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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Allan Dyer, B.S., M.D., Ph. D.
decompression-where-it-all-beganDr. Allan Dyer has a Bachelor of Science degree in Pharmacy and is a doctor of Internal Medicine. He was also awarded a Ph.D. for his graduate studies and pioneer work in Transthoracic Cardiac Defibrillation. During his career as a senior administrator and Deputy Minister of Health, he instituted the hospital services quality assessment, generic drug...
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David Chapman-Smith
the-international-growth-of-chiropracticWhat’s ahead for chiropractic? In the following interview with The American Chiropractor (TAC), David Chapman-Smith and Sira Borges, D.C., discuss the rapid growth of chiropractic in Latin America and worldwide. TAC: What are the roles of the WFC and FLAQ?Chapman-Smith:  Details of the WFC, whose voting members are national associations of chiropractors in eighty-six countries, including both the American...
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TAC Staff
five-college-presidents-set-the-record-straight"Chiropractic is a remarkable profession with a legacy of dedicated men and women working diligently to make chiropractic universally available. As our profession grew and matured, so did chiropractic colleges.  They set the standard for what we can expect from our future doctors of chiropractic.  Our responsibility is to provide the best chiropractic education possible to the men and...
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Susan Karnovsky
dr-lester-bryman-a-the-50-year-evolution-of-nutrition-response-testing In 1958 he was the Only One…. Fifty years ago, when Dr. Lester Bryman began his career, he felt like he was the only practitioner in his field that thought or talked about a nutrition oriented practice: No one he knew ever wondered about the therapeutic value of eating, let alone that whole foods (non-processed products) were healthy and non-foods...
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TAC Staff
the-state-of-the-chiropractic-professionAs The American Chiropractor celebrates its 30 Year Anniversary, our panel of leaders look back on just how far the chiropractic profession has come and what lies ahead.     Dr. Louis Sportelli President of NCMIC Dr. Sportelli has served in many capacities throughout his 47-year career in chiropractic. He is currently serving as President of NCMIC Group ...
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Interviews
Kent Greenawalt
orthoticsTAC: Tell us a little bit about the history of Foot Levelers, Inc. Greenawalt:  Foot Levelers is the world’s largest custom-made Spinal Pelvic Stabilizer company.  We use the term Stabilizer instead of orthotic, because our products stabilize the pelvis and spine by correcting imbalances in the feet.  They are custom-made and scientifically designed to address the patient’s unique postural problems.  They...
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David Chapman-Smith
working-together-worldwideDavid Chapman-Smith, a Toronto lawyer and author of The Chiropractic Profession (NCMIC Group, 2000) is Secretary-General of the World Federation of Chiropractic.  He is also editor/publisher of The Chiropractic Report (www.chiropracticreport.com).   His introduction to chiropractic took place when he acted as counsel for the New Zealand Chiropractors’ Association before the New Zealand Commission of Inquiry into Chiropractic in 1978-79. In the...
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TAC Staff
interview-with-leander-eckard-dc Dr. Leander Eckard attended his first year of chiropractic college at Palmer College of Chiropractic in Davenport, Iowa, in 1959 and 1960. He transferred to Cleveland College in Kansas City and graduated from there in 1964. Upon returning to his home in Spokane, Washington, he opened his first practice in late 1964. He practiced in the state of Washington...
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Harold McCoy, D.C.
mccoys-track-recordWith almost 30 years of experience in practice, Dr. Harold McCoy has established quite a track record in incorporating chiropractic to achieve optimal sports performance in world-class athletes. It all started in the 80’s, when Dr. McCoy treated Olympic athletes like Evander Holyfield and served seven years at the University of Washington as part of the Multidisciplinary Sports Medicine Staff,...
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John K. Maltby, D.C.
meet-the-new-president-of-the-icaAfter the dust had settled and the ballots were tallied, on April 15, 2005, the International Chiropractors Association had elected a new president in a landslide vote.  Who is this doctor who inspired such an impressive mandate by the oldest national chiropractic organization in the world, and what is his vision for chiropractic?  Find out, in the following interview between...
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TAC Staff
leading-care-through-innovation-and-passionDr. Kevin Jardine graduated from Canadian Memorial Chiropractic College in 2002 and has been in practice for just over a decade. Dr. Jardine comes from a background in exercise science from the University of New Brunswick.    Dr. Jardine is the co-creator of SpiderTech which has become a globally recognized brand delivering kinesiology taping products and education. On top of providing the...
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Nutrition
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 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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John H. Maher, D.C.
baby-qma-maq-and-qdha-dhaq Docosahexaenoic acid (DHA) is an omega-3 fatty acid that is an important structural element of the central nervous system and retina. The need for DHA may be most critical for brain and eye development from conception through the second year of life. Significant brain growth occurs during the third trimester of pregnancy and through the first two years of life....
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Dr. James P. Cima, D.C.
james-p-cima-dc-blows-away-commonly-believed-nutrition-mythsQ:  What are the two most important things that a doctor needs to address concerning his or her patients’ nutritional protocol? Cima: A.  What type of food is right for my patient? (Synonymous with putting the right fuel into your car.) B. Are the organs and glands digesting, assimilating, metabolizing and detoxifying my food properly? (Synonymous with your car needing a tune...
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David R. Seaman, DC, MS, DABCN
an-easy-way-to-add-nutrition-to-treat-your-patients-in-pain Low back pain is one of the most common reasons patients visit all physicians in the United States and it represents a substantial financial burden on society (1). The most common treatments are pharmaceuticals, which are either prescribed or self administered, and manual care, which is delivered largely by chiropractors. Nutrition is not generally considered in the treatment of...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
the-omega-6-mobileonly-diesel-vehicles-should-eat-n-6sAs discussed in previous columns in The American Chiropractor, our consumption of omega-6 (n-6) fatty acids is excessive and pro-inflammatory. In a recent TAC article, I discussed how most Americans have been corn-oiled. It takes some eighteen cups of corn to make just one...
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Orthotics
Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
case-study-knee-pain-in-a-tennis-playerHistory and Presenting Symptoms The patient is a 48-year-old real estate broker, who is also the president of the local Chamber of Commerce.  She reports pain in the front of her right knee, over the past several months, especially when playing tennis.  She denies any specific injury, and has no obvious swelling or discoloration.  She reports that she takes ibuprofen for...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
groin-strains History and Presenting Symptoms A 45-year-old male presents with occasional, moderate pain in his left hip and groin. He has been evaluated for hernia and arthritis, with no definitive diagnosis and no successful treatment. Physical therapy with various modalities and exercises felt good, but didn’t resolve his problem. He says that he has noticed these symptoms for at least the past...
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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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Dr. Richard E. Busch, III, D.C.
small-businesses-keeping-up-with-online-presence The world of marketing is changing. It is not the same as five years ago, ten years ago, or even one year ago. Because of this, it is imperative for us to begin to look at all of our marketing efforts and avenues, and make changes accordingly. Change should be made not only in the way we target...
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John Danchik, D.C.
the-aging-footHistory and Presenting Symptoms A 64-year-old female presents with recurring, unresolving episodes of moderate pain in her lower back and left knee.  She recalls no specific back or knee injuries, and states that these problems have developed over the past couple of years, getting more noticeable in the past six months.  On a 100mm Visual Analog Scale, she rates her...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
diabetic-foot-requires-special-care History and Presenting Symptoms A 66 year-old female presents with aching lower back pain and numbness extending into both feet. She reports having had occasional lower back pain for many years, but has only noticed the foot numbness in the past six months. This is getting more constant, which concerns her. She recalls no specific back or foot injuries. On...
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Practice Management
Jay S. Greenstein, DC, CCSP, CGFI-L1, CKTP
building-the-sports-chiropractic-practice-a-recipe-for-success Throughout my travels I have had the opportunity to meet lots of great people in our profession. Many have been in practice for years, but some are in school, getting ready to graduate or just getting started. I’m often asked by these folks what it takes to build a sports chiropractic practice. The answer essentially revolves around three key...
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Tom Owen III, and Todd Osborne, D.C.
5-warning-signs-that-youre-not-developing-your-staff One of the areas in business management that is consistently overlooked is staff development. Most chiropractors dislike the management side of running a chiropractic business because their hearts are dedicated to serving their patients. The reason why so many doctors continue to improve their clinical skills and techniques long after graduation is that they are designed by nature to be...
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Dr. Peter G. Fernandez
murphys-law-1-when-starting-a-practice“Murphy's Law” is an old adage that is typically stated as: "Anything that can go wrong will go wrong". When you start a new practice you’ll experience many examples of Murphy’s law. I’ve opened over 3,000 new practices. Just when I think I’ve heard them all, a new twist on Murphy’s Law comes along. Here are a few of my...
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Dr. Eric Kaplan, D.C., F.I.A.M.A.
improve-billing-department-efficiency-with-four-management-techniquesTo operate your billing department effectively and efficiently, you need to recognize that billing and collections require good management. Following are some techniques that can improve your billing efficiency and help you get paid. 1. Establish expectations with your patients, your payers, and your staff. A common problem practices face is getting patients to pay their bills, deductibles or copays. Although...
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Daniel Dahan, D.C.
maximize-your-practices-potentialIn 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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Thomas Hyde, D.C.
automated-documentation-helping-chiropractors-heal-their-practicesHealth care professionals enter the field primarily to satisfy an urge to serve. In recent years, however, disaffection has set in among many, as they struggle to balance the satisfactions of the healing arts with increasing pressures of administration, economics and regulation on the business side. Some leave the field; most soldier on, trying to find ways to retain or...
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Radiology
Peter Fernandez, DC
what-practice-structure-suits-you-best-starting-a-new-practice-v Solo Practitioner (No Incorporation) This type of practice structure is when a doctor is not incorporated.  In this case, the doctor does not have the personal asset protection advantage that a corporate shield has to offer.  Being non-incorporated, if someone files a malpractice suit against the doctor, they will not only be after all his business assets (equipment, accounts...
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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 60-year-old male patient presents with head and spinal pain. DIAGNOSIS   Note the diffuse osteolytic "punched-out" lesions affecting the bony calvarium which has been called the "raindrop skull" of multiple myeloma.   DISCUSSION Osteolytic Defects. The radiologic hallmark of multiple myeloma is the sharply circumscribed osteolytic defect. These radiolucent lesions have been historically...
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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 Yochum D.C.; D.A.C.B.R.; Fellow, A.C.C.R.
partial-agenesis-of-the-c1-posterior-archEmbrylology.  Ossification of the first cervical vertebra begins about the seventh fetal week at the lateral masses, and proceeds perichondrally in a dorsal direction, creating the posterior arch of the atlas.  In the second year of life, a secondary growth center for the posterior tubercle develops between these neural arches.  Complete fusion of the posterior arch should be noted between...
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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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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Tim Maggs, D.C.
100-of-my-patients-get-custom-orthotics-what-about-yours  We all are victims, in many ways, of the existing healthcare crisis.  The auto industry is addressing their crisis through new laws for improved mileage per gallon and stricter pollution controls.  The energy crisis continues to search for more efficient and alternative means to produce renewable energy.  The healthcare crisis, unlike the above two, is merely shifting responsibilities with regard...
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Rehabilition
Edward G. Holtman, D.C.
all-tendinitis-is-basically-the-same-no-matter-the-locationEven though all health professionals realize that the most common cause of tendinitis is muscle over-use and/or abuse, few have concentrated sufficient and proper rehabilitative effort on the involved muscles. Also, the treatment of tendinitis in all areas of the body is fundamentally the same. Yes, the exercises vary, but the basic treatment principal is the same! Unfortunately, there is no one...
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Dr. Mark R. Payne, D.C.
what-works-what-doesnt Everyday, countless patients consult chiropractors seeking a solution for their problems. While some doctors confine themselves to purely symptomatic care, others will recommend treatment well beyond simple relief of pain. Such programs are typically geared toward "correcting the cause" of trouble and often require a considerable commitment of time and money by the patient. Unfortunately, many such programs which...
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Christian H. Reichardt, D.C., C.C.S.P.
effects-of-whole-body-vibration-on-posture-and-kinesthetic-perception Many patients who present themselves to the chiropractic office suffer from musculo-skeletal disorders. More and more research confirms what we know to be true from our own daily anecdotal knowledge. There is hardly a modality that works better for these conditions than chiropractic. Yet there are a number of modalities that can enhance the benefits of adjustments. One of these...
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Dr. Kirk A. Lee, D.C., C.C.S.P.
evaluating-the-gait-cycle-as-part-of-your-chiropractic-treatment-plan As a doctor of chiropractic, how you perform your initial evaluation and management on a patient may vary greatly from your peers. Many doctors’ examinations include numerous neurological and orthopedic procedures. Do you rely heavily on visual and palpatory findings, range of motion studies, or maybe totally on radiographic findings? For most of us, it is probably a combination...
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Dennis Woggon, BSc, DC
mix-fix-set-protocols-for-posture-rehab“Don’t slump, stand up straight!” How’s that working for you? Probably not very well, as I think back to how effective that was when I was a child. We talk about changing posture, but how can we permanently change it.   Posture is not a conscious decision but a subconscious relationship with our environment.  Posture can be defined as the body’s position to...
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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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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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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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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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Jeanne Ohm, D.C.
the-webster-technique-a-chiropractic-analysis-and-adjustment-for-pregnant-womenMore and more women are seeking the benefits of chiropractic care in pregnancy.  Many birth care providers are becoming aware of the efficacy of care throughout pregnancy and encouraging their patients/clients to find doctors of chiropractic who are interested in caring for pregnant women.  As with any specialty group within the population, there are specific types of spinal analysis and...
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Charles L. Blum, DC
the-evolution-of-bloodless-surgery-and-chiropracticBloodless Surgery or Chiropractic Manipulative Reflex Technique (CMRT) encompasses the  relationship between somatovisceral and viscerosomatic reflexes and, therefore, between the somatic and autonomic nervous systems. R. J. Last in his book, Anatomy: Regional and Applied, points out: There is only one nervous system.  It supplies the body wall and limbs (somatic) and viscera (autonomic).  Its plan is simple.  It consists of...
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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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