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Cover Stories
Western Sciences Chiropractic College
western-states-chiropractic Being a successful chiropractor can mean different things to different people. Should success be based solely on the amount of income earned in a given year or the number of vacations taken in a lifetime? Is it determined by total income generated divided by hours worked and multiplied by vacations taken? At Western States, our students and alumni have...
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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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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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Richard R. Shaker, D.C., R.T.P., C.P.T.I., C.C.S.P., A.C.R.B., C.S.C.S.
chiropractic-in-the-nflFor four seasons in the NFL, after having suffered a chest injury while playing my rookie year, I had not been able to breathe properly. I also had severe pain in my chest and rib cage. Previous to Dr. Shaker, I had seen every medical specialist, including other chiropractors—no one could help me. I was struggling to survive in...
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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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Interviews
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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TAC Staff
the-unlikely-defender-of-the-subluxation-interview-with-gary-jacob-dc-lac-mph-dipmdtGary Alan Jacob, DC, LAc, MPH, DipMDT completed his baccalaureate studies in Philosophy of Science. He graduated from Los Angeles College of Chiropractic in 1978 and the California Acupuncture College in 1981. He was the first DC and the 12th individual to receive the Diploma in Mechanical Diagnosis and Therapy in 1991 from the McKenzie Institute International. In 2003, he...
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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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TAC Staff
the-scoop-on-postural-adjusting-interview-with-burl-r-pettibon-dc-fabcs-frccm-phd-honAfter receiving an honorable discharge from the U.S. Air Force Burl Pettibon attended Cleveland Chiropractic College in Kansas City, MO.  He graduated in 1956 and practiced in Tacoma Washington while developing clinics in other locations.  Dr. Pettibon was a department head for two years in the college that is now Palmer West.  He has guided The Pettibon Institute’s direction, continuing...
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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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George Goodheart, D.C.
muscle-testing-a-manipulation George Goodheart is a second generation Doctor of Chiropractic and graduated from National College of Chiropractic in 1939. In 1964, Dr. Goodheart began making a series of revolutionary observations about muscle function and health and disease that evolved into applied kinesiology. By stimulating various neurological receptors and observing excitatory and inhibitory responses of muscles to manual testing, Dr. Goodheart was...
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Nutrition
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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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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Dr. James B. Lavalle
recognizing-drug-induced-nutrient-depletion-in-chiropractic-practicePart 2 of a 2 part Series (cont. from part 1 in nov. 2009) Abstract:  Detrimental effects of drugs on nutrition status are a common occurrence but, because they usually occur over time (vs. what is considered an adverse event or allergic reaction, which occurs quickly), they are seldom recognized or corrected. Chiropractic treatment, however, takes place over a much longer...
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Dr. Howard F. Loomis, D.C.
the-chiropractic-connection-the-structural-manifestations-of-elevated-homocysteine-levels Cardiovascular disease is the number one cause of death in the United States. The pharmaceutical industry spends an enormous amount of money on advertising prescription drugs that will lower “bad” LDL cholesterol to lower the risk of heart attack or stroke. In fact, according to a report aired on 60 Minutes,1 much more money is spent on advertising than...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
new-review-on-the-pro-inflammatory-modern-dietOver the past several years, Dr. Loren Cordain, author of The Paleodiet, has kept us abreast on the nature of the “hunter-gatherer” diet and its importance in human health. His most recent paper was published in the February issue of the American Journal of Clinical Nutrition. With several notable coauthors, Cordain describes the development of our “modern” Western diet and...
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Lynn Toohey, Ph.D.
is-hormone-replacement-therapyDuring the third week in July of 2002, The Journal of the American Medical Association reported that a large scale clinical trial on hormone replacement therapy (HRT) had been halted five years into the study.1  Researchers at 40 clinics across the country had recruited 16,608 healthy volunteers, ages 59-79 (not at high risk for either heart problems OR breast cancer),...
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Orthotics
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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johndanchik
a-better-life-by-avoiding-the-knifeHistory and Presenting Symptoms The patient is a 44-year-old male who describes persistent pain and occasional stiffness in his right knee that is not associated with any specific activity.  He reports at least two 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...
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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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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. 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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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
metatarsal-stress-fractureHistory and Presenting Symptoms The patient is a 32 year-old personnel manager who has taken up running for stress reduction and weight control. She has been running for six months, and has been progressively increasing her mileage. She is experiencing recurring and worsening pain in her right foot, also increased low-back tightness. She recalls no specific injury to her foot or...
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Practice Management
Steven Visentin, D.C.
focus When doctors help high numbers of patients consistently for years with excellent results, other doctors want to know their secret. What is the one factor high-achieving doctors have in common? After three decades of interviewing the best, the one commonality I found in this group of ultra-high achievers is focus. I grilled a doctor about his huge...
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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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Dr. Eric Kaplan, D.C., F.I.A.M.A.
compliance-the-cornerstone-of-a-healthy-practiceToday, more than any time in our history, doctors are being watched.  Big Brother is watching!  So many offices are worried about HIPAA. Yes, if you violate HIPAA, you will receive a fine.  However, if you do not follow the rules of the OIG (Office of the Inspector General), you may not only be fined, you may face jail time. As...
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tomowen
why-chiropractors-need-a-coach-to-succeedAlthough chiropractors are generally hardworking, dedicated professionals who strive to correct subluxations in order to benefit the overall well-being of their patients and community, they still might be clueless on how to run an efficient and profitable practice. Technique expertise and talent are not enough.    Matter of fact, the myth upon graduating simply isn't true. We've all heard it before: Get...
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Maurice A. Pisciottano, D.C.
important-answers-to-report-of-findings-questionsNew patients typically come in to your office with many unanswered questions. They are somewhat apprehensive and are just looking for solutions to their problems.  Most will have a very limited, if any, understanding of chiropractic care.  They have entered a new world and are not quite sure what they will find, but they are open-minded enough to give it...
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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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Radiology
Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.
fracture-of-the-wrist-affecting-the-young-and-oldCASE HISTORY: This 8-year-old fell and hyperextended his wrist. Diagnosis: Torus fracture–distal radius. FRACTURES OF THE WRISTDistal Radius Fractures. The distal radius is one of the most common sites of fracture in the wrist. Care must be taken to search all projections for these fractures, many of which are often subtle and obscure. In the...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
pending-spondylolysis-andor-spondylolisthesis-whats-it-all-meanCase History This 18-year-old female gymnast is complaining of unilateral left-sided lumbar spine pain at the L5 level.  Standard plain film radiographs show no evidence of pathology, pars defects or spondylolisthesis.  Because this patient’s pain did not respond to conservative treatment, an MRI scan was performed for further evaluation.   Imaging Findings of this Patient Observe the area of bright (white) signal intensity seen...
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Ryan Everhart
digital-x-ray-solutions-for-chiropracticX-rays play an important role in determining the exact cause for many health complications in patients. The advancements in radiography are allowing physicians to pinpoint the exact cause of complications through high quality output in a matter of seconds. As a chiropractor, it is important to determine what part of the body is causing the trouble, and you can do...
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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
the-positive-fat-pad-sign-what-is-itA useful sign of an intraarticular fracture of the elbow is the clear depiction of displaced humeral capsular fat-pads.1  In the normal elbow, a layer of fat (“fat-pad”) lies between the synovial and fibrous layers of both the anterior and posterior joint capsules.  In the lateral projection of the normal elbow, the anterior fat-pad is seen as an obliquely oriented...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Alicia M. Yochum, D.C., R.N., BSN
sacral-fracturesCase History:  This male patient was working on the roof of his garage when he slipped and fell 12 feet to the concrete pavement of his driveway.  He has sharp pain over his proximal sacrum. Does he have a fracture? Diagnosis:  Note the fracture through the anterior surface of the second sacral segment creating an acute offset of its anterior cortical...
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Dr. Terry Yochum D.C.; D.A.C.B.R.; Fellow, A.C.C.R.
lung-pathology-or-pseudo-lesionIn the pre-antibiotic era, the only treatment for pulmo-nary tuberculosis was rest and or lung resection of the diseased segment.  Secondary or re-infection tuberculosis most commonly occurs in the lung apices.  This patient had surgery with resection of her right upper lung due to pulmonary tuberculosis.  To fill space left empty by the resected lung tissue and to avoid huge...
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Rehabilition
Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
rehab-of-cad-injuryPeople who present with whiplash injuries (Cervical Acceleration-Deacceleration) often do not respond completely to care.  In fact, persisting symptoms are common in this group.1  One review found that “between 14% and 42% of patients with whiplash injuries have chronic neck pain and that approximately 10% of this group experience constant, severe pain.”2  In fact, there is over 50 years of...
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Dr. Joe Ventura
posture-reprogramming-and-athletic-performanceTo coax the most out of the human body during training or actual performance, there are certain principles, or building blocks that must be present. Good breathing, proper nutrition, hydration and intensity are just a few of these principles. But, at the top of the list is good posture. Proper posture extends performance, reduces injury, speeds healing, builds more muscle and...
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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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John K. Hyland, D.C.
rehab-after-injuryCommunication skills are vital to achieving good results when dealing with patients after an injury. One of the most important components of post-injury rehabilitation is to give very clear instructions when the patients first start to exercise. This is because it is easy for patients to do too little or too much, and both will interfere with the desired outcome....
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Dr. Mark R. Payne, D.C.
worlds-best-traction There are basically two types of chiropractors: those concerned with correcting spines and those who aren't. Truthfully, the latter group probably won't even bother reading this article. Since you're here, I'll assume you have at least some genuine interest in trying to deliver real and lasting structural corrections to your patients. As you've probably found out, it's kind of hard...
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Mark R. Payne D.C.
the-crossroads-of-rehab-and-techniqueThe Crossroads of Rehab and Technique by Mark R. Payne D.C.   Adjusting technique and spinal rehabilitation have always been viewed as two completely separate subjects. Chiropractic’s rich history is replete with innovative ways of adjusting misaligned or dysfunctional spinal segments. Most such chiropractic techniques would be classed as "passive care" in that the patient is a non...
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Techniques
Howard F. Loomis, Jr., D.C., F.I.A.C.A.
what-do-you-have-to-see-before-you-know-what-to-do-the-significance-of-pottengers-saucer  Structure (anatomy) and function (physiology) cannot be separated. A deviation from normal in one has consequences in the other. Beginning with my February 2010 column, I have been describing a five-minute Source of Stress examination that can be done in your office any time you need to determine when a visceral dysfunction may be responsible for perpetuating structural misalignments and...
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Jeanne Ohm, D.C.
the-webster-technique-in-pregnancy-for-safer-easier-birthsChiropractic care is essential for the pregnant mother. Her systems and organs are now providing for two, and their optimal function is critical for the baby’s healthy development. The mother’s spine and pelvis undergo many changes and adaptations to compensate for the growing baby, and the risk of interference to her nerve system is substantially increased. Specific chiropractic care throughout...
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Jesse Jutkowitz, D.C.
advanced-biostructural-correctionAdvanced BioStructural Correction™ is exactly that; it is an advance in the correction of biostructural pathologies. The most important advance is the identification of the most basic mechanical pathology that occurs in the human body. “Most basic mechanical pathology” has two meanings: It means the starting point of where structure becomes pathological, AND it means the fundamental pathology that keeps a...
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Paul Yanick, Ph.D.
activate-multiple-levels-of-innate-communication-to-eliminate-inflammation-and-painLike the discord of an instrument out of tune in a skillful orchestra, innate intelligence can lose its interconnected synchronicity between the motion of all the organs and structures of the body. When this synchronicity is lost, there is always a loss of intrinsic oscillatory motion away from embryonic origin. Embryological evidence proves that powerful and unparalleled ways to clear...
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R.B. Mawhiney, DC
reduce-spinal-scoliosis-without-braces-or-surgeryDr. Hugh B. Logan, who founded Logan College of Chiropractic, first developed the basis for this procedure for the correction of scoliosis.  Over the last fifty years, I have modified, improved and updated the procedure to allow the chiropractor to produce consistent results. I established the International Scoliosis Research Center to provide research, consultation and seminars to the profession on...
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Tedd Koren, D.C.
fix-allergies-with-chiropracticYour immune system works to keep you 100% natural, organic, unadulterated, you! It recognizes and destroys bacteria, viri, pollutants, dust, pollen, drugs, tumors, debris and artificial substances (metal and plastic, however, don’t trigger an immune reaction). Many things influence how well your immune system functions: your nervous system, endocrine system, diet, genes and emotions.1-3 Allergens...
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