NewsFlashes
Cover Stories
TAC Staff
inspiring-millions-to-become-more-fulfilled-and-successfulInspiring Millions to Become More Fulfilled and Successful   Dr. John F. Demartini earned his Bachelor of Science degree while majoring in Biology and Biochemistry at the University of Houston in 1978 and was accepted at Texas Chiropractic College earlier that year. In 1982, Dr. Demartini acquired his Doctorate Degree and graduated Magna Cum Laude, as Salutatorian...
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Western Sciences Chiropractic College
western-states-chiropractic Being a successful chiropractor can mean different things to different people. Should success be based solely on the amount of income earned in a given year or the number of vacations taken in a lifetime? Is it determined by total income generated divided by hours worked and multiplied by vacations taken? At Western States, our students and alumni have...
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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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TAC Staff
products-a-software-to-help-you-work-with-insurance-to-get-paid Oftentimes, the tools used will determine the possibility for success in accomplishing any task. Making the right decision with regard to the documentation software, record keeping and other products you use will have a tremendous impact on the heights that your clinic may be able to reach. Use this market review to get to know some of your options.     Acom Product...
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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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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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Interviews
William Koch, D.C.
chiropractic-biophysics-technique-interview-with-deed-harrison-dc Dr. Don Harrison has been a tireless Chiropractic researcher and scientist for more than 35 years.  Originator of Chiropractic BiophysicsTechnique (CBP), Dr. Don conducted his research and reported his findings according to established scientific standards and protocols. His diligence and expertise have been rewarded by a high level of acceptance by the scientific community. Dr. Don’s outstanding career as a Chiropractor,...
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James Mathis
how-to-get-paidJames J. Mathis has been employed in the insurance industry for more than fifteen years.  Formerly with Allstate Insurance and State Farm Insurance, during that time, he was also a claim representative as well as a manager in charge of all Med-Pay claims and Personal Injury Protection claims in the State of Washington.  In addition, he was designated the company...
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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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Albert Stabile, DC
patient-needs-go-firstTAC:  How did you become involved in chiropractic, Dr. Stabile? Stabile:  I was injured in an automobile accident in 1964, and was having extreme lower back pain. One of my college friends, who was planning on attending chiropractic college, advised me to see the chiropractor that he was being treated by. I had been to numerous medical providers, including two orthopedists,...
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Terry Schroeder, D.C.
humble-dc-to-lead-team-usaIn 1900, men's water polo became the first team sport introduced at the modern Olympic Games. The rules of the game were different in Europe, so in the 1904 Olympic Games in St. Louis the Europeans refused to participate. As a result, the USA won the gold, silver and the bronze. Ironically, this is the only gold medal that the...
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Thomas G. E. DePuydt, M.D.
finding-common-grounds-and-goalsThomas DePuydt is an M.D. who specializes in Sports Medicine, and recognizes the importance of taking an integrated approach to treating musculoskeletal injuries. In an interview with The American Chiropractor (TAC), Dr. DePuydt discusses the “paradigm change” which he sees taking place in modern day medicine. TAC: Give our readers some background information about yourself. DePuydt: I grew up in Northern Michigan wanting to...
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Nutrition
Dr. Howard F. Loomis, D.C.
diet-and-diabetesMany chiropractors are searching for ways to ethically increase their patient loads and make clinical practice more rewarding professionally and financially.  Have you ever considered specializing in health care—preventing chronic degenerative conditions like diabetes before they can be recognized and measured quantitatively by medicine? “Sick care” is practiced by recognizing and characterizing disease conditions (diagnosis).  Once the diagnosis is pronounced,...
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Christopher Fuzy, M.S.,R.D.,L.D.
weight-loss-without-dieting-drugs-packaged-meals-a-new-years-resolution-incorporating-nutrition-counseling-into-your-practice-during-a-recessionAs a practicing clinical and sports nutritionist for 20 years, I am experiencing a substantial increase of patients from varied backgrounds seeking nutritional counseling. Individuals with a very basic nutritional understanding are coming in as a result of side effects from prescribed medications or abnormal lab results from a recent blood test and are being told by their doctor to...
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Dr. James B. Lavalle
recognizing-drug-induced-nutrient-depletion-in-chiropractic-practicePart 2 of a 2 part Series (cont. from part 1 in nov. 2009) Abstract:  Detrimental effects of drugs on nutrition status are a common occurrence but, because they usually occur over time (vs. what is considered an adverse event or allergic reaction, which occurs quickly), they are seldom recognized or corrected. Chiropractic treatment, however, takes place over a much longer...
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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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howardloomisjr
internal-health-a-chiropractic-specialty-sympathetic-dominance-parasympathetic-weaknessThis month, I begin a series of 24 articles each designed to highlight a set of symptoms that collectively point at a specific visceral problem that is perpetuating muscle contractions, loss of joint range of motion, and reoccurring structural misalignments that have become chronic and defy permanent correction. It is exactly these problems that cause patients to seek alternatives to...
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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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Orthotics
Kirk Lee, D.C.
understanding-the-mechanism-of-plantar-fascitisAs chiropractors, our primary focus of care is the chiropractic adjustment. Based on our education in science, art and philosophy, we decide how and where to apply the chiropractic adjustment. Our treatment of a patient’s condition is based on the reduction or stabilization of the resulting subluxation complexes. We listen to our patients’ concerns and answer their questions, but we...
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John Danchik, D.C.
the-aging-footHistory and Presenting Symptoms A 64-year-old female presents with recurring, unresolving episodes of moderate pain in her lower back and left knee.  She recalls no specific back or knee injuries, and states that these problems have developed over the past couple of years, getting more noticeable in the past six months.  On a 100mm Visual Analog Scale, she rates her...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
bunions-bother-a-businesswomanHistory and Presenting Symptoms The patient is a 44-year-old female, who is the regional sales representative for several lines of gift items and pottery. She reports frequent pain in her feet, worse on the right side. The aching pain is located around the base of her first toes, both of which have a noticeable bulge. This pain is now interfering with her visits to...
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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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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.
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
Tom Owen III, and Todd Osborne, D.C.
you-dont-know-what-you-dont-know We’ve never met a chiropractor who came out of Chiropractic College with the business wisdom that they needed. The average chiropractor or chiropractic student has spent anywhere from $150,000 to $200,000 to be educated in the philosophy, science, and art of chiropractic but, upon graduation, they still come out with little to no business education or experience. It’s not that...
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Dr. Steven J. Kraus, D.C., D.I.B.C.N., C.C.S.P., F.A.S.A.
healthcare-information-technology-the-key-to-unlocking-the-door-to-national-reformHealthcare Information Technology — The Key to Unlocking the Door to National Reform by Dr. Steven J. Kraus, D.C., D.I.B.C.N., C.C.S.P., F.A.S.A.   President Obama’s administration recently hosted forums on healthcare reform in cities across our country. I was fortunate to be included on the invitation list to the forum held in Des Moines, Iowa. The Iowa White House Forum...
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Bruce Parker, D.C.
moving-from-an-insurance-or-cash-practice-to-a-cash-like-practiceIf you have heard, “I can't afford it,” more than a few times from a patient, you may have, as a knee-jerk reaction, actually believed what you heard and begun to adopt financial policies in your practice to meet everybody’s limited financial status—like let’s make a deal, or unlimited care for a fixed fee, you pay...
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Maurice A. Pisciottano, D.C.
understanding-is-key-to-retentionPatient Retention in a chiropractic practice is defined as the number of times a patient visits your office for chiropractic care.  In order to increase your Patient Retention, you need to increase your patient’s level of understanding.  Patients will follow your recommendations for care if they have a high level of understanding about how your care is helping them.  Retention...
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Maurice A. Pisciottano, D.C.
the-importance-of-continuing-educationEven though all chiropractic doctorate degrees are earned through the stringent studies of chiropractic education, the actual license to practice chiropractic is another story. Nearly all chiropractors are governed by requirements for keeping the ability to practice their trade, if you will.  These requirements are not in place for the purpose of annoying the doctors, or for giving them a reason...
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Glen David
choose-your-space-wiselyWhen opening a new practice, selecting a facility that best suits your needs begins with a solid foundation. Now, more than ever, countless chiropractors are being misled by representations from their landlord or realtor that, if not carefully understood, could cost you tens of thousands of dollars.  Start with good questions and learn their language. A Different Language Landlords and Realtors have...
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Radiology
Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
pending-spondylolysis-andor-spondylolisthesis-whats-it-all-meanCase History This 18-year-old female gymnast is complaining of unilateral left-sided lumbar spine pain at the L5 level.  Standard plain film radiographs show no evidence of pathology, pars defects or spondylolisthesis.  Because this patient’s pain did not respond to conservative treatment, an MRI scan was performed for further evaluation.   Imaging Findings of this Patient Observe the area of bright (white) signal intensity seen...
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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.
heavy-metal-poisoning DISCUSSION The major metals involved in producing visible radiologic changes are lead, phosphorus, and bismuth. Of these, lead is the most frequent, but lead intoxication is still a rare skeletal disorder. Lead may be ingested, inhaled, or implanted. Clinical symptoms occur abruptly, with abdominal pain, encephalopathy, and paralysis. Radiologically, the most definitive signs are the linear, transverse densities at the...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
gout-versus-osteoarthritis-which-is-it Case History This 60-year-old male complains of sharp pain in the great toe. He has a family history of gout and is worried he has developed gout. What’s your diagnosis?   Diagnosis: Degenerative Osteoarthritis Of The Great Toe.   General Considerations Degenerative Osteoarthritis   Foot Of all forefoot articulations, the most commonly involved articulation is that of the first metatarsophalangeal joint. The radiographic signs are distinctive but, on...
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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.
idiopathic-wrist-pain History This young adult male patient complains of wrist pain after physical activity. Plain film radiographs showed no abnormalities of any of the bones of the wrist, nor was there any joint disease in the carpal bones. Because of persistent pain, an MRI scan was performed. Diagnosis: Kienbock's Disease  Osteonecrosis may occur at any carpal bone as a result of traumatic...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
dish-syndromeConsiderations Diffuse idiopathic skeletal hyperostosis (DISH) is a generalized spinal and extraspinal articular disorder that is characterized by ligamentous calcification and ossification.  The most prominent radiographic expressions of this disease are encountered in the spine involving predominantly the anterior longitudinal ligament.  It is a distinctive disease and does not represent ankylosing spondylitis or degenerative joint disease.  An incidence of 12% of...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
prostate-osteoblastic-metastasisHISTORY   This 60-year-old male patient presents with a history of prostate cancer with surgical removal. Note the metallic clips in the pelvic basin consistent with prostatectomy. There are multiple "snowball" areas of blastic metastasis scattered throughout the pelvis and proximal femora. This radiographic appearance is consistent with osteoblastic metastatic carcinoma from the prostate gland.     DISCUSSION   The sacrum and bones of...
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Rehabilition
Christian H. Reichardt, D.C., C.C.S.P.
effects-of-whole-body-vibration-on-posture-and-kinesthetic-perception Many patients who present themselves to the chiropractic office suffer from musculo-skeletal disorders. More and more research confirms what we know to be true from our own daily anecdotal knowledge. There is hardly a modality that works better for these conditions than chiropractic. Yet there are a number of modalities that can enhance the benefits of adjustments. One of these...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
rehab-made-simpleIf you’ve ever attended a Steve and Roger seminar you probably have heard the statement, “A trained monkey could do what Roger does,” and the follow up, “But there’s never a trained monkey around when you need one, Steve.” So, unless you have a trained monkey around, you may be interested in the simple way that we approach rehab. As...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
rehab-for-busy-schedulesThere have been various recommendations over the years in our profession about the recommended number of repetitions and sets of exercises that patients should perform.  To judge for yourself what numbers are best for those in your care, you need to consider several factors — not the least of which is the hectic, fast-paced lives many of your patients already...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
getting-the-rehab-job-doneA large percentage of patients don’t perform the home-based rehabilitative exercises that are recommended to them.1  Even though you spend precious time deciding which exercises will be helpful and explaining them to the patient, your experience has probably been the same as most chiropractors:  Too many patients just can’t seem to do their exercises.  And yet, you know that if...
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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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Jon Pettibon, DC
rehab-results-speak-for-themselvesWhat happens with your patients if you are no longer physically able to adjust them using manual manipulation on a short-term or long-term basis? After experiencing some major medical issues I found myself in just that position, asking the same question.   When I was able to return to my office, an infection had left my lumbar spine in such bad shape...
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Techniques
Ted Koren, D.C.
are-you-missing-an-important-subluxation Doctor: "You feel tired much of the time, don’t you?" Patient: "Yes, I feel exhausted all the time. How did you know?" Doctor: "Your femur heads are anterior. Most of your energy is being used to hold your body up." One of the most fascinating subluxations is of the femur heads. The femur head is ball-shaped and located at the top of...
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Tedd Koren, D.C.
why-are-dcs-so-sick Accidental Discovery I discovered Koren Specific Technique (KST) in the best tradition of empirical healthcare: by accident. D.D. Palmer had Harvey Lillard. I had a seven-foot-high piece of heavy laminated furniture. I was blindsided as it crashed down on me, almost cutting off most of three fingers. Luckily, my head was in the way or I would have lost my...
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Tedd Koren, D.C.
adjusting-the-holographic-body If the body is sick, the mind worries and the spirit grieves; if the mind is sick, the body and spirit will suffer from its confusion; if the spirit is sick, there will be no will to care for the body or mind. – J.R. Worsley     What happened to our connection? We are born destined to...
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George LeBeau, D.C.
effects-of-kinetic-resistance-mobilization-on-qfrozen-elbowq-syndrome-fesABSTRACT Introduction: This study presents an entirely new approach in the treatment of “Frozen Elbow” Syndrome (FES) using movement with resistance, Kinetic Resistance Mobilization (KRM). FES is described as a loss of normal Range of Motion (ROM) at the humeroulnar articulation. The attempted movements may or may not be associated with pain, weakness or parathesia; but, in the four cases presented...
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Charles L. Blum, DC
sacral-cup-treating-the-malposition-of-sacral-segments The Sacral Cup Test and adjustment can be an extremely important tool for the chiropractor because of its ability to help stabilize a chronic unstable sacroiliac (SI) joint, especially if it is slow to respond to traditional category two pelvic procedures. [Figure 1] In addition, it gives the doctor a tool to determine the presence of a complication in...
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Dr. Stephen Kaufman, D.C.
case-history-gall-bladder-attack-responds-instantly-to-chiropractic-care Marjorie was a 62 year old chiropractor’s wife who presented in my office with classic signs of acute cholecystitis- a gall bladder attack, along with the presence of gallstones. She had severe right-sided abdominal pain, radiating into her right shoulder, as well as excessive belching, nausea and bloating. She had been up most of the night. Examination revealed exquisite abdominal...
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