NewsFlashes
Cover Stories
Bob Hoffman, D.C., Dennis Perman, D.C. & Larry Markson, D.C.
your-practice-is-youOnly 5 years ago, three friends, from completely ­different ­backgrounds, decided to join ­forces in a new business ­venture to help chiropractors achieve the same kind of ­success they had. Today, their ­supporters keep growing in number at a staggering rate. This “Identity-Based” ­program has helped ­thousands discover the value in understanding that "Your Practice is You" The Masters Circle was founded...
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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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Gerard Clum, D.C.
over-34-years-in-service-to-the-professionDr. Gerard W. Clum, the profession’s most senior chiropractic college president in the world, received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1973. He was a member of the Palmer faculty and practiced in Davenport, Iowa, in 1974 before becoming a member of the founding faculty of Life Chiropractic College in...
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Dr. James L. Chestnut , D.C., F.I.C.C., F.A.C.C.
evidence-based-wellness-careDr. James L. Chestnut has been studying human wellness for over 25 years. He has a Bachelor of Physical Education degree, a Master of Science degree in exercise physiology with a specialization in neurological adaptation, is a Doctor of Chiropractic from the Canadian Memorial Chiropractic College in Toronto, Canada, and holds a post-graduate Certification in Wellness.   Award....
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Dr. Joel Dekanich, D.C.
teaming-up-with-dcs-mds-pts-and-phds-a-loving-it“...when everyone is on board, amazing results become the norm” Dr. Joel Dekanich is a 1994 graduate of Palmer College of Chiropractic in Davenport, Iowa, who practices in Vail, CO. Beginning his practice as a sole practitioner in 1995, following a year long fellowship with extremity expert Mitch Mally, DC, Dekanich became a certified strength and conditioning specialist in 2002,...
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Jeffrey Slocum, D.C.
interview-with-jeffrey-slocum-dcDr. Slocum graduated from Logan College of Chiropractic in April 1993. He has been the owner of his practice for over fourteen years. Dr. Slocum is a fourth generation chiropractor and has focused on developing a family wellness based practice that uses state of the art technology and focuses extensively on staff development. Dr. Slocum...
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Interviews
Steven Visentin, D.C.
marketing-machineMarketing Machine Interview with Steven Visentin, D.C.   The American Chiropractor recently heard about an e-book written by Dr. Steven Visentin (SV), Blow Your Head Off: Practice Building Secrets. Dr. Visentin graduated  from the National College of Chiropractic and decided to practice in  Denver, Colorado, for its excellent quality of life.  Unfortunately for him, many other chiropractors had the same idea and the...
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Paul White, D.C.
optimizing-the-well-being-of-the-patient Nutri-West was founded in 1981, a small nutritional supplement company offering a limited, but effective line of its own products. The company was the creation of a successful Wyoming chiropractor and nutrition expert, Dr. Paul White, and his wife Marcia. Their children, Tony, Michele and Tiffany, have been actively involved with the business since they were very young and know...
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George Michalopoulos, D.C.
million-dollar-chiropractic-features-dr-george-michalopoulosEach article in the MILLION DOLLAR CHIROPRACTIC series () 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. George Michalopoulos an extremely successful chiropractor who has practiced in Illinois,...
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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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Tim Emsky
turning-the-tablesEmsky founded CERT Health Sciences in 2001 after spending more than six years managing and operating back clinics that provided spinal decompression therapy. After his experience with these clinics and getting feedback from other doctors, Emsky saw a need for a table that improved patient comfort as well as accommodated a wider variety of patients. Emsky led a team of...
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TAC Staff
dr-david-m-brady-breaks-the-glass-ceiling-in-academia-interview-with-david-m-brady-dc-nd-ccn-dacbn  Dr. David Brady, a 1991 Texas Chiropractic College (TCC) graduate, is the first DC worldwide to break the "glass ceiling" within academia by being conferred vice provost of the health science division at the University of Bridgeport in Connecticut. He is the first and only chiropractor to attain that elevated status worldwide in a major university and, because of his...
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Nutrition
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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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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Dr. Howard F. Loomis, D.C.
the-five-stages-of-pregnancy-part-iiiLactation and Depression Once the joyous day arrives and the healthy and happy baby has been delivered, it is time to address the postpartum nutritional requirements for both the mother and the baby. The American Academy of Pediatrics has long advocated the use of breast milk as the primary food source for full-term infants.  In 1997, this advisory was extended...
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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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Paul Frank, D.C
recommending-a-complete-supplement Americans consume large portions of highly processed, refined foods that have been stripped of nutrients.  These poor diet choices have lead to major diseases like heart disease and cancer.1,2,3,4,5  The nutritional supplement industry has attempted to rebalance the scale by supplying the nutrients that Americans are not getting from their diet.  However, rather than supplying nutrients as they would...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
syndrome-x-and-subluxationSome 40 million Americans are thought to have syndrome X,1 and there are likely to be several million who are rapidly moving in that direction.  Syndrome X is thought to be a driver of heart disease, hypertension, cancer, diabetes mellitus, obesity, depression, and other diseases.2  Syndrome X refers to an abnormal metabolic state that is characterized by insulin resistance, hyperinsulinemia,...
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Orthotics
TAC Staff
forum-your-letters-a-emails-Dear Sirs, I read with interest the two letters that appeared in your May 2009 issue regarding Personal Injury. Dr. Anonymous raised a few issues but he painted with a very broad brush. More interesting was Dr. Studin’s reply. I quite enjoyed Dr. Studin’s thoughtful, articulate and imaginative article in response to the anonymous and clearly...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
arch-collapse-in-an-active-womanHistory and Presenting Symptoms A 62-year-old female presents with a recent history of moderate pain in her lower back.  Her back pain responds well to chiropractic adjustments, but recurs within a couple of days.  There are no specific triggering activities, although being up and active seems to bring on the pain more rapidly.  She describes her current level of low back...
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johndanchik
lower-extremity-aging-concernsHistory and Presenting Symptoms A 60-year-old female presents with recurring episodes of moderate pain in her lower back and right knee. As a full-time waitress/cashier, she spends almost half her workday on her feet. She recalls no specific back or knee injuries, and states that these problems have developed over the past couple of years and have been more noticeable in...
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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.
upper-extremity-conditions-and-orthotic-support History and Presenting Symptoms A 43-year-old female presents with persistent pain in and around her left shoulder, accompanied by tightness extending into her middle back region. Upon further discussion, she recounts a history of a right carpal tunnel syndrome that was treated surgically, with only partial improvement. She has also had several episodes of left elbow tendinitis. She denies any...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
chronic-facet-syndromeHistory and Presenting Symptoms A 46-year-old female presents with recurrent, sharp pain in her low back.  These episodes usually resolve within a few days, but she is concerned that they are becoming more frequent.  Using a Visual Analog Scale, she describes the usual pain level in her lower back as around 35mm.  She doesn’t recall any injury to her back, and...
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Practice Management
Craig Hennequant, DC
update-on-workers-compensationA graduate of Palmer Chiropractic College in 1996, Dr. Craig Hennequant has been spending much of the past four years working with chiropractors nationwide to help them become more evidence-based and improve their documentation and care management. In his interview with The American Chiropractor (TAC), Dr. Hennequant describes his findings and the future of chiropractic. TAC:  Tell us something about yourself. Hennequant:  Well,...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
anatomy-of-the-close The Lost Sale Whether a doctor, lawyer, architect, you are in the business world. The business world is a world of selling. There is a powerful technique you can learn called the "I Want to Think It over Close." This is the only way I know to save this kind of lost sale. You know by now that, when the...
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Maurice A. Pisciottano, D.C.
feeling-vs-functioning-a-simple-solution-to-a-common-practice-problemDespite our extensive background in the philosophy of our profession, we, as chiropractors, often fall into the “MEDICAL MODEL OF THINKING.” We may find ourselves making care decisions based upon the symptoms the patients report on the day we see them, rather than relying upon objective data collected that day or at a previous appointment. People in today’s society have been...
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Dwight C. Whynot, D.C.
how-can-i-show-the-true-value-of-chiropractic-careYour practice philosophy can influence how you present chiropractic to your patients, regardless of whether you went to a more philosophical chiropractic school or you went to school that did not emphasize the chiropractic philosophy, as much can influence the way in which you manage your chiropractic practice and the way in which you manage the care you provide your...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
the-professional-pi-practice-know-the-rules-and-do-it-rightAs a consultant, I find more and more doctors turning to Personal Injury.  Why?  The great bank robber Willie Smiths was once asked, “Why do you rob banks?”  His response was, “That’s where the money is.”  As regular insurance is becoming more difficult to collect, more and more DC’s are turning to PI.  Why?  Again, that is where...
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Eric Kaplan, D.C., N.D.
the-power-of-prioritiesTime is money and money is time. you can always get more money in life, but time spent, is spent. Economize your time to be successful in practice. People often ask how did I see two hundred patients in a day. My comical response is, "Quickly." The truth is we had a great staff and utilized...
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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.
whiplash-injury History This patient was in a motor vehicle accident and hyper-extended her neck. A fracture was seen–where is it?   Introduction Fractures of the spinal column are found most commonly at C1-C2, C5-C7, and T12-L2. There has been a significant rise in spinal fractures and spinal cord injuries that appears attributable to an increase in automobile accidents and sports activities.1 Approximately 20% of spinal...
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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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andrewcheeseman
digital-x-rayThe technology used in conventional X-ray film is 100 years old. There are not many technologies that do not evolve and improve in 100 years, and the X-ray field is no different, although many doctors have not yet made the technology jump in this area. In the last 10 years alone, we have seen the development of affordable technology in...
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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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Larry Willkins, D.C.
adding-decompression Dr. Larry Wilkins, Founder and Director of Laurel Mountain Chiropractic Clinic in Mt. Pleasant, PA, has added post-graduate hours in such studies as rehabilitation, manipulation under anesthesia, nutrition, pediatrics, exercise, and advanced work in the Pierce Chiropractic Method. As an involved professional, Dr. Wilkins has many accomplishments to his credit. He has served as a board member of two chiropractic...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
the-positive-fat-pad-sign-what-is-itA useful sign of an intraarticular fracture of the elbow is the clear depiction of displaced humeral capsular fat-pads.1  In the normal elbow, a layer of fat (“fat-pad”) lies between the synovial and fibrous layers of both the anterior and posterior joint capsules.  In the lateral projection of the normal elbow, the anterior fat-pad is seen as an obliquely oriented...
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Rehabilition
John K. Hyland, D.C.
rehab-after-injuryCommunication skills are vital to achieving good results when dealing with patients after an injury. One of the most important components of post-injury rehabilitation is to give very clear instructions when the patients first start to exercise. This is because it is easy for patients to do too little or too much, and both will interfere with the desired outcome....
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Dr. Benjamin Griffes, M.A., D.C.
rehabilitation-for-patients-with-herniated-discs Rehabilitation of the patient with a herniated disc consists of improving their strength and flexibility while, at the same time, addressing their posture and habits. You must reorient yourself to think about low back problems in a functional way rather than a pathoanatomical way.1 The focus should be on restoring correct posture and normal productivity, achieved by teaching your patients...
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Tim Maggs, D.C.
high-school-athletes-the-new-injury-prevention-plan32 years ago, when just starting in practice, I contacted our local high school football coach and offered my services to his team.  A couple times a week I would work on any players who asked for help.  As great as the job seemed, it was short lived.  As soon as the school physician got wind of my involvement, I...
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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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
iliopsoas-muscle-pain-in-a-dance-instructor History and Presenting Symptoms A 25-year-old female presents with a combination of recurring pain in the lower back region and pain and tightness in the front of her right hip. She is very frustrated by her condition, since she has already had six weeks of physical therapy for her hip pain (with only a little relief), and she...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
the-functional-approach-to-rehab-exerciseSelecting the ideal exercises for patients with back conditions requires judgment based on clinical experience and scientific evidence.  There are several approaches to rehabilitation, and many different types of exercises are available; however, patients have a limited amount of time, willingness, and enthusiasm to exercise.  Therefore, we must always try to give our patients the most effective exercises for their...
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Techniques
Tedd Koren, D.C.
adjusting-the-holographic-body-part-two Subluxations are state specific In last month’s article we discussed that the subluxation is posture or state specific. State/posture specifi c means that, when the patient assumes a certain posture or consciousness, a subluxation may emerge—a subluxation that was not present when they were comfortably standing, sitting or lying down. This phenomenon is called the posture of subluxation or POS. Since most...
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Randy B. Reed, D.C., C.C.S.P.
i-cant-believe-its-not-traction  After spending the better part of the last 6 years developing a seminar for Continuing Education Credits and speaking to over 2000 Chiropractors, Neuro & Orthopedic Surgeons, Osteopaths, and Physical Therapists on “Axial Decompression and Core Rehab for the Lumbar Disc Patient”, I am still amazed and intrigued by the one question that mainly chiropractors ask me.  I am asked...
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Tedd Koren, D.C.
the-sphenoid-pattern"Gentlemen, damn the sphenoid bone!" - Oliver Wendell Holmes (1809-1894), opening an anatomy lecture at Harvard Medical School I don’t know what Holmes was complaining about; perhaps he was frustrated at his inability to adjust the sphenoid (he was an MD after all). For most of my chiropractic career, I limited my practice to correcting spinal subluxations. While developing Koren Specific Technique (KST),...
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Jeanne Ohm, D.C.
the-webster-technique-in-pregnancy-for-safer-easier-birthsChiropractic care is essential for the pregnant mother. Her systems and organs are now providing for two, and their optimal function is critical for the baby’s healthy development. The mother’s spine and pelvis undergo many changes and adaptations to compensate for the growing baby, and the risk of interference to her nerve system is substantially increased. Specific chiropractic care throughout...
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Sharon Pettibon
spinal-technicians-necessary-component-for-chiropractic-managementThe discussion of Chiropractic success and its varied components has been a major topic of discussion since I can remember. My first exposure was in 1972 when I was sent to Parker Seminars as conducted by Jimmy Parker, D.C. in Las Vegas. The first one I attended was at the old MGM Grand and Elvis was the headliner. The hairdos...
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Dr. Richard E. Busch, III, D.C.
axial-decompression-new-wave-of-treatmentWhat is the deal with this new wave of treatment called axial decompression, spinal decompression and or IDD Therapy? Is it truly the greatest thing next to sliced bread (for the treatment of back or neck pain) or is it just a passing trend? Axial decompression therapy has reached the highest level of interest ever, even though it is not...
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