NewsFlashes
Cover Stories
Dr. Eric Plasker, D.C.
fitness-and-chiropractic-a-critical-niche-for-your-practice-and-the-chiropractic-profession The fitness and nutrition industries are poised to take a leadership role in health care. They have all the research that demonstrates their role in achieving optimum health and prevention of sickness and disease. These elements of a healthy lifestyle are being sought after by the public who are trying to decipher between the good and the bad, the real...
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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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Peter Van Tyle, D.C.
new-york-chiropractic-collegeNew York Chiropractic College has gone to great lengths to create the country’s top healthcare professionals, providing them with an unparalleled education and offering exciting clinical opportunities. Its coursework accommodates a rapidly evolving healthcare market. NYCC students consistently score well on both the National Board Examinations and on Canada’s Chiropractic Board Exams, signifying that...
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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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TAC Staff
by-chiropractors-for-chiropractors-since-1979Three Cheers for The American Chiropractor magazine!  Hip, Hip, Hooray!  This marks the 30th anniversary for The American Chiropractor in publication, and things have never been more exciting!     Our Mission Evolving over the years from its beginning as a high energy upstart, for the "Education and Entertainment of The American Chiropractor," today The American Chiropractor (TAC) is "Dedicated to the...
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Elisa Zinberg, D.C.
the-zen-of-dr-zinbergOne of the top female wellness executives and consultants in America, Dr. Zinberg was an entrepreneur and private practitioner prior to joining The Masters Circle in 2000.  She also serves as the company’s director of its Chiropractic Assistant (CA) certification program and now leads day-to-day operations, overseeing coaches, seminars, and product development. Elisa Zinberg exemplifies the spirit and dedication of The...
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Interviews
Steve Shanks
low-level-lasers-for-pain-therapyInterview with Steve Shanks, Vice President of Erchonia Medical. TAC: Tell us about your product and what it does? Shanks: The Erchonia laser is the first low level laser to receive FDA market clearance; Erchonia opened a whole new industry in non-invasive patient care. We currently have FDA approval for chronic neck and shoulder pain and post-surgical pain. We should have another...
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TAC Staff
orthopedic-surgeons-alternative-care-to-back-surgery-interview-with-arieh-grobermdGraduated in 1977 from Haifa-University Technion Medical School, Israel. Dr. Grober assumed Post-Graduate studies at Tel-Aviv University and worked for many years as an Orthopedic Surgeon in the Beilinson Campus, Rabin Medical-Center where he specialized in Orthopedic Surgery. In 1999, he invented and registered the patent on Cervico 2000 – a cervical traction unit.    He became the owner and manager of...
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TAC Staff
the-unlikely-defender-of-the-subluxation-interview-with-gary-jacob-dc-lac-mph-dipmdtGary Alan Jacob, DC, LAc, MPH, DipMDT completed his baccalaureate studies in Philosophy of Science. He graduated from Los Angeles College of Chiropractic in 1978 and the California Acupuncture College in 1981. He was the first DC and the 12th individual to receive the Diploma in Mechanical Diagnosis and Therapy in 1991 from the McKenzie Institute International. In 2003, he...
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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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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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Perry Isenberg
lotions-gels-and-creamsTAC: Tell us a little bit about the history of Performance Health, Inc. Isenberg: Performance Health, Inc. was formed in 1991 as the corporation charged with bringing Biofreeze Pain Relief to the healthcare market to enhance therapeutic modalities and relieve patient pain and discomfort between office visits.  In 1990, my partner, Craig Cox, met an international botanical chemist who had formulated a...
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Nutrition
Ellen Cutler, D.C.
how-enzymes-can-help-you-eliminate-mood-swings We tend to think of mood swings as emotional responses to the situations we encounter as we move through our lives. Most people do not realize, however, that what we feel emotionally is largely driven by what’s going on physically. Everyone has heard the saying, “The mind influences the body,” but the opposite is every bit as true. The body...
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Ronald J. Grisanti, D.C.
how-to-treat-and-prevent-asthma-attacks-with-nutritional-medicineAsthma is a disease that affects a person’s essential ability to breathe and is one of the most demanding pathologies on the human being, both physically and mentally. Asthma Facts • 20.3 million Americans report having asthma. • More than 70% of people with asthma also suffer from allergies. • The prevalence of asthma increased 75% from 1980-1994. From 1982-1996, the prevalence...
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Dr. James P. Cima, D.C.
the-truth-about-weight-loss-and-obesityThe Truth about Weight Loss and Obesity by Dr. James P. Cima, D.C.   Why Diet and Exercise Do Not Work and How Our Profession Can Spear-Head the Obesity Epidemic How many patients and or loved ones do you treat where there is a direct correlation between their weight and their physical condition(s)? There are many instances when patients come into my...
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Dr. Howard F. Loomis, D.C.
the-chiropractic-connection-the-structural-manifestations-of-elevated-homocysteine-levels Cardiovascular disease is the number one cause of death in the United States. The pharmaceutical industry spends an enormous amount of money on advertising prescription drugs that will lower “bad” LDL cholesterol to lower the risk of heart attack or stroke. In fact, according to a report aired on 60 Minutes,1 much more money is spent on advertising than...
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Dr. Howard F. Loomis, D.C.
what-do-you-have-to-see-before-you-know-what-to-doStructural Stress During the 20th century, chiropractors established themselves as the experts in the recognition and correction of structural deviations from normal. The chiropractic profession has survived the slings and arrows of its detractors by producing consistent results for relief of back pain, headaches, sprains and strains, and many other structural problems. Important contributions have been made in the management of...
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John Brimhall, DC
the-road-to-complete-wellnessDr. John Brimhall has been referred to as “The Father of Wellness Care in Chiropractic”.  The much-lettered Doctor began a stellar career, which has now spanned more than three decades, with a single degree, a cum laude Doctorate in Chiropractic from Palmer College of Chiropractic, in 1971. Since that time, he has become an author, lecturer, formulator of over 50...
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Orthotics
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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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. 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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
q-angle-problems-increased-running-increases-pain History and Presenting Symptoms The patient is a 22-year-old recent college graduate, who reports a history of participation in many team sports in school, including field hockey, soccer, and softball. She admits that she has always had occasional knee problems, especially on the left side. She is now running regularly for fitness, and her left knee is noticeably...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
patellofemoral-pain-in-a-fitness-walker History and Presenting Symptoms A 38-year-old female reports the recent onset of pain at her left knee. She had started a fitness walking program in the past six months, and had gradually increased to two miles every day. She doesn’t recall any specific injury, and describes the pain as an aching soreness in her left knee that builds up during...
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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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Practice Management
Mark Sanna, D.C.
treatment-protocols Treatment protocols are care paths, based upon accepted utilization guidelines and a consensus among the healthcare delivering team, that organize the diagnostic and therapeutic services that are appropriate to a patient’s condition and how often each should be performed. Essentially, treatment protocols map out case management decisions and are individualized according to each patient’s specific complicating or attenuating factors. They...
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Mark Sanna, D.C.
take-responsibility-for-your-lifeThink for a minute. When your relationship with your significant other hits a rocky patch, do you say he or she’s to blame? If you have a bad day at work, is it because you have a “lousy boss” or your co-workers are “slackers?” If everything that happens in your life is someone else’s fault, you may be caught in...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
staff-meetingsA good football coach meets with his player before the game to inspire them.  This should take place daily.  Lunchtime is halftime; review how the first half of your day went.  The end of the day is post game. Did you Win or Lose?  Review your day, prepare your troops for another day, another game tomorrow.    DAILY PLANNING SESSIONS   To create teamwork...
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Ray Foxworth, D.C., FICC, MCS-P
7-steps-to-a-sound-financial-policy1 Know Your Numbers Many doctors do not really know the cost of doing business. We THINK we know about what it costs to run our practice. You may know what your monthly expenses are, but do you know the actual cost of providing an office visit? Don’t fool yourself into thinking it costs the same to adjust 10 patients as...
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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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Peter Fernandez, DC
an-associateship-that-worksThe Tandem Associateship, Two 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 ...
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Radiology
Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
osteolytic-metastatic-carcinomaOsteolytic Metastatic Carcinoma by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.       CASE HISTORY  This adult male patient complains of back pain, especially at night, and it awakens him from sleeping. Diagnosis: Osteolytic metastatic carcinoma of the left L-3 pedicle and vertebral body. This is the "one-eyed pedicle" sign or the "winking owl sign" of...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
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.
dish-syndromeConsiderations Diffuse idiopathic skeletal hyperostosis (DISH) is a generalized spinal and extraspinal articular disorder that is characterized by ligamentous calcification and ossification.  The most prominent radiographic expressions of this disease are encountered in the spine involving predominantly the anterior longitudinal ligament.  It is a distinctive disease and does not represent ankylosing spondylitis or degenerative joint disease.  An incidence of 12% of...
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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.
fracture-of-the-wrist-affecting-the-young-and-oldCASE HISTORY: This 8-year-old fell and hyperextended his wrist. Diagnosis: Torus fracture–distal radius. FRACTURES OF THE WRISTDistal Radius Fractures. The distal radius is one of the most common sites of fracture in the wrist. Care must be taken to search all projections for these fractures, many of which are often subtle and obscure. 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.
lumbar-spine-compression-fracturesThe radiographic signs of vertebral compression fracture are often subtle.  Radiographs of optimal quality are necessary in order to adequately demonstrate these fractures.  Lateral radiographs best demonstrate the fracture features.  Radiographic signs of vertebral compression fracture include a step defect, wedge deformity, a linear zone of condensation, displaced endplate, paraspinal edema and abdominal ileus.  Step Defect—Note, in the presented image, a...
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Dr. Terry Yochum D.C.; D.A.C.B.R.; Fellow, A.C.C.R.
partial-agenesis-of-the-c1-posterior-archEmbrylology.  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...
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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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Dr. Mark R. Payne D.C.
reverse-postureqUsed to spend a lot of time and effort on postural adjusting. These days...not so much! It's not by chance that my columns are always centered around postural rehab with rarely a word about postural adjusting methods. That's because I find rehab methods to be much more effective at actually producing spinal corrections than any...
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Dr. Mark R. Payne D.C.
extension-traction-good-for-discs Chiropractors have long used spinal traction methods to relieve abnormal pressure and bulging of the IVD. The more popular methods have employed long axis traction and/or flexion distraction to relieve IVD (intervertebral disc) pressure. Consequently, many doctors are reluctant to employ extension traction methods which seem so radically different. I'm frequently asked if extension traction is good for injured...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
children-and-rehabilitationChildren, like adults, often need to do some exercises as part of their chiropractic treatment.  But, how safe is exercise for children, especially exercise with resistance?  How much weight is appropriate for a growing body?  And which exercises are most effective?  Because of these and similar questions, doctors of chiropractic may hesitate to recommend exercises for their younger patients.  Let’s...
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Dr. Kirk A. Lee, D.C.
importance-of-foot-function-in-the-gait-cycleImportance of Foot Function in the Gait Cycle by Dr. Kirk A. Lee, D.C.   An essential part of our chiropractic examination should include evaluation of the gaitcycle, with special consideration toward the patientwho has chronic musculoskeletal-related pain. In previous articles we have discussed several components of the gait cycle. Our most recent article talked about how abnormal patterns...
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Techniques
Deed E. Harrison, D.C.
thoracic-kyphosis-part-iIn my experience, there is a general lack of appreciation of both the need for radiographic views of the thoracic spine and the influence of the thoracic spine on whole body alignment and health potential. It is for these reasons that I offer this particular series of articles introducing my thoughts on the thoracic kyphosis to readership of the The...
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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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TAC Staff
yes-there-really-are-10-more-great-techniques-4th-annual-editionTAC:  How do chiropractors generally pick the techniques that they perform? Roth:  Chiropractors and other health professionals are drawn to techniques and theories that will help them move to the next level.  As each practitioner evolves in skill and understanding, they naturally reach for higher ground.  And, as it has been said, “When the pupil is ready, the teacher appears.” ...
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Ted Koren, D.C.
adjusting-disksAn alternative to spinal surgery Sometimes the most difficult cases are not due to subluxations of the vertebrae but to subluxations of the disks. As Richard Van Rumpt, DC, developer of directional non-force technique (DNFT) said decades ago, “If the disks are subluxated, the vertebrae won’t hold.” Is it possible to adjust disks? Yes, it is possible to easily...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
the-quiet-mouse-gets-no-cheeseAre you a man or a mouse?  You were tops in your class out of chiropractic college, read every report on new techniques and technology and are the Leonardo DaVinci of the examination room.  BUT, it doesn’t matter; for, all your expertise, golden hands and charming mannerisms are not assets in a wanting waiting room.  You need patients in order...
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Karen Wilczewski
the-graston-technique-changing-the-treatment-of-soft-tissue-injuriesA clinically researched, innovative treatment modality is changing the way chiropractors are treating soft tissue injuries—including the most difficult repetitive stress diagnoses.  The mode of treatment, the Graston Technique, offers expanded options for treating all chronic and acute disorders. In less than a year since its introduction to the profession  (November 2001), more than 300 chiropractors nationwide have been trained...
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