NewsFlashes
Cover Stories
William H. Koch, D.C.
adventures-in-practice We have all grown up with the dramas of medical practice, depicted in popular TV programs.  There was Dr. Ben Casey doing brain surgery, and also the fatherly Marcus Welby, M.D., who practiced medicine in a small town, providing each patient with a level of patience, competence and benevolence that everyone would love to have from their doctor.  Who can...
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L. John Faye, DC
still-going-strongDr. L. John Faye graduated from the Canadian Memorial Chiropractic College (CMCC) in 1960, having completed both chiropractic and naturopathic undergraduate courses. He has practiced as a chiropractor ever since. The first fourteen years, he was in Southampton, England, and then returned to Canada for ten years. After nine years in Canada, Dr. Faye was the first chiropractor ever appointed...
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TAC Staff: Nutritional Supplements
best-selling-nutritional-products AC GRACE Price Range: $9.50-$35.50 UNIQUE E Mixed Tocopherols Concentrate: Pure, all-natural mixed tocopherols vitamin E complex–700mg softgel capsules with 400 I.U. of d-alpha, and 300mg d-gamma content. No soy oil as filler. For more information, call 1-800-833-4368.        Be well homeopathic Wholesale: $9.75; SRP: $15.90 Flu Terminator 2 Oz (Also Available in1 Oz spray) (Ten Ingredients) FDA Registered....
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TAC Staff
the-future-is-here-chiropractic-collegesWhile there might be debate about where the future of chiropractic is headed, it’s certain that the colleges have a large influence.  That’s why TAC has compiled a comprehensive list of chiropractic colleges, to help illustrate the direction of the education of future chiropractors and of chiropractic as a whole. Each college has provided their primary and elective techniques, and...
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TAC Staff
second-generation-chiropractor-in-the-trenches-for-broad-based-educationDr. Richard G. Brassard was appointed president of Texas Chiropractic College (TCC) in 2004, following several years of association with TCC as a member and chairman of the Board of Regents. He is a 1965 graduate of Palmer College of Chiropractic, following in the footsteps of his late father, Dr. Jerry Brassard. He is licensed to practice in both Texas...
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Christopher Kent, DC
a-man-of-many-hats Chiropractic Leadership Alliance’s versatile Co-Founder is one the most influential minds that the profession has ever known—and the perfect choice to lead the Wellness Revolution: the kind that would make him one of the most important chiropractic figures of his generation. A Man of Many Hats, Christopher Kent is a Doctor, a Lawyer, an Author, a Researcher, an...
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Interviews
Debra Brown, C.E.O.
on-the-state-levelTAC: What does the FCA do for its members to stimulate practice growth? FCA: The primary mission of the FCA is to improve access to chiropractic services for Floridians.  We do this by legislative initiatives, seeking to knock down barriers and overcome inequities in all of the state-regulated programs that provide for health care services.  We also provide continuous updates to our members...
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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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Dr. Mitch Mally
million-dollar-chiropractic-featuring-dr-mitch-mallyEach article in the MILLION DOLLAR CHIROPRACTIC series (M$C) focuses on the top surveyed issues facing chiropractors today.  Recruiting new patients, retention, profitability, marketing and staffing are each a determining factor in the growth, potential and success of the practice. The subject of this issue’s profile is Dr. Mitch Mally, a 1981 graduate of Palmer College of Chiropractic who...
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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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TAC Staff
defining-food-enzyme-nutrition-an-interview-with-howard-loomis-dcHoward F. Loomis, Jr., DC has been the leader in the clinical application of plant enzymes and is the person responsible for bringing food enzyme nutrition to the forefront of the health care field.  After graduating from Logan Chiropractic College in 1967, he entered practice in Missouri and practiced there for 26 years.    In 1980, he was introduced to the work...
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Paul White, D.C.
optimizing-the-well-being-of-the-patient Nutri-West was founded in 1981, a small nutritional supplement company offering a limited, but effective line of its own products. The company was the creation of a successful Wyoming chiropractor and nutrition expert, Dr. Paul White, and his wife Marcia. Their children, Tony, Michele and Tiffany, have been actively involved with the business since they were very young and know...
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Nutrition
Dr. James P. Cima, D.C.
strategic-nutritional-marketing-for-the-chiropractic-office-its-a-natural Who else but Chiropractic Physicians should be discussing nutrition with their patients? There are more people in agreement with nutrition and health than with chiropractic care. So, as chiropractors, we should link this common bridge and "span the gap" with the general public by offering nutrition in our offices. We live in a society that is literally poisoned through our food...
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Freddie Ulan, D.C.
adding-a-successful-nutritional-component-to-your-chiropractic-practice I have studied many different patient management systems designed for chiropractors over the past twenty-five years.  But practitioners who try to use chiropractic systems to manage the nutritional aspects of a patient’s case will find themselves falling short of true success.  I had the same problem until I made the discovery that, while a chiropractic patient may benefit from...
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Barry Sears, Ph.D.
why-cholesterol-has-very-little-to-do-with-heart-attacks-and-why-silent-inflammation-does One of the best ways to live a longer and better life is to reduce your likelihood of dying from heart disease. If we could eliminate heart disease tomorrow, the average life expectancy of every American would increase by an estimated ten years. Although mortality from heart disease has decreased due to medical advances, the incidence of heart disease...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
time-to-tune-up-yourPatient compliance is an issue for all doctors.   And, let’s face it, when we feel well, we often cheat on our exercise or diet plans.  After all, we are only human.  This short article provides some great ammunition to motivate us—and our patients—to follow-through with good nutritional practices.  Recently Dr. Bruce Ames, a famous toxicologist from the University of California,...
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TAC Staff: Nutritional Supplements
top-selling-nutritional-supplementsYou’ll find the Top Selling Nutritional Supplements from the chiropractic profession’s most respected nutrition companies featured right here! We asked all the nutrition companies to tell us what products they sell the most of to chiropractors and here’s what we got! ULTRA PREVENTATIVE® By Douglas Labs Best Multivitamin in the Chiropractic Marketplace In a recent independent comparison of over...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
popular-topic-inflammationMost of my columns revolve around discussing how inflammation promotes most diseases, and how we can reduce inflammation with nutrition. Some docs find this subject confusing, as they believe that inflammation equals healing. Indeed, inflammation is needed for healing after injury; however, chronic inflammation is a driver of most diseases. DC's need to be aware of this fact because patients are...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
arch-collapse-in-an-active-womanHistory and Presenting Symptoms A 62-year-old female presents with a recent history of moderate pain in her lower back.  Her back pain responds well to chiropractic adjustments, but recurs within a couple of days.  There are no specific triggering activities, although being up and active seems to bring on the pain more rapidly.  She describes her current level of low back...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
surgical-repair-kneeds-extra-care History and Presenting Symptoms The patient is a 49-year-old male who reports frequent aching and stiffness in his lower back. He denies any back injuries, but does relate an injury to his right knee that resulted in a full tear of his anterior cruciate ligament (ACL). Two years ago, he had a surgical reconstruction of the ACL using...
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johndanchik
athlete-back-on-the-ice-thanks-to-chiropractic-careHistory and Presenting Symptoms The patient, a 24-year-old male semi-professional hockey player, reports a recent right hamstring “grab” that just does not seem to be improving. His history includes several injuries to the same hamstring muscle during his collegiate playing career with mixed attempts to stretch and rehab. He also describes varying levels of pain in his lower back and left...
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Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
chiropractic-a-profession-in-dire-need-of-unification In 1989, as an 8 year practitioner, I was angry at the state of politics in New York. Not being one to be idle, I was determined to right the ship, so a group of five professionals got together and had a decision to make. Should we infiltrate the current state organization and "right the ship," or should we create...
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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.
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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Practice Management
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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Maurice A. Pisciottano, D.C.
marketing-for-growthNew Patients are the lifeblood of any chiropractic practice.  New patients are critical for your expansion.  An important factor to consider when talking about expansion is the quality of care you offer your existing patients.  The primary reason to treat patients is to better their health.  By focusing on the health of your current patients and following some simple acquisition...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
billing-correctly-for-21st-century How do you know you’re coding properly? First and foremost, if you had to ask this question, you may have a problem. The world of billing and coding changes each week. Doctors go to seminars to learn how to increase reimbursement, while insurance employees are taught how to deny payment. What a paradox. The best way to win at the...
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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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Dr. Eric Kaplan, D.C., F.I.A.M.A.
financial-management-for-officesLook beyond next year! This article begins our series on budgeting for your chiropractic practice. We’re starting now so it concludes this fall, when you can use it to develop your practice’s 2006 budget. So many chiropractors have no budget, no plan. We bill and hope to ...
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Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP
get-unlimited-referrals-from-lawyersGet Unlimited Referrals from Lawyers by Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP   An orthopedic surgeon in a suburb of New York City gets 50+ referrals from lawyers a month. A neurosurgeon in southern Florida gets 40+ referrals from lawyers every month. A physical medicine specialist in Kentucky gets 50+ referrals from lawyers every month. Why can’t you? You can....
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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.
osteoarthritis-of-the-handDegenerative Joint Disease (DJD) General considerations: • Non-inflammatory degeneration of joint cartilage with secondary effects on adjacent bone. • The most common form of arthritis. • Synonyms include osteoarthritis. Clinical Features: • Pain, stiffness, crepitus, deformity and swelling, with normal laboratory studies. • Three types identified:  Primary, secondary and erosive. Primary: Unknown cause, 5th-6th decade, females 10-1, weight-bearing joints. Secondary: Known cause, 2nd-6th decade, equal sex distribution, any joint. Erosive osteoarthritis (EOA):...
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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.
posterior-arch-fracture-of-the-atlasHistory This young adult patient has had a motor vehicle accident with a “whiplash” type injury.  Painful hyperextension of the cervical region is experienced by the patient.   Figure 1. Note the unilateral fracture of the posterior arch of the atlas. Discussion The radiolucent unilateral defect in the posterior arch of this patient’s atlas represents a complete acute vertical fracture. Fractures of the posterior...
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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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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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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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Jean Pierre Gibeault, P: eng.
rasterstereography-radiation-free-technology-for-the-analysis-of-the-spine-and-pelvisRasterstereography: Radiation - Free Technology for the Analysis of the Spine and Pelvis by Jean Pierre Gibeault, P: eng.   RECENTLY IN THE LITERATURE: In a recent study, researchers demonstrated an excellent correlation between X-ray measurements and measurements made with rasterstereography (Schulte 2008). Schulte, et al., produced rasterstereographs and compared them to digitized A-P radiographs of the same 16...
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Rehabilition
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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Dwight Whynot, D.C.
to-rehab-or-not-to-rehab If you are not performing rehabilitation in your clinic right now, you should consider doing rehab in the near future because it is these types of CPT® codes that are getting doctors paid better by the insurance companies. The insurance companies pay better because the patients not only get better faster, but the patients stay better longer.     Table 1—Case Management...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
preventing-injury-during-summer-activitiesWith the approach of summer, more of our patients are turning their attention to getting outdoors and exercising. Activities can range from walking to the mailbox to running local 5K races. Regardless of our patients’ activity levels, an important factor in keeping them out of pain is addressing the shoes they are wearing. Different Activities, Different Needs Commonly, someone who begins...
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Joseph Ventura D.C.
poor-posture-and-the-tweet-generationConsider the conclusions from two recent studies: “A significant linear trend for increasing sagittal plane postural translations of the head, thorax, pelvis, and knee was found in children age from 4 years to 12 years.”1   “Poor posture was diagnosed in 38.3% children, more frequently in boys. A significantly different occurrence of poor posture was found between 7-year-old and 11-year-old children (33.0% and...
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Mark R. Payne D.C.
healthy-doctors-practicing-and-preachingHealthy Doctors: Practicing and Preaching by Dr. Mark R. Payne D.C.   Can you imagine an overweight doctor counseling patients on nutrition? How about a physician who smokes urging patients to quit? Or a well-intentioned couch potato handing out exercise advice? We’ve all encountered doctors who dispense advice freely but rarely seem to follow it themselves. The inevitable result,...
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Mark Sanna, D.C.
the-core-workoutThe Core If you were to ask which muscle group you could focus on to provide your patients with the greatest benefits in the shortest amount of time, it would be the core. What is the core? The core consists of all the muscles in the abdominal and lower back areas. This includes the abdominal muscles: rectus abdominus, internal and external...
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Techniques
Loren Marks, DC
contact-reflex-analysisWe are living in the midst of a “Wellness Revolution.”  Patients, primarily the baby boomers, are seeking greater levels of natural health care as they age. They are wealthier and more educated than their parents and are willing to spend more to attain a level of health that allows them to be stronger, healthier and more resistant to disease. The insurance...
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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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Leslie Feinberg, D.C.
the-feinberg-techniqueNMT: The Feinberg Technique is a comprehensive system of healing that truly delivers on the promise so much of the world of health care has believed would one day emerge from the field of energetic medicine. E=MC2 is the famous equation by which Albert Einstein explained that matter and energy were inter-convertible, one to the other, and not the two distinct...
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Mark R. Payne, D.C.
protective-postures-part-1-Lot's of doctors don't incorporate postural rehab (or any other type of rehab for that matter)  into their care programs.  Possibly because postural chiropractic methods have been associated almost entirely with a particular technique in the past, many doctors view the concepts as somehow contradictory to what they do in their offices.  Strangely, many doctors  resistant to embracing postural rehab...
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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.
medical-manipulation-or-chiropractic-adjustingChiropractic can be practiced either empirically or mechanistically. How could that be? Why is it important? Chiropractic’s approach to healthcare is similar to the empirical approach of classical homeopathy, classical osteopathy and other “holistic” healthcare systems. That approach, to balance or harmonize the individual within him/herself and to balance or harmonize the individual to his/her Source (soul, spirit, Tao, God), is...
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