NewsFlashes
Cover Stories
TAC Staff
crash-course-on-personal-injury-practice-successCrash Course on Personal Injury Practice Success Interview with Personal Injury Practitioner Dr. Tom Arnold     Dr. Tom Arnold is a december 1989 graduate of Texas Chiropractic College and moved to Albuquerque, New Mexico, and began practicing in early 1990. In an interview with The American Chiropractor (TAC), Dr. Arnold explains what it is like to be a doctor with approximately 95...
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Richard R. Shaker, D.C., R.T.P., C.P.T.I., C.C.S.P., A.C.R.B., C.S.C.S.
chiropractic-in-the-nflFor four seasons in the NFL, after having suffered a chest injury while playing my rookie year, I had not been able to breathe properly. I also had severe pain in my chest and rib cage. Previous to Dr. Shaker, I had seen every medical specialist, including other chiropractors—no one could help me. I was struggling to survive in...
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TAC Staff
calendar-of-conventions-and-seminarsSeminars!  We know that you’re interested in furthering your education and keeping on top of everything that happens in chiropractic, whether to fulfill your CE credits or simply to keep learning.  To assist you in planning ahead, this directory is designed to provide you with a list of upcoming seminars in order of general topic—national and international association and organization...
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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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Dr. Howard F. Loomis, D.C.
nutritional-alternatives-to-prescription-drugsby Dr. Howard F. Loomis, D.C. Prescription drugs are used to treat disease. They WORK by blocking a human enzyme system or by filling specific receptor sites, thus directing the body’s biochemistry. Their specific need and even dosage can be pinpointed by the use of various laboratory testing.However, nutritional supplements (whether protein, lipids, carbohydrates, vitamins, or minerals) do not, by themselves,...
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Western Sciences Chiropractic College
western-states-chiropractic Being a successful chiropractor can mean different things to different people. Should success be based solely on the amount of income earned in a given year or the number of vacations taken in a lifetime? Is it determined by total income generated divided by hours worked and multiplied by vacations taken? At Western States, our students and alumni have...
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Interviews
William H. Koch, DC interviews
interview-with-jeff-rockwell-dc-of-manual-neuroscience-methodsr-Dr. Jeff Rockwell, DC is a chiropractor, bodyworker and somatic educator, with a passionate interest in the neuroscience of manual therapy.  A pioneer in the use of instrumentation in neuromuscular therapy, Rockwell has been a popular teacher on the seminar circuit for the past twenty years. Professor of Clinical Sciences at Parker University for many years, he is the author...
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Dr. Daniel J. Murphy D.C., D.A.B.C.O.
interview-with-dan-murphy-dcWith this issue’s focus on Seminars & Education Opportunities, The American Chiropractor (TAC) interviews one of the most knowledgeable and respected speakers and educators in the chiropractic profession, Dr. Daniel Murphy. A 1978 graduate of Western States Chiropractic College, Dr. Murphy began clinical practice in 1978, in Oregon.  Not long after, he became a part-time faculty member at Life Chiropractic College...
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Harold McCoy, D.C.
mccoys-track-recordWith almost 30 years of experience in practice, Dr. Harold McCoy has established quite a track record in incorporating chiropractic to achieve optimal sports performance in world-class athletes. It all started in the 80’s, when Dr. McCoy treated Olympic athletes like Evander Holyfield and served seven years at the University of Washington as part of the Multidisciplinary Sports Medicine Staff,...
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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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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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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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Nutrition
Hedley Turk
five-steps-to-overcoming-a-food-addictionYou know the food you’re eating is bad for you—you just can’t stop eating it. You have a food addiction and you’re not alone. Millions of people are suffering as well. This is the area of health where most of us have our greatest challenge. We want to eat healthier, we want to be healthier, but when it comes to eating...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
are-you-qcorn-oiledq-and-chronically-inflamedIs corn a vegetable, seed, or grain? I am not exactly sure. In her excellent text, Know Your Fats, Dr. Mary Enig (lipid chemist) tells us that whole corn is an herbaceous plant.1  In The Paleodiet, Dr. Loren Cordain places corn in the cereal grain category, and urges us to avoid the consumption of corn.2 Cordain is currently a professor...
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Dr. Dan Murphy, D.C.
nutrient-intake-and-plasma-beta-amyloid-neurologyColumnist Review by Dr. Dan Murphy, D.C.    Y. Gu, PhD, N. Schupf, PhD, S.A. Cosentino, PhD, J.A. Luchsinger,MD, N. Scarmeas, MD: From the Department of Neurology and Department of Medicine, Columbia University, New YorkKey Points From This Study: An important pathological hallmark of Alzheimer’s disease (AD) is B-amyloid (AB) peptide (mainly AB40 and AB42) deposition in the brain, resulting in formation of...
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Freddie Ulan, D.C.
preventing-recurring-subluxations-with-nutritionAs a chiropractor, I have found myself correcting the same subluxations three times a week on many patients. Regardless what technique I used, the relief they experienced was always temporary. I was prosperous, but unfulfilled. Yes, I could sell lots of adjustments to my patients; they loved me and kept coming back. I could earn an income that justified my education....
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howardloomisjr
internal-health-a-chiropractic-specialty-the-lower-extremitiespart-iii  This article is the conclusion of a series on the short leg syndrome. Previously, I have discussed the importance of proper alignment of the hip, knee, and ankle joints to each other.  This month, we move into the pelvis and summarize the role of proper lower extremity mechanics on walking and maintaining proper spinal alignment.  Prone hip extension to verify pelvic...
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Dr. Howard F. Loomis, D.C.
chiropractic-and-prescription-drug-use-restless-leg-syndromeAn important part of every case history, and even ongoing case notes, should be knowledge of the patient’s prescription and over-the-counter drug use. This has always been important because drugs mask symptoms and physical findings that are important in making an accurate assessment of the need for chiropractic care. However, at the dawn of the 21st century, prescription drug abuse...
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Orthotics
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. Paul B. Bindell, D.C.
marketing-using-your-ehr-computer-system  Everyone knows that Electronic Health Record (EHR) systems are mandated under an assortment of Federal laws and Presidential edicts. Other than maintaining patient SOAP documentation and billing records, the better EHR programs include many marketing tools to build your practice and increase your income. How much income did your computer create for you? Is your computer program capable of doing more...
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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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Dr. Paul B. Bindell, D.C.
audit-proof-your-practice The curse is that insurance companies use computers to burden and audit you. The blessing is greater because the computer protects you from audits, minimizes paperwork and eliminates 95% of paper filing.   Doctors praise Electronic Health Record (EHR) computers. When audited, those doctors produced high quality SOAP records that matched the bills. The only loss was a small amount of...
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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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
case-study-pedal-imbalance-with-associated-conditionsHistory and subjective complaints The patient has suffered from a postural imbalance most of her life, causing stress and strain to the pelvic and spinal areas.  The patient states that she has received chiropractic care “on and off” most of her life. As the patient has grown older, she has experienced more frequent and intense pain in her lower back, right leg,...
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Practice Management
Eric Kaplan, D.C.,N.D.
the-quest-for-successToday’s Lesson in Excellence... To be the best, you have to give it your best.  Excellence is more than a state of mind; it is a commitment.  Over the last few, months we spoke of attitude and organization.  This month, we will speak of systems.  An excellent office is about the entire office buying into the program of success. ...
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tomowen
how-to-raise-your-practice-expectations Surprisingly, many chiropractors do not know that the success or failure of their practice first starts in the mind. Even before a dollar is collected, a chiropractor that has limited himself in the goals he has set for his practice has also limited the amount of success his practice will receive. There is an old adage that states, "Aim for...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
winners-winwhiners-whine-There is a common thread between winners and losers.  That thread is attitude.  I have one client who will do in the range of seven million this year.  Yes, seven million. Health care is a trillion dollar industry and we are positioned nicely.  The world wants health care, which is what we offer in a disease conscious society.  Martin Luther...
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Michael Megehee, D.C.
dcs-aligned-for-1-billion-department-of-transportation-dot-market Chiropractic Physicians have an insurmountable competitive advantage over other health care professions to draw substantial new income into their practices. Nowhere else is the opportunity greater; all that is needed is for Chiropractic Physicians to "align" their practices to include driver physicals, alcohol and drug testing for the transportation industry. The "adjustment" of where $1 Billion is spent annually is imminent,...
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Ron Short, D.C., MCS-P
the-recovery-audit-contractor-and-what-it-means-to-youIn the last issue, I discussed the reasons behind the increased audits and reviews and the decreased fees. This issue, I will explain more about the recovery audit contractors and why they will be a problem for the foreseeable future.   In March of 2005, CMS started the Recovery Audit Contractor Demonstration Project. The project originally included three states (New York,...
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Gerard Hinley, D.C.
the-future-of-chiropractic-personality-driven-practice-or-process-driven-business As chiropractors, we all strive to accomplish bigger and better things throughout our careers. One of the dilemmas is how can I best grow the practice? To answer this, many DC’s think the only way to accomplish this is to emulate other successful doctors in the field. We study what they say, their mannerisms, personalities and simply try to "be them."...
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Radiology
drmarks380
mri-spine-protocolsYour pateint has radicular pain in the lumbosacral distribution that is status post-motor vehicle accident and you order a lumbar MRI. The report rendered by a board certified general radiologist concludes mild disc bulging at L5-S1. However, upon further review by both a neuroradiologist and yourself (once you have been certified and trained to interpret MRI), you realize the general...
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Peter Fernandez, DC
what-practice-structure-suits-you-best-starting-a-new-practice-v Solo Practitioner (No Incorporation) This type of practice structure is when a doctor is not incorporated.  In this case, the doctor does not have the personal asset protection advantage that a corporate shield has to offer.  Being non-incorporated, if someone files a malpractice suit against the doctor, they will not only be after all his business assets (equipment, accounts...
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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.
anomalies-of-the-c-1-posterior-arch[Case History] This young adult was in a car accident and has suboccipital pain. Do you see a fracture? Agenesis of the Atlas Posterior Arch Synonyms. Aplasia or congenital absence of the posterior arch. Description. Lack of ossification of the posterior arch of the atlas may be complete and bilateral, may be purely unilateral, or may manifest as small clefts (i.e., spina...
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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.
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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
c2-to-c3-congenital-block-vertebraDescription. When two adjacent vertebrae are osseously fused from birth, this joined unit is called a congenital block vertebra. Embryologically, this is the result of failure of the normal segmentation process of the somites during the period of differentiation at 3-to-8 fetal weeks.1 The block vertebra, by itself, is clinically insignificant. As there is no motion allowed at the fused...
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Rehabilition
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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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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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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Dr. Kirk A. Lee, D.C., C.C.S.P.
foot-problems-and-athletic-injuriesFoot position and alignment are important factors that must be considered in our active population. As we encourage more of our patients to walk, jog, and exercise, we need to be prepared for the "side effects" of our recommendations if any foot problems exist. For example, a 1998 study of runners found that those who pronated more while running had a...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
healthy-sleep-for-rehab-patientsPatients receiving rehab care for various chronic or acute neck problems often come across advertisements promoting special “neck support” pillows.  Cervical support pillows are recommended by many chiropractors, physiotherapists, and even surgeons.  In a 1998 comparison study of three types of bed pillows, the authors write, “From a patient’s perspective, neck support is an important part of a comprehensive physiotherapy...
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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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Techniques
Jesse Jutkowitz, D.C.
advanced-biostructural-correctionAdvanced BioStructural Correction™ is exactly that; it is an advance in the correction of biostructural pathologies. The most important advance is the identification of the most basic mechanical pathology that occurs in the human body. “Most basic mechanical pathology” has two meanings: It means the starting point of where structure becomes pathological, AND it means the fundamental pathology that keeps a...
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Ronald J. Grisanti, D.C.
the-most-effective-non-surgical-treatment-for-sports-related-injuriesTransverse friction massage is a powerful, yet underutilized, treatment for tennis elbow, rotator cuff, ankle sprains and many common injuries to the muscles, tendons and ligaments. Cross-friction massage, as it is commonly called, is a technique popularized by the late British orthopedic physician, James Cyriax, one of the foremost specialists in the diagnosis and treatment of musculoskeletal injury and pain...
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Jeanne Ohm, D.C.
the-webster-technique-a-chiropractic-analysis-and-adjustment-for-pregnant-womenMore and more women are seeking the benefits of chiropractic care in pregnancy.  Many birth care providers are becoming aware of the efficacy of care throughout pregnancy and encouraging their patients/clients to find doctors of chiropractic who are interested in caring for pregnant women.  As with any specialty group within the population, there are specific types of spinal analysis and...
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Dr. Mitch Mally
chiropractic-a-carpal-tunnel-syndromeWhen attempting to gain entry into the industrial health care delivery system for the treatment, rehabilitation and prevention of repetitive stress injuries (RSI’s), the chiropractor must first know how to diagnose differentially, follow a standard protocol, be prepared to disclose how many cases he/she has successfully treated and provide references, as well as identify additional specialized training and expertise in...
9480
Tedd Koren, D.C.
adjusting-the-holographic-body If 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     What happened to our connection? We are born destined to...
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Tim Maggs, D.C.
the-structural-management-programDr. Tim Maggs has been in practice for 27 years, and travels the country speaking on his Structural Management™ Program.  He worked 4 years with the New York Giants, writes a sports medicine column for many running/triathlete magazines around the country, and also writes for many chiropractic magazines. In an interview with The American Chiropractor (TAC), Dr. Maggs discusses The Structural...
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