NewsFlashes
Cover Stories
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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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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Market Review
real-marketing-from-the-expertsReal Marketing from the Experts Michelle Geller Dr. C. J. Mertz MGV Marketing, Inc Team WLP William D. Esteb Dr. Mark Sanna Patient Media Breakthrough Coaching Dr.Daniel T. Drubin Dr. Timothy J. Gay ProPractice Partners Ultimate Practice Dr. Mark Studin Dr. Eric Plasker CMCS Management The Family Practice     We’ve gathered eight top experts in the Chiropractic field, just for you, to provide you with fundamental methods of marketing that can be integrated right now, on...
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TAC Staff
second-generation-chiropractor-in-the-trenches-for-broad-based-educationDr. Richard G. Brassard was appointed president of Texas Chiropractic College (TCC) in 2004, following several years of association with TCC as a member and chairman of the Board of Regents. He is a 1965 graduate of Palmer College of Chiropractic, following in the footsteps of his late father, Dr. Jerry Brassard. He is licensed to practice in both Texas...
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David Fletcher, D.C., F.C.C.S.S.(C)
nerve-first-approach“Nerve First” Approach by David Fletcher, D.C., F.C.C.S.S.(C)   Dr. Fletcher is a 1980 graduate of Canadian Memorial Chiropractic College with a Fellowship in Chiropractic Sport Sciences. He trains and teaches thousands of chiropractors to interpret and communicate the power of chiropractic care, using CLA’s Insight scanning technologies. He continues to practice daily, while developing new strategies for...
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Roger Russo, D.C.
how-to-attract-seniors Doctors, look around your office, clear out the deadwood and do something different that will change lives and your practice. Decide what type of practice you want and what type of patients you want to serve. Find out as much as you can about that group’s wants and needs; give it to them and watch your practice grow. We...
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Interviews
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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Boyd Williams, D.C.
a-practice-based-on-purpose-passion-and-never-ending-trainingDr. Boyd Williams is a 1987 graduate of Northwestern Chiropractic College who practices in his hometown, Rochester, Minnesota, with his wife, Cindy, a 1996 graduate of NWCC. Beginning his practice as a sole practitioner in 1988, Dr. Williams became a certified Chiropractic Sports Physician in 1991 and the first sports chiropractic diplomate in Minnesota in 1994. Then, he enthusiastically set out...
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Rick Markson, D.C.
million-dollar-chiropractic-features-dr-rick-marksonEach article in the MILLION DOLLAR CHIROPRACTIC series (M$C) 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. Rick Markson, an extremely successful chiropractor who has practiced in Florida for the...
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TAC Staff
great-technique-plus-great-nutrition-program-leads-to-outstanding-results-interview-with-peter-heffernan-dcDr. Peter Heffernan has been in practice 37 years in the same location in Waukesha, Wisconsin. He built a 100-patient-per-day practice within one year of graduating from Logan College of Chiropractic in September of 1975. By the end of his second year in practice, he had built a 500-patient-per-week practice. “We did a 90-minute pre-care class educating patients and families...
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Cory Littman, DC, DAAMLP
chiropractic-as-primary-care-for-the-spine-the-paradigm-has-changed-interview-with-william-owens-dc-daamlpDr. William Owens has been in practice for 15 years in Buffalo, New York.  He has  a practice that focuses on the care and triage of the traumatically injured.  Early on in his career, Dr. Owens had the opportunity to help build two hospital-based chiropractic clinics: one of which allowed chiropractors to become credentialed as medical staff as opposed to...
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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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Nutrition
Charles C. DuBois
standard-process-providing-the-tools-for-better-health-careThe American Chiropractor (TAC) interviews Charles C. DuBois, President of Standard Process, Inc., about his company’s efforts to “give back” to the chiropractic profession. TAC: Tell us a little bit about the history of your company. DuBois: For more than 75 years, Standard Process has provided health care professionals with the best whole food supplements and herbal products for themselves and their...
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Dr. Howard F. Loomis, D.C.
the-five-stages-of-pregnancy-part-iiiLactation and Depression Once the joyous day arrives and the healthy and happy baby has been delivered, it is time to address the postpartum nutritional requirements for both the mother and the baby. The American Academy of Pediatrics has long advocated the use of breast milk as the primary food source for full-term infants.  In 1997, this advisory was extended...
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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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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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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
what-about-the-recent-glucosamine-studyThe February 23rd, 2006, issue of the New England Journal of Medicine published an article on the treatment of osteoarthritis (OA) of the knee with glucosamine hydrochloride and chondroitin sulfate. Some of the news reports suggested this study demonstrated that glucosamine was ineffective in the treatment of arthritis. A closer look at the article suggests the opposite conclusion may be...
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John H. Maher, D.C.
flaxseed-for-heart-healthy-nutrition The use of flaxseed in food and beverages, functional foods and dietary supplements has risen dramatically. Such increased popularity is related to the increasingly recognized benefits of flax’s rich omega-3 fatty acid, lignans (powerful phytonutrient phytoestrogens/antioxidants) and fiber content. A typical flax profile is approximately 40 percent fat, being mostly omega-3 as alpha linolenic acid (ALA); 28 percent dietary...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
leg-pain-in-a-ball-playerHistory and Presenting Symptoms An 18-year-old baseball player presents with aching pain and tightness in his left lower leg.  He describes a collision injury during a game four days earlier, which resulted in pain and bruising in the front of his leg after sliding into second base.  Despite repeated icing, the area still feels swollen.  He describes this as “shin splints.” Exam...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
adult-flatfeet-and-orthotic-support Flatfoot (the absence of a medial longitudinal foot arch) is normally found during early human growth and development.  During childhood, we all start out with little or no arch.  Some people, however, never develop normal feet arches.  This situation differs from the collapse of normal arches due to excessive loading and eventual plastic deformation.  Are “normally” flattened feet a clinical...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
hamstring-injury-in-a-hockey-playerHistory and Presenting Symptoms The patient is a 26-year-old male amateur hockey player, who reports a recent left hamstring “pull” that just doesn’t seem to be getting better.  His history includes numerous injuries to the same hamstring muscle when he played in college, with mixed attempts to stretch and rehab.  He also describes varying levels of pain in his lower back...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
plantar-fascitis-and-orthotic-supportThe classic presentation of plantar fascitis is “a sharp heel pain that radiates along the bottom of the inside of the foot.  The pain is often worse when getting out of bed in the morning.”1  This can occur in runners or other athletes who repetitively land on the foot.  Another susceptible group is middle-aged persons who have spent much time...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
metatarsalgia-and-orthotic-supportFoot pain can interfere significantly with normal activities, and severely limit participation in sports.  Metatarsalgia is foot pain involving the metatarsal bones in the forefoot—the complaint of pain on the bottom of the ball of the foot. Metatarsalgia may be due to overuse of the foot during sports, improper footwear,1 excessive weight, foot subluxations, or other factors.  The underlying cause is...
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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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Practice Management
Maurice A. Pisciottano, D.C.
increased-public-awareness-education-new-patients You love chiropractic.  You want to share the benefits of chiropractic with the whole world.  You would like to add a few new patients a week to your practice.  Accomplish all this and more through a performance workshop presentation.  Offering a performance workshop to businesses is a cost-effective way to share the benefits of chiropractic, establish yourself as the...
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Ray Foxworth, D.C., FICC, MCS-P
7-steps-to-a-sound-financial-policy1 Know Your Numbers Many doctors do not really know the cost of doing business. We THINK we know about what it costs to run our practice. You may know what your monthly expenses are, but do you know the actual cost of providing an office visit? Don’t fool yourself into thinking it costs the same to adjust 10 patients as...
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Michael Failla, D.C.
the-healthcare-stimulus-package-navigating-the-buzz The Healthcare Stimulus Package: Navigating the Buzz by Michael Failla, D.C.   There has been a great deal of buzz lately about the government’s healthcare stimulus package. And, as Doctors of Chiropractic, the plan is of great interest…as well as great confusion. The promising news is that this package could potentially provide reimbursement payments to qualifying chiropractors of up to $44,000 over...
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Mark Sanna, D.C.
utilization-guidelinesWe cannot escape regulation. Whatever we do in our practices requires that we learn our rights, scope of practice, standards of practice, and choice of therapies and modalities. Virtually no activity in clinical practice escapes regulation. However, all too often, practitioners employ a “shoot-from-the-hip” approach to case management, where the doctor or therapist applies his or her own individualistic methodology,...
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Peter Fernandez, DC
finding-a-great-associateship-starting-a-new-practice-ivIn my previous articles, I described the types of associateships that are, and are not, successful.  Now that you know the type of associateship you should look for, here’s how to find that “needle-in-a-haystack associateship from Heaven.” A potential associate should search for an established doctor who is earning $500,000 or more per year.  Do not associate with a doctor practicing...
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tomowen
why-chiropractors-need-a-coach-to-succeedAlthough chiropractors are generally hardworking, dedicated professionals who strive to correct subluxations in order to benefit the overall well-being of their patients and community, they still might be clueless on how to run an efficient and profitable practice. Technique expertise and talent are not enough.    Matter of fact, the myth upon graduating simply isn't true. We've all heard it before: Get...
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Radiology
Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.
os-odontoideumCASE HISTORY This young adult patient presents with neck pain following an MVA.  You note an abnormality in the upper cervical spine at C1 & C2.  Is this a fracture?   DISCUSSION Anomalies of the odontoid process are considered uncommon (1) and are usually discovered by the principle “traumatic determinism.”  This means that the underlying condition predated the injury and is not caused by...
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Peter Fernandez, DC
what-practice-structure-suits-you-best-starting-a-new-practice-v Solo Practitioner (No Incorporation) This type of practice structure is when a doctor is not incorporated.  In this case, the doctor does not have the personal asset protection advantage that a corporate shield has to offer.  Being non-incorporated, if someone files a malpractice suit against the doctor, they will not only be after all his business assets (equipment, accounts...
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andrewcheeseman
digital-x-rayThe technology used in conventional X-ray film is 100 years old. There are not many technologies that do not evolve and improve in 100 years, and the X-ray field is no different, although many doctors have not yet made the technology jump in this area. In the last 10 years alone, we have seen the development of affordable technology in...
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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.
osteitis-pubisHISTORY: Both of these female patients are complaining of focal pain at the pubic articulation. One of them developed this pain after a difficult delivery of a child and the other patient after surgery for a retroverted uterus.   Figures 1 & 2. Characteristic changes are visible at the pubic...
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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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Rehabilition
Roger R. Coleman, DC and Stephan J. Troyanovich, DC
a-brief-history-of-lumbar-traction-in-chiropractic-rehabilitationFrom its birth to the present, the chiropractic profession has been interested in methods to restore normal alignment (structure) to the spinal column, with the ultimate purpose of restoring normal function to the spine and nervous components housed inside.  Interestingly, mechanical traction has been used by chiropractors to reduce spinal misalignments, in spite of the fact that chiropractic is a...
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George LeBeau, D.C.
are-your-shoes-killing-youDuring my early years of practice, while working with youth sports, I met an Athletic Trainer named Bob Ragsland (“Rags”). He had been working with college athletes for many years and emphasized to me the importance of proper equipment fitting. I spent many hours with him learning techniques for fitting shoulder pads, helmets and other sports equipment. Then, one afternoon at...
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Dr. Mitch Mally
post-operative-carpal-tunnel-syndrome-ctsHistory and Subjective Complaints 53-year-old male factory worker/forklift operator complains of bilateral hand numbness, burning, tingling and loss of grip strenth in the thumb, index and ring fingers, bilaterally. Nocturnal aggravation of the hands resulted in a workers compensation case. Over the course of 9 years, the patient failed operative recovery: 4 left CTS surgeries, 3 right CTS surgeries and, subsequently,...
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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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Dr. Kirk A. Lee, D.C.
a-runner-with-the-wrong-orthoticsA Runner with the Wrong Orthotics by Dr. Kirk A. Lee, D.C.   Today the doctor of chiropractic has many choices when choosing the type of Spinal Pelvic Stabilizers, or custom-made orthotics, to use in his office. We must first and foremost use orthotics from a company that also supports our profession. Secondly, these orthotics must be custom made,...
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Dr. Mark R. Payne, D.C.
worlds-best-traction Last month I discussed why there's no adjusting technique which is demonstrably better in terms of spinal correction. Obviously, there may be a host of situations when one technique is indicated (or contraindicated). That's just common sense. But, in terms of actually effecting real structural change to the spinal curves, it just doesn't matter much how or which technique system...
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Techniques
TAC Staff
yes-there-really-are-10-more-great-techniques-4th-annual-editionTAC:  How do chiropractors generally pick the techniques that they perform? Roth:  Chiropractors and other health professionals are drawn to techniques and theories that will help them move to the next level.  As each practitioner evolves in skill and understanding, they naturally reach for higher ground.  And, as it has been said, “When the pupil is ready, the teacher appears.” ...
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Dr. Mitch Mally
chiropractic-a-carpal-tunnel-syndromeWhen attempting to gain entry into the industrial health care delivery system for the treatment, rehabilitation and prevention of repetitive stress injuries (RSI’s), the chiropractor must first know how to diagnose differentially, follow a standard protocol, be prepared to disclose how many cases he/she has successfully treated and provide references, as well as identify additional specialized training and expertise in...
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Allan Oolo Austin, DC, DO(Can), NMD, DAc, FIAMA, CCRD, CCSP, CFIS
evidence-based-neurological-approach-to-multimodal-neurosummation-the-trigenicsr-decade-reviewIf you and I are the same, we both became health professionals because we had a deep desire to help people suffering with pain and dysfunction. We are consequently always seeking and learning new ways to do this. I feel blessed to have been able to discover and learn a way to help my patients in an incredibly dramatic and...
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Tedd Koren, D.C.
dont-limit-the-subluxationUsing different terminology, D.D. Palmer (chiropractic), A.T. Still (osteopathy) and Samuel Hahnemann (homeopathy) all recognized life as a triune of matter (physical), energy (emotion) and consciousness (intelligence) and viewed dis-ease as the result of disharmony amongst them. There is no purely physical or purely mental illness—all physical illness includes emotional symptoms and all emotional illness includes physical symptoms. Physical...
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Tedd Koren, D.C.
do-cranial-bones-moveWe were taught in school that the cranial bones are fused and do not move after infancy. That’s because we weren’t taught in Italian. What does language have to do with it? Read on. Cranial motion was introduced to the osteopathic profession by William G. Sutherland, DO, in the 1920’s. Sutherland was inspired by the 18th century philosopher and scientist Emmanuel...
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Charles L. Blum, DC
sacral-cup-treating-the-malposition-of-sacral-segments The Sacral Cup Test and adjustment can be an extremely important tool for the chiropractor because of its ability to help stabilize a chronic unstable sacroiliac (SI) joint, especially if it is slow to respond to traditional category two pelvic procedures. [Figure 1] In addition, it gives the doctor a tool to determine the presence of a complication in...
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