense advice freely but rarely seem to follow it themselves. The inevitable result,...
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Kirk Lee, D.C.
get-those-patients-walkingNow that we are in the middle of summer, many of our patients ask us about outdoor activities and what they should do and not do. We usually instruct our patients to warm up a little with some walking and some simple range of motion stretches involving the major muscle groups before starting their outdoor projects. For our more sedimentary...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
avoiding-rehab-overload-the-variablesOne of the underlying principles in physical rehabilitation is that the body responds positively to the increased stresses placed upon it.  This is the whole reason for asking muscles to lift more weight, for asking tendons to pull more tension, and for asking joints to undergo more movement.  We have a mechanism for developing and improving our physical capabilities when...
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James W. Gudgel, D.C.
returning-the-injured-athlete-to-optimum-performanceLow back pain affects almost everyone during their lifetime, and this includes well-conditioned athletes. The very nature of athletics is that the athlete is performing an activity that requires a high level of skill, strength, power and/or coordination. Most athletic activities impart very high short-duration repetitive forces into various parts of the body, while other areas are subjected to less...
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Dr. Dennis Woggon & Dr. Josh Woggon
the-importance-of-good-formWhat Scoliois Can Teach Us about Postural Rehab  Manifestation of any health problem is not a spontaneous event; before the clinical onset, precluding factors exist.  Although these factors are unique in each patient, understanding how they contributed to the malady is the first step in reversing it.  Regardless of the specific disorder, the crux of the issue is mal-adaptation: the body...
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Tim Maggs, D.C.
high-school-athletes-and-structural-managementrDid you know...?  • All high school athletes in this country must undergo a physical exam prior to participating in their sport. That exam, however, is a medical exam (eyes, ears, nose and throat). (See Fig. 1)   Eyes______________________________ Skin (Non- communicable)_________________  Ears (Otoscope) ___________________ Epilepsy __________________________________ Lymph Nodes _____________________ Nervous System ___________________________  Thyroid __________________________ Speech ___________________________________ Nose _____________________________  Nutrition __________________________________  Tonsils ___________________________  Height ______________ Weight ______________  Teeth ____________________________  Vision ____________________________________  Heart _____________________________  Hearing __________________________________  Blood Pressure ____________________  Orthopedic _______________________________  Lungs ____________________________                  Feet...
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Techniques
Peter M. Ferraro, DC
manipulation-under-anesthesia-or-joint-anesthesiaManipulation under Anesthesia (MUA) has been shown to be a viable approach in the treatment of chronic recalcitrant spinal pain.  The results have been remarkable in many patients who have exhausted efforts using conventional models of conservative management. “Because of the advancement of new medications and the use of conscious sedation, the anesthesia element of the MUA makes the procedure one...
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Jeanne Ohm, D.C.
the-webster-technique-a-chiropractic-analysis-and-adjustment-for-pregnant-womenMore and more women are seeking the benefits of chiropractic care in pregnancy.  Many birth care providers are becoming aware of the efficacy of care throughout pregnancy and encouraging their patients/clients to find doctors of chiropractic who are interested in caring for pregnant women.  As with any specialty group within the population, there are specific types of spinal analysis and...
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Tim Maggs, D.C.
the-structural-management-programDr. Tim Maggs has been in practice for 27 years, and travels the country speaking on his Structural Management™ Program.  He worked 4 years with the New York Giants, writes a sports medicine column for many running/triathlete magazines around the country, and also writes for many chiropractic magazines. In an interview with The American Chiropractor (TAC), Dr. Maggs discusses The Structural...
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Dennis Woggon, DC, B.Sc.
posterior-to-anterior-thoracic-spinal-adjusting-in-the-scoliosis-patient-is-contraindicated-by-spinal-biomechanicsPosterior to Anterior Thoracic Spinal Adjusting in the Scoliosis Patient Is Contraindicated by Spinal Biomechanics by Dennis Woggon, DC, B.Sc.   It would make sense to understand normal spinal biomechanics when putting adjustive forces into the spine, especially in a complicated spine such as a scoliosis. It seems that spinal biomechanical forces are frequently ignored when it comes to ...
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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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Mark R. Payne D.C.
protective-postures-part-2- Last month we discussed the problems associated with hypolordotic lumbar postures as well as the protective effects of a healthy lumbar lordosis. I want to use this month's column to cover the same ground as it pertains to the cervical spine. Patients walk into your office every day with complaints related to the cervical spine. Of the many symptomatic presentations...
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