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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Allan Dyer, B.S., M.D., Ph. D.
decompression-is-more-than-traction Dr. 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 substitution program, prescription...
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TAC Staff
up-close-and-personal-the-proadjuster-edgeRight off the heels of the most successful ProAdjuster National Symposium ever, The American Chiropractor magazine’s Editorial Board Member, Dr. Frank Corbo, had the opportunity to sit down with ProAdjuster President and CEO, Dr. Maurice A. Pisciottano.  The testimonials were still pouring in from the May National, one of two annual ProAdjuster Business Symposiums, and it is being described as...
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Western Sciences Chiropractic College
western-states-chiropractic Being a successful chiropractor can mean different things to different people. Should success be based solely on the amount of income earned in a given year or the number of vacations taken in a lifetime? Is it determined by total income generated divided by hours worked and multiplied by vacations taken? At Western States, our students and alumni have...
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Richard R. Shaker, D.C., R.T.P., C.P.T.I., C.C.S.P., A.C.R.B., C.S.C.S.
chiropractic-in-the-nflFor four seasons in the NFL, after having suffered a chest injury while playing my rookie year, I had not been able to breathe properly. I also had severe pain in my chest and rib cage. Previous to Dr. Shaker, I had seen every medical specialist, including other chiropractors—no one could help me. I was struggling to survive in...
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Susan Blackard, R.N., N.D.C, M.H.A., F.N.P.C
whats-your-solution-the-real-skinny-on-our-obesity-epidemic-no-pun-intendedIs there any one contributor to chronic health conditions more prevalent and dangerous than obesity? National obesity rates among adults has doubled since 1980 alone, yet it seems to be overlooked and misunderstood more often than any other disease catalyst. The explosion of weight loss products and the plethora of theories behind weight gain have seemingly done nothing more than...
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Interviews
David Chapman-Smith
working-together-worldwideDavid Chapman-Smith, a Toronto lawyer and author of The Chiropractic Profession (NCMIC Group, 2000) is Secretary-General of the World Federation of Chiropractic.  He is also editor/publisher of The Chiropractic Report (www.chiropracticreport.com).   His introduction to chiropractic took place when he acted as counsel for the New Zealand Chiropractors’ Association before the New Zealand Commission of Inquiry into Chiropractic in 1978-79. In the...
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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
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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George Curry, DC
helping-people-get-their-lives-backFor Dr. George Curry, chiropractic is truly a family affair.  “I graduated from Palmer College of Chiropractic in 1982, my stepfather graduated from Palmer in the 60's, my stepbrother in the 70’s and my nephew graduated in 2002.  The two oldest of my six children plan to enroll in chiropractic college in 2006 and 2008,” says Dr. Curry. This Connecticut-based...
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Perry Isenberg
lotions-gels-and-creamsTAC: Tell us a little bit about the history of Performance Health, Inc. Isenberg: Performance Health, Inc. was formed in 1991 as the corporation charged with bringing Biofreeze Pain Relief to the healthcare market to enhance therapeutic modalities and relieve patient pain and discomfort between office visits.  In 1990, my partner, Craig Cox, met an international botanical chemist who had formulated a...
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Thomas G. E. DePuydt, M.D.
finding-common-grounds-and-goalsThomas DePuydt is an M.D. who specializes in Sports Medicine, and recognizes the importance of taking an integrated approach to treating musculoskeletal injuries. In an interview with The American Chiropractor (TAC), Dr. DePuydt discusses the “paradigm change” which he sees taking place in modern day medicine. TAC: Give our readers some background information about yourself. DePuydt: I grew up in Northern Michigan wanting to...
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Nutrition
Paul Yanick, Ph.D.
innate-enhancement-via-oral-chelation-and-ionic-detoxificationOur modern day environment has drastically disturbed the body’s ionic balance, critically important for innate intelligence and communication.  Excessive positive ionization, a result of water, food, and air pollution, causes what Albert Krueger, MD (the late University of California (UC), Berkeley, researcher) termed “positive ion poisoning.”  Russian scientists (supported by over 5,000 scientific studies) report that systemic ionization with negative...
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Michael P. Ciell, R.Ph.
a-new-approach-to-metabolic-syndromeThe Greatest Healthcare/Financial Crisis   Metabolic Syndrome (aka Syndrome X) with its four hallmark symptoms of obesity, hypertension, dyslipidemia and hyperglycemia is devastating our country as well as the whole of North America.  In March of 2005 the National Institutes of Health and the New England Journal of Medicine published a paper stating that because of this epidemic the current generation is...
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Christopher Fuzy, M.S., R.D., L.D.
the-future-of-chiropractic-services-in-america-My New Year’s Resolution—Is Now the Time to Build or Elevate My Practice with Nutrition? A Clinical Nutritionist’s ExpectationA majority of your patients committed themselves to a health related New Year’s Resolution on January 1st. Studies show they will implement a nutrition or exercise program in the next 3 months as a result of their desire to improve their health. Are...
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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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Dr. Dan Murphy, D.C.
nutrient-intake-and-plasma-beta-amyloid-neurologyColumnist Review by Dr. Dan Murphy, D.C.    Y. Gu, PhD, N. Schupf, PhD, S.A. Cosentino, PhD, J.A. Luchsinger,MD, N. Scarmeas, MD: From the Department of Neurology and Department of Medicine, Columbia University, New YorkKey Points From This Study: An important pathological hallmark of Alzheimer’s disease (AD) is B-amyloid (AB) peptide (mainly AB40 and AB42) deposition in the brain, resulting in formation of...
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Lynn Toohey, Ph.D.
is-hormone-replacement-therapyDuring the third week in July of 2002, The Journal of the American Medical Association reported that a large scale clinical trial on hormone replacement therapy (HRT) had been halted five years into the study.1  Researchers at 40 clinics across the country had recruited 16,608 healthy volunteers, ages 59-79 (not at high risk for either heart problems OR breast cancer),...
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Orthotics
John Danchik, D.C., F.I.C.C., F.A.C.C
ankle-pain-limits-runners-health-goals  History and Presenting SymptomsThe patient is a 32 year-old female who has been building up a running program for weight loss and wellness.  She reports a recent onset of pain around her right ankle and heel, which is becoming worse as she gradually increases the length of her longest runs.  She plans to participate in a 10-mile run in two...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
chronic-facet-syndromeHistory and Presenting Symptoms A 46-year-old female presents with recurrent, sharp pain in her low back.  These episodes usually resolve within a few days, but she is concerned that they are becoming more frequent.  Using a Visual Analog Scale, she describes the usual pain level in her lower back as around 35mm.  She doesn’t recall any injury to her back, and...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
callus-formation-in-a-corporate-executiveHistory and Presenting Symptoms   The patient is a 52-year-old male, who was previously treated successfully for a lumbar disc problem, and who now returns to this clinic reporting pain and skin thickening (callus formation) on the bottoms of both feet. He has tried several remedies, but his calluses always return. Exam Findings Vitals. This middle-aged, physically...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
orthotic-support-for-all-three-archesA close evaluation of the anatomy and structure of the foot reveals three arches that form the plantar vault.1  This architectural design provides substantial strength, while still permitting sufficient flexibility to accommodate changes in terrain, and to provide propulsion.  The foot’s arched structure is not present at birth, but develops during childhood, by age 6 or 7 in most people.2 ...
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johndanchik
growth-asymmetry-in-an-outdoorsmanHistory and Presenting Symptoms A 41-year-old male presents with recurring episodes of pain in his low back and left hip. He recalls no injury to the region, and cannot identify any precipitating activities or events. On a Visual Analog Scale, he rates his low back pain as varying from 30mm to 65mm, while the left hip pain is usually around 35mm.  He...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
metatarsal-stress-fractureHistory and Presenting Symptoms The patient is a 32 year-old personnel manager who has taken up running for stress reduction and weight control. She has been running for six months, and has been progressively increasing her mileage. She is experiencing recurring and worsening pain in her right foot, also increased low-back tightness. She recalls no specific injury to her foot or...
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Practice Management
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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Dr. Eric Kaplan, D.C., F.I.A.M.A.
improve-billing-department-efficiency-with-four-management-techniquesTo operate your billing department effectively and efficiently, you need to recognize that billing and collections require good management. Following are some techniques that can improve your billing efficiency and help you get paid. 1. Establish expectations with your patients, your payers, and your staff. A common problem practices face is getting patients to pay their bills, deductibles or copays. Although...
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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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Dr. Eric Kaplan, D.C., F.I.A.M.A.
how-do-you-avoid-an-on-site-privacy-rule-investigation-cooperateRing.… Ring! You answer the phone and an investigator with Health and Human Services’ (HHS) Office for Civil Rights (OCR) is on the horn. What you say and do during this phone call could mean the difference between a slap on the wrist and a visit from the OCR’s investigators. First: Answer All Correspondence ASAP: In cases for which OCR suspects an...
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Mark Sanna, D.C.
practice-management-tipsQ: What differences did you see in your health growing up as a child in a chiropractic family? A:  Neither I, nor my two sisters was ever vaccinated, something that was practically unheard of in the 1960’s.  Mom and Dad tell the story of finding a pediatrician who would falsify our paperwork so that it indicated that we had been vaccinated. ...
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tomowen
practice-equity  Mark Cuban, owner of the Dallas Mavericks, once said about his basketball franchise, "Everyone has thousands of entertainment choices and we don't want to create any excuses for them to go and spend their money somewhere else." This is the way every chiropractor must think in a 21st century, service oriented, practice.   Consumers have more choices for which they can choose...
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Radiology
Lori Puskar, D.C.
caring-for-the-supermomWhen I was thirteen, my two-year-old brother was suffering from a serious case of torticollis, which had been misdiagnosed as possible meningitis. After just one chiropractic treatment, he was virtually cured. At that moment, I knew that my contribution to healthcare would be in the chiropractic field. Like any idealistic young chiropractic student, I was electrified by the story of Harvey...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
soft-tissue-neoplasm-or-hematomaSoft Tissue Neoplasm or Hematoma? by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.   History: This 25 year old female has recently noticed a palpable mass in the upper inner thigh. She doesn’t recall any fall but does ride her horse on a regular basis. Diagnosis: Post-traumatic myositis ossificans. Note the calcific mass near the...
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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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drmarks380
chiropractic-clinician-and-the-radiologist-a-partnership-with-a-caveatIt is critical for every chiropractor to have a support team of health care specialists in order to render the highest level of care for our patients. The radiologist is the first specialist that you should add to your team. In the triaging of our patients, the progression is to create an accurate diagnosis, prognosis and treatment plan and then...
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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.
dish-syndromeConsiderations Diffuse idiopathic skeletal hyperostosis (DISH) is a generalized spinal and extraspinal articular disorder that is characterized by ligamentous calcification and ossification.  The most prominent radiographic expressions of this disease are encountered in the spine involving predominantly the anterior longitudinal ligament.  It is a distinctive disease and does not represent ankylosing spondylitis or degenerative joint disease.  An incidence of 12% of...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Tim Maggs, D.C.
100-of-my-patients-get-custom-orthotics-what-about-yours  We all are victims, in many ways, of the existing healthcare crisis.  The auto industry is addressing their crisis through new laws for improved mileage per gallon and stricter pollution controls.  The energy crisis continues to search for more efficient and alternative means to produce renewable energy.  The healthcare crisis, unlike the above two, is merely shifting responsibilities with regard...
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Rehabilition
Dr. Mark R. Payne, D.C.
patient-safety-and-extension-traction So far, we’ve discussed a couple of different variations on extension traction methods for restoring the cervical lordosis. Before we move on, let me just say a few words regarding patient safety and extension traction procedures. CAUTION: Extension traction procedures aren’t for everyone. There I said it. Of course, I’ve been saying it constantly for the past twenty years...
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A. Joshua Woggon, D.C.
can-whole-body-vibration-be-harmful-to-your-health-questions-a-answers-for-chiropractors-utilizing-vibration-therapyOsteoporosis and obesity are important health concerns in the United States.  Whole-body Vibration (WBV) therapy has the potential to make a significant impact upon musculoskeletal health and wellness in the coming decade.1,2 It also has the potential of causing significant musculoskeletal harm, and becoming a significant source of doctor liability, if improperly applied. Many educated readers may recall the lawsuits that...
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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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Kirk Lee, D.C.
is-it-osteoarthritisIs It Osteoarthritis? by Kirk Lee, D.C.   “Abnormal movement patterns and too much early resistance will aggravate the joints”   How often do you hear from a patient, “I would exercise, but it hurts!”? Let’s look at a case study which will be very familiar to you.  Mrs. Bones is a 56-year-old female who has a history of on-and-off left hip pain and bilateral knee pain,...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
traveling-with-a-wellness-lifestyle With the treatment of any new patient following initial consultation, evaluation and management we must make some decisions; or to meet our E&M requirements we have some "medical decision making" to do. How many Chiropractic Manipulative Therapies (CMT), do we schedule before our next progress exam or re-evaluation? Are we scheduling any type of conjunctive therapy like muscle stimulation,...
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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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Techniques
Sheila Laws, D.C.
nimmo-receptor-tonus-techniqueRaymond Nimmo, D.C., graduated from Palmer School in 1931, and set up his practice in Fort Worth, Texas. He soon became thirsty for more knowledge, so he studied and taught Logan Basic Technique and other techniques. His quest brought him to the realization that what chiropractors had been taught in chiropractic colleges was not scientifically sound. He rationalized that the...
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Deed E. Harrison, DC
chiropractic-biophysics-cbp-mirror-image-posture-adjustingPosture is used by many in chiropractic to demonstrate to the patient that their structure is in abnormal alignment; e.g., health fair and mall screenings, plumb line analysis, visual analysis, and computerized plumb line analysis. However, few DC’s use the scientific analysis of head, rib cage, and pelvis postures in three-dimensions (3D) as rotations and translations along the three X,...
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Warren I. Hammer, DC, MS, DABCO
fascial-manipulationcfmModern myth has it that doctors in Europe are ahead of us in new methods of healing.  The truth of this may be dubious but it does underscore the importance of keeping abreast of healing advances in other countries as we strive to achieve the highest possible level in care for our patients.    Three years ago, I was invited to Italy...
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Judy Munroe
software-a-technologyWhen selecting a software package for your office, take your time and know exactly what you are looking for.  There are many applications on the market today to choose from and the search can be intimidating for someone who is not savvy on the latest technologies.  However, without having the technical knowledge, there are ways that you can make good...
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Paul Yanick, Ph.D.
breakthrough-pre-adjustment-technique-to-fully-activate-innate-and-de-stress-the-bodyCan you imagine having a fuller understanding of why adjustments hold or don’t hold and a more accurate description of why innate’s powerful influence on healing in the organism may be inhibited? The key to unlocking multiple channels of innate intelligence is related to adrenal gland physiology and the body’s ability to store, maintain and balance coherent energy. Yin and Yang...
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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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