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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Dr. Howard F. Loomis, D.C.
nutritional-alternatives-to-prescription-drugsby Dr. Howard F. Loomis, D.C. Prescription drugs are used to treat disease. They WORK by blocking a human enzyme system or by filling specific receptor sites, thus directing the body’s biochemistry. Their specific need and even dosage can be pinpointed by the use of various laboratory testing.However, nutritional supplements (whether protein, lipids, carbohydrates, vitamins, or minerals) do not, by themselves,...
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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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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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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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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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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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Terry Schroeder, D.C.
humble-dc-to-lead-team-usaIn 1900, men's water polo became the first team sport introduced at the modern Olympic Games. The rules of the game were different in Europe, so in the 1904 Olympic Games in St. Louis the Europeans refused to participate. As a result, the USA won the gold, silver and the bronze. Ironically, this is the only gold medal that the...
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Dr. Rand Swenson, MD, DC
expanding-the-horizon-of-diagnosticsDr. Rand Swenson, a second-generation chiropractor, received his chiropractic degree summa cum laude in 1976, from the National College of Chiropractic. He subsequently entered the graduate program in the Department of Anatomy at Loyola University Medical Center in Maywood, IL. His graduate research was in the field of neuronal plasticity and he received his PhD in 1981. After a two-year post-doctoral...
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Steven Visentin, D.C.
marketing-machineMarketing Machine Interview with Steven Visentin, D.C.   The American Chiropractor recently heard about an e-book written by Dr. Steven Visentin (SV), Blow Your Head Off: Practice Building Secrets. Dr. Visentin graduated  from the National College of Chiropractic and decided to practice in  Denver, Colorado, for its excellent quality of life.  Unfortunately for him, many other chiropractors had the same idea and the...
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Cory Littman, DC, DAAMLP
chiropractic-as-primary-care-for-the-spine-the-paradigm-has-changed-interview-with-william-owens-dc-daamlpDr. William Owens has been in practice for 15 years in Buffalo, New York.  He has  a practice that focuses on the care and triage of the traumatically injured.  Early on in his career, Dr. Owens had the opportunity to help build two hospital-based chiropractic clinics: one of which allowed chiropractors to become credentialed as medical staff as opposed to...
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Dr. Deane Mink
million-dollar-chiropractor-interview-with-dr-deane-mink  Dr. Deane Mink's M$C Profile PERSONAL Married to wife, Sue, for 15 years; 7 children:  Mark, 43; Debbie, 41; Mike, 39; Matt, 36; Mitch, 29; Cheri, 32; and Christie, 25; 10 grandchildren. Recreation and Leisure:  Fishing and/or netting shrimp almost every week; boating; weekends at Florida waterfront properties; season ticket holder for Univ. of Florida football team. "GO GATORS!" Professional...
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Nutrition
Robert G. Silverman DC, DACBN, MS, CNS, CCN, CSCS, CIISN, CKTP, CES, DCBCN, HKC
the-natural-approach-to-treatment-of-high-cholesterol-profilesIt is in the news on a near-daily basis. Research studies address various aspects of it. Many people ask what their doctor can do about it.“It” is cholesterol.The evidence overwhelmingly demonstrates that elevated cholesterol levels greatly increase the risk of death due to cardiovascular diseases (CVD), such as heart attack and stroke. These diseases claimed 927,448 lives in the U.S....
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John H. Maher, D.C.
flaxseed-for-heart-healthy-nutrition The use of flaxseed in food and beverages, functional foods and dietary supplements has risen dramatically. Such increased popularity is related to the increasingly recognized benefits of flax’s rich omega-3 fatty acid, lignans (powerful phytonutrient phytoestrogens/antioxidants) and fiber content. A typical flax profile is approximately 40 percent fat, being mostly omega-3 as alpha linolenic acid (ALA); 28 percent dietary...
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Robert Anderson M.D. and Perry Chinn, D.C.
what-are-the-health-benefits-of-supplementing-with-the-amino-acid-l-arginineThere has been a flurry of discussion, speculation and even hard to believe health claims surrounding the supplementing of the amino acid L-arginine. L-arginine is considered a conditionally-essential amino acid, meaning that it is not found in sufficient levels in the “normal” human diet. Amounts that produce the clinical effects suggested by research highlighted below must be received in supplement form. ...
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Charles C. DuBois
standard-process-providing-the-tools-for-better-health-careThe American Chiropractor (TAC) interviews Charles C. DuBois, President of Standard Process, Inc., about his company’s efforts to “give back” to the chiropractic profession. TAC: Tell us a little bit about the history of your company. DuBois: For more than 75 years, Standard Process has provided health care professionals with the best whole food supplements and herbal products for themselves and their...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
milk-may-be-a-driver-of-diabetesTwo sacred cows of nutrition for the people of the United States have been bread and milk. The low carb craze has heightened the public’s awareness about the dangers associated with refined starches, such as most cereals, breads, and pasta. Many people steer clear of these more refined starches and many even avoid the whole grains. Whole grains do contain fiber...
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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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Orthotics
johndanchik
motion-limitations-hamper-runnerHistory and Presenting Symptoms The patient, a 33-year-old female, is a marketing director who took up running for stress reduction and weight loss. She has been running for six months and has progressively increased her mileage. She is experiencing recurring and worsening pain in her left foot, as well as increased low-back tightness. She recalls no specific injury to her foot...
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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.
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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
orthotic-support-for-knee-painThe knee has an impressive level of stability, despite the incongruent joint surfaces of the tibia and femur.  These two contrasting joint surfaces articulate only with the help of the crescent-shaped menisci.  Through their weight-distribution and shock-protection properties, the menisci help guide movements between the convex surfaces of the distal femur and the almost flat superior surfaces of the tibial...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
a-non-surgical-approach-to-chronic-knee-painHistory and Presenting Symptoms The patient is a 41-year-old male, who describes persistent pain and occasional stiffness in his left knee, which is not associated with any specific activity.  He reports several years of recurring episodes of medial knee pain that just comes and goes, with no swelling or inflammation.  Previous evaluations, including a knee MRI, have resulted in a diagnosis...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
upper-extremity-conditions-and-orthotic-support History and Presenting Symptoms A 43-year-old female presents with persistent pain in and around her left shoulder, accompanied by tightness extending into her middle back region. Upon further discussion, she recounts a history of a right carpal tunnel syndrome that was treated surgically, with only partial improvement. She has also had several episodes of left elbow tendinitis. She denies any...
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Practice Management
David Singer, D.C.
new-patientsTo manage, per Webster’s dictionary, means to control.Areas of your practice are either managed properly or improperly.  They are either in control or out of control. If you ever felt new patients were out of control, please read on and perhaps I can help you address this most vital area of practice. Without new patients, there is no practice.  With...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
how-do-you-avoid-an-on-site-privacy-rule-investigation-cooperateRing.… Ring! You answer the phone and an investigator with Health and Human Services’ (HHS) Office for Civil Rights (OCR) is on the horn. What you say and do during this phone call could mean the difference between a slap on the wrist and a visit from the OCR’s investigators. First: Answer All Correspondence ASAP: In cases for which OCR suspects an...
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Michael Failla, D.C.
the-healthcare-stimulus-package-navigating-the-buzz The Healthcare Stimulus Package: Navigating the Buzz by Michael Failla, D.C.   There has been a great deal of buzz lately about the government’s healthcare stimulus package. And, as Doctors of Chiropractic, the plan is of great interest…as well as great confusion. The promising news is that this package could potentially provide reimbursement payments to qualifying chiropractors of up to $44,000 over...
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TAC Staff
practice-management-directoryPractice Management The 2X+1 Chiropractic Mastermind A mastermind of the world’s wealthiest doctors who have quietly revolutionized their practices using the proprietary 2X+1 system which is the OPPOSITE of what practice management or coaching “gurus” teach.  These docs are now serving on a higher, more profound level, while enjoying record practice growth AND more fun and time off than ever before. ...
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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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John Hayes Jr., D.C.
who-are-you-and-who-should-you-be- Irecently had a very interesting new patient—very apprehensive, but enthusiastic, young, highly educated and a prior patient of chiropractic care. When I asked her what she thought about our office, a story unfolded. First, she got our name from a local listing online. Afterwards, she "Googled" me. Consumers are "Googling" (using the search engine, "Google" or some other search engine)...
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Radiology
drmarks380
herniated-discs-a-advanced-imaging The patient enters your office and has significant pain radiating into an extremity. Being responsible, you adopt the policy of the insurers and treat the patient conservatively for 4-8 weeks and the pain doesn’t diminish; you then refer the patient to the imaging company for an MRI. In the report, there are minimal findings, so you continue to treat with...
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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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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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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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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R. Alicia M. Yochum, D.C., R.N., B.S.N.
anomalies-of-the-c-1-posterior-arch[Case History] This young adult was in a car accident and has suboccipital pain. Do you see a fracture? Agenesis of the Atlas Posterior Arch Synonyms. Aplasia or congenital absence of the posterior arch. Description. Lack of ossification of the posterior arch of the atlas may be complete and bilateral, may be purely unilateral, or may manifest as small clefts (i.e., spina...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.
os-odontoideumCASE HISTORY This young adult patient presents with neck pain following an MVA.  You note an abnormality in the upper cervical spine at C1 & C2.  Is this a fracture?   DISCUSSION Anomalies of the odontoid process are considered uncommon (1) and are usually discovered by the principle “traumatic determinism.”  This means that the underlying condition predated the injury and is not caused by...
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Rehabilition
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
hamstring-strains-and-orthotic-supportHamstring injuries and athletic running seem to go together.  The injuries also tend to reoccur and become chronic.  Often, the recovery rate becomes frustrating for the athlete as well as the practitioner.  While the etiology remains controversial, the primary causes may be considered, in order to enhance recovery and prevent reinjury. Main Causes Some of the most common causes of hamstring muscle...
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James C. Antos , D.C.
why-every-chiropractor-should-be-a-dme-durable-medical-equipment-supplierAfter 34 years of private chiropractic practice, I have found that some fundamental keys to practice security, financial security, and peace of mind lie in these simple facts.     First, as a chiropractor I must be able to get positive results for my patients concerning both their goals and mine.  The patients must feel that I am there “for them” and...
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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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Mark R. Payne D.C.
depression-era-marketing-for-todayDepression Era Marketing for Today by Mark R. Payne D.C.   O   kay…so, I said it. The dreaded "D" word. The pundits may debate whether our economy is in recession or a true depression but, if you’re out there trying to survive this economic mess, I suspect that technical distinctions don’t matter much. Fact: If chiropractors can’t figure out a...
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Roger R. Coleman, DC and Stephan J. Troyanovich, DC
rehab-made-simpleIf you’ve ever attended a Steve and Roger seminar you probably have heard the statement, “A trained monkey could do what Roger does,” and the follow up, “But there’s never a trained monkey around when you need one, Steve.” So, unless you have a trained monkey around, you may be interested in the simple way that we approach rehab. As...
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Kirk Lee, D.C.
get-those-patients-walkingNow that we are in the middle of summer, many of our patients ask us about outdoor activities and what they should do and not do. We usually instruct our patients to warm up a little with some walking and some simple range of motion stretches involving the major muscle groups before starting their outdoor projects. For our more sedimentary...
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Techniques
Arlan Fuhr, DC
piriformis-syndrome-assessment-a-correction-of-affected-structuresIs sciatica a frequent complaint in your practice? Did you know that the piriformis muscle, when inflamed, releases a biochemical agent that irritates the sciatic nerve? Find out how the Activator Adjusting Technique can help you bring relief to these patients. One of the more common complaints in any chiropractic office is that of buttock and/or posterior thigh pain, generally referred...
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Paul Yanick, Ph.D.
breakthrough-pre-adjustment-technique-to-fully-activate-innate-and-de-stress-the-bodyCan you imagine having a fuller understanding of why adjustments hold or don’t hold and a more accurate description of why innate’s powerful influence on healing in the organism may be inhibited? The key to unlocking multiple channels of innate intelligence is related to adrenal gland physiology and the body’s ability to store, maintain and balance coherent energy. Yin and Yang...
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Dr. Mitch Mally
case-study-rotator-cuff-impingement-syndromeHistory and Subjective Complaints: A 24-year-old professional/international circuit tennis player presents with a right shoulder injury, 6 months post U.S. Open. Objective Findings: Decreased right shoulder flexion, abduction and external rotation. X-Ray: Absent 8-10 mm subacromial space, laterally rotated vertebral border of the right scapula, antetilted glenoid labrum. Diagnosis: Protracted laterally antetilted right scapula causing rotator cuff impingement syndrome. Treatment: Specialized manipulative decompression of involved protracted/antetilted right scapula, medial-inferior...
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Allan Oolo Austin, DC, DO(Can), NMD, DAc, FIAMA, CCRD, CCSP, CFIS
evidence-based-neurological-approach-to-multimodal-neurosummation-the-trigenicsr-decade-reviewIf you and I are the same, we both became health professionals because we had a deep desire to help people suffering with pain and dysfunction. We are consequently always seeking and learning new ways to do this. I feel blessed to have been able to discover and learn a way to help my patients in an incredibly dramatic and...
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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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Tedd Koren, D.C.
the-sphenoid-pattern"Gentlemen, damn the sphenoid bone!" - Oliver Wendell Holmes (1809-1894), opening an anatomy lecture at Harvard Medical School I don’t know what Holmes was complaining about; perhaps he was frustrated at his inability to adjust the sphenoid (he was an MD after all). For most of my chiropractic career, I limited my practice to correcting spinal subluxations. While developing Koren Specific Technique (KST),...
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