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-state-of-the-chiropractic-professionAs The American Chiropractor celebrates its 30 Year Anniversary, our panel of leaders look back on just how far the chiropractic profession has come and what lies ahead.     Dr. Louis Sportelli President of NCMIC Dr. Sportelli has served in many capacities throughout his 47-year career in chiropractic. He is currently serving as President of NCMIC Group ...
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dagmar
x-ray-in-motionWhere other chiropractors were eager to open up their practice, Dr. Postlethwaite had different plans...   Dr. John Postlethwaite, the big man with the big idea. Dr. John, as he’s known in the profession, graduated from Palmer Chiropractic College in 1987. He moved to the Tampa Bay area of Florida and received his Florida License in 1989. He also...
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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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TAC Staff
instrument-adjusting-panel• Activator Adjusting Instrument • Impac’s Pro-ArthoStim • Neuromechanical Innovations’ Impulse® and Impulse iQ® • Sense Technology’s PulStar So many great adjusting instruments out there, but who’s got the time to figure out which one is right for them, right? Well, as always, we here at The American Chiropractor Magazine know exactly what you are looking for. We...
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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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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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TAC Staff
8-top-table-company-representatives-tell-us-whats-newWe interviewed eight representatives from the leading manufacturers of chiropractic tables to find out what’s new and what makes each company unique. From new, electronic features and tables made for specific techniques to tables that adapt to any technique, these companies, with a combined experience of almost 300 years, have something for everyone. Lloyd Table Company Lloyd Table Company is continually striving...
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William Koch, D.C.
restoring-energy-balances-in-the-body-a-straight-chiropractor-re-thinks-acupunctureInterview with Dr. John Amaro   John A. Amaro DC, L.Ac., FIAMA, Dipl.Ac. (NCCAOM), Dipl.Med.Ac., is an internationally known author, lecturer and practitioner. He began his practice of Acupuncture and Chiropractic in 1971. He has led 13 diplomatic Acupuncture study tours of The People's Republic of China escorting more than 500 doctors and practitioners. He has personally studied acupuncture in nine separate...
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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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Ken Murkowski, DC
dr-dick-versendaal-a-pioneer-of-modern-chiropractic-wellnessDr. Dick Versendaal is one of the last living doctors of chiropractic who studied under Dr. B.J. Palmer. Today, he still practices with the “big idea” in mind.    In a Q & A session with Dr. Ken Murkowski, Dr. Versendaal talks about his past and present.  Also revealed are some of the interesting beginnings of Contact Reflex Analysis® (CRA), as well...
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Paul White, D.C.
optimizing-the-well-being-of-the-patient Nutri-West was founded in 1981, a small nutritional supplement company offering a limited, but effective line of its own products. The company was the creation of a successful Wyoming chiropractor and nutrition expert, Dr. Paul White, and his wife Marcia. Their children, Tony, Michele and Tiffany, have been actively involved with the business since they were very young and know...
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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
time-to-tune-up-yourPatient compliance is an issue for all doctors.   And, let’s face it, when we feel well, we often cheat on our exercise or diet plans.  After all, we are only human.  This short article provides some great ammunition to motivate us—and our patients—to follow-through with good nutritional practices.  Recently Dr. Bruce Ames, a famous toxicologist from the University of California,...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
a-healthy-dessert-option-dark-chocolateWhen I attend chiropractic conventions/seminars, I am often invited to have a meal with other DC’s. Not uncommonly, the doc(s) will apologize in advance for eating unhealthy food, or ask me not to criticize them for eating such things as French fries or pancakes. For the record, I am not part of the diet police, so people need not worry...
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Dr. James P. Cima, D.C.
strategic-nutritional-marketing-for-the-chiropractic-office-its-a-natural Who else but Chiropractic Physicians should be discussing nutrition with their patients? There are more people in agreement with nutrition and health than with chiropractic care. So, as chiropractors, we should link this common bridge and "span the gap" with the general public by offering nutrition in our offices. We live in a society that is literally poisoned through our food...
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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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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.
milk-may-be-a-driver-of-diabetesTwo sacred cows of nutrition for the people of the United States have been bread and milk. The low carb craze has heightened the public’s awareness about the dangers associated with refined starches, such as most cereals, breads, and pasta. Many people steer clear of these more refined starches and many even avoid the whole grains. Whole grains do contain fiber...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
adult-flatfeet-and-orthotic-support Flatfoot (the absence of a medial longitudinal foot arch) is normally found during early human growth and development.  During childhood, we all start out with little or no arch.  Some people, however, never develop normal feet arches.  This situation differs from the collapse of normal arches due to excessive loading and eventual plastic deformation.  Are “normally” flattened feet a clinical...
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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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
metatarsalgia-and-orthotic-supportFoot pain can interfere significantly with normal activities, and severely limit participation in sports.  Metatarsalgia is foot pain involving the metatarsal bones in the forefoot—the complaint of pain on the bottom of the ball of the foot. Metatarsalgia may be due to overuse of the foot during sports, improper footwear,1 excessive weight, foot subluxations, or other factors.  The underlying cause is...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
chronic-facet-syndromeHistory and Presenting Symptoms A 46-year-old female presents with recurrent, sharp pain in her low back.  These episodes usually resolve within a few days, but she is concerned that they are becoming more frequent.  Using a Visual Analog Scale, she describes the usual pain level in her lower back as around 35mm.  She doesn’t recall any injury to her back, and...
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TAC Staff
news-of-the-profession Chiropractic in Military Medicine Chiropractic services are offered at several United States military bases and veterans healthcare locations. An article in the June 2009 issue of the journal Military Medicine discusses, in an effort to increase awareness and improve interdisciplinary collaboration, when to refer patients for chiropractic care. The article titled "Chiropractic in US military and veterans’ health care" by Drs....
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Dr. Kirk A. Lee, D.C., C.C.S.P.
is-your-little-leaguer-pitching-too-muchShoulder injuries are common in sports. The category of rotator cuff injuries has numerous names ranging from painful arc syndrome, bursitis of the shoulder, or rotator cuff tears, to just name a few—all usually present with decreased range of motion and pain in the shoulder area. There are three groups of people who are most vulnerable to these types of...
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Practice Management
Mark Sanna, D.C.
gaining-balance I’ve learned some strategies that have helped me simplify my own life and gain more balance. Look for opportunities to apply them to your circumstances. It is perfectly acceptable to say, "No." If you are constantly telling others and yourself that you are too busy, then you probably are! Why are you so busy anyway? Living with intention...
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Susan Blackard, R.N., N.D.c, M.H.A., F.N.P.c
the-multidisciplined-approach-to-growing-your-practiceSo I bet you’re getting all the clients you can handle and don’t want any more right? Let’s be honest, we could all benefit by having at least a few more people walk through the door. But where do you start? To get more information, I caught up with Dr. Mark Steenerson of Minnesota. A few years ago, he was asking himself...
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John Hayes Jr., D.C.
who-are-you-and-who-should-you-be- Irecently had a very interesting new patient—very apprehensive, but enthusiastic, young, highly educated and a prior patient of chiropractic care. When I asked her what she thought about our office, a story unfolded. First, she got our name from a local listing online. Afterwards, she "Googled" me. Consumers are "Googling" (using the search engine, "Google" or some other search engine)...
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Mitchell E. Rubin
practice-smarter-not-harderThat Was Then The old-school way of running a private practice was for doctors to refer patients requiring advanced medical testing or physical therapy services to their colleagues and golfing buddies.  And why not?  Money wasn’t an issue.  Twenty years ago, most doctors were earning six-digit salaries and building up their retirement nest eggs. Today, business-savvy chiropractors focusing on their future and...
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Ron Short, D.C., MCS-P
why-am-i-suddenly-getting-reviewed-by-medicareI have heard this question a lot as I consult with chiropractors all over the country. In a discussion with one doctor, he stated that six years ago he had been reviewed with no problems or errors. He was reviewed a few months ago and had a 100% error rate. The puzzling part was that he hadn’t changed his documentation...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
show-me-the-money  Building a successful practice in the new millennium is more difficult than in the past.  Or is it?  I see some consultants offer “Cash Practice,” others offer the “PI Practice.” With the insurgence of managed care, the healthcare world is a maze we must navigate through.  Be a provider to all and a slave to none.  Don’t lock yourself in...
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Radiology
Andrew Cheesman
digital-x-ray-do-i-need-one-in-my-officeSo, you are considering “transforming” your practice? Or maybe starting a brand new or satellite office? What are some of the things you should keep in mind in making decisions on just what your practice will offer? What should it look like? What kind of vibe would you like it to put out? And how does the decision of installing...
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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.
sacral-fracturesHistory This patient fell off a horse while competing in a high level equestrian event. The patient fell directly over the sacrum and experienced immediate severe localized pain in the sacral area. Discussion Sacral fractures usually occur as the result of a fall upon the buttocks or following a direct traumatic blow. There are two types: Horizontal and Vertical. Horizontal (transverse) Fractures These are the...
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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
benign-or-malignant-thats-the-questionHistory This adult male patient presents with hip pain and a lesion is found on X-ray. Is this likely to be benign or malignant?   Note the well demarcated geographic radiolucent lesion in the proximal femur. It has a sharp zone of transition around it with a sclerotic border. These roentgen signs suggest a benign lesion. Diagnosis: Monostotic Fibrous Dysplasia...
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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.
vacuum-phenomenon-DISCUSSION The vacuum sign (of Knuttson) is an important early radiographic finding.1 Essentially, this represents collections of nitrogen gas in nuclear and annular fissures and presents as an area of linear radiolucency in the disc space.2  Studies have shown this to be a common sign of disc aging and degeneration, with an incidence of two to three percent in the...
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drmarks380
chiropractic-clinician-and-the-radiologist-a-partnership-with-a-caveatIt is critical for every chiropractor to have a support team of health care specialists in order to render the highest level of care for our patients. The radiologist is the first specialist that you should add to your team. In the triaging of our patients, the progression is to create an accurate diagnosis, prognosis and treatment plan and then...
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Rehabilition
George LeBeau, D.C.
are-your-shoes-killing-youDuring my early years of practice, while working with youth sports, I met an Athletic Trainer named Bob Ragsland (“Rags”). He had been working with college athletes for many years and emphasized to me the importance of proper equipment fitting. I spent many hours with him learning techniques for fitting shoulder pads, helmets and other sports equipment. Then, one afternoon at...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
osteoporosis-and-spinal-excerciseAs the population ages and becomes more sedentary, we will be seeing more of our patients affected by osteoporosis and its complications.  Initially, there is a reduction in bone mass (osteopenia), which is considered a universal phenomenon of aging.  However, when the condition progresses to osteoporosis, bone strength is compromised, and fractures develop with trivial (or no) trauma.  These fractures...
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Daniel Dahan, D.C.
step-by-step-rehab-centerAbout 83 million people in the U.S. (42% of the adult population) used at least one alternative therapy in 1997.  Usage among those 35-40-years-old is even higher, at 50%. The estimated number of visits in 1997 to providers of “unconventional therapy”  (629 million) was greater than the number of visits to all primary care medical doctors nationwide (386 million)....
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Mark R. Payne D.C.
building-your-practice-on-a-strong-foundationBuilding Your Practice on a Strong Foundation by Dr. Mark R. Payne D.C.   In keeping with this month’s focus on practice management and coaching, I wanted to take a slightly different twist with this article. While I make no pretense at being a practice manager or coach, I have started and operated two successful practices in my career plus...
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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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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
spinal-exercises-in-rehabSpinal exercise is an important part of any spinal rehabilitation program. The timing of the prescription of spinal exercises is very important, so as not to cause more trouble for the injured patient. Recommendations on Exercise The use of active methods of care, such as exercise, have been discussed in some detail in published articles and books on the subject.1,2,3 Guidelines have been...
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Techniques
R.B. Mawhiney, DC
preventing-sids-sudden-infant-death-syndromeOH, NO!!! PLEASE, LORD, NO!!! She has stopped breathing! CALL 911!! HURRY!!! This happens up to five thousand (reported) times a year in the United States. Sudden Infant Death Syndrome has become a scourge to young and old parents, alike. I have raised three children and have suffered through many nights wondering if I should shake my child to see if it’s...
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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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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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Tedd Koren, D.C.
adjusting-the-holographic-body-part-two Subluxations are state specific In last month’s article we discussed that the subluxation is posture or state specific. State/posture specifi c means that, when the patient assumes a certain posture or consciousness, a subluxation may emerge—a subluxation that was not present when they were comfortably standing, sitting or lying down. This phenomenon is called the posture of subluxation or POS. Since most...
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Tedd Koren, D.C.
head-banging-thumb-sucking-kst-and-chiropracticHead banging has been reported in 3.3 to 15.2 percent of "normal" children,2 but is more common in children with cerebral palsy, mental retardation, schizophrenia, autism, otitis media, teething, decreased visual acuity and certain genetic syndromes.3 The medical approach The medical profession considers head banging a relatively harmless way of releasing tension: "If the sound...
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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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