NewsFlashes
Cover Stories
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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Jack Dolbin, D.C.
principles-of-a-sports-medicine-practiceIn the fall of 1993, I was attending a Villanova versus Northeastern University football game. My son was a red shirt freshman wide out and me, a retired NFL veteran. We sat together as spectators, dissecting the game and the individual player performances. In events that would decide the game, the Villanova field goal kicker, Frank Venezia, missed two very...
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TAC Staff
crash-course-on-personal-injury-practice-successCrash Course on Personal Injury Practice Success Interview with Personal Injury Practitioner Dr. Tom Arnold     Dr. Tom Arnold is a december 1989 graduate of Texas Chiropractic College and moved to Albuquerque, New Mexico, and began practicing in early 1990. In an interview with The American Chiropractor (TAC), Dr. Arnold explains what it is like to be a doctor with approximately 95...
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Gerard Clum, D.C.
over-34-years-in-service-to-the-professionDr. Gerard W. Clum, the profession’s most senior chiropractic college president in the world, received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1973. He was a member of the Palmer faculty and practiced in Davenport, Iowa, in 1974 before becoming a member of the founding faculty of Life Chiropractic College in...
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TAC Staff
instrument-adjusting-panel• Activator Adjusting Instrument • Impac’s Pro-ArthoStim • Neuromechanical Innovations’ Impulse® and Impulse iQ® • Sense Technology’s PulStar So many great adjusting instruments out there, but who’s got the time to figure out which one is right for them, right? Well, as always, we here at The American Chiropractor Magazine know exactly what you are looking for. We...
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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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Interviews
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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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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Vernon Temple, D.C.
raising-standardsVern Temple, D.C., has been part of the testing community for nearly thirty years, first as a member of the Vermont Board of Chiropractic Examination and Registration, National Board of Chiropractic Examiners (NBCE) delegate for the state of Vermont and, subsequently, as an NBCE Director for the past seven years, six years as District III Director...
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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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George Goodheart, D.C.
muscle-testing-a-manipulation George Goodheart is a second generation Doctor of Chiropractic and graduated from National College of Chiropractic in 1939. In 1964, Dr. Goodheart began making a series of revolutionary observations about muscle function and health and disease that evolved into applied kinesiology. By stimulating various neurological receptors and observing excitatory and inhibitory responses of muscles to manual testing, Dr. Goodheart was...
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Kent Greenawalt
united-we-stand-strongerKent S. Greenawalt, President and CEO of Foot Levelers, Inc., in Roanoke, Virginia, has, for years, helped revolutionize chiropractic care by developing and patenting many chiropractic products for everyday patient use. Now he has embarked on a new project to unite the profession in an effort to change the public’s perception of chiropractic care, once and for all. Kent Greenawalt founded the...
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Nutrition
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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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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Virender Sodhi, N.D., M.D.
chronic-inflammation-an-ayurvedic-perspectiveThe Ayurvedic approach to pain management is a holistic one. When treating a patient with chronic pain, I always advise an integrated approach, and look beyond the outward pain to discover the underlying source. Very often, chronic pain is caused by an inflammatory response within the body. Ayurvedic herbal treatments are effective for healing and...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
an-apple-a-day-can-be-a-key-to-the-nutritional-adjustmentPatients are always looking for something that is easy to do when it comes to their health. So, eating more fruits and vegetables can be challenging for many; however, transitioning to a healthy diet can begin with something as simple as eating an apple every day. The old adage, “An apple a day keeps the doctor away,” is still quite...
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Howard F. Loomis, Jr., D.C., F.I.A.C.A.
internal-health-a-chiropractic-specialty-increased-referrals-by-solving-problem-casesIn presenting the concept of internal health—a chiropractic specialty—I have been advocating an examination approach that recognizes that muscle contraction accompanied inevitably with loss of range of motion can be caused not only by a structural problem but visceral function as well. In other words, they should not be separated when we attempt to establish the cause of chronic recurring...
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Dr. Rodger Murphree, D.C.
is-lyrica-the-magic-bullet-for-fibromyalgia Doctors and their patients continue to search for the magic bullet that will cure fibromyalgia. Elavil, Klonopin, Flexeril, SSRI’s, Ambien, Neurontin, and Cymbalta have all, at one time or another, been promoted as the latest and greatest "new" drug for fibromyalgia. The fibromyalgia drug du jour, Lyrica, has seemingly topped them all by becoming the first FDA approved drug...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
upper-extremity-conditions-and-orthotic-support History and Presenting Symptoms A 43-year-old female presents with persistent pain in and around her left shoulder, accompanied by tightness extending into her middle back region. Upon further discussion, she recounts a history of a right carpal tunnel syndrome that was treated surgically, with only partial improvement. She has also had several episodes of left elbow tendinitis. She denies any...
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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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
low-back-pain-leads-to-lifestyle-changes History and Presenting Symptoms A 41-year-old male presents with a history of recurring episodes of mild to moderate pain in his lower back. He states that his back pain just seems to come and go, with no specific triggering activities. He does not participate in any competitive or recreational sports, and recalls no injury or trauma to his back. He has...
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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.
asymmetrical-pronation-linked-to-juvenile-injury History and Presenting Symptoms A 28-year-old male presents with recurring episodes of moderate low-back pain which always respond well to chiropractic adjustments, but eventually return. He recalls no specific back injuries, and cannot identify any triggering activities. On a Visual Analog Scale, he rates his low back pain currently at about 50mm. He has been able to avoid...
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John Danchik, D.C.
the-aging-footHistory and Presenting Symptoms A 64-year-old female presents with recurring, unresolving episodes of moderate pain in her lower back and left knee.  She recalls no specific back or knee injuries, and states that these problems have developed over the past couple of years, getting more noticeable in the past six months.  On a 100mm Visual Analog Scale, she rates her...
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Practice Management
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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Mark Sanna, D.C.
practice-management-tipsQ: There is a lot of confusion about medical integration these days.  It can be a frightening thing for some, due to some negative national publicity.  What is the latest on chiro-medical integration? A:  There are two seemingly divergent trends that are affecting the practice of chiropractic today.  The first trend is consolidation.  Approximately 30 percent of medical physicians remain in...
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Tom Owen III, D.C.
thoughts-on-sailing-and-chiropracticThoughts on Sailing and Chiropractic by Tom Owen III, and Todd Osborne, D.C. Sometimes there are situations in our lives that desorient us   My father, Dr. Thomas Owen, has often made the statement, “Every principle in business and in life can be related to flying an airplane or sailing a boat.”  Growing up we spent a large amount of time sailing in 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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Dr. Eric Kaplan, D.C., F.I.A.M.A.
rules-of-time In this time of an economic downtrend, I see so many of my peers depressed. If money is your key to happiness, your life, like Wall Street, will have continual ups and downs. The most valuable commodity in your life is time. Time is more valuable than money. Ask any dying person how much they would pay for one more...
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tomowen
chiropractors-as-entrepreneursWhen confronted with the full weight of running a practice, a chiropractor’s reaction is often: Why didn’t they teach this to me in chiropractic school? Can I hire someone else to run my practice for me? Isn’t it possible to just practice chiropractic and not worry about the business? After reading the book, The E-Myth, by Michael Gerber, we couldn’t help but marvel at...
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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.
the-positive-fat-pad-sign-what-is-itA useful sign of an intraarticular fracture of the elbow is the clear depiction of displaced humeral capsular fat-pads.1  In the normal elbow, a layer of fat (“fat-pad”) lies between the synovial and fibrous layers of both the anterior and posterior joint capsules.  In the lateral projection of the normal elbow, the anterior fat-pad is seen as an obliquely oriented...
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Dr. Terry Yochum D.C.; D.A.C.B.R.; Fellow, A.C.C.R.
lung-pathology-or-pseudo-lesionIn the pre-antibiotic era, the only treatment for pulmo-nary tuberculosis was rest and or lung resection of the diseased segment.  Secondary or re-infection tuberculosis most commonly occurs in the lung apices.  This patient had surgery with resection of her right upper lung due to pulmonary tuberculosis.  To fill space left empty by the resected lung tissue and to avoid huge...
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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.
vacuum-phenomenon-DISCUSSION The vacuum sign (of Knuttson) is an important early radiographic finding.1 Essentially, this represents collections of nitrogen gas in nuclear and annular fissures and presents as an area of linear radiolucency in the disc space.2  Studies have shown this to be a common sign of disc aging and degeneration, with an incidence of two to three percent in the...
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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.
multiple-myeloma HISTORY This 65-year-old female patient presents with acute symptoms of right-sided radiculopathy, paresthesia and pain in the right upper extremity. There has been no trauma. DIAGNOSIS Observe the gross osteoporosis about the entire cervical spine. There has been pathological collapse of the C5 vertebral body, which is uniform in configuration. This is very characteristic of a malignant...
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Dwight C. Whynot, D.C.
the-cervical-acceleration-deceleration-practitioner So, you want to treat patients that have suffered a cervical acceleration/deceleration (CAD) trauma. Then you must learn to examine and treat a CAD injured person properly and with the proper tools. First of all, if you have never treated these types of injuries before, then you should arm yourself with the knowledge of the etiology of CAD trauma....
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Rehabilition
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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Kirk Lee, D.C.
get-those-patients-walkingNow that we are in the middle of summer, many of our patients ask us about outdoor activities and what they should do and not do. We usually instruct our patients to warm up a little with some walking and some simple range of motion stretches involving the major muscle groups before starting their outdoor projects. For our more sedimentary...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
case-report-lumbar-disc-lesion-with-altered-lordosisIntroduction In our last article, we presented the history of lumbar traction for normalization of the lumbar lordosis in chiropractic.  In this article, we will present a case report of a patient with a herniated lumbar intervertebral disc, who had been referred to us by a medical neurologist. Case report Figure 1A demonstrates the pre-treatment lateral lumbar radiograph of a 28-year-old female travel...
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Randy Reed, D.C., F.I.C.C., F.A.C.C.
mckenzie-spinal-rehab-methods-in-the-chiropractic-officeThe doctors that have protocols which include movements or forces that decrease disc displacement which, in turn, cause pain to decrease, disappear, or centralize with a rapid increase of lumbar ROM, see their patients get better. These types of movements should be pursued with decompression, exercises, mobilizations, and manipulations. Doctors, who fail to recognize...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
rehab-for-busy-schedulesThere have been various recommendations over the years in our profession about the recommended number of repetitions and sets of exercises that patients should perform.  To judge for yourself what numbers are best for those in your care, you need to consider several factors — not the least of which is the hectic, fast-paced lives many of your patients already...
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Christian H. Reichardt, D.C., C.C.S.P.
effects-of-whole-body-vibration-on-posture-and-kinesthetic-perception Many patients who present themselves to the chiropractic office suffer from musculo-skeletal disorders. More and more research confirms what we know to be true from our own daily anecdotal knowledge. There is hardly a modality that works better for these conditions than chiropractic. Yet there are a number of modalities that can enhance the benefits of adjustments. One of these...
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Techniques
M.T. Morter, Jr., B.S., M.A., D.C.
new-brain-science-old-school-thinking-a-closer-look-at-the-best-technique  Almost 50 years ago, I entered Logan College with a master’s degree in science education.  Although chiropractic was described as an “art and a science,” I was most interested in the science.  I was taught that the science of this profession evolved and revolved around the concept of encroachment of a nerve in the spine, specifically the intervertebral foramen (IVF). ...
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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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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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Tedd Koren, D.C.
the-panic-patternFight or Flight Life has its scary moments and, in a life or death situation, the proper reaction may make the difference between, well, life or death. Fortunately, we are “hard-wired” to improve our chances of surviving dire emergencies with our “fight or flight” or “acute stress” response. How does it work? At the sign of danger, we have two options:...
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James W. Gudgel, D.C. PT and Christopher J. Colloca, D.C.
neuromechanical-considerations-of-the-sacroiliac-jointControversial as a pain generator and lacking the mobility of the adjacent spinal joints, the sacroiliac (SI) joint is an often overlooked target in the management of low back disorders. Because of the SI joints’ integral relationship with the hip joints, their assessments are also included to determine the hip’s relationship to any SI joint...
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Jay Kennedy, D.C.
decompression-as-a-chiropractic-techniqueWe decided to develop a chiropractic decompression technique, the Kennedy Decompression Technique, to help establish a codified clearinghouse of information and resources available, but often untapped, regarding traction therapy and how it may create "Decompression" as an outcome. This in an effort to offer a viable counter to advertising claims, scientific doublespeak and negligent...
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