NewsFlashes
Cover Stories
Allan Dyer, B.S., M.D., Ph. D.
decompression-where-it-all-beganDr. 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...
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Don Oyao, MA.,DC.(USA)ND., MA Sp.Chiro Sci(Australia)
hall-of-famers-metallica-swear-by-chiropractica What do rock stars and Olympic athletes have in common? No, this isn’t the lead up to a punchline. Both share a need or desire for chiropractic care to enhance their demanding performances. Having been a team doctor for six Olympic competitions, my latest “gig” with Metallica has shown me that intense activity, endurance and strength are sought by both kinds...
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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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TAC Staff
chiropractic-06Doctor, for the first time ever!  A seminar just for YOU on Technique, Healing, & the Technologies that help validate them all! Now in one place, techniques and healing methods of all philosophies presented together! Finally! You decide for yourself which techniques truly are the best for you and your patients! There are over one hundred chiropractic techniques, not to mention all of...
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Parker Chiropractic College
parker-college-of-chiropractic After thirty-one years of Parker Seminars, experiencing exceptional growth and success, Dr. James Parker’s colleagues urged him to establish Parker College of Chiropractic. A group of twenty-seven students made a leap of faith in September 1982. They were the first students to enroll at Parker College of Chiropractic. Parker College’s curriculum—both basic and chiropractic—continues to be integrated with the...
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Peter Gyrst, DC
a-new-generation-of-adjusting-instrumentsHow it all began?  Side posture This whole series of adjustment instruments has evolved over a period of ten years and has been tested by Gonstead doctors throughout Europe, Japan and also the United States. The first table that was designed and built was the side posture pelvic bench. Actually, it was conceived in frustration and born of passion and necessity. Those of...
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Interviews
William Koch, D.C.
restoring-energy-balances-in-the-body-a-straight-chiropractor-re-thinks-acupunctureInterview with Dr. John Amaro   John A. Amaro DC, L.Ac., FIAMA, Dipl.Ac. (NCCAOM), Dipl.Med.Ac., is an internationally known author, lecturer and practitioner. He began his practice of Acupuncture and Chiropractic in 1971. He has led 13 diplomatic Acupuncture study tours of The People's Republic of China escorting more than 500 doctors and practitioners. He has personally studied acupuncture in nine separate...
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William Koch, D.C.
chiropractic-biophysics-technique-interview-with-deed-harrison-dc Dr. Don Harrison has been a tireless Chiropractic researcher and scientist for more than 35 years.  Originator of Chiropractic BiophysicsTechnique (CBP), Dr. Don conducted his research and reported his findings according to established scientific standards and protocols. His diligence and expertise have been rewarded by a high level of acceptance by the scientific community. Dr. Don’s outstanding career as a Chiropractor,...
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Debra Brown, C.E.O.
on-the-state-levelTAC: What does the FCA do for its members to stimulate practice growth? FCA: The primary mission of the FCA is to improve access to chiropractic services for Floridians.  We do this by legislative initiatives, seeking to knock down barriers and overcome inequities in all of the state-regulated programs that provide for health care services.  We also provide continuous updates to our members...
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Tim Emsky
turning-the-tablesEmsky founded CERT Health Sciences in 2001 after spending more than six years managing and operating back clinics that provided spinal decompression therapy. After his experience with these clinics and getting feedback from other doctors, Emsky saw a need for a table that improved patient comfort as well as accommodated a wider variety of patients. Emsky led a team of...
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Dr. Rand Swenson, MD, DC
expanding-the-horizon-of-diagnosticsDr. Rand Swenson, a second-generation chiropractor, received his chiropractic degree summa cum laude in 1976, from the National College of Chiropractic. He subsequently entered the graduate program in the Department of Anatomy at Loyola University Medical Center in Maywood, IL. His graduate research was in the field of neuronal plasticity and he received his PhD in 1981. After a two-year post-doctoral...
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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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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
battling-the-bulge-is-a-war-against-inflammationIn the Beginning… As a youth, I was one of the many who could not gain weight if he tried. My goal was to gain lean mass; however, I couldn’t even gain body fat back in the high school days. I was very skinny, and being so light was not helpful for my efforts to play baseball and basketball in high...
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Dr. Richard Drucker, B.S., M.S., N.D., Ph.D.
the-gift-of-naturally-prolonged-healthy-and-sustained-lifeWhat took Mother Nature thousands of years to create, recent humanity has taken for granted and has selfishly destroyed. In the last 75 years, modern U.S. economic agricultural practices have nearly eradicated all of the naturally occurring organically (carbon containing) complexed trace minerals, poly-electrolytes and metalo-enzymes from our diet. Two-time Nobel prize winner and renowned scientist Linus Pauling categorically stated...
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Stan Guberman, D.C.
how-to-make-your-practice-more-profitable-add-an-in-house-nutritional-center-to-your-practiceWe, as chiropractors, should begin or continue our thinking process into as many natural healing avenues, so that we can become known as the natural healing source in our communities. We should be known as the "go to guy" when a patient or community member has any question concerning what he or she has been ...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
a-pandemic-vitamin-d-deficiencyLike many of you, I grew up in “healthcare” with the view that vitamin D toxicity is a significant concern for those taking supplements. Even today, individuals with nutrition degrees maintain the notion that vitamin D supplementation is a risky endeavor. Consider your own visceral response to the following: “Many individuals would do well to take 10,000 IU’s of vitamin D...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
alternative-healthcareOur Often Misguided Instincts Many of our beliefs were created by advertising.  A healthy body is the best advertisement.  It depicts a healthy life, which is the reality.  Beliefs are acquired throughout time, starting when we are very young.  We acquire a sweet tooth, and a taste for junk food.  We learn most of our behaviors from our culture, including our...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
low-back-pain-needs-a-nutritional-adjustmentNo matter what chiropractic college you went to, your main approach to patient care is likely to be the chiropractic adjustment.  This statement is not surprising to most, and it gives a clue as to how we think as chiropractors.  We, basically, utilize a mechanical or biomechanical approach to care for our patients.  Whether you believe the adjustment is replacing...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
lumbopelvic-pain-during-pregnancyHistory and Presenting Symptoms A 33-year-old female reports the recent onset of persistent aching pain and tightness in her lower back region.  The pain extends into both buttocks, and occasionally is felt around the left hip and into the left groin.  She is into her 7th month of her second pregnancy, and says that her back pain has increased with her...
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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.
surgical-repair-kneeds-extra-care History and Presenting Symptoms The patient is a 49-year-old male who reports frequent aching and stiffness in his lower back. He denies any back injuries, but does relate an injury to his right knee that resulted in a full tear of his anterior cruciate ligament (ACL). Two years ago, he had a surgical reconstruction of the ACL using...
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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.
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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
recurring-calf-strains History and Presenting Symptoms   The patient is a 32-year-old mom, who also works part-time at the local middle school, where she is the school nurse. She reports numerous episodes of aching and tightness in her right calf over the past three years. She denies any recollection of injury or overuse activities. She has no significant disability, as she is...
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Practice Management
Daniel Dahan, D.C.
maximize-your-practices-potentialIn an effort to help you maximize all your services, Dr. Daniel Dahan has identified 7 departmental areas in your practice, which need to be addressed.  Each of these areas is being dealt with sequentially in The American Chiropractor.  By following the suggestions given, your office will not only maximize its potential, but also delineate areas of weakness that need...
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Peter G. Fernandez, D.C.
an-associateship-that-worksThe tandem associateship: 2 doctors successfully treating the same patients. In the previous article of this, "How to Start a Practice" series, I discussed the "Associateships from Hell."  Unfortunately, most starting doctors get trapped in bad associate arrangements like these. However, this article describes an associateship structure that's very successful, an associateship in which both the established doctor and the...
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Timothy J. Gay, D.C.
keep-your-head-down-a-your-chin-upLast evening, I was thinking of things that helped me the most in building my practice. The more I sat and thought about all the different factors that come into play in order to build the most efficient and effective practice, it boiled down to a simple mantra: Keep your head down and your chin up. What this means is, the...
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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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Eric Kaplan, D.C., N.D.
the-power-of-prioritiesTime is money and money is time. you can always get more money in life, but time spent, is spent. Economize your time to be successful in practice. People often ask how did I see two hundred patients in a day. My comical response is, "Quickly." The truth is we had a great staff and utilized...
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tomowen
how-to-control-your-appointment-bookOne subject that tends to get overlooked when it comes to the overall management of a chiropractic practice is simple appointment book control. A lot of doctors haven’t learned that there needs to be a certain rhyme and reason to every minute that is controlled by the appointment book for the practice. Because really, when it boils down to it,...
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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.
dish-syndromeConsiderations Diffuse idiopathic skeletal hyperostosis (DISH) is a generalized spinal and extraspinal articular disorder that is characterized by ligamentous calcification and ossification.  The most prominent radiographic expressions of this disease are encountered in the spine involving predominantly the anterior longitudinal ligament.  It is a distinctive disease and does not represent ankylosing spondylitis or degenerative joint disease.  An incidence of 12% of...
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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. 
fractures-of-the-pubis-and-ischium[Case History] This patient presents following severe trauma to the pelvic region after a motorcycle accident.   Diagnosis:  This patient has bilateral fractures of the superior and inferior pubic rami which has been referred to as a STRADDLE FRACTURE. Fortunately, this patient had no injury to the bladder, as bladder trauma is often present with fractures such as this. Of incidental notation is...
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Paul Sherman, D.C.
a-case-of-radish Discussion:     RA/DISH is a disorder involving two conditions: rheumatoid arthritis (RA) and diffuse idiopathic skeletal hyperostosis (DISH), which is also known as Forestiers disease or ankylosing hyperostosis.1,3,5 RA is considered the most common inflammatory arthritide.1 It is a systemic connective tissue disorder that primarily affects the synovial lined joints.1 It is characterized by an inflammatory, hyperplastic...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
osteolytic-metastatic-carcinomaOsteolytic Metastatic Carcinoma by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.       CASE HISTORY  This adult male patient complains of back pain, especially at night, and it awakens him from sleeping. Diagnosis: Osteolytic metastatic carcinoma of the left L-3 pedicle and vertebral body. This is the "one-eyed pedicle" sign or the "winking owl sign" of...
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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.
soft-tissue-neoplasm-or-hematomaSoft Tissue Neoplasm or Hematoma? by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.   History: This 25 year old female has recently noticed a palpable mass in the upper inner thigh. She doesn’t recall any fall but does ride her horse on a regular basis. Diagnosis: Post-traumatic myositis ossificans. Note the calcific mass near the...
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Rehabilition
Dr. Mark R. Payne, D.C.
what-works-what-doesnt Everyday, countless patients consult chiropractors seeking a solution for their problems. While some doctors confine themselves to purely symptomatic care, others will recommend treatment well beyond simple relief of pain. Such programs are typically geared toward "correcting the cause" of trouble and often require a considerable commitment of time and money by the patient. Unfortunately, many such programs which...
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Dr. Mark R. Payne, D.C.
patient-safety-and-extension-traction So far, we’ve discussed a couple of different variations on extension traction methods for restoring the cervical lordosis. Before we move on, let me just say a few words regarding patient safety and extension traction procedures. CAUTION: Extension traction procedures aren’t for everyone. There I said it. Of course, I’ve been saying it constantly for the past twenty years...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
establishing-a-care-plan-for-your-patientsThe use of rehabilitation procedures is becoming more of a mainstay within chiropractic health care. Core spinal musculature stabilizing exercises, proprioceptive training, as well as activities designed to enhance flexibility are currently being used to help support the chiropractic adjustment. Each of these methods has become a major point of interest to help a patient enhance his/her overall health...
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Clayton Stitzel. D.C. and Joshua Woggon, D.C.
dont-let-a-lifetime-be-defined-by-scoliosisNow that genetic pre-disposition testing for scoliosis progression risk is available, An Early Stage Intervention Program has also been developed to provide scoliosis patients a non-bracing, non-surgical treatment option that allows them to take immediate action in the prevention of the next stage of the standard treatment process. The three medically-sanctioned methods of scoliosis treatment—observation, bracing, and surgery—have been around for...
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Mark R. Payne D.C.
the-crossroads-of-rehab-and-techniqueThe Crossroads of Rehab and Technique by Mark R. Payne D.C.   Adjusting technique and spinal rehabilitation have always been viewed as two completely separate subjects. Chiropractic’s rich history is replete with innovative ways of adjusting misaligned or dysfunctional spinal segments. Most such chiropractic techniques would be classed as "passive care" in that the patient is a non...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
rehab-made-simpleIf you’ve ever attended a Steve and Roger seminar you probably have heard the statement, “A trained monkey could do what Roger does,” and the follow up, “But there’s never a trained monkey around when you need one, Steve.” So, unless you have a trained monkey around, you may be interested in the simple way that we approach rehab. As...
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Techniques
Howard F. Loomis, Jr., D.C., F.I.A.C.A.
what-do-you-have-to-see-before-you-know-what-to-do-the-significance-of-pottengers-saucer  Structure (anatomy) and function (physiology) cannot be separated. A deviation from normal in one has consequences in the other. Beginning with my February 2010 column, I have been describing a five-minute Source of Stress examination that can be done in your office any time you need to determine when a visceral dysfunction may be responsible for perpetuating structural misalignments and...
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Tim Maggs, D.C.
the-structural-fingerprint-exam-bill-rodgers-marathon-runnerIn the past ten years, I’ve received many emails from injured athletes.  Injuries are part of all athletes’ lives but, when the injury prevents them from participation, they get crazy. Except one:  Bill Rodgers, the famed marathoner who’s finished first four times each in both the Boston Marathon and the New York Marathon.  He’s run fifty-eight marathons, and, to this...
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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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Jeanne Ohm, D.C.
the-webster-technique-a-chiropractic-analysis-and-adjustment-for-pregnant-womenMore and more women are seeking the benefits of chiropractic care in pregnancy.  Many birth care providers are becoming aware of the efficacy of care throughout pregnancy and encouraging their patients/clients to find doctors of chiropractic who are interested in caring for pregnant women.  As with any specialty group within the population, there are specific types of spinal analysis and...
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Allan Oolo Austin, DC, DO, NMD, CCRD, CCSP, DAc, FIAMA, CFIS, PhD (Hon)
how-to-prevent-sports-injuries-using-qfunctional-muscle-neurologyqrWithout question the main cause of elite athletes not attaining their goals is injuries.  Debilitating injury to muscles or tendons being the culprit. Much has been discovered in recent years relating to the imbalance mechanisms of aberrant and imbalanced pull pattern muscule function. (Janda, Lewit, Leibenson, et al, etc.) Creating an afferent barrage for a neurosummation effect using the Trigenics...
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Lisa Upledger, D.C.
craniosacral-therapyCranioSacral Therapy (CST) is a manual modality that has made its way into the chiropractic clinic as an effective adjunctive therapy.  It focuses on normalizing the craniosacral system, which extends from the skull, face and mouth down to the sacrum and coccyx. The craniosacral system consists of a compartment formed by the dura mater membrane, the cerebrospinal fluid within the membranes,...
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