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Cover Stories
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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Jay Kennedy, DC Michael Schneider, DC., PH.D David Seaman, D.C.
herniated-discs-and-conservative-treatments    Dr. Kennedy is a graduate of Palmer College and has been in both private and MD/DC practices in Berlin, PA, for over 23 years. He is a leading authority in North America on decompression and rehabilitation procedures and has successfully treated tens of thousands of patients. He has pioneered decompression therapy technique since 1993. Dr....
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Dennis Woggon, DC, B.Sc.
straight-answers-on-curved-spinesDennis Woggon grew up in Onalaska, Wisconsin—a small town just outside of La Crosse—and attended Wisconsin State University in La Crosse. Dr. Fred Barge, a pioneer in chiropractic and scoliosis, was his field doctor. Dr. Woggon graduated cum laude from Palmer College of Chiropractic in 1974 and has a Bachelor of Science degree in biology. He...
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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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TAC Staff
calendar-of-conventions-and-seminarsSeminars!  We know that you’re interested in furthering your education and keeping on top of everything that happens in chiropractic, whether to fulfill your CE credits or simply to keep learning.  To assist you in planning ahead, this directory is designed to provide you with a list of upcoming seminars in order of general topic—national and international association and organization...
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Christopher Kent, DC
a-man-of-many-hats Chiropractic Leadership Alliance’s versatile Co-Founder is one the most influential minds that the profession has ever known—and the perfect choice to lead the Wellness Revolution: the kind that would make him one of the most important chiropractic figures of his generation. A Man of Many Hats, Christopher Kent is a Doctor, a Lawyer, an Author, a Researcher, an...
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Interviews
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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Dr. Steve Querio
million-dollar-chiropractic-interview-with-dr-steve-querioDr. Steve Querio's M$C Profile PERSONAL: Married to wife, Lisa for 5 years and has 3 children; Nikki, age 10; Luke, age 3; and Emily, age 1 1/2. Recreation and Leisure:  I enjoy spending time with my kids.  I also enjoy traveling and watching Green Bay Packer football.  Professional Affiliations: Wisconsin Chiropractic Assn., American Chiropractic Assn., Green Bay Chamber of...
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TAC Staff
some-perspective-on-soft-tissue-interview-with-warren-hammer-dcDr. Warren Hammer has been in practice for 50 years. He graduated from Brooklyn College (BA) in 1955, Lincoln Chiropractic (DC) in 1960; Diplomate, American Board of Chiropractic Orthopedists in 1975; instructor in spinal biomechanics, NYCC; University of Bridgeport (Human Biology-Nutrition, MS) 1979. He is a consultant for Graston Technique©. He attended seminars at Gonstead Clinic (20 X), Cyriax, Nimmo...
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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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TAC Staff
the-amazing-chiropractor-series-interview-with-terry-schroeder-dcDr. Terry Schroeder is the USA’s only four time Olympian in the sport of water polo.  He was a member of Team USA during the Olympic boycott in 1980.  After the boycott, Terry re-focused and dedicated himself to pursuing his Olympic dream. In 1981, he was named the team captain. His leadership helped the team to consecutive silver medals in...
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TAC Staff
leading-care-through-innovation-and-passionDr. Kevin Jardine graduated from Canadian Memorial Chiropractic College in 2002 and has been in practice for just over a decade. Dr. Jardine comes from a background in exercise science from the University of New Brunswick.    Dr. Jardine is the co-creator of SpiderTech which has become a globally recognized brand delivering kinesiology taping products and education. On top of providing the...
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Nutrition
Mark Sanna, D.C.
the-new-lifestyle-chiropractic-exercise-nutrition-a-wellnessPhysical Activity and Good Nutrition It’s a sad fact that chronic disease accounts for seven of every ten U.S.  deaths, and for more than 60% of medical care expenditures.  The prolonged illness and disability associated with many chronic diseases decrease quality of life for millions of Americans.  The chiropractic profession long has taken the stance that, with proper intervention and education,...
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howardloomisjr
internal-health-a-chiropractic-specialty-the-lower-extremitiespart-iii  This article is the conclusion of a series on the short leg syndrome. Previously, I have discussed the importance of proper alignment of the hip, knee, and ankle joints to each other.  This month, we move into the pelvis and summarize the role of proper lower extremity mechanics on walking and maintaining proper spinal alignment.  Prone hip extension to verify pelvic...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
popular-topic-inflammationMost of my columns revolve around discussing how inflammation promotes most diseases, and how we can reduce inflammation with nutrition. Some docs find this subject confusing, as they believe that inflammation equals healing. Indeed, inflammation is needed for healing after injury; however, chronic inflammation is a driver of most diseases. DC's need to be aware of this fact because patients are...
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Lynn Toohey, D.C.
detoxificationWe all know that detoxifying is good for us, but how do you choose a good protocol to follow?  When we remove toxins that have built up over years, it is just as important to consider things we DON’T do as well as the things we DO. A good detox program (there are thousands out there) should be written by...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
an-apple-a-day-can-be-a-key-to-the-nutritional-adjustmentPatients are always looking for something that is easy to do when it comes to their health. So, eating more fruits and vegetables can be challenging for many; however, transitioning to a healthy diet can begin with something as simple as eating an apple every day. The old adage, “An apple a day keeps the doctor away,” is still quite...
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Barry Sears, Ph.D.
why-cholesterol-has-very-little-to-do-with-heart-attacks-and-why-silent-inflammation-does One of the best ways to live a longer and better life is to reduce your likelihood of dying from heart disease. If we could eliminate heart disease tomorrow, the average life expectancy of every American would increase by an estimated ten years. Although mortality from heart disease has decreased due to medical advances, the incidence of heart disease...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
runner-for-the-cure-develops-heel-painHistory and Presenting Symptoms A 25-year-old female presents with pain around her right ankle and heel. The pain has been present for about three weeks and gets worse upon weightbearing activity. She also relates running about six times per week for five miles a day, in preparation for her first half-marathon run in support of breast cancer...
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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.
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. 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. Mark Studin DC, FASBE, DAAPM, DAAMLP
chiropractic-a-profession-in-dire-need-of-unification In 1989, as an 8 year practitioner, I was angry at the state of politics in New York. Not being one to be idle, I was determined to right the ship, so a group of five professionals got together and had a decision to make. Should we infiltrate the current state organization and "right the ship," or should we create...
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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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Practice Management
Mark Sanna, D.C.
believing-is-seeingHow is life going for you? Are you satisfied? Are the results of your efforts worth the price you are paying? We all face these questions at one time or another. It’s normal to ask them, because they are driven by the images of scarcity we see daily. Everyone doesn’t live in poverty; yet, everyday, we see pictures of scarcity and...
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Peter Fernandez, D.C.
the-associateships-from-hell Five Types of Associateships To Avoid…and Why. Becoming an associate doctor is not a demeaning career move. Trying to open a new practice when you or your finances are not ready…is. Being an associate should be an honorable, rewarding and learning experience. You will hit net profit your first week in practice (your paycheck), you will...
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Dr. Richard E. Busch, III, D.C.
how-to-systematize-your-staff Whether you are a seasoned veteran doctor or just setting up shop, one thing is certain: you didn’t spend all those years in school to do administrative and office work. That is why you have a support team. You should be the doctor—free to practice and not tied up in the details. Where do you start, what do you...
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Maurice A. Pisciottano, D.C.
marketing-for-growthNew Patients are the lifeblood of any chiropractic practice.  New patients are critical for your expansion.  An important factor to consider when talking about expansion is the quality of care you offer your existing patients.  The primary reason to treat patients is to better their health.  By focusing on the health of your current patients and following some simple acquisition...
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Mark Sanna, D.C.
take-responsibility-for-your-lifeThink for a minute. When your relationship with your significant other hits a rocky patch, do you say he or she’s to blame? If you have a bad day at work, is it because you have a “lousy boss” or your co-workers are “slackers?” If everything that happens in your life is someone else’s fault, you may be caught in...
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Peter Fernandez, DC
an-associateship-that-worksThe Tandem Associateship, Two Doctors Successfully Treating The Same Patients. In the previous article of this, “How To Start A Practice” series, I discussed the “Associateships from Hell.” Unfortunately, most starting doctors get trapped in bad associate arrangements like ...
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Radiology
Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
an-occult-lesion-of-the-calcaneusHISTORY This active adolescent athlete sprained his foot while playing tennis.  Radiographs revealed a large radiolucent lesion in the calcaneus.  What is this? DIAGNOSIS:  SIMPLE BONE CYST The geographic lytic expansile lesion in the floor of the calcaneus is well circumscribed and has all the characteristic appearances of a benign lesion.  Benign lytic lesions of the calcaneus are most commonly simple bone cysts...
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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
thoracic-spine-compression-fractures CASE HISTORY This 70-year old female lost her balance and stepped off the curb and experienced severe lower thoracic pain. DIAGNOSIS Observe the compression fractures of the T7, T8 and T9 vertebral bodies. Note the osteoporosis which contributed to the weakening of the vertebrae allowing these fractures to occur with minimal trauma. GENERAL CONSIDERATIONS   Radiographic Signs of Vertebral Compression Fracture....
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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.
vertebra-plana-what-is-the-real-cause History This 12-year-old male patient presents with neck pain, following heading a soccer ball. Discussion Eosinophilic granuloma is the least severe but most common (60-80%) of all the histiocytoses.1,2 Peak incidence comes between the ages of 5 and 10 years and 75% of cases occur in individuals less than 20 years of age. Symptoms primarily are localized pain and swelling of less than...
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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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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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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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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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Dr. Kirk A. Lee, D.C.
are-knee-injuries-really-knee-injuriesAre Knee Injuries Really Knee Injuries? by Dr. Kirk A. Lee, D.C., C.C.S.P.   We see patients in our offices daily with arthritic knees—sometimes bilateral, other times affecting only one leg. Some patients can point to an old football injury or car accident as the probable cause. But, frequently, they cannot tell us why their knee hurts, only that...
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John K. Hyland, D.C.
avoid-rehab-overloadMost of us know that exercises are an important key to full recovery of spinal function. Unfortunately, I have found that the more knowledgeable doctors are in rehab procedures, the more likely they are to overwhelm their patients with exercises. The result is frequently a long laundry-list of exercises given to each patient. This often includes stretches for all of...
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Dr. Stephen Kaufman, D.C.
can-trigger-points-be-turned-off-in-seconds-using-neurological-reflexesOne day, as i was working out with weights, i lifted a dumbbell over my head. The weight was heavier than I could handle. As I extended my arm, my triceps completely gave out; the weight plummeted toward the table. By using too heavy a weight, I had triggered the clasp knife reflex1,4 on my triceps. I had turned the...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
case-report-lumbar-disc-lesion-with-altered-lordosisIntroduction In our last article, we presented the history of lumbar traction for normalization of the lumbar lordosis in chiropractic.  In this article, we will present a case report of a patient with a herniated lumbar intervertebral disc, who had been referred to us by a medical neurologist. Case report Figure 1A demonstrates the pre-treatment lateral lumbar radiograph of a 28-year-old female travel...
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Techniques
Tedd Koren, D.C.
head-banging-thumb-sucking-kst-and-chiropracticHead banging has been reported in 3.3 to 15.2 percent of "normal" children,2 but is more common in children with cerebral palsy, mental retardation, schizophrenia, autism, otitis media, teething, decreased visual acuity and certain genetic syndromes.3 The medical approach The medical profession considers head banging a relatively harmless way of releasing tension: "If the sound...
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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. Eric Kaplan, D.C., F.I.A.M.A.
the-quiet-mouse-gets-no-cheeseAre you a man or a mouse?  You were tops in your class out of chiropractic college, read every report on new techniques and technology and are the Leonardo DaVinci of the examination room.  BUT, it doesn’t matter; for, all your expertise, golden hands and charming mannerisms are not assets in a wanting waiting room.  You need patients in order...
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Warren Hammer, D.C.
the-benefits-of-instrument-assisted-soft-tissue-mobilizationExperts agree that a crucial component of healing is soft-tissue treatment. Indeed, since the works of British orthopedist James Cyriax, clinicians have routinely employed cross-friction massage as a means of breaking up the web of adhesions and restrictions that normally form after injury. However, it is my contention that our profession is insufficiently informed about the advantages of soft-tissue methods...
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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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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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