NewsFlashes
Cover Stories
Dr. Richard E. Busch, III, D.C.
success-enhanced-with-axial-decompression Dr. Richard E. Busch III, a second-generation chiropractor, has been in practice for almost eleven years. Busch Chiropractic is a cash-based, single practitioner, blended practice of standard quality chiropractic care, personal injury and pain center, focusing on chronic low-back and cervical disc cases that are facing invasive care, such as surgery, or have had previous failed surgeries. Many of Dr....
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TAC Staff
the-state-of-the-chiropractic-professionAs The American Chiropractor celebrates its 30 Year Anniversary, our panel of leaders look back on just how far the chiropractic profession has come and what lies ahead.     Dr. Louis Sportelli President of NCMIC Dr. Sportelli has served in many capacities throughout his 47-year career in chiropractic. He is currently serving as President of NCMIC Group ...
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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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TAC Staff
inspiring-millions-to-become-more-fulfilled-and-successfulInspiring Millions to Become More Fulfilled and Successful   Dr. John F. Demartini earned his Bachelor of Science degree while majoring in Biology and Biochemistry at the University of Houston in 1978 and was accepted at Texas Chiropractic College earlier that year. In 1982, Dr. Demartini acquired his Doctorate Degree and graduated Magna Cum Laude, as Salutatorian...
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Dr. Eric Plasker, D.C.
achieving-longevity-through-a-healthy-and-drugless-lifestyle    Through the family practice, dr. Eric plasker helps chiropractors grow their practice and become life-style leaders in their community Dr. Eric Plasker is a graduate of Life Chiropractic College and former owner of two highly successful family practices, where he practiced for 16 years. In 2000, he founded The Family Practice, a personal coaching company that offers marketing and patient...
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TAC Staff
the-landmark-victory-for-surface-emgIn January of 2005, David Marcarian and his company, PBI/MyoVision, defeated a group representing most of the major insurance companies and the State of Florida, who questioned the validity of surface EMG.  The case was appealed to the Superior Court of Florida, with an attempted appeal to the Supreme Court of Florida. Marcarian and MyoVision again prevailed with a unanimous...
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Interviews
Ken Krimpelbein, DC
empowering-patients-from-the-inside-outDr. Ken Krimpelbein, former high school physical education teacher and personal trainer, and a 1995 graduate of Cleveland Chiropractic College, is now the owner of a successful multidiscipline practice in Oak Creek, Wisconsin. He presently employs three chiropractors, a massage therapist, a registered dietician, five personal trainers and will soon have a physical therapist and a neurologist on staff. “Treat...
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Dr. Mitch Mally
million-dollar-chiropractic-featuring-dr-mitch-mallyEach 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. Mitch Mally, a 1981 graduate of Palmer College of Chiropractic who...
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James Mathis
how-to-get-paidJames J. Mathis has been employed in the insurance industry for more than fifteen years.  Formerly with Allstate Insurance and State Farm Insurance, during that time, he was also a claim representative as well as a manager in charge of all Med-Pay claims and Personal Injury Protection claims in the State of Washington.  In addition, he was designated the company...
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TAC Staff
president-of-david-singer-enterprises-interview-with-dr-david-singerDr. Singer received his undergraduate degree from Rutger’s University, his M.S. degree in nutrition from the University of Bridgeport, and his Doctorate from the New York College of Chiropractic. Graduating with honors as the salutatorian of his class, he was inducted into Phi Chi Omega, the International Chiropractic Honor Society.    In his first year of practice, Dr. Singer was seeing more...
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Kent Greenawalt
orthoticsTAC: Tell us a little bit about the history of Foot Levelers, Inc. Greenawalt:  Foot Levelers is the world’s largest custom-made Spinal Pelvic Stabilizer company.  We use the term Stabilizer instead of orthotic, because our products stabilize the pelvis and spine by correcting imbalances in the feet.  They are custom-made and scientifically designed to address the patient’s unique postural problems.  They...
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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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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
inflammation-and-diet-a-growing-concernThe January 1st issue of the New England Journal of Medicine (NEJM) contained an editorial entitled, “From asthma to atherosclerosis–5-lipoxygenase, leukotrienes, and inflammation.”  Inflammation is something we are all aware of, and I have written about in most of my TAC articles this past year.  What about 5-lipoxygenas and leukotrienes; what are they? Our cell membranes are made...
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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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Barry Sears, Ph.D.
understanding-eicosanoids-and-dietWhat is the Zone? The concept of maintaining drugs within a therapeutic zone is well known to physicians.  Below that therapeutic zone, the drug is ineffective, and above that therapeutic zone, the drug is toxic.  The same concept can be applied to the hormones generated by the food you eat.  There are two hormonal systems that are controlled by the...
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Dr. Rodger Murphree, D.C.
excuse-me-can-we-talk-about-poop-Not necessarily the Best Topic for a Cocktail Party, I agree. However, for over 40 million Americans who have been diagnosed with irritable bowel syndrome (IBS), bowel movements are an important topic. Some experts report that irritable bowel syndrome affects approximately 10–20 percent of the general population. Irritable bowel syndrome is characterized by a group of symptoms in which abdominal...
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Roger D. Deutsch
food-factors-and-athletic-performanceWant to improve athletic performance?  Find your personalized eating plan. Avoid the foods you do not tolerate.  FOOD INTOLERANCE IS A RAPIDLY INCREASING PROBLEM THAT DIFFERS FROM FOOD “ALLERGY” IN THAT SYMPTOMS ARE USUALLY CHRONIC AND DELAYED, PERHAPS BY SEVERAL HOURS OR EVEN DAYS.  HENCE THEY HAVE RECEIVED RELATIVELY LITTLE ATTENTION. NONETHELESS, KNOWING WHAT FOODS YOU DO NOT TOLERATE MAY BE...
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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. 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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johndanchik
back-surgery-averted-for-a-teenaged-boyHistory and Presenting SymptomsThe patient is a 13-year-old boy who was identified at a school screening to have a discrepancy in his shoulder heights. His parents were advised to contact an orthopedic surgeon for further evaluation. They reported that the orthopedist found evidence of a scoliosis, but recommended a “watch and wait” approach. No treatment was offered, but if the...
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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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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.
shin-splints-in-an-amateur-runnerHistory and Presenting Symptoms The patient is a 28-year-old graphic artist who has been running regularly for the past ten years.  She reports the recent onset and gradual worsening of pain in the front of her right lower leg, which is now limiting her physical activity routines.  The leg pain is described as an “aching soreness” that has been getting progressively...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
surgical-repair-kneeds-extra-care History and Presenting Symptoms The patient is a 49-year-old male who reports frequent aching and stiffness in his lower back. He denies any back injuries, but does relate an injury to his right knee that resulted in a full tear of his anterior cruciate ligament (ACL). Two years ago, he had a surgical reconstruction of the ACL using...
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Practice Management
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. 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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tomowen
how-to-develop-an-entrepreneurial-mindsetWhen you first envisioned yourself as a chiropractor, you were probably focused on the opportunity to help people who were suffering from pain. However, most chiropractors realize quickly that the lessons they learned in school aren't enough to gain success in the real world. Chiropractors also need business knowledge and entrepreneurial spirit if they hope to run their own practices.   Of...
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tomowen
small-business-strategy-4-vital-tips-for-successMuch hard work goes into beginning a new business, and we all know that blood, sweat, and tears are the primary ingredients for success.  However, it takes much more than that to establish a thriving business. In building your chiropractic business, many other factors also come into play. After many years of running a chiropractic business, my partners and I...
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Maurice A. Pisciottano, D.C.
create-your-future-use-of-an-effective-business-expansion-planning-calendarLet’s face the facts.  Although the average chiropractor does see an occasional “walk-in” new patient, this is more the exception than the rule.  We, as chiropractors, consider that there is a minimum number of new patients that we need to see each week in order to be satisfied that our practice will continue to grow at the expected rate. The...
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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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Radiology
andrewcheeseman
digital-x-rayThe technology used in conventional X-ray film is 100 years old. There are not many technologies that do not evolve and improve in 100 years, and the X-ray field is no different, although many doctors have not yet made the technology jump in this area. In the last 10 years alone, we have seen the development of affordable technology 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.
soft-tissue-neoplasm-or-hematomaSoft Tissue Neoplasm or Hematoma? by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.   History: This 25 year old female has recently noticed a palpable mass in the upper inner thigh. She doesn’t recall any fall but does ride her horse on a regular basis. Diagnosis: Post-traumatic myositis ossificans. Note the calcific mass near 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.
sacral-fracturesHistory This patient fell off a horse while competing in a high level equestrian event. The patient fell directly over the sacrum and experienced immediate severe localized pain in the sacral area. Discussion Sacral fractures usually occur as the result of a fall upon the buttocks or following a direct traumatic blow. There are two types: Horizontal and Vertical. Horizontal (transverse) Fractures These are 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.
multiple-myeloma HISTORY This 65-year-old female patient presents with acute symptoms of right-sided radiculopathy, paresthesia and pain in the right upper extremity. There has been no trauma. DIAGNOSIS Observe the gross osteoporosis about the entire cervical spine. There has been pathological collapse of the C5 vertebral body, which is uniform in configuration. This is very characteristic of a malignant...
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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. Alicia M. Yochum, D.C., R.N., B.S.N. 
fractures-of-the-pubis-and-ischium[Case History] This patient presents following severe trauma to the pelvic region after a motorcycle accident.   Diagnosis:  This patient has bilateral fractures of the superior and inferior pubic rami which has been referred to as a STRADDLE FRACTURE. Fortunately, this patient had no injury to the bladder, as bladder trauma is often present with fractures such as this. Of incidental notation is...
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Rehabilition
Roger R. Coleman, DC and Stephan J. Troyanovich, DC
one-simple-approach-to-exerciseIn our last article, we discussed a couple of different methods of cervical extension traction for the rehabilitation of cervical lordosis.  In this article, we will discuss extension exercise in the context of rehabilitation of cervical lordosis. Loss of cervical lordosis and loss of cervical motion have both been associated with cervicogenic headaches.1,2   Cervical extension traction and cervical extension exercises...
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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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Kirk Lee, D.C.
get-those-patients-walkingNow that we are in the middle of summer, many of our patients ask us about outdoor activities and what they should do and not do. We usually instruct our patients to warm up a little with some walking and some simple range of motion stretches involving the major muscle groups before starting their outdoor projects. For our more sedimentary...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
rehab-of-cad-injuryPeople who present with whiplash injuries (Cervical Acceleration-Deacceleration) often do not respond completely to care.  In fact, persisting symptoms are common in this group.1  One review found that “between 14% and 42% of patients with whiplash injuries have chronic neck pain and that approximately 10% of this group experience constant, severe pain.”2  In fact, there is over 50 years of...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
lack-of-spinal-movementFor every doctor of chiropractic, a factor for consideration in patient care is spinal motion.  Abnormal movement is one of the most frequent findings, whether in the form of, “Doc, I just can’t bend,” or  “There is a lack of normal motion on examination.” Or perhaps, “There is a fixation of C4.”  But, in whatever form it occurs, abnormal motion...
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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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Techniques
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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Dr. Stephen Kaufman, D.C.
case-history-gall-bladder-attack-responds-instantly-to-chiropractic-care Marjorie was a 62 year old chiropractor’s wife who presented in my office with classic signs of acute cholecystitis- a gall bladder attack, along with the presence of gallstones. She had severe right-sided abdominal pain, radiating into her right shoulder, as well as excessive belching, nausea and bloating. She had been up most of the night. Examination revealed exquisite abdominal...
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Tedd Koren, D.C.
medical-manipulation-or-chiropractic-adjustingChiropractic can be practiced either empirically or mechanistically. How could that be? Why is it important? Chiropractic’s approach to healthcare is similar to the empirical approach of classical homeopathy, classical osteopathy and other “holistic” healthcare systems. That approach, to balance or harmonize the individual within him/herself and to balance or harmonize the individual to his/her Source (soul, spirit, Tao, God), is...
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Sharon Pettibon
spinal-technicians-necessary-component-for-chiropractic-managementThe discussion of Chiropractic success and its varied components has been a major topic of discussion since I can remember. My first exposure was in 1972 when I was sent to Parker Seminars as conducted by Jimmy Parker, D.C. in Las Vegas. The first one I attended was at the old MGM Grand and Elvis was the headliner. The hairdos...
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TAC Staff
yes-there-really-are-10-more-great-techniques-4th-annual-editionTAC:  How do chiropractors generally pick the techniques that they perform? Roth:  Chiropractors and other health professionals are drawn to techniques and theories that will help them move to the next level.  As each practitioner evolves in skill and understanding, they naturally reach for higher ground.  And, as it has been said, “When the pupil is ready, the teacher appears.” ...
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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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