NewsFlashes
Cover Stories
George LeBeau, D.C.
the-quest-for-athletes-peak-performance Dr. George Le Beau is a 1972 graduate of Cleveland Chiropractic College of Los Angeles. His thirty-four years of continuous private practice have been devoted, in large part, to the treatment of athletes from Gymboree toddlers to the Senior ...
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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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Allan Dyer, B.S., M.D., Ph. D.
decompression-is-more-than-traction Dr. 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 substitution program, prescription...
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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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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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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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Interviews
TAC Staff
changing-times-interview-with-gary-tarola-dc-dabcoDr. Tarola earned a BA degree from Marshall University, 1973 and was a Suma Cum Laude graduate of Palmer College of Chiropractic, 1976. He began private practice in Fogelsville, Lehigh Valley, Pa. in 1976. He obtained Diplomate status in Chiropractic Orthopedics in 1983. He was a post graduate faculty member of several chiropractic colleges. From the late 1980’s through 2005,...
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Perry Isenberg
lotions-gels-and-creamsTAC: Tell us a little bit about the history of Performance Health, Inc. Isenberg: Performance Health, Inc. was formed in 1991 as the corporation charged with bringing Biofreeze Pain Relief to the healthcare market to enhance therapeutic modalities and relieve patient pain and discomfort between office visits.  In 1990, my partner, Craig Cox, met an international botanical chemist who had formulated a...
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TAC Staff
can-cloud-computing-really-save-you-thousands-annuallyInterview with Steven J. Kraus, D.C., D.I.B.C.N., C.C.S.P., F.A.S.A., F.I.C.C. His vision to elevate the profession and increase chiropractic access The American Chiropractor recently heard about a new Electronic Health Records (EHR)/practice management software product from Future Health that the company has decided to give away free. Like many of you, we wondered, “What’s the catch?”  So we sat down with Future...
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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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Rick Markson, D.C.
million-dollar-chiropractic-features-dr-rick-marksonEach 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. Rick Markson, an extremely successful chiropractor who has practiced in Florida for the...
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William Koch, D.C.
restoring-energy-balances-in-the-body-a-straight-chiropractor-re-thinks-acupunctureInterview with Dr. John Amaro   John A. Amaro DC, L.Ac., FIAMA, Dipl.Ac. (NCCAOM), Dipl.Med.Ac., is an internationally known author, lecturer and practitioner. He began his practice of Acupuncture and Chiropractic in 1971. He has led 13 diplomatic Acupuncture study tours of The People's Republic of China escorting more than 500 doctors and practitioners. He has personally studied acupuncture in nine separate...
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Nutrition
Lynn Toohey, D.C.
detoxificationWe all know that detoxifying is good for us, but how do you choose a good protocol to follow?  When we remove toxins that have built up over years, it is just as important to consider things we DON’T do as well as the things we DO. A good detox program (there are thousands out there) should be written by...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
syndrome-x-and-c-reactive-proteinSyndrome X is most easily viewed as a Pre-Diabetic State,as it is characterized by hyperinsulinemia and hyperglycemia. Syndrome X can initially exist without symptoms and, as it progresses, symptoms such as fatigue can develop, which are considered a “normal” part of aging, rather than the outcome of a pathological state. Metabolic features of syndrome X:1   1. Increased production...
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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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Paul Frank, D.C
recommending-a-complete-supplement Americans consume large portions of highly processed, refined foods that have been stripped of nutrients.  These poor diet choices have lead to major diseases like heart disease and cancer.1,2,3,4,5  The nutritional supplement industry has attempted to rebalance the scale by supplying the nutrients that Americans are not getting from their diet.  However, rather than supplying nutrients as they would...
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howardloomisjr
internal-health-a-chiropractic-specialty-the-lower-extremitiespart-iii  This article is the conclusion of a series on the short leg syndrome. Previously, I have discussed the importance of proper alignment of the hip, knee, and ankle joints to each other.  This month, we move into the pelvis and summarize the role of proper lower extremity mechanics on walking and maintaining proper spinal alignment.  Prone hip extension to verify pelvic...
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Barry Sears, Ph.D.
brain-drain-due-to-silent-inflammationThe mind is the last frontier of medical science. Your brain contains thousands of unexplained mysteries. Researchers remain humbled by its complexities as they try to pinpoint the exact areas of the brain responsible for how you speak, experience love, learn to hate, and express creativity. Because of the complexity of neurological function, your brain is very sensitive to silent inflammation....
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Orthotics
Kirk Lee, D.C.
consider-hobbies-to-determine-whats-causing-painAs chiropractors, when we conduct our case histories and examinations we typically determine mechanisms of injury to be related to specific instances of trauma, repetitive macrotrauma or microtrauma. However, we should also consider posture, activities of daily living and hobbies as these can sometimes be the root cause of a patient’s pain. Today we are going to take into consideration...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
case-study-functional-scoliosisHistory and presenting symptoms The patient is a 12 year-old girl, who was identified at a school screening as having a discrepancy in her shoulder heights.  Her parents were advised to seek further evaluation by an orthopedic surgeon.  They reported that the orthopedist found evidence of a scoliosis, but recommended a “watch and wait” approach.  He offered no treatment, but said...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
callus-formation-in-a-corporate-executiveHistory and Presenting Symptoms   The patient is a 52-year-old male, who was previously treated successfully for a lumbar disc problem, and who now returns to this clinic reporting pain and skin thickening (callus formation) on the bottoms of both feet. He has tried several remedies, but his calluses always return. Exam Findings Vitals. This middle-aged, physically...
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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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
patellofemoral-pain-in-a-fitness-walker History and Presenting Symptoms A 38-year-old female reports the recent onset of pain at her left knee. She had started a fitness walking program in the past six months, and had gradually increased to two miles every day. She doesn’t recall any specific injury, and describes the pain as an aching soreness in her left knee that builds up during...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
low-back-pain-leads-to-lifestyle-changes History and Presenting Symptoms A 41-year-old male presents with a history of recurring episodes of mild to moderate pain in his lower back. He states that his back pain just seems to come and go, with no specific triggering activities. He does not participate in any competitive or recreational sports, and recalls no injury or trauma to his back. He has...
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Practice Management
Eric Kaplan, D.C., F.I.A.M.A.
budgeting-a-planning-budgeting-includes-short-and-long-term-plansLook Beyond Next Year! We are very excited when we get more new patients. To get new patients, marketing is important, but financial management can be the key to successful marketing. Once you get a new patient, the key is to get them to accept care, which is the importance of a Report of Findings. Remember, no person calls...
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tomowen
the-economy-the-boll-weevil-and-your-unexpected-prosperity  Talk to just about anyone, in any profession these days, and a similar theme weaves itself throughout the conversation; our nation’s poor economy has left few untouched. Many chiropractors have certainly felt the sting of this unfortunate downturn. We’ve had numerous conversations with several practicing chiropractors in recent months and no doubt, times are tough out there.  However, we’ve noticed...
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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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tomowen
know-your-numbersOften times we have the misconception that success is something we enjoy only after we master difficult concepts and complicated theories. However, it may surprise you to know that you learned some of the necessary skills required for a successful chiropractic office when you were in Kindergarten. Do you know your numbers?  If you don’t, then reading this article and implementing...
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michaelfailla
keys-to-a-successful-paperless-practiceThe benefits of a paperless office are numerous, but for many this goal has been elusive. Instead, the computer age has generated more paper than ever before. But with the right approach, it is possible to build a successful paperless chiropractic office and eliminate the paper piles.   Why Switch to a Paperless Office? Here are a few of the many benefits reaped...
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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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Radiology
Terry R. Yochum, D.C., D.A.C.B.R.
spondylolysis-andor-spondylolisthesis-lets-get-it-right-and-stir-things-up The topic of spondylolysis and/or spondylolisthesis has been clouded with confusion for many years. To understand the true etiology as a stress fracture rather than an inherited congenital anomaly or predisposition has been a lifelong quest for me. The normally developing pars interarticulares is a fully ossified structure at birth and without a local synchondrosis to undergo nonunion. There has...
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Tedd Koren, D.C.
the-upper-thoractic-hump-pattern“Doctor, I’ve been worried about my hump. Will it get worse? Can you fix it?” Unlike the better-known dowager’s hump, the upper thoracic hump (see photos and illustrations) is more common and is found in younger as well as older people. Patients are concerned about their humps and are very motivated to get them fixed. They should be. Along with its unattractiveness,...
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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.
compression-fracturesHistory: This 60-year-old male patient presents with acute lower thoracic pain after a fall while skiing.  Axial flexion compression force occurred during this fall.  The radiographic examination demonstrates how many compression fractures?  Are these compression fractures benign or malignant? DISCUSSION Compression fractures of the lumbar spine are the result of a combination of truncal flexion and axial compression.  The extent of 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.
heavy-metal-poisoning DISCUSSION The major metals involved in producing visible radiologic changes are lead, phosphorus, and bismuth. Of these, lead is the most frequent, but lead intoxication is still a rare skeletal disorder. Lead may be ingested, inhaled, or implanted. Clinical symptoms occur abruptly, with abdominal pain, encephalopathy, and paralysis. Radiologically, the most definitive signs are the linear, transverse densities at 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.
an-occult-lesion-of-the-calcaneusHISTORY This active adolescent athlete sprained his foot while playing tennis.  Radiographs revealed a large radiolucent lesion in the calcaneus.  What is this? DIAGNOSIS:  SIMPLE BONE CYST The geographic lytic expansile lesion in the floor of the calcaneus is well circumscribed and has all the characteristic appearances of a benign lesion.  Benign lytic lesions of the calcaneus are most commonly simple bone cysts...
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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.
c2-to-c3-congenital-block-vertebraDescription. When two adjacent vertebrae are osseously fused from birth, this joined unit is called a congenital block vertebra. Embryologically, this is the result of failure of the normal segmentation process of the somites during the period of differentiation at 3-to-8 fetal weeks.1 The block vertebra, by itself, is clinically insignificant. As there is no motion allowed at the fused...
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Rehabilition
Roger R. Coleman, DC and Stephan J. Troyanovich, DC
spinal-exercises-in-rehabSpinal exercise is an important part of any spinal rehabilitation program. The timing of the prescription of spinal exercises is very important, so as not to cause more trouble for the injured patient. Recommendations on Exercise The use of active methods of care, such as exercise, have been discussed in some detail in published articles and books on the subject.1,2,3 Guidelines have been...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
joint-rehab-and-exercise-tubingCurrent research describes the advantage of early, progressive rehabilitation exercise for many types of joint conditions.1-6  These benefits include: restoration of range of motion; decreased pain and swelling; decreased neural inhibition; quicker return of muscle function; and improved performance in sports and all daily activities.  Some studies even speculate that early rehabilitation programs may reduce the number of joint re-injuries.7-9 Contemporary...
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Iain G. Smith, D.C.
occupational-health-and-chiropracticA few years ago I met Patsy Mckenna, an Occupational Health Regional Manager for a large national gas pipeline company here in the UK. Patsy invited me to give a presentation to some of her colleagues at their head office in Birmingham, and although it was over 50 miles from my practice I agreed to do...
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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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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...
15810
A. Joshua Woggon, D.C.
can-whole-body-vibration-be-harmful-to-your-health-questions-a-answers-for-chiropractors-utilizing-vibration-therapyOsteoporosis and obesity are important health concerns in the United States.  Whole-body Vibration (WBV) therapy has the potential to make a significant impact upon musculoskeletal health and wellness in the coming decade.1,2 It also has the potential of causing significant musculoskeletal harm, and becoming a significant source of doctor liability, if improperly applied. Many educated readers may recall the lawsuits that...
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Techniques
Dennis Woggon, DC, B.Sc.
posterior-to-anterior-thoracic-spinal-adjusting-in-the-scoliosis-patient-is-contraindicated-by-spinal-biomechanicsPosterior to Anterior Thoracic Spinal Adjusting in the Scoliosis Patient Is Contraindicated by Spinal Biomechanics by Dennis Woggon, DC, B.Sc.   It would make sense to understand normal spinal biomechanics when putting adjustive forces into the spine, especially in a complicated spine such as a scoliosis. It seems that spinal biomechanical forces are frequently ignored when it comes to ...
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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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Dr. Eric Kaplan, D.C., F.I.A.M.A.
the-quiet-mouse-gets-no-cheeseAre you a man or a mouse?  You were tops in your class out of chiropractic college, read every report on new techniques and technology and are the Leonardo DaVinci of the examination room.  BUT, it doesn’t matter; for, all your expertise, golden hands and charming mannerisms are not assets in a wanting waiting room.  You need patients in order...
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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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Sharon Pettibon
spinal-technicians-necessary-component-for-chiropractic-managementThe discussion of Chiropractic success and its varied components has been a major topic of discussion since I can remember. My first exposure was in 1972 when I was sent to Parker Seminars as conducted by Jimmy Parker, D.C. in Las Vegas. The first one I attended was at the old MGM Grand and Elvis was the headliner. The hairdos...
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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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