The American Chiropractor’s “News Flashes”


Cover Stories
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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L. John Faye, DC
still-going-strongDr. L. John Faye graduated from the Canadian Memorial Chiropractic College (CMCC) in 1960, having completed both chiropractic and naturopathic undergraduate courses. He has practiced as a chiropractor ever since. The first fourteen years, he was in Southampton, England, and then returned to Canada for ten years. After nine years in Canada, Dr. Faye was the first chiropractor ever appointed...
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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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David O'Bryon, ACC Executive Director
interview-with-david-s-obryon-executive-director-association-of-chiropractic-colleges David O’Bryon , J.D., LL.D (Hon), F.I.C.C., is founder and president of O’Bryon & Company. With more than thirty years of association and government experience, he has served organizations as an executive, consultant, and volunteer. His responsibilities have included policy formulation and implementation for associations; design and management of membership recruitment efforts; development and implementation of government relations strategies...
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TAC Staff
products-a-software-to-help-you-work-with-insurance-to-get-paid Oftentimes, the tools used will determine the possibility for success in accomplishing any task. Making the right decision with regard to the documentation software, record keeping and other products you use will have a tremendous impact on the heights that your clinic may be able to reach. Use this market review to get to know some of your options.     Acom Product...
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Gerard Clum, D.C.
over-34-years-in-service-to-the-professionDr. Gerard W. Clum, the profession’s most senior chiropractic college president in the world, received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1973. He was a member of the Palmer faculty and practiced in Davenport, Iowa, in 1974 before becoming a member of the founding faculty of Life Chiropractic College in...
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Interviews
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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Karl Parker, D.C.
dr-karl-parker-shares-his-dream-for-chiropracticAfter a controversial change of leadership at Parker College of Chiropractic 7 years ago, which stunned the entire United States chiropractic community, Dr. Karl Parker, son of the late Dr. James Parker, was summarily “relieved of his duties” as President of the college, an institution founded by his late father, leaving the former PCC President and heir apparent to the...
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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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Dr. Paul Pugsley
million-dollar-chiropractic-interview-with-dr-paul-pugsleyOriginally from upstate New York, Dr. Paul Pugsley moved to California during grade school. After meeting his wife, Marilou, in undergraduate college, the couple decided to attend chiropractic school in Atlanta, Georgia, at Life Chiropractic College. In their last year at Life, Paul and Marilou had their first of five children. After graduating, Dr. Pugsley and family moved back to...
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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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Vernon Temple, D.C.
raising-standardsVern Temple, D.C., has been part of the testing community for nearly thirty years, first as a member of the Vermont Board of Chiropractic Examination and Registration, National Board of Chiropractic Examiners (NBCE) delegate for the state of Vermont and, subsequently, as an NBCE Director for the past seven years, six years as District III Director...
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Nutrition
Dr. James B. Lavalle
recognizing-drug-induced-nutrient-depletion-in-chiropractic-practicePart 2 of a 2 part Series (cont. from part 1 in nov. 2009) Abstract:  Detrimental effects of drugs on nutrition status are a common occurrence but, because they usually occur over time (vs. what is considered an adverse event or allergic reaction, which occurs quickly), they are seldom recognized or corrected. Chiropractic treatment, however, takes place over a much longer...
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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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Robert Anderson M.D. and Perry Chinn, D.C.
what-are-the-health-benefits-of-supplementing-with-the-amino-acid-l-arginineThere has been a flurry of discussion, speculation and even hard to believe health claims surrounding the supplementing of the amino acid L-arginine. L-arginine is considered a conditionally-essential amino acid, meaning that it is not found in sufficient levels in the “normal” human diet. Amounts that produce the clinical effects suggested by research highlighted below must be received in supplement form. ...
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Mark Percival, D.C., N.D.
coral-calciumdebunking-the-debunkingWith the FTC filing law suit against Bob Barefoot for false and misleading advertising, and the discovery of lead in one coral calcium brand both happening in June, coral calcium has been severely wounded.  Others jumped on the anti-coral bandwagon and suggested coral was no different from cheap calcium carbonate or limestone–that it was just an overpriced calcium supplement.  ...
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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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Ellen Cutler, D.C.
how-enzymes-can-help-you-eliminate-mood-swings We tend to think of mood swings as emotional responses to the situations we encounter as we move through our lives. Most people do not realize, however, that what we feel emotionally is largely driven by what’s going on physically. Everyone has heard the saying, “The mind influences the body,” but the opposite is every bit as true. The body...
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Orthotics
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.
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.
low-back-pain-leads-to-lifestyle-changes History and Presenting Symptoms A 41-year-old male presents with a history of recurring episodes of mild to moderate pain in his lower back. He states that his back pain just seems to come and go, with no specific triggering activities. He does not participate in any competitive or recreational sports, and recalls no injury or trauma to his back. He has...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
upper-extremity-conditions-and-orthotic-support History and Presenting Symptoms A 43-year-old female presents with persistent pain in and around her left shoulder, accompanied by tightness extending into her middle back region. Upon further discussion, she recounts a history of a right carpal tunnel syndrome that was treated surgically, with only partial improvement. She has also had several episodes of left elbow tendinitis. She denies any...
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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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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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Practice Management
Dr. Eric Kaplan, D.C., F.I.A.M.A.
rules-of-time In this time of an economic downtrend, I see so many of my peers depressed. If money is your key to happiness, your life, like Wall Street, will have continual ups and downs. The most valuable commodity in your life is time. Time is more valuable than money. Ask any dying person how much they would pay for one more...
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David Foster, DC and Joseph Labriola, DC
outsourcing-your-chiropractic-billing-a-collectionsAre you losing the “battle” with insurance reimbursement?  I say “battle” because that is what it has become. The insurance industry’s fiduciary responsibility is to their stockholders and profits, not providers. They have internally mandated that they will create systems that will increase profits and limit payment to all health care providers, especially chiropractors.  Why chiropractors? According to James J. Mathis,...
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Marc Swerdlick, D.C.
your-credibility-under-constructionHow important a role does credibility play in the marketing of your chiropractic clinic? Surprisingly, answers will vary depending on whom you talk to in our profession. A doctor who uses gimmicks, freebies, and deeply discounted fees to lure patients to his or her practice may have one perspective, while another doctor who utilizes a marketing...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
winning-leaves-marksWinning Leaves Marks by Dr. Eric Kaplan, D.C., F.I.A.M.A.   Early in my chiropractic career, I wanted to know why some doctors made it and others didn’t. I wanted to know what the winners know. Winning and success go hand in hand. If you win, you are a success. So I began my journey; I began searching for the ...
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Tim Gober, DC
pay-now-or-pay-laterexpanding-into-three-clinics-and-the-costGood staff will do. Imagine you were planning on building a health care empire.  Would you have time to be so picky about hiring new staff that you would delay months just to find that perfect staff member?  Would you have time to constantly turn over your staff? This process is costly, decreases morale, and ultimately slows you down from...
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Daniel Dahan, D.C.
business-departmentIn an effort to help you maximize all your services, Dr. Daniel Dahan has identified 7 departmental areas in your practice, which need to be addressed.  Each of these areas is being dealt with sequentially in The American Chiropractor.  By following the suggestions given, your office will not only maximize its potential, but also delineate areas of weakness that need...
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Radiology
Andrew Cheesman
digital-x-ray-do-i-need-one-in-my-officeSo, you are considering “transforming” your practice? Or maybe starting a brand new or satellite office? What are some of the things you should keep in mind in making decisions on just what your practice will offer? What should it look like? What kind of vibe would you like it to put out? And how does the decision of installing...
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Jeff Cronk, DC
using-x-ray-digitization-to-enhance-your-credibility-and-quality-of-careThe theory behind evidenced based practice is scientific knowledge gathered through good research. Clinical examination procedures can lead to clinical consensus and standardization with regard to diagnosis, decision making and treatment guidelines. X-ray digitation fits into this model, since it is a clinically accurate way to objectively assess spinal stability and spinal motion segment integrity loss. Two or more doctors can...
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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.
the-positive-fat-pad-sign-what-is-itA useful sign of an intraarticular fracture of the elbow is the clear depiction of displaced humeral capsular fat-pads.1  In the normal elbow, a layer of fat (“fat-pad”) lies between the synovial and fibrous layers of both the anterior and posterior joint capsules.  In the lateral projection of the normal elbow, the anterior fat-pad is seen as an obliquely oriented...
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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.
osteitis-pubisHISTORY: Both of these female patients are complaining of focal pain at the pubic articulation. One of them developed this pain after a difficult delivery of a child and the other patient after surgery for a retroverted uterus.   Figures 1 & 2. Characteristic changes are visible at the pubic...
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Tedd Koren, D.C.
the-upper-thoractic-hump-pattern“Doctor, I’ve been worried about my hump. Will it get worse? Can you fix it?” Unlike the better-known dowager’s hump, the upper thoracic hump (see photos and illustrations) is more common and is found in younger as well as older people. Patients are concerned about their humps and are very motivated to get them fixed. They should be. Along with its unattractiveness,...
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Lori Puskar, D.C.
caring-for-the-supermomWhen I was thirteen, my two-year-old brother was suffering from a serious case of torticollis, which had been misdiagnosed as possible meningitis. After just one chiropractic treatment, he was virtually cured. At that moment, I knew that my contribution to healthcare would be in the chiropractic field. Like any idealistic young chiropractic student, I was electrified by the story of Harvey...
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Rehabilition
Dr. Kirk A. Lee, D.C., C.C.S.P.
traveling-with-a-wellness-lifestyle With the treatment of any new patient following initial consultation, evaluation and management we must make some decisions; or to meet our E&M requirements we have some "medical decision making" to do. How many Chiropractic Manipulative Therapies (CMT), do we schedule before our next progress exam or re-evaluation? Are we scheduling any type of conjunctive therapy like muscle stimulation,...
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Dr. Kirk A. Lee, D.C.
are-knee-injuries-really-knee-injuriesAre Knee Injuries Really Knee Injuries? by Dr. Kirk A. Lee, D.C., C.C.S.P.   We see patients in our offices daily with arthritic knees—sometimes bilateral, other times affecting only one leg. Some patients can point to an old football injury or car accident as the probable cause. But, frequently, they cannot tell us why their knee hurts, only that...
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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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Dr. Stephen Kaufman, D.C.
can-trigger-points-be-turned-off-in-seconds-using-neurological-reflexesOne day, as i was working out with weights, i lifted a dumbbell over my head. The weight was heavier than I could handle. As I extended my arm, my triceps completely gave out; the weight plummeted toward the table. By using too heavy a weight, I had triggered the clasp knife reflex1,4 on my triceps. I had turned the...
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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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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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Techniques
Ronald J. Grisanti, D.C.
the-most-effective-non-surgical-treatment-for-sports-related-injuriesTransverse friction massage is a powerful, yet underutilized, treatment for tennis elbow, rotator cuff, ankle sprains and many common injuries to the muscles, tendons and ligaments. Cross-friction massage, as it is commonly called, is a technique popularized by the late British orthopedic physician, James Cyriax, one of the foremost specialists in the diagnosis and treatment of musculoskeletal injury and pain...
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George Roth, D.C., N.D.
snoring-and-sleep-apnea-structural-implicationsThe uvula and soft pallet may come into partial or total contact on the back wall of the upper airway.  When the contact is partial or intermittent, snoring (a loud vibration of these soft tissues) may result.  The tongue may also drop posteriorly onto the back wall of the upper airway, coming into contact with the uvula and soft pallet,...
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Robert "Rick" Wiegand, DC
get-primalDr. Robert “Rick” Wiegand graduated from Palmer College of Chiropractic in 1980 and entered into private practice. Early on in practice, he became intrigued with the question of how the human neural system processes very subtle types of stimuli. In 1982, Dr. Wiegand and a colleague, Dr. Ed Blumenthal, began investigating methods to help heighten awareness of subtle responses that...
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Peter J. Levy, D.C.
go-to-the-source-of-subluxation-with-neuromuscular-reeducationAre you looking for a way to improve your skills?  Get patients better faster? Build a large referral base? Have a cash practice? Charge what you’re worth? Read on!!! What is the answer to the ongoing problems with insurance companies, work comp, personal injury and the volumes of paperwork and billing required?  How do you, the practitioner, actually get someone better quickly...
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Tedd Koren, D.C.
why-are-dcs-so-sick Accidental Discovery I discovered Koren Specific Technique (KST) in the best tradition of empirical healthcare: by accident. D.D. Palmer had Harvey Lillard. I had a seven-foot-high piece of heavy laminated furniture. I was blindsided as it crashed down on me, almost cutting off most of three fingers. Luckily, my head was in the way or I would have lost my...
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Kirk Eriksen, D.C.
the-orthospinology-procedureI have had the opportunity to lecture on the science, art and philosophy of chiropractic to various crowds and venues for more than 10 years. The attendees have ranged from several hundred to intimate one-on-one seminars of a half dozen. However, “Chiropractic ’06” will present a unique opportunity for myself and other technique experts to share with an international crowd...
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