NewsFlashes
Cover Stories
Richard R. Shaker, D.C., R.T.P., C.P.T.I., C.C.S.P., A.C.R.B., C.S.C.S.
chiropractic-in-the-nflFor four seasons in the NFL, after having suffered a chest injury while playing my rookie year, I had not been able to breathe properly. I also had severe pain in my chest and rib cage. Previous to Dr. Shaker, I had seen every medical specialist, including other chiropractors—no one could help me. I was struggling to survive in...
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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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Jeffrey Slocum, D.C.
interview-with-jeffrey-slocum-dcDr. Slocum graduated from Logan College of Chiropractic in April 1993. He has been the owner of his practice for over fourteen years. Dr. Slocum is a fourth generation chiropractor and has focused on developing a family wellness based practice that uses state of the art technology and focuses extensively on staff development. Dr. Slocum...
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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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TAC Staff
a-man-with-insightHe was a popular, charismatic high school student. A national AAU karate champion. An inexperienced, undersized member of the school’s wrestling team. How did Dr. Patrick Gentempo Jr. become one of the most influential minds in today’s chiropractic world? Well, being undersized and inexperienced may have actually helped. “I injured my neck in a wrestling practice and my mom took...
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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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Interviews
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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George Michalopoulos, D.C.
million-dollar-chiropractic-features-dr-george-michalopoulosEach article in the MILLION DOLLAR CHIROPRACTIC series () focuses on the top surveyed issues facing chiropractors today.  Recruiting new patients, retention, profitability, marketing and staffing are each a determining factor in the growth, potential and success of the practice. The subject of this issue’s profile is Dr. George Michalopoulos an extremely successful chiropractor who has practiced in Illinois,...
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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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Dr. Tim Weir
million-dollar-chiropractic-interview-with-tim-weirEach article in the MILLION DOLLAR CHIROPRACTIC series (M$C) focuses on the top surveyed issues facing chiropractors today.  Recruiting new patients, retention, profitability, marketing and staffing are each a determining factor in the growth, potential and success of the practice. The subject of this issue’s profile is Dr. Timothy Weir an extremely successful chiropractor who has practiced in North Carolina,...
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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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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
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
syndrome-x-and-c-reactive-proteinSyndrome X is most easily viewed as a Pre-Diabetic State,as it is characterized by hyperinsulinemia and hyperglycemia. Syndrome X can initially exist without symptoms and, as it progresses, symptoms such as fatigue can develop, which are considered a “normal” part of aging, rather than the outcome of a pathological state. Metabolic features of syndrome X:1   1. Increased production...
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Leonid Ber, MD
resolving-vitamin-b12-deficiency-using-oral-supplementationNew research validates high dose methylcobalamin lozenge regimen Vitamin B12 (often referred to as cobalamin) is an essential nutrient that can only be  obtained from diet or supplements. Its main function in the body is to assist in the synthesis of DNA. As a result, quickly dividing cells such as red blood cells are among the most frequently affected by cobalamin...
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Dr. Dan Murphy, D.C.
nutrient-intake-and-plasma-beta-amyloid-neurologyColumnist Review by Dr. Dan Murphy, D.C.    Y. Gu, PhD, N. Schupf, PhD, S.A. Cosentino, PhD, J.A. Luchsinger,MD, N. Scarmeas, MD: From the Department of Neurology and Department of Medicine, Columbia University, New YorkKey Points From This Study: An important pathological hallmark of Alzheimer’s disease (AD) is B-amyloid (AB) peptide (mainly AB40 and AB42) deposition in the brain, resulting in formation of...
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Dr. Howard F. Loomis, D.C.
chiropractic-and-prescription-drug-use-restless-leg-syndromeAn important part of every case history, and even ongoing case notes, should be knowledge of the patient’s prescription and over-the-counter drug use. This has always been important because drugs mask symptoms and physical findings that are important in making an accurate assessment of the need for chiropractic care. However, at the dawn of the 21st century, prescription drug abuse...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
battling-the-bulge-is-a-war-against-inflammationIn the Beginning… As a youth, I was one of the many who could not gain weight if he tried. My goal was to gain lean mass; however, I couldn’t even gain body fat back in the high school days. I was very skinny, and being so light was not helpful for my efforts to play baseball and basketball in high...
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Dr. Howard F. Loomis, D.C.
the-five-stages-of-pregnancy-part-iiiLactation and Depression Once the joyous day arrives and the healthy and happy baby has been delivered, it is time to address the postpartum nutritional requirements for both the mother and the baby. The American Academy of Pediatrics has long advocated the use of breast milk as the primary food source for full-term infants.  In 1997, this advisory was extended...
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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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
a-non-surgical-approach-to-chronic-knee-painHistory and Presenting Symptoms The patient is a 41-year-old male, who describes persistent pain and occasional stiffness in his left knee, which is not associated with any specific activity.  He reports several years of recurring episodes of medial knee pain that just comes and goes, with no swelling or inflammation.  Previous evaluations, including a knee MRI, have resulted in a diagnosis...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
plantar-fascitis-and-orthotic-supportThe classic presentation of plantar fascitis is “a sharp heel pain that radiates along the bottom of the inside of the foot.  The pain is often worse when getting out of bed in the morning.”1  This can occur in runners or other athletes who repetitively land on the foot.  Another susceptible group is middle-aged persons who have spent much time...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
morning-heel-painHistory and Presenting Symptoms The patient is a 56-year-old male who reports severe pain on the bottom of his right foot when he begins to walk in the morning.  He also notices pain under his right heel when he has been standing for a long time (greater than one-half hour).  Over-the-counter pain medications help somewhat; but his condition does not seem...
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johndanchik
lower-extremity-aging-concernsHistory and Presenting Symptoms A 60-year-old female presents with recurring episodes of moderate pain in her lower back and right knee. As a full-time waitress/cashier, she spends almost half her workday on her feet. She recalls no specific back or knee injuries, and states that these problems have developed over the past couple of years and have been more noticeable in...
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johndanchik
joint-pains-bother-fitness-seekerHistory and Presenting Symptoms This female patient is a 51-year-old small business owner and exercise enthusiast.  She reports pain in the front of her left knee over the past several months, especially when exercising at the gym.  She has no obvious swelling or discoloration and denies any specific injury.  She reports that she takes over-the-counter medication for relief, but is worried...
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Practice Management
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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Marc Swerdlick, D.C.
powerful-positioningYour practice is just that—YOUR PRACTICE. as straightforward and simplistic as that statement may be, many chiropractors promote their practice in a rather generic, almost "vanillalike" manner. Their outdoor sign just above their clinic reads CHIROPRACTOR, their walls are covered with posters that include photographs of a family holding hands while walking down the beach,...
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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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Paul S. Inselman, D.C.
how-to-end-a-roller-coaster-practiceThe January 5, 2012 CNN Money article “Doctors are Going Broke” stated, “most doctors in private practice have experienced a 10 percent to 15 percent profit leak which can lead to significant losses in their bank account.” Since 2008, the majority of chiropractic practices are down an estimated 25% or more. Unfortunately, the news gets worse. Higher gas prices and...
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Peter G. Fernandez, D.C.
finding-a-great-associateship  In my previous articles, I described the types of associateships that are, and are not, successful.  Now that you know the type of associateship you should look for—here’s how to find that “needle-in-a-haystack associateship from Heaven.” A potential associate should search for an established doctor who is earning $500,000 or more per year.  Do not associate with a doctor practicing below...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
how-do-you-avoid-an-on-site-privacy-rule-investigation-cooperateRing.… Ring! You answer the phone and an investigator with Health and Human Services’ (HHS) Office for Civil Rights (OCR) is on the horn. What you say and do during this phone call could mean the difference between a slap on the wrist and a visit from the OCR’s investigators. First: Answer All Correspondence ASAP: In cases for which OCR suspects an...
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Radiology
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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
osteoarthritis-of-the-handDegenerative Joint Disease (DJD) General considerations: • Non-inflammatory degeneration of joint cartilage with secondary effects on adjacent bone. • The most common form of arthritis. • Synonyms include osteoarthritis. Clinical Features: • Pain, stiffness, crepitus, deformity and swelling, with normal laboratory studies. • Three types identified:  Primary, secondary and erosive. Primary: Unknown cause, 5th-6th decade, females 10-1, weight-bearing joints. Secondary: Known cause, 2nd-6th decade, equal sex distribution, any joint. Erosive osteoarthritis (EOA):...
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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
whiplash-injury History This patient was in a motor vehicle accident and hyper-extended her neck. A fracture was seen–where is it?   Introduction Fractures of the spinal column are found most commonly at C1-C2, C5-C7, and T12-L2. There has been a significant rise in spinal fractures and spinal cord injuries that appears attributable to an increase in automobile accidents and sports activities.1 Approximately 20% of spinal...
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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.
multiple-myeloma HISTORY   This 60-year-old male patient presents with head and spinal pain. DIAGNOSIS   Note the diffuse osteolytic "punched-out" lesions affecting the bony calvarium which has been called the "raindrop skull" of multiple myeloma.   DISCUSSION Osteolytic Defects. The radiologic hallmark of multiple myeloma is the sharply circumscribed osteolytic defect. These radiolucent lesions have been historically...
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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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Rehabilition
Stephen W. Boyles D.C,CKTI
chiropractic-and-elastic-therapeutic-taping-helping-a-young-athlete-finish-the-gameWe all employ a variety of techniques with our patients, and even with people we may not originally have thought of as patients. In almost 20 years as an educator and practicing DC, I have often been asked to share in unexpected areas. Kinesio Taping, or Elastic Therapeutic Taping, has been a valuable tool for me since 1999, and I...
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Jay Kennedy, D.C.
active-therapeutic-movement-atm-therapy-in-a-chiropractic-clinicFor the past five years I have been a consultant for one of the largest rehab medical companies in the USA in charge of co-developing their flagship decompression table. Being in this position, I was also called upon by them to evaluate other company products. As such, a few years ago I was introduced to a new and dynamic rehabilitation...
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Dr. Mark R. Payne, D.C.
dueling-paradigms-why-every-chiropractor-should-embrace-postural-rehabilitation-concepts The seventies and eighties brought huge changes to chiropractic. In the early years, chiropractic was founded around a paradigm of restoring normal spinal alignment (structure), thereby allowing the patient to return to a more optimum state of health (function). Many more traditional chiropractors continue to view patient care strictly within this "structural" paradigm. Consider this from the International Chiropractors...
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Dwight Whynot, D.C.
to-rehab-or-not-to-rehab If you are not performing rehabilitation in your clinic right now, you should consider doing rehab in the near future because it is these types of CPT® codes that are getting doctors paid better by the insurance companies. The insurance companies pay better because the patients not only get better faster, but the patients stay better longer.     Table 1—Case Management...
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Dr. Mark R. Payne, D.C.
patient-safety-and-extension-traction So far, we’ve discussed a couple of different variations on extension traction methods for restoring the cervical lordosis. Before we move on, let me just say a few words regarding patient safety and extension traction procedures. CAUTION: Extension traction procedures aren’t for everyone. There I said it. Of course, I’ve been saying it constantly for the past twenty years...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
joint-rehab-and-exercise-tubingCurrent research describes the advantage of early, progressive rehabilitation exercise for many types of joint conditions.1-6  These benefits include: restoration of range of motion; decreased pain and swelling; decreased neural inhibition; quicker return of muscle function; and improved performance in sports and all daily activities.  Some studies even speculate that early rehabilitation programs may reduce the number of joint re-injuries.7-9 Contemporary...
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Techniques
Tim Maggs, D.C.
the-structural-fingerprint-exam-bill-rodgers-marathon-runnerIn the past ten years, I’ve received many emails from injured athletes.  Injuries are part of all athletes’ lives but, when the injury prevents them from participation, they get crazy. Except one:  Bill Rodgers, the famed marathoner who’s finished first four times each in both the Boston Marathon and the New York Marathon.  He’s run fifty-eight marathons, and, to this...
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Tedd Koren, D.C.
adjusting-the-holographic-body-part-three-locating-and-correcting-emotional-subluxationsIf 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 Posture of subluxation (POS) In Parts one and two we discussed how some...
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Paul Yanick, Ph.D.
the-quantum-repatterning-technique-The Quantum Repatterning Technique™ (QRT) provides specific tools for identifying precisely what is taking place in the weakened or disordered physiology associated with unresponsiveness of the immune and endocrine systems.  In the chiropractic profession, it is recognized that all disease originates with a disturbance in the flow of innate communication.  When innate is inhibited or blocked, there are reactions that...
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Paul Yanick, Ph.D.
breakthrough-pre-adjustment-technique-to-fully-activate-innate-and-de-stress-the-bodyCan you imagine having a fuller understanding of why adjustments hold or don’t hold and a more accurate description of why innate’s powerful influence on healing in the organism may be inhibited? The key to unlocking multiple channels of innate intelligence is related to adrenal gland physiology and the body’s ability to store, maintain and balance coherent energy. Yin and Yang...
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George Roth, D.C., N.D.
the-promise-of-matrix-repatterningAt six years of age, she had fallen twenty feet out of a ski lift.  Typical of this feisty lady, she had landed on her feet.  Unfortunately, her tiny body could not support the force of her landing.  Her legs and pelvis were smashed and this little girl would begin a new life, one that would see her endure numerous...
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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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