NewsFlashes
Cover Stories
Cleveland Chiropractic College (CCC)
cleveland-chiropractic-collegeEnsuring the success of students and making a lasting impact on the future of chiropractic are the driving forces behind several positive developments being carried out at both the Kansas City and Los Angeles campuses of Cleveland Chiropractic College (CCC). Highlighting these developments are the relocation of the Kansas City campus, facilities improvements in Los...
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Dennis Woggon, DC, B.Sc.
can-chiropractic-care-help-scoliosisAccording to Dr. Charles Lantz, “Full-spine chiropractic adjustments with heel lifts and lifestyle counseling are not effective in reducing the severity of scoliotic curves”.  (JMPT 2001 Jul-Aug;(6):385-93, Lantz CA, Chen J.) In an article published by Dr. Mark Morningstar, et al, the abstract states: “In this study, we investigate[d] the possible benefits of combining spinal manipulation, positional traction, and neuromuscular reeducation...
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Marc J. Lamantia, D.C., and Gary A. Deutchman, D.C.
review-of-the-literature-non-operative-scoliosis-treatmentReview of the Literature: Non - Operative Scoliosis Treatment by Marc J. Lamantia, D.C., and Gary A. Deutchman, D.C.   Without intervention, Adolescent Idiopathic Scoliosis (AIS) is a condition which is likely to progress between the time of detection and the time of skeletal maturity.1 This makes early detection, with the intent of early intervention of...
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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. 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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John L. Stump D.C., Ph.D., Ed.D.
stroke-a-different-perspectiveStroke…  A Different Perspective by John L. Stump D.C., Ph.D., Ed.D.   In May 1999, upon returning Sunday evening from one of his many trips, John Stump and his wife went out for dinner. Arriving home they decided to begin packing for the upcoming lecture he was scheduled to do in New Zealand. He glanced at the clock; it...
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Interviews
TAC Staff
can-cloud-computing-really-save-you-thousands-annuallyInterview with Steven J. Kraus, D.C., D.I.B.C.N., C.C.S.P., F.A.S.A., F.I.C.C. His vision to elevate the profession and increase chiropractic access The American Chiropractor recently heard about a new Electronic Health Records (EHR)/practice management software product from Future Health that the company has decided to give away free. Like many of you, we wondered, “What’s the catch?”  So we sat down with Future...
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Thomas G. E. DePuydt, M.D.
finding-common-grounds-and-goalsThomas DePuydt is an M.D. who specializes in Sports Medicine, and recognizes the importance of taking an integrated approach to treating musculoskeletal injuries. In an interview with The American Chiropractor (TAC), Dr. DePuydt discusses the “paradigm change” which he sees taking place in modern day medicine. TAC: Give our readers some background information about yourself. DePuydt: I grew up in Northern Michigan wanting to...
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George Goodheart, D.C.
muscle-testing-a-manipulation George Goodheart is a second generation Doctor of Chiropractic and graduated from National College of Chiropractic in 1939. In 1964, Dr. Goodheart began making a series of revolutionary observations about muscle function and health and disease that evolved into applied kinesiology. By stimulating various neurological receptors and observing excitatory and inhibitory responses of muscles to manual testing, Dr. Goodheart was...
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TAC Staff
the-unlikely-defender-of-the-subluxation-interview-with-gary-jacob-dc-lac-mph-dipmdtGary Alan Jacob, DC, LAc, MPH, DipMDT completed his baccalaureate studies in Philosophy of Science. He graduated from Los Angeles College of Chiropractic in 1978 and the California Acupuncture College in 1981. He was the first DC and the 12th individual to receive the Diploma in Mechanical Diagnosis and Therapy in 1991 from the McKenzie Institute International. In 2003, he...
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TAC Staff
dr-david-m-brady-breaks-the-glass-ceiling-in-academia-interview-with-david-m-brady-dc-nd-ccn-dacbn  Dr. David Brady, a 1991 Texas Chiropractic College (TCC) graduate, is the first DC worldwide to break the "glass ceiling" within academia by being conferred vice provost of the health science division at the University of Bridgeport in Connecticut. He is the first and only chiropractor to attain that elevated status worldwide in a major university and, because of his...
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James Mathis
how-to-get-paidJames J. Mathis has been employed in the insurance industry for more than fifteen years.  Formerly with Allstate Insurance and State Farm Insurance, during that time, he was also a claim representative as well as a manager in charge of all Med-Pay claims and Personal Injury Protection claims in the State of Washington.  In addition, he was designated the company...
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Nutrition
Dr. Howard F. Loomis, D.C.
the-many-clinical-faces-of-protein-deficiencyIf the Chiropractic Profession were to “Discover the Secret” of improving protein digestion and assimilation, it could transform the health care marketplace almost overnight! That is not an exaggeration. Almost impossible to detect in its early stages with ordinary lab tests such as blood work, protein deficiency is behind many of the most persistent chief complaints for which patients enter...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
alternatives-to-nsaids-in-the-treatment-of-spinal-painThe treatment of pain with non-steroidal anti-inflammatory drugs (NSAID’s) is big business in America, which leads to a substantial number of deaths and extraordinary costs to treat NSAID-complications. Consider the following facts about NSAID use: • More than 70 million NSAID prescriptions each year in US • More than 30 billion OTC NSAID’s sold each year in US • 5-10% of US adult population...
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Ronald Grisanti D.C., D.A.B.C.O., M.S., and Rick Bramos
obesity-why-exercise-doesnt-workAre you guilty of recommending exercise to help your overweight patients lose unwanted fat? The answer could have a major impact on your clinical outcomes. Do you really believe that juggling balls for a few minutes daily—as seen on NBC recently—will burn enough calories to get the job done?   Do you not find the advice to buy a pedometer to track...
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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. James P. Cima, D.C.
the-truth-about-weight-loss-and-obesityThe Truth about Weight Loss and Obesity by Dr. James P. Cima, D.C.   Why Diet and Exercise Do Not Work and How Our Profession Can Spear-Head the Obesity Epidemic How many patients and or loved ones do you treat where there is a direct correlation between their weight and their physical condition(s)? There are many instances when patients come into my...
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Leonid Ber, MD
resolving-vitamin-b12-deficiency-using-oral-supplementationNew research validates high dose methylcobalamin lozenge regimen Vitamin B12 (often referred to as cobalamin) is an essential nutrient that can only be  obtained from diet or supplements. Its main function in the body is to assist in the synthesis of DNA. As a result, quickly dividing cells such as red blood cells are among the most frequently affected by cobalamin...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
morning-heel-painHistory and Presenting Symptoms The patient is a 56-year-old male who reports severe pain on the bottom of his right foot when he begins to walk in the morning.  He also notices pain under his right heel when he has been standing for a long time (greater than one-half hour).  Over-the-counter pain medications help somewhat; but his condition does not seem...
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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.
groin-strains History and Presenting Symptoms A 45-year-old male presents with occasional, moderate pain in his left hip and groin. He has been evaluated for hernia and arthritis, with no definitive diagnosis and no successful treatment. Physical therapy with various modalities and exercises felt good, but didn’t resolve his problem. He says that he has noticed these symptoms for at least the past...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
going-the-extra-mile-with-the-orthotics-processThe main values of providing custom orthotics are the postural support, protection, and comfort they offer to your patients.  Another important aspect of the orthotics process, however, is the help you can give your patients in getting reimbursed for these products.  Many patients hope that their orthotics will be considered a covered expense by their insurance companies.  For some...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
heel-pain-in-a-cross-country-runner History and Presenting Symptoms A 21-year-old female cross-country runner presents with pain around her right heel that extends into the underside of her large toe, and is limiting her running. The pain has been present for about six weeks and has not responded to her use of stretching, ice and ibuprofen. She has also noticed that her altered gait is...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
low-back-pain-leads-to-lifestyle-changes History and Presenting Symptoms A 41-year-old male presents with a history of recurring episodes of mild to moderate pain in his lower back. He states that his back pain just seems to come and go, with no specific triggering activities. He does not participate in any competitive or recreational sports, and recalls no injury or trauma to his back. He has...
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Practice Management
Mark Sanna, D.C.
become-accountableWhen you catch yourself asking bad questions, turn them around by asking questions that increase your personal accountability. Instead of asking questions like “Why don’t my children listen to me?” change the question to a more responsible one. Begin with “what” or “how” and then add an “I” to it. Ask yourself questions like “What can I do to be...
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Bruce Parker, D.C.
moving-from-an-insurance-or-cash-practice-to-a-cash-like-practiceIf you have heard, “I can't afford it,” more than a few times from a patient, you may have, as a knee-jerk reaction, actually believed what you heard and begun to adopt financial policies in your practice to meet everybody’s limited financial status—like let’s make a deal, or unlimited care for a fixed fee, you pay...
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Maurice A. Pisciottano, D.C.
the-positive-office-visit-experience-consistency-vs-confusionHave you ever stopped to consider the importance of consistency?  Could consistency have an effect on profitability? Could having more consistency in day-to-day procedures save time?  Consistency is a key tool for success in any business.  Likewise, lack of consistency means confusion, and confusion is a challenge. Surveys show that people choose the places they do business based upon consistency....
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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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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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Peter G. Fernandez, D.C.
the-associateships-from-hellThe 5 types of associateships to avoid…and why. Becoming an associate doctor is not a demeaning career move.  Trying to open a new practice when you or your finances are not ready…is.  Being an associate should be an honorable, rewarding and learning experience. You will hit net profit your first week in practice (your paycheck), you will work fewer hours, and...
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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.
partial-agenesis-of-the-c-1-posterior-archEmbryology—Ossification of the first cervical vertebra begins about the seventh fetal week at the lateral masses and proceeds perichondrally in a dorsal direction, creating the posterior arch of the atlas.  In the second year of life, a secondary growth center for the posterior tubercle develops between these neural arches.  Complete fusion of the posterior arch should be noted between 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
melorheostosis[Case History] This male patient has a history of multiple traumas to his humerus.  Are these radiopacities exuberant callous formation from hematoma? Diagnosis:  The answer is no!! This is a rare sclerotic skeletal dysplasia referred to as “MELORHEOSTOSIS”. General Considerations Melorheostosis is a rare, sclerosing bone dysplasia that was first described in 1922 by Leri and Joanny.  Synonyms include Leri type of osteopetrosis, osteosis...
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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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Lisa Brittain, D.C., B.S.
tourette-syndrome-and-chiropractic-careTourette Syndrome and Chiropractic Care by Lisa Brittain, D.C., B.S.   History and Presenting Symptoms The patient is an 11-year-old male who was diagnosed at the age of four with Tourette syndrome. He has complex vocal and motor tics, which are made worse by stress. The tics affect his daily life; school, sports and his self esteem. The patient also notices he has...
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Paul Sherman, D.C.
a-case-of-radish Discussion:     RA/DISH is a disorder involving two conditions: rheumatoid arthritis (RA) and diffuse idiopathic skeletal hyperostosis (DISH), which is also known as Forestiers disease or ankylosing hyperostosis.1,3,5 RA is considered the most common inflammatory arthritide.1 It is a systemic connective tissue disorder that primarily affects the synovial lined joints.1 It is characterized by an inflammatory, hyperplastic...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
soft-tissue-neoplasm-or-hematomaSoft Tissue Neoplasm or Hematoma? by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.   History: This 25 year old female has recently noticed a palpable mass in the upper inner thigh. She doesn’t recall any fall but does ride her horse on a regular basis. Diagnosis: Post-traumatic myositis ossificans. Note the calcific mass near the...
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Rehabilition
Jeffrey Tucker, D.C.
fascial-release-using-the-deep-muscle-stimulation-to-improve-neck-shoulder-pain  Fascial therapy has become a very popular technique over the past several years. Fascia is the term applied to all of the connective tissues fibers and glue of the human body. Many tools to perform fascial therapy have gained popularity amongst Chiropractors, physiotherapists, personal trainers, and massage therapists. In addition to our hands (ART, myofascial release), key instruments used for...
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Dr. Mark R. Payne D.C.
extension-traction-good-for-discs Chiropractors have long used spinal traction methods to relieve abnormal pressure and bulging of the IVD. The more popular methods have employed long axis traction and/or flexion distraction to relieve IVD (intervertebral disc) pressure. Consequently, many doctors are reluctant to employ extension traction methods which seem so radically different. I'm frequently asked if extension traction is good for injured...
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Kirk Lee, D.C.
back-injuries-in-the-young-athleteBack injuries in adolescents are not very common, but add participation in athletics and you increase the opportunity of experiencing some form of low back pain. According to Micheli, back injuries of young athletes are a significant phenomenon, estimated to occur in 10 to 15 percent of participants1. The prevalence will vary, based on certain sports. In sports like gymnastics...
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Tim Maggs, D.C.
high-school-athletes-the-new-injury-prevention-plan32 years ago, when just starting in practice, I contacted our local high school football coach and offered my services to his team.  A couple times a week I would work on any players who asked for help.  As great as the job seemed, it was short lived.  As soon as the school physician got wind of my involvement, I...
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Randy Reed, D.C., F.I.C.C., F.A.C.C.
mckenzie-spinal-rehab-methods-in-the-chiropractic-officeThe doctors that have protocols which include movements or forces that decrease disc displacement which, in turn, cause pain to decrease, disappear, or centralize with a rapid increase of lumbar ROM, see their patients get better. These types of movements should be pursued with decompression, exercises, mobilizations, and manipulations. Doctors, who fail to recognize...
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Dr. Mark R. Payne, D.C.
what-works-what-doesnt Everyday, countless patients consult chiropractors seeking a solution for their problems. While some doctors confine themselves to purely symptomatic care, others will recommend treatment well beyond simple relief of pain. Such programs are typically geared toward "correcting the cause" of trouble and often require a considerable commitment of time and money by the patient. Unfortunately, many such programs which...
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Techniques
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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Allan Oolo Austin, DC, DO, NMD, CCRD, CCSP, DAc, FIAMA, CFIS, PhD (Hon)
how-to-prevent-sports-injuries-using-qfunctional-muscle-neurologyqrWithout question the main cause of elite athletes not attaining their goals is injuries.  Debilitating injury to muscles or tendons being the culprit. Much has been discovered in recent years relating to the imbalance mechanisms of aberrant and imbalanced pull pattern muscule function. (Janda, Lewit, Leibenson, et al, etc.) Creating an afferent barrage for a neurosummation effect using the Trigenics...
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Tedd Koren, D.C.
the-posture-of-subluxations-subluxations-are-state-specific Years ago, Dr. Lowell Ward of Long Beach, California, had a patient who felt fine standing, but had head, back and sciatic pain while seated. Standing X-rays showed a balanced, unsubluxated spine. He wondered, "What would I find if I X-rayed her in the seated posture?" Her seated films revealed an unbalanced, subluxated spine. No wonder she hurt when she was...
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Arlan Fuhr, DC
where-when-and-when-not-to-adjustToday, with more and more studies concluding that the standard methods of chiropractic analysis are unreliable and not reproducible, many doctors of chiropractic are looking for a way to analyze the spine and extremities that can give them assurance.  Activator Methods Chiropractic Technique (AMCT) utilizes a protocol incorporating leg length analysis, pre- and post-adjustment, to determine exactly where, when and...
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Lisa Upledger, D.C.
craniosacral-therapy-releases-hold-on-subluxationsThis gentle hands-on method of working with the craniosacral system, has helped thousands of practitioners effectively remedy a wide range of medical problems associated with pain and dysfunction. You, too, can learn how to enhance the body’s natural healing process. Like most chiropractors, I spent many years focused on the subluxation factor. Ironically, it wasn’t until I began practicing a different hands-on...
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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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