The American Chiropractor’s “News Flashes”


Cover Stories
Market Review
real-marketing-from-the-expertsReal Marketing from the Experts Michelle Geller Dr. C. J. Mertz MGV Marketing, Inc Team WLP William D. Esteb Dr. Mark Sanna Patient Media Breakthrough Coaching Dr.Daniel T. Drubin Dr. Timothy J. Gay ProPractice Partners Ultimate Practice Dr. Mark Studin Dr. Eric Plasker CMCS Management The Family Practice     We’ve gathered eight top experts in the Chiropractic field, just for you, to provide you with fundamental methods of marketing that can be integrated right now, on...
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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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TAC Staff
secrets-of-marketing  Successful Marketing the "CLA WAY" by Patrick Gentempo Jr., D.C., CEO of Chiropractic Leadership Alliance. Marketing is a primary function for any successful business, whether it be a chiropractic   You may contact Dr. Patrick Gentempo at 1 International Blvd., #750, Mahwah, NJ 07495. Phone 1-201-252-3220, Executive Assistant Mike Thompson, Ext. 114, or visit www.subluxation.com  or www.creatingwellness.com. practice or a Fortune 500...
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Peter Gyrst, DC
a-new-generation-of-adjusting-instrumentsHow it all began?  Side posture This whole series of adjustment instruments has evolved over a period of ten years and has been tested by Gonstead doctors throughout Europe, Japan and also the United States. The first table that was designed and built was the side posture pelvic bench. Actually, it was conceived in frustration and born of passion and necessity. Those of...
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Dennis Woggon, DC, B.Sc.
straight-answers-on-curved-spinesDennis Woggon grew up in Onalaska, Wisconsin—a small town just outside of La Crosse—and attended Wisconsin State University in La Crosse. Dr. Fred Barge, a pioneer in chiropractic and scoliosis, was his field doctor. Dr. Woggon graduated cum laude from Palmer College of Chiropractic in 1974 and has a Bachelor of Science degree in biology. He...
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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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Interviews
Bill Koch, D.C.
neuro-modulation-technique-interview-with-dr-leslie-feinbergWe live in what is often called “the age of information”. In recent decades the United States has been making the transition from a major producer of manufactured goods to a major provider of information as the primary national product. The healing arts with all of its specialties and sub-specialties has also been experiencing a transformation. Every profession is...
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Jeff Hockings, D.C.
chiropractors-on-tv--infomercials-made-easyThe fastest way to affect public opinion is through television.  Shows like CBS’ Two and a Half Men, in which one of the lead characters is a chiropractor, show that the profession has, indeed, entered the mainstream of American culture… albeit with a less than ideal portrayal of a chiropractor, it’s a start. So how do you use this mega-tool to promote...
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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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Dr. Richard E. Busch, III, D.C.
chiropractors-on-tv-do-it-yourself-tv-advertisingThe fastest way to affect public opinion is through television.  Shows like CBS’ Two and a Half Men, in which one of the lead characters is a chiropractor, show that the profession has, indeed, entered the mainstream of American culture… albeit with a less than ideal portrayal of a chiropractor, it’s a start. So how do you use this mega-tool to promote...
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Steve Thaxton, D.C.
treating-everything-from-anger-to-zygomycosisDr. Steve Thaxton is a graduate of Abilene Christian University (ACU) and Parker College of Chiropractic, a Board Certified Acupuncturist and Rehabilitation Specialist, and Brimhall certified. Dr. Thaxton served as the personal chiropractor and fitness consultant for the rock band Guns N’ Roses for their 2-1/2 year world tour, and has also been Jon Bon Jovi’s personal chiropractor and personal fitness...
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William Koch, D.C.
restoring-energy-balances-in-the-body-a-straight-chiropractor-re-thinks-acupunctureInterview with Dr. John Amaro   John A. Amaro DC, L.Ac., FIAMA, Dipl.Ac. (NCCAOM), Dipl.Med.Ac., is an internationally known author, lecturer and practitioner. He began his practice of Acupuncture and Chiropractic in 1971. He has led 13 diplomatic Acupuncture study tours of The People's Republic of China escorting more than 500 doctors and practitioners. He has personally studied acupuncture in nine separate...
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Nutrition
Mark Sanna, D.C.
the-new-lifestyle-chiropractic-exercise-nutrition-a-wellnessPhysical Activity and Good Nutrition It’s a sad fact that chronic disease accounts for seven of every ten U.S.  deaths, and for more than 60% of medical care expenditures.  The prolonged illness and disability associated with many chronic diseases decrease quality of life for millions of Americans.  The chiropractic profession long has taken the stance that, with proper intervention and education,...
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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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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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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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Todd Singleton, D.C.
have-you-considered-using-nutrition-to-help-patients-with-neuropathyAbout seven years ago, I switched from an insurance-based practice treating solely musculoskeletal conditions to an all-cash practice treating some musculoskeletal conditions as well as a lot of additional conditions like obesity, diabetes, fibromyalgia and candida. During my first 20 years of practice, when a patient came in with serious neuropathy in their feet or hands, I was not able...
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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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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
the-rights-and-wrongs-of-orthotic-selection Why is there so much disagreement in the field of professional foot orthotics?  When I read articles and research regarding support of the feet and lower extremities, I am constantly reminded that there are two major camps.  Each side seems to make a strong argument.  If I tell a podiatrist about the types of orthotics I find to be...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
plastic-deformation-back-pain-in-a-walkerHistory and Presenting Symptoms A 48-year-old male presents with persistent pain in his lower back region. He describes his back pain as an aching tightness, which has been progressively worsening over the past six months. On a Visual Analog Scale, he rates his current level of pain at around 35mm to occasionally 45mm. He is unable...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
orthotic-support-for-knee-painThe knee has an impressive level of stability, despite the incongruent joint surfaces of the tibia and femur.  These two contrasting joint surfaces articulate only with the help of the crescent-shaped menisci.  Through their weight-distribution and shock-protection properties, the menisci help guide movements between the convex surfaces of the distal femur and the almost flat superior surfaces of the tibial...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
a-non-surgical-approach-to-chronic-knee-painHistory and Presenting Symptoms The patient is a 41-year-old male, who describes persistent pain and occasional stiffness in his left knee, which is not associated with any specific activity.  He reports several years of recurring episodes of medial knee pain that just comes and goes, with no swelling or inflammation.  Previous evaluations, including a knee MRI, have resulted in a diagnosis...
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Kirk Lee, D.C.
consider-hobbies-to-determine-whats-causing-painAs chiropractors, when we conduct our case histories and examinations we typically determine mechanisms of injury to be related to specific instances of trauma, repetitive macrotrauma or microtrauma. However, we should also consider posture, activities of daily living and hobbies as these can sometimes be the root cause of a patient’s pain. Today we are going to take into consideration...
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johndanchik
joint-pains-bother-fitness-seekerHistory and Presenting Symptoms This female patient is a 51-year-old small business owner and exercise enthusiast.  She reports pain in the front of her left knee over the past several months, especially when exercising at the gym.  She has no obvious swelling or discoloration and denies any specific injury.  She reports that she takes over-the-counter medication for relief, but is worried...
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Practice Management
Maurice A. Pisciottano, D.C.
qi-dont-have-enough-timeqThe battle cry of so many chiropractors today seems to be, “I don’t have enough time!”  The funny thing about this statement is that everyone has exactly the same amount of time–24 hours a day, seven days a week.  Why is it that some people seem to accomplish so much, and others can barely boast about completing a few small...
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Gerard Hinley, D.C.
the-future-of-chiropractic-personality-driven-practice-or-process-driven-business As chiropractors, we all strive to accomplish bigger and better things throughout our careers. One of the dilemmas is how can I best grow the practice? To answer this, many DC’s think the only way to accomplish this is to emulate other successful doctors in the field. We study what they say, their mannerisms, personalities and simply try to "be them."...
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Maurice A. Pisciottano, D.C.
the-importance-of-continuing-educationEven though all chiropractic doctorate degrees are earned through the stringent studies of chiropractic education, the actual license to practice chiropractic is another story. Nearly all chiropractors are governed by requirements for keeping the ability to practice their trade, if you will.  These requirements are not in place for the purpose of annoying the doctors, or for giving them a reason...
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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 will be dealt with beginning with this issue and continuing in subsequent issues of The American Chiropractor.  By following the steps given, your office will not only maximize its potential,...
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Eric Kaplan, D.C.,N.D.
purpose-principles-policies-the-3-psTo succeed in Life, in Practice you must have purpose. Being a chiropractor is not a purpose, it is a job. Your purpose is your reason for being, doing. Your office should have a written statement of purpose. Everyone needs to be on the same page. An office on purpose is an office that will succeed. The purpose of these...
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Laurent Goldstein
5-ways-to-facilitate-a-successful-practiceOne of my favorite movies of all times is Woody Allen’s Annie Hall. At the end of the movie, Woody’s character tells the story of a guy visiting a psychiatrist. “Doc, my brother is crazy; he thinks he is a chicken!” the guy says. “Why don’t you bring him in?” says the psychiatrist. “I would! But we need the...
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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.
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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Terry R. Yochum
what-is-the-vacuum-signby Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.   History:  An adult male patient with a long history of low back pain. Discussion:The vacuum sign (of Knutts en) is an important early radiographic finding.  Essentially, this represents collections of nitrogen gas in nuclear and annular fissures and  presents as an area of linear radiolucency in the disc space.1  ...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, R.N., D.C.
unilateral-spondylolysisCase History: This is a young college student who plays competitive basketball and is complaining of chronic mid lumbar spine pain. She hurts on hyperextension and has some relief on flexion. The specific diagnosis is? Figure 1.    Diagnosis:  Unilateral Spondylolysis (pars defect) with contralateral sclerotic hypertrophy of the opposite pedicle. Unilateral Spondylolysis  Spondylolysis may involve only one pars interarticularis of a single vertebra and...
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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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Jean Pierre Gibeault, P: eng.
rasterstereography-radiation-free-technology-for-the-analysis-of-the-spine-and-pelvisRasterstereography: Radiation - Free Technology for the Analysis of the Spine and Pelvis by Jean Pierre Gibeault, P: eng.   RECENTLY IN THE LITERATURE: In a recent study, researchers demonstrated an excellent correlation between X-ray measurements and measurements made with rasterstereography (Schulte 2008). Schulte, et al., produced rasterstereographs and compared them to digitized A-P radiographs of the same 16...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.
fracture-of-the-wrist-affecting-the-young-and-oldCASE HISTORY: This 8-year-old fell and hyperextended his wrist. Diagnosis: Torus fracture–distal radius. FRACTURES OF THE WRISTDistal Radius Fractures. The distal radius is one of the most common sites of fracture in the wrist. Care must be taken to search all projections for these fractures, many of which are often subtle and obscure. In the...
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Rehabilition
Christian H. Reichardt, D.C., C.C.S.P.
vibrational-therapy-and-the-aging-baby-boomers Looking at recent statistics, the boomer population is going to increase by almost 70 percent over the next fifteen years. This is the fastest growing population segment of our society! The three most common musculo-skeletal ailments afflicting this group are osteoporosis, lack of flexibility and strength, as well as balance. In this article, I will show that Whole Body...
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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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John K. Hyland, D.C.
hamstringswhat-about-stretching An interesting study has found that there is a more effective way to stretch the hamstring muscles.1 The new procedure is easy to teach to patients, and can be done anywhere and just about anytime. Unlike some forms of hamstring stretching, it does not require an assistant or any special equipment to achieve significant improvement in flexibility. The new stretch...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
evaluating-the-gait-cycle-as-part-of-your-chiropractic-treatment-plan As a doctor of chiropractic, how you perform your initial evaluation and management on a patient may vary greatly from your peers. Many doctors’ examinations include numerous neurological and orthopedic procedures. Do you rely heavily on visual and palpatory findings, range of motion studies, or maybe totally on radiographic findings? For most of us, it is probably a combination...
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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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Jay Kennedy, D.C.
build-your-practice-with-active-therapeutic-movementsActive Treatment Strategies Improve Patient Outcome & Clinic Profits Building a profitable practice takes the right equipment, skills and a commitment to excellence.  Certainly central to that is a clear, results-oriented treatment strategy.  Spinal adjusting and passive modalities are ubiquitous in chiropractic. Decompression/traction is also becoming a staple of passive care.  However, exercise and specific movement therapy is fast becoming...
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Techniques
Robert "Rick" Wiegand, DC
get-primalDr. Robert “Rick” Wiegand graduated from Palmer College of Chiropractic in 1980 and entered into private practice. Early on in practice, he became intrigued with the question of how the human neural system processes very subtle types of stimuli. In 1982, Dr. Wiegand and a colleague, Dr. Ed Blumenthal, began investigating methods to help heighten awareness of subtle responses that...
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Deed E. Harrison, D.C.
appropriate-use-of-a-cervical-orthotic-for-abnormalities-of-the-cervical-lordosisIntroductionMore and more, Chiropractors are becoming interested in rehabilitation of the abnormal cervical lordosis due to its potential relationship with a number of patient health disorders.1-3 Chiropractic techniques often recommend the use of both in office equipment as well as supplementation of at home orthotics for rehabilitation of the abnormal cervical lordosis in appropriate cases,4 while other chiropractors use at...
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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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Rebecca S. Fischer, D.C.
is-conservative-care-right-for-your-cts-patientsPublished research shows treatment options for carpal tunnel syndrome (CTS) are mixed and often conflicting. In general, there are a number of accepted treatments for CTS that range from invasive (surgical and steroid injections) to non-invasive (manipulation, splints, topical patches, laser light) or combinations of all of the above. The American College of Rheumatology states, “Despite the prevalence of CTS...
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Brice Vickery, D.C.
tvm-vs-a-chiropractic-wastelandChiropractic, a Wasteland? Things have never been better.  Accepted in all states, academic accreditation, almost full members of the healing arts is the way most see it.  This euphoria disappears when you compare it to what it could become and what it did become for me, and the little group of doctors who have studied TVM (The Vickery Method). It would...
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Tim Maggs, D.C.
the-importance-of-x-rays-in-todays-chiropractic-practice When I graduated from chiro-practic college in 1978, I elected to come back to my home state of New York to practice. At the time, the law didn’t allow for chiropractors to X-ray below L2. Chiropractors couldn’t order X-rays below L2. We were reduced to hoping there were no pathologies or contraindications. Since that time, I’ve come across a...
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