NewsFlashes
Cover Stories
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
calendar-of-conventions-and-seminarsSeminars!  We know that you’re interested in furthering your education and keeping on top of everything that happens in chiropractic, whether to fulfill your CE credits or simply to keep learning.  To assist you in planning ahead, this directory is designed to provide you with a list of upcoming seminars in order of general topic—national and international association and organization...
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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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John L. Stump D.C., Ph.D., Ed.D.
how-to-build-a-sports-health-care-practice Preface In business, “toke wa karinary” is the Japanese term for “time is money.” The Japanese feel that maximizing these two factors is the key to the success of any endeavor,1 especially the sports health care practice. Many doctors, when they get out of...
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David Chapman-Smith
the-international-growth-of-chiropracticWhat’s ahead for chiropractic? In the following interview with The American Chiropractor (TAC), David Chapman-Smith and Sira Borges, D.C., discuss the rapid growth of chiropractic in Latin America and worldwide. TAC: What are the roles of the WFC and FLAQ?Chapman-Smith:  Details of the WFC, whose voting members are national associations of chiropractors in eighty-six countries, including both the American...
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Palmer Chiropractic College (PCC)
the-palmer-academic-health-center The new, three-story building taking shape on the Palmer College of Chiropractic campus in Davenport, Iowa, is impressive from the outside, but it’s what will happen on the inside that has administrators, faculty and students buzzing on Palmer’s main campus, The Fountainhead of the chiropractic profession. The Palmer College of Chiropractic Academic Health Center will be a unique feature...
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Interviews
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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Dr. Steven Windwer
million-dollar-chiropractic-interview-with-dr-steven-windwer-dc Originally from New York, Dr. Steven M. Windwer, began working as a physical therapist the Boston area before moving back to Long Island and attending New York in Chiropractic College. He has played competitive basketball and soccer and now is the official chiropractor at Northeastern University, where he works with the athletic trainers and cares for athletes in all sports.   ...
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Kent Greenawalt
united-we-stand-strongerKent S. Greenawalt, President and CEO of Foot Levelers, Inc., in Roanoke, Virginia, has, for years, helped revolutionize chiropractic care by developing and patenting many chiropractic products for everyday patient use. Now he has embarked on a new project to unite the profession in an effort to change the public’s perception of chiropractic care, once and for all. Kent Greenawalt founded the...
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Rob Cooper
office-supplies-a-suppliersThe American Chiropractor (TAC), interviews Rob Cooper, President of Scrip, Inc., about his company's efforts to "give back" to the chiropractic profession. TAC: Tell us a little bit about the history of Scrip, Inc. Cooper:  I am just entering my 12th year with Scrip Chiropractic Supply, although Scrip has been serving the needs of doctors of chiropractic since 1968.  I know I...
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TAC Staff
structural-correction-tim-maggs-dc-discusses-the-most-ignored-demographic-the-student-athleteDr. Tim Maggs is the current Director of Sports Biomechanics at Christian Brothers Academy in Albany, New York.  He will provide his Structural Management® Program to their highly successful athletic department. This is the first time a chiropractor has had such an influential role in Christian Brothers Academy middle or high school athletic department.  Dr. Maggs is in his 35th...
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Nutrition
Dr. Stephen Kaufman, D.C.
should-chiropractors-treat-intestinal-problems Can Pain Due to Intestinal Disorders Be Stopped in Minutes with a Simple Soft Tissue Technique? Inflammatory bowel disease, irritable bowel syndrome, and other intestinal disorders often respond extremely well to a combination of soft tissue techniques and nutritional supplementation. Various studies show between one person in one hundred to one thousand in North America will experience ulcerative colitis...
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Christopher Fuzy, M.S., R.D., L.D.
the-future-of-chiropractic-services-in-america-My New Year’s Resolution—Is Now the Time to Build or Elevate My Practice with Nutrition? A Clinical Nutritionist’s ExpectationA majority of your patients committed themselves to a health related New Year’s Resolution on January 1st. Studies show they will implement a nutrition or exercise program in the next 3 months as a result of their desire to improve their health. Are...
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Dr. Howard F. Loomis, D.C.
the-five-stages-of-pregnancy-part-iNutritional planning during pregnancy is pretty straightforward, isn’t it?  An extensive amount of literature has been written about the topic.  The problem is that it is broad, overwhelming, and, frankly, a bit boring.  For this reason, many of the solutions to pregnancy-related problems go untreated and often unnoticed. This is a topic that will affect many of your adult patients. ...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
nutritional-adjustment-with-coenzyme-q10Myopathology is considered by  most, if not all, chiropractors to be a component of subluxation.  This is a reasonable view, as degenerative changes are known to occur in muscle after injury, during hypomobile states, and as part of the so-called normal aging process.  Most will recall that muscles, and all other cells for that matter, function properly as a consequence...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
an-apple-a-day-can-be-a-key-to-the-nutritional-adjustmentPatients are always looking for something that is easy to do when it comes to their health. So, eating more fruits and vegetables can be challenging for many; however, transitioning to a healthy diet can begin with something as simple as eating an apple every day. The old adage, “An apple a day keeps the doctor away,” is still quite...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
the-supplements-i-take-and-whyNutritional supplements have been around for a long time. For example, the two oldest companies that currently service our profession are Anabolic Laboratories and Standard Process. Each was family owned some 80 years ago and they remain that way today. As a child, some 35 years ago, I walked into a health food store for the first time. Supplements and various...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
groin-strains History and Presenting Symptoms A 45-year-old male presents with occasional, moderate pain in his left hip and groin. He has been evaluated for hernia and arthritis, with no definitive diagnosis and no successful treatment. Physical therapy with various modalities and exercises felt good, but didn’t resolve his problem. He says that he has noticed these symptoms for at least the past...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
chronic-facet-syndromeHistory and Presenting Symptoms A 46-year-old female presents with recurrent, sharp pain in her low back.  These episodes usually resolve within a few days, but she is concerned that they are becoming more frequent.  Using a Visual Analog Scale, she describes the usual pain level in her lower back as around 35mm.  She doesn’t recall any injury to her back, and...
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John Danchik, D.C.
the-aging-footHistory and Presenting Symptoms A 64-year-old female presents with recurring, unresolving episodes of moderate pain in her lower back and left knee.  She recalls no specific back or knee injuries, and states that these problems have developed over the past couple of years, getting more noticeable in the past six months.  On a 100mm Visual Analog Scale, she rates her...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
increased-running-increases-pain History and Presenting Symptoms A 33-year-old female presents with ongoing pain and discomfort in her left lower leg, which responds only temporarily to anti-inflammatory medications. She has been running regularly for the past six months, but develops left leg pain whenever she tries to increase her mileage. She ices her leg for fifteen minutes after each run, and...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
metatarsal-stress-fractureHistory and Presenting Symptoms The patient is a 32 year-old personnel manager who has taken up running for stress reduction and weight control. She has been running for six months, and has been progressively increasing her mileage. She is experiencing recurring and worsening pain in her right foot, also increased low-back tightness. She recalls no specific injury to her foot or...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
adult-flatfeet-and-orthotic-support Flatfoot (the absence of a medial longitudinal foot arch) is normally found during early human growth and development.  During childhood, we all start out with little or no arch.  Some people, however, never develop normal feet arches.  This situation differs from the collapse of normal arches due to excessive loading and eventual plastic deformation.  Are “normally” flattened feet a clinical...
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Practice Management
Michael Failla, D.C.
frustrated-with-bad-tech-supportFrustrated with Bad Tech Support by Dr. Michael Failla, D.C.   After years of having to deal with the customer service departments of insurance companies, most doctors and their staffs have grown numb from having to navigate through a series of "Press 1 for this," or "Press 2 for that" computer animated call centers. Collectively, we are all tired...
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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. Miles Bodzin, D.C.
design-your-own-drip-education-system I always say it is better to keep a patient for lifetime than it is to keep getting new ones. This is one of the techniques I have used for nearly fifteen years, to build a practice full of 300+visit patients. After all, if you are really seeing people for lifetime wellness care, you should have tons of people with...
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tomowen
what-does-it-take-to-succeed-as-an-entrepreneurMaking the decision to open your own chiropractic practice can be both exciting and terrifying. First of all, congratulations on your decision to branch out from the comfort zone you have enjoyed while working for someone else's practice. Taking a leap into the unknown by becoming your own boss is risky, but that risk is an essential ingredient in your...
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tomowen
five-ways-to-manage-clinics-that-have-several-employeesIt is important to be proactive rather than reactive when addressing potential problems within your practice that occur when more than two or three people work in your clinic.   The greatest asset in a chiropractic practice is the staff. Unlike other assets, staffing is a dynamic resource in terms of productivity. The need to create the right operating environment for high...
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Peter G. Fernandez, D.C.
murphys-law-2-when-starting-a-practice“Murphy's Law” is an old adage that is typically stated as: "Anything that can go wrong will go wrong". When you start a new practice you’ll experience many examples of Murphy's Laws. I’ve opened over 3,000 new practices. Just when I think I’ve heard them all, a new twist on Murphy’s Law comes along. Here are a few of my...
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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.
vertebra-plana-what-is-the-real-cause History This 12-year-old male patient presents with neck pain, following heading a soccer ball. Discussion Eosinophilic granuloma is the least severe but most common (60-80%) of all the histiocytoses.1,2 Peak incidence comes between the ages of 5 and 10 years and 75% of cases occur in individuals less than 20 years of age. Symptoms primarily are localized pain and swelling of less than...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
sacral-fracturesCase History:  This male patient was working on the roof of his garage when he slipped and fell 12 feet to the concrete pavement of his driveway.  He has sharp pain over his proximal sacrum. Does he have a fracture? Diagnosis:  Note the fracture through the anterior surface of the second sacral segment creating an acute offset of its anterior cortical...
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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
pending-spondylolysis-andor-spondylolisthesis-whats-it-all-meanCase History This 18-year-old female gymnast is complaining of unilateral left-sided lumbar spine pain at the L5 level.  Standard plain film radiographs show no evidence of pathology, pars defects or spondylolisthesis.  Because this patient’s pain did not respond to conservative treatment, an MRI scan was performed for further evaluation.   Imaging Findings of this Patient Observe the area of bright (white) signal intensity seen...
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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.
transverse-process-fracturesDiscussion Transverse Process Fractures Transverse process fractures are the second most common fractures of the lumbar spine, with compression fractures being the most common. They occur usually secondary to a severe hyperextension and lateral flexion blow to the lumbar spine from avulsion of the paraspinal muscles. The most common segments to suffer transverse process fractures are L2 and L3. Radiographically, the fracture line appears...
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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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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., Chad J. Maola, D.C. and Alicia M. Yochum, RN, BSN, Senior Intern at Logan College of Chiropractic
sacral-and-coccygeal-fracturesCASE HISTORY This young male patient fell off a horse and landed on his buttocks. SACRAL FRACTURES Sacral fractures usually occur as the result of a fall upon the buttocks, direct trauma or in association with pelvic fractures.  Isolated fractures of the sacrum are uncommon and a diligent search for an associated fracture of the pelvic ring or symphysis pubis is often beneficial...
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Rehabilition
Dr. Mark R. Payne D.C.
extension-traction-good-for-discs Chiropractors have long used spinal traction methods to relieve abnormal pressure and bulging of the IVD. The more popular methods have employed long axis traction and/or flexion distraction to relieve IVD (intervertebral disc) pressure. Consequently, many doctors are reluctant to employ extension traction methods which seem so radically different. I'm frequently asked if extension traction is good for injured...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
getting-hip-muscles-back-in-balance The hip muscles form a vital link in the lower extremity kinetic chain by transferring ground-reaction forces from the legs to the trunk during gait.  These muscle groups supply coordinated propulsion and provide balanced stability for the pelvis and spine.  However, through repetitive use patterns and after injuries, it is not unusual for some of these muscles to develop shortening...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
the-functional-approach-to-rehab-exerciseSelecting the ideal exercises for patients with back conditions requires judgment based on clinical experience and scientific evidence.  There are several approaches to rehabilitation, and many different types of exercises are available; however, patients have a limited amount of time, willingness, and enthusiasm to exercise.  Therefore, we must always try to give our patients the most effective exercises for their...
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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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Mark R. Payne D.C.
dirty-harry-scoliosis-and-youDirty Harry, Scoliosis And You by Dr. Mark R. Payne D.C.   A man has got to know his limitations." Clint Eastwood growls the famous line right after administering a lethal case of justice to some villain foolish enough to take on Inspector "Dirty" Harry Callahan. Just goes to show there are some things in life you shouldn’t ever try....
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Dr. Kirk A. Lee, D.C.
preventing-injuries-requires-more-than-a-strong-corePreventing Injuries Requires More Than a Strong Core by Dr. Kirk A. Lee, D.C.   Whether we are confronted with developing an exercise rehab program for a male patient (who is sedentary, overweight, and experiencing low back pain) or developing a strengthening program to fine tune a professional athlete, some emphasis must be placed on the core musculature. With...
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Techniques
David Jackson, DC
techniques-diversity-of-art-and-scienceChiropractic is an incredibly diverse profession, boasting more than 100 different techniques (one list puts the number closer to 120 and one online source even claims there are 200). Some are extremely well known, such as Diversified or Atlas Orthogonal Technique. Others possess a smaller (but often extremely loyal) following, such as the McTimody Technique or the Columbia Technique. Most doctors...
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Lisa Upledger, D.C.
craniosacral-therapy-releases-hold-on-subluxationsThis gentle hands-on method of working with the craniosacral system, has helped thousands of practitioners effectively remedy a wide range of medical problems associated with pain and dysfunction. You, too, can learn how to enhance the body’s natural healing process. Like most chiropractors, I spent many years focused on the subluxation factor. Ironically, it wasn’t until I began practicing a different hands-on...
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Marshall Dickholtz, Sr., D.C.
what-is-a-totally-balanced-spine-what-every-chiropractor-and-chiropractic-researcher-should-knowTo start with, an imbalanced spine is because an atlas subluxation is affecting the brain stem. This affects the muscle balancing mechanism in the central reticular formation. As a result, it produces spastic muscles on one side of the body, more than the other side, and produces a distorted pelvis and a contracted ilium. It also...
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Tedd Koren, D.C.
adjusting-the-holographic-body If 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     What happened to our connection? We are born destined to...
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Karen Wilczewski
the-graston-technique-changing-the-treatment-of-soft-tissue-injuriesA clinically researched, innovative treatment modality is changing the way chiropractors are treating soft tissue injuries—including the most difficult repetitive stress diagnoses.  The mode of treatment, the Graston Technique, offers expanded options for treating all chronic and acute disorders. In less than a year since its introduction to the profession  (November 2001), more than 300 chiropractors nationwide have been trained...
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Jeanne Ohm, D.C.
the-webster-technique-a-chiropractic-analysis-and-adjustment-for-pregnant-womenMore and more women are seeking the benefits of chiropractic care in pregnancy.  Many birth care providers are becoming aware of the efficacy of care throughout pregnancy and encouraging their patients/clients to find doctors of chiropractic who are interested in caring for pregnant women.  As with any specialty group within the population, there are specific types of spinal analysis and...
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