NewsFlashes
Cover Stories
Gerald R. Mattia, D.C.
sports-chiropractor-specialist-gerald-r-mattia-dc-shares-his-secrets-to-successWith over 175 professional athletes under care (as well as the CEO’s of major corporations such as Tupperware and Harris Corp.), Dr. Gerry Mattia shares his secrets to success. Gerald R. Mattia, B.S., D.C., has thirty-one years of experience as a chiropractic physician. He earned his chiropractic degree from New York Chiropractic College in 1977, and...
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Jay Kennedy, DC Michael Schneider, DC., PH.D David Seaman, D.C.
herniated-discs-and-conservative-treatments    Dr. Kennedy is a graduate of Palmer College and has been in both private and MD/DC practices in Berlin, PA, for over 23 years. He is a leading authority in North America on decompression and rehabilitation procedures and has successfully treated tens of thousands of patients. He has pioneered decompression therapy technique since 1993. Dr....
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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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TAC Staff
a-man-with-insightHe was a popular, charismatic high school student. A national AAU karate champion. An inexperienced, undersized member of the school’s wrestling team. How did Dr. Patrick Gentempo Jr. become one of the most influential minds in today’s chiropractic world? Well, being undersized and inexperienced may have actually helped. “I injured my neck in a wrestling practice and my mom took...
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TAC Staff
removing-interferenceDr. M. T. Morter Jr. is an internationally recognized authority on health.  He is a past president of both Logan and Parker Chiropractic Colleges.  In his nearly forty-five years as a practicing chiropractor and health care specialist, Dr. Morter has developed the revolutionary Morter HealthSystem, which is based on his Bio Energetic Synchronization Technique.   B.E.S.T. has been at...
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Dr. James L. Chestnut , D.C., F.I.C.C., F.A.C.C.
evidence-based-wellness-careDr. James L. Chestnut has been studying human wellness for over 25 years. He has a Bachelor of Physical Education degree, a Master of Science degree in exercise physiology with a specialization in neurological adaptation, is a Doctor of Chiropractic from the Canadian Memorial Chiropractic College in Toronto, Canada, and holds a post-graduate Certification in Wellness.   Award....
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Interviews
TAC Staff
chiropractic-for-pregnant-women-interview-with-karen-gardner-bagnell-dcFor more than eighteen years, Dr. Karen Gardner Bagnell has studied the mechanisms of breech and transverse presentations, pregnancy and delivery. Dr. Gardner Bagnell has guest lectured at The University of Pennsylvania School of Nursing and Chestnut Hill Hospital in Philadelphia on the importance of Chiropractic care during pregnancy, labor and the post partum period, as well as at the...
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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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Dr. Paul Pugsley
million-dollar-chiropractic-interview-with-dr-paul-pugsleyOriginally from upstate New York, Dr. Paul Pugsley moved to California during grade school. After meeting his wife, Marilou, in undergraduate college, the couple decided to attend chiropractic school in Atlanta, Georgia, at Life Chiropractic College. In their last year at Life, Paul and Marilou had their first of five children. After graduating, Dr. Pugsley and family moved back to...
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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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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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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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Nutrition
David R. Seaman, DC, MS, DABCN
an-easy-way-to-add-nutrition-to-treat-your-patients-in-pain Low back pain is one of the most common reasons patients visit all physicians in the United States and it represents a substantial financial burden on society (1). The most common treatments are pharmaceuticals, which are either prescribed or self administered, and manual care, which is delivered largely by chiropractors. Nutrition is not generally considered in the treatment of...
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Ellen Cutler, D.C.
defeat-the-energy-robbers-with-enzyme-therapyNext to depression and allergies, lack of energy is the third most prevalent health concern in America, affecting 33 million people. In fact, half of the people who come to my clinic complain of exhaustion. Some feel tired when they wake up in the morning. Others experience an energy crisis in the afternoon. Still others have chronic fatigue throughout the...
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Mark Percival, D.C., N.D.
all-things-a-poison-plus-silicon-an-overlooked-trace-mineralIf you are recommending trace minerals to your patients, chances are you are recommending toxic substances.  The strange paradox is, many of these toxic minerals are also essential for life!  With the recent popularity of coral calcium, colloidal mineral cocktails, and other supplements containing seventy or more trace minerals, the question of how toxic elements, such as arsenic, cadmium, antimony,...
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Lynn Toohey, D.C.
detoxificationWe all know that detoxifying is good for us, but how do you choose a good protocol to follow?  When we remove toxins that have built up over years, it is just as important to consider things we DON’T do as well as the things we DO. A good detox program (there are thousands out there) should be written by...
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Dr. Howard F. Loomis, D.C
iron-deficiency-and-innate-intelligenceOne of my fondest memories of my chiropractic education occurred following a particular lecture on the Philosophy of Chiropractic. I remember leaving the classroom full of resolve and enthusiasm, believing that all I needed to get sick people well was the chiropractic philosophy and a system of specific spinal adjustments. I expressed this idea to a classmate who asked what...
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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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Orthotics
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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
metatarsalgia-and-orthotic-supportFoot pain can interfere significantly with normal activities, and severely limit participation in sports.  Metatarsalgia is foot pain involving the metatarsal bones in the forefoot—the complaint of pain on the bottom of the ball of the foot. Metatarsalgia may be due to overuse of the foot during sports, improper footwear,1 excessive weight, foot subluxations, or other factors.  The underlying cause is...
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johndanchik
a-better-life-by-avoiding-the-knifeHistory and Presenting Symptoms The patient is a 44-year-old male who describes persistent pain and occasional stiffness in his right knee that is not associated with any specific activity.  He reports at least two 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...
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TAC Staff
call-for-action-an-open-letter-to-the-chiropractic-profession Dear Chiropractic Colleague: This profession-wide "Open Letter" has been issued for a most urgent reason. Ignore it at your own peril Comprehensive and far-reaching "National Health Reform" legislation is rapidly moving forward in Congress. It is abundantly clear, that the legislation under consideration could substantially alter America’s health delivery system in dramatic and perhaps unexpected ways. Depending on the detailed legislative provisions that are...
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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.
pelvic-and-hip-pain History and Presenting Symptoms A 27-year-old female describes a history of aching pain and tightness extending from her lower back into the pelvic region and both hips. She describes a recurrent pain that has bothered her since she was in a motor vehicle collision at the age of sixteen. As a passenger, she injured her right leg and hip during...
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Practice Management
Jay S. Greenstein, DC, CCSP, CGFI-L1, CKTP
building-the-sports-chiropractic-practice-a-recipe-for-success Throughout my travels I have had the opportunity to meet lots of great people in our profession. Many have been in practice for years, but some are in school, getting ready to graduate or just getting started. I’m often asked by these folks what it takes to build a sports chiropractic practice. The answer essentially revolves around three key...
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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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TAC Staff
qaa-advice-from-the-expertsExpanding on Dr. Mark Sanna’s regularly featured Practice Management Tips, this issue we’re adding some bonus tips in celebration of our annual Practice Management issue! That’s right; we’ve asked twelve of the biggest names in chiropractic practice management to share some of their most frequently asked questions and their advice and insights for achieving success in practice and in life!...
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tomowen
why-chiropractors-need-a-coach-to-succeedAlthough chiropractors are generally hardworking, dedicated professionals who strive to correct subluxations in order to benefit the overall well-being of their patients and community, they still might be clueless on how to run an efficient and profitable practice. Technique expertise and talent are not enough.    Matter of fact, the myth upon graduating simply isn't true. We've all heard it before: Get...
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Dwight C. Whynot, D.C.
how-can-i-show-the-true-value-of-chiropractic-careYour practice philosophy can influence how you present chiropractic to your patients, regardless of whether you went to a more philosophical chiropractic school or you went to school that did not emphasize the chiropractic philosophy, as much can influence the way in which you manage your chiropractic practice and the way in which you manage the care you provide your...
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Peter Fernandez, D.C.
should-you-start-a-practice-from-scratch-should-you-start-a-practice-from-scratchIf you are considering starting your own practice or purchasing an existing practice, ponder these points before you plunge in. The Advantages of Starting a Practice from Scratch   You work for yourself, set your own rules and office hours, see as many patients as you want, make as much money as you want, practice your own techniques, have...
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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.
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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
lumbar-spine-traumaCompression fractures are the most common fractures of the lumbar spine.  They result from combined flexion and axial compression.1,2  The most common segmental levels to develop compression fractures are T12-L1.3  The extent of the vertebral compression and degree of comminution are dependent upon the severity of the force applied and the relative strength of the vertebra.4  In children, they are...
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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.
intertrochanteric-fracture-of-the-proximal-femurIntertrochanteric Fracture Of The Proximal Femur 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 elderly female patient slipped getting out of the bath tub. She heard a crack and felt immediate pain. DIAGNOSIS Fractures around the proximal femur are relatively uncommon in young to middle-aged patients with a sharp increase in...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., Chad J. Maola, D.C. and Alicia M. Yochum, RN, BSN, Senior Intern at Logan College of Chiropractic
sacral-and-coccygeal-fracturesCASE HISTORY This young male patient fell off a horse and landed on his buttocks. SACRAL FRACTURES Sacral fractures usually occur as the result of a fall upon the buttocks, direct trauma or in association with pelvic fractures.  Isolated fractures of the sacrum are uncommon and a diligent search for an associated fracture of the pelvic ring or symphysis pubis is often beneficial...
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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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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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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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Dennis Woggon, BSc, DC
mix-fix-set-protocols-for-posture-rehab“Don’t slump, stand up straight!” How’s that working for you? Probably not very well, as I think back to how effective that was when I was a child. We talk about changing posture, but how can we permanently change it.   Posture is not a conscious decision but a subconscious relationship with our environment.  Posture can be defined as the body’s position to...
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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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Jon Pettibon, DC
rehab-results-speak-for-themselvesWhat happens with your patients if you are no longer physically able to adjust them using manual manipulation on a short-term or long-term basis? After experiencing some major medical issues I found myself in just that position, asking the same question.   When I was able to return to my office, an infection had left my lumbar spine in such bad shape...
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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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James W. Gudgel, D.C.
returning-the-injured-athlete-to-optimum-performanceLow back pain affects almost everyone during their lifetime, and this includes well-conditioned athletes. The very nature of athletics is that the athlete is performing an activity that requires a high level of skill, strength, power and/or coordination. Most athletic activities impart very high short-duration repetitive forces into various parts of the body, while other areas are subjected to less...
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Techniques
Scott Walker, D.C. and Deborah Walker, D.C.
your-present-technique-works-better-than-you-think-it-does Today we have a lot of procedures and techniques available to help our patients. As chiropractors, we try to figure out what is the best approach for each of our patients and apply our skills to assist the body in its natural healing process. So, what is the best technique for your patients? The answer, of course, is...
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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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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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Peter J. Levy, D.C.
go-to-the-source-of-subluxation-with-neuromuscular-reeducationAre you looking for a way to improve your skills?  Get patients better faster? Build a large referral base? Have a cash practice? Charge what you’re worth? Read on!!! What is the answer to the ongoing problems with insurance companies, work comp, personal injury and the volumes of paperwork and billing required?  How do you, the practitioner, actually get someone better quickly...
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Mark R. Payne, D.C.
protective-postures-part-1-Lot's of doctors don't incorporate postural rehab (or any other type of rehab for that matter)  into their care programs.  Possibly because postural chiropractic methods have been associated almost entirely with a particular technique in the past, many doctors view the concepts as somehow contradictory to what they do in their offices.  Strangely, many doctors  resistant to embracing postural rehab...
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Burl R. Pettibon, DC, FABCS,FRCCM, PhD (Hon) and Sharon Freese-Pettibon, B.A., C.T.
prehabilitation-the-gift-that-keeps-on-givingIt would appear that D.D. Palmer was correct when he said that nerves are involved in all diseases; he just didn’t have the research in his age to prove it. As time goes on and research continues, the information coming out clearly substantiates his hypothesis.   The brain’s ability to change its neural network connections and behavior in response to new information,...
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