NewsFlashes
Cover Stories
Freddie Ulan, D.C.
nutrition-adding-value-to-a-chiropractic-practiceDr. Ulan earned his Doctor of Chiropractic degree at the Chiropractic Institute of New York, completing the 4500-hour, nine-semester program in thirty-six consecutive months. He graduated with honors in 1965. Ulan Nutritional Systems (UNS) is a training center where nutritionally-oriented practitioners gather to learn, and attain mastery of the clinical and practice management techniques Dr. Ulan used in building his highly...
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Dr. Eric Plasker, D.C.
fitness-and-chiropractic-a-critical-niche-for-your-practice-and-the-chiropractic-profession The fitness and nutrition industries are poised to take a leadership role in health care. They have all the research that demonstrates their role in achieving optimum health and prevention of sickness and disease. These elements of a healthy lifestyle are being sought after by the public who are trying to decipher between the good and the bad, the real...
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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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National University of Health Sciences (NUHS)
innovative-educationNational University of Health Sciences (NUHS) prides itself on providing students with the most complete academic and professional education for a career in the health sciences. For over 100 years, the university has led the chiropractic profession with academic excellence, dynamic faculty members and innovative leadership. Integrative Medicine Since 2000, when National changed from The National College...
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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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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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Interviews
Tedd Koren, D.C.
challenge-check-and-correct-the-entire-structural-systemTedd Koren, D.C., is certainly one of the most widely read Doctors of Chiropractic today. Through Koren Publications, over 50 million of his popular patient education brochures have been distributed. His monthly patient and professional newsletters are among the most popular in the profession. He is the author of Chiropractic: Bringing Out the Best in You!, Chiropractic Wellness:  Health from...
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William H. Koch, DC interviews
interview-with-jeff-rockwell-dc-of-manual-neuroscience-methodsr-Dr. Jeff Rockwell, DC is a chiropractor, bodyworker and somatic educator, with a passionate interest in the neuroscience of manual therapy.  A pioneer in the use of instrumentation in neuromuscular therapy, Rockwell has been a popular teacher on the seminar circuit for the past twenty years. Professor of Clinical Sciences at Parker University for many years, he is the author...
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Dr. Paul Pugsley
million-dollar-chiropractic-interview-with-dr-paul-pugsleyOriginally from upstate New York, Dr. Paul Pugsley moved to California during grade school. After meeting his wife, Marilou, in undergraduate college, the couple decided to attend chiropractic school in Atlanta, Georgia, at Life Chiropractic College. In their last year at Life, Paul and Marilou had their first of five children. After graduating, Dr. Pugsley and family moved back to...
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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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Joe Mershon
chiropractors-on-tv-national-tv-campaign The fastest way to affect public opinion is through television.  Shows like CBS’ Two and a Half Men, in which one of the lead characters is a chiropractor, show that the profession has, indeed, entered the mainstream of American culture… albeit with a less than ideal portrayal of a chiropractor, it’s a start.   So how do you use this mega-tool to...
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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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Nutrition
Ellen Cutler, D.C.
how-enzymes-can-help-you-eliminate-mood-swings We tend to think of mood swings as emotional responses to the situations we encounter as we move through our lives. Most people do not realize, however, that what we feel emotionally is largely driven by what’s going on physically. Everyone has heard the saying, “The mind influences the body,” but the opposite is every bit as true. The body...
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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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Dr. Richard Drucker, B.S., M.S., N.D., Ph.D.
the-gift-of-naturally-prolonged-healthy-and-sustained-lifeWhat took Mother Nature thousands of years to create, recent humanity has taken for granted and has selfishly destroyed. In the last 75 years, modern U.S. economic agricultural practices have nearly eradicated all of the naturally occurring organically (carbon containing) complexed trace minerals, poly-electrolytes and metalo-enzymes from our diet. Two-time Nobel prize winner and renowned scientist Linus Pauling categorically stated...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
are-you-qcorn-oiledq-and-chronically-inflamedIs corn a vegetable, seed, or grain? I am not exactly sure. In her excellent text, Know Your Fats, Dr. Mary Enig (lipid chemist) tells us that whole corn is an herbaceous plant.1  In The Paleodiet, Dr. Loren Cordain places corn in the cereal grain category, and urges us to avoid the consumption of corn.2 Cordain is currently a professor...
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Barry Sears, Ph.D.
metabolic-syndrome-inflammation-and-the-aging-processMuch of anti-aging medicine is currently focused on hormonal replacement, especially those hormones that decrease with aging. However, relatively little attention is placed on reducing the levels of hormones that increase with aging.  In particular, the hormones associated with increased systemic inflammation are elevated levels of insulin and eicosanoids. The primary cause of the rise of these hormones is due to...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
omega-3-fat-confusion-and-the-beginning-of-a-krill-oil-krazePharmaceutical grade fish oil…NOT Misinformation abounds when it comes to fish oil, such as that created by marketers of “pharmaceutical grade” fish oil, a recent buzzword. Readers should be aware that there is no such thing as pharmaceutical grade fish oil. This is a term created by a nutritional supplement supplier. Nutrition companies are notorious for marketing very basic and common...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
hip-pain-in-a-soccer-starHistory and Presenting Symptoms The patient is a 14-year-old soccer player who reports frequent pain in her right hip and posterior thigh region for the past several months.  This is most noticeable the day after a strenuous soccer competition or scrimmage when she has obvious tightness and tension in the back of her upper right thigh.  She denies any specific injury...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
to-stabilize-lumbar-fixations History and Presenting Symptoms A 56 year-old female describes a history of numerous episodes of lower back pain and disability. She reports that she has previously had physical therapy and chiropractic care, and has been evaluated by an orthopedic surgeon. None of the prior treatments has provided any long-term relief, since her low back pain returns, in spite of treatments and...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
heel-pain-in-a-cross-country-runner History and Presenting Symptoms A 21-year-old female cross-country runner presents with pain around her right heel that extends into the underside of her large toe, and is limiting her running. The pain has been present for about six weeks and has not responded to her use of stretching, ice and ibuprofen. She has also noticed that her altered gait is...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
increased-running-increases-pain History and Presenting Symptoms A 33-year-old female presents with ongoing pain and discomfort in her left lower leg, which responds only temporarily to anti-inflammatory medications. She has been running regularly for the past six months, but develops left leg pain whenever she tries to increase her mileage. She ices her leg for fifteen minutes after each run, and...
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Dr. Paul B. Bindell, D.C.
audit-proof-your-practice The curse is that insurance companies use computers to burden and audit you. The blessing is greater because the computer protects you from audits, minimizes paperwork and eliminates 95% of paper filing.   Doctors praise Electronic Health Record (EHR) computers. When audited, those doctors produced high quality SOAP records that matched the bills. The only loss was a small amount of...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
high-arches-in-a-yoga-instructor History and Presenting Symptoms A 44-year-old female patient is a yoga instructor, who reports the recent onset of pain under her left heel. The foot pain is most noticeable in the morning when she first starts to walk. When her foot bothers her, she notices that her entire back is stiff and less flexible during yoga poses. In...
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Practice Management
Ron Short, D.C., MCS-P
the-recovery-audit-contractor-and-what-it-means-to-youIn the last issue, I discussed the reasons behind the increased audits and reviews and the decreased fees. This issue, I will explain more about the recovery audit contractors and why they will be a problem for the foreseeable future.   In March of 2005, CMS started the Recovery Audit Contractor Demonstration Project. The project originally included three states (New York,...
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Fred Di Domenico, D.C.
staff-your-most-valuable-asset When assessing the assets of your practice, your staff should be your most coveted element. Nothing can make or break your practice like your staff. A well-trained, happy staff propels your practice to new heights. An unhappy, unmotivated staff is a "ball and chain" that will doom your every good intention. You cannot outperform a bad staff. If your...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
8-ways-to-avoid-malpractice-suitsIt’s 3 A.M., and you’re wide-awake, awash in a cold sweat after another dream that you’re on the witness stand being cross-examined for medical malpractice. You lie there, knowing that you’ve got to do something about these recurring nightmares, but aren’t sure how to proceed. Begin by taking a hard look at how you collect information about your patients and how...
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TAC Staff
the-practice-youve-always-wantedWe’ve headed into a new year and, with that, we’re offering some great advice from the experts! We’ve asked ten of them to answer what they feel are the most important questions to help you advance your practice. From focusing in on who you are as a doctor to over-all advice to the entire profession, these experts have the answers...
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Gerard Hinley, D.C.
the-future-of-chiropractic-personality-driven-practice-or-process-driven-business As chiropractors, we all strive to accomplish bigger and better things throughout our careers. One of the dilemmas is how can I best grow the practice? To answer this, many DC’s think the only way to accomplish this is to emulate other successful doctors in the field. We study what they say, their mannerisms, personalities and simply try to "be them."...
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Peter Fernandez, D.C.
how-to-choose-a-hot-state-in-which-to-practice-starting-a-new-practice-viii I’m sure some of the readers will wonder why this author is discussing states in which to practice. Why not skip this step and go directly to helping you determine a good practice location within a town or city? The answer is simple. Some states have excellent practice and insurance laws that support and encourage the practice of chiropractic. These...
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Radiology
Jean Pierre Gibeault, P: eng.
rasterstereography-radiation-free-technology-for-the-analysis-of-the-spine-and-pelvisRasterstereography: Radiation - Free Technology for the Analysis of the Spine and Pelvis by Jean Pierre Gibeault, P: eng.   RECENTLY IN THE LITERATURE: In a recent study, researchers demonstrated an excellent correlation between X-ray measurements and measurements made with rasterstereography (Schulte 2008). Schulte, et al., produced rasterstereographs and compared them to digitized A-P radiographs of the same 16...
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Jeff Cronk, DC
using-x-ray-digitization-to-enhance-your-credibility-and-quality-of-careThe theory behind evidenced based practice is scientific knowledge gathered through good research. Clinical examination procedures can lead to clinical consensus and standardization with regard to diagnosis, decision making and treatment guidelines. X-ray digitation fits into this model, since it is a clinically accurate way to objectively assess spinal stability and spinal motion segment integrity loss. Two or more doctors can...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
erosive-osteoarthritisHistory: This female patient complains of pain at the base of her thumb. An X-ray reveals what? Diagnosis: Observe the sclerosis and osteophytes at the base of the first metacarpal, which represents erosive osteoarthritis. Of incidental notation is congenital fusion of the capitate and the hamate (carpal coalition). EROSIVE OSTEOARTHRITIS General considerations: This is a distinctive clinical and radiographic variant of degenerative...
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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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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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Paul Sherman, D.C.
a-case-of-radish Discussion:     RA/DISH is a disorder involving two conditions: rheumatoid arthritis (RA) and diffuse idiopathic skeletal hyperostosis (DISH), which is also known as Forestiers disease or ankylosing hyperostosis.1,3,5 RA is considered the most common inflammatory arthritide.1 It is a systemic connective tissue disorder that primarily affects the synovial lined joints.1 It is characterized by an inflammatory, hyperplastic...
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Rehabilition
Dr. Mark R. Payne, D.C.
managing-fhp-in-the-elderlyI recently got some great questions from a doctor in south Florida who frequently encounters aging patients with large forward head translations, yet have pronounced, sometimes even hyperlordotic, cervical curves. We've all observed this posture, common among elderly patients, but many doctors aren't aware it needs to be managed differently than the typical case of FHP associated with cervical hypolordosis. Typically,...
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Kirk Lee, D.C.
is-it-osteoarthritisIs It Osteoarthritis? by Kirk Lee, D.C.   “Abnormal movement patterns and too much early resistance will aggravate the joints”   How often do you hear from a patient, “I would exercise, but it hurts!”? Let’s look at a case study which will be very familiar to you.  Mrs. Bones is a 56-year-old female who has a history of on-and-off left hip pain and bilateral knee pain,...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
achilles-tendon-rehab-proceduresMost injuries of the Achilles tendon are not due to a recent acute injury; they have actually developed gradually, over a period of weeks or months.  These are “overuse” or “misuse” conditions, and are caused by excessive and/or repetitive motion, often with poor biomechanics.  The end result is a microtrauma injury—the body is unable to keep up with the repair...
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Joseph Ventura D.C.
poor-posture-and-the-tweet-generationConsider the conclusions from two recent studies: “A significant linear trend for increasing sagittal plane postural translations of the head, thorax, pelvis, and knee was found in children age from 4 years to 12 years.”1   “Poor posture was diagnosed in 38.3% children, more frequently in boys. A significantly different occurrence of poor posture was found between 7-year-old and 11-year-old children (33.0% and...
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Dr. Stephen Kaufman, D.C.
how-to-use-spinal-nerves-to-turn-off-pain-instantly Before I became a chiro-practor, I read many books about chiropractic. My limited understanding (a fantasy, really) was that chiropractors put some kind of secret pressure on spinal nerves that turned off pain instantly. After going to dozens of chiropractors and practicing for many years, I realized that this was, indeed, a hopeless fantasy. I never saw anything that...
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Mark R. Payne D.C.
science-posture-and-personal-injuryScience, Posture and Personal Injury by Dr. Mark R. Payne D.C.   Personal injury patients inevitably present with a unique set of challenges. From a clinical standpoint they are often in more acute, severe pain. Pre existing conditions are extremely commonm and need to be taken into account. Finally, there will almost always be real and legitimate concerns related...
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Techniques
Tedd Koren, D.C.
fix-allergies-with-chiropracticYour immune system works to keep you 100% natural, organic, unadulterated, you! It recognizes and destroys bacteria, viri, pollutants, dust, pollen, drugs, tumors, debris and artificial substances (metal and plastic, however, don’t trigger an immune reaction). Many things influence how well your immune system functions: your nervous system, endocrine system, diet, genes and emotions.1-3 Allergens...
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Marshall Dickholtz, Sr., D.C.
what-is-a-totally-balanced-spine-what-every-chiropractor-and-chiropractic-researcher-should-knowTo start with, an imbalanced spine is because an atlas subluxation is affecting the brain stem. This affects the muscle balancing mechanism in the central reticular formation. As a result, it produces spastic muscles on one side of the body, more than the other side, and produces a distorted pelvis and a contracted ilium. It also...
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James Fung, DC; Phillip McAllister, DC; Allan Oolo Austin, DC
trigenicsr-myoneural-medicine-a-neurological-treatment-systemDefined, Trigenics® Myoneural Medicine is an energetic sensorimotor restoration system. It incorporates a neurologically-based, multimodal methodology for local or full-body assessment and treatment.  Simplistically, it restores optimum brain and body communication and is directed at treating the causative, aberrant neurology of neuromusculoskeletal dysfunction. Aberrant histology (adhesions) and arthrokinetic osteology (subluxations) are then far more effectively treated using soft tissue myofascial...
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Lisa Upledger, D.C.
craniosacral-therapy-releases-hold-on-subluxationsThis gentle hands-on method of working with the craniosacral system, has helped thousands of practitioners effectively remedy a wide range of medical problems associated with pain and dysfunction. You, too, can learn how to enhance the body’s natural healing process. Like most chiropractors, I spent many years focused on the subluxation factor. Ironically, it wasn’t until I began practicing a different hands-on...
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Robert C. Gordon, D.C.
clinically-justifying-mua-in-the-field-of-pain-managementFrom a clinical standpoint, MUA has never been questioned as an alternative to correcting fixated articulation, and shortened muscles. But, as a procedure performed by the chiropractic profession, it is questioned constantly. Manipulation Under Anesthesia or medication-assisted manipulation has long been used by the orthopedic, and osteopathic professions to correct joint fixation. Chiropractic physicians started using this technique in the late 80’s as...
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Dr. Mitch Mally
case-study-rotator-cuff-impingement-syndromeHistory and Subjective Complaints: A 24-year-old professional/international circuit tennis player presents with a right shoulder injury, 6 months post U.S. Open. Objective Findings: Decreased right shoulder flexion, abduction and external rotation. X-Ray: Absent 8-10 mm subacromial space, laterally rotated vertebral border of the right scapula, antetilted glenoid labrum. Diagnosis: Protracted laterally antetilted right scapula causing rotator cuff impingement syndrome. Treatment: Specialized manipulative decompression of involved protracted/antetilted right scapula, medial-inferior...
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