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The Virginia Voice Summer 2016

Supporting Supplier NewsWhen you’re shopping for products or services, be sure to check out Unified VCA Supplier Members FIRST!

Computer Troubleshooters is offering Unified VCA members a free Employee Internet Activity Monitoring Report for 1 year for your

entire staff, a $600 value. 100% of the clients they’ve helped with HIPAA audits have passed. The company has received an unprecedented 2nd national Managed Service Provider (MSP) Mentor award, as well as most of the American IT service provider awards and achievements.

Humanscale is pleased to offer Unified VCA members special promotional pricing for two of its most popular sit/stand desk options. Receive the special 50% UVCA member-only

price through 8/25/16. Contact Sheila Smith, phone 212-725-4749 x6123, email ssmith@humanscale.com.

For a free overview of Kaizenovation Advisers’ Entrepreneurial Operating System (EOS), which will help you understand how

to build the ultimate practice infrastructure and create traction to solve problems, visit http://www.kaizenovationadvisers.com.

Online Chiro is offering UVCA members a free 30-minute consultation with

a chiropractic digital marketing

President’s Message

Chiropractic Persecution?

We seem to be bombarded by relentless attacks on our beloved

profession. There’s insurance per-diems, cuts in reimbursements, unjustified visit limits, etc. On the regulatory side, here comes Medicare “Quality Payment Programs” like the Merit-based Incentive Payment System or “MIPS” and Advanced Alternative Payment Models or “APMs”. It’s not surprising that we feel overwhelmed and defeated. But, don’t be. This is not about Chiropractic…it’s a sign of the general shift in the economics of health care delivery. It’s happened before and it’s going to happen again, and we will survive! I have recently become aware of practice enhancements that three of my medical friends have incorporated. I have known these very successful Docs for many years and they all have enjoyed quite robust practices. But now the OB/GYN offers extensive “Aesthetics” procedures; the ENT’s office has flyers and posters at the front desk, waiting area, and exam rooms offering all kinds of skin lightening/blending treatments and other minor “plastics” procedures; and this highly skilled dentist has taken on “Invisalign”, which is computer-guided orthodontics practiced without full orthodontic training. “Shockingly,” he has even opened a kiosk at the mall, which quickly sends new prospects straight to his office for an oral health evaluation. So what is the common denominator? Well, CASH, of course! These guys, who have witnessed the erosion of their income due to drastic changes in reimbursements, have accepted the paradigm shift and realized they had to offer services their patients might desire beyond the insurance model. The business of health care delivery continues to shift. I am not a practice Continued on page 3

In This Issue• “Stress as a Pro-Inflammatory

Mechanism” by Scott Banks, DC, MS• Supporting Supplier News• President’s Message• “Working with Patients to Resolve

Insurance Issues, Part 2” by Dale Jackson• New Members• Premier Members• Reading Recommendations• C-PAC Contributors• Classified Listings• ECA-IPN Update• “Unified for Life” Scholarship Update• Education & Events

1 1 1 5 8 9 91113182022

Fall Convention Program:

See Page 21!

PLUS Dr. Gregory Lee Interviewed, Expertise at Your Fingertips, VCAdoctalk/Members to the Rescue, More

Continued on page 3

Stress as a Pro-Inflammatory Mechanism

Scott Banks, DC, MS

Effective managing of neuromusculoskeletal patients with seemingly similar conditions has become more difficult and

challenging than it was 2 to 3 decades ago. The challenges relate to a frequently more complex, multifactorial origin to their symptoms. This diminished responsiveness can result from several factors including physical deconditioning, excessive body weight, altered central pain processing associated with mood disorders and a generalized background inflammatory state. Inflammation is a basic mechanism of literally all neuromusculoskeletal disorders, either acute or chronic. Even in acute onset disorders a chronic inflammatory background often complicates recovery. This Continued on page 3

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The filing of a lawsuit is disturbing to any doctor. They are distracted by the allegations and worried about the outcome. They worry how the alleged damages will affect their assets and whether their insurance coverage will be sufficient to protect their practice or their children’s college funds. They start to be suspicious of all patients and worried about other lawsuits. If this happens to you, you need a solid foundation of support.

You need the support of insurance professionals who care about your reputation and practice, as well as the profession in general. You need attorneys who understand chiropractic and know how to navigate the allegations specific to chiropractic practice.

Coverage with NCMIC is one of the most valuable foundations you can have for a successful practice.

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management consultant. As your president it is not my role to tell you how to run your practice. Your UVCA membership offers you a large variety of tools to help you grow your practice, your business, however you choose. We bring you conventions and seminars that offer opportunities to learn from the best instructors and consultants available. Come to Roanoke September 23-25 with your heart and mind open. I always say that we DCs are a rare breed. We choose this profession out of an innate desire to make a difference in the lives of our patients. But as the economics of health delivery continue to evolve, we need to reach deeper into our creative visions and deliver services that meet our patient’s needs. One final thought. Be the DC your patients trust; display the confidence your knowledge and skills deserve; and give them honest hope. You will be their DC for life and they will value services you offer which benefit their long term well being; perhaps the long term well being of your practice, as well.

DavidDavid B. Dolberg, DCPresidentUnified Virginia Chiropractic Association

expert, as well as two months of free website hosting. Visit www.OnlineChiro.com.

USA Laser Biotech has received FDA 510(k) clearances for a new Lumix Series of lasers that combine and synchronize

high power superpulsed and continuous wave capabilities for greater clinical effectiveness. Visit www.usalaser.com.

Attention:UVCA Supporting Supplier Members

Do you have news you’d like to sharewith Unified VCA members, too?

Forward your brief product or service news to jconnolly@virginiachiropractic.org to be included in The Virginia Voice at no charge. It’s an easy, free way to strengthen your investments in membership, advertising, and convention participation!

Continued from page 1 - Supporting Supplier News Continued from page 1 - President’s Message

Supporting Supplier

pro-inflammatory background state has complex origins and is highly interrelated to diet, body composition, physical activity levels and other modifiable variables. Perhaps one of the most important and overlooked factors in a chronic pro-inflammatory state is chronic stress activation. The stress response is a series of changes in systemic activation to alter homeostasis to meet the demands of the current perceived situation. This shift in physiologic set points is termed “allostasis”. While the evolutionary origins of these set point shifts such as heart rate and blood glucose relate to the preparation for the management of danger, this system is equally responsive to psychosocial stress. While this ability to change physiologic set points is protective in situations of threat or danger, they become damaging when activated repeatedly or over long intervals in response to psychosocial stress. While the allostasis induced by brief and non-repetitive stress quickly shifts back to homeostasis, chronic stress exploits neuroplasticity, driving the alterations in physiologic response such as elevated blood pressure and activation of the sympathetic nervous system to become habitual, a situation termed “allostatic loading”. One of the often under-appreciated allostatic responses to stress is inflammatory activation. This is mediated by activation of the sympathetic nervous system which triggers release of epinephrine and norepinephrine from the adrenal medulla. One of the targets of these catacholamines is the spleen where they activate class switching in circulating lymphocytes to a pro-inflammatory cytokine producing state. A chronic state of high sympathetic activation (sympathetic dominance) associated with stress causes chronic activation of the pro-inflammatory cytokine profile even in the absence of other

stimulating factors such as infection or acute injury. In the past, suppression of inflam-matory pathways has been the mainstay of treatment for inflammation. More recently it has been appreciated that there should be a coordinated signaling of pro-inflammatory activity with activation of pro-resolving/anti-inflammatory pathways. Activation of these pro-resolving mechanisms may be more productive in symptomatic control as their activation causes co-inhibition of the sympathetic inflammatory pathway as well as activation of pro-resolving mechanisms. Both activation of the pro-resolving/anti-inflammatory pathway and the

inhibition of the sympathetic inflammatory pathway are dependent upon lymphocyte class switching in the spleen. The stimulus activating this pathway comes from the splenic plexus of the vagal nerve. Activation of the splenic plexus releases acetylcholine, which targets α7n acetylcholine receptors on circulating macrophages, causing them to produce and release a broad family of specialized pro-resoling mediators (SPMs) which are strongly anti-inflammatory and induce tissue healing. The tissue healing or trophic component of the SPM response is in contrast to direct inflammatory suppressing therapies such as corticosteroids and NSAIDs which are dystrophic and associated with tissue degeneration rather than healing. Much attention has been paid to the availability of fatty acids in white blood cell membranes regarding the potential to switch from a pro-inflammatory activation pattern to a pro-resolving/anti-inflammatory activation pattern. While this is important and cannot be overlooked, good omega-6:3 balance often fails to produce adequate clinical effect because of poor activation of WBC class switching in the spleen due to sympathetic dominance. As this knowledge has evolved, several innovative therapies

Continued from page 1 - Stress as a Pro-Inflammatory Mechanism

Continued on page 4

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for activating the vagus

nerve have been explored to balance the autonomic dysfunction that chronic psychosocial stress induces driving the pro-inflammatory state. Interestingly, these therapies have also shown potential as non-drug methods of treating the secondary affect disorders such as anxiety and depression that often result from alterations in brain activation and neurotransmitter levels associated with chronic stress and autonomic activation. As 80% of vagal signaling is afferent these vagal therapies help to re-order the central neuroplastic change responsible for the sympathetic dominance. It has been known for some time that anxiety and depression are associated with chronic inflammatory activation and that the commonly used drugs to treat them such as SSRIs do so, at least in part, by suppressing inflammatory cytokine levels. It is likely that these effects are mediated indirectly through balancing of the autonomic activation and its relationship to pro-resolving/anti-inflammatory activation. Given these observations it is not surprising that vagal nerve activation therapy has been used successfully to treat refractory depression. There are many parts to the whole story of chronic inflammation. Failure to address each component of the complex processes sequentially involved in pro-resolving/anti-inflammatory response can result in a poor outcome. Chronic stress is a dominant component and one that is perhaps the most unappreciated by clinicians. Fortunately, effective non-drug therapies now exist. We will be discussing vagal balancing therapies in depth as well as several other components of autonomic and inflammatory/

pro-resolving systems at the fall UVCA convention.

Dr. Scott Banks has been in practice for 39 years. He received his DC degree from Logan and his MS in Human Nutrition from the University of Bridgeport. He is the past editor of “Nutritional Perspectives”, the journal of the ACA Council on Nutrition, and co-editor of The Virginia Voice. He is a VCA Past President and Chiropractor of the Year. Learn more at his upcoming convention session in Roanoke, sponsored by Standard Process!

Continued from page 3

NBC 4 Interviews Dr. Gregory LeeRe: Pediatrics

Dr. Gregory Lee, Unified VCA member from Fairfax, Virginia, was recently interviewed

by NBC 4 regarding chiropractic care of babies. He conveyed knowledgeability, professionalism, confidence, gentleness and understanding. As his colleague Dr. Jay Greenstein noted, “GREAT job Dr. Lee! You were extremely well spoken, professional and engaging. You represented exceptionally well!!! To watch the interview, go to http://www.nbcwashington.com/news/health/Parents-Bring-Babies-to-Chiropractor-for-Care_Washington-DC-388397211.html.

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The May 2016 insurance tip covered the importance of getting patients involved with their

insurance provider to help resolve issues pertaining to claims and/or benefit coverage. It included a “Patient Insurance Information” document designed to inform patients of your policy and procedures and to use as a guide in educating them on their involvement in the process. The terms “Summary Plan Description” and “plan fiduciaries” were referenced in the “Patient Insurance Information” document and are a very important part of the patient education process. The purpose of this Insurance Tip is to provide more detail around these two terms so patients are fully prepared before presenting their case to their insurance provider.

Summary Plan Description (SPD):The SPD is one of the most important documents employees are entitled to receive when participating in an employer self-insured ERISA plan. It tells participants what the plan provides and how it operates. The Plan Administrator is legally obligated to provide a copy of of the SPD free of charge to participants in the following circumstances: • When a new plan takes effect• When an employee becomes eligible to participate in a plan• Upon written request of a plan participant or beneficiary The SPD must clearly identify in easily understood language the following items:• A description or summary of the benefits• The plan name, sponsor and administrator• Funding mechanisms• Participation and qualification guidelines• Calculation methods for service and benefits• Benefit vesting schedules• Benefit payment procedures and timing• Claims submission process• Claims appeal process• Address for service of legal process• Circumstances that may result in ineligibility or denial of

benefits• A statement of participants’ ERISA rights and other technical

notices Large employers typically have self-insured plans that are administered by their Human Resources Department. Therefore, if the coverage is through a self-insured plan, the first step for the patient to take when there is a problem is to contact the company’s Human Resources Department. The procedures for an internal appeal are generally outlined in the patient’s employee handbook or can be obtained from the Human Resources Department. Normally this is a process that will result in a fair determination after the patient’s specific issue(s) are reviewed and compared to the policies, requirements and procedures outlined in the SPD. There may not be a formal Human Resources Department in smaller companies with self-insured plans, but generally there is an individual or internal committee who is charged with handlingthe responsibilities associated with the plan. Usually there are procedures for submitting an appeal or complaint, but if not, the patient should first discuss the issue with his/her supervisor. If the patient feels the dispute was not settled satisfactorily through the internal process, the next option is to contact the Department of Labor for assistance since self-insured plans are regulated by ERISA and the federal government has

Working with Patients to Resolve Insurance Issues (Part 2)Dale Jackson, UVCA Insurance Committee Liaison

exclusive jurisdiction over them. Unfortunately, this can be a slow process and sometimes takes a year or more to get a final determination. Since self-insured plans are regulated by ERISA, state regulatory agencies like the Bureau of Insurance WILL NOT be able to formally assist. The patient can contact

the appropriate Virginia DOL field office for assistance at http://www.doli.virginia.gov/offices/doli_offices_locations.html or contact the U.S. Department of Labor at:

U.S. Department of LaborEmployee Benefits and Security AdministrationWashington District Office1335 East-West Highway, Suite 200Silver Spring, Maryland 20910Phone: 301-713-2000Toll-free: 866-444-EBSAFax: 301-713-2008 However, if the company plan is fully-insured, the patient should deal with both the employer and the insurance company because fully-insured plans are regulated by the state Bureau of Insurance, not ERISA. The employer’s Plan Administrator or Human Resources Department will be able to

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Continued on page 7

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a d v i s e y o u r

patient how to proceed with a complaint based on the terms of the contract between the employer and the insurance company who is administering the plan. The patient should find out who has fiduciary responsibility for the fully-insured plan – the employer or the insurance company.

Plan Fiduciaries:Most employers sponsoring self-insured group health plans exercise some discretionary authority and therefore are fiduciaries. In a fully insured plan, fiduciary status depends on whether the employer exercises discretion over the plan. A plan must have at least one fiduciary (a person or entity) named in the written plan, or through a process described in the plan, as having control over the plan’s operation. The employer, being a fiduciary, can also hire a service provider or providers to handle fiduciary functions, setting up the agreement so that the person or entity hired then assumes liability for those functions selected. However, the employer is required to monitor the service provider periodically to assure that it is handling the plan’s administration prudently. The employer is responsible for the selection of the service provider, generally an insurance company, but is NOT liable for the individual decisions made by the insurance company, such as hiring a third-party to administer the plan. An example is where XYZ company (employer) contracts with Anthem (insurance company) to manage their plan and Anthem hires ASHN (third-party administrator) to administer the plan. In this case, Anthem (insurance company) would have fiduciary responsibility for the plan and ASHN”s (third-party administrator) operating policies and procedures.

Monitoring a Service Provider:An employer should establish and follow a formal review process at reasonable intervals to decide if it wants to continue using the current service provider or look for a replacement. When monitoring service providers, actions to ensure they are performing the agreed-upon services include:• Reviewing the service providers’ performance• Reading any reports they provide• Checking actual fees charged• Asking about policies and practices (such as a TPA’s claims

processing systems)• Ensuring that plan records are properly maintained • Following up on participant complaints.

The Significance of being a Fiduciary:Fiduciaries have important responsibilities and are subject to standards of conduct because they act on behalf of participants in a group health plan and their beneficiaries. These responsibilities include: • Acting solely in the interest of plan participants and their

beneficiaries and with the exclusive purpose of providing benefits to them.

• Carrying out their duties prudently. • Following the plan documents (unless inconsistent with

ERISA). • Holding plan assets in trust. • Paying only reasonable plan expenses. The plan document serves as the foundation for plan operations. Employers should be familiar with their plan document,

especially when it is drawn up by a third-party service provider, and should periodically review the document to make sure it remains current.

Summary:The better prepared the patient is before filing a complaint with his/her employer or insurance provider, the greater the chance for a positive outcome. If the SPD is used in the preparation process, the patient will be fully informed about all aspects of the plan, including benefit coverage, the claims process and who has fiduciary responsibility. During preparation, the patient could discover that his/her interpretation of the benefit coverage is incorrect and decide not to pursue the complaint any further. On the other hand, he/she may discover a discrepancy between what is stated in the SPD and what he/she is being told by the employer’s Human Resources Department or the insurance company. If this turns out to be the case, then he/she will have already done the research and will be fully prepared to present his/her case to the administrator of the employer’s plan. If the patient has an individual plan, he/she should review the insurance policy (contract) thoroughly, just as reviewing the SPD for an employer plan. If the issue can’t be worked out with the claim representative, the patient should contact his/her insurance agent for another opinion. Since the patient is the plan beneficiary, he/she has the most influence when trying to resolve an issue, whether it’s with his/her employer or through the agent or claims representative forthe insurance company. For employer plans, the employer either has fiduciary responsibility for the plan or has a duty to monitor service providers for their performance, claim policies and practices, and participant complaints. If the patient feels this is not being done properly, his/her next option is to file a complaint with the Department of Labor. For individual plans, patients have the option of filing a complaint with the Virginia Bureau of Insurance if they feel their issue was not resolved satisfactorily. In the end, the matter will be resolved one way or the other and the patient will understand the outcome because of his/her involvement throughout the process, potentially minimizing any bad feelings toward you or your practice should he/she end up being responsible for the bill.

V. Dale Jackson is a consultant to the Unified VCA who serves as the staff liaison to the Insurance Committee. His extensive career in human resources, management, insurance and chiropractic benefits the association and its members on a daily basis.

For Insurance Tips on over 20 timely topics (and counting!) based on YOUR questions and requests:• Go to www.virginiachiropractic.org• Click on “Tools & Resources”• Select “Insurance”• Scroll down to “Insurance Tips”Member log-in required.

Continued from page 5

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Welcome, New Members!

The following have joined the Unified VCA Between 4/25/16 & 8/10/16

Amare, DC, Michael Amare ChiropracticVirginia Beach, Virginia Phone: 757-473-9900drmamare08@yahoo.comFourth Year or More DC

Chapman, DC, Cynthia Occoquan Family ChiropracticOccoquan, Virginia Phone: 703-492-4144drchapman@occoquanchiro-practic.comFourth Year or More DCAcupuncture, Cranial Sacral, Diversified, Drop Techniques – Thompson, Instrument Adjust-ing – Activator, Motion Palpa-tion, Sacro Occipital Technique (SOT)

Ciotti, Christina Student, Palmer College of ChiropracticSpringfield, Virginia christina.ciotti@gmail.comStudentReferred by Dr. David Dolberg

Hardy, DC, Roshaun Woodbridge, Virginia Phone: 914-879-4572axisdoc411@gmail.comFirst Year DCDiversified Referred by Dr. Leslie Holcombe

Harris, DC, Brittany Columbia, Maryland Phone: 202-258-0359Out of State DCExtremity Adjusting

Hatfield, Norman IDEAL PROTEINProduct/ServiceMidlothian, Virginia Phone: 804-615-7732NHatfield@IdealProtein.comAllied Supplier*** Evidence-based guide-lines for weight loss man-agement & maintenance

Hockstra, DC, Daniel Gentle Touch Chiropractic LLCMcLean, Virginia Phone: 703-760-4646doctorh@gentletouchllc.comFourth Year or More DCActive Release Technique, Cranial Sacral, Diversified, Kinesiotaping

Holland, DC, James Holland Family ChiropracticHenrico, Virginia Phone: 804-798-1110hollandfam7@gmail.comFourth Year or More DCDiversified, Full Spine, Instru-ment Adjusting - Activator

Jenkins, Michael CUTTING EDGE LASER TECHNOLOGIESFairport, New York Phone: 800-889-4184medsales@celaser.comAllied Supplier *** MLS therapy lasersReferred by Dr. Scott White

Keenan, DC, Elizabeth Beyond Wellness at Crossfit ImpavidusAshburn, Virginia Phone: 703-723-9355elizabethkeenan@utexas.eduFirst Year DCActive Release Technique (ART), Diversified, Dry Nee-dling, Extremity Adjusting, Full Spine, Kinesiotaping, Myofas-cial Release, Soft Tissue

Kieselbach, DC, Stephen Berkeley Station ChiropracticMartinsburg, West Virginia Phone: 304-267-2573DRSKDC@yahoo.comOut of State DC

Lee, DC, Matthew Potomac, Maryland Phone: 301-838-4035mlee725@gmail.comStudentART, Cold Laser, Decompres-sion, Diversified, Full Spine, Graston, Palmer Package

Lowenthal, DC, Christina Chesapeake, Virginia Phone: 510-925-5074christinalowenthal@gmail.comFirst Year DCDiversified, Drop Techniques – Thompson, Other, Extremity Adjusting, Full Spine, Instru-ment Adjusting – Activator, Motion Palpation, Myofascial Release, Soft Tissue Manadero, DC, Rod Manadero ChiropracticNewport News, Virginia Phone: 757-595-8433drmanadero@manaderochiro-practic.comFourth Year or More DCDecompression, Diversified, Drop Techniques – Thompson, Other, Extremity Adjusting, Flexion-Distraction – Cox, Full Spine, Instrument Adjusting – Activator, Kinesiotaping, Mo-tion Palpation, Soft Tissue Referred by Dr. Eric Bryant

Marks, Jeffrey Kaufman & Canoles, PCVirginia Beach, Virginia Phone: 757-491-4045jlmarks@kaufcan.comAllied Supplier/PI Network Attorney*** Legal services

Mathes, DC, Melissa Mathes Family ChiropracticMechanicsville, Virginia Phone: 804-746-57002chirodocs@comcast.netDC Spouse Referred by Dr. Mike Mathes

Peters, Anne Marietta, Georgia Phone: 540-641-4465anne.peters@student.life.eduStudent

Reymann, Marty NIMAR SUPPLYBarberton, Ohio Phone: 330-671-6686info@tenswholesale.comAllied Supplier Tens, bracing, weight loss system

Schirmer, DC, Paul Health FirstChesapeake, Virginia Phone: 757-673-8840DRPAULSCHIRMER@AOL.COMFourth Year or More DC

Sikkema, DC, John Sikkema ChiropracticLeesburg, Florida Phone: 352-250-2231sikkemachiropractic@gmail.comFirst Year DC

Sontag, DC, Thomas Back In Action Health Re-source CenterRichmond, Virginia Phone: 804-254-0200tsontag572@gmail.comFourth Year or More DC

Soper, Will FIRST DUE MEDICAL IMAGING INCBlue Ridge, Virginia Phone: 540-650-3558wsoper111@firstduemedicalim-aging.comAllied SupplierX-Ray - medical imaging

Strohecker, Andrea APEX ENERGETICSIrvine, California Phone: 800-736-4331annettebravo@apexenerget-ics.comAllied SupplierFunctional medicine educa-tion & portfolio for research-guided nutritional formulas

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E. Briggs Allen, DC Dan Atwell, DCLorenzo Austin, DC Lee Bazzarone, DCAnna Bender, DC Jeff Bowers, DCJeremy Busch, DC Dan Cohen, DCChris Connolly, DC Philip Connolly, DCCamille D’Amato, DC Gary Dennis, DCDiane DeReu-Foley, DC David Dolberg, DCTheresa Dunton, DC Sandy Elbaum, DC - Christine Fallwell, DC NEWJoe Foley, DC Todd Fisher, DC Chris Frey, DC Michael Geheren, DC Dennis Gesualdi, DC Theresa Graf, DC Teresa Green, DC Jay Greenstein, DC Lawrence Griffith, DC Mark Gutekunst, DC Thomas Hennessey, DC Leslie Holcombe, DC Duane Hudspath, DC Drew Jamison, DC Carmen Johanning, DC Vincent Joseph, DC Shawn Keegan, DC Joseph Kennedy, DC Elizabeth Koch, DC Linda Larsen, DC Ed Lauterbach, DC Robert Leib, DC Franklin Luke, DC Katrina Mayes, DC James McLelland, DC Randy Michaux, DC Bibhu Misra, DC Theresa Neiss, DC Charles O’Dea, DC Meredith Oudt, DC Minesh Patel, DC Christopher Perron, DC Janice Piedmont, DC Anne Pinto, DC Robert Pinto, DC Richard Reinhold, DC Andrew Reno, DC Brad Robinson, DC Nisha Saggar-Patel, DC Jean-Luc Sansfaute, DC Theodore Savvas, DC Tim Scheuerman, DC Joanne Schmit, DC Matthew Schrier, DC Randy Short, DC Elizabeth Skorupa, DC Lonnie Slone, DC Will Sonak, DC Sam Spillman, DC Christine Stewart, DC - Susan Sweeten, DC NEWEric Terrell, DC Robert Thoma, DC Nguyen Tran, DC Ray Tuck, DC Kevin Walsh, DC William Ward, DC Thomas Wetzen, DC Joshua White, DC M Scott White, DC Adam Wilding, DC Howard Wilson, DC Stephen Wolford, DC Jeffery M. Wynn, DC

“I love my Premier membership!”- Dr. Anne Pinto

Enjoy all the regular benefits of DC membership,PLUS:• Free spring and fall convention registration for the DC• Free spring and fall convention registration for a CA• Register for conventions with a simple phone call or

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S U P P L I E RM E M B E R

Reading RecommendationsFrom time to time, UVCA members mention books and resources that they particularly like. We’ve started compiling those suggestions so that members can refer to them at any time.

Here are two, for starters:1. Low Back Disorders, 3rd Edition by Stuart McGill, PhD:

Dr. Jason Brown says, “I highly recommend it. The second edition was great but this 3rd edition is even better. It should be required reading for every chiropractor.”

2. The Six Pillars of Sports Recovery: A comprehensive guide on how to recover faster and outperform at the highest levels, 1st Edition by Ricky Rosa, DC. Dr. Louis Crivelli states, ““This is a great book that deals with a crucial part of athletic and physical performance, recovery. Many texts and resources deal with the training leading up to an athletic event, but seem to neglect the necessary steps one must take AFTER the event or workout in order to maintain peak performance. Dr. Rosa’s 6 pillars encompass the entire recovery process; he leaves nothing out. I especially liked his section on psychology. His references are excellent. I look forward to utilizing his concise method to help my patients, competitive athletes and “weekend warriors” alike, stay healthy and at their best. I would recommend this book to any physician or clinician interested in helping athletes as well as the athlete themselves.”

Have your own recommendations to share? Please forward to jconnolly@virginiachiropractic.org.

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Virginia Chiropractic Political Action CommitteeCONTRIBUTORS

2016 Contributors Based on Monies & Pledges Received by 8/10/16

The Future of ChiropracticStarts TODAY

I want to advance and defend my profession by contributing to VA-CPAC, which works diligently to support pro-chiropractic candidates in Virginia. I wish to contribute:

$_____ Monthly until further notice OR $____ 1-Time(Every contribution is personal. As a reference point,the minimum suggested donation is $70 per month.)

Name:________________________________________________________

Signature:_____________________________________________________

Date:_________________________

Personal Credit Card Info for Monthly or 1-Time Contributions Per Above

_____Visa or _____MasterCard

Acct #:______________________________________ Exp:_______________

Auth Code:_______ Billing St:______________________________________

Ste:_____ City:________________________________ State:___Zip:______

Personal Check Payment Info for 1-Time Contributions

Check #:__________

Name on Check:_________________________________________________

St Address:__________________________________________ Ste:_______

City:____________________________________ State:___ Zip:___________

MAIL to VA-CPAC, POB 15, Afton, VA 22920; FAX to 540-932-3101; OR DONATE ONLINE NOW at http://vachiro.site-ym.com/ ?page=35.

PayPal available or make it easy on yourself with EZ-Pay!

Robert Bowie

Society

($1000+)Dr. Jeremy Busch

Dr. Chris DeGraw

Dr. David Dolberg

Dr. Christopher Frey

Dr. Jay Greenstein

Dr. Franklin Luke

Dr. Bibhu Misra

Dr. Mathias Pastore

Dr. Minesh Patel & Dr.

Nisha Saggar-Patel

Dr. Christopher Perron

Dr. Brad Robinson

Dr. Burt Rubin

Dr. Matthew Schrier

Dr. Samuel Spillman

Dr. Steven Trauben

Dr. Kevin Walsh

Dr. William Ward

Dr. M. Scott White

Dr. Adam Wilding

Gold

($600-999) Dr. Jeff BowersDr. Gary DennisDr. Todd Fisher

Dr. Lincoln GermanDr. Mark GutekunstDr. Michael Haas

Dr. A.J. LaBarberaDr. Linda Larsen

Dr. Bob LeibDr. Susan Martin

Dr. Kat Mayes & Dr. Tess GrafDr. James McLelland

Dr. Robert PintoDr. Keith Schreffler

Dr. Tom Wetzen

Silver

($400-599)Dr. Michael AmatoDr. Philip Connolly

Dr. Doug CoxDr. Sandy Elbaum & Dr. Adam

ElbaumDr. Janice Piedmont Dr. Susan Sweeten

We Cycle (X-Ray film recycling)

Emerald

($200-399)Dr. Christopher Belluzzo

Dr. Anna BenderDr. Chris Connolly

Dr. Paul CronkDr. Robert Egan

Dr. Louis FernandezDr. Joe Foley & Dr. Diane

DeReu-FoleyDr. Wayne FuscoDr. Milan LassiterDr. Lee Matthis

Dr. Michael PankowDr. Stewart RawnsleyDr. Suzanne Santjer

Dr. Daniel ShayeDr. Martin Skopp

Dr. Garrett ThompsonDr. Michael Vanella

Bronze

(Up to $199) Dr. Brent BanksDr. Gary Blabey

Dr. Chris BrunoDr. Eric Carlsen

Dr. Kell FleshoodDr. Don Handly

Dr. Elizabeth KochDr. Thomas NicolaiDr. Michael Placide

Dr. Eric SaxtonDr. Will Sonak

Dr. Steve VeGodskyDr. Kevin Westby

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CCost

CMC’s mission is to provide Chiropractors and Chiropractic patients with unparalleled service unlike any traditional billing service. We achieve this by dedicating a highly trained Client Service Representative to serve our clients every need. We support our Client relationship with state of the art computing and communication technology. We also offer other scalable administrative and managerial services that are aimed at making our clients more efficient and profitable.

OOur Mission

Our packages include payroll and benefit administration, HR virtual access, office assistant, performance reports and more.

Our state of the art computing and communication technology solution coupled with the most advanced medical software is designed to simplify administrative tasks and improve productivity- and it’s simple to use!

• Worker’s Compensation • Commercial Insurance Plans

• Secondary Plans• Personal Injury Payer

CMC will focus on completing the necessary administrative task so that our clients team can focus on the patients well being.

Third Party Billing with All PayersWe utilize our software to manage claims with all payers, including:

Electronic & Paper ClaimsWe will always find the best and most efficient means available for the quickest payout.

Payer Follow-UpWe will research all outstanding insurance and resubmit those claims for payment.

Call CenterCMC will be the primary recipient for all billing related calls from Insurance payers, patients, attorneys, etc. thereby keeping your phones clear for new patient calls.

Other OfferingsInsurance Verifications/Authorization, Collections, Scheduling, Credentialing, Durable goods, Nutritional Supplements, phone coverage, training.

OOur Mission

CMC understands that every client is different. Therefore the cost structure and payment method can be suited to meet each clients needs. Bottom line: We don’t get paid until you get paid.

• Medicare

CMC supports these programs with a

highly trained, professional, courteous

staff. Our team has over 30 years of

experience in this type of service support.

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Classifieds

Unified VCA DC Members mayplace a classified ad in The Virginia Voice and on VCA’swebsite free of charge. Fee is$50 for member vendors and$85forallnon-members.Listingwill remain on website for 3months, plus appear in at least1 issue of VCA’s newsletter, atleast 1 broadcast email/fax tomember and non-member DCsthroughout VA, and at least 1promotion of link toClassifiedsonVCAdoctalk. Individualsmaynot post classified listings tothe list-serve, per membershipvote. Limit of 35 words maybe imposed. For deadlines,displayadinfo.and/ortosubmityour listing, e-mail jconnolly@virginiachiropractic.org.Sections:• Events• Coverage• Non-DCPositionsAvailable• DCPositionsAvailable• Practices• Products&Services• SpaceAvailable• EquipmentWanted• EquipmentAvailable(Updated8/11/16;From3/15/16)

Events

For DC & staff training from the Unified VCA & its partners, visit the Calendar section of the web site.

Coverage

Excellent office coverage for VA. Full spine & instrument adjusting, nutrition. 38 yrs experience. Licensed, insured, references available. Reasonable rates. 540-270-8855, email: onegooddoc@gmail.com, Michael O’Daniel, DC. [listing#100616c]

DC Position Available

Arlington / NOVA: Amazing Opportunity! Seeking FT associate at busy multi-discipline, sport based practice. We are the future of chiropractic & rehabilitative care. We incorporate X-ray, diagnostic ultrasound & J-Tech functional based testing in our practice as well as full medical & physical therapy services. Base salary w/potential of $100K plus. Vacation, Continuing Ed, Malpractice paid by company. Contact info@novarehab.com or call 703-535-7817. [listing111116a]

DC Position Available: Immediate openings in our new, The Joint Loudon County clinics for highly skilled Chiropractors who are friendly, energetic, driven for success & embrace bringing routine, convenient, & affordable care to patients. We offer a competitive salary w/performance bonuses, a consistent flow of new patients each month, paid malpractice insurance & CEUs, w/ZERO insurance, paperwork or billing hassles. Email resume to dcooper@cooperkirk.com. [listing#111017a]

Associate/Independent Contractor Opportunity in NOVA: Looking for motivated doctor w/goal of partnership/ownership in our established 25 yr practice. Contact at slatg2004@yahoo.com. [listing#111016a]

Independent contractor DC wanted to join well-established single doc practice near Towers Mall in Roanoke. Attractive, spacious, fully furnished office w/digital x-ray system plus staff will help jump start your practice. Must be motivated & a versatile adjuster preferably offering acupuncture also. Rent & terms of contract negotiable. Call 540-589-4145 & please leave a message. We will return your call within 1 business day. [listing#110316a]

Sports Minded DC: Crossfit a plus, but one who enjoys the usage of MRT, Graston, & taping as tools to getting their patients & athletes, better. Must enjoy working-out. Multiple opportunities in VA & Maryland. Email Eugene.Su@mybwdoc.com. [license#110116b]

Associate DC, Partnership Opportunity, Ashburn/NOVA - Amazing opportunity to grow, learn, succeed on every level at a waiting-list practice. We’ve spent 10 yrs earning a wonderful reputation for individual care & we need help. Practice offers Chiro, Physical Medicine, Massage, Reiki, Yoga. All experience levels considered. Salary reflective of experience – benefits, VCA membership, continuing education included. Resumes to Andrea@theomcenter.com. Visit www.theOMcenter.com. [listing#102616a]

Williamsburg: Excellent opportunity for experienced (or new) Chiropractor needed for dynamic multi-specialty practice.

Newton, DC, LMT. Techniques in addn to basics: Cox F/D, Webster, NMT, MFR, 678-938-5712, 1drnewton@gmail.com, NCMIC insured, REFS. Position Wanted

Looking for full time IC position in/near Ashburn. Seeking a clinic w/adjusting room, receptionist service (phone calls, scheduling, billing, etc.), onsite x-ray. Will build own practice. Contact me at d.c.chiro1021@gmail.com. [listing#101516]

Graduate of Palmer Chiropractic College Florida. Looking for Full/Part time CA job w/possible opportunity of employment as an associate after obtaining license. Proficiencies/certifications: A.R.T. (full body & complex), Graston, Palmer Pkg, & Personal Training. B.S. in Kinesiology from UMD. Pls email me at mlee725@gmail.com. [listing#093016b]

Non-DC Position Available

Chiropractic Assistant-Front Desk: Growing Chiropractic office needs energetic, friendly, detail orientated front desk CA w/excellent communication skills. Exp preferred, willing to train! Office concentrates on Sports & Wellness & treats athletes of all ages. Great working environment! Office hrs needed are 3-7 pm for 4 days/wk with occasional Saturdays. Call 703-406-8686 or email potochiro6@aol.com. [listing#101316b]

Jacobs Chiropractic is a growing practice seeking an ambitious New Massage Therapist. Motivated new grads preferred, w/a desire to learn & to become a partner in a growing practice. Seeking a loyal, hardworking, intelligent new Therapist to join the practice. We are looking for someone who is approximately within 20 minutes of our office location. Contact Layla Newman at 703-892-0430 or email frontdesk@jacobschiro.com. [listing#100816b]

A chiropractic office in Alexandria VA is looking for a licensed massage therapist. Please contact 703-270-9020 or email your resume to edenchiro@gmail.com. [4/25/16]

Medical Billing Services Specialist (Alexandria, P-T): Growing sports med/chiropractic rehab practice, Potomac Physical Medicine, seeking energetic, team-oriented, hard-working, professional billing specialist to join our team. Looking for integrity, intelligence, initiative. Perform internal control audits on accounts & A/R, electronic claims submission, EOB posting, appeals filing, etc. Excel & Ten Key proficiency, 2-3 years’ experience, 2-3 references required; certificate preferred. Principals only. Call 571-482-9734. [4/25/16]

Office Coverage & Associate Placement State Wide Since 1986. Full & half day rates. Emergency, maternity, short, & long term coverage.Large selection of licensed & insured chiropractors. We can help w/your coverage & associate needs. Free 90 minute orientation w/our cover doctor. Back ups just in case. Call for a FREE quote. 1-800-501-6111 mmachiropractors.com. [listing#082716]

Vacation coverage, relief services: Greg Walter DC, NCMIC insured, 30 years of experience caring for chiropractic patients. Based in Roanoke but can cover anywhere in VA. Familiar with ChiroTouch software. Email glwalterdc@cox.net or call 540-797-6640.

Is peace of mind & continuity of care while you are away important? It sure is! If you need Office Coverage, you need me! Over 30 yrs of clinical experience in majority of techniques including instrument & soft tissue, important clinical & patient management skills. NCMIC insured. Let’s talk to see if we are a fit…. Email drpatb@gmail.com or phone 617-901-0925.

Dr. Bob Simpson with 18 yrs of exp: NCMIC insured, & a long list of references will keep your office open - for vacations, maternity leave, or just because. Call or Email: 757-813-7926 or 4dr.bobsimpson@gmail.com.

Vacation Relief Svcs: Keep yr ofc open. Yr practice run your way. 28 yrs exp ofc coverage. Proficient in many techniques. NCMIC insd. Statewide coverage. Refs. Reasonable rates. Call J Terry Fowler, DC at 770-597-2872 (cell), or email jtfowlerdc@yahoo.com.

Dr. Ginger Wolfe: I’ll take great care of your patients & keep it consistent!! 15 years of exp. as sole practitioner. Gonstd., Thmpsn., Div., Act., Prenatal/Ped. care. Webster Cert, NCMIC insd, Long/Short-term cov. for Norfolk-VB & surrounding areas. Google my reviews. 720-503-5111 or drgingerwolfe@outlook.com.

20 + Yrs Exp in Bodywork: Statewide & maternity coverage available. Margaret

Financial Services for UVCA Members

Kathy E. JohnsonFinancial Services Professional

MassMutual Greater RichmondOverlook 1, 4880 Sadler Rd., Ste. 110

Glen Allen, VA 23060Office (804)290-8777 Cell (804)683-4028

kejohnson@financialguide.com

S U P P L I E RM E M B E R

Continued on page 15

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Professional Co-op ® does not have �nancial relationships with, and is not owned or controlled by a supplement or drug company.

® P: 866-999-4041 F: 866-999-9175www.ProfessionalCo-op.comwww.Facebook.com/PCSLab

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Outstanding Customer ServiceFully Customized Online SystemEducational Resources

Lab Testing

Service with Integrity Since 2001

In 2001, we leveled the playing field so that every appropriately licensed practitioner in America could

have access to inexpensive lab testing!

A Legal Lab Service For Licensed Professionals Only

DCs’ Use ofKinesiology Taping & Topicals

The results of Dr. Jay Greenstein’s recent survey to better un-derstand how DCs use Kinesiology taping and topicals appear

below.

1. Do you utilize Kinesiology taping for your patients?

Yes 61.11% No 38.89%

2. Do you utilize topicals for your patients (Biofreeze, ChinaGel, etc.)?

Yes 82.41% No 17.59%

3. Do you apply topicals to the same area that you apply kinesiology tape?

No, I do not apply topicals to the same area where I apply tape 74.07% Yes, I apply topicals directly on the tape, AND around the tape 15.74% Yes, I apply topicals around the tape, but not onthe tape 8.33% Yes, I apply topicals directly on the tape, but not around the tape 1.85%

For more information regarding the survey, contact Dr. Greenstein at drjay@ssrehab.com.

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Must be highly motivated & willing to build! Practice specializes in holistic care, provides integrated treatment, & has a great local reputation. PT to FT as practice grows. Competitive salary & benefits package. Pls send resume to Clee@fusionchiro.com. [listing#102116b]

Great Opportunity for DC in Arlington. Looking for a highly skilled DC w/great interpersonal & comm skills. Position is for full or part-time. Competitive salary w/bonus structure. Ownership plan in an integrative health center. For more info, pls contact Dr Ziegler at Drlou@advhealthctr.com or 703-521-0644 or visit us at http://www.advhealthctr.com. [listing#102116a]

Position for amazing manual adjuster available immediately. Good manual adjustment techniques, communications skills, healthy lifestyle, solid team player. No need to attend to hiring, firing, admin hassles: just on delivering amazing adjustments, managing patient care, documenting progress. 40-42 hr work wk. Competitive pay + bonuses! Submit cover letter explaining why you’d be a good fit, recent photo if desired, & resume to aektaerry@gmail.com. [listing#102016a]

Wellness Chiropractor needed in the NoVa area (Sterling, Alexandria, Ashburn,

Leesburg). We are a cash very busy mostly diversified technique clinic that is very patient & adjustment focused. Must be skilled in Diversified, Thompson & Activator techniques. No entitlement issues, loves to educate & looking for more than a job is a plus. Dr. Marc Solomon, 386-256-6940 or Drmarc@chiropracticheadhunters.com. [listing#100716c]

Looking for an Activator DC: Incredible IC opportunity. Space available in a Multi-Disciplinary practice w/multiple other chiro’s, acupuncturists, physical therapists, & massage therapists to work with. Ideal for an IC position or a Chiro w/an established following. Space is in the heart of Ashburn. Webster, ICPA, SOT, AK or other gentler techniques would be a plus. Email Eugene.Su@mybwdoc.com. {listing#100716a]

Arlington: Busy sports/fitness-minded practice w/strong community presence seeking FT associate. Must be dedicated to patients, have great diagnostic skills, dynamic personality & practice what you preach. Candidate must use diversified technique, have experience w/ART, myofascial release, soft tissue mobilization, Graston & taping. Base salary w/earning potential up to $105K, paid vacation, continuing ed & malpractice insurance allowance. Contact drmoses@arlingtonpainandrehab.com. [listing#100616b]

Ashburn Gold’s Gym Chiropractic space opportunity available. Ideal for an Independent Contracting position or a Chiro w/an extablished following. Space is in the heart of Ashburn. ART, Graston, & Rock Taping a plus. Email Eugene.Su@mybwdoc.com. [listing#100616a]

Arlington: Looking for motivated DC & ART Provider experienced w/full body diversified adjusting; Salary + Bonus structure; Full Medical/Dental; 401k + Employer match; Reimbursement for seminars/certifications; Please email CV to our hiring manager, Brian Morgen: br ian@fu l lmot ion l i feandspor t .com. [listing#100116]

Associate Wanted: Virginia Beach - Town Center area, family oriented / instrument focused adjusting practice. $40K salary starting. Typical hrs of work: noon-7pm, 5 days a week w/one Saturday/month. Proven internal systems as well as required marketing events throughout each month. Email resume to doctor@vabeachchiro.com. [listing#093016a]

Will pay up to 65K base + bonus (~10K) if you have great hands & have an outgoing personality. In addition, we cover your malpractice, offer major medical insurance, & cover C/E hrs. A bonus if you have skills in soft tissue techniques.

Continued on page 16

HAVE YOUDISCOVERED?

CelebrateWellness!

• Social Media Tools• Patient Education

Hand-outs, Videos & PP Presentations

• Marketing Resources

• Community Pre-sentation Materials

• Tips & Tutorials• More -- all FREE

for Members Only1. Visit www.

virginiachiropractic.org2. Click on the “Celebrate

Wellness” button3. Questions? Contact the

Unified VCA

the

SUPPORT the

STRENGTHthe

FUN

Encourage a non-member to join the Unified VCA

and you can win:• Up to $1000 in cash,

courtesy of Chirocenters Management Corp.

• $400 towards an office supply purchase from Chiro1Source

• A customized video to help you promote Chiropractic Health Week from Trusted Voice & Video

2016 Member SponsorsAs of 8/4/16

2 New Members:Dr. David Dolberg1 New Member Each:Dr. Eric BryantDr. Leslie HolcombeDr. Franklin LukeDr. Shawn KeeganDr. Michael KominskyDr. Mike MathesDr. Lee MatthisDr. Minesh PatelDr. Joseph A. SantarsieriDr. Matthew Schrier

Dr. Will SonakDr. Carly SwiftDr. Nguyen TranDr. Greg WalterDr. Tom WetzenConvention attendance not required to win.

Visit the Membership Recruit-ment tab and click on Member Sponsorship for applications, benefits information and testimonials. Questions? Feel free to call 540-932-3100 or email jconnolly@virginiachiropractic.org.

Continued from page 13

Prize Sponsors:

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Unify Your Social Media MessagingHelp build Chiropractic’s collective reach and market share! “Friend” our Facebook page, share Unified VCA’s posts (one recent example appears above) to your own page, and follow UnifiedVCA in your Twitter account. This will allow the PR Committee to simply “friend” and follow back the members who do so. Additionally, build your individual practice’s reach by systematically asking your patients to “Like” your practice’s FaceBook page and follow your Twitter handle.

IMMEDIATE opening for a DC in Herndon, 30 mins from Wash, DC. Fax resume to 703-471-4548 or email chiroad20170@gmail.com. [listing#091416a]

Woodbridge: Bright office seeks energetic associate for long term associate-ship. Ideal candidate: can educate patients, high energy, highest ethical standards, team player, truly believes in the healing powers of chiropractic. Clinic specializes in spinal correction & rehab (will train right candidate). Excellent salary w/base. Please email resume to chiro368@aol.com. [listing#090916b]

DC Needed (Rosslyn Metro Center & Potomac Falls): Searching for Associate DC to join our practice providing spine care & integrated physical medicine. Clinically strong, Motivated, Self-starter w/good interpersonal & comm skills. Acupuncture subspecialty, PT, Rehab training a Plus. $52,000 base salary & Profit sharing w/Opp for Partnership. Email CV to Dr. Lee at RaphaClinic007@gmail.com. New graduates welcome! [listing#090916a]

Effective Chiropractic & Effective Integrative Healthcare is in need of a full time DC with PT Privileges & Maryland license. Great pay & benefit package available. Must be a confident manual adjuster. Experience

preferred but not mandatory. Please email CV to dochardnett@comcast.net. [listing#090816a]

Woodbridge: Full-time or Part-time associate position available immediately in a sports rehabilitation practice. Background in rehabilitation, ART, graston a plus. Must be hard working, ethical & a team player. Competitive salary w/partnership opportunities in the future. Please send all resume to: wssrehab@yahoo.com. [listing#090716a]

IC or Associate opportunity at a busy chiropractic & PT practice in Loudoun County: Currently we are two chiropractors & two CMT’s. IC- compensation is a fixed high percentage of paid services. Associate options TBD based on skill level. Benefits package considered after six mos. Must have excellent full spine adjusting skills. Contact: OfficeManagement25@gmail.com. [listing#090216d]

Full or part-time associate position available in Alexandria: 20 yr old practice, well established & in a great area just outside of Old Town. We have a loyal staff & a terrific patient base. Prefer experienced DCs but will consider new grad w/requisite skills & abilities. Please contact Dr Catherine Camp, ccamp22@gmail.com. [listing#090216c]

Lynchburg: Great family community w/plenty of outdoor activities & Liberty University. Symptom relief, structural correction & wellness care, depending on the patient’s desires. We also provide advanced nutrition & detoxification protocols. You will be trained to do the adjusting, exams, ROF, marketing, etc. Salary, bonuses, paid vacation & benefits. Send cover letter & resume to drjeff@drtanzar.com. [listing#082416c]

Fantastic opportunity in beautiful Midlothian: Great starting salary, strong incentives. No weekends & the marketing is done for you. 20 yr practice has a history of successful 6 figure Chiropractors & has mentored some of the areas finest drs. Please send resume to rvaassociate@gmail.com. [listing#082316]

Associate wanted for cash practice: Must have upbeat personality, technical prowess, & a desire for long-term position leading to partnership. Compensation: salary plus percentage. Email resume/CV to Chrysanthi168@gmail.com. [listing#051817]

A chiropractor needed for a busy NOVA practice: Base salary plus bonus. Please forward your resume to edenchiro@gmail.com. [4/25/16]

Associate Doctor/Independent Contractor position available: Busy practice in VA Beach looking to grow. Generous compensation or equitable rental space available. Excellent opportunity for the right dr. Full time or part time available. Please send resume/interest to trj3@cox.net. [4/18/16]

Arlington: Looking for a full-time licensed & credentialed DC w/willingness to expand & grow w/us. 1 yr of experience & sports experience a +. Must be upbeat & active self-starter. Email drmoses@arlingtonpainandrehab.com. [4/18/16]

Immediate opening for a Chiropractor in Fredericksburg, 50 mins south of Wash, DC: Booming area! MUST be hard working & have good moral character to join our team of 3 drs. Must be certified in soft tissue techniques (ART, Graston, etc). Competitive pay. Please email your resume to totalrehabinc@gmail.com ASAP! [4/14/16]

Seeking Independent Contractor: Clinic in NoVa in one of the fastest growing/most lucrative counties. Staff optional for scheduling, answering phones, greeting patients, maintaining accounts/records, filing ins, assisting w/ins apps, billing. On-site new digital x-ray, complete office renovation, paperless software, location w/great visibility, established location for over 17 yrs. Contact by us by email: indepcontract@vacoxmail.com. [4/14/16]

Our chiropractors use an evidence based approach to evaluate, assess, treat & manage patients with musculoskeletal

injuries & conditions. If you’re interested in joining our mission to deliver the best soft tissue treatment on the planet with a genuine passion for healing patients & a support team driven to provide every resource possible to impact the lives of our patients, apply online at http://www.airrosti.com/join-our-team/. [3/30/16]

Unique opportunity in NoVa:Mature, profitable, 25 year practice in suburban Wash, DC currently looking for an associate chiropractic physician to join our team. Dr retiring/relocating in 1-2 years. Full buyout & take-over opportunity. To learn more, forward resume to cfhc@aol.com with a brief description of availability. [3/24/16]

South Hill: Seeking associate to help expand 6 yr old practice. Located near Lake Gaston; approx 1-hour between the Richmond, VA & Raleigh, NC metro areas. Welcome new graduate or experienced dr. Check out website at www.nlchirova.com. Contact Dr Jessica Upton at nlchirova@gmail.com. Fax info to 434-447-3046 or call 434-247-1781. [3/22/16] Family practice in Great Falls is looking for an associate DC: Must have excellent adjusting skills, willing to learn, & have experience w/extremities, disc herniations & sports injuries. Palmer pkg preferred. Email loebigchiro@gmail.com or call 703-757-5817. [3/21/16]

Ariya Family Chiropractic Centers, Greater Richmond area, looking to make an associate’s dream come true & offer rewarding compensation package, ask our current doctors. We offer 401k & cover 1st year malpractice, UVCA membership & conventions. The position consists of salary + performance bonus. Experience is a plus. For more information or questions call 804-526-7125. Please fax resume to 804-520-7624 or email ariyachiropractic@yahoo.com.

Wanted: Dr w/great adjusting skills, basic knowledge of nutrition, basic applied kinesiology a +. We are an integrative practice of DCs/applied kinesiologist, acupuncturist, nutritionist, MTs. Send your resume to drtomroselle@gmail.com. Salary, Bonus, Benefits (health insurance, malpractice insurance, 401K, paid vacation & holidays, possible stock options.) www.rosellecare.com.

Unique opportunity for lic’d DC to share in 20-yr holistic practice (Chiropractic, Acupuncture, MT) w/a get-well/stay-well approach. In 1 of the fastest growing areas betw DC & Richmond. Must be intrinsically motivated to succeed. Ownership potential for right person. Bring your skills & positive energy. Pls email CV/resume to FBGWELLNESS@verizon.net.

Sport & Spine Rehab, a rapidly growing Chiro, PT & Rehab co is looking for highly skilled, ethical DCs w/exc clinical, interpersonal & comm skills. Competitive

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salary, bonus structure, benefits plan inclusive of health, dental, life, long term disability insurance as well as cont ed benefit, 401K match, ownership plan, more. For more info, pls contact Dr Jay Greenstein at drjay@ssrehab.com.

Practices

Fredericksburg: Opportunity of a lifetime! Solid, quickly expanding family practice for sale that will collect over $500K this yr. Turnkey office. Established massage therapy practice that generates substantial passive income. Priced to sell & it wont last long! Contact fredericksburgvachiro@gmail.com for more info. [listing#110116a]

RICHMOND SUBURB, VA - EXCELLENT BUY-IN OPPORTUNITY! Earn $100K 1st year, $115K 2nd year, annual increases. Majority of ownership through sweat equity & lion’s share of profit from growth. Professional Practice Advisors, Inc. 800-863-9373 www.practiceadvisors.com. [listing#101316a]

Towson, MD: attractive building, 23 parking, rooms: spacious waiting & reception, 4 trt, exam, x-ray, consult, traction, 2 office, rehab/exercise, 3000 sq. ft. w/great visibility. Successful practice w/significant income. Turn key. Transition period & will consider lease arrangement. Inquiries: marylandpainrelief@gmail.com. [listing#092316]

Why Associate when you can work towards owning your own office in South Hampton Roads? 100% Owner-financing for the right, experienced doctor. Thriving 15+ yr old practice for sale in excellent high-visibility location. Chiropractic & massage services, $400K collections. NO paid advertising. ChiroTouch EHR. Diversified/Thompson/Manual. Solid staff, practice respected in community. Current doc will stay for smooth, non-hurried transition. Inquiries: SHRChiroOffice@gmail.com. [listing#082416b]

For Sale Tysons Corner Center Area: W/Urgent Care Above on the 3rd Floor. Great Location/Low Overhead. Successful 2 yr old Family, PI, 4 days/week.Solid patient base/strong foundation to build upon. Selling for ONLY $50,000! (including Practice, equipment, INS Acc. Receivable & transition assistance). Dr moving out of state, can stay for transition. Call 703-898-8190 or email hourieh.zamani@gmail.com. [5/9/16]

FOR SALE: Successful Family, PI, WC practice w/newly renovated office condo. Located in 23454, Virginia Bch, central to lg med community. Avg gross for last 3 years $227,000; selling for cost of equipment $56,000, including transition assistance & some accounts receivable. Condo selling for $261,000, est value in 2013 was $283,000. Pls call 757-777-7812 or email inquiries to DC103VB@gmail.com. [3/23/16]

Products & Services

When patients visit your website, what does your ‘Welcome to our practice’ video look like? What do your patients hear when your staff places them on hold? Trusted Voice & Video is the trusted choice for video, on-hold, radio/TV voiceovers, & more. UVCA endorsed. Visit www.trustedvoice.com to begin your journey to practice excellence.

Space Available

Medical/Chiropractic room for rent on a very busy street in Herndon: Clinical setting of 1000 sq ft with room equipped w/adjusting table, computer, software, phone, & staff. Email officespace@vacoxmail.com. [4/14/16]

Exp w/Acute Care &/or Family Wellness - then this is a gold mine for you! Seeking practitioner to share in beautiful, spacious Charlottesville healing center. (DC, MD, DO, MT, LAc). Expect regular referrals from our specialized practice! Contact: praxchiro@gmail.com or (434) 806-8678. [3/22/16]

Control Your Own Destiny, Be Your Own Boss: High-end, high visibility, low-overhead practice in Hanover County, located in a medical office park ¼ mile from I295 & Memorial Regional Hospital. Over 2600 sq. ft. of prime office space is waiting for an entrepreneurial chiropractor to share. Private office, therapy & rehab suites. This

is how practice is supposed to be! Email: dr.dana.williamson@gmail.com. [3/17/16]

Seeking practitioner to share office space straight rental & some shared expenses. Charlottesville 2300 sq ft, available M, W, F. Prefer integrative minded practitioner (DC, MD, DO, MT, acupuncturist, medical/pain mgmt dr). Contact Suzanne A Coffey, DC APCM, 434-825-4362 or drcoffeydc@gmail.com.

Equipment

Barnes Flexion Distraction Table with drop lumbar. Mechanically sound. Height 25”. A couple of picks in vinyl. Pictures on request. $ 200. hwcdc@aol.com. [listing#110916a]

ScripHessco Company: New & Reconditioned Equipment, Adjusting tables, Decompression-Flexion tables, Laser & Electrotherapy. Contact bcassell@scripco.com or call 800-586-2448 & ask for Brenda. [listing#102516b] Used Equipment For Sale: Cox elevating adjusting table; Zenith Hylo adjusting table; Winco therapy tables; Hill anatomotor; Mettler diathermy; Nemectrodyn interferential; Electromed high-volt pulsed galvanic; SAM (spinal analysis/posture analysis); Scale; Balans chair; wall-mounted chart holders. For details, email susan@usit.net. [listing#102516a]

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Limited benefits, high deductibles and co-pays, combined with faulty financial policies that don’t make sense to patients, can all affect your waiting room, your practice, your bottom line, and your attitude. Not to mention exposure to complaints, audits, fines and penalties.

It doesn’t have to be that way. Ever wonder why orthodontists seem to have an endless flow of new patients, and everybody “finds the money” to pay even when insurance isn’t available? It’s simple; they show the need for care, they have a plan of care, and they keep it affordable by offering SIMPLE financial options.

You can too, as part of ChiroHealthUSA. Patients need and want care or they wouldn’t come to your office. Provide a thorough consult, exam and Report of Findings to establish the need and benefit of care. Then offer a simple, compliant, FINANCIAL Report of Findings using ChiroHealthUSA to show patients how you can help keep their care affordable, whether they have insurance or not.

Want to fill up your waiting room again? Join ChiroHealthUSA and learn how to:

• Convert “shopper calls” into new patients.• Transition insurance patients to private pay.• Keep care affordable for your cash and underinsured patients like Medicare.• Help more families even with high deductibles and co-pays.

Contact us, or visit ChiroHealthUSA.com/FROF for a simple, one-page financial policy that can lay the groundwork for not only growing your practice, but protecting it from complaints about dual fee schedules, improper time-of-service discounts or inducement violations.

Simple. Compliant. Profitable.

1-888-719-9990 / www.chirohealthusa.com / info@chirohealthusa.com

EMPTY WAITING ROOMS TELL ASTORY...

S U P P L I E RM E M B E R

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Litecure LCT 1000 Deep Tissue Laser: 10W Continuous Wave or Pulsed. New in 2010 for 24K. New now is 25K. Complete w/all manuals, goggles & all necessary accessories. $8,500. contact sniblo@norfolkchiropractic.com. [listing#101916a]

Cybex Arc Trainer 625AT Total Access in like-new condition & barely used. Qualifies for the 50% ADA tax credit. Bought it for $6600 2 yrs ago, asking $4k. Also have wall mounted rehab tracks (2) for $100 & a Titan lumber flexion table for $300. Email Dr Patrick w/any questions/pics at chirocool777@yahoo.com. Insight Substation complete w/NeuralTherm Scanner & sEMG Static & Dynamic scanner, used only once or twice complete set w/case & laptop Insight program installed. $5500 OBO Call 757-588-4000 or email drconnelly11@gmail.com. [listing#090216a] Chattanooga DTS spinal decompression tables for sale (2).Both are in great condition. Brand new belts & just refurbished traction heads. Look & work like new. $5,500 a piece or $10,500 for both. Located in Midlothian. steelerooney@gmail.com. [listing#082416a] Clinic/Office Equipment/Furniture - Retirement Sale: Lloyd Galaxy Ultimate elevation, hylo, flexion, auto drop table;

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PROVE PERMANENT IMPAIRMENT IN “SOFT-TISSUE” WHIPLASH TRAUMA Digital Motion Fluoroscopic X-Ray (DMX), allows you to view the joints of the body while in motion. Objectively documents if there is permanent damage to the ligaments of the cervical spine.

DMX may be the most persuasive visual evidence of ligament injury to substantiate your patient’s claim of chronic headaches and/or neck pain following a trauma.

Attorneys are happy to refer when you can objectively demonstrate these injuries so they can argue better settlement outcomes for their client.

Our reports include an independent computerized measurement analysis and interpretation by a medical radiologist.

Email DmxImaging@gmail.com to receive a sample report and how you can provide and bill for the measurement analysis and report. Just put “send sample report” in subject line of your email.

Located in Northern Virginia since 2007. Liens accepted. View actual video images at DigitalMotionXray.com.

DMXIMAGING, LLC (703) 777-1234 DmxImaging@gmail.com

Why SecureCare?

East Coast Associations’ IPN Update

We are often asked why a payor would contract with

SecureCare (the administrator for the ECA-IPN) rather than some other chiropractic management company who promises to save them money. We’d like to tell you why payors ARE making that decision and choosing to work with SecureCare instead of other groups right now. The answer is that SecureCare helps payors achieve their “Triple Aim”, charges them nothing, and helps improve the relationships between payors and providers. It’s that simple.

3 Galaxy Excel therapy tables, 8 pk hydrocollator & much more. Email ddraudt@cox.net for complete list, pics available or call 540-772-4554.

Summit X-Ray Processor: List price: $2,900, offered at only $900. Excellent condition - regularly maintained by X-ray Visions. Contact: Janet at DrChiroMed@aol.com. [4/29/16] Cox 8 Table available in VA Beach: Buyer must pick up. Table only 2 yrs old. Wonderful table, but not being utilized for everything it can do. Visually & mechanically like new. Email woodscornerchiro@gmail.com for more info. All offers to be considered. Pics available upon request. [4/6/16] Lloyd Elevation Table w/Auto Plexion, CBP head piece. Loaded. Reconditioned January 2015. Was $12000, asking $8000. Located in our Roanoke Office. Call 540-343-6636 or email monica@roanokechiropractor.com. [3/18/16]

Chiropractic Equipment Dealer: 26+ yrs exp. We sell Adjusting tables, Laser, Electrotherapy, Ultrasounds, X-ray (inc digital), & Traction tables (decompression & IST). We support education seminars & have access to new, used & reconditioned equipment. Visit www.HFHill.net or call 800-434-4551, ask for Hugh or Doug.

How does this happen? SecureCare reduces the payor’s administrative costs by providing network management services for them, reduces their health plan expenditures by reducing gross overutilization, charges the insurance payor nothing and functions in a provider friendly manner that does not disturb the vast majority of providers or their clinical decision making process. SecureCare promotes healthy relationships between providers and payors rather than distrust, lawsuits and complaints to the State about

their chosen management company. As a result, Secure-Care has not only managed to keep every payor contract they have ever had, but they are currently going through a rapid growth phase. SecureCare is exploring partnerships with some

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I CHOOSEINSIGHT IMAGING

I choose cost savings

At Insight Imaging, I receive high-quality care that is convenient and affordable.

THAT’S WHY MY CHOICE IS INSIGHT IMAGING.

CALL 540.581.0882 FOR AN APPOINTMENT.

INSIGHT IMAGING – ROANOKE2923 Franklin Road SW, Roanoke, VA 24014

SERVICESHigh-field MRI | Open MRI | CT | Image-guided Therapeutic Injections | Ultrasound | X-ray

myCDI.com/Roanoke

Insight Imaging COSTS 30-50% LESS

than other area providers for high

deductible plans and cash pay patients

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“The Chiropractic Debt Collections Experts”The Choice Provider of Your Association

How does your collection agency stack up? Do they offer?• Flat Rate, Fixed Fee & Contingency pricing • Credit Reporting, Attorney Referral and Litigation Services• Patient-friendly collections services

WE DO.Is your collection agency willing to make your staff better at their job?

WE ARE.The Collections Resource Leader…. We provide Webinars, White Papers, Blog Posts, Collections Tips & More.Please visit us at www.chirocollect.com.Our live and recorded webinars are FREE to you and may be located on our BrightTalk channel https://www.brighttalk.com/channel/10535 . Please visit and come back often! Join Us Today and Receive a 20% Discount on our Most Popular Programs. Our business is to make sure you get paid for the services you deliver.Call 1-800-2793511 for a free Accounts Receivable consultation or for a Free Quote on Collections Services visit us online at www.chirocollect.com/Free-Quote.

S U P P L I E RM E M B E R

“Unified for Life” Scholarship Update

This fall, three chiropractic students will be receiving scholarships through the partnership between the Unified VCA and Life

University entitled “Unified for LIFE:”• Briana Brosnan, 3rd Quarter• Rhett Adams, 9th Quarter • Anne Peters, 2nd quarter Life has committeed to donating up to $7500 in scholarships, in increments of $625 a quarter. Potential recipients can obtain details and apply online at http://www.virginiachiropractic.org/?UwL. If you are interested in mentoring a Life student or learning more, email SNA@life.edu or visit http://alumni.life.edu/SNA. A big “thanks!” to the doctors who have already volunteered to mentor, listed below!Marco Accordo Leroy A. BazzaroneJeremy Busch Craig CamidgeSamantha Coleman Gary A. DennisDiane L. DeReu-Foley Janice P. DunlapAdam Elbaum Sandy J. ElbaumTarek S. Elganainy Ashley GenthnerStephen Genthner Philip D. GolinskyLawrence Griffith Mark GutekunstMark P. Haynes Leslie D. HolcombeJessica Howard Wendy J. JacobsBrian Jensen Patrick KennedyElizabeth V. Koch Demetrios A. KydonieusAlexis J. LaBarbera Carol LeeDavid Milot Bibhu R. MisraImanuel Morenings Meredith L. OudtMinesh Patel Jennifer RathmannDavid B. Reynolds Jasmine R. RobinsonMatthew Schrier Raymond S. SolanoWilliam M. Sonak Sean StewartEugene Su Carly S. SwiftJessica A. Upton Kevin P. WalshThomas J. Wetzen Dale WilliamsJeffery Wynn Mohammad Yousefi

very large regional health plans all across the country and engaging in

conversations with even larger companies at the national level. The newest addition to the SecureCare family is Blue Cross Blue Shield of Minnesota. On October 1, SecureCare will become the exclusive provider of chiropractic services for this Blues plan, with a positive impact on the lives of 1,600 chiropractors in Minnesota. On the East Coast, SecureCare is staying very busy working with a large group of payors. We began introducing SecureCare to our East Coast payors in August 2015. There are 31 companies that we were asked to approach regarding chiropractic network management. In less than a year we have met with 18 of them and we have meetings scheduled with 4 more. Several of them are working through the opportunity analysis process right now. The payors are quickly learning that our network management model is very unique and beneficial to all parties involved. THANK YOU for your patience and continued support through this time-intensive marketing process, which makes a world of difference for all of the providers in our region. Stay up to date on the latest developments through SecureCare’s quarterly email newsletter to participating providers and Unified VCA’s newsletter for our latest updates.

Lastly, if you have insurance contact information or any other information that you would like to discuss regarding our marketing efforts, please feel free to contact me: Eric Osterberg, DC, Director of Busi-ness Development, SecureCare East Coast, eos te rberg@secure -carecorp.com, phone 717-586-8316.

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Unified VCA Fall Convention Program

Hotel Roanoke, Roanoke, VA

Friday, September 23

10:00am Registration Opens10:30am-6:00pm Medicare Made Simple -- Ms. Susan McClelland (DCs & CAs) Type 12:00-6:00pm Advanced Wellness – Dr. Ramneek Bhogal, Sponsored by DaVinci Labs (DCs & CAs) Type 1 or Extremities – Dr. Mitch Mally, Sponsored by Foot Levelers (DCs) Type 13:00-6:30pm Exhibitor Set-Up6:00-6:45pm Profession Updates – General Session (All) Type 26:45-7:15pm Welcome Reception with Exhibitors (All)Rest of Evening On Own

Saturday, September 24

7:30-8:00am Registration & Continental Breakfast with Exhibitors8:00-10:00am Soft Tissue Treatment – Dr. Tom Hyde, Sponsored by NCMIC (DCs) Type 1 or Pregnancy - Dr. Stephanie O’Neill Bhogal (DCs) Type 1 or Documentation – Dr. Evan Gwilliam, Sponsored by ChiroTouch & ChiroHealthUSA (DCs & CAs) Type 1 or It’s All About the Patient – Dr. Lee Matthis, Dr. AJ LaBarbera & Others, Sponsored by Tuck Chiropractic Clinics (CAs & DCs) Type 210:00-10:15am Break with Exhibitors10:15-11:45am Completion of Soft Tissue by Dr. Hyde (DCs) Type 1 or Completion of Pregnancy by Dr. O’Neill Bhogal (DCs) Type 1 or Completion of Documentation by Dr. Gwilliam (DCs & CAs) Type 1 or Completion of About the Patient (CAs & DCs) Type 211:45am-12:45pm Profession Updates & Membership Meeting – General Session (All) Type 212:45-2:00pm Lunch with Exhibitors (All) or New Member Lunch (New Members)2:00-4:00pm Start of Neural, Endocrine & Immune Influences on Neuromusculoskeletal Rehabilitation – Dr. Scott Banks, Sponsored by Standard Process (DCs) Type 1 or Start of Radiology: Lumbar & Cervical Spine Imaging (DCs) Type 1 or Start of How to Become the Perfect CA -- Dr. Kevin Sharp, Sponsored by ChiroOneSource (CAs) Type 24:00-4:15pm Snack Break with Exhibitors4:15-6:15pm Cont. of Neural, Endocrine & Immune Influences by Dr. Banks (DCs) Type 1 or Cont. of Radiology by Dr. Taylor (DCs) Type 1 or Cont. of Perfect CA by Dr. Kevin Sharp (CAs) Type 26:15-6:45pm President’s Reception (Premier Members, Other Invitees)7:30-10:30pm Awards Dinner Party with Live Entertainment (1 ticket included with DC registration; add’l tickets available for purchase while supplies last for CAs, spouses, exhibitors, etc.)

Sunday, September 25

7:30-8:00am Registration & Continental Breakfast with Exhibitors8:00-10:00am Cont. of Neural, Endocrine & Immune Influences by Dr. Banks (DCs) Type 1 or Completion of Radiology by Dr. Taylor (DCs) Type 1 or Completion of Perfect CA by Dr. Sharp (CAs) Type 210:00-10:30am Extended Break with Exhibitors10:30am-12:30pm Completion of Neural, Endocrine & Immune Influences by Dr. Banks (DCs) Type 1 or Radiology: Selected Case Studies -- Dr. Joe Cantu, Sponsored by Expert Radiology (DCs) Type 1 or Roundtable on Phone Skills by Dr. Nisha Saggar-Patel, Dr. Matthew Schrier & Ms. Susettte Goodwin (CAs) Type 212:30pm Convention Adjourns12:35-3:00pm Exhibitor Tear-Down As of 8/10/16

Up to 19.25 CEUs,Including Up to 17.25 Type 1!

States: VA, MD, DC, Call Re: Others.Comprehensive Staff Training, Too!

22

The Virginia Voice Summer 2016

The Virginia Voice is the quarterly newsletter of the Virginia Chiropractic Association, dba the Unified VCA, Post Office Box 15, Afton, VA 22920, www.virginiachiropractic.org.

Staff: Julie K. Connolly, Execu-tive Director.

Editorial Committee: David B. Dolberg, DC, President; Scott Banks, DC, MS; Meredith Oudt, DC.

Advertising: Call 540-932-3100 or e-mail vcacentral@hughes.net.

Subscriptions: A subscrip-tion to The Virginia Voice is a benefit of membership. Back issues are archived for members on the association’s website.

Editorial Policy: Articles published in The Virginia Voice are screened by the Editorial Committee. However, neither the Unified VCA nor its officers or staff investigate, endorse, or approve any statements of fact or opinion, which are solely the responsibility of the authors/sources of information. They are published on the authority of the writer(s) over whose name they appear and are not to be regarded as expressing the views of the VCA. Articles accepted for publication are subject to editing.

Advertising Policy: Accep-tance and publication of an ad in The Virginia Voice does not imply endorsement or approval of the company, product, or service. It is recommended that readers use due diligence and/or consult with their state chiropractic licensing board for further information on the use of advertised products or services.

All AugustCA Communication Strategies to Increase Collections, Referrals & RetentionBy Ms. Kim KlappFrom Assistants for Chiropractice Excellence (ACE)*** Unified VCA Member Discount

Starting September 17-184 Weekends Through October 30Ltd. License X-ray Tech Certification Program & ExamBy Dr. Martin DonnellyFairfax, VA*** Unified VCA Member Discount

Rad Tech Continuing Education HoursChoose from 4 Weekends:• September 17-18• October 1-2• October 15-16 or• October 29-30By Dr. Martin DonnellyFairfax, VA*** Unified VCA Member Discount

Friday-Sunday, September 23-25Unified VCA Fall ConventionVarious Topics & Speakers for DCs & CAsRoanoke, VA*** Unified VCA Member Discount

Online Training• Comprehensive ICD-10 Training• Wide Range of Topics from ChiroCredit.com and EON!• CA Training & Coaching from Assistants for Chiropractic

Excellence (ACE)

Education & Events from the

For details, updates and to register, go to www.virginia-chiropractic.org, click on “Calendar”, then click on listing.

VCAdoctalk -- i.e., UVCA Members -- Come to the Rescue

Recent Question Posted on Listserve:“I am currently seeing a few disc golf semi-professionals. I’m working on how to improve their form to reduce lower cervical disc irritations and overall cervical spine subluxations. Does anyone have any experience with this sport and any specific exercises I can add to my regime for them? I’ve been studying the game and watching videos of form clinics. Just wondered if anyone else has any insight.”

Responses Included:• “They are complicated biomechanics for sure. Use systematic assessments like SFMA to find

the cause. I know with the PGA golfers, we find trends of injuries but many causes. Common faults tend to involve some degree of limitation of TSP rotation and core stability; however, lead hip IR and trail arm ER (90/90) limitations can also easily influence compensation. A systematic assessment helps you identify what is the cause as well as whether to address immobility (JMD/TED) or motor control(SMCD).“

• “I use Athletic Body in Balance by Gray Cook as a patient tool for those who can work well with a book. I also tailor correctives for specific problems. The most recent was having the patient hold a theraband under tension against his right external shoulder rotators while performing swing form to correct humeral head impingement with fatigue during long play. You want to be certain that all required segments have the necessary range of motion and control throughout with resistance to fatigue. Always work with balance in transitioning position as they will tighten wierd muscles to compensate. Chronically tight calves and hamstrings seem to be most common.”