NewsFlashes
Cover Stories
Don Oyao, MA.,DC.(USA)ND., MA Sp.Chiro Sci(Australia)
hall-of-famers-metallica-swear-by-chiropractica What do rock stars and Olympic athletes have in common? No, this isn’t the lead up to a punchline. Both share a need or desire for chiropractic care to enhance their demanding performances. Having been a team doctor for six Olympic competitions, my latest “gig” with Metallica has shown me that intense activity, endurance and strength are sought by both kinds...
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TAC Staff
secrets-of-marketing  Successful Marketing the "CLA WAY" by Patrick Gentempo Jr., D.C., CEO of Chiropractic Leadership Alliance. Marketing is a primary function for any successful business, whether it be a chiropractic   You may contact Dr. Patrick Gentempo at 1 International Blvd., #750, Mahwah, NJ 07495. Phone 1-201-252-3220, Executive Assistant Mike Thompson, Ext. 114, or visit www.subluxation.com  or www.creatingwellness.com. practice or a Fortune 500...
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Western Sciences Chiropractic College
western-states-chiropractic Being a successful chiropractor can mean different things to different people. Should success be based solely on the amount of income earned in a given year or the number of vacations taken in a lifetime? Is it determined by total income generated divided by hours worked and multiplied by vacations taken? At Western States, our students and alumni have...
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Gerald R. Mattia, D.C.
sports-chiropractor-specialist-gerald-r-mattia-dc-shares-his-secrets-to-successWith over 175 professional athletes under care (as well as the CEO’s of major corporations such as Tupperware and Harris Corp.), Dr. Gerry Mattia shares his secrets to success. Gerald R. Mattia, B.S., D.C., has thirty-one years of experience as a chiropractic physician. He earned his chiropractic degree from New York Chiropractic College in 1977, and...
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TAC Staff
up-close-and-personal-the-proadjuster-edgeRight off the heels of the most successful ProAdjuster National Symposium ever, The American Chiropractor magazine’s Editorial Board Member, Dr. Frank Corbo, had the opportunity to sit down with ProAdjuster President and CEO, Dr. Maurice A. Pisciottano.  The testimonials were still pouring in from the May National, one of two annual ProAdjuster Business Symposiums, and it is being described as...
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William H. Koch, D.C.
adventures-in-practice We have all grown up with the dramas of medical practice, depicted in popular TV programs.  There was Dr. Ben Casey doing brain surgery, and also the fatherly Marcus Welby, M.D., who practiced medicine in a small town, providing each patient with a level of patience, competence and benevolence that everyone would love to have from their doctor.  Who can...
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Interviews
William Koch, D.C.
restoring-energy-balances-in-the-body-a-straight-chiropractor-re-thinks-acupunctureInterview with Dr. John Amaro   John A. Amaro DC, L.Ac., FIAMA, Dipl.Ac. (NCCAOM), Dipl.Med.Ac., is an internationally known author, lecturer and practitioner. He began his practice of Acupuncture and Chiropractic in 1971. He has led 13 diplomatic Acupuncture study tours of The People's Republic of China escorting more than 500 doctors and practitioners. He has personally studied acupuncture in nine separate...
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TAC Staff
the-amazing-chiropractor-series-interview-with-terry-schroeder-dcDr. Terry Schroeder is the USA’s only four time Olympian in the sport of water polo.  He was a member of Team USA during the Olympic boycott in 1980.  After the boycott, Terry re-focused and dedicated himself to pursuing his Olympic dream. In 1981, he was named the team captain. His leadership helped the team to consecutive silver medals in...
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Dr. Tim Weir
million-dollar-chiropractic-interview-with-tim-weirEach article in the MILLION DOLLAR CHIROPRACTIC series (M$C) focuses on the top surveyed issues facing chiropractors today.  Recruiting new patients, retention, profitability, marketing and staffing are each a determining factor in the growth, potential and success of the practice. The subject of this issue’s profile is Dr. Timothy Weir an extremely successful chiropractor who has practiced in North Carolina,...
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TAC Staff
chiropractic-for-pregnant-women-interview-with-karen-gardner-bagnell-dcFor more than eighteen years, Dr. Karen Gardner Bagnell has studied the mechanisms of breech and transverse presentations, pregnancy and delivery. Dr. Gardner Bagnell has guest lectured at The University of Pennsylvania School of Nursing and Chestnut Hill Hospital in Philadelphia on the importance of Chiropractic care during pregnancy, labor and the post partum period, as well as at the...
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George Goodheart, D.C.
muscle-testing-a-manipulation George Goodheart is a second generation Doctor of Chiropractic and graduated from National College of Chiropractic in 1939. In 1964, Dr. Goodheart began making a series of revolutionary observations about muscle function and health and disease that evolved into applied kinesiology. By stimulating various neurological receptors and observing excitatory and inhibitory responses of muscles to manual testing, Dr. Goodheart was...
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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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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
low-back-pain-needs-a-nutritional-adjustmentNo matter what chiropractic college you went to, your main approach to patient care is likely to be the chiropractic adjustment.  This statement is not surprising to most, and it gives a clue as to how we think as chiropractors.  We, basically, utilize a mechanical or biomechanical approach to care for our patients.  Whether you believe the adjustment is replacing...
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Dr. Howard F. Loomis, D.C.
the-five-stages-of-pregnancy-part-iiIn this, the second of a three-part series of articles, Dr. Howard Loomis discusses the five stages of pregnancy and their special nutritional requirements.  In the January/February issue of TAC, he focused on the first stage—conception.  This issue, he focuses on stages two, three, and four—the pregnancy itself. Stage Two: First Trimester Proper nutritional planning should be part of essential care before,...
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Life Pack Nano
news-byte-dietary-supplement-to-the-next-levelLifepak® nano is a nutritional anti-aging program formulated to nourish and protect cells, tissues, and organs in the body with the specific purpose of guarding against the ravages of aging. Lifepak® nano offers the highest bioavailability with a first-ever nanotechnology process and advanced levels of key anti-aging nutrients in a comprehensive formula available exclusively through Pharmanex.* Taking this product...
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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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Hedley Turk
five-steps-to-overcoming-a-food-addictionYou know the food you’re eating is bad for you—you just can’t stop eating it. You have a food addiction and you’re not alone. Millions of people are suffering as well. This is the area of health where most of us have our greatest challenge. We want to eat healthier, we want to be healthier, but when it comes to eating...
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Carolyn Dean, M.D., N.D.
calcium-supplementation-without-a-proper-balance-of-magnesium-can-increase-risk-of-heart-attack-osteoporosis-and-kidney-stonesORANGE, Calif., Sept. 14, 2011 /PRNewswire/ -- The British Medical Journal recently published a large analysis based on the results of 5 clinical trials conducted in the U.S., Great Britain and New Zealand that involved more than 8,000 people. The analysis concluded that, "Calcium supplements ... increase the risk of cardiovascular events, especially myocardial infarction (heart attack) ... A reassessment...
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Orthotics
johndanchik
motion-limitations-hamper-runnerHistory and Presenting Symptoms The patient, a 33-year-old female, is a marketing director who took up running for stress reduction and weight loss. She has been running for six months and has progressively increased her mileage. She is experiencing recurring and worsening pain in her left foot, as well as increased low-back tightness. She recalls no specific injury to her foot...
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John J. Danchik, D.C.
lower-extremity-conditions-and-postural-supportHistory and Presenting Symptoms A 37 year-old male presents with a report of pain in his lower back and right hip. Further discussion elicits a history of previous right hamstring strain during high school soccer, along with several episodes of ankle sprains. He has had arthroscopic surgery to evaluate recurrent left knee pain and stiffness, which found no specific...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
asymmetrical-pronation-linked-to-juvenile-injury History and Presenting Symptoms A 28-year-old male presents with recurring episodes of moderate low-back pain which always respond well to chiropractic adjustments, but eventually return. He recalls no specific back injuries, and cannot identify any triggering activities. On a Visual Analog Scale, he rates his low back pain currently at about 50mm. He has been able to avoid...
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Dr. Paul B. Bindell, D.C.
audit-proof-your-practice The curse is that insurance companies use computers to burden and audit you. The blessing is greater because the computer protects you from audits, minimizes paperwork and eliminates 95% of paper filing.   Doctors praise Electronic Health Record (EHR) computers. When audited, those doctors produced high quality SOAP records that matched the bills. The only loss was a small amount of...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
a-non-surgical-approach-to-chronic-knee-painHistory and Presenting Symptoms The patient is a 41-year-old male, who describes persistent pain and occasional stiffness in his left knee, which is not associated with any specific activity.  He reports several years of recurring episodes of medial knee pain that just comes and goes, with no swelling or inflammation.  Previous evaluations, including a knee MRI, have resulted in a diagnosis...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
tarsal-tunnel-syndrome-a-orthotic-supportTarsal tunnel syndrome (TTS), while not common in the general population, is occasionally seen among athletes.  In addition, many TTS symptoms can be confused with conditions commonly treated in the chiropractic office.1  Because its etiology is often related to hyperpronation and, therefore, spinal complaints, TTS patients may be concentrated in the chiropractic office.  When a patient complains of burning pain...
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Practice Management
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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Phil Mattison
i-am-not-a-salesmanDoctors of chiropractic generally are attracted to the profession from a desire to heal others. The majority of DCs we come into contact with say they were attracted to chiropractic because they saw it as a way to “make a difference” in the world and truly “heal” people. There are all different kinds of DCs – with varying philosophies –...
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Ron Short, D.C., MCS-P
why-am-i-suddenly-getting-reviewed-by-medicareI have heard this question a lot as I consult with chiropractors all over the country. In a discussion with one doctor, he stated that six years ago he had been reviewed with no problems or errors. He was reviewed a few months ago and had a 100% error rate. The puzzling part was that he hadn’t changed his documentation...
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Mark Sanna, D.C.
practice-management-tipsQ: What was it like growing up as a child of a chiropractor? A:  Growing up, our toys were the equipment in Dad’s home office.  My sister and I would take turns climbing on to the headpiece of the old porcelain-based, high-low table and launching each other through the air by stepping on the spring-loaded foot piece.  There was always a...
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Mark Sanna, D.C.
what-do-you-see-chiropractic-looking-like-in-10-15-yearsA careful examination of recent legislation provides a profound insight on how health care will be delivered in the future and on how chiropractic will look in the decades ahead.  The current level of unemployment in our nation is low to none.  Practically the entire country is employed.  Private insurance carriers no longer hold the purse strings of reimbursement.  The...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
8-ways-to-avoid-malpractice-suitsIt’s 3 A.M., and you’re wide-awake, awash in a cold sweat after another dream that you’re on the witness stand being cross-examined for medical malpractice. You lie there, knowing that you’ve got to do something about these recurring nightmares, but aren’t sure how to proceed. Begin by taking a hard look at how you collect information about your patients and how...
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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.
gout-versus-osteoarthritis-which-is-it Case History This 60-year-old male complains of sharp pain in the great toe. He has a family history of gout and is worried he has developed gout. What’s your diagnosis?   Diagnosis: Degenerative Osteoarthritis Of The Great Toe.   General Considerations Degenerative Osteoarthritis   Foot Of all forefoot articulations, the most commonly involved articulation is that of the first metatarsophalangeal joint. The radiographic signs are distinctive but, on...
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drmarks380
herniated-discs-a-advanced-imaging The patient enters your office and has significant pain radiating into an extremity. Being responsible, you adopt the policy of the insurers and treat the patient conservatively for 4-8 weeks and the pain doesn’t diminish; you then refer the patient to the imaging company for an MRI. In the report, there are minimal findings, so you continue to treat with...
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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.
benign-or-malignant-thats-the-questionHistory This adult male patient presents with hip pain and a lesion is found on X-ray. Is this likely to be benign or malignant?   Note the well demarcated geographic radiolucent lesion in the proximal femur. It has a sharp zone of transition around it with a sclerotic border. These roentgen signs suggest a benign lesion. Diagnosis: Monostotic Fibrous Dysplasia...
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Terry R. Yochum, D.C., D.A.C.B.R.
spondylolysis-andor-spondylolisthesis-lets-get-it-right-and-stir-things-up The topic of spondylolysis and/or spondylolisthesis has been clouded with confusion for many years. To understand the true etiology as a stress fracture rather than an inherited congenital anomaly or predisposition has been a lifelong quest for me. The normally developing pars interarticulares is a fully ossified structure at birth and without a local synchondrosis to undergo nonunion. There has...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, R.N., D.C.
unilateral-spondylolysisCase History: This is a young college student who plays competitive basketball and is complaining of chronic mid lumbar spine pain. She hurts on hyperextension and has some relief on flexion. The specific diagnosis is? Figure 1.    Diagnosis:  Unilateral Spondylolysis (pars defect) with contralateral sclerotic hypertrophy of the opposite pedicle. Unilateral Spondylolysis  Spondylolysis may involve only one pars interarticularis of a single vertebra and...
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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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Rehabilition
Dr. Mark R. Payne, D.C.
crac-traction-kicking-corrective-care-into-high-gearFeeling frustrated with the long time frames required for corrective care programs? Maybe you should try a little C.R.A.C. No…I’m not recommending you seek solace in some vicious street drug. Instead, you might want to try combining a well accepted muscle stretching technique with extension traction to speed up the corrective process. Here’s how it works. The acronym...
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Mark R. Payne D.C.
science-posture-and-personal-injuryScience, Posture and Personal Injury by Dr. Mark R. Payne D.C.   Personal injury patients inevitably present with a unique set of challenges. From a clinical standpoint they are often in more acute, severe pain. Pre existing conditions are extremely commonm and need to be taken into account. Finally, there will almost always be real and legitimate concerns related...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
children-and-rehabilitationChildren, like adults, often need to do some exercises as part of their chiropractic treatment.  But, how safe is exercise for children, especially exercise with resistance?  How much weight is appropriate for a growing body?  And which exercises are most effective?  Because of these and similar questions, doctors of chiropractic may hesitate to recommend exercises for their younger patients.  Let’s...
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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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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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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
healthy-sleep-for-rehab-patientsPatients receiving rehab care for various chronic or acute neck problems often come across advertisements promoting special “neck support” pillows.  Cervical support pillows are recommended by many chiropractors, physiotherapists, and even surgeons.  In a 1998 comparison study of three types of bed pillows, the authors write, “From a patient’s perspective, neck support is an important part of a comprehensive physiotherapy...
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Techniques
Peter M. Ferraro, DC
manipulation-under-anesthesia-or-joint-anesthesiaManipulation under Anesthesia (MUA) has been shown to be a viable approach in the treatment of chronic recalcitrant spinal pain.  The results have been remarkable in many patients who have exhausted efforts using conventional models of conservative management. “Because of the advancement of new medications and the use of conscious sedation, the anesthesia element of the MUA makes the procedure one...
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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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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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Scott Walker, D.C. and Deborah Walker, D.C.
your-present-technique-works-better-than-you-think-it-does Today we have a lot of procedures and techniques available to help our patients. As chiropractors, we try to figure out what is the best approach for each of our patients and apply our skills to assist the body in its natural healing process. So, what is the best technique for your patients? The answer, of course, is...
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M.T. Morter, Jr., B.S., M.A., D.C.
new-brain-science-old-school-thinking-a-closer-look-at-the-best-technique  Almost 50 years ago, I entered Logan College with a master’s degree in science education.  Although chiropractic was described as an “art and a science,” I was most interested in the science.  I was taught that the science of this profession evolved and revolved around the concept of encroachment of a nerve in the spine, specifically the intervertebral foramen (IVF). ...
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Tedd Koren, D.C.
adjusting-the-holographic-body-part-three-locating-and-correcting-emotional-subluxationsIf the body is sick, the mind worries and the spirit grieves; if the mind is sick, the body and spirit will suffer from its confusion; if the spirit is sick, there will be no will to care for the body or mind. – J.R. Worsley Posture of subluxation (POS) In Parts one and two we discussed how some...
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