NewsFlashes
Cover Stories
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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TAC Staff
the-landmark-victory-for-surface-emgIn January of 2005, David Marcarian and his company, PBI/MyoVision, defeated a group representing most of the major insurance companies and the State of Florida, who questioned the validity of surface EMG.  The case was appealed to the Superior Court of Florida, with an attempted appeal to the Supreme Court of Florida. Marcarian and MyoVision again prevailed with a unanimous...
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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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Dr. James L. Chestnut , D.C., F.I.C.C., F.A.C.C.
evidence-based-wellness-careDr. James L. Chestnut has been studying human wellness for over 25 years. He has a Bachelor of Physical Education degree, a Master of Science degree in exercise physiology with a specialization in neurological adaptation, is a Doctor of Chiropractic from the Canadian Memorial Chiropractic College in Toronto, Canada, and holds a post-graduate Certification in Wellness.   Award....
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TAC Staff
chiropractic-06Doctor, for the first time ever!  A seminar just for YOU on Technique, Healing, & the Technologies that help validate them all! Now in one place, techniques and healing methods of all philosophies presented together! Finally! You decide for yourself which techniques truly are the best for you and your patients! There are over one hundred chiropractic techniques, not to mention all of...
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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
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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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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TAC Staff
president-of-david-singer-enterprises-interview-with-dr-david-singerDr. Singer received his undergraduate degree from Rutger’s University, his M.S. degree in nutrition from the University of Bridgeport, and his Doctorate from the New York College of Chiropractic. Graduating with honors as the salutatorian of his class, he was inducted into Phi Chi Omega, the International Chiropractic Honor Society.    In his first year of practice, Dr. Singer was seeing more...
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Cory Littman, DC, DAAMLP
chiropractic-as-primary-care-for-the-spine-the-paradigm-has-changed-interview-with-william-owens-dc-daamlpDr. William Owens has been in practice for 15 years in Buffalo, New York.  He has  a practice that focuses on the care and triage of the traumatically injured.  Early on in his career, Dr. Owens had the opportunity to help build two hospital-based chiropractic clinics: one of which allowed chiropractors to become credentialed as medical staff as opposed to...
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David Chapman-Smith
working-together-worldwideDavid Chapman-Smith, a Toronto lawyer and author of The Chiropractic Profession (NCMIC Group, 2000) is Secretary-General of the World Federation of Chiropractic.  He is also editor/publisher of The Chiropractic Report (www.chiropracticreport.com).   His introduction to chiropractic took place when he acted as counsel for the New Zealand Chiropractors’ Association before the New Zealand Commission of Inquiry into Chiropractic in 1978-79. In the...
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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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Nutrition
Paul Yanick, Ph.D.
innate-enhancement-via-oral-chelation-and-ionic-detoxificationOur modern day environment has drastically disturbed the body’s ionic balance, critically important for innate intelligence and communication.  Excessive positive ionization, a result of water, food, and air pollution, causes what Albert Krueger, MD (the late University of California (UC), Berkeley, researcher) termed “positive ion poisoning.”  Russian scientists (supported by over 5,000 scientific studies) report that systemic ionization with negative...
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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 Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
the-truth-about-the-dangers-of-cox-2-inhibitorsAs most readers are aware, Vioxx was recalled from the marketplace in late September of  2004. It was discovered that a significant number of patients taking Vioxx suffered from heart attacks or strokes. A total of three COX-2 inhibitors have been in the marketplace. These drugs are sometimes referred to as “coxibs;” celecoxib (Celebrex), rofecoxib (Vioxx), and valdecoxib (Bextra). Celebrex and...
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Freddie Ulan, D.C.
preventing-recurring-subluxations-with-nutritionAs a chiropractor, I have found myself correcting the same subluxations three times a week on many patients. Regardless what technique I used, the relief they experienced was always temporary. I was prosperous, but unfulfilled. Yes, I could sell lots of adjustments to my patients; they loved me and kept coming back. I could earn an income that justified my education....
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John H. Maher, D.C.
baby-qma-maq-and-qdha-dhaq Docosahexaenoic acid (DHA) is an omega-3 fatty acid that is an important structural element of the central nervous system and retina. The need for DHA may be most critical for brain and eye development from conception through the second year of life. Significant brain growth occurs during the third trimester of pregnancy and through the first two years of life....
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
the-supplements-i-take-and-whyNutritional supplements have been around for a long time. For example, the two oldest companies that currently service our profession are Anabolic Laboratories and Standard Process. Each was family owned some 80 years ago and they remain that way today. As a child, some 35 years ago, I walked into a health food store for the first time. Supplements and various...
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Orthotics
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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johndanchik
motion-limitations-hamper-runnerHistory and Presenting Symptoms The patient, a 33-year-old female, is a marketing director who took up running for stress reduction and weight loss. She has been running for six months and has progressively increased her mileage. She is experiencing recurring and worsening pain in her left foot, as well as increased low-back tightness. She recalls no specific injury to her foot...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
awkward-gait-in-a-young-runnerHistory and Presenting Symptoms The patient is an eight-year-old boy being brought in by his parents, who are concerned about his awkward style of running. He has no symptoms or painful limitations, but his mother and father are both worried that his inefficient gait could...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
mature-knee-painMature Knee Pain by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.     History and Presenting Symptoms The patient is an active 58-year-old male, with a history of participation in many team sports (baseball and football) in his younger years. He describes recurring pain and stiffness in his right knee, which is especially noticeable in the mornings and also when he plays...
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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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TAC Staff
call-for-action-an-open-letter-to-the-chiropractic-profession Dear Chiropractic Colleague: This profession-wide "Open Letter" has been issued for a most urgent reason. Ignore it at your own peril Comprehensive and far-reaching "National Health Reform" legislation is rapidly moving forward in Congress. It is abundantly clear, that the legislation under consideration could substantially alter America’s health delivery system in dramatic and perhaps unexpected ways. Depending on the detailed legislative provisions that are...
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Practice Management
TAC Staff
the-practice-youve-always-wantedWe’ve headed into a new year and, with that, we’re offering some great advice from the experts! We’ve asked ten of them to answer what they feel are the most important questions to help you advance your practice. From focusing in on who you are as a doctor to over-all advice to the entire profession, these experts have the answers...
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tomowen
know-your-numbersOften times we have the misconception that success is something we enjoy only after we master difficult concepts and complicated theories. However, it may surprise you to know that you learned some of the necessary skills required for a successful chiropractic office when you were in Kindergarten. Do you know your numbers?  If you don’t, then reading this article and implementing...
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Michael Failla, D.C.
streamlining-your-data Recently I have talked to a number of doctors about the types of software that they are using in their offices and it has become apparent to me that many of them have taken a piecemeal approach to creating a paperless office. They are using one program for billing, another for scheduling and yet another for doctors notes. Often these...
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David Singer, D.C.
the-greatest-practice-building-secretIn our daily activities, we naturally gravitate toward doing those things that we feel most comfortable doing. You don’t have to be a rocket scientist to figure out why this is. It’s because no one likes to feel UNcomfortable, especially over a sustained period of time. Thus, we do what is comfortable. The sphere of activities that we are comfortable...
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Gregory M. Kingsbury, D.C.
looking-beyond-statistics-how-to-buy-a-chiropractic-practice Buying an existing chiropractic practice should be the most efficient and fastest way to financial success. For the new graduate, associate practitioner ready to branch out, or an experienced D.C. looking to expand, the benefits are numerous and the potential pitfalls many. For the last twenty-eight years, we have assisted hundreds of chiropractors in their quest to purchase the...
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Mark Sanna, D.C.
practice-management-tipsQ:  Which adjunctive services, if offered, have you found to be most beneficial for chiropractic practices? A:  The language of reimbursement today is the language of function.  In order to fully participate in the mainstream of healthcare, chiropractors must become proficient in objectively assessing and documenting the functional outcomes of their care.  It is extremely difficult, if not impossible, to...
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Radiology
Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
mris-herniated-discs-survey-results-and-the-chiropractic-team Being a principled, subluxation-based or structural-based chiropractor is not mutually exclusive to being responsible for diagnosing your patient accurately. If the patient has a radiculopathic or myelopathic clinical presentation, the question is, "Why?" This has nothing to do with your practice paradigm; it has to do with your patient’s well being and what the cause is for that nerve pressure....
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Paul Sherman, D.C.
a-case-of-radish Discussion:     RA/DISH is a disorder involving two conditions: rheumatoid arthritis (RA) and diffuse idiopathic skeletal hyperostosis (DISH), which is also known as Forestiers disease or ankylosing hyperostosis.1,3,5 RA is considered the most common inflammatory arthritide.1 It is a systemic connective tissue disorder that primarily affects the synovial lined joints.1 It is characterized by an inflammatory, hyperplastic...
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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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drmarks380
mri-spine-protocolsYour pateint has radicular pain in the lumbosacral distribution that is status post-motor vehicle accident and you order a lumbar MRI. The report rendered by a board certified general radiologist concludes mild disc bulging at L5-S1. However, upon further review by both a neuroradiologist and yourself (once you have been certified and trained to interpret MRI), you realize the general...
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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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Jean Pierre Gibeault, P: eng.
rasterstereography-radiation-free-technology-for-the-analysis-of-the-spine-and-pelvisRasterstereography: Radiation - Free Technology for the Analysis of the Spine and Pelvis by Jean Pierre Gibeault, P: eng.   RECENTLY IN THE LITERATURE: In a recent study, researchers demonstrated an excellent correlation between X-ray measurements and measurements made with rasterstereography (Schulte 2008). Schulte, et al., produced rasterstereographs and compared them to digitized A-P radiographs of the same 16...
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Rehabilition
Dennis Woggon, BSc, DC
mix-fix-set-protocols-for-posture-rehab“Don’t slump, stand up straight!” How’s that working for you? Probably not very well, as I think back to how effective that was when I was a child. We talk about changing posture, but how can we permanently change it.   Posture is not a conscious decision but a subconscious relationship with our environment.  Posture can be defined as the body’s position to...
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Dr. Mark R. Payne, D.C.
crac-traction-kicking-corrective-care-into-high-gearFeeling frustrated with the long time frames required for corrective care programs? Maybe you should try a little C.R.A.C. No…I’m not recommending you seek solace in some vicious street drug. Instead, you might want to try combining a well accepted muscle stretching technique with extension traction to speed up the corrective process. Here’s how it works. The acronym...
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Stephen W. Boyles D.C,CKTI
chiropractic-and-elastic-therapeutic-taping-helping-a-young-athlete-finish-the-gameWe all employ a variety of techniques with our patients, and even with people we may not originally have thought of as patients. In almost 20 years as an educator and practicing DC, I have often been asked to share in unexpected areas. Kinesio Taping, or Elastic Therapeutic Taping, has been a valuable tool for me since 1999, and I...
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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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Dr. Mark R. Payne, D.C.
postural-rehab-the-problem-with-physics-why-we-failLast issue, i documented the ineffectiveness of traditional adjustments to substantially change spinal structure. I would like to explain one key reason why adjustments, typically, produce very little structural change. Once you understand how the laws of physics sabotage your adjustments, you’ll be well on your way to making the best corrections of your career. The problem with physics is...
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Jeffrey Tucker, D.C.
fascial-release-using-the-deep-muscle-stimulation-to-improve-neck-shoulder-pain  Fascial therapy has become a very popular technique over the past several years. Fascia is the term applied to all of the connective tissues fibers and glue of the human body. Many tools to perform fascial therapy have gained popularity amongst Chiropractors, physiotherapists, personal trainers, and massage therapists. In addition to our hands (ART, myofascial release), key instruments used for...
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Techniques
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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Tedd Koren, D.C.
adjusting-the-holographic-body-part-five-weight-loss-smoking-and-other-bad-habitsIf the body is sick, the mind worries and the spirit grieves; if the mind is sick, the body and spirit will suffer from its confusion; if the spirit is sick, there will be no will to care for the body or mind. – J.R. Worsley The posture of subluxation (POS) is not limited to physical or...
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Loren Marks, DC
contact-reflex-analysisWe are living in the midst of a “Wellness Revolution.”  Patients, primarily the baby boomers, are seeking greater levels of natural health care as they age. They are wealthier and more educated than their parents and are willing to spend more to attain a level of health that allows them to be stronger, healthier and more resistant to disease. The insurance...
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Tedd Koren, D.C.
why-are-dcs-so-sick Accidental Discovery I discovered Koren Specific Technique (KST) in the best tradition of empirical healthcare: by accident. D.D. Palmer had Harvey Lillard. I had a seven-foot-high piece of heavy laminated furniture. I was blindsided as it crashed down on me, almost cutting off most of three fingers. Luckily, my head was in the way or I would have lost my...
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Tim Maggs, D.C.
the-importance-of-x-rays-in-todays-chiropractic-practice When I graduated from chiro-practic college in 1978, I elected to come back to my home state of New York to practice. At the time, the law didn’t allow for chiropractors to X-ray below L2. Chiropractors couldn’t order X-rays below L2. We were reduced to hoping there were no pathologies or contraindications. Since that time, I’ve come across a...
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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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