NewsFlashes
Cover Stories
David Chapman-Smith
the-international-growth-of-chiropracticWhat’s ahead for chiropractic? In the following interview with The American Chiropractor (TAC), David Chapman-Smith and Sira Borges, D.C., discuss the rapid growth of chiropractic in Latin America and worldwide. TAC: What are the roles of the WFC and FLAQ?Chapman-Smith:  Details of the WFC, whose voting members are national associations of chiropractors in eighty-six countries, including both the American...
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Dr. Terry Yochum D.C.; D.A.C.B.R.; Fellow, A.C.C.R.
interview-with-terry-r-yochum-dc-dacbr-chiropractic-radiologist-a-author-of-the-essentials-of-skeletal-radiology“This July will see the publication of the third edition of Dr. Terry Yochum's textbook, The Essentials of Skeletal Radiology.  It's hard to express the importance that this work has had in raising the profile of the chiropractic profession.   Before Dr. Yochum's text, there had never been a chiropractic textbook published by a major publisher.  The text is now one...
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Jack Dolbin, D.C.
principles-of-a-sports-medicine-practiceIn the fall of 1993, I was attending a Villanova versus Northeastern University football game. My son was a red shirt freshman wide out and me, a retired NFL veteran. We sat together as spectators, dissecting the game and the individual player performances. In events that would decide the game, the Villanova field goal kicker, Frank Venezia, missed two very...
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Kathy Mills Chang
coding-the-right-way Since 1983, Kathy Mills Chang has been providing chiropractors with hands-on training, advice and a broad range of solutions aimed to effectively assess and improve the financial performance of their practices. A well-known and sought-after speaker, Kathy Mills Chang has served in National and State level chiropractic organizations, sits on diverse boards and advisory councils related to the profession, and...
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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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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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Interviews
TAC Staff
amazing-chiropractor-interview-with-dr-steven-m-horwitz-dc-ccsp-cscs-cktp-sports-injury-practice-with-a-focus-on-injury-preventionDr. Steven Horwitz is a graduate of Cornell University and the National College of Chiropractic. He is a certified Chiropractic Sports Physician, Strength and Conditioning Specialist, USA Weightlifting Club Coach, Kettlebell Instructor, USA Track and Field Level 1 Coach, and Sports Nutritionist. In 2010, Dr. Horwitz was named to Washingtonian’s list of top experts in sports medicine. In 2006, he...
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John Donofrio, DC
healing-from-withinDr. John C. Donofrio, Summa Cum Laude graduate of Pennsylvania College of Chiropractic, credits much of his success to his becoming a Board Certified Chiropractic Neurologist. Now practicing in Reading, PA, Donofrio also recognizes that “healing occurs from within….” In his interview with The American Chiropractor (TAC), this “Amazing Chiropractor” gives us a look at what drives him and what...
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TAC Staff
president-of-chirotouch-robert-moberg-on-recent-successIntegrated Practice Solutions, Inc., creator of ChiroTouch™, has been named as one of America’s fastest growing companies by Inc. Magazine.   Nothing succeeds like success.  It’s as true today as it was when Sir Arthur Helps of England first printed it in 1868.  And even in the face of a badgered economy it has been just as true for Integrated Practice...
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TAC Staff
orthopedic-surgeons-alternative-care-to-back-surgery-interview-with-arieh-grobermdGraduated in 1977 from Haifa-University Technion Medical School, Israel. Dr. Grober assumed Post-Graduate studies at Tel-Aviv University and worked for many years as an Orthopedic Surgeon in the Beilinson Campus, Rabin Medical-Center where he specialized in Orthopedic Surgery. In 1999, he invented and registered the patent on Cervico 2000 – a cervical traction unit.    He became the owner and manager of...
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TAC Staff
the-unlikely-defender-of-the-subluxation-interview-with-gary-jacob-dc-lac-mph-dipmdtGary Alan Jacob, DC, LAc, MPH, DipMDT completed his baccalaureate studies in Philosophy of Science. He graduated from Los Angeles College of Chiropractic in 1978 and the California Acupuncture College in 1981. He was the first DC and the 12th individual to receive the Diploma in Mechanical Diagnosis and Therapy in 1991 from the McKenzie Institute International. In 2003, he...
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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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Nutrition
Mark Percival, D.C., N.D.
all-things-a-poison-plus-silicon-an-overlooked-trace-mineralIf you are recommending trace minerals to your patients, chances are you are recommending toxic substances.  The strange paradox is, many of these toxic minerals are also essential for life!  With the recent popularity of coral calcium, colloidal mineral cocktails, and other supplements containing seventy or more trace minerals, the question of how toxic elements, such as arsenic, cadmium, antimony,...
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David R. Seaman, DC, MS, DABCN
diet-and-supplements-for-athletesThe general goal with diet and supplements for athletes should be to promote an anti-inflammatory state so body better responds to the wear and tear generated by heavy exercise 1-3. With this in mind, diet and supplement recommendations can be uncomplicated. Humans have historically lived on health-promoting foods, including wild game (land animals, fish, and birds) and vegetation in the form...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
a-healthy-dessert-option-dark-chocolateWhen I attend chiropractic conventions/seminars, I am often invited to have a meal with other DC’s. Not uncommonly, the doc(s) will apologize in advance for eating unhealthy food, or ask me not to criticize them for eating such things as French fries or pancakes. For the record, I am not part of the diet police, so people need not worry...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
alternatives-to-nsaids-in-the-treatment-of-spinal-painThe treatment of pain with non-steroidal anti-inflammatory drugs (NSAID’s) is big business in America, which leads to a substantial number of deaths and extraordinary costs to treat NSAID-complications. Consider the following facts about NSAID use: • More than 70 million NSAID prescriptions each year in US • More than 30 billion OTC NSAID’s sold each year in US • 5-10% of US adult population...
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Dr. Howard F. Loomis, D.C.
the-many-clinical-faces-of-protein-deficiencyIf the Chiropractic Profession were to “Discover the Secret” of improving protein digestion and assimilation, it could transform the health care marketplace almost overnight! That is not an exaggeration. Almost impossible to detect in its early stages with ordinary lab tests such as blood work, protein deficiency is behind many of the most persistent chief complaints for which patients enter...
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Christopher Fuzy, M.S., R.D., L.D.
the-future-of-chiropractic-services-in-america-My New Year’s Resolution—Is Now the Time to Build or Elevate My Practice with Nutrition? A Clinical Nutritionist’s ExpectationA majority of your patients committed themselves to a health related New Year’s Resolution on January 1st. Studies show they will implement a nutrition or exercise program in the next 3 months as a result of their desire to improve their health. Are...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
morning-heel-painHistory and Presenting Symptoms The patient is a 56-year-old male who reports severe pain on the bottom of his right foot when he begins to walk in the morning.  He also notices pain under his right heel when he has been standing for a long time (greater than one-half hour).  Over-the-counter pain medications help somewhat; but his condition does not seem...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
is-your-little-leaguer-pitching-too-muchShoulder injuries are common in sports. The category of rotator cuff injuries has numerous names ranging from painful arc syndrome, bursitis of the shoulder, or rotator cuff tears, to just name a few—all usually present with decreased range of motion and pain in the shoulder area. There are three groups of people who are most vulnerable to these types of...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
arch-collapse-in-an-active-womanHistory and Presenting Symptoms A 62-year-old female presents with a recent history of moderate pain in her lower back.  Her back pain responds well to chiropractic adjustments, but recurs within a couple of days.  There are no specific triggering activities, although being up and active seems to bring on the pain more rapidly.  She describes her current level of low back...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
pelvic-and-hip-pain History and Presenting Symptoms A 27-year-old female describes a history of aching pain and tightness extending from her lower back into the pelvic region and both hips. She describes a recurrent pain that has bothered her since she was in a motor vehicle collision at the age of sixteen. As a passenger, she injured her right leg and hip during...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
upper-extremity-conditions-and-orthotic-support History and Presenting Symptoms A 43-year-old female presents with persistent pain in and around her left shoulder, accompanied by tightness extending into her middle back region. Upon further discussion, she recounts a history of a right carpal tunnel syndrome that was treated surgically, with only partial improvement. She has also had several episodes of left elbow tendinitis. She denies any...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
diabetic-foot-requires-special-care History and Presenting Symptoms A 66 year-old female presents with aching lower back pain and numbness extending into both feet. She reports having had occasional lower back pain for many years, but has only noticed the foot numbness in the past six months. This is getting more constant, which concerns her. She recalls no specific back or foot injuries. On...
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Practice Management
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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Michael Failla, D.C.
frustrated-with-bad-tech-supportFrustrated with Bad Tech Support by Dr. Michael Failla, D.C.   After years of having to deal with the customer service departments of insurance companies, most doctors and their staffs have grown numb from having to navigate through a series of "Press 1 for this," or "Press 2 for that" computer animated call centers. Collectively, we are all tired...
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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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Mark Sanna, D.C.
become-accountableWhen you catch yourself asking bad questions, turn them around by asking questions that increase your personal accountability. Instead of asking questions like “Why don’t my children listen to me?” change the question to a more responsible one. Begin with “what” or “how” and then add an “I” to it. Ask yourself questions like “What can I do to be...
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michaelfailla
keys-to-a-successful-paperless-practiceThe benefits of a paperless office are numerous, but for many this goal has been elusive. Instead, the computer age has generated more paper than ever before. But with the right approach, it is possible to build a successful paperless chiropractic office and eliminate the paper piles.   Why Switch to a Paperless Office? Here are a few of the many benefits reaped...
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Marc Swerdlick, D.C.
putting-value-back-into-your-practice Value is a word that’s used in every area of business—chiropractic being no exception. In this article, I am going to explore some of the factors relating to both monetary and intrinsic value, specifically how they relate to chiropractic, and how playing your cards right can be of "value" to your practice. Regardless of how hard one tries to...
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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.
vacuum-phenomenon-DISCUSSION The vacuum sign (of Knuttson) is an important early radiographic finding.1 Essentially, this represents collections of nitrogen gas in nuclear and annular fissures and presents as an area of linear radiolucency in the disc space.2  Studies have shown this to be a common sign of disc aging and degeneration, with an incidence of two to three percent in the...
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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
posterior-arch-fracture-of-the-atlasHistory This young adult patient has had a motor vehicle accident with a “whiplash” type injury.  Painful hyperextension of the cervical region is experienced by the patient.   Figure 1. Note the unilateral fracture of the posterior arch of the atlas. Discussion The radiolucent unilateral defect in the posterior arch of this patient’s atlas represents a complete acute vertical fracture. Fractures of the posterior...
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Ryan Everhart
digital-x-ray-solutions-for-chiropracticX-rays play an important role in determining the exact cause for many health complications in patients. The advancements in radiography are allowing physicians to pinpoint the exact cause of complications through high quality output in a matter of seconds. As a chiropractor, it is important to determine what part of the body is causing the trouble, and you can do...
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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.
multiple-myeloma HISTORY This 65-year-old female patient presents with acute symptoms of right-sided radiculopathy, paresthesia and pain in the right upper extremity. There has been no trauma. DIAGNOSIS Observe the gross osteoporosis about the entire cervical spine. There has been pathological collapse of the C5 vertebral body, which is uniform in configuration. This is very characteristic of a malignant...
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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.
sacral-fracturesHistory This patient fell off a horse while competing in a high level equestrian event. The patient fell directly over the sacrum and experienced immediate severe localized pain in the sacral area. Discussion Sacral fractures usually occur as the result of a fall upon the buttocks or following a direct traumatic blow. There are two types: Horizontal and Vertical. Horizontal (transverse) Fractures These are the...
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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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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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
hamstring-strains-and-orthotic-supportHamstring injuries and athletic running seem to go together.  The injuries also tend to reoccur and become chronic.  Often, the recovery rate becomes frustrating for the athlete as well as the practitioner.  While the etiology remains controversial, the primary causes may be considered, in order to enhance recovery and prevent reinjury. Main Causes Some of the most common causes of hamstring muscle...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
joint-rehab-and-exercise-tubingCurrent research describes the advantage of early, progressive rehabilitation exercise for many types of joint conditions.1-6  These benefits include: restoration of range of motion; decreased pain and swelling; decreased neural inhibition; quicker return of muscle function; and improved performance in sports and all daily activities.  Some studies even speculate that early rehabilitation programs may reduce the number of joint re-injuries.7-9 Contemporary...
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Dr. Mark R. Payne D.C.
reverse-postureqUsed to spend a lot of time and effort on postural adjusting. These days...not so much! It's not by chance that my columns are always centered around postural rehab with rarely a word about postural adjusting methods. That's because I find rehab methods to be much more effective at actually producing spinal corrections than any...
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James W. Gudgel, D.C.
returning-the-injured-athlete-to-optimum-performanceLow back pain affects almost everyone during their lifetime, and this includes well-conditioned athletes. The very nature of athletics is that the athlete is performing an activity that requires a high level of skill, strength, power and/or coordination. Most athletic activities impart very high short-duration repetitive forces into various parts of the body, while other areas are subjected to less...
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Techniques
Mark R. Payne D.C.
protective-postures-part-2- Last month we discussed the problems associated with hypolordotic lumbar postures as well as the protective effects of a healthy lumbar lordosis. I want to use this month's column to cover the same ground as it pertains to the cervical spine. Patients walk into your office every day with complaints related to the cervical spine. Of the many symptomatic presentations...
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George Roth, D.C., N.D.
snoring-and-sleep-apnea-structural-implicationsThe uvula and soft pallet may come into partial or total contact on the back wall of the upper airway.  When the contact is partial or intermittent, snoring (a loud vibration of these soft tissues) may result.  The tongue may also drop posteriorly onto the back wall of the upper airway, coming into contact with the uvula and soft pallet,...
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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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Robert J. Goodman, D.C.
validating-the-truthValidating the Truth by Robert J. Goodman, D.C.   This year marks the coming of validation for the Upper Cervical Chiropractic techniques. Upper Cervical Chiropractors have appeared on mainstream television programs such as Good Morning America, The Montel Williams Show, and Discovery Health Channel, and our own Dr. Marshall Dickholtz Sr. won the ICA Chiropractor of the Year. Some...
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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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George Roth, D.C., N.D.
the-promise-of-matrix-repatterningAt six years of age, she had fallen twenty feet out of a ski lift.  Typical of this feisty lady, she had landed on her feet.  Unfortunately, her tiny body could not support the force of her landing.  Her legs and pelvis were smashed and this little girl would begin a new life, one that would see her endure numerous...
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