NewsFlashes
Cover Stories
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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Allan Dyer, B.S., M.D., Ph. D.
decompression-is-more-than-traction Dr. Allan Dyer has a Bachelor of Science degree in Pharmacy and is a doctor of Internal Medicine. He was also awarded a Ph.D. for his graduate studies and pioneer work in Transthoracic Cardiac Defibrillation. During his career as a senior administrator and Deputy Minister of Health, he instituted the hospital services quality assessment, generic drug substitution program, prescription...
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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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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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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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Dr. Eric Plasker, D.C.
achieving-longevity-through-a-healthy-and-drugless-lifestyle    Through the family practice, dr. Eric plasker helps chiropractors grow their practice and become life-style leaders in their community Dr. Eric Plasker is a graduate of Life Chiropractic College and former owner of two highly successful family practices, where he practiced for 16 years. In 2000, he founded The Family Practice, a personal coaching company that offers marketing and patient...
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Interviews
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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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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Paul White, D.C.
optimizing-the-well-being-of-the-patient Nutri-West was founded in 1981, a small nutritional supplement company offering a limited, but effective line of its own products. The company was the creation of a successful Wyoming chiropractor and nutrition expert, Dr. Paul White, and his wife Marcia. Their children, Tony, Michele and Tiffany, have been actively involved with the business since they were very young and know...
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Bill Koch, D.C.
applied-kinesiology-demystified-interview-with-eugene-charles-dcWhen it was suggested that I do an interview with Applied Kinesiology practitioner and instructor, Dr. Eugene Charles, I was hesitant to accept the assignment.  Of all the well known chiropractic techniques, Applied Kinesiology was the one in which I had the least interest.  Throughout the years, I had seen numerous demonstrations of what had been represented to be AK...
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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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David Chapman-Smith
working-together-worldwideDavid Chapman-Smith, a Toronto lawyer and author of The Chiropractic Profession (NCMIC Group, 2000) is Secretary-General of the World Federation of Chiropractic.  He is also editor/publisher of The Chiropractic Report (www.chiropracticreport.com).   His introduction to chiropractic took place when he acted as counsel for the New Zealand Chiropractors’ Association before the New Zealand Commission of Inquiry into Chiropractic in 1978-79. In the...
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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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Dr. Rodger Murphree, D.C.
excuse-me-can-we-talk-about-poop-Not necessarily the Best Topic for a Cocktail Party, I agree. However, for over 40 million Americans who have been diagnosed with irritable bowel syndrome (IBS), bowel movements are an important topic. Some experts report that irritable bowel syndrome affects approximately 10–20 percent of the general population. Irritable bowel syndrome is characterized by a group of symptoms in which abdominal...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
to-reduce-osteoporosis-put-a-little-fat-in-your-bonesOsteoporosis is an extremely costly condition; the expense for treating osteoporosis-induced fractures reaches about $38 million per day.1 Consider this in light of the fact that calcium fortification and supplementation is at a premium.  One day of shopping at Sam’s Club, as an example, leads to the realization that countless bottles of calcium are sold on a monthly basis. What does...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
the-supplements-i-take-and-whyNutritional supplements have been around for a long time. For example, the two oldest companies that currently service our profession are Anabolic Laboratories and Standard Process. Each was family owned some 80 years ago and they remain that way today. As a child, some 35 years ago, I walked into a health food store for the first time. Supplements and various...
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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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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
lots-of-questions-one-basic-answerEvery month I get lots of email questions about what to give for X, Y, Z conditions. In short, there is no good data on taking vitamin X or herb Z to cure condition Q. Medications don’t work that way, and neither do supplements. In other words, you can’t cure depression with Prozac, St. John’s Wort, 5-htp, SAM-e or anything...
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Orthotics
Lisa Goldberg
ask-the-advisor I am always trying to bring in new products and services to expand my practice, but it is difficult to know what will work and what will not.  What are some things that I should be aware of before bringing new products and services into my office that will help me understand my rate of return on my investment of...
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johndanchik
back-surgery-averted-for-a-teenaged-boyHistory and Presenting SymptomsThe patient is a 13-year-old boy who was identified at a school screening to have a discrepancy in his shoulder heights. His parents were advised to contact an orthopedic surgeon for further evaluation. They reported that the orthopedist found evidence of a scoliosis, but recommended a “watch and wait” approach. No treatment was offered, but if the...
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Kirk Lee, D.C.
consider-hobbies-to-determine-whats-causing-painAs chiropractors, when we conduct our case histories and examinations we typically determine mechanisms of injury to be related to specific instances of trauma, repetitive macrotrauma or microtrauma. However, we should also consider posture, activities of daily living and hobbies as these can sometimes be the root cause of a patient’s pain. Today we are going to take into consideration...
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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.
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.
callus-formation-in-a-corporate-executiveHistory and Presenting Symptoms   The patient is a 52-year-old male, who was previously treated successfully for a lumbar disc problem, and who now returns to this clinic reporting pain and skin thickening (callus formation) on the bottoms of both feet. He has tried several remedies, but his calluses always return. Exam Findings Vitals. This middle-aged, physically...
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Practice Management
Kathy Mills Chang, MCS-P
what-do-insurance-companies-really-want-from-meDo you ever sit at your desk, look around at the stacks of requests, letters, and charts and ask yourself, “What do insurance companies really want from me, anyway?”  The volume of new regulations and rules are raining down at a fast and furious pace, and may feel like an out of control, runaway train.  We just master one new...
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Peter Fernandez, D.C.
the-associateships-from-hell Five Types of Associateships To Avoid…and Why. Becoming an associate doctor is not a demeaning career move. Trying to open a new practice when you or your finances are not ready…is. Being an associate should be an honorable, rewarding and learning experience. You will hit net profit your first week in practice (your paycheck), you will...
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Dennis Perman, D.C.
self-esteem-the-missing-link-in-practice-success-and-satisfactionThe most important things in life come from inside out – happiness is inside-out, love is inside-out, health is inside-out, and indeed, success in chiropractic practice is also inside-out. So, what do you need inside you to experience the level of success and satisfaction in practice that you desire? There are many qualities that figure into this equation – discipline, creativity,...
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Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
95-of-the-population-cared-for-by-chiropractic-the-first-step-is-up-to-you I have written before that it took chiropractic 115 years to care for 5-7% of the population. Frankly, that is powerful, considering the obstacles we had to overcome. However, it is not nearly enough and we, as a profession, have to do better. The status quo is not enough. I have had the honor of meeting many who handcuffed themselves to...
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Craig Hennequant, DC
update-on-workers-compensationA graduate of Palmer Chiropractic College in 1996, Dr. Craig Hennequant has been spending much of the past four years working with chiropractors nationwide to help them become more evidence-based and improve their documentation and care management. In his interview with The American Chiropractor (TAC), Dr. Hennequant describes his findings and the future of chiropractic. TAC:  Tell us something about yourself. Hennequant:  Well,...
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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
Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., Chad J. Maola, D.C. and Alicia M. Yochum, RN, BSN, Senior Intern at Logan College of Chiropractic
sacral-and-coccygeal-fracturesCASE HISTORY This young male patient fell off a horse and landed on his buttocks. SACRAL FRACTURES Sacral fractures usually occur as the result of a fall upon the buttocks, direct trauma or in association with pelvic fractures.  Isolated fractures of the sacrum are uncommon and a diligent search for an associated fracture of the pelvic ring or symphysis pubis is often beneficial...
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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.
transverse-process-fracturesDiscussion Transverse Process Fractures Transverse process fractures are the second most common fractures of the lumbar spine, with compression fractures being the most common. They occur usually secondary to a severe hyperextension and lateral flexion blow to the lumbar spine from avulsion of the paraspinal muscles. The most common segments to suffer transverse process fractures are L2 and L3. Radiographically, the fracture line appears...
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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.
thoracic-spine-compression-fractures CASE HISTORY This 70-year old female lost her balance and stepped off the curb and experienced severe lower thoracic pain. DIAGNOSIS Observe the compression fractures of the T7, T8 and T9 vertebral bodies. Note the osteoporosis which contributed to the weakening of the vertebrae allowing these fractures to occur with minimal trauma. GENERAL CONSIDERATIONS   Radiographic Signs of Vertebral Compression Fracture....
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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.
lumbar-spine-compression-fracturesThe radiographic signs of vertebral compression fracture are often subtle.  Radiographs of optimal quality are necessary in order to adequately demonstrate these fractures.  Lateral radiographs best demonstrate the fracture features.  Radiographic signs of vertebral compression fracture include a step defect, wedge deformity, a linear zone of condensation, displaced endplate, paraspinal edema and abdominal ileus.  Step Defect—Note, in the presented image, a...
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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.
prostate-osteoblastic-metastasisHISTORY   This 60-year-old male patient presents with a history of prostate cancer with surgical removal. Note the metallic clips in the pelvic basin consistent with prostatectomy. There are multiple "snowball" areas of blastic metastasis scattered throughout the pelvis and proximal femora. This radiographic appearance is consistent with osteoblastic metastatic carcinoma from the prostate gland.     DISCUSSION   The sacrum and bones of...
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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 60-year-old male patient presents with head and spinal pain. DIAGNOSIS   Note the diffuse osteolytic "punched-out" lesions affecting the bony calvarium which has been called the "raindrop skull" of multiple myeloma.   DISCUSSION Osteolytic Defects. The radiologic hallmark of multiple myeloma is the sharply circumscribed osteolytic defect. These radiolucent lesions have been historically...
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Rehabilition
Jeffrey Tucker, D.C.
fascial-release-using-the-deep-muscle-stimulation-to-improve-neck-shoulder-pain  Fascial therapy has become a very popular technique over the past several years. Fascia is the term applied to all of the connective tissues fibers and glue of the human body. Many tools to perform fascial therapy have gained popularity amongst Chiropractors, physiotherapists, personal trainers, and massage therapists. In addition to our hands (ART, myofascial release), key instruments used for...
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Randy Reed, D.C., F.I.C.C., F.A.C.C.
mckenzie-spinal-rehab-methods-in-the-chiropractic-office-active-therapeutic-procedures-insurance-companies-pay-for-part-i We all want success in treating our patients. We all want to be the "Hero," and provide that special treatment to our patient which sets us apart from the other doctors in our area. That may be what drives us, but what does it take for us to be that "Special Doctor" we all strive to be? The answer to that...
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Dr. Kirk A. Lee, D.C.
importance-of-foot-function-in-the-gait-cycleImportance of Foot Function in the Gait Cycle by Dr. Kirk A. Lee, D.C.   An essential part of our chiropractic examination should include evaluation of the gaitcycle, with special consideration toward the patientwho has chronic musculoskeletal-related pain. In previous articles we have discussed several components of the gait cycle. Our most recent article talked about how abnormal patterns...
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Dwight Whynot, D.C.
to-rehab-or-not-to-rehab If you are not performing rehabilitation in your clinic right now, you should consider doing rehab in the near future because it is these types of CPT® codes that are getting doctors paid better by the insurance companies. The insurance companies pay better because the patients not only get better faster, but the patients stay better longer.     Table 1—Case Management...
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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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Dennis Woggon, BSc, DC
mix-fix-set-protocols-for-posture-rehab“Don’t slump, stand up straight!” How’s that working for you? Probably not very well, as I think back to how effective that was when I was a child. We talk about changing posture, but how can we permanently change it.   Posture is not a conscious decision but a subconscious relationship with our environment.  Posture can be defined as the body’s position to...
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Techniques
Dennis Woggon, B.Sc., D.C.
mvas-affect-form-and-function-of-the-c-spineTrauma, especially motor vehicle crashes (MVC), can change an individual’s posture. This will, in turn, affect the victim’s stance and gait, due to soft and hard tissue injuries which cause abnormal function. Humans adapt in time and need to their environment. The human body must adapt when external forces damage the internal environment. This induced...
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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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Scott Walker, D.C. and Deborah Walker, D.C.
our-three-brains-and-the-emotional-component-of-healthThree Brains? … Normally we think of the brain as singular! However, that concept changed when Neuroscientist Paul MacLean, Ph.D., identified three different parts of the brain: the Reptilian, Mammalian and Neocortex Brains. Each is distinctly unique and radically different from the other in chemistry, structure and behavior. MacLean describes the three brains saying, "Stated...
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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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Brice Vickery, D.C.
tvm-vs-a-chiropractic-wastelandChiropractic, a Wasteland? Things have never been better.  Accepted in all states, academic accreditation, almost full members of the healing arts is the way most see it.  This euphoria disappears when you compare it to what it could become and what it did become for me, and the little group of doctors who have studied TVM (The Vickery Method). It would...
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Charles L. Blum, DC
the-evolution-of-bloodless-surgery-and-chiropracticBloodless Surgery or Chiropractic Manipulative Reflex Technique (CMRT) encompasses the  relationship between somatovisceral and viscerosomatic reflexes and, therefore, between the somatic and autonomic nervous systems. R. J. Last in his book, Anatomy: Regional and Applied, points out: There is only one nervous system.  It supplies the body wall and limbs (somatic) and viscera (autonomic).  Its plan is simple.  It consists of...
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