NewsFlashes
Cover Stories
TAC Staff
products-a-software-to-help-you-work-with-insurance-to-get-paid Oftentimes, the tools used will determine the possibility for success in accomplishing any task. Making the right decision with regard to the documentation software, record keeping and other products you use will have a tremendous impact on the heights that your clinic may be able to reach. Use this market review to get to know some of your options.     Acom Product...
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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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Arthur Croft, D.C.
25-years-of-whiplash-research Dr. Croft is the Founding Director of the Spine Research Institute of San Diego. He has been actively engaged in whiplash research for the past twenty-five years and has co-authored a best-selling textbook on whiplash (Whiplash Injuries: the Cervical Acceleration/Deceleration Syndrome, 3rd edition, 2002) and temporomandibular joint disorders (Whiplash and Temporomandibular Disorders: an Interdisciplinary Approach to Case Management), along...
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Dr. Terry Yochum D.C.; D.A.C.B.R.; Fellow, A.C.C.R.
interview-with-terry-r-yochum-dc-dacbr-chiropractic-radiologist-a-author-of-the-essentials-of-skeletal-radiology“This July will see the publication of the third edition of Dr. Terry Yochum's textbook, The Essentials of Skeletal Radiology.  It's hard to express the importance that this work has had in raising the profile of the chiropractic profession.   Before Dr. Yochum's text, there had never been a chiropractic textbook published by a major publisher.  The text is now one...
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TAC Staff
adjusting-table-shopping-guideWe contacted all of the major adjusting table manufacturers in the chiropractic profession for information and prices on their best selling tables.  We ended up with over a dozen of the best tables you can get at prices that vary from the top of the line to the most cost-effective.  All of the tables and companies featured here offer a...
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TAC Staff
the-state-of-the-chiropractic-professionAs The American Chiropractor celebrates its 30 Year Anniversary, our panel of leaders look back on just how far the chiropractic profession has come and what lies ahead.     Dr. Louis Sportelli President of NCMIC Dr. Sportelli has served in many capacities throughout his 47-year career in chiropractic. He is currently serving as President of NCMIC Group ...
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Interviews
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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TAC Staff
the-scoop-on-postural-adjusting-interview-with-burl-r-pettibon-dc-fabcs-frccm-phd-honAfter receiving an honorable discharge from the U.S. Air Force Burl Pettibon attended Cleveland Chiropractic College in Kansas City, MO.  He graduated in 1956 and practiced in Tacoma Washington while developing clinics in other locations.  Dr. Pettibon was a department head for two years in the college that is now Palmer West.  He has guided The Pettibon Institute’s direction, continuing...
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Kent Greenawalt
orthoticsTAC: Tell us a little bit about the history of Foot Levelers, Inc. Greenawalt:  Foot Levelers is the world’s largest custom-made Spinal Pelvic Stabilizer company.  We use the term Stabilizer instead of orthotic, because our products stabilize the pelvis and spine by correcting imbalances in the feet.  They are custom-made and scientifically designed to address the patient’s unique postural problems.  They...
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Albert Stabile, DC
patient-needs-go-firstTAC:  How did you become involved in chiropractic, Dr. Stabile? Stabile:  I was injured in an automobile accident in 1964, and was having extreme lower back pain. One of my college friends, who was planning on attending chiropractic college, advised me to see the chiropractor that he was being treated by. I had been to numerous medical providers, including two orthopedists,...
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Harold McCoy, D.C.
mccoys-track-recordWith almost 30 years of experience in practice, Dr. Harold McCoy has established quite a track record in incorporating chiropractic to achieve optimal sports performance in world-class athletes. It all started in the 80’s, when Dr. McCoy treated Olympic athletes like Evander Holyfield and served seven years at the University of Washington as part of the Multidisciplinary Sports Medicine Staff,...
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Paul White, D.C.
optimizing-the-well-being-of-the-patient Nutri-West was founded in 1981, a small nutritional supplement company offering a limited, but effective line of its own products. The company was the creation of a successful Wyoming chiropractor and nutrition expert, Dr. Paul White, and his wife Marcia. Their children, Tony, Michele and Tiffany, have been actively involved with the business since they were very young and know...
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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
to-reduce-osteoporosis-put-a-little-fat-in-your-bonesOsteoporosis is an extremely costly condition; the expense for treating osteoporosis-induced fractures reaches about $38 million per day.1 Consider this in light of the fact that calcium fortification and supplementation is at a premium.  One day of shopping at Sam’s Club, as an example, leads to the realization that countless bottles of calcium are sold on a monthly basis. What does...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
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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Robert G. Silverman DC, DACBN, MS, CNS, CCN, CSCS, CIISN, CKTP, CES, DCBCN, HKC
the-natural-approach-to-treatment-of-high-cholesterol-profilesIt is in the news on a near-daily basis. Research studies address various aspects of it. Many people ask what their doctor can do about it.“It” is cholesterol.The evidence overwhelmingly demonstrates that elevated cholesterol levels greatly increase the risk of death due to cardiovascular diseases (CVD), such as heart attack and stroke. These diseases claimed 927,448 lives in the U.S....
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Paul Frank, D.C
recommending-a-complete-supplement Americans consume large portions of highly processed, refined foods that have been stripped of nutrients.  These poor diet choices have lead to major diseases like heart disease and cancer.1,2,3,4,5  The nutritional supplement industry has attempted to rebalance the scale by supplying the nutrients that Americans are not getting from their diet.  However, rather than supplying nutrients as they would...
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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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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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Orthotics
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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
awkward-gait-in-a-young-runnerHistory and Presenting Symptoms The patient is an eight-year-old boy being brought in by his parents, who are concerned about his awkward style of running. He has no symptoms or painful limitations, but his mother and father are both worried that his inefficient gait could...
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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.
heel-pain-in-a-cross-country-runner History and Presenting Symptoms A 21-year-old female cross-country runner presents with pain around her right heel that extends into the underside of her large toe, and is limiting her running. The pain has been present for about six weeks and has not responded to her use of stretching, ice and ibuprofen. She has also noticed that her altered gait is...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
mature-knee-painMature Knee Pain by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.     History and Presenting Symptoms The patient is an active 58-year-old male, with a history of participation in many team sports (baseball and football) in his younger years. He describes recurring pain and stiffness in his right knee, which is especially noticeable in the mornings and also when he plays...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
high-arches-in-a-yoga-instructor History and Presenting Symptoms A 44-year-old female patient is a yoga instructor, who reports the recent onset of pain under her left heel. The foot pain is most noticeable in the morning when she first starts to walk. When her foot bothers her, she notices that her entire back is stiff and less flexible during yoga poses. In...
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Practice Management
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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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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Chris Peetros
cheeseburger-cheeseburger-cheeseburgerA friend of mine, a chiropractor, was listening to the tail end of a talk I was giving in Florida, and after the talk, asked me to explain this cheeseburger thing to him.  I told Mike, (that’s his name) that the cheeseburger phenomenon is something we coined to explain the product problems that we encounter which causes us to redesign...
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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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Rick Sapio
can-the-chiropractic-profession-be-savedCan the profession be saved? The jury is still out. One of the fundamental problems with the chiropractic profession (thankfully with a corresponding fundamental solution) is that DCs spend the vast majority of their non-patient business time reacting to issues related to employees, marketing, insurance, practice management, etc. These and other “urgent” tasks, issues, disturbances, and time-wasters consume their business...
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Brent Detelich, D.C.
starting-at-the-top-getting-your-head-space-rightThere are lots of ways to succeed in a chiropractic practice. As they say, there is “more than one way to skin a cat.” Family practices, high volume practices, wellness practices, sports performance, DC/PT practices—any of them can be highly successful. But, in all my dealings with hundreds and hundreds of chiropractors, there is one area that must be...
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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
prostate-osteoblastic-metastasisHISTORY   This 60-year-old male patient presents with a history of prostate cancer with surgical removal. Note the metallic clips in the pelvic basin consistent with prostatectomy. There are multiple "snowball" areas of blastic metastasis scattered throughout the pelvis and proximal femora. This radiographic appearance is consistent with osteoblastic metastatic carcinoma from the prostate gland.     DISCUSSION   The sacrum and bones of...
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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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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.
anomalies-of-the-c-1-posterior-arch[Case History] This young adult was in a car accident and has suboccipital pain. Do you see a fracture? Agenesis of the Atlas Posterior Arch Synonyms. Aplasia or congenital absence of the posterior arch. Description. Lack of ossification of the posterior arch of the atlas may be complete and bilateral, may be purely unilateral, or may manifest as small clefts (i.e., spina...
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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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
partial-agenesis-of-the-c-1-posterior-archEmbryology—Ossification of the first cervical vertebra begins about the seventh fetal week at the lateral masses and proceeds perichondrally in a dorsal direction, creating the posterior arch of the atlas.  In the second year of life, a secondary growth center for the posterior tubercle develops between these neural arches.  Complete fusion of the posterior arch should be noted between the...
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Rehabilition
Dr. Joe Ventura
oh-baby-my-back-hurtsAs if the prospect of morning sickness, constipation, rashes and changes in hormone and wardrobe weren’t daunting enough, 80% of pregnant women will develop back pain and almost 100% will develop poor posture. The pain can last up to three months past the delivery date. Typically pain is experienced in the following areas: Hip Joints Low Back Mid-back Neck Shoulders TMJ or Jaw joint Unfortunately, the poor...
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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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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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Dr. Kirk A. Lee, D.C., C.C.S.P.
preventing-injury-during-summer-activitiesWith the approach of summer, more of our patients are turning their attention to getting outdoors and exercising. Activities can range from walking to the mailbox to running local 5K races. Regardless of our patients’ activity levels, an important factor in keeping them out of pain is addressing the shoes they are wearing. Different Activities, Different Needs Commonly, someone who begins...
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Dr. Kirk A. Lee, D.C.
are-knee-injuries-really-knee-injuriesAre Knee Injuries Really Knee Injuries? by Dr. Kirk A. Lee, D.C., C.C.S.P.   We see patients in our offices daily with arthritic knees—sometimes bilateral, other times affecting only one leg. Some patients can point to an old football injury or car accident as the probable cause. But, frequently, they cannot tell us why their knee hurts, only that...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
avoiding-rehab-overload-the-variablesOne of the underlying principles in physical rehabilitation is that the body responds positively to the increased stresses placed upon it.  This is the whole reason for asking muscles to lift more weight, for asking tendons to pull more tension, and for asking joints to undergo more movement.  We have a mechanism for developing and improving our physical capabilities when...
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Techniques
Sharon Pettibon
spinal-technicians-necessary-component-for-chiropractic-managementThe discussion of Chiropractic success and its varied components has been a major topic of discussion since I can remember. My first exposure was in 1972 when I was sent to Parker Seminars as conducted by Jimmy Parker, D.C. in Las Vegas. The first one I attended was at the old MGM Grand and Elvis was the headliner. The hairdos...
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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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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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Tedd Koren, D.C.
fix-allergies-with-chiropracticYour immune system works to keep you 100% natural, organic, unadulterated, you! It recognizes and destroys bacteria, viri, pollutants, dust, pollen, drugs, tumors, debris and artificial substances (metal and plastic, however, don’t trigger an immune reaction). Many things influence how well your immune system functions: your nervous system, endocrine system, diet, genes and emotions.1-3 Allergens...
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Marshall Dickholtz, Sr., D.C.
what-is-a-totally-balanced-spine-what-every-chiropractor-and-chiropractic-researcher-should-knowTo start with, an imbalanced spine is because an atlas subluxation is affecting the brain stem. This affects the muscle balancing mechanism in the central reticular formation. As a result, it produces spastic muscles on one side of the body, more than the other side, and produces a distorted pelvis and a contracted ilium. It also...
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Rebecca S. Fischer, D.C.
the-qchiropracticq-headache Headache disorders account for about 120 million lost workdays per year in the United States, alone.  Controversy exists to explain the “mechanism” of all types of headaches, particularly cervicogenic headaches. Tension-type headaches account for 78% of all headaches and statistically this includes the so-called “cervicogenic headache”.  Because of the results we see in our offices treating headache, it seems most...
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