NewsFlashes
Cover Stories
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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TAC Staff
up-close-and-personal-the-proadjuster-edgeRight off the heels of the most successful ProAdjuster National Symposium ever, The American Chiropractor magazine’s Editorial Board Member, Dr. Frank Corbo, had the opportunity to sit down with ProAdjuster President and CEO, Dr. Maurice A. Pisciottano.  The testimonials were still pouring in from the May National, one of two annual ProAdjuster Business Symposiums, and it is being described as...
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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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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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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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Palmer Chiropractic College (PCC)
the-palmer-academic-health-center The new, three-story building taking shape on the Palmer College of Chiropractic campus in Davenport, Iowa, is impressive from the outside, but it’s what will happen on the inside that has administrators, faculty and students buzzing on Palmer’s main campus, The Fountainhead of the chiropractic profession. The Palmer College of Chiropractic Academic Health Center will be a unique feature...
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Interviews
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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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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TAC Staff
structural-correction-tim-maggs-dc-discusses-the-most-ignored-demographic-the-student-athleteDr. Tim Maggs is the current Director of Sports Biomechanics at Christian Brothers Academy in Albany, New York.  He will provide his Structural Management® Program to their highly successful athletic department. This is the first time a chiropractor has had such an influential role in Christian Brothers Academy middle or high school athletic department.  Dr. Maggs is in his 35th...
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John K. Maltby, D.C.
meet-the-new-president-of-the-icaAfter the dust had settled and the ballots were tallied, on April 15, 2005, the International Chiropractors Association had elected a new president in a landslide vote.  Who is this doctor who inspired such an impressive mandate by the oldest national chiropractic organization in the world, and what is his vision for chiropractic?  Find out, in the following interview between...
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Rob Cooper
office-supplies-a-suppliersThe American Chiropractor (TAC), interviews Rob Cooper, President of Scrip, Inc., about his company's efforts to "give back" to the chiropractic profession. TAC: Tell us a little bit about the history of Scrip, Inc. Cooper:  I am just entering my 12th year with Scrip Chiropractic Supply, although Scrip has been serving the needs of doctors of chiropractic since 1968.  I know I...
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TAC Staff
interview-with-leander-eckard-dc Dr. Leander Eckard attended his first year of chiropractic college at Palmer College of Chiropractic in Davenport, Iowa, in 1959 and 1960. He transferred to Cleveland College in Kansas City and graduated from there in 1964. Upon returning to his home in Spokane, Washington, he opened his first practice in late 1964. He practiced in the state of Washington...
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Nutrition
John H. Maher, D.C.
drug-free-approach-to-hypertension The American Heart Association (AHA) estimates approximately 73 million American adults age 20 and over have hypertension, also known as the "silent killer," because only 60 percent of adults who have hypertension are being treated for it, and two-thirds of those don’t have it under control! The AHA defines hypertension as a systolic blood pressure (BP) of 140 mmHg or...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
omega-3-fat-confusion-and-the-beginning-of-a-krill-oil-krazePharmaceutical grade fish oil…NOT Misinformation abounds when it comes to fish oil, such as that created by marketers of “pharmaceutical grade” fish oil, a recent buzzword. Readers should be aware that there is no such thing as pharmaceutical grade fish oil. This is a term created by a nutritional supplement supplier. Nutrition companies are notorious for marketing very basic and common...
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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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Ellen Cutler, D.C.
defeat-the-energy-robbers-with-enzyme-therapyNext to depression and allergies, lack of energy is the third most prevalent health concern in America, affecting 33 million people. In fact, half of the people who come to my clinic complain of exhaustion. Some feel tired when they wake up in the morning. Others experience an energy crisis in the afternoon. Still others have chronic fatigue throughout the...
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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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Barry Sears, Ph.D.
understanding-eicosanoids-and-dietWhat is the Zone? The concept of maintaining drugs within a therapeutic zone is well known to physicians.  Below that therapeutic zone, the drug is ineffective, and above that therapeutic zone, the drug is toxic.  The same concept can be applied to the hormones generated by the food you eat.  There are two hormonal systems that are controlled by the...
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Orthotics
Dr. Richard E. Busch, III, D.C.
small-businesses-keeping-up-with-online-presence The world of marketing is changing. It is not the same as five years ago, ten years ago, or even one year ago. Because of this, it is imperative for us to begin to look at all of our marketing efforts and avenues, and make changes accordingly. Change should be made not only in the way we target...
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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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
wellness-support-for-an-obese-patientHistory and Presenting Symptoms A 32-year-old male presents with a history of mild to moderate lower back pain, and aching tightness in his neck.  He states that his back pain comes and goes, with no specific triggering activities.  His neck tension is worse with long and stressful workdays.  He participates in no recreational sports or exercise activities, and recalls no back...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
groin-strains History and Presenting Symptoms A 45-year-old male presents with occasional, moderate pain in his left hip and groin. He has been evaluated for hernia and arthritis, with no definitive diagnosis and no successful treatment. Physical therapy with various modalities and exercises felt good, but didn’t resolve his problem. He says that he has noticed these symptoms for at least the past...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
leg-length-inequalityHistory and Presenting Symptoms A 42 year-old male presents with recurring episodes of moderate pain in his low back and right hip.  He denies injuring the region and cannot identify any precipitating activities or events.  On a Visual Analog Scale, he rates his low back pain as varying from 25mm to 60mm, while the right hip pain is usually around 30mm. ...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
ankle-sprains-and-active-supportAnkle sprains are common injuries, because the ankle is required to perform complex movements under high forces during normal walking.  This can be particularly important for patients who participate in recreational activities and sports that require running and jumping.  Proper evaluation and management in the early stages of an ankle sprain are very important in preventing chronic instabilities.  With appropriate...
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Practice Management
Dr. Eric Kaplan, D.C., F.I.A.M.A.
the-professional-pi-practice-know-the-rules-and-do-it-rightAs a consultant, I find more and more doctors turning to Personal Injury.  Why?  The great bank robber Willie Smiths was once asked, “Why do you rob banks?”  His response was, “That’s where the money is.”  As regular insurance is becoming more difficult to collect, more and more DC’s are turning to PI.  Why?  Again, that is where...
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Maurice A. Pisciottano, D.C.
qi-dont-have-enough-timeqThe battle cry of so many chiropractors today seems to be, “I don’t have enough time!”  The funny thing about this statement is that everyone has exactly the same amount of time–24 hours a day, seven days a week.  Why is it that some people seem to accomplish so much, and others can barely boast about completing a few small...
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Maurice A. Pisciottano, D.C.
the-positive-office-visit-experience-consistency-vs-confusionHave you ever stopped to consider the importance of consistency?  Could consistency have an effect on profitability? Could having more consistency in day-to-day procedures save time?  Consistency is a key tool for success in any business.  Likewise, lack of consistency means confusion, and confusion is a challenge. Surveys show that people choose the places they do business based upon consistency....
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Peter G. Fernandez, D.C.
an-associateship-that-worksThe tandem associateship: 2 doctors successfully treating the same patients. In the previous article of this, "How to Start a Practice" series, I discussed the "Associateships from Hell."  Unfortunately, most starting doctors get trapped in bad associate arrangements like these. However, this article describes an associateship structure that's very successful, an associateship in which both the established doctor and the...
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tomowen
practice-equity  Mark Cuban, owner of the Dallas Mavericks, once said about his basketball franchise, "Everyone has thousands of entertainment choices and we don't want to create any excuses for them to go and spend their money somewhere else." This is the way every chiropractor must think in a 21st century, service oriented, practice.   Consumers have more choices for which they can choose...
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Daniel Dahan, D.C.
maximize-your-practices-potential-collection-departmentIn an effort to help you maximize all your services, Dr. Daniel Dahan has identified 7 departmental areas in your practice, which need to be addressed.  Each of these areas is being dealt with sequentially in The American Chiropractor.  By following the suggestions given, your office will not only maximize its potential, but also delineate areas of weakness that need...
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Radiology
Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
pending-spondylolysis-andor-spondylolisthesis-whats-it-all-meanCase History This 18-year-old female gymnast is complaining of unilateral left-sided lumbar spine pain at the L5 level.  Standard plain film radiographs show no evidence of pathology, pars defects or spondylolisthesis.  Because this patient’s pain did not respond to conservative treatment, an MRI scan was performed for further evaluation.   Imaging Findings of this Patient Observe the area of bright (white) signal intensity seen...
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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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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.
os-odontoideumCASE HISTORY This young adult patient presents with neck pain following an MVA.  You note an abnormality in the upper cervical spine at C1 & C2.  Is this a fracture?   DISCUSSION Anomalies of the odontoid process are considered uncommon (1) and are usually discovered by the principle “traumatic determinism.”  This means that the underlying condition predated the injury and is not caused by...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
heavy-metal-poisoning DISCUSSION The major metals involved in producing visible radiologic changes are lead, phosphorus, and bismuth. Of these, lead is the most frequent, but lead intoxication is still a rare skeletal disorder. Lead may be ingested, inhaled, or implanted. Clinical symptoms occur abruptly, with abdominal pain, encephalopathy, and paralysis. Radiologically, the most definitive signs are the linear, transverse densities at 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.
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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
the-positive-fat-pad-sign-what-is-itA useful sign of an intraarticular fracture of the elbow is the clear depiction of displaced humeral capsular fat-pads.1  In the normal elbow, a layer of fat (“fat-pad”) lies between the synovial and fibrous layers of both the anterior and posterior joint capsules.  In the lateral projection of the normal elbow, the anterior fat-pad is seen as an obliquely oriented...
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Rehabilition
Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
getting-the-rehab-job-doneA large percentage of patients don’t perform the home-based rehabilitative exercises that are recommended to them.1  Even though you spend precious time deciding which exercises will be helpful and explaining them to the patient, your experience has probably been the same as most chiropractors:  Too many patients just can’t seem to do their exercises.  And yet, you know that if...
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Dr. Mark R. Payne, D.C.
dueling-paradigms-why-every-chiropractor-should-embrace-postural-rehabilitation-concepts The seventies and eighties brought huge changes to chiropractic. In the early years, chiropractic was founded around a paradigm of restoring normal spinal alignment (structure), thereby allowing the patient to return to a more optimum state of health (function). Many more traditional chiropractors continue to view patient care strictly within this "structural" paradigm. Consider this from the International Chiropractors...
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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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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
a-brief-history-of-lumbar-traction-in-chiropractic-rehabilitationFrom its birth to the present, the chiropractic profession has been interested in methods to restore normal alignment (structure) to the spinal column, with the ultimate purpose of restoring normal function to the spine and nervous components housed inside.  Interestingly, mechanical traction has been used by chiropractors to reduce spinal misalignments, in spite of the fact that chiropractic is a...
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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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Dr. Mark R. Payne, D.C.
what-works-what-doesnt Everyday, countless patients consult chiropractors seeking a solution for their problems. While some doctors confine themselves to purely symptomatic care, others will recommend treatment well beyond simple relief of pain. Such programs are typically geared toward "correcting the cause" of trouble and often require a considerable commitment of time and money by the patient. Unfortunately, many such programs which...
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Techniques
Jay Kennedy, D.C.
decompression-as-a-chiropractic-techniqueWe decided to develop a chiropractic decompression technique, the Kennedy Decompression Technique, to help establish a codified clearinghouse of information and resources available, but often untapped, regarding traction therapy and how it may create "Decompression" as an outcome. This in an effort to offer a viable counter to advertising claims, scientific doublespeak and negligent...
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Tim Maggs, D.C.
the-structural-fingerprint-exam-bill-rodgers-marathon-runnerIn the past ten years, I’ve received many emails from injured athletes.  Injuries are part of all athletes’ lives but, when the injury prevents them from participation, they get crazy. Except one:  Bill Rodgers, the famed marathoner who’s finished first four times each in both the Boston Marathon and the New York Marathon.  He’s run fifty-eight marathons, and, to this...
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Allan Gary Oolo Austin, D.C.
the-olympic-experience-a-time-for-teamwork The Olympics are an experience one never forgets. They are a highlight in one’s life steeped in excitement and competition. Thousands of people from every country in the world conglomerate for two weeks, proudly waving or wearing the colors of their national flags. National pride runs high with the competitive spirit. I have had the good fortune of attending summer and...
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Arlan Fuhr, DC
where-when-and-when-not-to-adjustToday, with more and more studies concluding that the standard methods of chiropractic analysis are unreliable and not reproducible, many doctors of chiropractic are looking for a way to analyze the spine and extremities that can give them assurance.  Activator Methods Chiropractic Technique (AMCT) utilizes a protocol incorporating leg length analysis, pre- and post-adjustment, to determine exactly where, when and...
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Leslie Feinberg, D.C.
the-feinberg-techniqueNMT: The Feinberg Technique is a comprehensive system of healing that truly delivers on the promise so much of the world of health care has believed would one day emerge from the field of energetic medicine. E=MC2 is the famous equation by which Albert Einstein explained that matter and energy were inter-convertible, one to the other, and not the two distinct...
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Jeanne Ohm, D.C.
the-webster-technique-in-pregnancy-for-safer-easier-birthsChiropractic care is essential for the pregnant mother. Her systems and organs are now providing for two, and their optimal function is critical for the baby’s healthy development. The mother’s spine and pelvis undergo many changes and adaptations to compensate for the growing baby, and the risk of interference to her nerve system is substantially increased. Specific chiropractic care throughout...
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