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Cover Stories
Market Review
real-marketing-from-the-expertsReal Marketing from the Experts Michelle Geller Dr. C. J. Mertz MGV Marketing, Inc Team WLP William D. Esteb Dr. Mark Sanna Patient Media Breakthrough Coaching Dr.Daniel T. Drubin Dr. Timothy J. Gay ProPractice Partners Ultimate Practice Dr. Mark Studin Dr. Eric Plasker CMCS Management The Family Practice     We’ve gathered eight top experts in the Chiropractic field, just for you, to provide you with fundamental methods of marketing that can be integrated right now, on...
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Frederick Carrick, D.C.
neurology-a-chiropractic Frederick Robert Carrick, D.C., Ph.D., is the Distinguished Post Graduate Professor of Clinical Neurology at Logan University and is Parker College of Chiropractic’s Professor Emeritus of Neurology. He serves as the President of the American Chiropractic Association’s Council on Neurology and is the President of the American Board of Chiropractic Specialties of the American Chiropractic Association. Professor Carrick is...
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Parker Chiropractic College
parker-college-of-chiropractic After thirty-one years of Parker Seminars, experiencing exceptional growth and success, Dr. James Parker’s colleagues urged him to establish Parker College of Chiropractic. A group of twenty-seven students made a leap of faith in September 1982. They were the first students to enroll at Parker College of Chiropractic. Parker College’s curriculum—both basic and chiropractic—continues to be integrated with the...
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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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John L. Stump D.C., Ph.D., Ed.D.
stroke-a-different-perspectiveStroke…  A Different Perspective by John L. Stump D.C., Ph.D., Ed.D.   In May 1999, upon returning Sunday evening from one of his many trips, John Stump and his wife went out for dinner. Arriving home they decided to begin packing for the upcoming lecture he was scheduled to do in New Zealand. He glanced at the clock; it...
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Susan Blackard, R.N., N.D.C, M.H.A., F.N.P.C
whats-your-solution-the-real-skinny-on-our-obesity-epidemic-no-pun-intendedIs there any one contributor to chronic health conditions more prevalent and dangerous than obesity? National obesity rates among adults has doubled since 1980 alone, yet it seems to be overlooked and misunderstood more often than any other disease catalyst. The explosion of weight loss products and the plethora of theories behind weight gain have seemingly done nothing more than...
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Interviews
Steven Visentin, D.C.
marketing-machineMarketing Machine Interview with Steven Visentin, D.C.   The American Chiropractor recently heard about an e-book written by Dr. Steven Visentin (SV), Blow Your Head Off: Practice Building Secrets. Dr. Visentin graduated  from the National College of Chiropractic and decided to practice in  Denver, Colorado, for its excellent quality of life.  Unfortunately for him, many other chiropractors had the same idea and the...
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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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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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TAC Staff
changing-times-interview-with-gary-tarola-dc-dabcoDr. Tarola earned a BA degree from Marshall University, 1973 and was a Suma Cum Laude graduate of Palmer College of Chiropractic, 1976. He began private practice in Fogelsville, Lehigh Valley, Pa. in 1976. He obtained Diplomate status in Chiropractic Orthopedics in 1983. He was a post graduate faculty member of several chiropractic colleges. From the late 1980’s through 2005,...
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Todd Singleton, D.C.
one-doctors-solution-to-the-insurance-problemIncrease Your Practice by Expanding Your Focus from the 7% to 12% of Your Town Who Seek Chiropractic Care, to the 66% to 86% of Your Town Who Are Seeking This…   Todd Singleton, D.C., is an author, speaker, consultant and a practicing doctor.  He graduated from Los Angeles College of Chiropractic in 1990.  For many years he ran the largest...
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William H. Koch, DC interviews
interview-with-jeff-rockwell-dc-of-manual-neuroscience-methodsr-Dr. Jeff Rockwell, DC is a chiropractor, bodyworker and somatic educator, with a passionate interest in the neuroscience of manual therapy.  A pioneer in the use of instrumentation in neuromuscular therapy, Rockwell has been a popular teacher on the seminar circuit for the past twenty years. Professor of Clinical Sciences at Parker University for many years, he is the author...
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Nutrition
Charles C.DuBois
five-reasons-why-incorporating-nutrition-will-launch-your-success-plus-one-tip-on-getting-startedTommy Thompson, former United States Secretary of Health and Human Services, and current United States Senate candidate is enthusiastic about wellness and prevention.   “Seven out of 10 deaths are caused by chronic diseases, and more than 75 percent of health care costs are spent treating conditions that are preventable,” Thompson said during an event held at Standard Process Inc. last year....
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John Brimhall, DC
the-road-to-complete-wellnessDr. John Brimhall has been referred to as “The Father of Wellness Care in Chiropractic”.  The much-lettered Doctor began a stellar career, which has now spanned more than three decades, with a single degree, a cum laude Doctorate in Chiropractic from Palmer College of Chiropractic, in 1971. Since that time, he has become an author, lecturer, formulator of over 50...
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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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Ronald J. Grisanti, D.C.
nine-powerful-supplements-to-reverse-heart-disease Half of your patients are going to die of heart attacks and strokes; half your family members are going to die of heart attacks or strokes; you, if you can reduce yourself to a statistic for a moment, stand a 50 percent chance of dying of a heart attack or a stroke. Despite the "progress" of medical science over the...
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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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Lynn Toohey, Ph.D.
is-hormone-replacement-therapyDuring the third week in July of 2002, The Journal of the American Medical Association reported that a large scale clinical trial on hormone replacement therapy (HRT) had been halted five years into the study.1  Researchers at 40 clinics across the country had recruited 16,608 healthy volunteers, ages 59-79 (not at high risk for either heart problems OR breast cancer),...
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Orthotics
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. John Danchik, D.C., C.C.S.P., F.I.C.C.
high-arches-in-a-yoga-instructor History and Presenting Symptoms A 44-year-old female patient is a yoga instructor, who reports the recent onset of pain under her left heel. The foot pain is most noticeable in the morning when she first starts to walk. When her foot bothers her, she notices that her entire back is stiff and less flexible during yoga poses. In...
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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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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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
case-study-pedal-imbalance-with-associated-conditionsHistory and subjective complaints The patient has suffered from a postural imbalance most of her life, causing stress and strain to the pelvic and spinal areas.  The patient states that she has received chiropractic care “on and off” most of her life. As the patient has grown older, she has experienced more frequent and intense pain in her lower back, right leg,...
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TAC Staff
call-for-action-an-open-letter-to-the-chiropractic-profession Dear Chiropractic Colleague: This profession-wide "Open Letter" has been issued for a most urgent reason. Ignore it at your own peril Comprehensive and far-reaching "National Health Reform" legislation is rapidly moving forward in Congress. It is abundantly clear, that the legislation under consideration could substantially alter America’s health delivery system in dramatic and perhaps unexpected ways. Depending on the detailed legislative provisions that are...
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Practice Management
Ron Short, D.C., MCS-P
the-recovery-audit-contractor-and-what-it-means-to-youIn the last issue, I discussed the reasons behind the increased audits and reviews and the decreased fees. This issue, I will explain more about the recovery audit contractors and why they will be a problem for the foreseeable future.   In March of 2005, CMS started the Recovery Audit Contractor Demonstration Project. The project originally included three states (New York,...
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Williams Owens Jr., DC, DAAMLP, CPC
your-new-partner-for-success-the-local-family-practice-md-in-your-communityIt wasn’t until 1983 that the American Medical Association changed is stance on affiliation with chiropractors as being unethical.  That is not too long ago and it seems that, in some circles, the medical community is coming around faster than the chiropractic community; chiropractors are good at holding grudges.  The truth is, it is not about chiropractic, physical therapy or...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
maximize-your-income-and-minimize-your-effortMaximize Your Income and Minimize Your Effort by Dr. Eric Kaplan, D.C., F.I.A.M.A.   Why do some doctors (people) retire rich and some doctors (people) retire poor? This subject has fascinated philosophers, thinkers, mystics and teachers throughout the ages.     Reasons for Rich or Poor Why do some doctors (people) retire rich and some doctors (people) retire poor? This subject has fascinated philosophers,...
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tomowen
the-economy-the-boll-weevil-and-your-unexpected-prosperity  Talk to just about anyone, in any profession these days, and a similar theme weaves itself throughout the conversation; our nation’s poor economy has left few untouched. Many chiropractors have certainly felt the sting of this unfortunate downturn. We’ve had numerous conversations with several practicing chiropractors in recent months and no doubt, times are tough out there.  However, we’ve noticed...
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Mark Sanna, D.C.
be-aware-of-your-giftsThere are no guarantees in life. We all come into the world with our own unique personalities and gifts. Your purpose is to steer your path toward those channels that will enable you to most effectively express your gifts in a positive way. With an open mind, you can remain cognizant of the opportunities the world presents to you, and...
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Maurice A. Pisciottano, D.C.
creating-a-high-quality-imageIn today’s society, image is everything.  Public perception of a service or product can actually make or break a business.  Lets face it…chiropractic has had a less than positive public perception for over 100 years.  Do you ever contemplate your image?  What does the public perceive when they are introduced to you and to your practice?  What do they notice...
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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.
hangmans-fractureHistory This adult male patient was involved in a car accident.  He struck his head on the windshield and was then thrown into hyperextension. Discussion Hangman’s Fracture (Traumatic spondylolisthesis). Fractures of the neural arch of the axis are one of the most common injuries of the cervical spine. Up to 40% of axis fractures are hangman’s fractures.1  They are usually...
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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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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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Terry R. Yochum
what-is-the-vacuum-signby Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.   History:  An adult male patient with a long history of low back pain. Discussion:The vacuum sign (of Knutts en) is an important early radiographic finding.  Essentially, this represents collections of nitrogen gas in nuclear and annular fissures and  presents as an area of linear radiolucency in the disc space.1  ...
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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.
prostate-osteoblastic-metastasisHISTORY   This 60-year-old male patient presents with a history of prostate cancer with surgical removal. Note the metallic clips in the pelvic basin consistent with prostatectomy. There are multiple "snowball" areas of blastic metastasis scattered throughout the pelvis and proximal femora. This radiographic appearance is consistent with osteoblastic metastatic carcinoma from the prostate gland.     DISCUSSION   The sacrum and bones 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.
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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Rehabilition
Joseph Ventura D.C.
poor-posture-and-the-tweet-generationConsider the conclusions from two recent studies: “A significant linear trend for increasing sagittal plane postural translations of the head, thorax, pelvis, and knee was found in children age from 4 years to 12 years.”1   “Poor posture was diagnosed in 38.3% children, more frequently in boys. A significantly different occurrence of poor posture was found between 7-year-old and 11-year-old children (33.0% and...
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Edward G. Holtman, D.C.
all-tendinitis-is-basically-the-same-no-matter-the-locationEven though all health professionals realize that the most common cause of tendinitis is muscle over-use and/or abuse, few have concentrated sufficient and proper rehabilitative effort on the involved muscles. Also, the treatment of tendinitis in all areas of the body is fundamentally the same. Yes, the exercises vary, but the basic treatment principal is the same! Unfortunately, there is no one...
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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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Dr. Mark R. Payne, D.C.
managing-fhp-in-the-elderlyI recently got some great questions from a doctor in south Florida who frequently encounters aging patients with large forward head translations, yet have pronounced, sometimes even hyperlordotic, cervical curves. We've all observed this posture, common among elderly patients, but many doctors aren't aware it needs to be managed differently than the typical case of FHP associated with cervical hypolordosis. Typically,...
18440
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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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
achilles-tendon-rehab-proceduresMost injuries of the Achilles tendon are not due to a recent acute injury; they have actually developed gradually, over a period of weeks or months.  These are “overuse” or “misuse” conditions, and are caused by excessive and/or repetitive motion, often with poor biomechanics.  The end result is a microtrauma injury—the body is unable to keep up with the repair...
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Techniques
Scott Walker, D.C. and Deborah Walker, D.C.
our-three-brains-and-the-emotional-component-of-healthThree Brains? … Normally we think of the brain as singular! However, that concept changed when Neuroscientist Paul MacLean, Ph.D., identified three different parts of the brain: the Reptilian, Mammalian and Neocortex Brains. Each is distinctly unique and radically different from the other in chemistry, structure and behavior. MacLean describes the three brains saying, "Stated...
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Warren I. Hammer, DC, MS, DABCO
fascial-manipulationcfmModern myth has it that doctors in Europe are ahead of us in new methods of healing.  The truth of this may be dubious but it does underscore the importance of keeping abreast of healing advances in other countries as we strive to achieve the highest possible level in care for our patients.    Three years ago, I was invited to Italy...
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Allan Gary Oolo Austin, D.C.
the-olympic-experience-a-time-for-teamwork The Olympics are an experience one never forgets. They are a highlight in one’s life steeped in excitement and competition. Thousands of people from every country in the world conglomerate for two weeks, proudly waving or wearing the colors of their national flags. National pride runs high with the competitive spirit. I have had the good fortune of attending summer and...
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Tedd Koren, D.C.
adjusting-the-holographic-body-part-five-weight-loss-smoking-and-other-bad-habitsIf 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 The posture of subluxation (POS) is not limited to physical or...
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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.
health-a-hydrationWhy isn’t this patient holding her adjustment?” I wondered. Koren Specific Technique (KST) practitioners are happy to find that their patients hold their adjustments for longer periods and rarely return with the same subluxation pattern. That is why I was so startled to find a patient whose subluxations returned. Why wasn’t she holding her adjustment? Her chronic migraines had decreased only...
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