NewsFlashes
Cover Stories
David O'Bryon, ACC Executive Director
interview-with-david-s-obryon-executive-director-association-of-chiropractic-colleges David O’Bryon , J.D., LL.D (Hon), F.I.C.C., is founder and president of O’Bryon & Company. With more than thirty years of association and government experience, he has served organizations as an executive, consultant, and volunteer. His responsibilities have included policy formulation and implementation for associations; design and management of membership recruitment efforts; development and implementation of government relations strategies...
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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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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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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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TAC Staff
10-more-great-techniques-part-iiiHere is what you can find in this article:  Previous Techniques Featured Introduction by Donald Epstein, D.C. 10 More Great Techniques:   1) Advanced Muscle Palpaption 2) Blair Cervical Technique 3) Directional Non-Force Technique 4) The Graston Technique 5) Logan Basic Methods 6) Matrix Repatterning 7) Dr. Mally's Extremity Adjusting Technique 8) McTimoney Technique 9) Neuro Emotional...
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TAC Staff
chiropractic-06Doctor, for the first time ever!  A seminar just for YOU on Technique, Healing, & the Technologies that help validate them all! Now in one place, techniques and healing methods of all philosophies presented together! Finally! You decide for yourself which techniques truly are the best for you and your patients! There are over one hundred chiropractic techniques, not to mention all of...
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Interviews
Tim Emsky
turning-the-tablesEmsky founded CERT Health Sciences in 2001 after spending more than six years managing and operating back clinics that provided spinal decompression therapy. After his experience with these clinics and getting feedback from other doctors, Emsky saw a need for a table that improved patient comfort as well as accommodated a wider variety of patients. Emsky led a team of...
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Cory Littman, DC, DAAMLP
chiropractic-as-primary-care-for-the-spine-the-paradigm-has-changed-interview-with-william-owens-dc-daamlpDr. William Owens has been in practice for 15 years in Buffalo, New York.  He has  a practice that focuses on the care and triage of the traumatically injured.  Early on in his career, Dr. Owens had the opportunity to help build two hospital-based chiropractic clinics: one of which allowed chiropractors to become credentialed as medical staff as opposed to...
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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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George Curry, DC
helping-people-get-their-lives-backFor Dr. George Curry, chiropractic is truly a family affair.  “I graduated from Palmer College of Chiropractic in 1982, my stepfather graduated from Palmer in the 60's, my stepbrother in the 70’s and my nephew graduated in 2002.  The two oldest of my six children plan to enroll in chiropractic college in 2006 and 2008,” says Dr. Curry. This Connecticut-based...
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John K. Maltby, D.C.
meet-the-new-president-of-the-icaAfter the dust had settled and the ballots were tallied, on April 15, 2005, the International Chiropractors Association had elected a new president in a landslide vote.  Who is this doctor who inspired such an impressive mandate by the oldest national chiropractic organization in the world, and what is his vision for chiropractic?  Find out, in the following interview between...
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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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Nutrition
John H. Maher, D.C.
the-whey-to-enhancing-glutathione GLUTATHIONE is widely found in all forms of life nad plays an essential role in the health of organisms, particularly aerobic ones. In humans, animals, and plants, glutathione is the predominant non-protein sulfhydryl group and functions most especially as an antioxidant, keeping its own sulfhydryl (-SH) groups and related proteins in a reduced (non-oxidized) condition.1, 2 Though there are undoubtedly...
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John H. Maher, D.C.
baby-boomers-nutrition-a-superfood-solutionMost all of us who are baby boomers know of Jack LaLanne. Some of you who, like me, started paying attention to nutrition back in the 1960’s, probably know of other long lived icons of the mid twentieth century natural food movement, such as Paul Bragg, Bob Delmontique and even Dr. N. W. Walker of juicing fame. All have preached...
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TAC Staff: Nutritional Supplements
top-selling-nutritional-supplementsYou’ll find the Top Selling Nutritional Supplements from the chiropractic profession’s most respected nutrition companies featured right here! We asked all the nutrition companies to tell us what products they sell the most of to chiropractors and here’s what we got! ULTRA PREVENTATIVE® By Douglas Labs Best Multivitamin in the Chiropractic Marketplace In a recent independent comparison of over...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
super-sized-and-inflamedMovie producer/director Morgan Spurlock has been very helpful in illustrating the pro-inflammatory nature of our modern fast food eating habits. His documentary, entitled Supersize Me, has been airing on cable movie channels and is also available as a video/CD. If you have not seen Supersize Me, you need to see it now and waste no time about it…and then share...
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Dr. Howard F. Loomis, D.C.
the-five-stages-of-pregnancy-part-iiIn this, the second of a three-part series of articles, Dr. Howard Loomis discusses the five stages of pregnancy and their special nutritional requirements.  In the January/February issue of TAC, he focused on the first stage—conception.  This issue, he focuses on stages two, three, and four—the pregnancy itself. Stage Two: First Trimester Proper nutritional planning should be part of essential care before,...
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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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Orthotics
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.
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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TAC Staff
news-of-the-profession Chiropractic in Military Medicine Chiropractic services are offered at several United States military bases and veterans healthcare locations. An article in the June 2009 issue of the journal Military Medicine discusses, in an effort to increase awareness and improve interdisciplinary collaboration, when to refer patients for chiropractic care. The article titled "Chiropractic in US military and veterans’ health care" by Drs....
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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. Paul B. Bindell, D.C.
marketing-using-your-ehr-computer-system  Everyone knows that Electronic Health Record (EHR) systems are mandated under an assortment of Federal laws and Presidential edicts. Other than maintaining patient SOAP documentation and billing records, the better EHR programs include many marketing tools to build your practice and increase your income. How much income did your computer create for you? Is your computer program capable of doing more...
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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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Practice Management
Mark Sanna, D.C.
the-law-of-cause-and-effectThe Law of Cause and Effect states that everything happens for a reason. Every moment of activity or inactivity produces consequences. The conscious and unconscious choices you make cause corresponding effects in your life. The Law works the same for everyone, at all times. Distilled down to its simplest terms, the Law of Cause and Effect says that every outcome or...
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Kathy Mills Chang, MCS-P
what-do-insurance-companies-really-want-from-meDo you ever sit at your desk, look around at the stacks of requests, letters, and charts and ask yourself, “What do insurance companies really want from me, anyway?”  The volume of new regulations and rules are raining down at a fast and furious pace, and may feel like an out of control, runaway train.  We just master one new...
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TAC Staff
qaa-advice-from-the-expertsExpanding on Dr. Mark Sanna’s regularly featured Practice Management Tips, this issue we’re adding some bonus tips in celebration of our annual Practice Management issue! That’s right; we’ve asked twelve of the biggest names in chiropractic practice management to share some of their most frequently asked questions and their advice and insights for achieving success in practice and in life!...
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John Davila, D.C.
medicare-audits-becoming-more-common-in-deteriorating-economyMedicare Audits Becoming More Common in Deteriorating Economy by John Davila, D.C.   Recently, Iowa Senator Grass ley started looking into Medicare’s acknowledgment that the amount of money overpaid to Durable Medical Equipment (DME) providers, due to fraud and abuse, has increased by 44% in the past few years. You may ask, what does this have to do with...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
financial-management-for-officesLook beyond next year! This article begins our series on budgeting for your chiropractic practice. We’re starting now so it concludes this fall, when you can use it to develop your practice’s 2006 budget. So many chiropractors have no budget, no plan. We bill and hope to ...
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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.
osteolytic-metastatic-carcinomaOsteolytic Metastatic Carcinoma 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 adult male patient complains of back pain, especially at night, and it awakens him from sleeping. Diagnosis: Osteolytic metastatic carcinoma of the left L-3 pedicle and vertebral body. This is the "one-eyed pedicle" sign or the "winking owl sign" 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.
compression-fracturesHistory: This 60-year-old male patient presents with acute lower thoracic pain after a fall while skiing.  Axial flexion compression force occurred during this fall.  The radiographic examination demonstrates how many compression fractures?  Are these compression fractures benign or malignant? DISCUSSION Compression fractures of the lumbar spine are the result of a combination of truncal flexion and axial compression.  The extent of 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.
lumbar-spine-traumaCompression fractures are the most common fractures of the lumbar spine.  They result from combined flexion and axial compression.1,2  The most common segmental levels to develop compression fractures are T12-L1.3  The extent of the vertebral compression and degree of comminution are dependent upon the severity of the force applied and the relative strength of the vertebra.4  In children, they are...
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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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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
melorheostosis[Case History] This male patient has a history of multiple traumas to his humerus.  Are these radiopacities exuberant callous formation from hematoma? Diagnosis:  The answer is no!! This is a rare sclerotic skeletal dysplasia referred to as “MELORHEOSTOSIS”. General Considerations Melorheostosis is a rare, sclerosing bone dysplasia that was first described in 1922 by Leri and Joanny.  Synonyms include Leri type of osteopetrosis, osteosis...
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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.
partial-agenesis-of-the-c-1-posterior-archEmbryology—Ossification of the first cervical vertebra begins about the seventh fetal week at the lateral masses and proceeds perichondrally in a dorsal direction, creating the posterior arch of the atlas.  In the second year of life, a secondary growth center for the posterior tubercle develops between these neural arches.  Complete fusion of the posterior arch should be noted between the...
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Rehabilition
Dennis Woggon, BSc, DC
mix-fix-set-protocols-for-posture-rehab“Don’t slump, stand up straight!” How’s that working for you? Probably not very well, as I think back to how effective that was when I was a child. We talk about changing posture, but how can we permanently change it.   Posture is not a conscious decision but a subconscious relationship with our environment.  Posture can be defined as the body’s position to...
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Dr. Mark R. Payne D.C.
reverse-postureqUsed to spend a lot of time and effort on postural adjusting. These days...not so much! It's not by chance that my columns are always centered around postural rehab with rarely a word about postural adjusting methods. That's because I find rehab methods to be much more effective at actually producing spinal corrections than any...
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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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Dr. Kirk A. Lee, D.C., C.C.S.P.
establishing-a-care-plan-for-your-patientsThe use of rehabilitation procedures is becoming more of a mainstay within chiropractic health care. Core spinal musculature stabilizing exercises, proprioceptive training, as well as activities designed to enhance flexibility are currently being used to help support the chiropractic adjustment. Each of these methods has become a major point of interest to help a patient enhance his/her overall health...
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Randy Reed, D.C., F.I.C.C., F.A.C.C.
mckenzie-spinal-rehab-methods-in-the-chiropractic-officeThe doctors that have protocols which include movements or forces that decrease disc displacement which, in turn, cause pain to decrease, disappear, or centralize with a rapid increase of lumbar ROM, see their patients get better. These types of movements should be pursued with decompression, exercises, mobilizations, and manipulations. Doctors, who fail to recognize...
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Kirk Lee, D.C.
back-injuries-in-the-young-athleteBack injuries in adolescents are not very common, but add participation in athletics and you increase the opportunity of experiencing some form of low back pain. According to Micheli, back injuries of young athletes are a significant phenomenon, estimated to occur in 10 to 15 percent of participants1. The prevalence will vary, based on certain sports. In sports like gymnastics...
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Techniques
George Roth, D.C., N.D.
snoring-and-sleep-apnea-structural-implicationsThe uvula and soft pallet may come into partial or total contact on the back wall of the upper airway.  When the contact is partial or intermittent, snoring (a loud vibration of these soft tissues) may result.  The tongue may also drop posteriorly onto the back wall of the upper airway, coming into contact with the uvula and soft pallet,...
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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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Scott Walker, D.C. and Deborah Walker, D.C.
your-present-technique-works-better-than-you-think-it-does Today we have a lot of procedures and techniques available to help our patients. As chiropractors, we try to figure out what is the best approach for each of our patients and apply our skills to assist the body in its natural healing process. So, what is the best technique for your patients? The answer, of course, is...
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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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Tedd Koren, D.C.
the-sphenoid-pattern"Gentlemen, damn the sphenoid bone!" - Oliver Wendell Holmes (1809-1894), opening an anatomy lecture at Harvard Medical School I don’t know what Holmes was complaining about; perhaps he was frustrated at his inability to adjust the sphenoid (he was an MD after all). For most of my chiropractic career, I limited my practice to correcting spinal subluxations. While developing Koren Specific Technique (KST),...
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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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