NewsFlashes
Cover Stories
Kathy Mills Chang
coding-the-right-way Since 1983, Kathy Mills Chang has been providing chiropractors with hands-on training, advice and a broad range of solutions aimed to effectively assess and improve the financial performance of their practices. A well-known and sought-after speaker, Kathy Mills Chang has served in National and State level chiropractic organizations, sits on diverse boards and advisory councils related to the profession, and...
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Dr. David Bass, DC:, D.A.A.M.L.P.
spinal-decompression-and-traction-what-is-the-difference In the 20th century, the electric motor became part of our culture. The creation of intermittent power traction became a reality. This remained unchanged until Dr. Allen Dyer introduced decompression therapy in 1991.1 Dr. Dyer felt that, to reach the inner disc core, traditional traction needed modification. Although intermittent traction is an effective therapy for elasticity, circulation, inflammation and facet...
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Dr. Joel Dekanich, D.C.
teaming-up-with-dcs-mds-pts-and-phds-a-loving-it“...when everyone is on board, amazing results become the norm” Dr. Joel Dekanich is a 1994 graduate of Palmer College of Chiropractic in Davenport, Iowa, who practices in Vail, CO. Beginning his practice as a sole practitioner in 1995, following a year long fellowship with extremity expert Mitch Mally, DC, Dekanich became a certified strength and conditioning specialist in 2002,...
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Dr. Eric Plasker, D.C.
achieving-longevity-through-a-healthy-and-drugless-lifestyle    Through the family practice, dr. Eric plasker helps chiropractors grow their practice and become life-style leaders in their community Dr. Eric Plasker is a graduate of Life Chiropractic College and former owner of two highly successful family practices, where he practiced for 16 years. In 2000, he founded The Family Practice, a personal coaching company that offers marketing and patient...
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TAC Staff
by-chiropractors-for-chiropractors-since-1979Three Cheers for The American Chiropractor magazine!  Hip, Hip, Hooray!  This marks the 30th anniversary for The American Chiropractor in publication, and things have never been more exciting!     Our Mission Evolving over the years from its beginning as a high energy upstart, for the "Education and Entertainment of The American Chiropractor," today The American Chiropractor (TAC) is "Dedicated to the...
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TAC Staff
five-college-presidents-set-the-record-straight"Chiropractic is a remarkable profession with a legacy of dedicated men and women working diligently to make chiropractic universally available. As our profession grew and matured, so did chiropractic colleges.  They set the standard for what we can expect from our future doctors of chiropractic.  Our responsibility is to provide the best chiropractic education possible to the men and...
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Interviews
Dr. Mitch Mally
million-dollar-chiropractic-featuring-dr-mitch-mallyEach article in the MILLION DOLLAR CHIROPRACTIC series (M$C) focuses on the top surveyed issues facing chiropractors today.  Recruiting new patients, retention, profitability, marketing and staffing are each a determining factor in the growth, potential and success of the practice. The subject of this issue’s profile is Dr. Mitch Mally, a 1981 graduate of Palmer College of Chiropractic who...
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Dr. Deane Mink
million-dollar-chiropractor-interview-with-dr-deane-mink  Dr. Deane Mink's M$C Profile PERSONAL Married to wife, Sue, for 15 years; 7 children:  Mark, 43; Debbie, 41; Mike, 39; Matt, 36; Mitch, 29; Cheri, 32; and Christie, 25; 10 grandchildren. Recreation and Leisure:  Fishing and/or netting shrimp almost every week; boating; weekends at Florida waterfront properties; season ticket holder for Univ. of Florida football team. "GO GATORS!" Professional...
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TAC Staff
reflecting-on-the-past-and-focused-on-the-future-interview-with-dr-patrick-gentempoDr. Patrick Gentempo is the CEO of Action Potential Holdings, Inc. and is arguably one of the best-known figures in the chiropractic profession today. He has acted as cofounder and chief executive of well-known entities within the profession. These include the Chiropractic Leadership Alliance (CLA), Creating Wellness Alliance (CWA), and Chiro Finishing School. CLA has brought critical technology to the...
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TAC Staff
8-top-table-company-representatives-tell-us-whats-newWe interviewed eight representatives from the leading manufacturers of chiropractic tables to find out what’s new and what makes each company unique. From new, electronic features and tables made for specific techniques to tables that adapt to any technique, these companies, with a combined experience of almost 300 years, have something for everyone. Lloyd Table Company Lloyd Table Company is continually striving...
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Todd Singleton, D.C.
one-doctors-solution-to-the-insurance-problemIncrease Your Practice by Expanding Your Focus from the 7% to 12% of Your Town Who Seek Chiropractic Care, to the 66% to 86% of Your Town Who Are Seeking This…   Todd Singleton, D.C., is an author, speaker, consultant and a practicing doctor.  He graduated from Los Angeles College of Chiropractic in 1990.  For many years he ran the largest...
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Dr. Daniel J. Murphy D.C., D.A.B.C.O.
interview-with-dan-murphy-dcWith this issue’s focus on Seminars & Education Opportunities, The American Chiropractor (TAC) interviews one of the most knowledgeable and respected speakers and educators in the chiropractic profession, Dr. Daniel Murphy. A 1978 graduate of Western States Chiropractic College, Dr. Murphy began clinical practice in 1978, in Oregon.  Not long after, he became a part-time faculty member at Life Chiropractic College...
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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
nutritional-adjustment-with-coenzyme-q10Myopathology is considered by  most, if not all, chiropractors to be a component of subluxation.  This is a reasonable view, as degenerative changes are known to occur in muscle after injury, during hypomobile states, and as part of the so-called normal aging process.  Most will recall that muscles, and all other cells for that matter, function properly as a consequence...
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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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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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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
important-multivitamin-and-magnesium-updateMultivitamins Only until recently, has the use of supplements been generally accepted by the mainstream healthcare community.  Naturally, there remain pockets of resistance, and that is likely to last forever; however, we just need to recall the comments made in an article in the Journal of the American Medical Association last year:1 “In the absence of specific predisposing conditions, a...
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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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Mark Percival, D.C., N.D.
coral-calciumdebunking-the-debunkingWith the FTC filing law suit against Bob Barefoot for false and misleading advertising, and the discovery of lead in one coral calcium brand both happening in June, coral calcium has been severely wounded.  Others jumped on the anti-coral bandwagon and suggested coral was no different from cheap calcium carbonate or limestone–that it was just an overpriced calcium supplement.  ...
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Orthotics
Dr. Paul B. Bindell, D.C.
audit-proof-your-practice The curse is that insurance companies use computers to burden and audit you. The blessing is greater because the computer protects you from audits, minimizes paperwork and eliminates 95% of paper filing.   Doctors praise Electronic Health Record (EHR) computers. When audited, those doctors produced high quality SOAP records that matched the bills. The only loss was a small amount of...
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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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John J. Danchik, D.C.
triathlete-troubled-by-tarsal-tunnel-syndromeby John Danchik, D.C., F.I.C.C., F.A.C.C   History and Presenting SymptomsA 31-year-old male athlete presents with burning pain and paresthesias affecting the ball of his right foot and toes, and extending along the sole of his foot.  He is a competitive triathlete, but doesn’t recall any specific injuries to his right foot.  These sensations are worse at night, and are aggravated by...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
diabetic-foot-requires-special-care History and Presenting Symptoms A 66 year-old female presents with aching lower back pain and numbness extending into both feet. She reports having had occasional lower back pain for many years, but has only noticed the foot numbness in the past six months. This is getting more constant, which concerns her. She recalls no specific back or foot injuries. On...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
is-your-little-leaguer-pitching-too-muchShoulder injuries are common in sports. The category of rotator cuff injuries has numerous names ranging from painful arc syndrome, bursitis of the shoulder, or rotator cuff tears, to just name a few—all usually present with decreased range of motion and pain in the shoulder area. There are three groups of people who are most vulnerable to these types of...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
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
Gregg Friedman, DC
how-chiropractic-will-thrive-in-the-21st-century"That which is our greatest strength is also our greatest weakness.”  That sounds like a profound quote from some eccentric philosopher.  It’s not.  I just made it up. But, as far as chiropractic is concerned, I’m convinced it’s the truth. Our offices are full of testimonials from patients who swear that we’ve helped them when no one else had.  Some of...
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Dr. Richard E. Busch, III, D.C.
how-to-systematize-your-staff Whether you are a seasoned veteran doctor or just setting up shop, one thing is certain: you didn’t spend all those years in school to do administrative and office work. That is why you have a support team. You should be the doctor—free to practice and not tied up in the details. Where do you start, what do you...
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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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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. Mark Studin DC, FASBE, DAAPM, DAAMLP
get-unlimited-referrals-from-lawyersGet Unlimited Referrals from Lawyers by Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP   An orthopedic surgeon in a suburb of New York City gets 50+ referrals from lawyers a month. A neurosurgeon in southern Florida gets 40+ referrals from lawyers every month. A physical medicine specialist in Kentucky gets 50+ referrals from lawyers every month. Why can’t you? You can....
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Ray Foxworth, D.C., FICC, MCS-P
7-steps-to-a-sound-financial-policy1 Know Your Numbers Many doctors do not really know the cost of doing business. We THINK we know about what it costs to run our practice. You may know what your monthly expenses are, but do you know the actual cost of providing an office visit? Don’t fool yourself into thinking it costs the same to adjust 10 patients as...
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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.
multiple-myeloma HISTORY   This 60-year-old male patient presents with head and spinal pain. DIAGNOSIS   Note the diffuse osteolytic "punched-out" lesions affecting the bony calvarium which has been called the "raindrop skull" of multiple myeloma.   DISCUSSION Osteolytic Defects. The radiologic hallmark of multiple myeloma is the sharply circumscribed osteolytic defect. These radiolucent lesions have been historically...
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Tedd Koren, D.C.
the-upper-thoractic-hump-pattern“Doctor, I’ve been worried about my hump. Will it get worse? Can you fix it?” Unlike the better-known dowager’s hump, the upper thoracic hump (see photos and illustrations) is more common and is found in younger as well as older people. Patients are concerned about their humps and are very motivated to get them fixed. They should be. Along with its unattractiveness,...
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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., and Alicia M. Yochum, D.C., R.N., BSN
pending-spondylolysis-andor-spondylolisthesis-whats-it-all-meanCase History This 18-year-old female gymnast is complaining of unilateral left-sided lumbar spine pain at the L5 level.  Standard plain film radiographs show no evidence of pathology, pars defects or spondylolisthesis.  Because this patient’s pain did not respond to conservative treatment, an MRI scan was performed for further evaluation.   Imaging Findings of this Patient Observe the area of bright (white) signal intensity seen...
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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.
compression-fracturesHistory: This 60-year-old male patient presents with acute lower thoracic pain after a fall while skiing.  Axial flexion compression force occurred during this fall.  The radiographic examination demonstrates how many compression fractures?  Are these compression fractures benign or malignant? DISCUSSION Compression fractures of the lumbar spine are the result of a combination of truncal flexion and axial compression.  The extent of the...
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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
Dr. James P. Cima, D.C.
the-triune-of-exerciseWhen treating soft tissue injuries, especially the chronic degenerative ones, you must be well versed in the Triune of Exercise.  I’m not just talking about athletes but about patients as well.  They all suffer from some type of soft tissue injury, as well as being subluxated.  In fact, why do you think their subluxations persist?  Because nobody ever handled...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
the-functional-approach-to-rehab-exerciseSelecting the ideal exercises for patients with back conditions requires judgment based on clinical experience and scientific evidence.  There are several approaches to rehabilitation, and many different types of exercises are available; however, patients have a limited amount of time, willingness, and enthusiasm to exercise.  Therefore, we must always try to give our patients the most effective exercises for their...
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Clayton Stitzel. D.C. and Joshua Woggon, D.C.
dont-let-a-lifetime-be-defined-by-scoliosisNow that genetic pre-disposition testing for scoliosis progression risk is available, An Early Stage Intervention Program has also been developed to provide scoliosis patients a non-bracing, non-surgical treatment option that allows them to take immediate action in the prevention of the next stage of the standard treatment process. The three medically-sanctioned methods of scoliosis treatment—observation, bracing, and surgery—have been around for...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
achilles-tendon-rehab-proceduresMost injuries of the Achilles tendon are not due to a recent acute injury; they have actually developed gradually, over a period of weeks or months.  These are “overuse” or “misuse” conditions, and are caused by excessive and/or repetitive motion, often with poor biomechanics.  The end result is a microtrauma injury—the body is unable to keep up with the repair...
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John K. Hyland, D.C.
avoid-rehab-overloadMost of us know that exercises are an important key to full recovery of spinal function. Unfortunately, I have found that the more knowledgeable doctors are in rehab procedures, the more likely they are to overwhelm their patients with exercises. The result is frequently a long laundry-list of exercises given to each patient. This often includes stretches for all of...
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Dr. Mark R. Payne, D.C.
dueling-paradigms-why-every-chiropractor-should-embrace-postural-rehabilitation-concepts The seventies and eighties brought huge changes to chiropractic. In the early years, chiropractic was founded around a paradigm of restoring normal spinal alignment (structure), thereby allowing the patient to return to a more optimum state of health (function). Many more traditional chiropractors continue to view patient care strictly within this "structural" paradigm. Consider this from the International Chiropractors...
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Techniques
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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Tedd Koren, D.C.
medical-manipulation-or-chiropractic-adjustingChiropractic can be practiced either empirically or mechanistically. How could that be? Why is it important? Chiropractic’s approach to healthcare is similar to the empirical approach of classical homeopathy, classical osteopathy and other “holistic” healthcare systems. That approach, to balance or harmonize the individual within him/herself and to balance or harmonize the individual to his/her Source (soul, spirit, Tao, God), is...
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Charles L. Blum, DC
sacral-cup-treating-the-malposition-of-sacral-segments The Sacral Cup Test and adjustment can be an extremely important tool for the chiropractor because of its ability to help stabilize a chronic unstable sacroiliac (SI) joint, especially if it is slow to respond to traditional category two pelvic procedures. [Figure 1] In addition, it gives the doctor a tool to determine the presence of a complication in...
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Jay Kennedy, D.C.
decompression-deception-and-the-magic-machine  It is important to recognize that as we approach nearly twenty years since the initial entrance into the Chiropractic market of Decompression systems, we are still faced with the marketing of magic decompression machines, being somehow different than traction devices based upon mechanisms and pull patterns. For many people, logic, reason and basic physics, though compelling, can’t really compete with...
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James Fung, DC; Phillip McAllister, DC; Allan Oolo Austin, DC
trigenicsr-myoneural-medicine-a-neurological-treatment-systemDefined, Trigenics® Myoneural Medicine is an energetic sensorimotor restoration system. It incorporates a neurologically-based, multimodal methodology for local or full-body assessment and treatment.  Simplistically, it restores optimum brain and body communication and is directed at treating the causative, aberrant neurology of neuromusculoskeletal dysfunction. Aberrant histology (adhesions) and arthrokinetic osteology (subluxations) are then far more effectively treated using soft tissue myofascial...
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Tedd Koren, D.C.
but-i-feel-fineHow did you know that? Picture the scene. I’m checking people during a recent Masters Circle seminar using Koren Specific Technique (KST). I had just given a talk. The line of doctors and CA’s waiting to be adjusted was long. As I expect, people are having incredible responses. But what’s often most fascinating is the ability to tell them what...
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