NewsFlashes
Cover Stories
Jack Dolbin, D.C.
principles-of-a-sports-medicine-practiceIn the fall of 1993, I was attending a Villanova versus Northeastern University football game. My son was a red shirt freshman wide out and me, a retired NFL veteran. We sat together as spectators, dissecting the game and the individual player performances. In events that would decide the game, the Villanova field goal kicker, Frank Venezia, missed two very...
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Kathy Mills Chang
coding-the-right-way Since 1983, Kathy Mills Chang has been providing chiropractors with hands-on training, advice and a broad range of solutions aimed to effectively assess and improve the financial performance of their practices. A well-known and sought-after speaker, Kathy Mills Chang has served in National and State level chiropractic organizations, sits on diverse boards and advisory councils related to the profession, and...
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Dr. Howard F. Loomis, D.C.
nutritional-alternatives-to-prescription-drugsby Dr. Howard F. Loomis, D.C. Prescription drugs are used to treat disease. They WORK by blocking a human enzyme system or by filling specific receptor sites, thus directing the body’s biochemistry. Their specific need and even dosage can be pinpointed by the use of various laboratory testing.However, nutritional supplements (whether protein, lipids, carbohydrates, vitamins, or minerals) do not, by themselves,...
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Roger Russo, D.C.
how-to-attract-seniors Doctors, look around your office, clear out the deadwood and do something different that will change lives and your practice. Decide what type of practice you want and what type of patients you want to serve. Find out as much as you can about that group’s wants and needs; give it to them and watch your practice grow. We...
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Dennis Woggon, DC, B.Sc.
straight-answers-on-curved-spinesDennis Woggon grew up in Onalaska, Wisconsin—a small town just outside of La Crosse—and attended Wisconsin State University in La Crosse. Dr. Fred Barge, a pioneer in chiropractic and scoliosis, was his field doctor. Dr. Woggon graduated cum laude from Palmer College of Chiropractic in 1974 and has a Bachelor of Science degree in biology. He...
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TAC Staff
a-man-with-insightHe was a popular, charismatic high school student. A national AAU karate champion. An inexperienced, undersized member of the school’s wrestling team. How did Dr. Patrick Gentempo Jr. become one of the most influential minds in today’s chiropractic world? Well, being undersized and inexperienced may have actually helped. “I injured my neck in a wrestling practice and my mom took...
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Interviews
Jeff Spencer, D.C.
on-the-roadDr. Jeff Spencer is a former champion cyclist who competed on the 1972 United States Olympic Team as a sprint cyclist and currently serves as chiropractor for the United States Postal Service Professional Cycling Team.  A 1975 graduate of the University of Southern California (USC), Dr. Spencer graduated summa cum laude from Cleveland Chiropractic College at Los Angeles in 1988. ...
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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
amazing-chiropractor-interview-with-dr-steven-m-horwitz-dc-ccsp-cscs-cktp-sports-injury-practice-with-a-focus-on-injury-preventionDr. Steven Horwitz is a graduate of Cornell University and the National College of Chiropractic. He is a certified Chiropractic Sports Physician, Strength and Conditioning Specialist, USA Weightlifting Club Coach, Kettlebell Instructor, USA Track and Field Level 1 Coach, and Sports Nutritionist. In 2010, Dr. Horwitz was named to Washingtonian’s list of top experts in sports medicine. In 2006, he...
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George Curry, DC
helping-people-get-their-lives-backFor Dr. George Curry, chiropractic is truly a family affair.  “I graduated from Palmer College of Chiropractic in 1982, my stepfather graduated from Palmer in the 60's, my stepbrother in the 70’s and my nephew graduated in 2002.  The two oldest of my six children plan to enroll in chiropractic college in 2006 and 2008,” says Dr. Curry. This Connecticut-based...
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Dr. Steve Querio
million-dollar-chiropractic-interview-with-dr-steve-querioDr. Steve Querio's M$C Profile PERSONAL: Married to wife, Lisa for 5 years and has 3 children; Nikki, age 10; Luke, age 3; and Emily, age 1 1/2. Recreation and Leisure:  I enjoy spending time with my kids.  I also enjoy traveling and watching Green Bay Packer football.  Professional Affiliations: Wisconsin Chiropractic Assn., American Chiropractic Assn., Green Bay Chamber of...
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Vernon Temple, D.C.
raising-standardsVern Temple, D.C., has been part of the testing community for nearly thirty years, first as a member of the Vermont Board of Chiropractic Examination and Registration, National Board of Chiropractic Examiners (NBCE) delegate for the state of Vermont and, subsequently, as an NBCE Director for the past seven years, six years as District III Director...
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Nutrition
David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
inflammation-pain-and-alzheimers-disease-condition-based-careAlzheimer’s is a devastating disease that we should try to prevent, not only for ourselves, but also for our families.  Patients with Alzheimer’s disease lose cognitive function, emotional expression and memory, which essentially prevents them from experiencing the spice of life. It is no surprise to read that most patients enter a chiropractor’s office looking for relief from various conditions,...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
garlic-ginger-and-turmeric-for-your-healthIf you are not spicing your meals with garlic, ginger and turmeric (GG&T), you need to be taking them as supplements. GG&T are known to be natural anti-inflammatory supplements, and are beginning to be viewed as foods and/or supplements for cancer prevention.1 In reality, GG&T should be viewed as agents that can prevent and/or help treat any disease that is...
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Barry Sears, Ph.D.
why-it-hurts-pain-and-inflammationPain is often the hallmark of disease. Chronic pain, itself, is not a defined medical condition, but rather a symptom in the body that something has gone awry. Pain usually stems from inflammation of the body’s tissues. Although there is no blood test for pain, the patient is acutely aware of its existence. Throughout the centuries, one of the most pressing...
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Virender Sodhi, N.D., M.D.
chronic-inflammation-an-ayurvedic-perspectiveThe Ayurvedic approach to pain management is a holistic one. When treating a patient with chronic pain, I always advise an integrated approach, and look beyond the outward pain to discover the underlying source. Very often, chronic pain is caused by an inflammatory response within the body. Ayurvedic herbal treatments are effective for healing and...
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Mark Percival, D.C., N.D.
all-things-a-poison-plus-silicon-an-overlooked-trace-mineralIf you are recommending trace minerals to your patients, chances are you are recommending toxic substances.  The strange paradox is, many of these toxic minerals are also essential for life!  With the recent popularity of coral calcium, colloidal mineral cocktails, and other supplements containing seventy or more trace minerals, the question of how toxic elements, such as arsenic, cadmium, antimony,...
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David Seaman, D.C., M.S., D.A.B.C.N., F.A.C.C.
a-healthy-dessert-option-dark-chocolateWhen I attend chiropractic conventions/seminars, I am often invited to have a meal with other DC’s. Not uncommonly, the doc(s) will apologize in advance for eating unhealthy food, or ask me not to criticize them for eating such things as French fries or pancakes. For the record, I am not part of the diet police, so people need not worry...
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Orthotics
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.
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.
going-the-extra-mile-with-the-orthotics-processThe main values of providing custom orthotics are the postural support, protection, and comfort they offer to your patients.  Another important aspect of the orthotics process, however, is the help you can give your patients in getting reimbursed for these products.  Many patients hope that their orthotics will be considered a covered expense by their insurance companies.  For some...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
asymmetrical-pronation-linked-to-juvenile-injury History and Presenting Symptoms A 28-year-old male presents with recurring episodes of moderate low-back pain which always respond well to chiropractic adjustments, but eventually return. He recalls no specific back injuries, and cannot identify any triggering activities. On a Visual Analog Scale, he rates his low back pain currently at about 50mm. He has been able to avoid...
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Dr. John Danchik, D.C., C.C.S.P., F.I.C.C.
to-stabilize-lumbar-fixations History and Presenting Symptoms A 56 year-old female describes a history of numerous episodes of lower back pain and disability. She reports that she has previously had physical therapy and chiropractic care, and has been evaluated by an orthopedic surgeon. None of the prior treatments has provided any long-term relief, since her low back pain returns, in spite of treatments and...
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John J. Danchik, D.C.
triathlete-troubled-by-tarsal-tunnel-syndromeby John Danchik, D.C., F.I.C.C., F.A.C.C   History and Presenting SymptomsA 31-year-old male athlete presents with burning pain and paresthesias affecting the ball of his right foot and toes, and extending along the sole of his foot.  He is a competitive triathlete, but doesn’t recall any specific injuries to his right foot.  These sensations are worse at night, and are aggravated by...
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Practice Management
Mark Sanna, D.C.
tipsQ: What effects have the increase in patients seeking alternative healthcare had on the chiropractic profession? A:  The chiropractic profession is situated at the pinnacle of the Mount Olympus of the multi-billion dollar complementary and alternative medicine (CAM) marketplace.  More and more patients are seeking the trusted advice of their doctor of chiropractic in matters of nutritional supplementation and alternative healthcare. ...
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Ron Short, D.C., MCS-P
the-chiropractic-demonstration-project-final-report Well, the dust has settled and the reports have been published, The Chiropractic Demonstration Project is finally over. So, how did we do? Well, we won and we lost. The key points of the demonstration project were: • "Section 651 of Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) • Centers for Medicare & Medicaid Services (CMS) to conduct demonstration evaluating...
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Michael Failla, D.C.
the-healthcare-stimulus-package-navigating-the-buzz The Healthcare Stimulus Package: Navigating the Buzz by Michael Failla, D.C.   There has been a great deal of buzz lately about the government’s healthcare stimulus package. And, as Doctors of Chiropractic, the plan is of great interest…as well as great confusion. The promising news is that this package could potentially provide reimbursement payments to qualifying chiropractors of up to $44,000 over...
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Paul S. Inselman, D.C.
how-to-end-a-roller-coaster-practiceThe January 5, 2012 CNN Money article “Doctors are Going Broke” stated, “most doctors in private practice have experienced a 10 percent to 15 percent profit leak which can lead to significant losses in their bank account.” Since 2008, the majority of chiropractic practices are down an estimated 25% or more. Unfortunately, the news gets worse. Higher gas prices and...
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Daniel Dahan, D.C.
business-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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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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Radiology
Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
lumbar-spine-traumaCompression fractures are the most common fractures of the lumbar spine.  They result from combined flexion and axial compression.1,2  The most common segmental levels to develop compression fractures are T12-L1.3  The extent of the vertebral compression and degree of comminution are dependent upon the severity of the force applied and the relative strength of the vertebra.4  In children, they are...
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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.
intertrochanteric-fracture-of-the-proximal-femurIntertrochanteric Fracture Of The Proximal Femur by Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.   CASE HISTORY This elderly female patient slipped getting out of the bath tub. She heard a crack and felt immediate pain. DIAGNOSIS Fractures around the proximal femur are relatively uncommon in young to middle-aged patients with a sharp increase in...
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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.
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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Dr. Terry R. Yochum, D.C.; D.A.C.B.R.; Fellow, A.C.C.R. and Dr. Chad J. Maola, D.C.
thoracic-spine-compression-fractures CASE HISTORY This 70-year old female lost her balance and stepped off the curb and experienced severe lower thoracic pain. DIAGNOSIS Observe the compression fractures of the T7, T8 and T9 vertebral bodies. Note the osteoporosis which contributed to the weakening of the vertebrae allowing these fractures to occur with minimal trauma. GENERAL CONSIDERATIONS   Radiographic Signs of Vertebral Compression Fracture....
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Andrew Cheesman
digital-x-ray-do-i-need-one-in-my-officeSo, you are considering “transforming” your practice? Or maybe starting a brand new or satellite office? What are some of the things you should keep in mind in making decisions on just what your practice will offer? What should it look like? What kind of vibe would you like it to put out? And how does the decision of installing...
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Terry R. Yochum, D.C., D.A.C.B.R., Fellow, A.C.C.R., and Chad J. Maola, D.C.
os-odontoideumCASE HISTORY This young adult patient presents with neck pain following an MVA.  You note an abnormality in the upper cervical spine at C1 & C2.  Is this a fracture?   DISCUSSION Anomalies of the odontoid process are considered uncommon (1) and are usually discovered by the principle “traumatic determinism.”  This means that the underlying condition predated the injury and is not caused by...
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Rehabilition
George LeBeau, D.C.
the-ear-adjustment Mrs. "H" and her husband had been coming in for their "maintenance" adjustments for quite a while and, during one particular visit, she brought her fifteen-month-old daughter, who was in a seriously poor mood. When asked, Mom said the little girl, Amy, had an ear infection "again" and was going to have the tubes put into her ears "again." I...
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Dr. Mark R. Payne, D.C.
simple-effective-home-traction-for-the-cervical-lordosisIn our March article, we discussed how the physical properties of tight, contracted, paraspinal tissues create resistance to the corrective forces of your adjustments. Last month, I showed you a great example of how one case of scoliosis was successfully managed using simple blocking techniques to introduce sustained stretching forces into the spine. In this article, I want to discuss...
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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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Mark S. Matvey, D.C.
reducing-the-need-for-narcotic-medications-a-retrospective-case-reportIntroduction The purpose of this case report is to display the dynamics of a complete tear on an anterior cruciate ligament that required surgical intervention with a graph (cadaver) insertion via arthroscopy surgery and the chiropractic care and rehabilitation technique/procedures used to benefit and expedite the recovery process. In addition, the need for the routine narcotic medications prescribed for this type...
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Kim D. Christensen, D.C., C.C.S.P., D.A.C.R.B.
healthy-sleep-for-rehab-patientsPatients receiving rehab care for various chronic or acute neck problems often come across advertisements promoting special “neck support” pillows.  Cervical support pillows are recommended by many chiropractors, physiotherapists, and even surgeons.  In a 1998 comparison study of three types of bed pillows, the authors write, “From a patient’s perspective, neck support is an important part of a comprehensive physiotherapy...
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Dr. Mitch Mally
inflammation-management-an-updateA cascade of physiological, biomechanical and biochemical events complicate Acute and Repetitive Injuries. Musculoskeletal pain and range of motion is affected by biomechanical aberration, joint dysfunction, segmental hyper/hypo-mobility and the result of several pathways and stimuli. However, the inflammatory response may be treated anecdotally by ice, compression and elevation. Allopathic recommendations often include anti-inflammatory medication with significant side effects (consumed like...
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Techniques
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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Lisa Upledger, D.C.
craniosacral-therapy-releases-hold-on-subluxationsThis gentle hands-on method of working with the craniosacral system, has helped thousands of practitioners effectively remedy a wide range of medical problems associated with pain and dysfunction. You, too, can learn how to enhance the body’s natural healing process. Like most chiropractors, I spent many years focused on the subluxation factor. Ironically, it wasn’t until I began practicing a different hands-on...
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William H. Koch, D.C.
interview-with-dr-george-gonzalez The story of how Dr. George Gonzalez developed the technique he calls Quantum Neurology® Rehabilitation will serve as inspiration and example of what a man can do when motivated by passion and the need to help a loved one. In his quest to help his wife who had sustained an extremely painful and crippling spinal cord injury, Dr. George...
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Peter J. Levy, D.C.
go-to-the-source-of-subluxation-with-neuromuscular-reeducationAre you looking for a way to improve your skills?  Get patients better faster? Build a large referral base? Have a cash practice? Charge what you’re worth? Read on!!! What is the answer to the ongoing problems with insurance companies, work comp, personal injury and the volumes of paperwork and billing required?  How do you, the practitioner, actually get someone better quickly...
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Charles L. Blum, DC
managing-acute-low-back-patientsImagine a scenario where a patient walks into the clinic or your office in acute pain—grimacing in pain, antalgic, and guarded in all movements.  You’re barely able to take vital signs, and neurological and orthopedic examinations are difficult to perform due to the patient’s severe apprehension.  A radiograph or MRI finds no fracture or osteopathology, but possibly some degree of...
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Warren Hammer, D.C.
the-benefits-of-instrument-assisted-soft-tissue-mobilizationExperts agree that a crucial component of healing is soft-tissue treatment. Indeed, since the works of British orthopedist James Cyriax, clinicians have routinely employed cross-friction massage as a means of breaking up the web of adhesions and restrictions that normally form after injury. However, it is my contention that our profession is insufficiently informed about the advantages of soft-tissue methods...
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