NewsFlashes
Cover Stories
Dr. Eric Plasker, D.C.
achieving-longevity-through-a-healthy-and-drugless-lifestyle    Through the family practice, dr. Eric plasker helps chiropractors grow their practice and become life-style leaders in their community Dr. Eric Plasker is a graduate of Life Chiropractic College and former owner of two highly successful family practices, where he practiced for 16 years. In 2000, he founded The Family Practice, a personal coaching company that offers marketing and patient...
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Roger Russo, D.C.
how-to-attract-seniors Doctors, look around your office, clear out the deadwood and do something different that will change lives and your practice. Decide what type of practice you want and what type of patients you want to serve. Find out as much as you can about that group’s wants and needs; give it to them and watch your practice grow. We...
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TAC Staff
thinking-about-a-problem-while-getting-adjustedThinking About a Problem While Getting Adjusted?   Scott Walker, D.C., has been a chiropractor for over forty-three years. Frustrated with uneven results in practice, he developed the Neuro Emotional Technique (NET). In addition to having written numerous magazine articles, he has authored many technique manuals, charts, audio and video recordings and also formulated specialized mind-body homeopathic...
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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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TAC Staff
a-man-with-insightHe was a popular, charismatic high school student. A national AAU karate champion. An inexperienced, undersized member of the school’s wrestling team. How did Dr. Patrick Gentempo Jr. become one of the most influential minds in today’s chiropractic world? Well, being undersized and inexperienced may have actually helped. “I injured my neck in a wrestling practice and my mom took...
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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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Interviews
TAC Staff
can-cloud-computing-really-save-you-thousands-annuallyInterview with Steven J. Kraus, D.C., D.I.B.C.N., C.C.S.P., F.A.S.A., F.I.C.C. His vision to elevate the profession and increase chiropractic access The American Chiropractor recently heard about a new Electronic Health Records (EHR)/practice management software product from Future Health that the company has decided to give away free. Like many of you, we wondered, “What’s the catch?”  So we sat down with Future...
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Ken Krimpelbein, DC
empowering-patients-from-the-inside-outDr. Ken Krimpelbein, former high school physical education teacher and personal trainer, and a 1995 graduate of Cleveland Chiropractic College, is now the owner of a successful multidiscipline practice in Oak Creek, Wisconsin. He presently employs three chiropractors, a massage therapist, a registered dietician, five personal trainers and will soon have a physical therapist and a neurologist on staff. “Treat...
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Thomas G. E. DePuydt, M.D.
finding-common-grounds-and-goalsThomas DePuydt is an M.D. who specializes in Sports Medicine, and recognizes the importance of taking an integrated approach to treating musculoskeletal injuries. In an interview with The American Chiropractor (TAC), Dr. DePuydt discusses the “paradigm change” which he sees taking place in modern day medicine. TAC: Give our readers some background information about yourself. DePuydt: I grew up in Northern Michigan wanting to...
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Dr. Tim Weir
million-dollar-chiropractic-interview-with-tim-weirEach 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. Timothy Weir an extremely successful chiropractor who has practiced in North Carolina,...
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James Mathis
how-to-get-paidJames J. Mathis has been employed in the insurance industry for more than fifteen years.  Formerly with Allstate Insurance and State Farm Insurance, during that time, he was also a claim representative as well as a manager in charge of all Med-Pay claims and Personal Injury Protection claims in the State of Washington.  In addition, he was designated the company...
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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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Nutrition
Mark Percival, D.C., N.D.
all-things-a-poison-plus-silicon-an-overlooked-trace-mineralIf you are recommending trace minerals to your patients, chances are you are recommending toxic substances.  The strange paradox is, many of these toxic minerals are also essential for life!  With the recent popularity of coral calcium, colloidal mineral cocktails, and other supplements containing seventy or more trace minerals, the question of how toxic elements, such as arsenic, cadmium, antimony,...
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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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Todd Singleton, D.C.
have-you-considered-using-nutrition-to-help-patients-with-neuropathyAbout seven years ago, I switched from an insurance-based practice treating solely musculoskeletal conditions to an all-cash practice treating some musculoskeletal conditions as well as a lot of additional conditions like obesity, diabetes, fibromyalgia and candida. During my first 20 years of practice, when a patient came in with serious neuropathy in their feet or hands, I was not able...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
when-bread-consumption-causes-neurologic-disease Most are aware that gluten consumption will ignite the expression of celiac disease in those who are genetically susceptible. Readers should also be aware that the expression of gluten sensitivity need NOT be celiac disease. In about 50% of those with gluten sensitivity, the gastrointestinal symptoms begin in childhood. About 22% will manifest gastrointestinal symptoms after childhood. Almost 30%...
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Dr. Richard Drucker, B.S., M.S., N.D., Ph.D.
the-gift-of-naturally-prolonged-healthy-and-sustained-lifeWhat took Mother Nature thousands of years to create, recent humanity has taken for granted and has selfishly destroyed. In the last 75 years, modern U.S. economic agricultural practices have nearly eradicated all of the naturally occurring organically (carbon containing) complexed trace minerals, poly-electrolytes and metalo-enzymes from our diet. Two-time Nobel prize winner and renowned scientist Linus Pauling categorically stated...
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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
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
orthitics-for-work-bootsMany people wear special footwear at work.  Occupational health guidelines and employers often require the use of protective work boots.  When fitting patients for orthotics, ask what type of footwear is worn throughout the workday, as well as during recreation and relaxation periods.  An orthotic designed for work boots can be very helpful.  While generic insoles and off-the-shelf foot supports...
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johndanchik
joint-pains-bother-fitness-seekerHistory and Presenting Symptoms This female patient is a 51-year-old small business owner and exercise enthusiast.  She reports pain in the front of her left knee over the past several months, especially when exercising at the gym.  She has no obvious swelling or discoloration and denies any specific injury.  She reports that she takes over-the-counter medication for relief, but is worried...
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johndanchik
a-better-life-by-avoiding-the-knifeHistory and Presenting Symptoms The patient is a 44-year-old male who describes persistent pain and occasional stiffness in his right knee that is not associated with any specific activity.  He reports at least two 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...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
tarsal-tunnel-syndrome-a-orthotic-supportTarsal tunnel syndrome (TTS), while not common in the general population, is occasionally seen among athletes.  In addition, many TTS symptoms can be confused with conditions commonly treated in the chiropractic office.1  Because its etiology is often related to hyperpronation and, therefore, spinal complaints, TTS patients may be concentrated in the chiropractic office.  When a patient complains of burning pain...
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johndanchik
athlete-back-on-the-ice-thanks-to-chiropractic-careHistory and Presenting Symptoms The patient, a 24-year-old male semi-professional hockey player, reports a recent right hamstring “grab” that just does not seem to be improving. His history includes several injuries to the same hamstring muscle during his collegiate playing career with mixed attempts to stretch and rehab. He also describes varying levels of pain in his lower back and left...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
recurring-calf-strains History and Presenting Symptoms   The patient is a 32-year-old mom, who also works part-time at the local middle school, where she is the school nurse. She reports numerous episodes of aching and tightness in her right calf over the past three years. She denies any recollection of injury or overuse activities. She has no significant disability, as she is...
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Practice Management
tomowen
five-ways-to-manage-clinics-that-have-several-employeesIt is important to be proactive rather than reactive when addressing potential problems within your practice that occur when more than two or three people work in your clinic.   The greatest asset in a chiropractic practice is the staff. Unlike other assets, staffing is a dynamic resource in terms of productivity. The need to create the right operating environment for high...
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Dr. Steven J. Kraus, D.C., D.I.B.C.N., C.C.S.P., F.A.S.A.
technology-for-accountability-whos-in-charge-and-who-benefits If someone offered me $44,000 just for doing what I knew I needed to do anyway, I’d be the first in line. Now, this is precisely what the government is doing. And, in August, they told us who will certify the electronic health records (EHR) software systems making DC’s eligible for incentive payments. Does that grab your attention? It sure...
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Claude Cote
opening-a-new-office-how-to-lower-your-expensesAt a glance, opening a new practice seems easy.  But in reality, opening a new chiropractic office can be a significant financial challenge.  Opening a new office is exactly the same as opening any other kind of business.  You will have to rent office space, buy equipment, set up a marketing plan, hire employees, and the list keeps going on,...
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Mark Sanna, D.C.
tipsQ: You have often said that the chiropractic practice of 15 or even 10 years ago no longer can exist. Why do you feel this way? A: The rules of the game have changed. It's as though, for over 100 years, we've been playing according to the rules of basketball and that, within the last five yhears, they have changed the...
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Mark Sanna, D.C.
treatment-protocols Treatment protocols are care paths, based upon accepted utilization guidelines and a consensus among the healthcare delivering team, that organize the diagnostic and therapeutic services that are appropriate to a patient’s condition and how often each should be performed. Essentially, treatment protocols map out case management decisions and are individualized according to each patient’s specific complicating or attenuating factors. They...
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Mark Sanna, D.C.
breakthrough-coachings-million-dollar-The American Chiropractor (TAC) interviews Dr. Mark Sanna, CEO of Breakthrough Coaching, about his company’s efforts to “give back” to the chiropractic profession. TAC: Tell us a little bit about the history of your company. Sanna: Breakthrough Coaching’s mission is to leave a legacy in the creation of a generation of chiropractic philanthropists whose vision is to see chiropractic receive widespread public...
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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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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
transverse-process-fracturesDiscussion Transverse Process Fractures Transverse process fractures are the second most common fractures of the lumbar spine, with compression fractures being the most common. They occur usually secondary to a severe hyperextension and lateral flexion blow to the lumbar spine from avulsion of the paraspinal muscles. The most common segments to suffer transverse process fractures are L2 and L3. Radiographically, the fracture line appears...
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drmarks380
herniated-discs-a-advanced-imaging The patient enters your office and has significant pain radiating into an extremity. Being responsible, you adopt the policy of the insurers and treat the patient conservatively for 4-8 weeks and the pain doesn’t diminish; you then refer the patient to the imaging company for an MRI. In the report, there are minimal findings, so you continue to treat with...
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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
gout-versus-osteoarthritis-which-is-it Case History This 60-year-old male complains of sharp pain in the great toe. He has a family history of gout and is worried he has developed gout. What’s your diagnosis?   Diagnosis: Degenerative Osteoarthritis Of The Great Toe.   General Considerations Degenerative Osteoarthritis   Foot Of all forefoot articulations, the most commonly involved articulation is that of the first metatarsophalangeal joint. The radiographic signs are distinctive but, on...
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Rehabilition
Dr. Joe Ventura
posture-reprogramming-and-athletic-performanceTo coax the most out of the human body during training or actual performance, there are certain principles, or building blocks that must be present. Good breathing, proper nutrition, hydration and intensity are just a few of these principles. But, at the top of the list is good posture. Proper posture extends performance, reduces injury, speeds healing, builds more muscle and...
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Christian H. Reichardt, D.C., C.C.S.P.
vibrational-therapy-and-the-aging-baby-boomers Looking at recent statistics, the boomer population is going to increase by almost 70 percent over the next fifteen years. This is the fastest growing population segment of our society! The three most common musculo-skeletal ailments afflicting this group are osteoporosis, lack of flexibility and strength, as well as balance. In this article, I will show that Whole Body...
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John K. Hyland, D.C.
exercise-for-healthy-agingThere is now a wealth of data that supports the value of aerobic and resistance exercise for the geriatric population. Improvements are seen in weight and body composition, greater insulin sensitivity, decreased falls/improved balance, better psychological health, less frailty and improved function. With exercise, the resting blood pressure lowers, and there is a reduction in the risk of all-cause mortality.1...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
rehab-for-busy-schedulesThere have been various recommendations over the years in our profession about the recommended number of repetitions and sets of exercises that patients should perform.  To judge for yourself what numbers are best for those in your care, you need to consider several factors — not the least of which is the hectic, fast-paced lives many of your patients already...
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James C. Antos , D.C.
why-every-chiropractor-should-be-a-dme-durable-medical-equipment-supplierAfter 34 years of private chiropractic practice, I have found that some fundamental keys to practice security, financial security, and peace of mind lie in these simple facts.     First, as a chiropractor I must be able to get positive results for my patients concerning both their goals and mine.  The patients must feel that I am there “for them” and...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
soft-tissue-stress-and-rehabilitationThe body’s soft connective tissues (such as muscles and ligaments) are generally exposed to stress throughout life.  Such structures respond and adapt to the usual amount of stress exposure.  Damage occurs when soft tissues are exposed to higher-than-usual stress levels.  This can be a single, sudden, excessive stress, or it can be the result of repetitive stress to the muscle...
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Techniques
Tedd Koren, D.C.
the-posture-of-subluxations-subluxations-are-state-specific Years ago, Dr. Lowell Ward of Long Beach, California, had a patient who felt fine standing, but had head, back and sciatic pain while seated. Standing X-rays showed a balanced, unsubluxated spine. He wondered, "What would I find if I X-rayed her in the seated posture?" Her seated films revealed an unbalanced, subluxated spine. No wonder she hurt when she was...
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Marshall Dickholtz, Sr., D.C.
what-is-a-totally-balanced-spine-what-every-chiropractor-and-chiropractic-researcher-should-knowTo start with, an imbalanced spine is because an atlas subluxation is affecting the brain stem. This affects the muscle balancing mechanism in the central reticular formation. As a result, it produces spastic muscles on one side of the body, more than the other side, and produces a distorted pelvis and a contracted ilium. It also...
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James W. Gudgel, D.C. PT and Christopher J. Colloca, D.C.
neuromechanical-considerations-of-the-sacroiliac-jointControversial as a pain generator and lacking the mobility of the adjacent spinal joints, the sacroiliac (SI) joint is an often overlooked target in the management of low back disorders. Because of the SI joints’ integral relationship with the hip joints, their assessments are also included to determine the hip’s relationship to any SI joint...
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Lisa Upledger, D.C.
craniosacral-therapy-releases-hold-on-subluxationsThis gentle hands-on method of working with the craniosacral system, has helped thousands of practitioners effectively remedy a wide range of medical problems associated with pain and dysfunction. You, too, can learn how to enhance the body’s natural healing process. Like most chiropractors, I spent many years focused on the subluxation factor. Ironically, it wasn’t until I began practicing a different hands-on...
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Jay Kennedy, D.C.
decompression-deception-and-the-magic-machine  It is important to recognize that as we approach nearly twenty years since the initial entrance into the Chiropractic market of Decompression systems, we are still faced with the marketing of magic decompression machines, being somehow different than traction devices based upon mechanisms and pull patterns. For many people, logic, reason and basic physics, though compelling, can’t really compete with...
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Dr. Richard E. Busch, III, D.C.
axial-decompression-new-wave-of-treatmentWhat is the deal with this new wave of treatment called axial decompression, spinal decompression and or IDD Therapy? Is it truly the greatest thing next to sliced bread (for the treatment of back or neck pain) or is it just a passing trend? Axial decompression therapy has reached the highest level of interest ever, even though it is not...
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