NewsFlashes
Cover Stories
Dennis Woggon, DC, B.Sc.
straight-answers-on-curved-spinesDennis Woggon grew up in Onalaska, Wisconsin—a small town just outside of La Crosse—and attended Wisconsin State University in La Crosse. Dr. Fred Barge, a pioneer in chiropractic and scoliosis, was his field doctor. Dr. Woggon graduated cum laude from Palmer College of Chiropractic in 1974 and has a Bachelor of Science degree in biology. He...
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TAC Staff
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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Allan Dyer, B.S., M.D., Ph. D.
decompression-where-it-all-beganDr. Allan Dyer has a Bachelor of Science degree in Pharmacy and is a doctor of Internal Medicine. He was also awarded a Ph.D. for his graduate studies and pioneer work in Transthoracic Cardiac Defibrillation. During his career as a senior administrator and Deputy Minister of Health, he instituted the hospital services quality assessment, generic drug...
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Market Review
real-marketing-from-the-expertsReal Marketing from the Experts Michelle Geller Dr. C. J. Mertz MGV Marketing, Inc Team WLP William D. Esteb Dr. Mark Sanna Patient Media Breakthrough Coaching Dr.Daniel T. Drubin Dr. Timothy J. Gay ProPractice Partners Ultimate Practice Dr. Mark Studin Dr. Eric Plasker CMCS Management The Family Practice     We’ve gathered eight top experts in the Chiropractic field, just for you, to provide you with fundamental methods of marketing that can be integrated right now, on...
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Peter Gyrst, DC
a-new-generation-of-adjusting-instrumentsHow it all began?  Side posture This whole series of adjustment instruments has evolved over a period of ten years and has been tested by Gonstead doctors throughout Europe, Japan and also the United States. The first table that was designed and built was the side posture pelvic bench. Actually, it was conceived in frustration and born of passion and necessity. Those of...
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Peter Van Tyle, D.C.
new-york-chiropractic-collegeNew York Chiropractic College has gone to great lengths to create the country’s top healthcare professionals, providing them with an unparalleled education and offering exciting clinical opportunities. Its coursework accommodates a rapidly evolving healthcare market. NYCC students consistently score well on both the National Board Examinations and on Canada’s Chiropractic Board Exams, signifying that...
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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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TAC Staff
some-perspective-on-soft-tissue-interview-with-warren-hammer-dcDr. Warren Hammer has been in practice for 50 years. He graduated from Brooklyn College (BA) in 1955, Lincoln Chiropractic (DC) in 1960; Diplomate, American Board of Chiropractic Orthopedists in 1975; instructor in spinal biomechanics, NYCC; University of Bridgeport (Human Biology-Nutrition, MS) 1979. He is a consultant for Graston Technique©. He attended seminars at Gonstead Clinic (20 X), Cyriax, Nimmo...
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David Chapman-Smith
working-together-worldwideDavid Chapman-Smith, a Toronto lawyer and author of The Chiropractic Profession (NCMIC Group, 2000) is Secretary-General of the World Federation of Chiropractic.  He is also editor/publisher of The Chiropractic Report (www.chiropracticreport.com).   His introduction to chiropractic took place when he acted as counsel for the New Zealand Chiropractors’ Association before the New Zealand Commission of Inquiry into Chiropractic in 1978-79. In the...
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TAC Staff
great-technique-plus-great-nutrition-program-leads-to-outstanding-results-interview-with-peter-heffernan-dcDr. Peter Heffernan has been in practice 37 years in the same location in Waukesha, Wisconsin. He built a 100-patient-per-day practice within one year of graduating from Logan College of Chiropractic in September of 1975. By the end of his second year in practice, he had built a 500-patient-per-week practice. “We did a 90-minute pre-care class educating patients and families...
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TAC Staff
structural-correction-tim-maggs-dc-discusses-the-most-ignored-demographic-the-student-athleteDr. Tim Maggs is the current Director of Sports Biomechanics at Christian Brothers Academy in Albany, New York.  He will provide his Structural Management® Program to their highly successful athletic department. This is the first time a chiropractor has had such an influential role in Christian Brothers Academy middle or high school athletic department.  Dr. Maggs is in his 35th...
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Jeff Hockings, D.C.
chiropractors-on-tv--infomercials-made-easyThe fastest way to affect public opinion is through television.  Shows like CBS’ Two and a Half Men, in which one of the lead characters is a chiropractor, show that the profession has, indeed, entered the mainstream of American culture… albeit with a less than ideal portrayal of a chiropractor, it’s a start. So how do you use this mega-tool to promote...
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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
garlic-ginger-and-turmeric-for-your-healthIf you are not spicing your meals with garlic, ginger and turmeric (GG&T), you need to be taking them as supplements. GG&T are known to be natural anti-inflammatory supplements, and are beginning to be viewed as foods and/or supplements for cancer prevention.1 In reality, GG&T should be viewed as agents that can prevent and/or help treat any disease that is...
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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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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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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
the-truth-about-the-dangers-of-cox-2-inhibitorsAs most readers are aware, Vioxx was recalled from the marketplace in late September of  2004. It was discovered that a significant number of patients taking Vioxx suffered from heart attacks or strokes. A total of three COX-2 inhibitors have been in the marketplace. These drugs are sometimes referred to as “coxibs;” celecoxib (Celebrex), rofecoxib (Vioxx), and valdecoxib (Bextra). Celebrex and...
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Dr. Howard F. Loomis, D.C.
diet-and-diabetesMany chiropractors are searching for ways to ethically increase their patient loads and make clinical practice more rewarding professionally and financially.  Have you ever considered specializing in health care—preventing chronic degenerative conditions like diabetes before they can be recognized and measured quantitatively by medicine? “Sick care” is practiced by recognizing and characterizing disease conditions (diagnosis).  Once the diagnosis is pronounced,...
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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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Orthotics
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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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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johndanchik
joint-pains-bother-fitness-seekerHistory and Presenting Symptoms This female patient is a 51-year-old small business owner and exercise enthusiast.  She reports pain in the front of her left knee over the past several months, especially when exercising at the gym.  She has no obvious swelling or discoloration and denies any specific injury.  She reports that she takes over-the-counter medication for relief, but is worried...
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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.
tight-band-sidelines-fitness-walkerTight Band Sidelines Fitness Walker by Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.   History and Presenting Symptoms A 34-year-old female reports persistent pain at her right knee with walking. She localizes this pain to the lateral aspect, and says that it becomes worse as she continues her regular fitness walking program. She has been trying to walk three miles daily...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
tarsal-tunnel-syndrome-a-orthotic-supportTarsal tunnel syndrome (TTS), while not common in the general population, is occasionally seen among athletes.  In addition, many TTS symptoms can be confused with conditions commonly treated in the chiropractic office.1  Because its etiology is often related to hyperpronation and, therefore, spinal complaints, TTS patients may be concentrated in the chiropractic office.  When a patient complains of burning pain...
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Practice Management
Mark Sanna, D.C.
practice-management-tipsQ:  What do you predict for the future growth of chiropractic practices? A:  Approximately 30% of medical physicians remain in private practice, and the day of the solo chiropractic practice is gone as well.  The chiropractor of the future will be a member of a group practice.  With student debt running at over $100,000, the financial resources required to open...
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Dr. John Davila, D.C.
you-should-give-all-your-patients-the-same-care-plan A few months ago, I was reviewing a few charts that belonged to a chiropractor under an OIG Fraud investigation, when I stumbled upon the typical problems that plague all chiropractors and their documentation when a third party has requested a review. Flipping through the pages, I realized that the chart’s treatment plan didn’t create an end goal for the...
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Gerard Hinley, D.C.
the-future-of-chiropractic-personality-driven-practice-or-process-driven-business As chiropractors, we all strive to accomplish bigger and better things throughout our careers. One of the dilemmas is how can I best grow the practice? To answer this, many DC’s think the only way to accomplish this is to emulate other successful doctors in the field. We study what they say, their mannerisms, personalities and simply try to "be them."...
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Michael Failla, D.C.
frustrated-with-bad-tech-supportFrustrated with Bad Tech Support by Dr. Michael Failla, D.C.   After years of having to deal with the customer service departments of insurance companies, most doctors and their staffs have grown numb from having to navigate through a series of "Press 1 for this," or "Press 2 for that" computer animated call centers. Collectively, we are all tired...
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Daniel Dahan, D.C.
maximize-your-practices-potential-collection-departmentIn 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 is being dealt with sequentially in The American Chiropractor.  By following the suggestions given, your office will not only maximize its potential, but also delineate areas of weakness that need...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
8-ways-to-avoid-malpractice-suitsIt’s 3 A.M., and you’re wide-awake, awash in a cold sweat after another dream that you’re on the witness stand being cross-examined for medical malpractice. You lie there, knowing that you’ve got to do something about these recurring nightmares, but aren’t sure how to proceed. Begin by taking a hard look at how you collect information about your patients and how...
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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.
lumbar-spine-compression-fracturesThe radiographic signs of vertebral compression fracture are often subtle.  Radiographs of optimal quality are necessary in order to adequately demonstrate these fractures.  Lateral radiographs best demonstrate the fracture features.  Radiographic signs of vertebral compression fracture include a step defect, wedge deformity, a linear zone of condensation, displaced endplate, paraspinal edema and abdominal ileus.  Step Defect—Note, in the presented image, a...
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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.
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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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.
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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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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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Tim Maggs, D.C.
100-of-my-patients-get-custom-orthotics-what-about-yours  We all are victims, in many ways, of the existing healthcare crisis.  The auto industry is addressing their crisis through new laws for improved mileage per gallon and stricter pollution controls.  The energy crisis continues to search for more efficient and alternative means to produce renewable energy.  The healthcare crisis, unlike the above two, is merely shifting responsibilities with regard...
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Rehabilition
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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Dr. Mitch Mally
post-operative-carpal-tunnel-syndrome-ctsHistory and Subjective Complaints 53-year-old male factory worker/forklift operator complains of bilateral hand numbness, burning, tingling and loss of grip strenth in the thumb, index and ring fingers, bilaterally. Nocturnal aggravation of the hands resulted in a workers compensation case. Over the course of 9 years, the patient failed operative recovery: 4 left CTS surgeries, 3 right CTS surgeries and, subsequently,...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
how-to-measure-successful-curve-restorationOne of the things that we have been discussing in past issues is the cervical lordosis.  There are probably few clinicians who have not drawn an association between the loss of cervical lordosis and headache.  This clinical observation is also supported in the scientific literature.1,2  But, of course, we’d like a quick, easy, accurate and inexpensive method to measure the...
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Tim Maggs, D.C.
high-school-athletes-and-structural-managementrDid you know...?  • All high school athletes in this country must undergo a physical exam prior to participating in their sport. That exam, however, is a medical exam (eyes, ears, nose and throat). (See Fig. 1)   Eyes______________________________ Skin (Non- communicable)_________________  Ears (Otoscope) ___________________ Epilepsy __________________________________ Lymph Nodes _____________________ Nervous System ___________________________  Thyroid __________________________ Speech ___________________________________ Nose _____________________________  Nutrition __________________________________  Tonsils ___________________________  Height ______________ Weight ______________  Teeth ____________________________  Vision ____________________________________  Heart _____________________________  Hearing __________________________________  Blood Pressure ____________________  Orthopedic _______________________________  Lungs ____________________________                  Feet...
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Dr. Kirk A. Lee, D.C.
are-knee-injuries-really-knee-injuriesAre Knee Injuries Really Knee Injuries? by Dr. Kirk A. Lee, D.C., C.C.S.P.   We see patients in our offices daily with arthritic knees—sometimes bilateral, other times affecting only one leg. Some patients can point to an old football injury or car accident as the probable cause. But, frequently, they cannot tell us why their knee hurts, only that...
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Jay Kennedy, D.C.
build-your-practice-with-active-therapeutic-movementsActive Treatment Strategies Improve Patient Outcome & Clinic Profits Building a profitable practice takes the right equipment, skills and a commitment to excellence.  Certainly central to that is a clear, results-oriented treatment strategy.  Spinal adjusting and passive modalities are ubiquitous in chiropractic. Decompression/traction is also becoming a staple of passive care.  However, exercise and specific movement therapy is fast becoming...
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Techniques
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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Tedd Koren, D.C.
adjusting-the-holographic-body-part-five-weight-loss-smoking-and-other-bad-habitsIf the body is sick, the mind worries and the spirit grieves; if the mind is sick, the body and spirit will suffer from its confusion; if the spirit is sick, there will be no will to care for the body or mind. – J.R. Worsley The posture of subluxation (POS) is not limited to physical or...
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Rebecca S. Fischer, D.C.
the-qchiropracticq-headache Headache disorders account for about 120 million lost workdays per year in the United States, alone.  Controversy exists to explain the “mechanism” of all types of headaches, particularly cervicogenic headaches. Tension-type headaches account for 78% of all headaches and statistically this includes the so-called “cervicogenic headache”.  Because of the results we see in our offices treating headache, it seems most...
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Peter M. Ferraro, DC
manipulation-under-anesthesia-or-joint-anesthesiaManipulation under Anesthesia (MUA) has been shown to be a viable approach in the treatment of chronic recalcitrant spinal pain.  The results have been remarkable in many patients who have exhausted efforts using conventional models of conservative management. “Because of the advancement of new medications and the use of conscious sedation, the anesthesia element of the MUA makes the procedure one...
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Howard F. Loomis, Jr., D.C., F.I.A.C.A.
what-do-you-have-to-see-before-you-know-what-to-do-the-significance-of-pottengers-saucer  Structure (anatomy) and function (physiology) cannot be separated. A deviation from normal in one has consequences in the other. Beginning with my February 2010 column, I have been describing a five-minute Source of Stress examination that can be done in your office any time you need to determine when a visceral dysfunction may be responsible for perpetuating structural misalignments and...
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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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