NewsFlashes
Cover Stories
David Fletcher, D.C., F.C.C.S.S.(C)
nerve-first-approach“Nerve First” Approach by David Fletcher, D.C., F.C.C.S.S.(C)   Dr. Fletcher is a 1980 graduate of Canadian Memorial Chiropractic College with a Fellowship in Chiropractic Sport Sciences. He trains and teaches thousands of chiropractors to interpret and communicate the power of chiropractic care, using CLA’s Insight scanning technologies. He continues to practice daily, while developing new strategies for...
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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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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
products-a-software-to-help-you-work-with-insurance-to-get-paid Oftentimes, the tools used will determine the possibility for success in accomplishing any task. Making the right decision with regard to the documentation software, record keeping and other products you use will have a tremendous impact on the heights that your clinic may be able to reach. Use this market review to get to know some of your options.     Acom Product...
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Maurice A. Pisciottano, D.C.
the-piezoelectric-sensor-the-heart-of-the-proadjuster-patient-care-system Technique + Business = Results. Within this simple equation is the formula to business success. If you see your practice as a business and implement the most innovative, forward-thinking techniques, you will undoubtedly achieve the results you’re after. In this lesson, I would like to discuss the methodologies of the ProAdjuster patient care system. The business principles we teach our...
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Frederick Carrick, D.C.
neurology-a-chiropractic Frederick Robert Carrick, D.C., Ph.D., is the Distinguished Post Graduate Professor of Clinical Neurology at Logan University and is Parker College of Chiropractic’s Professor Emeritus of Neurology. He serves as the President of the American Chiropractic Association’s Council on Neurology and is the President of the American Board of Chiropractic Specialties of the American Chiropractic Association. Professor Carrick is...
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Interviews
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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TAC Staff
defining-food-enzyme-nutrition-an-interview-with-howard-loomis-dcHoward F. Loomis, Jr., DC has been the leader in the clinical application of plant enzymes and is the person responsible for bringing food enzyme nutrition to the forefront of the health care field.  After graduating from Logan Chiropractic College in 1967, he entered practice in Missouri and practiced there for 26 years.    In 1980, he was introduced to the work...
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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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William Koch, D.C.
chiropractic-biophysics-technique-interview-with-deed-harrison-dc Dr. Don Harrison has been a tireless Chiropractic researcher and scientist for more than 35 years.  Originator of Chiropractic BiophysicsTechnique (CBP), Dr. Don conducted his research and reported his findings according to established scientific standards and protocols. His diligence and expertise have been rewarded by a high level of acceptance by the scientific community. Dr. Don’s outstanding career as a Chiropractor,...
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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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Kent Greenawalt
united-we-stand-strongerKent S. Greenawalt, President and CEO of Foot Levelers, Inc., in Roanoke, Virginia, has, for years, helped revolutionize chiropractic care by developing and patenting many chiropractic products for everyday patient use. Now he has embarked on a new project to unite the profession in an effort to change the public’s perception of chiropractic care, once and for all. Kent Greenawalt founded the...
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Nutrition
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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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
syndrome-x-and-subluxationSome 40 million Americans are thought to have syndrome X,1 and there are likely to be several million who are rapidly moving in that direction.  Syndrome X is thought to be a driver of heart disease, hypertension, cancer, diabetes mellitus, obesity, depression, and other diseases.2  Syndrome X refers to an abnormal metabolic state that is characterized by insulin resistance, hyperinsulinemia,...
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John H. Maher, D.C.
baby-boomers-nutrition-a-superfood-solutionMost all of us who are baby boomers know of Jack LaLanne. Some of you who, like me, started paying attention to nutrition back in the 1960’s, probably know of other long lived icons of the mid twentieth century natural food movement, such as Paul Bragg, Bob Delmontique and even Dr. N. W. Walker of juicing fame. All have preached...
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Dr. Howard F. Loomis, D.C.
chiropractic-and-prescription-drug-use-restless-leg-syndromeAn important part of every case history, and even ongoing case notes, should be knowledge of the patient’s prescription and over-the-counter drug use. This has always been important because drugs mask symptoms and physical findings that are important in making an accurate assessment of the need for chiropractic care. However, at the dawn of the 21st century, prescription drug abuse...
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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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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
to-reduce-osteoporosis-put-a-little-fat-in-your-bonesOsteoporosis is an extremely costly condition; the expense for treating osteoporosis-induced fractures reaches about $38 million per day.1 Consider this in light of the fact that calcium fortification and supplementation is at a premium.  One day of shopping at Sam’s Club, as an example, leads to the realization that countless bottles of calcium are sold on a monthly basis. What does...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
wellness-support-for-an-obese-patientHistory and Presenting Symptoms A 32-year-old male presents with a history of mild to moderate lower back pain, and aching tightness in his neck.  He states that his back pain comes and goes, with no specific triggering activities.  His neck tension is worse with long and stressful workdays.  He participates in no recreational sports or exercise activities, and recalls no back...
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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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johndanchik
lower-extremity-aging-concernsHistory and Presenting Symptoms A 60-year-old female presents with recurring episodes of moderate pain in her lower back and right knee. As a full-time waitress/cashier, she spends almost half her workday on her feet. She recalls no specific back or knee injuries, and states that these problems have developed over the past couple of years and have been more noticeable in...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
popliteus-tendinitis-in-a-softball-playerPopliteus Tendinitis in a Softball Player by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   History and Presenting SymptomsThe patient is a 27-year-old male who participates in an adult softball league on weekends. He describes recurring episodes of pain and swelling along the back and outside of his right knee, which has limited his knee extension for the past several...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
orthitics-for-work-bootsMany people wear special footwear at work.  Occupational health guidelines and employers often require the use of protective work boots.  When fitting patients for orthotics, ask what type of footwear is worn throughout the workday, as well as during recreation and relaxation periods.  An orthotic designed for work boots can be very helpful.  While generic insoles and off-the-shelf foot supports...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
asymmetrical-pronation-linked-to-juvenile-injury History and Presenting Symptoms A 28-year-old male presents with recurring episodes of moderate low-back pain which always respond well to chiropractic adjustments, but eventually return. He recalls no specific back injuries, and cannot identify any triggering activities. On a Visual Analog Scale, he rates his low back pain currently at about 50mm. He has been able to avoid...
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Practice Management
Mark Sanna, D.C.
practice-management-tipsQ:  Which adjunctive services, if offered, have you found to be most beneficial for chiropractic practices? A:  The language of reimbursement today is the language of function.  In order to fully participate in the mainstream of healthcare, chiropractors must become proficient in objectively assessing and documenting the functional outcomes of their care.  It is extremely difficult, if not impossible, to...
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David Singer, D.C.
the-greatest-practice-building-secretIn our daily activities, we naturally gravitate toward doing those things that we feel most comfortable doing. You don’t have to be a rocket scientist to figure out why this is. It’s because no one likes to feel UNcomfortable, especially over a sustained period of time. Thus, we do what is comfortable. The sphere of activities that we are comfortable...
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Marc Swerdlick, D.C.
unintended-marketingIt is said that albert einstein had a sign hanging in his office at Princeton University that read, "Not everything that counts can be counted, and not everything that can be counted counts." The point that I want to take from that quote is that there are some not-so-pretty byproducts from marketing a chiropractic clinic that certainly count, but are...
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Peter G. Fernandez, D.C.
to-be-or-not-to-bean-associate-doctorThese 8 questions will help you decide if you should become an associate or start your own practice.     1. Are you inexperienced, but don’t want outside help?     2. Is your ego too big to pay for - and listen to expert advice?     3. Can you raise the money?     4. Are you willing to work 70 hours a week?     5. Are you too scared to open...
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tomowen
know-your-numbersOften times we have the misconception that success is something we enjoy only after we master difficult concepts and complicated theories. However, it may surprise you to know that you learned some of the necessary skills required for a successful chiropractic office when you were in Kindergarten. Do you know your numbers?  If you don’t, then reading this article and implementing...
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Phil Mattison
i-am-not-a-salesmanDoctors of chiropractic generally are attracted to the profession from a desire to heal others. The majority of DCs we come into contact with say they were attracted to chiropractic because they saw it as a way to “make a difference” in the world and truly “heal” people. There are all different kinds of DCs – with varying philosophies –...
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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.
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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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, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
sacral-fracturesCase History:  This male patient was working on the roof of his garage when he slipped and fell 12 feet to the concrete pavement of his driveway.  He has sharp pain over his proximal sacrum. Does he have a fracture? Diagnosis:  Note the fracture through the anterior surface of the second sacral segment creating an acute offset of its anterior cortical...
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Ryan Everhart
digital-x-ray-solutions-for-chiropracticX-rays play an important role in determining the exact cause for many health complications in patients. The advancements in radiography are allowing physicians to pinpoint the exact cause of complications through high quality output in a matter of seconds. As a chiropractor, it is important to determine what part of the body is causing the trouble, and you can do...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
prostate-osteoblastic-metastasisHISTORY   This 60-year-old male patient presents with a history of prostate cancer with surgical removal. Note the metallic clips in the pelvic basin consistent with prostatectomy. There are multiple "snowball" areas of blastic metastasis scattered throughout the pelvis and proximal femora. This radiographic appearance is consistent with osteoblastic metastatic carcinoma from the prostate gland.     DISCUSSION   The sacrum and bones of...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
sacral-fracturesHistory This patient fell off a horse while competing in a high level equestrian event. The patient fell directly over the sacrum and experienced immediate severe localized pain in the sacral area. Discussion Sacral fractures usually occur as the result of a fall upon the buttocks or following a direct traumatic blow. There are two types: Horizontal and Vertical. Horizontal (transverse) Fractures These are the...
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Rehabilition
Mark R. Payne D.C.
the-crossroads-of-rehab-and-techniqueThe Crossroads of Rehab and Technique by Mark R. Payne D.C.   Adjusting technique and spinal rehabilitation have always been viewed as two completely separate subjects. Chiropractic’s rich history is replete with innovative ways of adjusting misaligned or dysfunctional spinal segments. Most such chiropractic techniques would be classed as "passive care" in that the patient is a non...
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Dr. Dennis Woggon & Dr. Josh Woggon
the-importance-of-good-formWhat Scoliois Can Teach Us about Postural Rehab  Manifestation of any health problem is not a spontaneous event; before the clinical onset, precluding factors exist.  Although these factors are unique in each patient, understanding how they contributed to the malady is the first step in reversing it.  Regardless of the specific disorder, the crux of the issue is mal-adaptation: the body...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
a-brief-history-of-lumbar-traction-in-chiropractic-rehabilitationFrom its birth to the present, the chiropractic profession has been interested in methods to restore normal alignment (structure) to the spinal column, with the ultimate purpose of restoring normal function to the spine and nervous components housed inside.  Interestingly, mechanical traction has been used by chiropractors to reduce spinal misalignments, in spite of the fact that chiropractic is a...
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Mark R. Payne D.C.
dirty-harry-scoliosis-and-youDirty Harry, Scoliosis And You by Dr. Mark R. Payne D.C.   A man has got to know his limitations." Clint Eastwood growls the famous line right after administering a lethal case of justice to some villain foolish enough to take on Inspector "Dirty" Harry Callahan. Just goes to show there are some things in life you shouldn’t ever try....
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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. Mark R. Payne, D.C.
managing-fhp-in-the-elderlyI recently got some great questions from a doctor in south Florida who frequently encounters aging patients with large forward head translations, yet have pronounced, sometimes even hyperlordotic, cervical curves. We've all observed this posture, common among elderly patients, but many doctors aren't aware it needs to be managed differently than the typical case of FHP associated with cervical hypolordosis. Typically,...
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Techniques
Jesse Jutkowitz, D.C.
advanced-biostructural-correctionAdvanced BioStructural Correction™ is exactly that; it is an advance in the correction of biostructural pathologies. The most important advance is the identification of the most basic mechanical pathology that occurs in the human body. “Most basic mechanical pathology” has two meanings: It means the starting point of where structure becomes pathological, AND it means the fundamental pathology that keeps a...
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Ted Koren, D.C.
are-you-missing-an-important-subluxation Doctor: "You feel tired much of the time, don’t you?" Patient: "Yes, I feel exhausted all the time. How did you know?" Doctor: "Your femur heads are anterior. Most of your energy is being used to hold your body up." One of the most fascinating subluxations is of the femur heads. The femur head is ball-shaped and located at the top of...
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Randy B. Reed, D.C., C.C.S.P.
i-cant-believe-its-not-traction  After spending the better part of the last 6 years developing a seminar for Continuing Education Credits and speaking to over 2000 Chiropractors, Neuro & Orthopedic Surgeons, Osteopaths, and Physical Therapists on “Axial Decompression and Core Rehab for the Lumbar Disc Patient”, I am still amazed and intrigued by the one question that mainly chiropractors ask me.  I am asked...
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Paul Yanick, Ph.D.
activate-multiple-levels-of-innate-communication-to-eliminate-inflammation-and-painLike the discord of an instrument out of tune in a skillful orchestra, innate intelligence can lose its interconnected synchronicity between the motion of all the organs and structures of the body. When this synchronicity is lost, there is always a loss of intrinsic oscillatory motion away from embryonic origin. Embryological evidence proves that powerful and unparalleled ways to clear...
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R.B. Mawhiney, DC
preventing-sids-sudden-infant-death-syndromeOH, NO!!! PLEASE, LORD, NO!!! She has stopped breathing! CALL 911!! HURRY!!! This happens up to five thousand (reported) times a year in the United States. Sudden Infant Death Syndrome has become a scourge to young and old parents, alike. I have raised three children and have suffered through many nights wondering if I should shake my child to see if it’s...
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Dennis Woggon, B.Sc., D.C.
mvas-affect-form-and-function-of-the-c-spineTrauma, especially motor vehicle crashes (MVC), can change an individual’s posture. This will, in turn, affect the victim’s stance and gait, due to soft and hard tissue injuries which cause abnormal function. Humans adapt in time and need to their environment. The human body must adapt when external forces damage the internal environment. This induced...
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