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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Dr. David Bass, DC:, D.A.A.M.L.P.
spinal-decompression-and-traction-what-is-the-difference In the 20th century, the electric motor became part of our culture. The creation of intermittent power traction became a reality. This remained unchanged until Dr. Allen Dyer introduced decompression therapy in 1991.1 Dr. Dyer felt that, to reach the inner disc core, traditional traction needed modification. Although intermittent traction is an effective therapy for elasticity, circulation, inflammation and facet...
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William H. Koch, D.C.
adventures-in-practice We have all grown up with the dramas of medical practice, depicted in popular TV programs.  There was Dr. Ben Casey doing brain surgery, and also the fatherly Marcus Welby, M.D., who practiced medicine in a small town, providing each patient with a level of patience, competence and benevolence that everyone would love to have from their doctor.  Who can...
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TAC Staff: Nutritional Supplements
best-selling-nutritional-products AC GRACE Price Range: $9.50-$35.50 UNIQUE E Mixed Tocopherols Concentrate: Pure, all-natural mixed tocopherols vitamin E complex–700mg softgel capsules with 400 I.U. of d-alpha, and 300mg d-gamma content. No soy oil as filler. For more information, call 1-800-833-4368.        Be well homeopathic Wholesale: $9.75; SRP: $15.90 Flu Terminator 2 Oz (Also Available in1 Oz spray) (Ten Ingredients) FDA Registered....
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Maurice A. Pisciottano, D.C.
the-piezoelectric-sensor-the-heart-of-the-proadjuster-patient-care-system Technique + Business = Results. Within this simple equation is the formula to business success. If you see your practice as a business and implement the most innovative, forward-thinking techniques, you will undoubtedly achieve the results you’re after. In this lesson, I would like to discuss the methodologies of the ProAdjuster patient care system. The business principles we teach our...
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David Chapman-Smith
the-international-growth-of-chiropracticWhat’s ahead for chiropractic? In the following interview with The American Chiropractor (TAC), David Chapman-Smith and Sira Borges, D.C., discuss the rapid growth of chiropractic in Latin America and worldwide. TAC: What are the roles of the WFC and FLAQ?Chapman-Smith:  Details of the WFC, whose voting members are national associations of chiropractors in eighty-six countries, including both the American...
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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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TAC Staff
the-scoop-on-postural-adjusting-interview-with-burl-r-pettibon-dc-fabcs-frccm-phd-honAfter receiving an honorable discharge from the U.S. Air Force Burl Pettibon attended Cleveland Chiropractic College in Kansas City, MO.  He graduated in 1956 and practiced in Tacoma Washington while developing clinics in other locations.  Dr. Pettibon was a department head for two years in the college that is now Palmer West.  He has guided The Pettibon Institute’s direction, continuing...
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David Chapman-Smith
working-together-worldwideDavid Chapman-Smith, a Toronto lawyer and author of The Chiropractic Profession (NCMIC Group, 2000) is Secretary-General of the World Federation of Chiropractic.  He is also editor/publisher of The Chiropractic Report (www.chiropracticreport.com).   His introduction to chiropractic took place when he acted as counsel for the New Zealand Chiropractors’ Association before the New Zealand Commission of Inquiry into Chiropractic in 1978-79. In the...
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Kent Greenawalt
united-we-stand-strongerKent S. Greenawalt, President and CEO of Foot Levelers, Inc., in Roanoke, Virginia, has, for years, helped revolutionize chiropractic care by developing and patenting many chiropractic products for everyday patient use. Now he has embarked on a new project to unite the profession in an effort to change the public’s perception of chiropractic care, once and for all. Kent Greenawalt founded the...
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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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Jeff Hockings, D.C.
chiropractors-on-tv--infomercials-made-easyThe fastest way to affect public opinion is through television.  Shows like CBS’ Two and a Half Men, in which one of the lead characters is a chiropractor, show that the profession has, indeed, entered the mainstream of American culture… albeit with a less than ideal portrayal of a chiropractor, it’s a start. So how do you use this mega-tool to promote...
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Nutrition
Dr. James P. Cima, D.C.
why-high-cholesterol-by-itself-is-not-a-good-indicator-of-heart-disease Whenever I run a blood test on any patient, the first thing they all want to know is, "Doc, how is my cholesterol?" They think, because their cholesterol levels are normal, they have nothing to worry about. Unfortunately, they do not know that about 50 percent of patients who die from cardiovascular disease have "normal cholesterol levels". They also do...
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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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Robert G. Silverman DC, DACBN, MS, CNS, CCN, CSCS, CIISN, CKTP, CES, DCBCN, HKC
the-natural-approach-to-treatment-of-high-cholesterol-profilesIt is in the news on a near-daily basis. Research studies address various aspects of it. Many people ask what their doctor can do about it.“It” is cholesterol.The evidence overwhelmingly demonstrates that elevated cholesterol levels greatly increase the risk of death due to cardiovascular diseases (CVD), such as heart attack and stroke. These diseases claimed 927,448 lives in the U.S....
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Charles C.DuBois
five-reasons-why-incorporating-nutrition-will-launch-your-success-plus-one-tip-on-getting-startedTommy Thompson, former United States Secretary of Health and Human Services, and current United States Senate candidate is enthusiastic about wellness and prevention.   “Seven out of 10 deaths are caused by chronic diseases, and more than 75 percent of health care costs are spent treating conditions that are preventable,” Thompson said during an event held at Standard Process Inc. last year....
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Mark Percival, D.C., N.D.
coral-calciumdebunking-the-debunkingWith the FTC filing law suit against Bob Barefoot for false and misleading advertising, and the discovery of lead in one coral calcium brand both happening in June, coral calcium has been severely wounded.  Others jumped on the anti-coral bandwagon and suggested coral was no different from cheap calcium carbonate or limestone–that it was just an overpriced calcium supplement.  ...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
an-apple-a-day-can-be-a-key-to-the-nutritional-adjustmentPatients are always looking for something that is easy to do when it comes to their health. So, eating more fruits and vegetables can be challenging for many; however, transitioning to a healthy diet can begin with something as simple as eating an apple every day. The old adage, “An apple a day keeps the doctor away,” is still quite...
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Orthotics
johndanchik
back-surgery-averted-for-a-teenaged-boyHistory and Presenting SymptomsThe patient is a 13-year-old boy who was identified at a school screening to have a discrepancy in his shoulder heights. His parents were advised to contact an orthopedic surgeon for further evaluation. They reported that the orthopedist found evidence of a scoliosis, but recommended a “watch and wait” approach. No treatment was offered, but if the...
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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. John Danchik, D.C., C.C.S.P., F.I.C.C.
metatarsal-stress-fractureHistory and Presenting Symptoms The patient is a 32 year-old personnel manager who has taken up running for stress reduction and weight control. She has been running for six months, and has been progressively increasing her mileage. She is experiencing recurring and worsening pain in her right foot, also increased low-back tightness. She recalls no specific injury to her foot or...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
to-stabilize-lumbar-fixations History and Presenting Symptoms A 56 year-old female describes a history of numerous episodes of lower back pain and disability. She reports that she has previously had physical therapy and chiropractic care, and has been evaluated by an orthopedic surgeon. None of the prior treatments has provided any long-term relief, since her low back pain returns, in spite of treatments and...
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Lisa Goldberg
ask-the-advisor I am always trying to bring in new products and services to expand my practice, but it is difficult to know what will work and what will not.  What are some things that I should be aware of before bringing new products and services into my office that will help me understand my rate of return on my investment of...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
shin-splints-in-an-amateur-runnerHistory and Presenting Symptoms The patient is a 28-year-old graphic artist who has been running regularly for the past ten years.  She reports the recent onset and gradual worsening of pain in the front of her right lower leg, which is now limiting her physical activity routines.  The leg pain is described as an “aching soreness” that has been getting progressively...
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Practice Management
David Foster, DC and Joseph Labriola, DC
outsourcing-your-chiropractic-billing-a-collectionsAre you losing the “battle” with insurance reimbursement?  I say “battle” because that is what it has become. The insurance industry’s fiduciary responsibility is to their stockholders and profits, not providers. They have internally mandated that they will create systems that will increase profits and limit payment to all health care providers, especially chiropractors.  Why chiropractors? According to James J. Mathis,...
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Mark Sanna, D.C.
practice-management-tipsQ:  Which adjunctive services, if offered, have you found to be most beneficial for chiropractic practices? A:  The language of reimbursement today is the language of function.  In order to fully participate in the mainstream of healthcare, chiropractors must become proficient in objectively assessing and documenting the functional outcomes of their care.  It is extremely difficult, if not impossible, to...
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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 will be dealt with beginning with this issue and continuing in subsequent issues of The American Chiropractor.  By following the steps given, your office will not only maximize its potential,...
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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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Jay S. Greenstein, DC, CCSP, CGFI-L1, CKTP
building-the-sports-chiropractic-practice-a-recipe-for-success Throughout my travels I have had the opportunity to meet lots of great people in our profession. Many have been in practice for years, but some are in school, getting ready to graduate or just getting started. I’m often asked by these folks what it takes to build a sports chiropractic practice. The answer essentially revolves around three key...
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Daniel Dahan, D.C.
business-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
Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
degenerative-spondylolisthesis HISTORY   This 50-year-old female patient presents with a six-month history of lower back pain without peripheral radiation. DISCUSSION Degenerative spondylolisthesis (Type III) has been referred to as a “pseudospondylolisthesis” by Junghans, to differentiate spondylolisthesis with an intact neural arch from those with a true defect of the neural arch.1 Macnab2 prefers the phrase “spondylolisthesis with an...
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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.
hangmans-fractureHistory This adult male patient was involved in a car accident.  He struck his head on the windshield and was then thrown into hyperextension. Discussion Hangman’s Fracture (Traumatic spondylolisthesis). Fractures of the neural arch of the axis are one of the most common injuries of the cervical spine. Up to 40% of axis fractures are hangman’s fractures.1  They are usually...
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Jeff Cronk, DC
using-x-ray-digitization-to-enhance-your-credibility-and-quality-of-careThe theory behind evidenced based practice is scientific knowledge gathered through good research. Clinical examination procedures can lead to clinical consensus and standardization with regard to diagnosis, decision making and treatment guidelines. X-ray digitation fits into this model, since it is a clinically accurate way to objectively assess spinal stability and spinal motion segment integrity loss. Two or more doctors can...
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Mark Sanna, D.C.
a-new-look-at-adolescent-idiopathic-scoliosisA New Look at Adolescent Idiopathic Scoliosis by Mark Sanna, D.C.   Scoliosis comes from the Greek word skoliosis which means crookedness. Adolescent Idiopathic Scoliosis (AIS) is a deformity of the spinal column with an onset between the ages of ten and eighteen. Most types of scoliosis are classified as idiopathic, meaning that the reasons for this type of...
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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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Rehabilition
Dr. Mitch Mally
post-operative-carpal-tunnel-syndrome-ctsHistory and Subjective Complaints 53-year-old male factory worker/forklift operator complains of bilateral hand numbness, burning, tingling and loss of grip strenth in the thumb, index and ring fingers, bilaterally. Nocturnal aggravation of the hands resulted in a workers compensation case. Over the course of 9 years, the patient failed operative recovery: 4 left CTS surgeries, 3 right CTS surgeries and, subsequently,...
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Dr. Joe Ventura
oh-baby-my-back-hurtsAs if the prospect of morning sickness, constipation, rashes and changes in hormone and wardrobe weren’t daunting enough, 80% of pregnant women will develop back pain and almost 100% will develop poor posture. The pain can last up to three months past the delivery date. Typically pain is experienced in the following areas: Hip Joints Low Back Mid-back Neck Shoulders TMJ or Jaw joint Unfortunately, the poor...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
traveling-with-a-wellness-lifestyle With the treatment of any new patient following initial consultation, evaluation and management we must make some decisions; or to meet our E&M requirements we have some "medical decision making" to do. How many Chiropractic Manipulative Therapies (CMT), do we schedule before our next progress exam or re-evaluation? Are we scheduling any type of conjunctive therapy like muscle stimulation,...
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Dr. James P. Cima, D.C.
the-triune-of-exerciseWhen treating soft tissue injuries, especially the chronic degenerative ones, you must be well versed in the Triune of Exercise.  I’m not just talking about athletes but about patients as well.  They all suffer from some type of soft tissue injury, as well as being subluxated.  In fact, why do you think their subluxations persist?  Because nobody ever handled...
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Dr. Stephen Kaufman, D.C.
can-trigger-points-be-turned-off-in-seconds-using-neurological-reflexesOne day, as i was working out with weights, i lifted a dumbbell over my head. The weight was heavier than I could handle. As I extended my arm, my triceps completely gave out; the weight plummeted toward the table. By using too heavy a weight, I had triggered the clasp knife reflex1,4 on my triceps. I had turned the...
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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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Techniques
Peter M. Ferraro, DC
manipulation-under-anesthesia-or-joint-anesthesiaManipulation under Anesthesia (MUA) has been shown to be a viable approach in the treatment of chronic recalcitrant spinal pain.  The results have been remarkable in many patients who have exhausted efforts using conventional models of conservative management. “Because of the advancement of new medications and the use of conscious sedation, the anesthesia element of the MUA makes the procedure one...
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Loren Marks, DC
contact-reflex-analysisWe are living in the midst of a “Wellness Revolution.”  Patients, primarily the baby boomers, are seeking greater levels of natural health care as they age. They are wealthier and more educated than their parents and are willing to spend more to attain a level of health that allows them to be stronger, healthier and more resistant to disease. The insurance...
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Paul Yanick, Ph.D.
the-quantum-repatterning-technique-The Quantum Repatterning Technique™ (QRT) provides specific tools for identifying precisely what is taking place in the weakened or disordered physiology associated with unresponsiveness of the immune and endocrine systems.  In the chiropractic profession, it is recognized that all disease originates with a disturbance in the flow of innate communication.  When innate is inhibited or blocked, there are reactions that...
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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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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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Tedd Koren, D.C.
medical-manipulation-or-chiropractic-adjustingChiropractic can be practiced either empirically or mechanistically. How could that be? Why is it important? Chiropractic’s approach to healthcare is similar to the empirical approach of classical homeopathy, classical osteopathy and other “holistic” healthcare systems. That approach, to balance or harmonize the individual within him/herself and to balance or harmonize the individual to his/her Source (soul, spirit, Tao, God), is...
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