NewsFlashes
Cover Stories
Dennis Woggon, DC, B.Sc.
straight-answers-on-curved-spinesDennis Woggon grew up in Onalaska, Wisconsin—a small town just outside of La Crosse—and attended Wisconsin State University in La Crosse. Dr. Fred Barge, a pioneer in chiropractic and scoliosis, was his field doctor. Dr. Woggon graduated cum laude from Palmer College of Chiropractic in 1974 and has a Bachelor of Science degree in biology. He...
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Dennis Woggon, DC, B.Sc.
can-chiropractic-care-help-scoliosisAccording to Dr. Charles Lantz, “Full-spine chiropractic adjustments with heel lifts and lifestyle counseling are not effective in reducing the severity of scoliotic curves”.  (JMPT 2001 Jul-Aug;(6):385-93, Lantz CA, Chen J.) In an article published by Dr. Mark Morningstar, et al, the abstract states: “In this study, we investigate[d] the possible benefits of combining spinal manipulation, positional traction, and neuromuscular reeducation...
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TAC Staff
chiropractic-06Doctor, for the first time ever!  A seminar just for YOU on Technique, Healing, & the Technologies that help validate them all! Now in one place, techniques and healing methods of all philosophies presented together! Finally! You decide for yourself which techniques truly are the best for you and your patients! There are over one hundred chiropractic techniques, not to mention all of...
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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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TAC Staff
five-college-presidents-set-the-record-straight"Chiropractic is a remarkable profession with a legacy of dedicated men and women working diligently to make chiropractic universally available. As our profession grew and matured, so did chiropractic colleges.  They set the standard for what we can expect from our future doctors of chiropractic.  Our responsibility is to provide the best chiropractic education possible to the men and...
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TAC Staff
thinking-about-a-problem-while-getting-adjustedThinking About a Problem While Getting Adjusted?   Scott Walker, D.C., has been a chiropractor for over forty-three years. Frustrated with uneven results in practice, he developed the Neuro Emotional Technique (NET). In addition to having written numerous magazine articles, he has authored many technique manuals, charts, audio and video recordings and also formulated specialized mind-body homeopathic...
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Interviews
Dr. Paul Pugsley
million-dollar-chiropractic-interview-with-dr-paul-pugsleyOriginally from upstate New York, Dr. Paul Pugsley moved to California during grade school. After meeting his wife, Marilou, in undergraduate college, the couple decided to attend chiropractic school in Atlanta, Georgia, at Life Chiropractic College. In their last year at Life, Paul and Marilou had their first of five children. After graduating, Dr. Pugsley and family moved back to...
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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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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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Jeff Spencer, D.C.
on-the-roadDr. Jeff Spencer is a former champion cyclist who competed on the 1972 United States Olympic Team as a sprint cyclist and currently serves as chiropractor for the United States Postal Service Professional Cycling Team.  A 1975 graduate of the University of Southern California (USC), Dr. Spencer graduated summa cum laude from Cleveland Chiropractic College at Los Angeles in 1988. ...
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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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Dr. Rand Swenson, MD, DC
expanding-the-horizon-of-diagnosticsDr. Rand Swenson, a second-generation chiropractor, received his chiropractic degree summa cum laude in 1976, from the National College of Chiropractic. He subsequently entered the graduate program in the Department of Anatomy at Loyola University Medical Center in Maywood, IL. His graduate research was in the field of neuronal plasticity and he received his PhD in 1981. After a two-year post-doctoral...
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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
what-about-the-recent-glucosamine-studyThe February 23rd, 2006, issue of the New England Journal of Medicine published an article on the treatment of osteoarthritis (OA) of the knee with glucosamine hydrochloride and chondroitin sulfate. Some of the news reports suggested this study demonstrated that glucosamine was ineffective in the treatment of arthritis. A closer look at the article suggests the opposite conclusion may be...
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David R. Seaman, DC, MS, DABCN
an-easy-way-to-add-nutrition-to-treat-your-patients-in-pain Low back pain is one of the most common reasons patients visit all physicians in the United States and it represents a substantial financial burden on society (1). The most common treatments are pharmaceuticals, which are either prescribed or self administered, and manual care, which is delivered largely by chiropractors. Nutrition is not generally considered in the treatment of...
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Barry Sears, Ph.D.
why-it-hurts-pain-and-inflammationPain is often the hallmark of disease. Chronic pain, itself, is not a defined medical condition, but rather a symptom in the body that something has gone awry. Pain usually stems from inflammation of the body’s tissues. Although there is no blood test for pain, the patient is acutely aware of its existence. Throughout the centuries, one of the most pressing...
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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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Frank J. King Jr., N.D., D.C.
enhancing-the-benefits-of-nutritionIn our culture, we are finding that most patients are open to new ideas and desire to explore alternative therapies to answer their healthcare needs.  Such progressivism is great, but that openness has spawned an enormous and sometimes  unwieldy explosion in alternative healthcare products, procedures, and professions in the market today. In the vast ocean of health products, from...
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Roger D. Deutsch
food-factors-and-athletic-performanceWant to improve athletic performance?  Find your personalized eating plan. Avoid the foods you do not tolerate.  FOOD INTOLERANCE IS A RAPIDLY INCREASING PROBLEM THAT DIFFERS FROM FOOD “ALLERGY” IN THAT SYMPTOMS ARE USUALLY CHRONIC AND DELAYED, PERHAPS BY SEVERAL HOURS OR EVEN DAYS.  HENCE THEY HAVE RECEIVED RELATIVELY LITTLE ATTENTION. NONETHELESS, KNOWING WHAT FOODS YOU DO NOT TOLERATE MAY BE...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
lumbopelvic-pain-during-pregnancyHistory and Presenting Symptoms A 33-year-old female reports the recent onset of persistent aching pain and tightness in her lower back region.  The pain extends into both buttocks, and occasionally is felt around the left hip and into the left groin.  She is into her 7th month of her second pregnancy, and says that her back pain has increased with her...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
case-study-functional-scoliosisHistory and presenting symptoms The patient is a 12 year-old girl, who was identified at a school screening as having a discrepancy in her shoulder heights.  Her parents were advised to seek further evaluation by an orthopedic surgeon.  They reported that the orthopedist found evidence of a scoliosis, but recommended a “watch and wait” approach.  He offered no treatment, but said...
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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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
a-non-surgical-approach-to-chronic-knee-painHistory and Presenting Symptoms The patient is a 41-year-old male, who describes persistent pain and occasional stiffness in his left knee, which is not associated with any specific activity.  He reports several years of recurring episodes of medial knee pain that just comes and goes, with no swelling or inflammation.  Previous evaluations, including a knee MRI, have resulted in a diagnosis...
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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.
plastic-deformation-back-pain-in-a-walkerHistory and Presenting Symptoms A 48-year-old male presents with persistent pain in his lower back region. He describes his back pain as an aching tightness, which has been progressively worsening over the past six months. On a Visual Analog Scale, he rates his current level of pain at around 35mm to occasionally 45mm. He is unable...
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Practice Management
Maurice A. Pisciottano, D.C.
creating-a-high-quality-imageIn today’s society, image is everything.  Public perception of a service or product can actually make or break a business.  Lets face it…chiropractic has had a less than positive public perception for over 100 years.  Do you ever contemplate your image?  What does the public perceive when they are introduced to you and to your practice?  What do they notice...
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tomowen
why-chiropractors-need-a-coach-to-succeedAlthough chiropractors are generally hardworking, dedicated professionals who strive to correct subluxations in order to benefit the overall well-being of their patients and community, they still might be clueless on how to run an efficient and profitable practice. Technique expertise and talent are not enough.    Matter of fact, the myth upon graduating simply isn't true. We've all heard it before: Get...
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Tom Owen III, and Todd Osborne, D.C.
will-chiropractic-survive-under-a-new-healthcare-plan Healthcare is a hot topic right now. With the possibility of a government sponsored insurance plan looming on the horizon, these upcoming months are going to be a very interesting time for healthcare in America, especially as it relates to chiropractic. Many chiropractors feel that, if a public healthcare option becomes reality, chiropractors must be included. They want equality. They want...
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Daniel Dahan, D.C.
maximize-your-practices-potentialIn 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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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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Mark Sanna, D.C.
what-do-you-see-chiropractic-looking-like-in-10-15-yearsA careful examination of recent legislation provides a profound insight on how health care will be delivered in the future and on how chiropractic will look in the decades ahead.  The current level of unemployment in our nation is low to none.  Practically the entire country is employed.  Private insurance carriers no longer hold the purse strings of reimbursement.  The...
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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.
an-occult-lesion-of-the-calcaneusHISTORY This active adolescent athlete sprained his foot while playing tennis.  Radiographs revealed a large radiolucent lesion in the calcaneus.  What is this? DIAGNOSIS:  SIMPLE BONE CYST The geographic lytic expansile lesion in the floor of the calcaneus is well circumscribed and has all the characteristic appearances of a benign lesion.  Benign lytic lesions of the calcaneus are most commonly simple bone cysts...
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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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Paul Sherman, D.C.
a-case-of-radish Discussion:     RA/DISH is a disorder involving two conditions: rheumatoid arthritis (RA) and diffuse idiopathic skeletal hyperostosis (DISH), which is also known as Forestiers disease or ankylosing hyperostosis.1,3,5 RA is considered the most common inflammatory arthritide.1 It is a systemic connective tissue disorder that primarily affects the synovial lined joints.1 It is characterized by an inflammatory, hyperplastic...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, R.N., D.C.
unilateral-spondylolysisCase History: This is a young college student who plays competitive basketball and is complaining of chronic mid lumbar spine pain. She hurts on hyperextension and has some relief on flexion. The specific diagnosis is? Figure 1.    Diagnosis:  Unilateral Spondylolysis (pars defect) with contralateral sclerotic hypertrophy of the opposite pedicle. Unilateral Spondylolysis  Spondylolysis may involve only one pars interarticularis of a single vertebra and...
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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.
multiple-myeloma HISTORY   This 60-year-old male patient presents with head and spinal pain. DIAGNOSIS   Note the diffuse osteolytic "punched-out" lesions affecting the bony calvarium which has been called the "raindrop skull" of multiple myeloma.   DISCUSSION Osteolytic Defects. The radiologic hallmark of multiple myeloma is the sharply circumscribed osteolytic defect. These radiolucent lesions have been historically...
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Rehabilition
Roger R. Coleman, DC and Stephan J. Troyanovich, DC
lack-of-spinal-movementFor every doctor of chiropractic, a factor for consideration in patient care is spinal motion.  Abnormal movement is one of the most frequent findings, whether in the form of, “Doc, I just can’t bend,” or  “There is a lack of normal motion on examination.” Or perhaps, “There is a fixation of C4.”  But, in whatever form it occurs, abnormal motion...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
avoiding-rehab-overload-the-variablesOne of the underlying principles in physical rehabilitation is that the body responds positively to the increased stresses placed upon it.  This is the whole reason for asking muscles to lift more weight, for asking tendons to pull more tension, and for asking joints to undergo more movement.  We have a mechanism for developing and improving our physical capabilities when...
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Dr. Kirk A. Lee, D.C.
are-knee-injuries-really-knee-injuriesAre Knee Injuries Really Knee Injuries? by Dr. Kirk A. Lee, D.C., C.C.S.P.   We see patients in our offices daily with arthritic knees—sometimes bilateral, other times affecting only one leg. Some patients can point to an old football injury or car accident as the probable cause. But, frequently, they cannot tell us why their knee hurts, only that...
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Stephen W. Boyles D.C,CKTI
chiropractic-and-elastic-therapeutic-taping-helping-a-young-athlete-finish-the-gameWe all employ a variety of techniques with our patients, and even with people we may not originally have thought of as patients. In almost 20 years as an educator and practicing DC, I have often been asked to share in unexpected areas. Kinesio Taping, or Elastic Therapeutic Taping, has been a valuable tool for me since 1999, and I...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
one-simple-approach-to-exerciseIn our last article, we discussed a couple of different methods of cervical extension traction for the rehabilitation of cervical lordosis.  In this article, we will discuss extension exercise in the context of rehabilitation of cervical lordosis. Loss of cervical lordosis and loss of cervical motion have both been associated with cervicogenic headaches.1,2   Cervical extension traction and cervical extension exercises...
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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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Techniques
Tim Maggs, D.C.
the-importance-of-x-rays-in-todays-chiropractic-practice When I graduated from chiro-practic college in 1978, I elected to come back to my home state of New York to practice. At the time, the law didn’t allow for chiropractors to X-ray below L2. Chiropractors couldn’t order X-rays below L2. We were reduced to hoping there were no pathologies or contraindications. Since that time, I’ve come across a...
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Charles L. Blum, DC
managing-acute-low-back-patientsImagine a scenario where a patient walks into the clinic or your office in acute pain—grimacing in pain, antalgic, and guarded in all movements.  You’re barely able to take vital signs, and neurological and orthopedic examinations are difficult to perform due to the patient’s severe apprehension.  A radiograph or MRI finds no fracture or osteopathology, but possibly some degree of...
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Tedd Koren, D.C.
adjusting-the-holographic-body-part-three-locating-and-correcting-emotional-subluxationsIf 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 Posture of subluxation (POS) In Parts one and two we discussed how some...
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Charles L. Blum, DC
sacral-cup-treating-the-malposition-of-sacral-segments The Sacral Cup Test and adjustment can be an extremely important tool for the chiropractor because of its ability to help stabilize a chronic unstable sacroiliac (SI) joint, especially if it is slow to respond to traditional category two pelvic procedures. [Figure 1] In addition, it gives the doctor a tool to determine the presence of a complication in...
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George Roth, D.C., N.D.
the-promise-of-matrix-repatterningAt six years of age, she had fallen twenty feet out of a ski lift.  Typical of this feisty lady, she had landed on her feet.  Unfortunately, her tiny body could not support the force of her landing.  Her legs and pelvis were smashed and this little girl would begin a new life, one that would see her endure numerous...
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Dr. Pamela Stone, D.C., C.A.C.C.P.
infertility-a-chiropracticIf you have been in practice for any length of time, you probably have heard a comment from a patient saying she has gotten pregnant while under chiropractic care. Sometimes inferences are made as a joke, "Hey, my chiropractor got me pregnant." People within the chiropractic profession aren’t always surprised by this, as improved function...
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