NewsFlashes
Cover Stories
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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William H. Koch, D.C.
adventures-in-practice We have all grown up with the dramas of medical practice, depicted in popular TV programs.  There was Dr. Ben Casey doing brain surgery, and also the fatherly Marcus Welby, M.D., who practiced medicine in a small town, providing each patient with a level of patience, competence and benevolence that everyone would love to have from their doctor.  Who can...
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Maurice A. Pisciottano, D.C.
the-piezoelectric-sensor-the-heart-of-the-proadjuster-patient-care-system Technique + Business = Results. Within this simple equation is the formula to business success. If you see your practice as a business and implement the most innovative, forward-thinking techniques, you will undoubtedly achieve the results you’re after. In this lesson, I would like to discuss the methodologies of the ProAdjuster patient care system. The business principles we teach our...
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Logan Chiropractic College (LCC)
logan-college-of-chiropracticFor Logan College students to gain knowledge and skill; for Logan graduates to better serve their patients and for the community to benefit from chiropractic care, the college must grow and progress. Over the past 18 months, Logan College of Chiropractic has succeeded in expanding the scope of chiropractic education and care in the patient ...
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Dr. James L. Chestnut , D.C., F.I.C.C., F.A.C.C.
evidence-based-wellness-careDr. James L. Chestnut has been studying human wellness for over 25 years. He has a Bachelor of Physical Education degree, a Master of Science degree in exercise physiology with a specialization in neurological adaptation, is a Doctor of Chiropractic from the Canadian Memorial Chiropractic College in Toronto, Canada, and holds a post-graduate Certification in Wellness.   Award....
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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
Tedd Koren, D.C.
challenge-check-and-correct-the-entire-structural-systemTedd Koren, D.C., is certainly one of the most widely read Doctors of Chiropractic today. Through Koren Publications, over 50 million of his popular patient education brochures have been distributed. His monthly patient and professional newsletters are among the most popular in the profession. He is the author of Chiropractic: Bringing Out the Best in You!, Chiropractic Wellness:  Health from...
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Jeff Spencer, D.C.
on-the-roadDr. Jeff Spencer is a former champion cyclist who competed on the 1972 United States Olympic Team as a sprint cyclist and currently serves as chiropractor for the United States Postal Service Professional Cycling Team.  A 1975 graduate of the University of Southern California (USC), Dr. Spencer graduated summa cum laude from Cleveland Chiropractic College at Los Angeles in 1988. ...
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TAC Staff
interview-with-leander-eckard-dc Dr. Leander Eckard attended his first year of chiropractic college at Palmer College of Chiropractic in Davenport, Iowa, in 1959 and 1960. He transferred to Cleveland College in Kansas City and graduated from there in 1964. Upon returning to his home in Spokane, Washington, he opened his first practice in late 1964. He practiced in the state of Washington...
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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
some-perspective-on-soft-tissue-interview-with-warren-hammer-dcDr. Warren Hammer has been in practice for 50 years. He graduated from Brooklyn College (BA) in 1955, Lincoln Chiropractic (DC) in 1960; Diplomate, American Board of Chiropractic Orthopedists in 1975; instructor in spinal biomechanics, NYCC; University of Bridgeport (Human Biology-Nutrition, MS) 1979. He is a consultant for Graston Technique©. He attended seminars at Gonstead Clinic (20 X), Cyriax, Nimmo...
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TAC Staff
can-cloud-computing-really-save-you-thousands-annuallyInterview with Steven J. Kraus, D.C., D.I.B.C.N., C.C.S.P., F.A.S.A., F.I.C.C. His vision to elevate the profession and increase chiropractic access The American Chiropractor recently heard about a new Electronic Health Records (EHR)/practice management software product from Future Health that the company has decided to give away free. Like many of you, we wondered, “What’s the catch?”  So we sat down with Future...
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Nutrition
Robert G. Silverman DC, DACBN, MS, CNS, CCN, CSCS, CIISN, CKTP, CES, DCBCN, HKC
the-natural-approach-to-treatment-of-high-cholesterol-profilesIt is in the news on a near-daily basis. Research studies address various aspects of it. Many people ask what their doctor can do about it.“It” is cholesterol.The evidence overwhelmingly demonstrates that elevated cholesterol levels greatly increase the risk of death due to cardiovascular diseases (CVD), such as heart attack and stroke. These diseases claimed 927,448 lives in the U.S....
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Dr. Stephen Kaufman, D.C.
should-chiropractors-treat-intestinal-problems Can Pain Due to Intestinal Disorders Be Stopped in Minutes with a Simple Soft Tissue Technique? Inflammatory bowel disease, irritable bowel syndrome, and other intestinal disorders often respond extremely well to a combination of soft tissue techniques and nutritional supplementation. Various studies show between one person in one hundred to one thousand in North America will experience ulcerative colitis...
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Lynn Toohey, D.C.
detoxificationWe all know that detoxifying is good for us, but how do you choose a good protocol to follow?  When we remove toxins that have built up over years, it is just as important to consider things we DON’T do as well as the things we DO. A good detox program (there are thousands out there) should be written by...
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Barry Sears, Ph.D.
understanding-eicosanoids-and-dietWhat is the Zone? The concept of maintaining drugs within a therapeutic zone is well known to physicians.  Below that therapeutic zone, the drug is ineffective, and above that therapeutic zone, the drug is toxic.  The same concept can be applied to the hormones generated by the food you eat.  There are two hormonal systems that are controlled by the...
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Dr. Howard F. Loomis, D.C.
what-do-you-have-to-see-before-you-know-what-to-doStructural Stress During the 20th century, chiropractors established themselves as the experts in the recognition and correction of structural deviations from normal. The chiropractic profession has survived the slings and arrows of its detractors by producing consistent results for relief of back pain, headaches, sprains and strains, and many other structural problems. Important contributions have been made in the management of...
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Hedley Turk
five-steps-to-overcoming-a-food-addictionYou know the food you’re eating is bad for you—you just can’t stop eating it. You have a food addiction and you’re not alone. Millions of people are suffering as well. This is the area of health where most of us have our greatest challenge. We want to eat healthier, we want to be healthier, but when it comes to eating...
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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.
mature-knee-painMature Knee Pain by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.     History and Presenting Symptoms The patient is an active 58-year-old male, with a history of participation in many team sports (baseball and football) in his younger years. He describes recurring pain and stiffness in his right knee, which is especially noticeable in the mornings and also when he plays...
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Dr. Paul B. Bindell, D.C.
audit-proof-your-practice The curse is that insurance companies use computers to burden and audit you. The blessing is greater because the computer protects you from audits, minimizes paperwork and eliminates 95% of paper filing.   Doctors praise Electronic Health Record (EHR) computers. When audited, those doctors produced high quality SOAP records that matched the bills. The only loss was a small amount of...
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johndanchik
providing-the-racers-edge-to-a-young-runnerHistory and Presenting Symptoms The patient, a 27-year-old female, is a media designer who has been running regularly for the past eight years.  She reports the recent onset and gradual worsening of pain in the front of her left lower leg, which is now limiting her regular physical activities.  The leg pain is described as an “aching soreness” that has...
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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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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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Practice Management
tomowen
how-to-develop-an-entrepreneurial-mindsetWhen you first envisioned yourself as a chiropractor, you were probably focused on the opportunity to help people who were suffering from pain. However, most chiropractors realize quickly that the lessons they learned in school aren't enough to gain success in the real world. Chiropractors also need business knowledge and entrepreneurial spirit if they hope to run their own practices.   Of...
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Ron Short, D.C., MCS-P
the-chiropractic-demonstration-project-final-report Well, the dust has settled and the reports have been published, The Chiropractic Demonstration Project is finally over. So, how did we do? Well, we won and we lost. The key points of the demonstration project were: • "Section 651 of Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) • Centers for Medicare & Medicaid Services (CMS) to conduct demonstration evaluating...
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Fred Di Domenico, D.C.
staff-your-most-valuable-asset When assessing the assets of your practice, your staff should be your most coveted element. Nothing can make or break your practice like your staff. A well-trained, happy staff propels your practice to new heights. An unhappy, unmotivated staff is a "ball and chain" that will doom your every good intention. You cannot outperform a bad staff. If your...
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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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Jay S. Greenstein, DC, CCSP, CGFI-L1, CKTP
building-the-sports-chiropractic-practice-a-recipe-for-success Throughout my travels I have had the opportunity to meet lots of great people in our profession. Many have been in practice for years, but some are in school, getting ready to graduate or just getting started. I’m often asked by these folks what it takes to build a sports chiropractic practice. The answer essentially revolves around three key...
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Mark Sanna, D.C.
practice-management-tipsQ: There is a lot of confusion about medical integration these days.  It can be a frightening thing for some, due to some negative national publicity.  What is the latest on chiro-medical integration? A:  There are two seemingly divergent trends that are affecting the practice of chiropractic today.  The first trend is consolidation.  Approximately 30 percent of medical physicians remain in...
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Radiology
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
librarian-overdue-for-pelvic-pain-relief History and Presenting Symptoms A 37-year-old female describes a history of occasional pain in her lower back region, most noticeable on the left side.  She states that her low back pain “just seems to come and go,” with no obvious triggering activities.  Her pain is localized to the posterior hip region, and does not extend below the pelvis.  She is...
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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
sacral-fracturesCase History:  This male patient was working on the roof of his garage when he slipped and fell 12 feet to the concrete pavement of his driveway.  He has sharp pain over his proximal sacrum. Does he have a fracture? Diagnosis:  Note the fracture through the anterior surface of the second sacral segment creating an acute offset of its anterior cortical...
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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.
fractures-of-the-clavicleHistory The young patient fell on an outstretched arm while playing football. Discussion The “S” shape and normal overlap with the upper ribcage renders the clavicle a difficult structure to evaluate on straight anteroposterior projections.  The optimum view is anteroposterior projections with 15 degrees cephalad tube angulation.  Weights (10-15 pounds) may be held to aid in detecting undisplaced fractures.  The exposure factors should be...
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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
idiopathic-wrist-pain History This young adult male patient complains of wrist pain after physical activity. Plain film radiographs showed no abnormalities of any of the bones of the wrist, nor was there any joint disease in the carpal bones. Because of persistent pain, an MRI scan was performed. Diagnosis: Kienbock's Disease  Osteonecrosis may occur at any carpal bone as a result of traumatic...
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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
Mark S. Matvey, D.C.
reducing-the-need-for-narcotic-medications-a-retrospective-case-reportIntroduction The purpose of this case report is to display the dynamics of a complete tear on an anterior cruciate ligament that required surgical intervention with a graph (cadaver) insertion via arthroscopy surgery and the chiropractic care and rehabilitation technique/procedures used to benefit and expedite the recovery process. In addition, the need for the routine narcotic medications prescribed for this type...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
avoiding-rehab-overload-the-variablesOne of the underlying principles in physical rehabilitation is that the body responds positively to the increased stresses placed upon it.  This is the whole reason for asking muscles to lift more weight, for asking tendons to pull more tension, and for asking joints to undergo more movement.  We have a mechanism for developing and improving our physical capabilities when...
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John K. Hyland, D.C.
avoid-rehab-overloadMost of us know that exercises are an important key to full recovery of spinal function. Unfortunately, I have found that the more knowledgeable doctors are in rehab procedures, the more likely they are to overwhelm their patients with exercises. The result is frequently a long laundry-list of exercises given to each patient. This often includes stretches for all of...
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Christian H. Reichardt, D.C., C.C.S.P.
vibrational-therapyIn the last issue of The American Chiropractor, I focused primarily on the issue of intergrating Whole Body Vibration (WBV) into your daily office procedures. When we, as Doctors of Chiropractic, are recommending a particular therapy to our patients, we want to be certain to understand the physiologic effects of the particular modality and the...
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Dr. Kirk A. Lee, D.C.
preventing-injuries-requires-more-than-a-strong-corePreventing Injuries Requires More Than a Strong Core by Dr. Kirk A. Lee, D.C.   Whether we are confronted with developing an exercise rehab program for a male patient (who is sedentary, overweight, and experiencing low back pain) or developing a strengthening program to fine tune a professional athlete, some emphasis must be placed on the core musculature. With...
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Tim Maggs, D.C.
high-school-athletes-and-structural-managementrDid you know...?  • All high school athletes in this country must undergo a physical exam prior to participating in their sport. That exam, however, is a medical exam (eyes, ears, nose and throat). (See Fig. 1)   Eyes______________________________ Skin (Non- communicable)_________________  Ears (Otoscope) ___________________ Epilepsy __________________________________ Lymph Nodes _____________________ Nervous System ___________________________  Thyroid __________________________ Speech ___________________________________ Nose _____________________________  Nutrition __________________________________  Tonsils ___________________________  Height ______________ Weight ______________  Teeth ____________________________  Vision ____________________________________  Heart _____________________________  Hearing __________________________________  Blood Pressure ____________________  Orthopedic _______________________________  Lungs ____________________________                  Feet...
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Techniques
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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Ted Koren, D.C.
are-you-missing-an-important-subluxation Doctor: "You feel tired much of the time, don’t you?" Patient: "Yes, I feel exhausted all the time. How did you know?" Doctor: "Your femur heads are anterior. Most of your energy is being used to hold your body up." One of the most fascinating subluxations is of the femur heads. The femur head is ball-shaped and located at the top of...
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Anthony Criscuolo, DC
energize-your-practice-with-active-release-techniques-artHow would you like to dramatically improve your patient outcomes and have patients enthusiastic about their treatment?  Would you like to see positive post treatment changes in range of motion, muscle strength, and pain in one treatment?  Well, thousands of doctors have discovered these benefits and more by utilizing ART in their practices. So, what is ART? ART is a hands-on touch...
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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...
20150
Tedd Koren, D.C.
the-panic-patternFight or Flight Life has its scary moments and, in a life or death situation, the proper reaction may make the difference between, well, life or death. Fortunately, we are “hard-wired” to improve our chances of surviving dire emergencies with our “fight or flight” or “acute stress” response. How does it work? At the sign of danger, we have two options:...
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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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