NewsFlashes
Cover Stories
Allan Dyer, B.S., M.D., Ph. D.
decompression-where-it-all-beganDr. Allan Dyer has a Bachelor of Science degree in Pharmacy and is a doctor of Internal Medicine. He was also awarded a Ph.D. for his graduate studies and pioneer work in Transthoracic Cardiac Defibrillation. During his career as a senior administrator and Deputy Minister of Health, he instituted the hospital services quality assessment, generic drug...
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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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Fabrizio Mancini, D.C.
interview-with-fabrizio-mancini-dcFabrizio Mancini came to the United States in 1978 from Colombia, South America.  His dream was to become a doctor to help alleviate the suffering of others.  His journey began in Dallas as he studied pre-medicine at the prestigious University of Dallas where he was preparing to be a neurosurgeon.  He later discovered the chiropractic profession and enrolled at Parker...
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Richard R. Shaker, D.C., R.T.P., C.P.T.I., C.C.S.P., A.C.R.B., C.S.C.S.
chiropractic-in-the-nflFor four seasons in the NFL, after having suffered a chest injury while playing my rookie year, I had not been able to breathe properly. I also had severe pain in my chest and rib cage. Previous to Dr. Shaker, I had seen every medical specialist, including other chiropractors—no one could help me. I was struggling to survive in...
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David O'Bryon, ACC Executive Director
interview-with-david-s-obryon-executive-director-association-of-chiropractic-colleges David O’Bryon , J.D., LL.D (Hon), F.I.C.C., is founder and president of O’Bryon & Company. With more than thirty years of association and government experience, he has served organizations as an executive, consultant, and volunteer. His responsibilities have included policy formulation and implementation for associations; design and management of membership recruitment efforts; development and implementation of government relations strategies...
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Jack Dolbin, D.C.
principles-of-a-sports-medicine-practiceIn the fall of 1993, I was attending a Villanova versus Northeastern University football game. My son was a red shirt freshman wide out and me, a retired NFL veteran. We sat together as spectators, dissecting the game and the individual player performances. In events that would decide the game, the Villanova field goal kicker, Frank Venezia, missed two very...
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Interviews
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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TAC Staff
reflecting-on-the-past-and-focused-on-the-future-interview-with-dr-patrick-gentempoDr. Patrick Gentempo is the CEO of Action Potential Holdings, Inc. and is arguably one of the best-known figures in the chiropractic profession today. He has acted as cofounder and chief executive of well-known entities within the profession. These include the Chiropractic Leadership Alliance (CLA), Creating Wellness Alliance (CWA), and Chiro Finishing School. CLA has brought critical technology to the...
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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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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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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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TAC Staff
defining-food-enzyme-nutrition-an-interview-with-howard-loomis-dcHoward F. Loomis, Jr., DC has been the leader in the clinical application of plant enzymes and is the person responsible for bringing food enzyme nutrition to the forefront of the health care field.  After graduating from Logan Chiropractic College in 1967, he entered practice in Missouri and practiced there for 26 years.    In 1980, he was introduced to the work...
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Nutrition
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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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
a-pandemic-vitamin-d-deficiencyLike many of you, I grew up in “healthcare” with the view that vitamin D toxicity is a significant concern for those taking supplements. Even today, individuals with nutrition degrees maintain the notion that vitamin D supplementation is a risky endeavor. Consider your own visceral response to the following: “Many individuals would do well to take 10,000 IU’s of vitamin D...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
alternative-healthcareOur Often Misguided Instincts Many of our beliefs were created by advertising.  A healthy body is the best advertisement.  It depicts a healthy life, which is the reality.  Beliefs are acquired throughout time, starting when we are very young.  We acquire a sweet tooth, and a taste for junk food.  We learn most of our behaviors from our culture, including our...
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Michael P. Ciell, R.Ph.
a-new-approach-to-metabolic-syndromeThe Greatest Healthcare/Financial Crisis   Metabolic Syndrome (aka Syndrome X) with its four hallmark symptoms of obesity, hypertension, dyslipidemia and hyperglycemia is devastating our country as well as the whole of North America.  In March of 2005 the National Institutes of Health and the New England Journal of Medicine published a paper stating that because of this epidemic the current generation is...
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Freddie Ulan, D.C.
adding-a-successful-nutritional-component-to-your-chiropractic-practice I have studied many different patient management systems designed for chiropractors over the past twenty-five years.  But practitioners who try to use chiropractic systems to manage the nutritional aspects of a patient’s case will find themselves falling short of true success.  I had the same problem until I made the discovery that, while a chiropractic patient may benefit from...
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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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Orthotics
Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
president-obama-the-insurance-industry-a-chiropracticPresident Obama, the Insurance Industry & Chiropractic by Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP   On May 11, 2009, in New York Newsday, The Associated Press reported a coalition between insurance companies, drug makers, hospitals and doctors to contain and control health care costs to lower the premiums, so that the 50 million Americans who are currently uninsured...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
recurring-calf-strains History and Presenting Symptoms   The patient is a 32-year-old mom, who also works part-time at the local middle school, where she is the school nurse. She reports numerous episodes of aching and tightness in her right calf over the past three years. She denies any recollection of injury or overuse activities. She has no significant disability, as she is...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
plantar-fascitis-and-orthotic-supportThe classic presentation of plantar fascitis is “a sharp heel pain that radiates along the bottom of the inside of the foot.  The pain is often worse when getting out of bed in the morning.”1  This can occur in runners or other athletes who repetitively land on the foot.  Another susceptible group is middle-aged persons who have spent much time...
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Kirk Lee, D.C.
consider-hobbies-to-determine-whats-causing-painAs chiropractors, when we conduct our case histories and examinations we typically determine mechanisms of injury to be related to specific instances of trauma, repetitive macrotrauma or microtrauma. However, we should also consider posture, activities of daily living and hobbies as these can sometimes be the root cause of a patient’s pain. Today we are going to take into consideration...
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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.
ankle-sprains-and-active-supportAnkle sprains are common injuries, because the ankle is required to perform complex movements under high forces during normal walking.  This can be particularly important for patients who participate in recreational activities and sports that require running and jumping.  Proper evaluation and management in the early stages of an ankle sprain are very important in preventing chronic instabilities.  With appropriate...
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Practice Management
Mark Sanna, D.C.
organize-your-life Gain or regain order where you live and work.. A well ordered, easy-to-maintain environment greatly enhances your effectiveness and creativity. If you are distracted by disorganized commitments and clutter, you’ll find it difficult to give your work and your family the attention they require. Simplify is the first order of business. Organize your home and work environment with intention....
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Daniel Dahan, D.C.
maximize-your-practices-potential-collection-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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Ron Short, D.C., MCS-P
the-chiropractic-demonstration-project-final-report Well, the dust has settled and the reports have been published, The Chiropractic Demonstration Project is finally over. So, how did we do? Well, we won and we lost. The key points of the demonstration project were: • "Section 651 of Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) • Centers for Medicare & Medicaid Services (CMS) to conduct demonstration evaluating...
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Maurice A. Pisciottano, D.C.
increased-public-awareness-education-new-patients You love chiropractic.  You want to share the benefits of chiropractic with the whole world.  You would like to add a few new patients a week to your practice.  Accomplish all this and more through a performance workshop presentation.  Offering a performance workshop to businesses is a cost-effective way to share the benefits of chiropractic, establish yourself as the...
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Susan Blackard, R.N., N.D.c, M.H.A., F.N.P.c
the-multidisciplined-approach-to-growing-your-practiceSo I bet you’re getting all the clients you can handle and don’t want any more right? Let’s be honest, we could all benefit by having at least a few more people walk through the door. But where do you start? To get more information, I caught up with Dr. Mark Steenerson of Minnesota. A few years ago, he was asking himself...
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Michael Failla, D.C.
streamlining-your-data Recently I have talked to a number of doctors about the types of software that they are using in their offices and it has become apparent to me that many of them have taken a piecemeal approach to creating a paperless office. They are using one program for billing, another for scheduling and yet another for doctors notes. Often these...
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Radiology
Tedd Koren, D.C.
the-upper-thoractic-hump-pattern“Doctor, I’ve been worried about my hump. Will it get worse? Can you fix it?” Unlike the better-known dowager’s hump, the upper thoracic hump (see photos and illustrations) is more common and is found in younger as well as older people. Patients are concerned about their humps and are very motivated to get them fixed. They should be. Along with its unattractiveness,...
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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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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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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Tim Maggs, D.C.
100-of-my-patients-get-custom-orthotics-what-about-yours  We all are victims, in many ways, of the existing healthcare crisis.  The auto industry is addressing their crisis through new laws for improved mileage per gallon and stricter pollution controls.  The energy crisis continues to search for more efficient and alternative means to produce renewable energy.  The healthcare crisis, unlike the above two, is merely shifting responsibilities with regard...
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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.
benign-or-malignant-thats-the-questionHistory This adult male patient presents with hip pain and a lesion is found on X-ray. Is this likely to be benign or malignant?   Note the well demarcated geographic radiolucent lesion in the proximal femur. It has a sharp zone of transition around it with a sclerotic border. These roentgen signs suggest a benign lesion. Diagnosis: Monostotic Fibrous Dysplasia...
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Peter Fernandez, DC
what-practice-structure-suits-you-best-starting-a-new-practice-v Solo Practitioner (No Incorporation) This type of practice structure is when a doctor is not incorporated.  In this case, the doctor does not have the personal asset protection advantage that a corporate shield has to offer.  Being non-incorporated, if someone files a malpractice suit against the doctor, they will not only be after all his business assets (equipment, accounts...
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Rehabilition
Tim Maggs, D.C.
high-school-athletes-and-structural-managementrDid you know...?  • All high school athletes in this country must undergo a physical exam prior to participating in their sport. That exam, however, is a medical exam (eyes, ears, nose and throat). (See Fig. 1)   Eyes______________________________ Skin (Non- communicable)_________________  Ears (Otoscope) ___________________ Epilepsy __________________________________ Lymph Nodes _____________________ Nervous System ___________________________  Thyroid __________________________ Speech ___________________________________ Nose _____________________________  Nutrition __________________________________  Tonsils ___________________________  Height ______________ Weight ______________  Teeth ____________________________  Vision ____________________________________  Heart _____________________________  Hearing __________________________________  Blood Pressure ____________________  Orthopedic _______________________________  Lungs ____________________________                  Feet...
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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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Christian H. Reichardt, D.C., C.C.S.P.
vibrational-therapy-and-the-aging-baby-boomers Looking at recent statistics, the boomer population is going to increase by almost 70 percent over the next fifteen years. This is the fastest growing population segment of our society! The three most common musculo-skeletal ailments afflicting this group are osteoporosis, lack of flexibility and strength, as well as balance. In this article, I will show that Whole Body...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
osteoporosis-and-spinal-excerciseAs the population ages and becomes more sedentary, we will be seeing more of our patients affected by osteoporosis and its complications.  Initially, there is a reduction in bone mass (osteopenia), which is considered a universal phenomenon of aging.  However, when the condition progresses to osteoporosis, bone strength is compromised, and fractures develop with trivial (or no) trauma.  These fractures...
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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.
soft-tissue-stress-and-rehabilitationThe body’s soft connective tissues (such as muscles and ligaments) are generally exposed to stress throughout life.  Such structures respond and adapt to the usual amount of stress exposure.  Damage occurs when soft tissues are exposed to higher-than-usual stress levels.  This can be a single, sudden, excessive stress, or it can be the result of repetitive stress to the muscle...
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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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Arlan Fuhr, DC
piriformis-syndrome-assessment-a-correction-of-affected-structuresIs sciatica a frequent complaint in your practice? Did you know that the piriformis muscle, when inflamed, releases a biochemical agent that irritates the sciatic nerve? Find out how the Activator Adjusting Technique can help you bring relief to these patients. One of the more common complaints in any chiropractic office is that of buttock and/or posterior thigh pain, generally referred...
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Tedd Koren, D.C.
the-posture-of-subluxations-subluxations-are-state-specific Years ago, Dr. Lowell Ward of Long Beach, California, had a patient who felt fine standing, but had head, back and sciatic pain while seated. Standing X-rays showed a balanced, unsubluxated spine. He wondered, "What would I find if I X-rayed her in the seated posture?" Her seated films revealed an unbalanced, subluxated spine. No wonder she hurt when she was...
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Brice Vickery, D.C.
tvm-vs-a-chiropractic-wastelandChiropractic, a Wasteland? Things have never been better.  Accepted in all states, academic accreditation, almost full members of the healing arts is the way most see it.  This euphoria disappears when you compare it to what it could become and what it did become for me, and the little group of doctors who have studied TVM (The Vickery Method). It would...
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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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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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