NewsFlashes
Cover Stories
Christopher Kent, DC
a-man-of-many-hats Chiropractic Leadership Alliance’s versatile Co-Founder is one the most influential minds that the profession has ever known—and the perfect choice to lead the Wellness Revolution: the kind that would make him one of the most important chiropractic figures of his generation. A Man of Many Hats, Christopher Kent is a Doctor, a Lawyer, an Author, a Researcher, an...
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TAC Staff
the-state-of-the-chiropractic-professionAs The American Chiropractor celebrates its 30 Year Anniversary, our panel of leaders look back on just how far the chiropractic profession has come and what lies ahead.     Dr. Louis Sportelli President of NCMIC Dr. Sportelli has served in many capacities throughout his 47-year career in chiropractic. He is currently serving as President of NCMIC Group ...
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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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John L. Stump D.C., Ph.D., Ed.D.
stroke-a-different-perspectiveStroke…  A Different Perspective by John L. Stump D.C., Ph.D., Ed.D.   In May 1999, upon returning Sunday evening from one of his many trips, John Stump and his wife went out for dinner. Arriving home they decided to begin packing for the upcoming lecture he was scheduled to do in New Zealand. He glanced at the clock; it...
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Dr. Eric Plasker, D.C.
fitness-and-chiropractic-a-critical-niche-for-your-practice-and-the-chiropractic-profession The fitness and nutrition industries are poised to take a leadership role in health care. They have all the research that demonstrates their role in achieving optimum health and prevention of sickness and disease. These elements of a healthy lifestyle are being sought after by the public who are trying to decipher between the good and the bad, the real...
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George LeBeau, D.C.
the-quest-for-athletes-peak-performance Dr. George Le Beau is a 1972 graduate of Cleveland Chiropractic College of Los Angeles. His thirty-four years of continuous private practice have been devoted, in large part, to the treatment of athletes from Gymboree toddlers to the Senior ...
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Interviews
Albert Stabile, DC
patient-needs-go-firstTAC:  How did you become involved in chiropractic, Dr. Stabile? Stabile:  I was injured in an automobile accident in 1964, and was having extreme lower back pain. One of my college friends, who was planning on attending chiropractic college, advised me to see the chiropractor that he was being treated by. I had been to numerous medical providers, including two orthopedists,...
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Jeff Hockings, D.C.
chiropractors-on-tv--infomercials-made-easyThe fastest way to affect public opinion is through television.  Shows like CBS’ Two and a Half Men, in which one of the lead characters is a chiropractor, show that the profession has, indeed, entered the mainstream of American culture… albeit with a less than ideal portrayal of a chiropractor, it’s a start. So how do you use this mega-tool to promote...
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George Michalopoulos, D.C.
million-dollar-chiropractic-features-dr-george-michalopoulosEach article in the MILLION DOLLAR CHIROPRACTIC series () focuses on the top surveyed issues facing chiropractors today.  Recruiting new patients, retention, profitability, marketing and staffing are each a determining factor in the growth, potential and success of the practice. The subject of this issue’s profile is Dr. George Michalopoulos an extremely successful chiropractor who has practiced in Illinois,...
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Harold McCoy, D.C.
mccoys-track-recordWith almost 30 years of experience in practice, Dr. Harold McCoy has established quite a track record in incorporating chiropractic to achieve optimal sports performance in world-class athletes. It all started in the 80’s, when Dr. McCoy treated Olympic athletes like Evander Holyfield and served seven years at the University of Washington as part of the Multidisciplinary Sports Medicine Staff,...
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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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Dr. Richard E. Busch, III, D.C.
chiropractors-on-tv-do-it-yourself-tv-advertisingThe fastest way to affect public opinion is through television.  Shows like CBS’ Two and a Half Men, in which one of the lead characters is a chiropractor, show that the profession has, indeed, entered the mainstream of American culture… albeit with a less than ideal portrayal of a chiropractor, it’s a start. So how do you use this mega-tool to promote...
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Nutrition
Barry Sears, Ph.D.
what-is-wellnessWe assume we have it, yet we take it for granted until we’re sick. I’m referring to “wellness.” Webster’s dictionary defines wellness as the quality or state of being in good, health especially as an actively sought goal. This means we have to make an effort if we want to be healthy—something...
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David R. Seaman, DC, MS, DABCN
an-easy-way-to-add-nutrition-to-treat-your-patients-in-pain Low back pain is one of the most common reasons patients visit all physicians in the United States and it represents a substantial financial burden on society (1). The most common treatments are pharmaceuticals, which are either prescribed or self administered, and manual care, which is delivered largely by chiropractors. Nutrition is not generally considered in the treatment of...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
omega-3-fat-confusion-and-the-beginning-of-a-krill-oil-krazePharmaceutical grade fish oil…NOT Misinformation abounds when it comes to fish oil, such as that created by marketers of “pharmaceutical grade” fish oil, a recent buzzword. Readers should be aware that there is no such thing as pharmaceutical grade fish oil. This is a term created by a nutritional supplement supplier. Nutrition companies are notorious for marketing very basic and common...
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Howard F. Loomis, Jr., D.C., F.I.A.C.A.
internal-health-a-chiropractic-specialty-increased-referrals-by-solving-problem-casesIn presenting the concept of internal health—a chiropractic specialty—I have been advocating an examination approach that recognizes that muscle contraction accompanied inevitably with loss of range of motion can be caused not only by a structural problem but visceral function as well. In other words, they should not be separated when we attempt to establish the cause of chronic recurring...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
your-lifestyle-tells-your-genes-to-express-diseaseMore and more research is demonstrating how our genes determine the types of diseases we develop and our degree of susceptibility to a given disease. This issue should not be taken lightly, particularly when making specific suggestions to patients.  For example, most have probably heard the “urban legend” that grilled meat causes colorectal cancer. Is this true? The answer is...
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John H. Maher, D.C.
drug-free-approach-to-hypertension The American Heart Association (AHA) estimates approximately 73 million American adults age 20 and over have hypertension, also known as the "silent killer," because only 60 percent of adults who have hypertension are being treated for it, and two-thirds of those don’t have it under control! The AHA defines hypertension as a systolic blood pressure (BP) of 140 mmHg or...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
to-stabilize-lumbar-fixations History and Presenting Symptoms A 56 year-old female describes a history of numerous episodes of lower back pain and disability. She reports that she has previously had physical therapy and chiropractic care, and has been evaluated by an orthopedic surgeon. None of the prior treatments has provided any long-term relief, since her low back pain returns, in spite of treatments and...
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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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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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
leg-pain-in-a-ball-playerHistory and Presenting Symptoms An 18-year-old baseball player presents with aching pain and tightness in his left lower leg.  He describes a collision injury during a game four days earlier, which resulted in pain and bruising in the front of his leg after sliding into second base.  Despite repeated icing, the area still feels swollen.  He describes this as “shin splints.” Exam...
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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.
high-arches-in-a-yoga-instructor History and Presenting Symptoms A 44-year-old female patient is a yoga instructor, who reports the recent onset of pain under her left heel. The foot pain is most noticeable in the morning when she first starts to walk. When her foot bothers her, she notices that her entire back is stiff and less flexible during yoga poses. In...
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Practice Management
Dr. John Davila, D.C.
you-should-give-all-your-patients-the-same-care-plan A few months ago, I was reviewing a few charts that belonged to a chiropractor under an OIG Fraud investigation, when I stumbled upon the typical problems that plague all chiropractors and their documentation when a third party has requested a review. Flipping through the pages, I realized that the chart’s treatment plan didn’t create an end goal for 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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Mark Sanna, D.C.
practice-management-tipsQ:  What do you predict for the future growth of chiropractic practices? A:  Approximately 30% of medical physicians remain in private practice, and the day of the solo chiropractic practice is gone as well.  The chiropractor of the future will be a member of a group practice.  With student debt running at over $100,000, the financial resources required to open...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
billing-correctly-for-21st-century How do you know you’re coding properly? First and foremost, if you had to ask this question, you may have a problem. The world of billing and coding changes each week. Doctors go to seminars to learn how to increase reimbursement, while insurance employees are taught how to deny payment. What a paradox. The best way to win at the...
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John Hayes Jr., D.C.
who-are-you-and-who-should-you-be- Irecently had a very interesting new patient—very apprehensive, but enthusiastic, young, highly educated and a prior patient of chiropractic care. When I asked her what she thought about our office, a story unfolded. First, she got our name from a local listing online. Afterwards, she "Googled" me. Consumers are "Googling" (using the search engine, "Google" or some other search engine)...
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Patrick Gentempo, Jr., D.C.
making-purpose-profitable7 Secrets on How to Stay Purpose-driven & Profitable in Any Market   In my 25 years as a chiropractor, business consultant to chiropractors, and CEO of Chiropractic Leadership Alliance (CLA), I have seen many challenges dealt to the field of chiropractic. Through it all, my job has been to help DCs face these challenges and thrive. In this article, I’m going...
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Radiology
Dr. Terry Yochum D.C.; D.A.C.B.R.; Fellow, A.C.C.R.
lung-pathology-or-pseudo-lesionIn the pre-antibiotic era, the only treatment for pulmo-nary tuberculosis was rest and or lung resection of the diseased segment.  Secondary or re-infection tuberculosis most commonly occurs in the lung apices.  This patient had surgery with resection of her right upper lung due to pulmonary tuberculosis.  To fill space left empty by the resected lung tissue and to avoid huge...
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Jean Pierre Gibeault, P: eng.
rasterstereography-radiation-free-technology-for-the-analysis-of-the-spine-and-pelvisRasterstereography: Radiation - Free Technology for the Analysis of the Spine and Pelvis by Jean Pierre Gibeault, P: eng.   RECENTLY IN THE LITERATURE: In a recent study, researchers demonstrated an excellent correlation between X-ray measurements and measurements made with rasterstereography (Schulte 2008). Schulte, et al., produced rasterstereographs and compared them to digitized A-P radiographs of the same 16...
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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.
c2-to-c3-congenital-block-vertebraDescription. When two adjacent vertebrae are osseously fused from birth, this joined unit is called a congenital block vertebra. Embryologically, this is the result of failure of the normal segmentation process of the somites during the period of differentiation at 3-to-8 fetal weeks.1 The block vertebra, by itself, is clinically insignificant. As there is no motion allowed at the fused...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.
fracture-of-the-wrist-affecting-the-young-and-oldCASE HISTORY: This 8-year-old fell and hyperextended his wrist. Diagnosis: Torus fracture–distal radius. FRACTURES OF THE WRISTDistal Radius Fractures. The distal radius is one of the most common sites of fracture in the wrist. Care must be taken to search all projections for these fractures, many of which are often subtle and obscure. In the...
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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.
osteolytic-metastatic-carcinomaOsteolytic Metastatic Carcinoma by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.       CASE HISTORY  This adult male patient complains of back pain, especially at night, and it awakens him from sleeping. Diagnosis: Osteolytic metastatic carcinoma of the left L-3 pedicle and vertebral body. This is the "one-eyed pedicle" sign or the "winking owl sign" of...
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andrewcheeseman
digital-x-rayThe technology used in conventional X-ray film is 100 years old. There are not many technologies that do not evolve and improve in 100 years, and the X-ray field is no different, although many doctors have not yet made the technology jump in this area. In the last 10 years alone, we have seen the development of affordable technology in...
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Rehabilition
Kirk Lee, D.C.
get-those-patients-walkingNow that we are in the middle of summer, many of our patients ask us about outdoor activities and what they should do and not do. We usually instruct our patients to warm up a little with some walking and some simple range of motion stretches involving the major muscle groups before starting their outdoor projects. For our more sedimentary...
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Edward G. Holtman, D.C.
all-tendinitis-is-basically-the-same-no-matter-the-locationEven though all health professionals realize that the most common cause of tendinitis is muscle over-use and/or abuse, few have concentrated sufficient and proper rehabilitative effort on the involved muscles. Also, the treatment of tendinitis in all areas of the body is fundamentally the same. Yes, the exercises vary, but the basic treatment principal is the same! Unfortunately, there is no one...
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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.
soft-tissue-stress-and-rehabilitationThe body’s soft connective tissues (such as muscles and ligaments) are generally exposed to stress throughout life.  Such structures respond and adapt to the usual amount of stress exposure.  Damage occurs when soft tissues are exposed to higher-than-usual stress levels.  This can be a single, sudden, excessive stress, or it can be the result of repetitive stress to the muscle...
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Dr. Mark R. Payne, D.C.
postural-rehab-the-problem-with-physics-why-we-failLast issue, i documented the ineffectiveness of traditional adjustments to substantially change spinal structure. I would like to explain one key reason why adjustments, typically, produce very little structural change. Once you understand how the laws of physics sabotage your adjustments, you’ll be well on your way to making the best corrections of your career. The problem with physics is...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
foot-problems-and-athletic-injuriesFoot position and alignment are important factors that must be considered in our active population. As we encourage more of our patients to walk, jog, and exercise, we need to be prepared for the "side effects" of our recommendations if any foot problems exist. For example, a 1998 study of runners found that those who pronated more while running had a...
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Techniques
Allan Oolo Austin, DC, DO(Can), NMD, DAc, FIAMA, CCRD, CCSP, CFIS
evidence-based-neurological-approach-to-multimodal-neurosummation-the-trigenicsr-decade-reviewIf you and I are the same, we both became health professionals because we had a deep desire to help people suffering with pain and dysfunction. We are consequently always seeking and learning new ways to do this. I feel blessed to have been able to discover and learn a way to help my patients in an incredibly dramatic and...
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Deed E. Harrison, D.C.
thoracic-kyphosis-part-iIn my experience, there is a general lack of appreciation of both the need for radiographic views of the thoracic spine and the influence of the thoracic spine on whole body alignment and health potential. It is for these reasons that I offer this particular series of articles introducing my thoughts on the thoracic kyphosis to readership of the The...
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Arlan Fuhr, DC
where-when-and-when-not-to-adjustToday, with more and more studies concluding that the standard methods of chiropractic analysis are unreliable and not reproducible, many doctors of chiropractic are looking for a way to analyze the spine and extremities that can give them assurance.  Activator Methods Chiropractic Technique (AMCT) utilizes a protocol incorporating leg length analysis, pre- and post-adjustment, to determine exactly where, when and...
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Deed E. Harrison, DC
chiropractic-biophysics-cbp-mirror-image-posture-adjustingPosture is used by many in chiropractic to demonstrate to the patient that their structure is in abnormal alignment; e.g., health fair and mall screenings, plumb line analysis, visual analysis, and computerized plumb line analysis. However, few DC’s use the scientific analysis of head, rib cage, and pelvis postures in three-dimensions (3D) as rotations and translations along the three X,...
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Mark R. Payne, D.C.
protective-postures-part-1-Lot's of doctors don't incorporate postural rehab (or any other type of rehab for that matter)  into their care programs.  Possibly because postural chiropractic methods have been associated almost entirely with a particular technique in the past, many doctors view the concepts as somehow contradictory to what they do in their offices.  Strangely, many doctors  resistant to embracing postural rehab...
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Dennis Woggon, DC, B.Sc.
posterior-to-anterior-thoracic-spinal-adjusting-in-the-scoliosis-patient-is-contraindicated-by-spinal-biomechanicsPosterior to Anterior Thoracic Spinal Adjusting in the Scoliosis Patient Is Contraindicated by Spinal Biomechanics by Dennis Woggon, DC, B.Sc.   It would make sense to understand normal spinal biomechanics when putting adjustive forces into the spine, especially in a complicated spine such as a scoliosis. It seems that spinal biomechanical forces are frequently ignored when it comes to ...
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