NewsFlashes
Cover Stories
TAC Staff
five-college-presidents-set-the-record-straight"Chiropractic is a remarkable profession with a legacy of dedicated men and women working diligently to make chiropractic universally available. As our profession grew and matured, so did chiropractic colleges.  They set the standard for what we can expect from our future doctors of chiropractic.  Our responsibility is to provide the best chiropractic education possible to the men and...
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TAC Staff
instrument-adjusting-panel• Activator Adjusting Instrument • Impac’s Pro-ArthoStim • Neuromechanical Innovations’ Impulse® and Impulse iQ® • Sense Technology’s PulStar So many great adjusting instruments out there, but who’s got the time to figure out which one is right for them, right? Well, as always, we here at The American Chiropractor Magazine know exactly what you are looking for. We...
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Susan Karnovsky
dr-lester-bryman-a-the-50-year-evolution-of-nutrition-response-testing In 1958 he was the Only One…. Fifty years ago, when Dr. Lester Bryman began his career, he felt like he was the only practitioner in his field that thought or talked about a nutrition oriented practice: No one he knew ever wondered about the therapeutic value of eating, let alone that whole foods (non-processed products) were healthy and non-foods...
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Logan Chiropractic College (LCC)
logan-college-of-chiropracticFor Logan College students to gain knowledge and skill; for Logan graduates to better serve their patients and for the community to benefit from chiropractic care, the college must grow and progress. Over the past 18 months, Logan College of Chiropractic has succeeded in expanding the scope of chiropractic education and care in the patient ...
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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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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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Interviews
Bill Koch, D.C.
neuro-modulation-technique-interview-with-dr-leslie-feinbergWe live in what is often called “the age of information”. In recent decades the United States has been making the transition from a major producer of manufactured goods to a major provider of information as the primary national product. The healing arts with all of its specialties and sub-specialties has also been experiencing a transformation. Every profession is...
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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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TAC Staff
president-of-chirotouch-robert-moberg-on-recent-successIntegrated Practice Solutions, Inc., creator of ChiroTouch™, has been named as one of America’s fastest growing companies by Inc. Magazine.   Nothing succeeds like success.  It’s as true today as it was when Sir Arthur Helps of England first printed it in 1868.  And even in the face of a badgered economy it has been just as true for Integrated Practice...
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Debra Brown, C.E.O.
on-the-state-levelTAC: What does the FCA do for its members to stimulate practice growth? FCA: The primary mission of the FCA is to improve access to chiropractic services for Floridians.  We do this by legislative initiatives, seeking to knock down barriers and overcome inequities in all of the state-regulated programs that provide for health care services.  We also provide continuous updates to our members...
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Karl Parker, D.C.
dr-karl-parker-shares-his-dream-for-chiropracticAfter a controversial change of leadership at Parker College of Chiropractic 7 years ago, which stunned the entire United States chiropractic community, Dr. Karl Parker, son of the late Dr. James Parker, was summarily “relieved of his duties” as President of the college, an institution founded by his late father, leaving the former PCC President and heir apparent to the...
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Ken Krimpelbein, DC
empowering-patients-from-the-inside-outDr. Ken Krimpelbein, former high school physical education teacher and personal trainer, and a 1995 graduate of Cleveland Chiropractic College, is now the owner of a successful multidiscipline practice in Oak Creek, Wisconsin. He presently employs three chiropractors, a massage therapist, a registered dietician, five personal trainers and will soon have a physical therapist and a neurologist on staff. “Treat...
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Nutrition
Christopher Fuzy, M.S., R.D., L.D.
the-future-of-chiropractic-services-in-america-My New Year’s Resolution—Is Now the Time to Build or Elevate My Practice with Nutrition? A Clinical Nutritionist’s ExpectationA majority of your patients committed themselves to a health related New Year’s Resolution on January 1st. Studies show they will implement a nutrition or exercise program in the next 3 months as a result of their desire to improve their health. Are...
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Robert Anderson M.D. and Perry Chinn, D.C.
what-are-the-health-benefits-of-supplementing-with-the-amino-acid-l-arginineThere has been a flurry of discussion, speculation and even hard to believe health claims surrounding the supplementing of the amino acid L-arginine. L-arginine is considered a conditionally-essential amino acid, meaning that it is not found in sufficient levels in the “normal” human diet. Amounts that produce the clinical effects suggested by research highlighted below must be received in supplement form. ...
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Hedley Turk
five-steps-to-overcoming-a-food-addictionYou know the food you’re eating is bad for you—you just can’t stop eating it. You have a food addiction and you’re not alone. Millions of people are suffering as well. This is the area of health where most of us have our greatest challenge. We want to eat healthier, we want to be healthier, but when it comes to eating...
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Howard F. Loomis, Jr., D.C., F.I.A.C.A.
internal-health-a-chiropractic-specialty-increased-referrals-by-solving-problem-casesIn presenting the concept of internal health—a chiropractic specialty—I have been advocating an examination approach that recognizes that muscle contraction accompanied inevitably with loss of range of motion can be caused not only by a structural problem but visceral function as well. In other words, they should not be separated when we attempt to establish the cause of chronic recurring...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
alternatives-to-nsaids-in-the-treatment-of-spinal-painThe treatment of pain with non-steroidal anti-inflammatory drugs (NSAID’s) is big business in America, which leads to a substantial number of deaths and extraordinary costs to treat NSAID-complications. Consider the following facts about NSAID use: • More than 70 million NSAID prescriptions each year in US • More than 30 billion OTC NSAID’s sold each year in US • 5-10% of US adult population...
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Dr. Howard F. Loomis, D.C.
the-five-minute-stress-evaluation Stress as a Specific Diagnosis Stress provokes a very exact physiological response by the body. Unfortunately, the term "stress" is so commonly used, it seems to have lost significance as a specific diagnosis. Everyone in our modern, fast-paced society seems to be "uptight" because life is so stressful. But, as clinicians, we should never lose sight of the fact that the...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
diabetic-foot-requires-special-care History and Presenting Symptoms A 66 year-old female presents with aching lower back pain and numbness extending into both feet. She reports having had occasional lower back pain for many years, but has only noticed the foot numbness in the past six months. This is getting more constant, which concerns her. She recalls no specific back or foot injuries. On...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
popliteus-tendinitis-in-a-softball-playerPopliteus Tendinitis in a Softball Player by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   History and Presenting SymptomsThe patient is a 27-year-old male who participates in an adult softball league on weekends. He describes recurring episodes of pain and swelling along the back and outside of his right knee, which has limited his knee extension for the past several...
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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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
surgical-repair-kneeds-extra-care History and Presenting Symptoms The patient is a 49-year-old male who reports frequent aching and stiffness in his lower back. He denies any back injuries, but does relate an injury to his right knee that resulted in a full tear of his anterior cruciate ligament (ACL). Two years ago, he had a surgical reconstruction of the ACL using...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
hamstring-injury-in-a-hockey-playerHistory and Presenting Symptoms The patient is a 26-year-old male amateur hockey player, who reports a recent left hamstring “pull” that just doesn’t seem to be getting better.  His history includes numerous injuries to the same hamstring muscle when he played in college, with mixed attempts to stretch and rehab.  He also describes varying levels of pain in his lower back...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
awkward-gait-in-a-young-runnerHistory and Presenting Symptoms The patient is an eight-year-old boy being brought in by his parents, who are concerned about his awkward style of running. He has no symptoms or painful limitations, but his mother and father are both worried that his inefficient gait could...
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Practice Management
Tom Owen III, and Todd Osborne, D.C.
5-warning-signs-that-youre-not-developing-your-staff One of the areas in business management that is consistently overlooked is staff development. Most chiropractors dislike the management side of running a chiropractic business because their hearts are dedicated to serving their patients. The reason why so many doctors continue to improve their clinical skills and techniques long after graduation is that they are designed by nature to be...
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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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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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Tom Owen III and Todd Osborne, D.C.
the-importance-of-maintaining-an-attitude-In Dale Carnegie’s How to Win Friends and Influence people, one of the most important qualities he mentions in getting along with people is honest and sincere appreciation. What happens when you don’t show others appreciation? You communicate that you don’t care what they’re doing, that they really don’t matter all that much to you, and that what they do...
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Laurent Goldstein
5-ways-to-facilitate-a-successful-practiceOne of my favorite movies of all times is Woody Allen’s Annie Hall. At the end of the movie, Woody’s character tells the story of a guy visiting a psychiatrist. “Doc, my brother is crazy; he thinks he is a chicken!” the guy says. “Why don’t you bring him in?” says the psychiatrist. “I would! But we need the...
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Tom Owen III, and Todd Osborne, D.C.
tips-for-finding-the-right-business-management-companyWhile most chiropractic colleges do an outstanding job of preparing students in the art, philosophy, and science of chiropractic, unfortunately they fall short in preparing their graduates on the business side of running a chiropractic practice. As a result, many chiropractors turn to management companies to help them run their practices. You may be considering hiring one in the future,...
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Radiology
Ryan Everhart
digital-x-ray-solutions-for-chiropracticX-rays play an important role in determining the exact cause for many health complications in patients. The advancements in radiography are allowing physicians to pinpoint the exact cause of complications through high quality output in a matter of seconds. As a chiropractor, it is important to determine what part of the body is causing the trouble, and you can do...
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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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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
sacral-fracturesCase History:  This male patient was working on the roof of his garage when he slipped and fell 12 feet to the concrete pavement of his driveway.  He has sharp pain over his proximal sacrum. Does he have a fracture? Diagnosis:  Note the fracture through the anterior surface of the second sacral segment creating an acute offset of its anterior cortical...
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Terry R. Yochum, D.C., D.A.C.B.R.
spondylolysis-andor-spondylolisthesis-lets-get-it-right-and-stir-things-up The topic of spondylolysis and/or spondylolisthesis has been clouded with confusion for many years. To understand the true etiology as a stress fracture rather than an inherited congenital anomaly or predisposition has been a lifelong quest for me. The normally developing pars interarticulares is a fully ossified structure at birth and without a local synchondrosis to undergo nonunion. There has...
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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.
intertrochanteric-fracture-of-the-proximal-femurIntertrochanteric Fracture Of The Proximal Femur 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 elderly female patient slipped getting out of the bath tub. She heard a crack and felt immediate pain. DIAGNOSIS Fractures around the proximal femur are relatively uncommon in young to middle-aged patients with a sharp increase in...
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Lisa Brittain, D.C., B.S.
tourette-syndrome-and-chiropractic-careTourette Syndrome and Chiropractic Care by Lisa Brittain, D.C., B.S.   History and Presenting Symptoms The patient is an 11-year-old male who was diagnosed at the age of four with Tourette syndrome. He has complex vocal and motor tics, which are made worse by stress. The tics affect his daily life; school, sports and his self esteem. The patient also notices he has...
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Rehabilition
Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
getting-hip-muscles-back-in-balance The hip muscles form a vital link in the lower extremity kinetic chain by transferring ground-reaction forces from the legs to the trunk during gait.  These muscle groups supply coordinated propulsion and provide balanced stability for the pelvis and spine.  However, through repetitive use patterns and after injuries, it is not unusual for some of these muscles to develop shortening...
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Stephen W. Boyles D.C,CKTI
chiropractic-and-elastic-therapeutic-taping-helping-a-young-athlete-finish-the-gameWe all employ a variety of techniques with our patients, and even with people we may not originally have thought of as patients. In almost 20 years as an educator and practicing DC, I have often been asked to share in unexpected areas. Kinesio Taping, or Elastic Therapeutic Taping, has been a valuable tool for me since 1999, and I...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
avoiding-rehab-overload-the-variablesOne of the underlying principles in physical rehabilitation is that the body responds positively to the increased stresses placed upon it.  This is the whole reason for asking muscles to lift more weight, for asking tendons to pull more tension, and for asking joints to undergo more movement.  We have a mechanism for developing and improving our physical capabilities when...
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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.
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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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
healthy-sleep-for-rehab-patientsPatients receiving rehab care for various chronic or acute neck problems often come across advertisements promoting special “neck support” pillows.  Cervical support pillows are recommended by many chiropractors, physiotherapists, and even surgeons.  In a 1998 comparison study of three types of bed pillows, the authors write, “From a patient’s perspective, neck support is an important part of a comprehensive physiotherapy...
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Techniques
Donald Epstein, DC
somato-respiratory-integration-exercises-to-relieve-stressA patient calls in the middle of your weekend feeling great distress about their experience under your care; what do you tell them?  You have a patient who seems to be so unresponsive to care, you feel lost.  You are looking for your practice members to take more responsibility for their health, wellness and healing processes.  If you have ever...
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Mark R. Payne, D.C.
protective-postures-part-1-Lot's of doctors don't incorporate postural rehab (or any other type of rehab for that matter)  into their care programs.  Possibly because postural chiropractic methods have been associated almost entirely with a particular technique in the past, many doctors view the concepts as somehow contradictory to what they do in their offices.  Strangely, many doctors  resistant to embracing postural rehab...
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Tedd Koren, D.C.
dont-limit-the-subluxationUsing different terminology, D.D. Palmer (chiropractic), A.T. Still (osteopathy) and Samuel Hahnemann (homeopathy) all recognized life as a triune of matter (physical), energy (emotion) and consciousness (intelligence) and viewed dis-ease as the result of disharmony amongst them. There is no purely physical or purely mental illness—all physical illness includes emotional symptoms and all emotional illness includes physical symptoms. Physical...
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Allan Gary Oolo Austin, D.C.
trigenics-myoneural-medicineAs a chiropractor, I have been focusing on the human nervous system and correction of related neuromusculoskeletal dysfunction for over twenty years. Although chiropractic adjustments constantly produce tremendous results, the holding elements and soft tissue components of the subluxation complex and biomechanical dysfunctions have been largely undervalued. Trigenics is a form of manual medicine that provides a solution to correcting...
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Allan Gary Oolo Austin, D.C.
an-advanced-method-for-treating-strokeRecently there has been much publicity surrounding the claims that neck manipulation by chiropractors can cause stroke or even death via cervical artery dissection.  This type of publicity has generated much concern for chiropractic patients and the general public.  Although, after carefully addressing the patient’s concern and informing them on the risk of neck manipulation (less than 1:500,000–1 million1), some...
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Rebecca S. Fischer, D.C.
the-qchiropracticq-headache Headache disorders account for about 120 million lost workdays per year in the United States, alone.  Controversy exists to explain the “mechanism” of all types of headaches, particularly cervicogenic headaches. Tension-type headaches account for 78% of all headaches and statistically this includes the so-called “cervicogenic headache”.  Because of the results we see in our offices treating headache, it seems most...
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