NewsFlashes
Cover Stories
Allan Dyer, B.S., M.D., Ph. D.
decompression-where-it-all-beganDr. Allan Dyer has a Bachelor of Science degree in Pharmacy and is a doctor of Internal Medicine. He was also awarded a Ph.D. for his graduate studies and pioneer work in Transthoracic Cardiac Defibrillation. During his career as a senior administrator and Deputy Minister of Health, he instituted the hospital services quality assessment, generic drug...
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Dennis Woggon, DC, B.Sc.
clear-scoliosis-case-studyCLEAR Scoliosis: Case Study by Dennis Woggon, DC, B.Sc.   THE PATIENT PRESENTED in 2008 with a 48 degree right thoracic Cobb angle. It was initially diagnosed in 2005 at 25 degrees. The patient had a history of birth trauma. The scoliosis previously was treated with traditional Chiropractic Care. The standard CLEAR Scoliosis examination was performed. Her X-rays revealed...
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Dr. Eric Plasker, D.C.
fitness-and-chiropractic-a-critical-niche-for-your-practice-and-the-chiropractic-profession The fitness and nutrition industries are poised to take a leadership role in health care. They have all the research that demonstrates their role in achieving optimum health and prevention of sickness and disease. These elements of a healthy lifestyle are being sought after by the public who are trying to decipher between the good and the bad, the real...
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Christopher Kent, DC
a-man-of-many-hats Chiropractic Leadership Alliance’s versatile Co-Founder is one the most influential minds that the profession has ever known—and the perfect choice to lead the Wellness Revolution: the kind that would make him one of the most important chiropractic figures of his generation. A Man of Many Hats, Christopher Kent is a Doctor, a Lawyer, an Author, a Researcher, an...
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Market Review
nutritional-support-for-healthNutritional Support for Health   Many Chiropractors use some form of nutritional support to assist in the healing process of their patients. See here, in alphabetical order, the newest nutritional products in the market to suggest to your patients and/or add to your practice.     Anabolic Labs: Ultra K2D3 Price Range: $10 doctors’ price; $20 patients’ price (this is a one to two month supply) Product...
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Dr. Terry Yochum D.C.; D.A.C.B.R.; Fellow, A.C.C.R.
interview-with-terry-r-yochum-dc-dacbr-chiropractic-radiologist-a-author-of-the-essentials-of-skeletal-radiology“This July will see the publication of the third edition of Dr. Terry Yochum's textbook, The Essentials of Skeletal Radiology.  It's hard to express the importance that this work has had in raising the profile of the chiropractic profession.   Before Dr. Yochum's text, there had never been a chiropractic textbook published by a major publisher.  The text is now one...
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Interviews
Dr. Mitch Mally
million-dollar-chiropractic-featuring-dr-mitch-mallyEach article in the MILLION DOLLAR CHIROPRACTIC series (M$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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William Koch, D.C.
chiropractic-biophysics-technique-interview-with-deed-harrison-dc Dr. Don Harrison has been a tireless Chiropractic researcher and scientist for more than 35 years.  Originator of Chiropractic BiophysicsTechnique (CBP), Dr. Don conducted his research and reported his findings according to established scientific standards and protocols. His diligence and expertise have been rewarded by a high level of acceptance by the scientific community. Dr. Don’s outstanding career as a Chiropractor,...
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Hubert von der Beeck
spray-the-pain-awayHubert von der Beeck is founder, president and CEO of KOOL ’N FIT America. Emigrating from Germany in 1969, von der Beeck started the company in 1984. After spending years participating in and around cycling, marathons and soccer, von der Beeck saw a need for his family-developed topical product with unique properties not found in existing products in the states....
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Vernon Temple, D.C.
raising-standardsVern Temple, D.C., has been part of the testing community for nearly thirty years, first as a member of the Vermont Board of Chiropractic Examination and Registration, National Board of Chiropractic Examiners (NBCE) delegate for the state of Vermont and, subsequently, as an NBCE Director for the past seven years, six years as District III Director...
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Kent Greenawalt
orthoticsTAC: Tell us a little bit about the history of Foot Levelers, Inc. Greenawalt:  Foot Levelers is the world’s largest custom-made Spinal Pelvic Stabilizer company.  We use the term Stabilizer instead of orthotic, because our products stabilize the pelvis and spine by correcting imbalances in the feet.  They are custom-made and scientifically designed to address the patient’s unique postural problems.  They...
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TAC Staff
dr-david-m-brady-breaks-the-glass-ceiling-in-academia-interview-with-david-m-brady-dc-nd-ccn-dacbn  Dr. David Brady, a 1991 Texas Chiropractic College (TCC) graduate, is the first DC worldwide to break the "glass ceiling" within academia by being conferred vice provost of the health science division at the University of Bridgeport in Connecticut. He is the first and only chiropractor to attain that elevated status worldwide in a major university and, because of his...
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Nutrition
Leonid Ber, MD
resolving-vitamin-b12-deficiency-using-oral-supplementationNew research validates high dose methylcobalamin lozenge regimen Vitamin B12 (often referred to as cobalamin) is an essential nutrient that can only be  obtained from diet or supplements. Its main function in the body is to assist in the synthesis of DNA. As a result, quickly dividing cells such as red blood cells are among the most frequently affected by cobalamin...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
inflammation-and-diet-a-growing-concernThe January 1st issue of the New England Journal of Medicine (NEJM) contained an editorial entitled, “From asthma to atherosclerosis–5-lipoxygenase, leukotrienes, and inflammation.”  Inflammation is something we are all aware of, and I have written about in most of my TAC articles this past year.  What about 5-lipoxygenas and leukotrienes; what are they? Our cell membranes are made...
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Robert Anderson M.D. and Perry Chinn, D.C.
what-are-the-health-benefits-of-supplementing-with-the-amino-acid-l-arginineThere has been a flurry of discussion, speculation and even hard to believe health claims surrounding the supplementing of the amino acid L-arginine. L-arginine is considered a conditionally-essential amino acid, meaning that it is not found in sufficient levels in the “normal” human diet. Amounts that produce the clinical effects suggested by research highlighted below must be received in supplement form. ...
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Christopher Fuzy, M.S., R.D., L.D.
the-future-of-chiropractic-services-in-america-My New Year’s Resolution—Is Now the Time to Build or Elevate My Practice with Nutrition? A Clinical Nutritionist’s ExpectationA majority of your patients committed themselves to a health related New Year’s Resolution on January 1st. Studies show they will implement a nutrition or exercise program in the next 3 months as a result of their desire to improve their health. Are...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
nutritional-alternatives-for-statin-drugsA list of the commonly prescribed statins include atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor), pravastatin (Pravachol), prosuvastatin calcium (Crestor), and simvastatin (Zocor). One statin drug that is no longer being used is Baycol, made by the Bayer Company. A USAToday.com article, posted on June 8, 2004, stated that, “Bayer pulled Baycol after reports that 31 people taking the drug died of...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
to-reduce-osteoporosis-put-a-little-fat-in-your-bonesOsteoporosis is an extremely costly condition; the expense for treating osteoporosis-induced fractures reaches about $38 million per day.1 Consider this in light of the fact that calcium fortification and supplementation is at a premium.  One day of shopping at Sam’s Club, as an example, leads to the realization that countless bottles of calcium are sold on a monthly basis. What does...
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Orthotics
John J. Danchik, D.C.
lower-extremity-conditions-and-postural-supportHistory and Presenting Symptoms A 37 year-old male presents with a report of pain in his lower back and right hip. Further discussion elicits a history of previous right hamstring strain during high school soccer, along with several episodes of ankle sprains. He has had arthroscopic surgery to evaluate recurrent left knee pain and stiffness, which found no specific...
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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.
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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
orthotic-support-for-knee-painThe knee has an impressive level of stability, despite the incongruent joint surfaces of the tibia and femur.  These two contrasting joint surfaces articulate only with the help of the crescent-shaped menisci.  Through their weight-distribution and shock-protection properties, the menisci help guide movements between the convex surfaces of the distal femur and the almost flat superior surfaces of the tibial...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
morning-heel-painHistory and Presenting Symptoms The patient is a 56-year-old male who reports severe pain on the bottom of his right foot when he begins to walk in the morning.  He also notices pain under his right heel when he has been standing for a long time (greater than one-half hour).  Over-the-counter pain medications help somewhat; but his condition does not seem...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
leg-pain-in-a-ball-playerHistory and Presenting Symptoms An 18-year-old baseball player presents with aching pain and tightness in his left lower leg.  He describes a collision injury during a game four days earlier, which resulted in pain and bruising in the front of his leg after sliding into second base.  Despite repeated icing, the area still feels swollen.  He describes this as “shin splints.” Exam...
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Practice Management
Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
double-your-practice-without-leaving-your-front-doorDouble Your Practice Without Leaving Your Front Door by Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP   Over the years as a practice consultant, I always get the same question: "How can I get more new patients?" This seems to the mantra of the masses! This seems to be the only or best way to build a practice for most. There...
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Peter G. Fernandez, D.C.
murphys-law-2-when-starting-a-practice“Murphy's Law” is an old adage that is typically stated as: "Anything that can go wrong will go wrong". When you start a new practice you’ll experience many examples of Murphy's Laws. I’ve opened over 3,000 new practices. Just when I think I’ve heard them all, a new twist on Murphy’s Law comes along. Here are a few of my...
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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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Dr. Eric Kaplan, D.C., F.I.A.M.A.
maximize-your-income-and-minimize-your-effortMaximize Your Income and Minimize Your Effort by Dr. Eric Kaplan, D.C., F.I.A.M.A.   Why do some doctors (people) retire rich and some doctors (people) retire poor? This subject has fascinated philosophers, thinkers, mystics and teachers throughout the ages.     Reasons for Rich or Poor Why do some doctors (people) retire rich and some doctors (people) retire poor? This subject has fascinated philosophers,...
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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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Dr. Eric Kaplan, D.C., F.I.A.M.A.
improve-billing-department-efficiency-with-four-management-techniquesTo operate your billing department effectively and efficiently, you need to recognize that billing and collections require good management. Following are some techniques that can improve your billing efficiency and help you get paid. 1. Establish expectations with your patients, your payers, and your staff. A common problem practices face is getting patients to pay their bills, deductibles or copays. Although...
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Radiology
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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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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Lori Puskar, D.C.
caring-for-the-supermomWhen I was thirteen, my two-year-old brother was suffering from a serious case of torticollis, which had been misdiagnosed as possible meningitis. After just one chiropractic treatment, he was virtually cured. At that moment, I knew that my contribution to healthcare would be in the chiropractic field. Like any idealistic young chiropractic student, I was electrified by the story of Harvey...
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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.
osteolytic-metastatic-carcinomaOsteolytic Metastatic Carcinoma by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.       CASE HISTORY  This adult male patient complains of back pain, especially at night, and it awakens him from sleeping. Diagnosis: Osteolytic metastatic carcinoma of the left L-3 pedicle and vertebral body. This is the "one-eyed pedicle" sign or the "winking owl sign" of...
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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.
lumbar-spine-compression-fracturesThe radiographic signs of vertebral compression fracture are often subtle.  Radiographs of optimal quality are necessary in order to adequately demonstrate these fractures.  Lateral radiographs best demonstrate the fracture features.  Radiographic signs of vertebral compression fracture include a step defect, wedge deformity, a linear zone of condensation, displaced endplate, paraspinal edema and abdominal ileus.  Step Defect—Note, in the presented image, a...
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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. 
fractures-of-the-pubis-and-ischium[Case History] This patient presents following severe trauma to the pelvic region after a motorcycle accident.   Diagnosis:  This patient has bilateral fractures of the superior and inferior pubic rami which has been referred to as a STRADDLE FRACTURE. Fortunately, this patient had no injury to the bladder, as bladder trauma is often present with fractures such as this. Of incidental notation is...
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Rehabilition
John K. Hyland, D.C.
avoid-rehab-overloadMost of us know that exercises are an important key to full recovery of spinal function. Unfortunately, I have found that the more knowledgeable doctors are in rehab procedures, the more likely they are to overwhelm their patients with exercises. The result is frequently a long laundry-list of exercises given to each patient. This often includes stretches for all of...
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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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Dr. Stephen Kaufman, D.C.
can-frozen-or-painful-shoulders-really-be-unlocked-in-minutes-even-after-years-or-decades-of-pain-and-immobilityOn 2002, at a seminar in Denver, a doctor in his 30’s stated he had had only 90° shoulder abduction for ten years. After applying this technique, his arm immediately rose to almost full abduction of 160°. In Oregon, a doctor had had severe pain and limitation of motion for over thirty years. In front of...
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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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Dr. Mark R. Payne, D.C.
managing-fhp-in-the-elderlyI recently got some great questions from a doctor in south Florida who frequently encounters aging patients with large forward head translations, yet have pronounced, sometimes even hyperlordotic, cervical curves. We've all observed this posture, common among elderly patients, but many doctors aren't aware it needs to be managed differently than the typical case of FHP associated with cervical hypolordosis. Typically,...
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M. Kirk Meier, D.C.
muscle-spasms-how-to-overcome-the-chiropractic-nemesis It’s happened to all of us many times. a patient comes into our office barely able to move and in excruciating pain. They have difficulty lying on the table, let alone moving through any range of motion and we want to get them into a side posture position. RIGHT!!!!! So, in lieu of any type of chiropractic manipulative therapy, we...
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Techniques
Deed E. Harrison, D.C.
appropriate-use-of-a-cervical-orthotic-for-abnormalities-of-the-cervical-lordosisIntroductionMore and more, Chiropractors are becoming interested in rehabilitation of the abnormal cervical lordosis due to its potential relationship with a number of patient health disorders.1-3 Chiropractic techniques often recommend the use of both in office equipment as well as supplementation of at home orthotics for rehabilitation of the abnormal cervical lordosis in appropriate cases,4 while other chiropractors use at...
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Tedd Koren, D.C.
dont-limit-the-subluxationUsing different terminology, D.D. Palmer (chiropractic), A.T. Still (osteopathy) and Samuel Hahnemann (homeopathy) all recognized life as a triune of matter (physical), energy (emotion) and consciousness (intelligence) and viewed dis-ease as the result of disharmony amongst them. There is no purely physical or purely mental illness—all physical illness includes emotional symptoms and all emotional illness includes physical symptoms. Physical...
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Deed E. Harrison, DC
chiropractic-biophysics-cbp-mirror-image-posture-adjustingPosture is used by many in chiropractic to demonstrate to the patient that their structure is in abnormal alignment; e.g., health fair and mall screenings, plumb line analysis, visual analysis, and computerized plumb line analysis. However, few DC’s use the scientific analysis of head, rib cage, and pelvis postures in three-dimensions (3D) as rotations and translations along the three X,...
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David Jackson, DC
techniques-diversity-of-art-and-scienceChiropractic is an incredibly diverse profession, boasting more than 100 different techniques (one list puts the number closer to 120 and one online source even claims there are 200). Some are extremely well known, such as Diversified or Atlas Orthogonal Technique. Others possess a smaller (but often extremely loyal) following, such as the McTimody Technique or the Columbia Technique. Most doctors...
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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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Brice Vickery, D.C.
tvm-vs-a-chiropractic-wastelandChiropractic, a Wasteland? Things have never been better.  Accepted in all states, academic accreditation, almost full members of the healing arts is the way most see it.  This euphoria disappears when you compare it to what it could become and what it did become for me, and the little group of doctors who have studied TVM (The Vickery Method). It would...
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