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VOLUME 3, NUMBER 2
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In This Issue
Is a Group Practice Right for You?
We are often asked about the advantages and disadvantages of group practice versus solo practice. Both practice set-ups have their advantages and disadvantages. The first question we always ask is: "Do you play well with others?"
Protecting Internal Review Boards and the Subjects They Govern
This is a morality tale as to how human experimentation and the internal review boards (IRBs) charged with oversight can never be taken for granted, requiring our constant scrutiny and conscience. Like far too many examples involving regulations or institutionalized...
Case Study: Chiropractic Treatment Restores Lactation
I felt compelled to write this article due to the nature of the case presentation, the vast number of nursing mothers who could find help through chiropractic and to encourage these women not to give up breast-feeding their babies.
Designing an In-Office Rehab Program, Part 2
A rehab program should emphasize safety above all else. Introduce simple, low-load exercises to re-establish efficient movement patterns first. Work to prevent/reduce injury potential, and then improve performance.
Marc's Most Missed Clinical Findings for the Lower Back
This article was inspired by a recent article by Robert Cooperstein, MA, DC. I find that I often end up being the physician of last resort, seeing patients who have not responded to previous chiropractic care, PT or medical management.
Soft-Tissue Diagnosis: Is It a Labral Tear or a Pectineal Pinch?
At a recent seminar, I was teaching how to correct the adductors. As I circumducted the supine patient's left hip joint, she experienced pain at the pubic ramus when the thigh was adducted medially and moved from superior to inferior.
Know Your Competition
I know what you might be thinking: Why should you be concerned with what other health care professionals are doing? Is it really necessary to "spy" on them? Why can't we just all get along?
Why Support the Three Arches of the Foot?
Because the feet are under continuous gravitational pressure when bearing the body's weight, breakdown in any of the three arches can result in abnormal gait and transmission of asymmetrical forces into the pelvis and spine.
Vitamin D Supplementation to Reduce the Risk and Complications of Influenza
Every year the medical profession and government authorities encourage citizens in many developed countries to get immunized against the current form of influenza virus.
Ginkgo Biloba and Alzheimer's Disease
In the largest, longest tral on ginkgo biloba and neurocognitive decline to date, the results were unimpressive to some and disappointing to others.
The Reference Range Is Not Normal
Laboratory reference ranges are not synonymous with normal. Most physicians have the misconception that the reference range provided by the testing laboratory is the same as the normal range.
An Important Shoulder Test Not Often Used
As I've said previously, most orthopedic tests for the shoulder cannot truly isolate a particular structure, since when we use tests that compress or stretch an area, adjacent structures also have to be compressed, stretched or contracted.
Chiropractic Around the World: WFC Quarterly Country Reports
The following reports are reprinted with permission from the World Federation of Chiropractic's latest Quarterly World Report (December 2009).
Managing Chronic Neck Pain: Screening and Exercise Protocols
Recent guidelines and other research have shed light on some of the effective treatment strategies for chronic neck pain. In addition to spinal manipulation, exercise is a key recommendation; however, it appears that exercise for chronic neck pain is being underutilized by the chiropractic profession.

10 Ways to Improve Your Practice Using Little or No Money
Do you think it takes thousands of advertising and marketing dollars to be well-known in your community and build a thriving practice? Many DCs think so, but this has not been my experience.
Communication Is the Key
While many chiropractors are cognizant of the risk of being sued, many are blissfully ignorant of the risk of having a licensing board complaint. It has occurred to me that doctors think there is a "Holy Grail" or a "magic bullet" that can be used to deflect and defend them from licensing board complaints.
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