NewsFlashes
Cover Stories
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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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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Fabrizio Mancini, D.C.
interview-with-fabrizio-mancini-dcFabrizio Mancini came to the United States in 1978 from Colombia, South America.  His dream was to become a doctor to help alleviate the suffering of others.  His journey began in Dallas as he studied pre-medicine at the prestigious University of Dallas where he was preparing to be a neurosurgeon.  He later discovered the chiropractic profession and enrolled at Parker...
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TAC Staff
instrument-adjusting-panel• Activator Adjusting Instrument • Impac’s Pro-ArthoStim • Neuromechanical Innovations’ Impulse® and Impulse iQ® • Sense Technology’s PulStar So many great adjusting instruments out there, but who’s got the time to figure out which one is right for them, right? Well, as always, we here at The American Chiropractor Magazine know exactly what you are looking for. We...
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Don Oyao, MA.,DC.(USA)ND., MA Sp.Chiro Sci(Australia)
hall-of-famers-metallica-swear-by-chiropractica What do rock stars and Olympic athletes have in common? No, this isn’t the lead up to a punchline. Both share a need or desire for chiropractic care to enhance their demanding performances. Having been a team doctor for six Olympic competitions, my latest “gig” with Metallica has shown me that intense activity, endurance and strength are sought by both kinds...
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TAC Staff
adjusting-table-shopping-guideWe contacted all of the major adjusting table manufacturers in the chiropractic profession for information and prices on their best selling tables.  We ended up with over a dozen of the best tables you can get at prices that vary from the top of the line to the most cost-effective.  All of the tables and companies featured here offer a...
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Interviews
Hubert von der Beeck
spray-the-pain-awayHubert von der Beeck is founder, president and CEO of KOOL ’N FIT America. Emigrating from Germany in 1969, von der Beeck started the company in 1984. After spending years participating in and around cycling, marathons and soccer, von der Beeck saw a need for his family-developed topical product with unique properties not found in existing products in the states....
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Vernon Temple, D.C.
raising-standardsVern Temple, D.C., has been part of the testing community for nearly thirty years, first as a member of the Vermont Board of Chiropractic Examination and Registration, National Board of Chiropractic Examiners (NBCE) delegate for the state of Vermont and, subsequently, as an NBCE Director for the past seven years, six years as District III Director...
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George Curry, DC
helping-people-get-their-lives-backFor Dr. George Curry, chiropractic is truly a family affair.  “I graduated from Palmer College of Chiropractic in 1982, my stepfather graduated from Palmer in the 60's, my stepbrother in the 70’s and my nephew graduated in 2002.  The two oldest of my six children plan to enroll in chiropractic college in 2006 and 2008,” says Dr. Curry. This Connecticut-based...
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TAC Staff
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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Rob Cooper
office-supplies-a-suppliersThe American Chiropractor (TAC), interviews Rob Cooper, President of Scrip, Inc., about his company's efforts to "give back" to the chiropractic profession. TAC: Tell us a little bit about the history of Scrip, Inc. Cooper:  I am just entering my 12th year with Scrip Chiropractic Supply, although Scrip has been serving the needs of doctors of chiropractic since 1968.  I know I...
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Tim Emsky
turning-the-tablesEmsky founded CERT Health Sciences in 2001 after spending more than six years managing and operating back clinics that provided spinal decompression therapy. After his experience with these clinics and getting feedback from other doctors, Emsky saw a need for a table that improved patient comfort as well as accommodated a wider variety of patients. Emsky led a team of...
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Nutrition
Frank J. King Jr., N.D., D.C.
enhancing-the-benefits-of-nutritionIn our culture, we are finding that most patients are open to new ideas and desire to explore alternative therapies to answer their healthcare needs.  Such progressivism is great, but that openness has spawned an enormous and sometimes  unwieldy explosion in alternative healthcare products, procedures, and professions in the market today. In the vast ocean of health products, from...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
a-pandemic-vitamin-d-deficiencyLike many of you, I grew up in “healthcare” with the view that vitamin D toxicity is a significant concern for those taking supplements. Even today, individuals with nutrition degrees maintain the notion that vitamin D supplementation is a risky endeavor. Consider your own visceral response to the following: “Many individuals would do well to take 10,000 IU’s of vitamin D...
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David R. Seaman, DC, MS, DABCN
diet-and-supplements-for-athletesThe general goal with diet and supplements for athletes should be to promote an anti-inflammatory state so body better responds to the wear and tear generated by heavy exercise 1-3. With this in mind, diet and supplement recommendations can be uncomplicated. Humans have historically lived on health-promoting foods, including wild game (land animals, fish, and birds) and vegetation in the form...
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Barry Sears, Ph.D.
what-is-wellnessWe assume we have it, yet we take it for granted until we’re sick. I’m referring to “wellness.” Webster’s dictionary defines wellness as the quality or state of being in good, health especially as an actively sought goal. This means we have to make an effort if we want to be healthy—something...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
inflammation-pain-and-alzheimers-disease-condition-based-careAlzheimer’s is a devastating disease that we should try to prevent, not only for ourselves, but also for our families.  Patients with Alzheimer’s disease lose cognitive function, emotional expression and memory, which essentially prevents them from experiencing the spice of life. It is no surprise to read that most patients enter a chiropractor’s office looking for relief from various conditions,...
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Michael P. Ciell, R.Ph.
a-new-approach-to-metabolic-syndromeThe Greatest Healthcare/Financial Crisis   Metabolic Syndrome (aka Syndrome X) with its four hallmark symptoms of obesity, hypertension, dyslipidemia and hyperglycemia is devastating our country as well as the whole of North America.  In March of 2005 the National Institutes of Health and the New England Journal of Medicine published a paper stating that because of this epidemic the current generation is...
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Orthotics
TAC Staff
forum-your-letters-a-emails-Dear Sirs, I read with interest the two letters that appeared in your May 2009 issue regarding Personal Injury. Dr. Anonymous raised a few issues but he painted with a very broad brush. More interesting was Dr. Studin’s reply. I quite enjoyed Dr. Studin’s thoughtful, articulate and imaginative article in response to the anonymous and clearly...
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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. John Danchik, D.C., C.C.S.P., F.I.C.C.
recurrent-ankle-sprainsHistory and Presenting Symptoms The patient is a 38-year-old male, who plays soccer in an adult league on weekends.  He describes recurring episodes of pain and swelling along the outside of his right ankle for the past several years.  He presents for treatment of his lower extremity biomechanical faults, and wants to prevent future problems and improve his athletic performance...
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Kirk Lee, D.C.
understanding-the-mechanism-of-plantar-fascitisAs chiropractors, our primary focus of care is the chiropractic adjustment. Based on our education in science, art and philosophy, we decide how and where to apply the chiropractic adjustment. Our treatment of a patient’s condition is based on the reduction or stabilization of the resulting subluxation complexes. We listen to our patients’ concerns and answer their questions, but we...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
recurring-calf-strains History and Presenting Symptoms   The patient is a 32-year-old mom, who also works part-time at the local middle school, where she is the school nurse. She reports numerous episodes of aching and tightness in her right calf over the past three years. She denies any recollection of injury or overuse activities. She has no significant disability, as she is...
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TAC Staff
call-for-action-an-open-letter-to-the-chiropractic-profession Dear Chiropractic Colleague: This profession-wide "Open Letter" has been issued for a most urgent reason. Ignore it at your own peril Comprehensive and far-reaching "National Health Reform" legislation is rapidly moving forward in Congress. It is abundantly clear, that the legislation under consideration could substantially alter America’s health delivery system in dramatic and perhaps unexpected ways. Depending on the detailed legislative provisions that are...
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Practice Management
tomowen
what-does-it-take-to-succeed-as-an-entrepreneurMaking the decision to open your own chiropractic practice can be both exciting and terrifying. First of all, congratulations on your decision to branch out from the comfort zone you have enjoyed while working for someone else's practice. Taking a leap into the unknown by becoming your own boss is risky, but that risk is an essential ingredient in your...
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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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Craig Hennequant, DC
update-on-workers-compensationA graduate of Palmer Chiropractic College in 1996, Dr. Craig Hennequant has been spending much of the past four years working with chiropractors nationwide to help them become more evidence-based and improve their documentation and care management. In his interview with The American Chiropractor (TAC), Dr. Hennequant describes his findings and the future of chiropractic. TAC:  Tell us something about yourself. Hennequant:  Well,...
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Mark Sanna, D.C.
practice-management-tipsQ: What was it like growing up as a child of a chiropractor? A:  Growing up, our toys were the equipment in Dad’s home office.  My sister and I would take turns climbing on to the headpiece of the old porcelain-based, high-low table and launching each other through the air by stepping on the spring-loaded foot piece.  There was always a...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
require-new-associates-to-qearnq-partner-statusOften I am asked, “How do I pay associate partners?  How do I pay a medical doctor?  Do I make them partners?” The world of healthcare is changing.  More and more clinics are becoming group practices.  Whether integrating with a DC, a PT or an MD, the Stark Laws are in effect.  Last year, I was told by one doctor, “I...
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Tom Owen III, D.C.
thoughts-on-sailing-and-chiropracticThoughts on Sailing and Chiropractic by Tom Owen III, and Todd Osborne, D.C. Sometimes there are situations in our lives that desorient us   My father, Dr. Thomas Owen, has often made the statement, “Every principle in business and in life can be related to flying an airplane or sailing a boat.”  Growing up we spent a large amount of time sailing in the...
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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.
idiopathic-wrist-pain History This young adult male patient complains of wrist pain after physical activity. Plain film radiographs showed no abnormalities of any of the bones of the wrist, nor was there any joint disease in the carpal bones. Because of persistent pain, an MRI scan was performed. Diagnosis: Kienbock's Disease  Osteonecrosis may occur at any carpal bone as a result of traumatic...
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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.
multiple-myeloma HISTORY This 65-year-old female patient presents with acute symptoms of right-sided radiculopathy, paresthesia and pain in the right upper extremity. There has been no trauma. DIAGNOSIS Observe the gross osteoporosis about the entire cervical spine. There has been pathological collapse of the C5 vertebral body, which is uniform in configuration. This is very characteristic of a malignant...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
lumbar-spine-traumaCompression fractures are the most common fractures of the lumbar spine.  They result from combined flexion and axial compression.1,2  The most common segmental levels to develop compression fractures are T12-L1.3  The extent of the vertebral compression and degree of comminution are dependent upon the severity of the force applied and the relative strength of the vertebra.4  In children, they are...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
librarian-overdue-for-pelvic-pain-relief History and Presenting Symptoms A 37-year-old female describes a history of occasional pain in her lower back region, most noticeable on the left side.  She states that her low back pain “just seems to come and go,” with no obvious triggering activities.  Her pain is localized to the posterior hip region, and does not extend below the pelvis.  She is...
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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.
the-positive-fat-pad-sign-what-is-itA useful sign of an intraarticular fracture of the elbow is the clear depiction of displaced humeral capsular fat-pads.1  In the normal elbow, a layer of fat (“fat-pad”) lies between the synovial and fibrous layers of both the anterior and posterior joint capsules.  In the lateral projection of the normal elbow, the anterior fat-pad is seen as an obliquely oriented...
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Jeff Cronk, DC
using-x-ray-digitization-to-enhance-your-credibility-and-quality-of-careThe theory behind evidenced based practice is scientific knowledge gathered through good research. Clinical examination procedures can lead to clinical consensus and standardization with regard to diagnosis, decision making and treatment guidelines. X-ray digitation fits into this model, since it is a clinically accurate way to objectively assess spinal stability and spinal motion segment integrity loss. Two or more doctors can...
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Rehabilition
Dr. Mark R. Payne, D.C.
worlds-best-traction Last month I discussed why there's no adjusting technique which is demonstrably better in terms of spinal correction. Obviously, there may be a host of situations when one technique is indicated (or contraindicated). That's just common sense. But, in terms of actually effecting real structural change to the spinal curves, it just doesn't matter much how or which technique system...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
osteoporosis-and-spinal-excerciseAs the population ages and becomes more sedentary, we will be seeing more of our patients affected by osteoporosis and its complications.  Initially, there is a reduction in bone mass (osteopenia), which is considered a universal phenomenon of aging.  However, when the condition progresses to osteoporosis, bone strength is compromised, and fractures develop with trivial (or no) trauma.  These fractures...
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David Rick, D.C. and Alan Oolo Austin, D.C.
rapid-rehabilitation-of-a-hamstring-strain-a-case-studyHamstring Strain Discussion Hamstring strains are an extremely common occurrence in the sport of soccer. The hamstrings span two joints and are, therefore, subject to stretching at more than one point. Therapies for this type of injury have traditionally involved different forms of physiotherapy and soft tissue techniques. Dorman2 reported on 140 hamstring injuries and found that they usually occurred either quite early...
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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. Kirk A. Lee, D.C.
importance-of-foot-function-in-the-gait-cycleImportance of Foot Function in the Gait Cycle by Dr. Kirk A. Lee, D.C.   An essential part of our chiropractic examination should include evaluation of the gaitcycle, with special consideration toward the patientwho has chronic musculoskeletal-related pain. In previous articles we have discussed several components of the gait cycle. Our most recent article talked about how abnormal patterns...
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Randy Reed, D.C., F.I.C.C., F.A.C.C.
mckenzie-spinal-rehab-methods-in-the-chiropractic-office-active-therapeutic-procedures-insurance-companies-pay-for-part-i We all want success in treating our patients. We all want to be the "Hero," and provide that special treatment to our patient which sets us apart from the other doctors in our area. That may be what drives us, but what does it take for us to be that "Special Doctor" we all strive to be? The answer to that...
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Techniques
M.T. Morter, Jr., B.S., M.A., D.C.
new-brain-science-old-school-thinking-a-closer-look-at-the-best-technique  Almost 50 years ago, I entered Logan College with a master’s degree in science education.  Although chiropractic was described as an “art and a science,” I was most interested in the science.  I was taught that the science of this profession evolved and revolved around the concept of encroachment of a nerve in the spine, specifically the intervertebral foramen (IVF). ...
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Ronald J. Grisanti, D.C.
the-most-effective-non-surgical-treatment-for-sports-related-injuriesTransverse friction massage is a powerful, yet underutilized, treatment for tennis elbow, rotator cuff, ankle sprains and many common injuries to the muscles, tendons and ligaments. Cross-friction massage, as it is commonly called, is a technique popularized by the late British orthopedic physician, James Cyriax, one of the foremost specialists in the diagnosis and treatment of musculoskeletal injury and pain...
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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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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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TAC Staff
yes-there-really-are-10-more-great-techniques-4th-annual-editionTAC:  How do chiropractors generally pick the techniques that they perform? Roth:  Chiropractors and other health professionals are drawn to techniques and theories that will help them move to the next level.  As each practitioner evolves in skill and understanding, they naturally reach for higher ground.  And, as it has been said, “When the pupil is ready, the teacher appears.” ...
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