NewsFlashes
Cover Stories
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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Fabrizio Mancini, D.C.
interview-with-fabrizio-mancini-dcFabrizio Mancini came to the United States in 1978 from Colombia, South America.  His dream was to become a doctor to help alleviate the suffering of others.  His journey began in Dallas as he studied pre-medicine at the prestigious University of Dallas where he was preparing to be a neurosurgeon.  He later discovered the chiropractic profession and enrolled at Parker...
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National University of Health Sciences (NUHS)
innovative-educationNational University of Health Sciences (NUHS) prides itself on providing students with the most complete academic and professional education for a career in the health sciences. For over 100 years, the university has led the chiropractic profession with academic excellence, dynamic faculty members and innovative leadership. Integrative Medicine Since 2000, when National changed from The National College...
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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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Marc J. Lamantia, D.C., and Gary A. Deutchman, D.C.
review-of-the-literature-non-operative-scoliosis-treatmentReview of the Literature: Non - Operative Scoliosis Treatment by Marc J. Lamantia, D.C., and Gary A. Deutchman, D.C.   Without intervention, Adolescent Idiopathic Scoliosis (AIS) is a condition which is likely to progress between the time of detection and the time of skeletal maturity.1 This makes early detection, with the intent of early intervention of...
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Dennis Woggon, DC, B.Sc.
clear-scoliosis-case-studyCLEAR Scoliosis: Case Study by Dennis Woggon, DC, B.Sc.   THE PATIENT PRESENTED in 2008 with a 48 degree right thoracic Cobb angle. It was initially diagnosed in 2005 at 25 degrees. The patient had a history of birth trauma. The scoliosis previously was treated with traditional Chiropractic Care. The standard CLEAR Scoliosis examination was performed. Her X-rays revealed...
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Interviews
TAC Staff
perspective-from-the-outside-in-interview-with-andrew-cheesmanAndrew Cheesman, who has been with NAOMI/RF System Lab since 2007, is Sr. VP of Marketing and Sales for North America. Having an extensive background in merchant banking, Cheesman has lived in eight countries and has done business with 52 various countries over the years. Born and raised in the UK – and now residing in Lincoln, NE – you...
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Rob Cooper
office-supplies-a-suppliersThe American Chiropractor (TAC), interviews Rob Cooper, President of Scrip, Inc., about his company's efforts to "give back" to the chiropractic profession. TAC: Tell us a little bit about the history of Scrip, Inc. Cooper:  I am just entering my 12th year with Scrip Chiropractic Supply, although Scrip has been serving the needs of doctors of chiropractic since 1968.  I know I...
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Dr. Steven Windwer
million-dollar-chiropractic-interview-with-dr-steven-windwer-dc Originally from New York, Dr. Steven M. Windwer, began working as a physical therapist the Boston area before moving back to Long Island and attending New York in Chiropractic College. He has played competitive basketball and soccer and now is the official chiropractor at Northeastern University, where he works with the athletic trainers and cares for athletes in all sports.   ...
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John K. Maltby, D.C.
meet-the-new-president-of-the-icaAfter the dust had settled and the ballots were tallied, on April 15, 2005, the International Chiropractors Association had elected a new president in a landslide vote.  Who is this doctor who inspired such an impressive mandate by the oldest national chiropractic organization in the world, and what is his vision for chiropractic?  Find out, in the following interview between...
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Cory Littman, DC, DAAMLP
chiropractic-as-primary-care-for-the-spine-the-paradigm-has-changed-interview-with-william-owens-dc-daamlpDr. William Owens has been in practice for 15 years in Buffalo, New York.  He has  a practice that focuses on the care and triage of the traumatically injured.  Early on in his career, Dr. Owens had the opportunity to help build two hospital-based chiropractic clinics: one of which allowed chiropractors to become credentialed as medical staff as opposed to...
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Joe Mershon
chiropractors-on-tv-national-tv-campaign The 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...
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Nutrition
Dr. James P. Cima, D.C.
why-high-cholesterol-by-itself-is-not-a-good-indicator-of-heart-disease Whenever I run a blood test on any patient, the first thing they all want to know is, "Doc, how is my cholesterol?" They think, because their cholesterol levels are normal, they have nothing to worry about. Unfortunately, they do not know that about 50 percent of patients who die from cardiovascular disease have "normal cholesterol levels". They also do...
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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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Michael P. Ciell, R.Ph.
a-new-approach-to-metabolic-syndromeThe Greatest Healthcare/Financial Crisis   Metabolic Syndrome (aka Syndrome X) with its four hallmark symptoms of obesity, hypertension, dyslipidemia and hyperglycemia is devastating our country as well as the whole of North America.  In March of 2005 the National Institutes of Health and the New England Journal of Medicine published a paper stating that because of this epidemic the current generation is...
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Howard Berg, D.C., C.C.S.P., and Christopher Fuzy, M.S., R.D, L.D/N.
provide-far-reaching-benefits-using-a-lifestyle-nutrition-counseling-programProvide Far-Reaching Benefits Using a Lifestyle Nutrition Counseling Program by Howard Berg, D.C., C.C.S.P., and Christopher Fuzy, M.S., R.D, L.D/N.   As chiropractors, most of the nutritional counseling programs we offer our patients focus on nutritional supplements. Occasionally, meal replacements or packaged foods are recommended. Go to the weight management section in your local yellow pages. Everybody is advertising...
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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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Dr. Ron Gilbert D.C., David C. Konn
how-well-do-you-know-your-ginseng-maybe-not-so-well-heres-whyWhat is Ginseng? There is good reason why you may not know your ginseng so well.  Although ginseng is one of the most well known herbs or supplements it is also the most misunderstood.  Most people have heard of “ginseng”, for example it ranks #1 in the Ebay search word for “herbs and botanicals”.     Ginseng has a remarkable history going...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
case-study-pedal-imbalance-with-associated-conditionsHistory and subjective complaints The patient has suffered from a postural imbalance most of her life, causing stress and strain to the pelvic and spinal areas.  The patient states that she has received chiropractic care “on and off” most of her life. As the patient has grown older, she has experienced more frequent and intense pain in her lower back, right leg,...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
q-angle-problems-increased-running-increases-pain History and Presenting Symptoms The patient is a 22-year-old recent college graduate, who reports a history of participation in many team sports in school, including field hockey, soccer, and softball. She admits that she has always had occasional knee problems, especially on the left side. She is now running regularly for fitness, and her left knee is noticeably...
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Dr. John Danchik, D.C.
the-value-of-observing-gaitThe Value of Observing Gait by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   The patient is a 58-year-old female, who has recently started a personal health and wellness program. In addition to eating more sensibly, she has initiated a daily walking program. After four weeks, she has progressed to 30 minutes of brisk walking everyday. She reports that she ...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
bunions-bother-a-businesswomanHistory and Presenting Symptoms The patient is a 44-year-old female, who is the regional sales representative for several lines of gift items and pottery. She reports frequent pain in her feet, worse on the right side. The aching pain is located around the base of her first toes, both of which have a noticeable bulge. This pain is now interfering with her visits to...
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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.
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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Practice Management
Peter Fernandez, D.C.
how-to-choose-a-hot-state-in-which-to-practice-starting-a-new-practice-viii I’m sure some of the readers will wonder why this author is discussing states in which to practice. Why not skip this step and go directly to helping you determine a good practice location within a town or city? The answer is simple. Some states have excellent practice and insurance laws that support and encourage the practice of chiropractic. These...
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Peter Fernandez, D.C.
should-you-start-a-practice-from-scratch-should-you-start-a-practice-from-scratchIf you are considering starting your own practice or purchasing an existing practice, ponder these points before you plunge in. The Advantages of Starting a Practice from Scratch   You work for yourself, set your own rules and office hours, see as many patients as you want, make as much money as you want, practice your own techniques, have...
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Thomas Hyde, D.C.
automated-documentation-helping-chiropractors-heal-their-practicesHealth care professionals enter the field primarily to satisfy an urge to serve. In recent years, however, disaffection has set in among many, as they struggle to balance the satisfactions of the healing arts with increasing pressures of administration, economics and regulation on the business side. Some leave the field; most soldier on, trying to find ways to retain or...
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Dwight C. Whynot, D.C.
how-can-i-show-the-true-value-of-chiropractic-careYour practice philosophy can influence how you present chiropractic to your patients, regardless of whether you went to a more philosophical chiropractic school or you went to school that did not emphasize the chiropractic philosophy, as much can influence the way in which you manage your chiropractic practice and the way in which you manage the care you provide your...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
maximize-your-income-and-minimize-your-effortMaximize Your Income and Minimize Your Effort by Dr. Eric Kaplan, D.C., F.I.A.M.A.   Why do some doctors (people) retire rich and some doctors (people) retire poor? This subject has fascinated philosophers, thinkers, mystics and teachers throughout the ages.     Reasons for Rich or Poor Why do some doctors (people) retire rich and some doctors (people) retire poor? This subject has fascinated philosophers,...
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Ron Short, D.C., MCS-P
the-recovery-audit-contractor-and-what-it-means-to-youIn the last issue, I discussed the reasons behind the increased audits and reviews and the decreased fees. This issue, I will explain more about the recovery audit contractors and why they will be a problem for the foreseeable future.   In March of 2005, CMS started the Recovery Audit Contractor Demonstration Project. The project originally included three states (New York,...
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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.
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. Alicia M. Yochum, D.C., R.N., B.S.N.
anomalies-of-the-c-1-posterior-arch[Case History] This young adult was in a car accident and has suboccipital pain. Do you see a fracture? Agenesis of the Atlas Posterior Arch Synonyms. Aplasia or congenital absence of the posterior arch. Description. Lack of ossification of the posterior arch of the atlas may be complete and bilateral, may be purely unilateral, or may manifest as small clefts (i.e., spina...
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Lisa Brittain, D.C., B.S.
tourette-syndrome-and-chiropractic-careTourette Syndrome and Chiropractic Care by Lisa Brittain, D.C., B.S.   History and Presenting Symptoms The patient is an 11-year-old male who was diagnosed at the age of four with Tourette syndrome. He has complex vocal and motor tics, which are made worse by stress. The tics affect his daily life; school, sports and his self esteem. The patient also notices he has...
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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. 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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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
pending-spondylolysis-andor-spondylolisthesis-whats-it-all-meanCase History This 18-year-old female gymnast is complaining of unilateral left-sided lumbar spine pain at the L5 level.  Standard plain film radiographs show no evidence of pathology, pars defects or spondylolisthesis.  Because this patient’s pain did not respond to conservative treatment, an MRI scan was performed for further evaluation.   Imaging Findings of this Patient Observe the area of bright (white) signal intensity seen...
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Rehabilition
Dr. Mark R. Payne, D.C.
compression-counterstressing-traction-in-the-professional-office Last month, I discussed the Dakota Traction™, a simple home device for use in restoring the cervical lordosis. This time, I want to discuss a simple extension traction procedure for use within the professional office. In-Office traction has two key advantages over home traction: It helps insure some degree of compliance, especially during the early phase of care, and...
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Daniel Dahan, D.C.
step-by-step-rehab-centerAbout 83 million people in the U.S. (42% of the adult population) used at least one alternative therapy in 1997.  Usage among those 35-40-years-old is even higher, at 50%. The estimated number of visits in 1997 to providers of “unconventional therapy”  (629 million) was greater than the number of visits to all primary care medical doctors nationwide (386 million)....
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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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Dr. Kirk A. Lee, D.C., C.C.S.P.
child-development-and-structural-supportThe most common questions parents ask us involve concerns over proper development of their children. These developmental questions can spur from anxiety about height, weight, muscle and skeletal development. One area I am asked about quite frequently is a child’s walking or gait pattern. These questions often focus around concerns of not walking by a certain age, concerns about the...
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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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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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Techniques
Dr. Stephen Kaufman, D.C.
case-history-gall-bladder-attack-responds-instantly-to-chiropractic-care Marjorie was a 62 year old chiropractor’s wife who presented in my office with classic signs of acute cholecystitis- a gall bladder attack, along with the presence of gallstones. She had severe right-sided abdominal pain, radiating into her right shoulder, as well as excessive belching, nausea and bloating. She had been up most of the night. Examination revealed exquisite abdominal...
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R.B. Mawhiney, DC
preventing-sids-sudden-infant-death-syndromeOH, NO!!! PLEASE, LORD, NO!!! She has stopped breathing! CALL 911!! HURRY!!! This happens up to five thousand (reported) times a year in the United States. Sudden Infant Death Syndrome has become a scourge to young and old parents, alike. I have raised three children and have suffered through many nights wondering if I should shake my child to see if it’s...
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Deed E. Harrison, D.C.
appropriate-use-of-a-cervical-orthotic-for-abnormalities-of-the-cervical-lordosisIntroductionMore and more, Chiropractors are becoming interested in rehabilitation of the abnormal cervical lordosis due to its potential relationship with a number of patient health disorders.1-3 Chiropractic techniques often recommend the use of both in office equipment as well as supplementation of at home orthotics for rehabilitation of the abnormal cervical lordosis in appropriate cases,4 while other chiropractors use at...
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Tedd Koren, D.C.
but-i-feel-fineHow did you know that? Picture the scene. I’m checking people during a recent Masters Circle seminar using Koren Specific Technique (KST). I had just given a talk. The line of doctors and CA’s waiting to be adjusted was long. As I expect, people are having incredible responses. But what’s often most fascinating is the ability to tell them what...
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Tedd Koren, D.C.
head-banging-thumb-sucking-kst-and-chiropracticHead banging has been reported in 3.3 to 15.2 percent of "normal" children,2 but is more common in children with cerebral palsy, mental retardation, schizophrenia, autism, otitis media, teething, decreased visual acuity and certain genetic syndromes.3 The medical approach The medical profession considers head banging a relatively harmless way of releasing tension: "If the sound...
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Allan Gary Oolo Austin, D.C.
an-advanced-method-for-treating-strokeRecently there has been much publicity surrounding the claims that neck manipulation by chiropractors can cause stroke or even death via cervical artery dissection.  This type of publicity has generated much concern for chiropractic patients and the general public.  Although, after carefully addressing the patient’s concern and informing them on the risk of neck manipulation (less than 1:500,000–1 million1), some...
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