NewsFlashes
Cover Stories
Market Review
nutritional-support-for-healthNutritional Support for Health   Many Chiropractors use some form of nutritional support to assist in the healing process of their patients. See here, in alphabetical order, the newest nutritional products in the market to suggest to your patients and/or add to your practice.     Anabolic Labs: Ultra K2D3 Price Range: $10 doctors’ price; $20 patients’ price (this is a one to two month supply) Product...
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TAC Staff
adjusting-table-shopping-guideWe contacted all of the major adjusting table manufacturers in the chiropractic profession for information and prices on their best selling tables.  We ended up with over a dozen of the best tables you can get at prices that vary from the top of the line to the most cost-effective.  All of the tables and companies featured here offer a...
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Richard R. Shaker, D.C., R.T.P., C.P.T.I., C.C.S.P., A.C.R.B., C.S.C.S.
chiropractic-in-the-nflFor four seasons in the NFL, after having suffered a chest injury while playing my rookie year, I had not been able to breathe properly. I also had severe pain in my chest and rib cage. Previous to Dr. Shaker, I had seen every medical specialist, including other chiropractors—no one could help me. I was struggling to survive in...
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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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Cleveland Chiropractic College (CCC)
cleveland-chiropractic-collegeEnsuring the success of students and making a lasting impact on the future of chiropractic are the driving forces behind several positive developments being carried out at both the Kansas City and Los Angeles campuses of Cleveland Chiropractic College (CCC). Highlighting these developments are the relocation of the Kansas City campus, facilities improvements in Los...
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Arthur Croft, D.C.
25-years-of-whiplash-research Dr. Croft is the Founding Director of the Spine Research Institute of San Diego. He has been actively engaged in whiplash research for the past twenty-five years and has co-authored a best-selling textbook on whiplash (Whiplash Injuries: the Cervical Acceleration/Deceleration Syndrome, 3rd edition, 2002) and temporomandibular joint disorders (Whiplash and Temporomandibular Disorders: an Interdisciplinary Approach to Case Management), along...
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Interviews
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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Hubert von der Beeck
spray-the-pain-awayHubert von der Beeck is founder, president and CEO of KOOL ’N FIT America. Emigrating from Germany in 1969, von der Beeck started the company in 1984. After spending years participating in and around cycling, marathons and soccer, von der Beeck saw a need for his family-developed topical product with unique properties not found in existing products in the states....
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TAC Staff
defining-food-enzyme-nutrition-an-interview-with-howard-loomis-dcHoward F. Loomis, Jr., DC has been the leader in the clinical application of plant enzymes and is the person responsible for bringing food enzyme nutrition to the forefront of the health care field.  After graduating from Logan Chiropractic College in 1967, he entered practice in Missouri and practiced there for 26 years.    In 1980, he was introduced to the work...
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Ken Krimpelbein, DC
empowering-patients-from-the-inside-outDr. Ken Krimpelbein, former high school physical education teacher and personal trainer, and a 1995 graduate of Cleveland Chiropractic College, is now the owner of a successful multidiscipline practice in Oak Creek, Wisconsin. He presently employs three chiropractors, a massage therapist, a registered dietician, five personal trainers and will soon have a physical therapist and a neurologist on staff. “Treat...
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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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TAC Staff
leading-care-through-innovation-and-passionDr. Kevin Jardine graduated from Canadian Memorial Chiropractic College in 2002 and has been in practice for just over a decade. Dr. Jardine comes from a background in exercise science from the University of New Brunswick.    Dr. Jardine is the co-creator of SpiderTech which has become a globally recognized brand delivering kinesiology taping products and education. On top of providing the...
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Nutrition
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 Grisanti D.C., D.A.B.C.O., M.S., and Rick Bramos
obesity-why-exercise-doesnt-workAre you guilty of recommending exercise to help your overweight patients lose unwanted fat? The answer could have a major impact on your clinical outcomes. Do you really believe that juggling balls for a few minutes daily—as seen on NBC recently—will burn enough calories to get the job done?   Do you not find the advice to buy a pedometer to track...
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Dr. James P. Cima, D.C.
james-p-cima-dc-blows-away-commonly-believed-nutrition-mythsQ:  What are the two most important things that a doctor needs to address concerning his or her patients’ nutritional protocol? Cima: A.  What type of food is right for my patient? (Synonymous with putting the right fuel into your car.) B. Are the organs and glands digesting, assimilating, metabolizing and detoxifying my food properly? (Synonymous with your car needing a tune...
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howardloomisjr
internal-health-a-chiropractic-specialty-the-lower-extremitiespart-iiLast month, I started a three-part series on the short leg syndrome and the absolute necessity of not only properly identifying it, but finding the exact cause, and tracing the effects up the leg into the pelvis and onto the spine. I discussed the frequency of short leg syndrome in the population and its relevance to low back pain. We described...
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howardloomisjr
internal-health-a-chiropractic-specialty-parasympathetic-dominance-sympathetic-weaknessThis is my third article in a series designed to highlight visceral dysfunctions that are perpetuating muscle contractions, loss of joint range of motion, and reoccurring structural misalignments that have become chronic and defy permanent correction. It is exactly these problems that cause patients to seek alternatives to continuing chiropractic care. I believe our profession must, in addition to specializing...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
type-ii-diabetes-inflammation-and-disc-degenerationType II diabetes represents a significant health risk. Individuals with diabetes are at greater risk for developing cardiovascular disease and other chronic diseases. Insulin resistance represents part of the pre-diabetic state and it is thought that some 40 million Americans have insulin resistance, which means that numerous individuals are at risk for developing diabetes (isoma).  Isomma states (, “the insulin...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
case-study-functional-scoliosisHistory and presenting symptoms The patient is a 12 year-old girl, who was identified at a school screening as having a discrepancy in her shoulder heights.  Her parents were advised to seek further evaluation by an orthopedic surgeon.  They reported that the orthopedist found evidence of a scoliosis, but recommended a “watch and wait” approach.  He offered no treatment, but said...
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Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
how-to-get-paid-with-insurance You treat Mrs. Jones today, complete your fee slip, and your insurance staff has every document necessary to bill the claim. They have the application for benefits and/or proper claim forms from the patient, along with the correct policy numbers. The staff also has all of the completed notes/letters of necessity/results required ready as attachments to send with the claims,...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
popliteus-tendinitis-in-a-softball-playerPopliteus Tendinitis in a Softball Player by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   History and Presenting SymptomsThe patient is a 27-year-old male who participates in an adult softball league on weekends. He describes recurring episodes of pain and swelling along the back and outside of his right knee, which has limited his knee extension for the past several...
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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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TAC Staff
news-of-the-profession Chiropractic in Military Medicine Chiropractic services are offered at several United States military bases and veterans healthcare locations. An article in the June 2009 issue of the journal Military Medicine discusses, in an effort to increase awareness and improve interdisciplinary collaboration, when to refer patients for chiropractic care. The article titled "Chiropractic in US military and veterans’ health care" by Drs....
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johndanchik
growth-asymmetry-in-an-outdoorsmanHistory and Presenting Symptoms A 41-year-old male presents with recurring episodes of pain in his low back and left hip. He recalls no injury to the region, and cannot identify any precipitating activities or events. On a Visual Analog Scale, he rates his low back pain as varying from 30mm to 65mm, while the left hip pain is usually around 35mm.  He...
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Practice Management
Peter Fernandez, DC
finding-a-great-associateship-starting-a-new-practice-ivIn 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...
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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.
utilization-guidelinesWe cannot escape regulation. Whatever we do in our practices requires that we learn our rights, scope of practice, standards of practice, and choice of therapies and modalities. Virtually no activity in clinical practice escapes regulation. However, all too often, practitioners employ a “shoot-from-the-hip” approach to case management, where the doctor or therapist applies his or her own individualistic methodology,...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
improve-billing-department-efficiency-with-four-management-techniquesTo operate your billing department effectively and efficiently, you need to recognize that billing and collections require good management. Following are some techniques that can improve your billing efficiency and help you get paid. 1. Establish expectations with your patients, your payers, and your staff. A common problem practices face is getting patients to pay their bills, deductibles or copays. Although...
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Dr. Richard E. Busch, III, D.C.
luck-is-when-opportunity-meets-preparationWe are all aware there is great division over universal healthcare coverage. The federal healthcare bill that is now in the Senate has, for months, debated spending, coverage, negotiations and—keeping with transparency—publically reported, after the fact, "back room" deals that are secretly happening. What will managed care look like, if—or when—the government takes over? The answer is simple–tax, waste and...
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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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Radiology
Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
an-occult-lesion-of-the-calcaneusHISTORY This active adolescent athlete sprained his foot while playing tennis.  Radiographs revealed a large radiolucent lesion in the calcaneus.  What is this? DIAGNOSIS:  SIMPLE BONE CYST The geographic lytic expansile lesion in the floor of the calcaneus is well circumscribed and has all the characteristic appearances of a benign lesion.  Benign lytic lesions of the calcaneus are most commonly simple bone cysts...
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drmarks380
chiropractic-clinician-and-the-radiologist-a-partnership-with-a-caveatIt is critical for every chiropractor to have a support team of health care specialists in order to render the highest level of care for our patients. The radiologist is the first specialist that you should add to your team. In the triaging of our patients, the progression is to create an accurate diagnosis, prognosis and treatment plan and then...
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drmarks380
mri-spine-protocolsYour pateint has radicular pain in the lumbosacral distribution that is status post-motor vehicle accident and you order a lumbar MRI. The report rendered by a board certified general radiologist concludes mild disc bulging at L5-S1. However, upon further review by both a neuroradiologist and yourself (once you have been certified and trained to interpret MRI), you realize the general...
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Tedd Koren, D.C.
adjusting-the-holographic-body-part-four-allergiesIf 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...
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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.
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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Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
mris-herniated-discs-survey-results-and-the-chiropractic-team Being a principled, subluxation-based or structural-based chiropractor is not mutually exclusive to being responsible for diagnosing your patient accurately. If the patient has a radiculopathic or myelopathic clinical presentation, the question is, "Why?" This has nothing to do with your practice paradigm; it has to do with your patient’s well being and what the cause is for that nerve pressure....
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Rehabilition
Dr. Kirk A. Lee, D.C., C.C.S.P.
can-children-benefit-from-rehabilitation A common question I get in the office, as well as when I am lecturing, is what’s the earliest age you can start rehabilitation procedures for children? Unfortunately, for many of us, we forget that we are dealing with children and not just small adults. It is important to note that protocols or principles of rehabilitation are the same...
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Mark R. Payne D.C.
the-crossroads-of-rehab-and-techniqueThe Crossroads of Rehab and Technique by Mark R. Payne D.C.   Adjusting technique and spinal rehabilitation have always been viewed as two completely separate subjects. Chiropractic’s rich history is replete with innovative ways of adjusting misaligned or dysfunctional spinal segments. Most such chiropractic techniques would be classed as "passive care" in that the patient is a non...
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Marc J. Lamantia, D.C., and Gary A. Deutchman, D.C.
idiopathic-scoliosis-treatment-with-scoliosis-systemsScoliosis Systems™ is a complete chiropractic technique designed to manage idiopathic scoliosis without the use of a rigid brace.  Dr. Gary Deutchman and Dr. Marc Lamantia have combined their thirty years of experience and training in the development of this system, which includes both spinal and vestibular rehabilitation procedures.  “The key to the success of spinal remodeling is the use...
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Randy Reed, D.C., F.I.C.C., F.A.C.C.
mckenzie-spinal-rehab-methods-in-the-chiropractic-officeThe doctors that have protocols which include movements or forces that decrease disc displacement which, in turn, cause pain to decrease, disappear, or centralize with a rapid increase of lumbar ROM, see their patients get better. These types of movements should be pursued with decompression, exercises, mobilizations, and manipulations. Doctors, who fail to recognize...
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George LeBeau, D.C.
are-your-shoes-killing-youDuring my early years of practice, while working with youth sports, I met an Athletic Trainer named Bob Ragsland (“Rags”). He had been working with college athletes for many years and emphasized to me the importance of proper equipment fitting. I spent many hours with him learning techniques for fitting shoulder pads, helmets and other sports equipment. Then, one afternoon at...
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John K. Hyland, D.C.
sport-specific-rehabThe rehabilitation process for injured athletes is often divided into three distinct phases: acute, recovery and functional.1 A comprehensive rehabilitation plan will include different types of exercises tailored for each of the three healing phases. Each phase is important for a successful return to sports activity, but the last one may be the most critical, and is the one that...
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Techniques
Burl R. Pettibon, DC, FABCS,FRCCM, PhD (Hon) and Sharon Freese-Pettibon, B.A., C.T.
prehabilitation-the-gift-that-keeps-on-givingIt would appear that D.D. Palmer was correct when he said that nerves are involved in all diseases; he just didn’t have the research in his age to prove it. As time goes on and research continues, the information coming out clearly substantiates his hypothesis.   The brain’s ability to change its neural network connections and behavior in response to new information,...
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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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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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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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Jay Kennedy, D.C.
decompression-as-a-chiropractic-techniqueWe decided to develop a chiropractic decompression technique, the Kennedy Decompression Technique, to help establish a codified clearinghouse of information and resources available, but often untapped, regarding traction therapy and how it may create "Decompression" as an outcome. This in an effort to offer a viable counter to advertising claims, scientific doublespeak and negligent...
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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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