NewsFlashes
Cover Stories
Marc J. Lamantia, D.C., and Gary A. Deutchman, D.C.
review-of-the-literature-non-operative-scoliosis-treatmentReview of the Literature: Non - Operative Scoliosis Treatment by Marc J. Lamantia, D.C., and Gary A. Deutchman, D.C.   Without intervention, Adolescent Idiopathic Scoliosis (AIS) is a condition which is likely to progress between the time of detection and the time of skeletal maturity.1 This makes early detection, with the intent of early intervention of...
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Market Review
nutritional-support-for-healthNutritional Support for Health   Many Chiropractors use some form of nutritional support to assist in the healing process of their patients. See here, in alphabetical order, the newest nutritional products in the market to suggest to your patients and/or add to your practice.     Anabolic Labs: Ultra K2D3 Price Range: $10 doctors’ price; $20 patients’ price (this is a one to two month supply) Product...
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TAC Staff
the-landmark-victory-for-surface-emgIn January of 2005, David Marcarian and his company, PBI/MyoVision, defeated a group representing most of the major insurance companies and the State of Florida, who questioned the validity of surface EMG.  The case was appealed to the Superior Court of Florida, with an attempted appeal to the Supreme Court of Florida. Marcarian and MyoVision again prevailed with a unanimous...
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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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TAC Staff
calendar-of-conventions-and-seminarsSeminars!  We know that you’re interested in furthering your education and keeping on top of everything that happens in chiropractic, whether to fulfill your CE credits or simply to keep learning.  To assist you in planning ahead, this directory is designed to provide you with a list of upcoming seminars in order of general topic—national and international association and organization...
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John L. Stump D.C., Ph.D., Ed.D.
how-to-build-a-sports-health-care-practice Preface In business, “toke wa karinary” is the Japanese term for “time is money.” The Japanese feel that maximizing these two factors is the key to the success of any endeavor,1 especially the sports health care practice. Many doctors, when they get out of...
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Interviews
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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George Michalopoulos, D.C.
million-dollar-chiropractic-features-dr-george-michalopoulosEach article in the MILLION DOLLAR CHIROPRACTIC series () focuses on the top surveyed issues facing chiropractors today.  Recruiting new patients, retention, profitability, marketing and staffing are each a determining factor in the growth, potential and success of the practice. The subject of this issue’s profile is Dr. George Michalopoulos an extremely successful chiropractor who has practiced in Illinois,...
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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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TAC Staff
amazing-chiropractor-interview-with-dr-steven-m-horwitz-dc-ccsp-cscs-cktp-sports-injury-practice-with-a-focus-on-injury-preventionDr. Steven Horwitz is a graduate of Cornell University and the National College of Chiropractic. He is a certified Chiropractic Sports Physician, Strength and Conditioning Specialist, USA Weightlifting Club Coach, Kettlebell Instructor, USA Track and Field Level 1 Coach, and Sports Nutritionist. In 2010, Dr. Horwitz was named to Washingtonian’s list of top experts in sports medicine. In 2006, he...
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TAC Staff
the-amazing-chiropractor-series-interview-with-terry-schroeder-dcDr. Terry Schroeder is the USA’s only four time Olympian in the sport of water polo.  He was a member of Team USA during the Olympic boycott in 1980.  After the boycott, Terry re-focused and dedicated himself to pursuing his Olympic dream. In 1981, he was named the team captain. His leadership helped the team to consecutive silver medals in...
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William H. Koch, DC interviews
interview-with-jeff-rockwell-dc-of-manual-neuroscience-methodsr-Dr. Jeff Rockwell, DC is a chiropractor, bodyworker and somatic educator, with a passionate interest in the neuroscience of manual therapy.  A pioneer in the use of instrumentation in neuromuscular therapy, Rockwell has been a popular teacher on the seminar circuit for the past twenty years. Professor of Clinical Sciences at Parker University for many years, he is the author...
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Nutrition
David R. Seaman, D.C., M.S., D.A.B.C.N., D.A.C.B.N.
sports-nutrition-a-perspective-on-prevention-Mental state or supplements for an improved performance? There is little evidence to support the notion that we can take nutritional supplements and improve performance or increase strength in a significant fashion. In all likelihood, the mental state of the athlete is the deciding factor. An example of this was a placebo study that involved the perceived use of anabolic steroids....
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
popular-topic-inflammationMost of my columns revolve around discussing how inflammation promotes most diseases, and how we can reduce inflammation with nutrition. Some docs find this subject confusing, as they believe that inflammation equals healing. Indeed, inflammation is needed for healing after injury; however, chronic inflammation is a driver of most diseases. DC's need to be aware of this fact because patients are...
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John H. Maher, D.C.
baby-qma-maq-and-qdha-dhaq Docosahexaenoic acid (DHA) is an omega-3 fatty acid that is an important structural element of the central nervous system and retina. The need for DHA may be most critical for brain and eye development from conception through the second year of life. Significant brain growth occurs during the third trimester of pregnancy and through the first two years of life....
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Dr. James B. Lavalle
recognizing-drug-induced-nutrient-depletion-in-chiropractic-practicePart 2 of a 2 part Series (cont. from part 1 in nov. 2009) Abstract:  Detrimental effects of drugs on nutrition status are a common occurrence but, because they usually occur over time (vs. what is considered an adverse event or allergic reaction, which occurs quickly), they are seldom recognized or corrected. Chiropractic treatment, however, takes place over a much longer...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
when-bread-consumption-causes-neurologic-disease Most are aware that gluten consumption will ignite the expression of celiac disease in those who are genetically susceptible. Readers should also be aware that the expression of gluten sensitivity need NOT be celiac disease. In about 50% of those with gluten sensitivity, the gastrointestinal symptoms begin in childhood. About 22% will manifest gastrointestinal symptoms after childhood. Almost 30%...
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howardloomisjr
internal-health-a-chiropractic-specialty-parasympathetic-dominance-sympathetic-weaknessThis is my third article in a series designed to highlight visceral dysfunctions that are perpetuating muscle contractions, loss of joint range of motion, and reoccurring structural misalignments that have become chronic and defy permanent correction. It is exactly these problems that cause patients to seek alternatives to continuing chiropractic care. I believe our profession must, in addition to specializing...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
hip-pain-in-a-soccer-starHistory and Presenting Symptoms The patient is a 14-year-old soccer player who reports frequent pain in her right hip and posterior thigh region for the past several months.  This is most noticeable the day after a strenuous soccer competition or scrimmage when she has obvious tightness and tension in the back of her upper right thigh.  She denies any specific injury...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
is-your-little-leaguer-pitching-too-muchShoulder injuries are common in sports. The category of rotator cuff injuries has numerous names ranging from painful arc syndrome, bursitis of the shoulder, or rotator cuff tears, to just name a few—all usually present with decreased range of motion and pain in the shoulder area. There are three groups of people who are most vulnerable to these types of...
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Kirk Lee, D.C.
make-me-run-fasterHow many times have you heard from an athlete, “Make me run faster!” or “Improve my performance!”? Many athletes would gladly take a little pain for better performance and faster speed. However, ignoring the warning signs of pain can be a no-no! We know that the long-term outcome of living for today and not for the future can lead to...
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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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johndanchik
motion-limitations-hamper-runnerHistory and Presenting Symptoms The patient, a 33-year-old female, is a marketing director who took up running for stress reduction and weight loss. She has been running for six months and has progressively increased her mileage. She is experiencing recurring and worsening pain in her left foot, as well as increased low-back tightness. She recalls no specific injury to her foot...
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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
Dr. Eric Kaplan, D.C., F.I.A.M.A.
the-keys-a-principles-for-successThe Keys & Principles for Success by Dr. Eric Kaplan, D.C.   Make Clear Cut Goals "If you don’t know where you are going, how do you know how to get there?" Goals are like maps, they help us set direction in our personal as well as our business lives. There are many similarities between business and war. In both cases,...
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Mark Sanna, D.C.
the-law-of-cause-and-effectThe Law of Cause and Effect states that everything happens for a reason. Every moment of activity or inactivity produces consequences. The conscious and unconscious choices you make cause corresponding effects in your life. The Law works the same for everyone, at all times. Distilled down to its simplest terms, the Law of Cause and Effect says that every outcome or...
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Tom Owen III, and Todd Osborne, D.C.
you-dont-know-what-you-dont-know We’ve never met a chiropractor who came out of Chiropractic College with the business wisdom that they needed. The average chiropractor or chiropractic student has spent anywhere from $150,000 to $200,000 to be educated in the philosophy, science, and art of chiropractic but, upon graduation, they still come out with little to no business education or experience. It’s not that...
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Kathy Mills Chang
whats-sop-docDuring a recent after-dinner trip to a favorite ice cream eatery, I happened into the Ladies’ Room. Hanging next to the sink was a detailed, with pictures, explanation of how to wash your hands. Honestly, do any of us really need a primer on how to wash our hands? Of course not! But this national chain ice cream eatery was...
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Maurice A. Pisciottano, D.C.
generate-a-positive-first-impressionA first impression is a lasting impression.  An individual will receive their first impression of your practice based upon their interaction with your front desk staff.  Whether an individual calls on the telephone or walks into your practice off the street, your front desk staff delivers to them their first impression of your practice.  A person will make their decision...
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Peter G. Fernandez, D.C.
the-associateships-from-hellThe 5 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 work fewer hours, and...
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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.
hangmans-fractureHistory This adult male patient was involved in a car accident.  He struck his head on the windshield and was then thrown into hyperextension. Discussion Hangman’s Fracture (Traumatic spondylolisthesis). Fractures of the neural arch of the axis are one of the most common injuries of the cervical spine. Up to 40% of axis fractures are hangman’s fractures.1  They are usually...
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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.
gout-versus-osteoarthritis-which-is-it Case History This 60-year-old male complains of sharp pain in the great toe. He has a family history of gout and is worried he has developed gout. What’s your diagnosis?   Diagnosis: Degenerative Osteoarthritis Of The Great Toe.   General Considerations Degenerative Osteoarthritis   Foot Of all forefoot articulations, the most commonly involved articulation is that of the first metatarsophalangeal joint. The radiographic signs are distinctive but, on...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
posterior-arch-fracture-of-the-atlasHistory This young adult patient has had a motor vehicle accident with a “whiplash” type injury.  Painful hyperextension of the cervical region is experienced by the patient.   Figure 1. Note the unilateral fracture of the posterior arch of the atlas. Discussion The radiolucent unilateral defect in the posterior arch of this patient’s atlas represents a complete acute vertical fracture. Fractures of the posterior...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
heavy-metal-poisoning DISCUSSION The major metals involved in producing visible radiologic changes are lead, phosphorus, and bismuth. Of these, lead is the most frequent, but lead intoxication is still a rare skeletal disorder. Lead may be ingested, inhaled, or implanted. Clinical symptoms occur abruptly, with abdominal pain, encephalopathy, and paralysis. Radiologically, the most definitive signs are the linear, transverse densities at the...
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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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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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Rehabilition
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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M. Kirk Meier, D.C.
muscle-spasms-how-to-overcome-the-chiropractic-nemesis It’s happened to all of us many times. a patient comes into our office barely able to move and in excruciating pain. They have difficulty lying on the table, let alone moving through any range of motion and we want to get them into a side posture position. RIGHT!!!!! So, in lieu of any type of chiropractic manipulative therapy, we...
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Mark R. Payne D.C.
science-posture-and-personal-injuryScience, Posture and Personal Injury by Dr. Mark R. Payne D.C.   Personal injury patients inevitably present with a unique set of challenges. From a clinical standpoint they are often in more acute, severe pain. Pre existing conditions are extremely commonm and need to be taken into account. Finally, there will almost always be real and legitimate concerns related...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
child-development-and-structural-supportThe most common questions parents ask us involve concerns over proper development of their children. These developmental questions can spur from anxiety about height, weight, muscle and skeletal development. One area I am asked about quite frequently is a child’s walking or gait pattern. These questions often focus around concerns of not walking by a certain age, concerns about the...
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John K. Hyland, D.C.
sport-specific-rehabThe rehabilitation process for injured athletes is often divided into three distinct phases: acute, recovery and functional.1 A comprehensive rehabilitation plan will include different types of exercises tailored for each of the three healing phases. Each phase is important for a successful return to sports activity, but the last one may be the most critical, and is the one that...
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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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Techniques
David Jackson, DC
techniques-diversity-of-art-and-scienceChiropractic is an incredibly diverse profession, boasting more than 100 different techniques (one list puts the number closer to 120 and one online source even claims there are 200). Some are extremely well known, such as Diversified or Atlas Orthogonal Technique. Others possess a smaller (but often extremely loyal) following, such as the McTimody Technique or the Columbia Technique. Most doctors...
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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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Mark R. Payne, D.C.
protective-postures-part-1-Lot's of doctors don't incorporate postural rehab (or any other type of rehab for that matter)  into their care programs.  Possibly because postural chiropractic methods have been associated almost entirely with a particular technique in the past, many doctors view the concepts as somehow contradictory to what they do in their offices.  Strangely, many doctors  resistant to embracing postural rehab...
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Jesse Jutkowitz, D.C.
advanced-biostructural-correctionAdvanced BioStructural Correction™ is exactly that; it is an advance in the correction of biostructural pathologies. The most important advance is the identification of the most basic mechanical pathology that occurs in the human body. “Most basic mechanical pathology” has two meanings: It means the starting point of where structure becomes pathological, AND it means the fundamental pathology that keeps a...
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Dr. Pamela Stone, D.C., C.A.C.C.P.
infertility-a-chiropracticIf you have been in practice for any length of time, you probably have heard a comment from a patient saying she has gotten pregnant while under chiropractic care. Sometimes inferences are made as a joke, "Hey, my chiropractor got me pregnant." People within the chiropractic profession aren’t always surprised by this, as improved function...
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Tedd Koren, D.C.
adjusting-the-holographic-body-part-two Subluxations are state specific In last month’s article we discussed that the subluxation is posture or state specific. State/posture specifi c means that, when the patient assumes a certain posture or consciousness, a subluxation may emerge—a subluxation that was not present when they were comfortably standing, sitting or lying down. This phenomenon is called the posture of subluxation or POS. Since most...
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