What the FTC Noncompete Rules Mean for Chiropractors - 43
Meet the WCA Insurance Advocacy Committee - 45
Laser Therapy for Mitochondrial Dysfunction - 53
BOARD OF DIRECTORS
President
Directors
BRUCE DAVIS, DC
MARTIN JACOBSON, DC
JENNIFER WAIDELICH, DC
JASON MACKEY, DC
Executive
Membership
Membership
Murray, Executive Director & CEO |
New Legislative Maps Will Bring New Faces to Wisconsin Legislature
Some of those new faces could be pro chiropractic. Writing about legislative redistricting can feel like a political science term paper. It can be a bit dry for even the casual political observer. So here it is in a nutshell...
The new legislative maps signed by Governor Evers creates more competitive legislative seats across Wisconsin. This could be a good thing for the chiropractic profession if we play our cards right this election season.
As they say in the business, there is a lot to unpack in that statement. Let’s start by directing you to the WisPolitics links below where you can pore over a very good analysis of the new maps and the impacts on each Assembly and Senate district in the state.
JUNE 1, 2024
Key Deadline for Partisan Races in Wisconsin
The filing deadline for candidates to put their names on the ballot for partisan office was June 1, 2024. This means, barring legal challenges to the signatures on their nomination papers, the candidates in each Assembly, Senate, congressional and US Senate race are set. Those with primaries will be settled on August 13th, 2024. The general election in Wisconsin, which will include a Presidential race, is November 5th, 2024.
Having just gotten done attending all major party candidate role out events, both parties are bullish about their prospects of having majority control of their respective legislative chambers come January of 2025.
Our Top Campaign Priority
At this point in time, our top campaign priority is helping Rep. Clint Moses (R - Menomonie), the first chiropractor elected to the Wisconsin Legislature get reelected.
Rep. Moses is the current Chair of the Assembly Health Committee. He has been a leader in health care policy and a champion for chiropractic issues during his two sessions in the Legislature. His district was previous a solid Republican district but the new maps have made it more competitive, particularly in a high turnout Presidential year. It is critical the we help Rep. Moses get re-elected. Please consider giving to ChiroStrong and marking your donation for Rep. Moses.
Regardless of who has partisan control of the Wisconsin Legislature in 2025, we have to have strong advocates helping us protect and expand access to chiropractic in Wisconsin. In the end it comes down to financial resources (doesn’t everything). We only have so much in the ChiroStrong fund to support only so many candidates.
If you are currently giving to ChiroStrong, thank you and please keep giving and authorizing contributions. If you are not giving, please consider making a contribution today. Learn More Here >>
Assembly Races 2024
Senate Races 2024
The WCA featured Special Guest Rep. Moses at the June District Meeting in Eau Claire. Pictured L-R: Dr. Jacob Stoffel, Dr. George Berres, Rep. Moses, Dr. Michael Court, Dr. Jodie Griffith, Dr. Jenny Waidelich, WCA Executive Director John Murray.
Protect Your Profession. Invest in your Future.
According to the 2023 Business & Economic trends survey results, the 3rd highest valued benefit of WCA membership is Legislative advocacy, yet only 5.3% of members are actively contributing to the ChiroStrong Political Conduit.
What is ChiroStrong?
ChiroStrong is a state political conduit fund administered by the Wisconsin Chiropractic Association (WCA). Through ChiroStrong, Wisconsin Chiropractors can support elected officials and candidates who are true advocates of the chiropractic profession. Every dollar you contribute goes to your personal ChiroStrong account, which you control. While the WCA will recommend specific candidates to support, no money leaves your account without your authorization.
You are in Control of Your Donation
Whether you contribute a small or large amount, you are 100% in control of where your dollars are spent – as we must authorize each amount with your approval ahead of time. If you’d like to get involved and contribute to the WCA conduit check out our ChiroStrong website.
Chiropractic has a rich history of flexing its political muscle to advance the profession and expand patient access to chiropractic care. Chiropractors and their patients are a powerful force when we get organized and motivated.
Well, its time to get motivated again! Be a sustaining contributor today!
For many years, WCA has asked all practicing chiropractors in Wisconsin to complete three surveys each year. These surveys allow us to provide important data to the chiropractic community.
Full survey results are provided to WCA members as part of their member benefit. In this issue, we will share some of the results; however, the full results are available on our website using your member login.
*The results of these surveys are aggregated in a manner that complies with all anti-trust laws.
Business & Economic Trends
Chiropractic Pricing
Chiropractic Staff Salary
Random Audits Announcement
The Office for Civil Rights are starting random audits this year. For years we have been discussing Cyberattacks, Hipaa Complaints, miss handling of patient information, etc. These have been on the rise and pose a threat to offices that lack a “defensible” HIPPA program, the biggest potential threats are RANDOM audits that demand an office produce copies of your most recent Risk Analysis, ISARA and or one or more of your Documented Policies, Procedures and Training.
The Office for Civil Rights has stated publicly at the Washington DC Hipaa and Cybersecurity symposium that they intend to audit every single doctor’s office by completing random audits.
If you have any additional questions or are looking for additional Hipaa resources, please contact Tammy McKeown, CT at wcahelp@wichiro.org
The WCA Insurance Advocacy Committee is gathering data from WI chiropractors on issues they are experiencing with commercial insurance payers.
This information will be used by the committee to develop appropriate strategies to address these challenges. Results will be used in full compliance with all relevant anti-trust laws.
Please take less than 5 minutes to complete this survey!
WCA 2023 Chiropractic Business & Economic Trends
WCA 2023 Chiropractic Staff Salary Survey Results
Benefits to Retain Staff
*No Response* from 26 respondents
Medical Marvel Massage Chairs
We designed the Medical Marvel Massage Chair specifically to address the needs of the Chiropractors. It was designed in concert with what Chiropractors needed and wanted.
Chiropractors who have implemented the Medical Marvel Massage Chair into their practice by having their patients sit in the chair prior to an adjustment are reaping tremendous rewards and benefits!
When you, as a Chiropractor, adjust patients with their muscles and joints already warmed up, it is much easier and quicker to adjust them. As a result, you see more patients and you are not working as hard when you adjust them. You are also making considerably more money. We have Chiropractors who have recovered their entire investment, ROI, in as little as six weeks.
But most importantly your patient will have far better results.
Medical Marvel Massage Chairs has been in business for 20 years. We manufacture and distribute the finest massage chairs in the industry that can handle people up to 375 lbs. and 6 ft 6”. We also have the only massage chair that becomes an automated traction machine that qualifies for insurance reimbursement.
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New Systematic Review Shows Chiropractic Care Leads to Lower Healthcare Costs for Spinal Pain
by Clinical Compass, clinicalcompass.org
In a recent systematic review study by Farabaugh et al. featured in Chiropractic & Manual Therapies, compelling findings underscored the value of chiropractic care for patients experiencing spine-related musculoskeletal pain. The study revealed that individuals who initially sought treatment from a chiropractor saw a significant reduction in healthcare costs compared to those under medical management alone.
“Spinal pain patients who consulted chiropractors as first providers needed fewer opioid prescriptions, surgeries, hospitalizations, emergency department visits, specialist referrals and injection procedures.”
These findings prompt a reconsideration of healthcare policies and benefit designs. Given the growing recognition of chiropractic care's role in the medical landscape, it is increasingly evident that chiropractors integrated into healthcare teams could yield substantial financial savings for patients and systems. To align with the evolving trends in healthcare, it may be advantageous for U.S. healthcare organizations and governmental agencies to explore avenues for reducing barriers to accessing chiropractic services. By embracing this shift, we can enhance patient outcomes
while optimizing healthcare expenditure for management of musculoskeletal pain.
This paper is available open access (for free) on the journal website. Please read it and share it with stakeholders in your local region. This work was supported in part by the Clinical Compass and the NCMIC Foundation.
Clinical Compass is a chiropractic clinical and research collaborative that generates best practices research through consensus-based models. In addition, Clinical Compass maintains regularly updated evidence centers for 17 different clinical topics such as dry needling, opioids, and costeffectiveness. To support the work chiropractic research and Clinical Compass, please donate here: Donate - The Clinical Compass
Citation: Farabaugh R, Hawk C, Taylor D, Daniels C, Noll C, Schneider M, McGowan J, Whalen W, Wilcox R, Sarnat R, Suiter L, Whedon J. Cost of chiropractic versus medical management of adults with spine-related musculoskeletal pain: a systematic review. Chiropr Man Therap. 2024 Mar 6;32(1):8. doi: 10.1186/s12998-024-00533-4. PMID: 38448998; PMCID: PMC10918856. https://chiromt.biomedcentral.com/ articles/10.1186/s12998-024-00533-4
READ "Cost of Chiropractic Vs Medical Management of Adults withSpine-related Musculoskeletal Pain
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During her undergrad years as an Iowa State University swimmer, she witnessed how her teammates and friends benefitted from physical therapy and decided to pursue that field, like her mother.
A major appeal of physical therapy for Rachel is the length of time she gets to spend with each patient. “I love being able to be with a patient for a whole hour, getting to know them,” she said.
As with chiropractic education, PT education evolved between when mother and daughter were in school. “The fundamentals haven’t changed, but the training and degree structure have,” said Rachel, who obtained her Doctorate in Physical Therapy from Midwestern University.
“When I was in school, you got a bachelor’s degree,” said Kari. “Then the focus shifted to a Master’s, and now it’s a DPT. My education during college was more basic, with CEs and learning on the job after graduating. Rachel got more of that education during school. It’s neat to see the evolution.”
Rachel did one of her 12-week clinical rotations at her parents’ clinic, during which she moved back home.
“That gave me the unique opportunity to talk with my mom, and we bounced ideas off each other,” she said.
While it’s not uncommon for chiropractors to have children follow them into the business, the nature of physical therapy jobs makes this less common among PTs.
PTs traditionally worked in hospitals, Kari said, rather than operate an independent business where their kids could see the day-to-day operations.
“These days, physical therapists and chiropractors have some cross-over, which is a beautiful thing for patients.”
Chris and Kari’s son, Jake, runs the financial operations of the practice. “He writes all our paychecks,” Chris said with a smile.
In his role, Jake also follows in a family member’s footsteps. “Jake came in and took over for his grandfather. My dad was doing all that, and he was looking to retire,” said Chris.
In addition to their Neenah office, in 2021 the Resch family opened a Grand Chute location in collaboration with
orthopedist Dr. ET Mejia. In 2024, operations expanded again when Madi began seeing patients two mornings a week inside Evolve Fitness in Appleton. “That’s really full circle, because my parents started out inside a health club,” Madi noted.
Work-Life Balance
For any family in business together, managing the professional dynamic while maintaining a healthy family life can be a challenge. “The kids were always watching, observing,” Kari said. “We’re so passionate about what we do, and they saw us in action.”
“My parents did a good job weaving their personal and professional lives together,” Madi said.
Rachel agreed. “They integrated work and life. I thought that’s how everyone saw things—that work and life isn’t a grind. Later, I realized not everyone has that work-life balance.”
One family tradition was attending the WCA fall convention in the Wisconsin Dells. “We always tried to make that a family gathering,” said Chris. “It’s a great way for WCA families to get together.”
Today, when the family gathers outside of work, “We always say we’re not talking about work, but we end up talking about work,” laughed Kari. “Someone gets an idea—we should host this, or here’s a CE idea. It’s usually fun and exciting things.”
“Our parents did a good job,” Rachel said. “We talk to each other all the time outside of work. We’re all friends, even our spouses.”
Looking Ahead
Leading by example, the Resches hope to inspire collaboration in others. “We all have our strengths and can tap into each other’s experience and expertise,” Chris said.
Right now, the family is focused on enjoying and growing what they’ve built together.
As the direction of health care shifts toward corporate chains, “Family chiropractic offices like this are not as common,” Kari said.
“Our roots are here,” said Chris. “We have a good time working together. We want to enjoy the moments.”
Chiropractors, Dr. Chris Resch and daughter, Dr. Madi Hopfensperger, DC, ATC.
Physical Therapists, Kari Resch, PT and daughter, Rachel Matulle, DPT.
Jake Resch, runs the clinic's financial operations.
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Empowering Health Through Chiropractic
Dr. Patrick Flynn, The Wellness Way
As Doctors of Chiropractic, we are educated with a unique perspective. This perspective, based on the philosophy of chiropractic, is an often-missing link in the health restoration our nation and the people of the world need. Unfortunately, not all of our patients know how valuable we are and what we can offer them as they walk through our doors and suffer from so many conditions for which they don’t even consider our help. But to be fair, not all chiropractors recognize the potential they have, either.
According to the CDC, today, six out of ten Americans are diagnosed with a chronic illness, and four out of ten suffer from two or more. The keys to helping many of these lifealtering concerns are possible with chiropractic based on the 3Ts. We know that toxins, traumas, and thoughts can be the most damaging factors to a healthy, optimally functioning body. Knowing which influences are causing interruptions in physiological functions, organs, and systems creates a clear path forward. With that information, we can help patients make the necessary changes to support their innate ability to heal and restore that function. What is the clinical application? Appropriate testing.
If we get back to the basics and take our rightful place in the world of health and health restoration, we can help our patients see the clinical results they are hoping for—the ones the medical community may have told them there is no hope for. How do we do that?
Clinical results cannot be argued with, nor can proper, comprehensive testing and data. As chiropractors, we utilize neurological testing while adjusting patients to address traumas. We also have the ability to use testing to address another T: toxins. Toxins can be attributed to deficiencies or, most often, overexposure and excess, leading to toxicity. If the body isn’t supported to release the stress caused by toxins, we are missing the boat. Sometimes, these toxicities are environmental; other times, it can literally be an excess or deficiency in biological compounds such as hormones or infections and subsequent immune responses. What happens when we remove that response? The body can begin to function as it should and repair. The immune response is the body’s last line of defense, especially when it comes to food. Those responses need to be taken seriously.
One of the simplest ways to address some of the toxins people may be encountering is to look at their food allergies and environmental toxins. If they are exposed to something daily that is triggering an immune response, of course the body will need to adapt and respond. Many people try to play off any allergy that isn’t an IgE response as a “sensitivity.” I don’t think we can accurately say that. That protein is triggering an immune response. What is an allergy? According to Mayo, “Allergies occur when the body reacts to a foreign substance.” Is an IgG response a reaction? Yes! It is triggering an immune response and needs to be addressed as such.
Many people, doctors included, don’t realize they have access to the testing they need; they may not even know what they need to have tested. In reality, that testing is simply not offered through the typical channels of medicine because it isn’t either covered by insurance, associated with a treatment code that can be billed, or correlated with an approved drug to manipulate the physiology related to it. Also, I can’t offer a generalized “protocol” here. Every individual is so unique in their physiology, we can’t attempt to treat patients in a one-sizefits-none standard of care or protocol in order to fit insurance codes. This is where chiropractors can stand apart. But it takes a unique perspective and being willing to step out of the box that insurance and the current medical model has put us in.
So, what is the clinical application?
By going with independent labs or suggesting they ask their MD to have specific markers run, we can help our patients find the answers they are looking for and the hope they may have lost. We can support their bodies to return to the best state of health possible for them through chiropractic and structural adjustments, proper nutritional support, and managing stress levels. At The Wellness Way, we have seen tremendous clinical results for our patients when addressing these toxicities or deficiencies in our patients. Every day, we see people who’ve been told there are no other options than surgery or drugs for their concerns, whether it be chronic illnesses, autoimmune concerns, or even environmental or food allergies. Knowing how to test, what to test, and how to support the body from there can help these patients take back control of their health and restore chiropractic’s role in the health restoration process.
What if we stood in the gap for our patients and offered them back control of their health and decisions? What if we educated them and gave them the resources they needed? What if we united as a profession, stood shoulder to shoulder, and raised the perception of our practice? We could not only change lives but also the future of healthcare. It’s time for this paradigm shift, and we believe it can start right here in Wisconsin!
If you have additional questions about how we take this highly personalized approach, please don’t hesitate to contact us. We can be better together! As chiropractors, we are educated differently, we think differently, and we do health differently.
WCA President Dr. Chris Resch with Wellness Way CEO and Founder, Dr. Patrick Flynn, and Kris Philippon, Chiropractic Technician with Resch Chiropractic and Physical Therapy during a recent visit to their corporate headquarters.
The 'Back to Basics' Podcasts Series
hosted by WCA President Dr. Chris Resch
The Wisconsin Chiropractic Association podcast “Back to Basics” brings you conversations with leaders in the chiropractic profession hosted by WCA President Dr. Chris Resch. This summer, we are featuring two additional episodes to our podcast library featuring WCA members, Dr. Alex Kocken and Dr. Tom Edwards.
Episode 5 Featuring Dr. Alex Kocken
In this podcast, we engage in thought-provoking conversations with leaders in healthcare, business, politics, and various facets of life.
Dr. Kocken is a 2013 graduate of Northwestern Health Sciences University and has been in private practice in De Pere, Wisconsin for the past 10 years.
Dr. Kocken talks about the crucial steps he took to open his chiropractic practice and shares valuable insight regarding the ongoing strategies he employs while he grows his business while maintaining a healthy work life balance. I hope you enjoy my conversation with Dr. Alex Kocken.
Episode 6 Featuring Dr. Tom Edwards
In this episode, I spoke with Dr. Tom Edwards, a second-generation chiropractor who graduated from Palmer College of Chiropractic in Davenport, Iowa, in 1982. He enjoyed a successful 41-year career, primarily practicing in Waukesha, Wisconsin, where he ran a home office with a self-pay business model.
Dr. Edwards offers invaluable insights and practical advice that will inspire chiropractors at any stage of their careers. Although he is transitioning into retirement from clinical practice, he remains active in the chiropractic community, serving on the Executive Committee of the Wisconsin Chiropractic Association Board of Directors.
I hope you enjoy my conversation with Dr. Tom Edwards.
WCA
License Renewal Deadline:
DECEMBER 14, 2024
Continuing Education Requirements
If you received your license AFTER December 15, 2022, you do NOT need to take continuing education hours for renewal. You still need to submit the forms/payment for renewal to DSPS.
If you earned your license BEFORE December 15, 2022, you need to complete the following continuing education hours:
DCs
40 hours of approved continuing education each biennium. Up to 8 of those 40 hours can be done online. 4 hours Nutrition CE every two years for those holding Chiropractic Nutrition Certification.
Find more CE information at DSPS
CTs
6 hours of state-approved CT continuing education each biennium. Up to 2 of those 6 hours can be done online. Find more CE information at DSPS
CRTs
12 hours of state-approved CRT continuing education each biennium. Up to 2 of those 12 hours can be done online.
Find more CE information at DSPS
How many CE hours can be taken Online?
DCs, CTs and CRTs may earn a portion of their required CE Hours by taking online courses.
• DCs: 8 Hours Online CE per biennium
• CTs & CRTs: 2 Hours Online CE per biennium
Register for Summer & Fall CE
Getting ready for license renewal? Now is the time to check out our Summer/Fall Continuing Education Course Guide! Inside, you will find courses including:
• Staff Certifications (including Light Therapy, Exercise Rehab and CRT)
• Nutrition Modules 1 - 4
• Dry Needling Certification Levels I and II
• Compliance
• Whiplash and Spine Care Diplomate courses (with free online bonus content)
CE Course Guide
Registration Opens Soon
Earn your credits this fall at our upcoming events!
2024 WCA FALL CONVENTION 2024 September 19-22, 2024 Wisconsin Dells, Kalahari Resort & Convention Center Registration opens in July!
WOMEN'S HEALTH & WELLNESS FORUM November 16, 2024 Best Western Waterfront Hotel, Oshkosh
at Your Convenience!
The following previously-held webinars are available for WCA members to view on-demand. Recordings do not count for CE.
Here are a few webinars recently added to our Webinars On Demand library:
CE CALENDAR
Maybe you’re frustrated with the low number of
JTECH Medical provides objective functional assessment tools and software tailored for Chiropractors like you. Measure range of motion, muscle strength, and pain levels, then, with the press of a button provide narrative impairment ratings and an extensive report enabling you to reduce Insurance Denials, extend Patient Retention, and increase the number of Personal Injury Case Referrals.
Celebrating Chiropractic at Fall Convention
This year’s Fall Convention is all about honoring chiropractic, and who does that include? YOU!
The dedication and outstanding patient care provided by clinics throughout Wisconsin never cease to amaze us here at the WCA. Our members are known for being the most educated and devoted to serving their families, friends, and communities, standing out among all healthcare professions. Let's recognize your hard work and commemorate our unique legacy together. Wisconsin holds a prominent position nationwide as a chiropractic-friendly state, thanks to the strong leadership of the WCA, as confirmed by our national and regional leaders. Prepare to join us in September for a trip down memory lane and an exciting glimpse into the future.
Here's a Sneak Peak at What We Have Planned...
WCA Bowling Night!
September 20 | 5:30-8:30 PM
WCA and Simplified Functional Medicine personally invite you to a perfect way to unwind after a brainy day at convention! Join us for food, drink and bowling. Hang out with coworkers, vendors, friends and the WCA crew. Feel free to bring the whole family for strikes, spares, tasty snacks, and maybe a drink or two.
There is no cost to convention participants, but registration for this event is required.
Keynote Session
September 20 | 8-9 AM
Join us on Saturday morning of Convention for a special keynote "Shifting from Patient-Based to Person-Centered Care" by Michele Maiers, DC, MPH, PhD Professor and Executive Director of Research and Innovation, Northwestern Health Sciences University, Bloomington MN.
Additionally, Dr. Maiers presents a breakout session after the keynote "Health Trends: Basing Practice on Facts, not Fads" for DCs, CTs/CRTs and staff.
Awards Luncheon
September 21 | 12-1:30 PM
Convention attendees are invited to celebrate colleagues who have demonstrated excellence in the profession.
WCA has four distinguished awards for outstanding service and dedication including: Lifetime Achievement Award, Chiropractor of the Year, Nels Bakke Award, and Chiropractic Technician of the Year.
The luncheon is complimentary to all convention attendees; however, preregistration is required.
OUR DEEPEST Sympathy
Christopher Robert Anderson, D.C.
March 16, 1983 - June 5, 2024
Christopher Robert Anderson, D.C., 41 of Reedsburg passed away unexpectedly from a heart attack in his sleep on Wednesday, June 5th 2024. He was born on March 16, 1983, at the Reedsburg Area Medical Center to Dr. Robert and Edna Anderson. Growing up in Reedsburg, he attended St. Peter’s Lutheran School then graduated in 2001 from Reedsburg High School. During his youth, he was involved with theater and the arts as well as Boy Scouts, reaching the rank of Eagle Scout. He received an Associate’s Degree in Art’s and Science from U.W. Baraboo in 2003, a Bachelor of Science in Biology from U.W. Madison then later U.W. Milwaukee in 2006. Chris followed in his father’s footsteps when he graduated with a Doctorate from Palmer College of Chiropractic in 2011, where he earned innumerable awards and honors. He then joined his father at Anderson Chiropractic Clinics, later taking over the business and growing it into Anderson Integrative Clinics and Motiv8 Children’s Therapy. He traveled all over the country to teach clinicians and their teams how to reach their maximum potential and he imparted his knowledge in ways that no one else could: jumping on tables, dancing, and even wearing wigs for his audiences.
Over the years, Chris held multiple advanced certifications such as Medical Compliance Specialist, Certified Insurance Consultant, Certified Chiropractic Sports Physician, DOT Physician Examiner, and many more. He was especially proud of his international outreach through the Palmer Clinic Abroad Program, where he provided care to underprivileged patients in many countries including Vietnam, India, South America and Figi. In 2023 Chris was honored as the “Chiropractor of the Year” from the Chiropractic Society of Wisconsin; “his energy and passion touched everyone who had the privilege to know him.”
Above all, Chris enjoyed supporting the Reedsburg community as a whole, being an active member in Rotary Club, Boy Scouts Troop 44, Reedsburg Masonic Lodge, Reedsburg United Way, Freedom Fest, and more. He was always finding time in his busy schedule to volunteer at almost every community event including Brat Bash and Dash, Butterfest, and no United Fund Radio Auction was complete without him MCing.
Chris’s true love was travel and the outdoors. He enjoyed multiple trips within the United States as well as worldwide; his favorite places being Hawaii, Fiji, Paris, and visiting his chosen family in Arizona, Mississippi, and Door County. When not traveling or working, you could find him hiking, kayaking, scuba diving, boating, and swimming all of which with his fourlegged children Madison then Dutchess. Where ever Chris was, there was always a camera on the ready, and many have been blessed to see his photographs on display in both the Mauston and Reedsburg offices, if not being gifted with one or two of their own. Chris leaves behind a legacy of kindness and dedication to his family and friends. His imprint is lasting in the Chiropractic profession as well as the Reedsburg community, but spreads far beyond.
With traveling all over the country to teach almost every other weekend Chris gave tremendous attention and love to his “travel family”. Even the Delta Air lines agents knew him at a glance and were always ready to give him a hug and welcome. He treated each one of his co-speakers with unbelievable respect and unselfishly poured out his love of life, so each one felt elevated every time they met. Chris always thought of others first, willfully putting their needs above his. He treasured their companionship above all else. Chris joyfully developed a complex family tree, putting his friends as distant cousins, uncles, a twin, a dad, a work wife, a stepbrother and several sisters. No one was far from his thoughts for very long and everyone has a story of how he went above and beyond to help or serve them. He has forever changed each and every one of the thousands of doctors and their staff he had the opportunity to teach. His laughs and smiles will live on in their hearts and minds forever. We will all miss our beloved Chris.
He is survived by his parents: Dr. Robert and Edna Anderson of Reedsburg, brother: Nicholas (Trisha) Anderson of Reedsburg, nephew and niece: Alexander and Savannah, many aunts, uncles, cousins, as well as his many chosen godchildren and chosen family. He is preceded in death by paternal grandparents: Raymond and Phyllis Anderson, maternal grandparents: Roger and Hester Nelson.
In Lieu of flowers, the family STRONGLY requests all donations be made to a memorial fund being established in Chris’s name for future Scholarships. Checks can be made out to: the Dr. Chris Anderson Memorial fund.
OUR DEEPEST Sympathy
Vickie L. Goldapske
March 5, 1965 - March 27, 2024
Vickie L. Goldapske, 59, of Van Dyne, died Wednesday, March 27, 2024, with her family by her side. She was born in Fond du Lac on March 5, 1965, to Junior and Germaine (Kubelt) Patt. On April 1, 1989, Vickie married Ronald Goldapske at Covenant United Methodist Church (UMC) in Fond du Lac.
Vickie was involved in her community whether as a life-time member of the Van Dyne Sportsman Club, Kiwanis, or coaching basketball. She currently served on three boards: NFDL School District Board (as clerk), Covenant UMC, and Sturgeon for Tomorrow. Vickie had a part in the WI Chiropractic Association (WCA) and was one of the founders of the Chiropractic Society of WI (CSW). She started Goldapske Chiropractic in 1993, founded Dynamic Chiropractic & Wellness in 2001 and Wellness Way Affiliate in 2015. She cared greatly about her patients and touched many lives. Beyond her extensive years serving the community, she had a love for the outdoors. Vickie participated in fishing tournaments, speared many sturgeon and was an avid hunter. She shot trap and was top gun for women 25 years in a row. She and her husband won several husband-and-wife team of the year awards and championships from Midwest Walleye Series (MWS) and Master Walley Circuit (MWC). In doing so, they made many friends across the country. Vickie also loved walking her property to take in wildlife, tending to her flowers and garden, canning from it and enjoyed decorating for the seasons. She enjoyed archery, basketball, golf, and playing cribbage with Karen and Jon. Vickie was very involved with her son’s sports activities. She assisted with the basketball youth program as well as helped coach the North Fond du Lac girls. She was proud to have been a part of the coaching team when they made it to state. As a favorite activity each year, Vickie and her family traveled to Mount Morris to shoot archery golf. And, beyond her many other hobbies, she loved playing her grand piano.
Survivors include her husband Ronald “Ron”, and son, Jackson “Jack”; her mother, Germaine Patt; three brothers, Jim (Gail) Patt of North Fond du Lac, Jeff (Nicole) Patt of Gladwin, MI and Dan (Kari) Patt of Fond du Lac; three nephews, Ryan (Jessica) Patt, Jesse (Mandy) Patt and Dustin (Tammy) Patt; three nieces, Becky (Tracy) Patt, Casey Patt (special friend, Josh) and Grace Patt; eight great nephews and four great nieces; special friends, Karen Noble, Kelly Bitto and Marge Pelke; relatives, Linda Toetz, Tammy Rogers, and Tara Willowbe, all of Arizona, and Hank Goldapske of North Fond du Lac; and her pups, Margo and Sky.
She was preceded in death by her father, Junior Lee; father and mother-in-law, Fred “Hummer” and Carol Goldapske; and a great niece, Charlotte Patt.
Visitation will be held from 12:00 PM – 5:00 PM, Sunday, April 7, 2024, at Covenant United Methodist Church, 20 North Marr Street in Fond du Lac. The funeral service will begin at 5:00 PM with Rev. Ho Lee officiating. Cremation will follow the services.
In lieu of flowers, a memorial will be established in Vickie’s name for her son, Jack.
Governor Evers Signs MA Delegation Bill into Law
A collaboration between the Wisconsin Chiropractic Association (WCA) and the Medical College of Wisconsin (MCW) paid dividends last month when Governor Evers signed into law Senate Bill 788 relating to the delegation of adjunctive services to a medical assistant.
This new law, Wisconsin Act 186, clarifies the requirements under which a chiropractor can delegate adjunctive services to a person trained as a medical assistant. Prior to WI Act 186, chiropractors could not delegate adjunctive services to a person trained as an MA unless that person obtained a chiropractic technician certificate from the State of Wisconsin.
The new law eliminates this redundant requirement while still requiring the delegating chiropractor to ensure proper oversight and training.
“This new law gives chiropractors, particularly those working in hospital settings, more flexibility in how they staff their clinics,” said John Murray, WCA Executive Director. “We also appreciate the partnership with the Medical College of Wisconsin and their commitment to access to high-quality chiropractic care within their SpineCare program.”
Photo ( L-R) Nathan Berkan, Medical College of Wisconsin, Mike Havey, staff to Rep. Gustafson, Zach Kasun, WCA Membership Director, DSPS Secretary Dan Hereth, Nathan Halbach, WCA lobbyist with Husch Blackwell Strategies, Rep. Nate Gustafson, Michael Moscicke, staff to State Senator Rachael Cabral-Guevara, John Murray, WCA Executive Director. Seated - Wisconsin Governor Tony Evers.
This spring, WCA members attended a WCA southeast district meeting at at Strive Integrative Health in Brookfield.
John Murray with Governor Evers and WCA lobbyist , Nathan Halbach, at a recent fundraising event.
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WCA Membership Update
Zach Kasun, Membership Director | zkasun@wichiro.org | 608-292-1805
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OWhat the FTC Noncompete Rules Mean for Chiropractors
by Barbara Zabawa, JD, MPH | Center for Health and Wellness Law, LLC
n May 7, 2024, the Federal Register published the final rules regarding the use of noncompete clauses in contracts. These rules take effect September 4, 2024, unless a court vacates them beforehand. Thus far, there are three court cases challenging the Federal Trade Commission (FTC) noncompete rules. The lead case is Chamber of Commerce for the United States of America et al. v. Federal Trade Commission et al., 6:24-cv-00148, United States District Court for the Eastern District of Texas, filed April 24, 2024. The plaintiff in that case is the U.S. Chamber of Commerce and it has asked the Texas Eastern District Court to prohibit the FTC from enforcing the noncompete rules and to postpone the effective date. The Texas court has indicated that it can resolve the lawsuit before the September 4, 2024, effective date. More than likely this case is on its way to the United States Supreme Court.
At the heart of the lawsuits challenging the FTC noncompete rules are arguments that the FTC does not have the authority to issue the noncompete rules, that the rules are unconstitutional, that the FTC is unconstitutionally structured, and that noncompetes are necessary to safeguard specialized training.1
So, what do the noncompete rules say, and what does it mean for chiropractic clinics?
It means that after September 4, 2024, your clinic cannot subject employees or independent contractors to terms or policies that effectively prohibit or penalize that worker from working somewhere else or operating a competing business after they stop working for your business. These terms may include noncompetition agreements, nondisclosure agreements, or nonsolicitation agreements. Whether a wellness business can use these types of “restrictive covenants” will depend on how broadly they are worded. For example, a nondisclosure agreement (NDA) that bars a worker from disclosing in a future job any information that is “usable in” or “relates to” the industry in which they work would be unenforceable2. Another NDA that the FTC views as unenforceable is one that bars a worker from disclosing any information or knowledge the worker may obtain during their employment whatsoever, even if that information is publicly available3. Two other types of restrictive covenants that may no longer be enforceable after September 4, 2024 are non-solicitation agreements (prohibiting workers from stealing their former employer’s workers or clients/patients) and TRAPs, which are agreements in which the worker agrees to pay the employer for purported training expenses if the worker leaves their job before a certain date4
Whether any of these restrictive covenants “functions to prevent” a worker from getting a new job or starting their own business will be evaluated on a “case-by-case basis.” After looking at all the facts, if the restrictive covenant prevents a worker from accepting other work or starting a business, or penalizes them for doing so, the restrictive covenant will not be enforceable. An example of an unenforceable TRAP would be requiring a wellness worker to repay all they have earned plus pay the wellness company’s future profits, attorney fees and arbitration costs if that worker decides to leave before a certain time period expires5. However, asking a former worker to repay a bonus they received if they leave before a certain period of time would be permitted as long as the wellness business did not impose any other conditions (such as dictating who the worker could work for or whether they could start their own business)6 .
It should be noted that restrictive covenants do not have to be in a signed agreement for the noncompete rules to apply: the restrictive covenants could be oral or in a written policy, such as an employee manual7
Different Treatment between Workers and Senior Executives
Chiropractic clinics that have senior executives with existing noncompetes can keep those in place, even after September 4, 2024. But, after that date, such clinics may not impose noncompetes on senior executives. For all other workers (who are not senior executives), all existing and future noncompetes will be unenforceable after September 4, 2024. Who are senior executives? They are workers who:
• Are in a policy-making position that controls significant aspects of the wellness business AND
• Received total annual compensation of at least $151,1648
continued on page 44
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Laser Therapy for Mitochondrial Dysfunction
Dr. Rob Silverman, DC, MS, CNS, CCN, CSCS, CKTP, CES, CIISN, DACBN, DCBCN, HKC, FAKTR
The use of low-level laser therapy (LLLT) across three different wavelengths simultaneously is an exciting new development for treating mitochondrial dysfunction. When the laser light contains wavelengths from the red, green, and violet portions of the spectrum, all phases of the mitochondrial energy generation process are stimulated.
How the Mitochondria Make Energy
Every cell in the body—except red blood cells—contains many mitochondria. These tiny powerhouses generate cellular energy through adenosine triphosphate (ATP), which powers nearly all of the body’s essential functions. Cells that need more energy, such as those in the heart, liver, muscles, and brain, contain more mitochondria. Liver cells contain one to two thousand mitochondria per cell; each heart cell contains about five thousand mitochondria. In addition to the intracellular mitochondria, free-floating mitochondria circulate in the bloodstream. 1
The process of converting glucose to ATP occurs within each mitochondrion's folded inner membrane. It begins when glucose from the cell enters the mitochondrion through the structure’s outer membrane. The glucose is then metabolized in the mitochondrial matrix by the citric acid cycle (the Krebs cycle) into breakdown products (chiefly pyruvate). These products then move into the inner membrane of the mitochondrion and the process of converting them to ATP begins.
Through a series of redox reactions, the nutrients are moved along an electron transport chain (ETC) through five protein components. At each of the first four stages along the chain, the process produces free energy that finally drives the phosphorylation of adenosine diphosphate (ADP) to ATP in the fifth and final complex of the chain, ATP synthase.
In the end, one glucose molecule has been converted to 36 to 38 molecules of ATP, along with carbon dioxide and water as byproducts.
Mitochondrial Dysfunction: Disrupting Energy Production
When mitochondrial energy production moves smoothly, the body has ample energy for normal functions, growth, and adaptation. When the process is disrupted, however, mitochondrial dysfunction sets in. Energy levels drop, oxidative stress increases, cell signaling is disrupted, and inflammation occurs. The lowered ATP levels can lead to fatigue, hypersensitivity, and chronic pain. 2 Chronically impaired mitochondrial function can even lead to fatal organ failure. 3
Mitochondrial dysfunction occurs when the mitochondria aren’t working efficiently.
Fundamental causes of mitochondrial dysfunction include:
Oxidative stress. Energy production within the mitochondria generates high levels of free radicals, particularly reactive oxygen species (ROS), which can overwhelm antioxidant levels, leading to damage from oxidative stress, impaired function, and inflammation.
Viral illness. Mitochondrial dysfunction caused by viral illness is a significant underlying cause of chronic illness, including long COVID. Viruses can damage the mitochondria's delicate internal structures and lead to increased production of free radicals and the cascade of damage this causes. The mitochondria can no longer produce energy efficiently, leading to chronic and often severe fatigue.
Environmental factors. Exposure to environmental toxins, such as heavy metals, pesticides, and certain drugs, can disrupt the integrity of the outer and inner mitochondrial membranes. They can also interfere with enzyme activity and damage mitochondrial DNA replication and repair mechanisms. Standard OTC and prescription non-steroidal anti-inflammatory drugs, including aspirin, ibuprofen, indomethacin, and diclofenac, can inhibit the electron transport chain and impair mitochondrial function.
Age-related changes. Overall mitochondrial function declines with age, partly from the accumulated damage of oxidative stress and decreased efficiency of repair mechanisms. Age-related mitochondrial dysfunction contributes to age-related diseases and declines in overall cellular function. 4
Sedentary lifestyle. Lack of physical activity leads to lower production of oxidative enzymes, more damage from free radicals, and reduced electron transport chain activity.
Metabolic disorders. Prediabetes, diabetes, obesity, and metabolic syndrome can impair mitochondrial function by disrupting glucose breakdown, damaging the mitochondrial membranes, and increasing oxidative stress and free radical damage.
Cell Danger Response
When the mitochondria become dysfunctional from age, lifestyle, and metabolic disorders, all systems in the body, including the immune system, operate at suboptimal levels. A
Laser Therapy - Cont.
poor lifestyle that leads to suboptimal mitochondrial function also leads to chronic low-level inflammation, which causes further mitochondrial dysfunction and a self-perpetuating loop of fatigue and additional damage. If a viral illness such as COVID or RSV is added to the already dysfunctional system, the immune system is less equipped to fight it.
When illness strikes, the mitochondria enter the cell danger response (CDR) mode. CDR is defined as “the evolutionarily conserved metabolic response that protects cells and hosts from harm. It is triggered by encounters with chemical, physical, or biological threats that exceed the cellular capacity for homeostasis. 5”
Mitochondrial activity switches from energy production to cell defense in the cell danger response to support the immune system. In other words, the mitochondria downregulate and divert their energy to the immune system.
When the mitochondria switch over to cellular energy production that favors immune defense, little energy is left for other functions. This is the underlying cause of fatigue that usually accompanies any illness. Healthy mitochondria have enough reserve to continue generating energy, although at a reduced level, during an illness. When the mitochondria function well, energy levels return to normal after the body fights off the infection.
In some cases, however, the danger response in the mitochondria doesn’t switch off. The cells can’t turn off the danger response until they receive signals from the adaptive immune system telling them the danger is past. If the signal isn’t given or received, the cell danger response remains active and blocks the return to homeostasis and normal energy levels.
The cell danger response can be modulated with an antiinflammatory diet, exercise, and stress management. Supplements that can help include vitamin D and zinc to support immune function and adaptogens such as ashwagandha. Also essential are prebiotics and probiotics for a healthy gut microbiome.
Low-Level Laser Therapy for Mitochondrial Dysfunction
The electron transport chain in the mitochondria uses highenergy electrons and hydrogen ions to convert ADP into ATP. 6
Because the process is so energetic, nonthermal laser light can stimulate it and improve the function and stability of the mitochondria by delivering highly energetic photons of energy into the cell. When photons of visible light energy from a nonthermal laser strike certain atoms in the inner membrane of the mitochondria, where the energy transport chain occurs, the energy may push an electron from that atom to a higher energy level, where an electron acceptor in the electron transport chain can pick it up.
Photons in the visible laser light spectrum are believed to affect complexes I, II, III, and IV of the electron transport chain. Some wavelengths used in low-level laser therapy are particularly effective at different points along the electron transport chain. Using the correct wavelengths is critical to achieving an excellent therapeutic response.
Laser light in the 400 to 450 nm (violet) range stimulates Complexes I and II. Complex I is the electron transport chain's largest and most complicated complex. 7 The reactions here are rate-limiting—any dysfunction at this point will affect energy production as it moves through the downstream complexes. Laser therapy using the violet wavelength supplies sufficient photonic energy to trigger the needed electron jumps to make complexes I and II function more efficiently. 8
Complex III is stimulated by laser light in the 500 to 560 nm (green) range. Laser light in this range can stimulate the processes related to oxidative phosphorylation at the ATP synthase complex, the final step in the production of ATP. 9
Complex IV is stimulated only by laser light in the 600 to 670 nm (red) range.
By stimulating the activity of the ETC complexes, the ratelimiting mechanism for ATP is restored, and ATP production within the mitochondria is increased. In addition, the freefloating mitochondria in the bloodstream absorb photon energy and disperse throughout the body, allowing photon energy to have a systemic effect on sites away from the laser application site.
Restoring Mitochondrial Function
When mitochondria become dysfunctional, their normal function can often be restored with a combination of lifestyle changes, nutritional supplements, and low-level laser therapy.
Lifestyle Changes
Numerous studies have shown that exercise is a highly effective way to improve mitochondrial function. Exercise helps enhance mitochondrial health by increasing the activity of the genes that produce mitochondrial proteins and enzymes and decreasing oxidative stress. In overweight, sedentary people, exercise increases the total number of mitochondria in muscle cells and increases the production of mitochondrial oxidative enzymes, accompanied by improvements in insulin resistance. 10 Exercise to improve mitochondrial function is also valuable for many chronic diseases, including heart failure and peripheral artery disease. Improved mitochondrial function from exercise may also play a critical role in preventing cognitive impairment and Alzheimer's disease and in maintaining muscle mass in older adults. 11
Supplements
The production of ATP in the mitochondria relies on several enzymes and coenzymes to function correctly. In the cell,
Laser Therapy - Cont.
glycolysis and the Krebs cycle need the coenzyme NAD (nicotinamide adenine dinucleotide) to complete the reactions and break down glucose before it enters the inner membrane of the mitochondrion. Complex I also requires NAD to function properly. NAD+ is the oxidized form of NAD; NADH is the reduced form. Within the mitochondria, they are the two sides of the redox reactions that shuttle electrons along the electron transport chain. Individuals may be low on NAD because of low intake of niacin, a B vitamin that is a crucial precursor needed for NAD production. Normal agerelated decline can also lead to low NAD levels.
In complex II, ubiquinone (CoQ10) is needed to move the free electrons to the next electron transport chain phase. CoQ10 levels may be low in individuals taking statin drugs and in those with heart failure; levels also decline with age.
To support optimal mitochondrial function, I suggest this supplement protocol:
• B vitamins: 60 mg/day
• CoQ10: 300 mg/day
• Acetyl-L-carnitine: 1,000 mg/day
• NMN (nicotinamide mononucleotide), a precursor to NAD: 200 mg/day
• Alpha-lipoic acid (ALA): 600 mg/day
• NAC/liposomal glutathione: 500 mg/day
• Magnesium: 200 mg/day
• Zinc: 40 mg/day
• Selenium: 200 mcg/day
• Vitamin C: 2,000 mg/day
Low-Level Laser Therapy
Low-level laser therapy using a red-green-violet nonthermal laser can help stimulate energy production within the mitochondria. These wavelengths target the entire
References:
1. Sreedhar A, Aguilera-Aguirre L, Singh KK. Mitochondria in skin health, aging, and disease. Cell Death Dis. 2020;11(6):444. Published 2020 Jun 9. doi:10.1038/s41419020-2649-z
2. Meeus M, Nijs J, Hermans L, Goubert D, Calders P. The role of mitochondrial dysfunctions due to oxidative and nitrosative stress in chronic pain or chronic fatigue syndromes and fibromyalgia patients: peripheral and central mechanisms as therapeutic targets? Expert Opin Ther Targets. 2013;17(9):1081-1089. doi:10.1517/ 14728222.2013.818657
3. Zhou B, Tian R. Mitochondrial dysfunction in pathophysiology of heart failure. J Clin Invest. 2018;128(9):3716-3726. doi:10.1172/ JCI120849
4. Kumaran S, Subathra M, Balu M, Panneerselvam C. Age-associated decreased activities of mitochondrial electron transport chain complexes in heart and skeletal muscle: role of L-carnitine. Chem Biol
mitochondria electron transport chain, particularly the high photon energy green and violet wavelengths. The key to their effectiveness is the photobiomic energy the wavelengths transmit to the cells and their mitochondria. Other light sources, such as red LED light in the infrared range, lack the coherence of laser light. These light sources can’t get absorbed efficiently into the tissues and provide minimal photobiomic effect.
In contrast, laser light in the red, green, and violet wavelengths activates photoreceptor molecules at every point along the mitochondrial electron transfer chain. The photobiomic effect is particularly effective for impacting the enzyme cytochrome c oxidase production in complex IV.
12 When the electron flow in the mitochondria is limited or completely blocked, the effect is like a kink in a hose: nothing gets through. The photobiomodulation impact of red, green, and violet laser light unkinks the hose and restores the energy flow.
Robust research supports the use of low-level laser therapy for treating chronic musculoskeletal pain. A recent study shows that high photo energy wavelengths in the green and violet spectrum are highly effective in reducing chronic neck and shoulder pain. This study provided substantial support for the first Food and Drug Administration clearance for the combined application of green and violet lasers. 13 Other research suggests that red-green-violet laser therapy can be helpful for a range of different disorders related to mitochondrial dysfunction, including chronic fatigue and traumatic brain injuries. In skilled hands, red, green, and violet low-level laser therapy is an important new treatment modality that will help patients achieve sustained pain relief and improved quality of life.
5. Naviaux RK. Metabolic features of the cell danger response. Mitochondrion. 2014;16:717. doi:10.1016/j.mito.2013.08.006
6. Ahmad M, Wolberg A, Kahwaji CI. Biochemistry, Electron Transport Chain. In: StatPearls. Treasure Island (FL): StatPearls Publishing; September 4, 2023.
7. Sharma LK, Lu J, Bai Y. Mitochondrial respiratory complex I: structure, function and implication in human diseases. Curr Med Chem. 2009;16(10):1266-1277. doi:10.2174/092986709787846578
8. Du Z, Zhou X, Lai Y, et al. Structure of the human respiratory complex II. Proc Natl Acad Sci U S A. 2023;120(18):e2216713120. doi:10.1073/pnas.2216713120
9. Kassák P, Przygodzki T, Habodászová D, Bryszewska M, Sikurová L. Mitochondrial alterations induced by 532 nm laser irradiation. Gen Physiol Biophys. 2005;24(2):209-220.
10. Toledo FG, Watkins S, Kelley DE.
Changes induced by physical activity and weight loss in the morphology of intermyofibrillar mitochondria in obese men and women. J Clin Endocrinol Metab. 2006;91(8):3224-3227. doi:10.1210/jc.20060002
11. San-Millán I. The Key Role of Mitochondrial Function in Health and Disease. Antioxidants. 2023; 12(4):782. doi:10.3390/antiox12040782
12. Karu T. Mitochondrial mechanisms of photobiomodulation in context of new data about multiple roles of ATP. Photomed Laser Surg. 2010;28(2):159-160. doi:10.1089/pho.2010.2789
13. Sammons T, Gair K, Silverman RG, Shanks S. Assessing the Impact of High Photon Energy Wavelengths on the Treatment of Chronic Neck and Shoulder Pain. Evid Based Complement Alternat Med. 2023;2023:6672019. Published 2023 Oct 4. doi:10.1155/2023/6672019
YOUR PARTNER IN HEALTH
BayCare Clinic is a physician-owned specialty care clinic headquartered in Green Bay, Wisconsin.
We pride ourselves on our commitment to excellence and our collaborative approach to care for patients throughout the region.
To best serve WCA members, BayCare Clinic offers an Online Referral Portal which allows providers to seamlessly send referral or consultation requests to the BayCare Clinic specialists of your choice.
The site is secure, allowing you to add medical information about a specific patient and send images with confidence.
BayCare Clinic is committed to this dual care process and will maintain strong communication with each WCA member until your patient returns to your care.
DISCOVER REGENERATIVE MEDICINE
Orthopedics & Sports Medicine BayCare Clinic
The specialists at Orthopedics & Sports Medicine BayCare Clinic treat a wide range of bone, joint, and muscle conditions utilizing surgical and nonsurgical options to minimize pain, improve mobility and function, and get patients back to their normal activities.
Regenerative medicine offers patients patients a non-operative treatment alternative There are two primary regenerative medicine treatment options we perform safely in the office using ultrasound guidance
Platelet-rich plasma uses a patient’s blood platelets to initiate the regenerative process This treatment is commonly used to treat arthritis, as well as acute and chronic tendon and ligament injuries
Bone marrow aspirate concentrate (BMAC) is a stem cell-based therapy that involves drawing bone marrow from the pelvis and applying the cells to the treatment area BMAC is typically used to treat arthritis in major joints such as the knee, hip, shoulder, and ankle
“Regenerative medicine, or orthobiologics, uses the body’s own cells and signaling molecules to relieve pain and improve function in orthop edic conditions,” says Dr. Ryan Woods, a non-operative sports medicine physician with Orthopedics & Sports Medicine BayCare Clinic in Green Bay. “They can be administered via ultrasound-guided injections, utilizing platelet-rich plasma, bone marrow, or adipose cells.”
These treatments have been shown to improve function and alleviate pain in patients with orthopedic conditions and offer an effective alte rnative to surgical treatment.
“Research studies have highlighted the safety and effectiveness of orthobiologics, which are increasingly recommended as a first-line injection option over steroids for certain conditions,” adds Woods
The recovery time after treatment varies depending on the type of therapy, but typically, physical therapy begins two weeks after regenerative medicine treatment
“Orthobiologic injections can improve pain and restore function for orthopedic injuries without surgery We customize treatments to each patient’s needs,” says Woods a non-operative sports medicine physician with Orthopedics & Sports Medicine BayCare Clinic in Green Bay “Downtime is minimal, allowing for a quick return to normal activities ”
Patients receive care from a collaborative team of surgeons and specialists supported by nurse practitioners, physician assistants, registered nurses, and physical therapists, all with specialized orthopedics and sports medicine training
Our online referral portal provides a smooth, seamless pathway for you to connect with our providers on your patient’s behalf The site is secure, allowing you to upload medical information and send images (such as X-rays) without worry
Patients who require specialized orthopedic care can trust the expertise of our orthopedic surgeons and our rege nerative medicine and sports medicine specialists
Bucks Boards
Pay for school expenses. You choose how to spend the award money – whether it’s on tuition, supplies, exam fees or other expenses.
Eligibility is easy. There’s no essay and no GPA requirement. If you’re a current chiropractic student or have graduated within the last six months, you’re eligible!
Enter in 60 seconds or less. the form and hit submit for a chance to win.
BUILD AND GROW YOUR PRACTICE with the Wisconsin Chiropractic Association
At the WCA, we understand the unique challenges you face as a chiropractic professional – and we’re dedicated to helping you overcome them. From comprehensive educational programs to invaluable networking opportunities, we offer a full suite of services designed to propel your practice forward.
With over 100 years of experience in supporting chiropractors, the WCA is here to provide the tools, resources, and guidance you need to thrive at every stage of your career. Join our community of successful chiropractors and unlock the potential of your practice!
Wisconsin Practices for Sale
Wausau area. Family referral practice established 33 yrs. $720,801 gross. $175,501 net income. Primarily cash practice. 19 np/mo. Div/soft tissue, various modalities. La Crosse. Southside. 1,500 sq ft in prime center. Solid practice fully equipped. Associate with option to buy. $238,477 gross. Transition assistance for smooth transition. Elkhorn/Lake Geneva. Long established, fully equipped attractive office. 493 patient visits/month. Avg. Gross $191,875 with only 18 hrs/wk. Experienced staff. Priced to sell at only $45,000! Brookfield Long established practice with quality reputation. High visibility on main thoroughfare off Hwy 18 Alt I-94. Nicely furnished and equipped office. Must sell, asking only $37,000!
Manitowoc Area. 27 year established practice located along beautiful Lake Michigan offering quality lifestyle. Div/FD also therapies. 2 part-time CA’s. $243,177 gross. $123,080 net income. Plover Area. 2,000 sq ft attractive office well equipped. Div/Instr/Drop also Graston, myofascial, therapies. 17 new patients/mo. Skilled part-time C.A.’s.
North Central Wisconsin major city. Very profitable family practice for sale in popular desirable city. Diversified, soft tissue, functional medicine, therapies. Referral cash practice! Skilled staff. Established 33 yrs. Financing available.
Associate Position Available. La Crosse Northside. Exceptional opportunity. Wonderful staff, attractive office, substantial family referral practice.
Contact Loren Martin www.practiceop.com
Phone: 952.322.1177 www.practiceop.com
Email: martin@practiceop.com
WCA Member
THE RIGHT SUPPORT
CLASSIFIEDS
WINDING DOWN?
You have spent your entire career developing and growing your practice. Now is the time to look ahead. If you do not have an exit plan, LSM may be your solution. Consider joining this large, patient-centered practice and see how smooth your move to retirement can be. Please contact Sarah Pavlik at 608-316-6972 or spavlik@lsmchiro.org for more information.
DOC FOR A DAY - COVERAGE DOCTORS NEEDED
Are you semi-retired, between positions, looking for extra income, or enjoy the thought of working when you choose? Doc For A Day is a locum tenens company that assists clinics with doctor coverage when their doctors are gone or cannot work. We are looking for coverage doctors to help us fill this growing need. Must have up to date chiropractic license and malpractice insurance. Otherwise, a few years of experience and a background check are all that's needed to get started. For more info contact Maggie at 847-367-9641 or Email: info@docforaday.com
STUCK OR PLATEAUED?
Running a chiropractic practice is not easy. Consider joining with LSM to revitalize your career. With 18 clinics, support staff and the latest technology, LSM can help you flourish. All benefits including healthcare, dues, malpractice and 401K plan. Work as the Chiropractor you were meant to be. Please contact Sarah Pavlik at 608-316-6972 or spavlik@lsmchiro.org for more information.
DOC FOR A DAY - WE'VE GOT YOU COVERED!
Our professional locum tenens doctors are ready to fill in for you while you are away. Vacation, surgery and recovery, maternity leave, and semi-permanent coverage. All of our Docs are licensed, insured, experienced and have had background checks. Contact us to schedule your time off today! Call or Text Maggie: 847-367-9641 or Email: info@docforaday.com
BUYING OR SELLING A CHIROPRACTIC PRACTICE?
Current Wisconsin Practices for Sale:
• Stevens Point/Plover - Associate-to-own considered. Div./ Drop/Instrument adjusting. Also dry needling, ART, FM, Nutri, laser, decompression. Skilled staff. Balanced payor mix approx. 50% insurance. Participates in major insurance plans.
• Elkhorn - 493 Quality referral practice in highly desirable area. Long established practice with solid reputation. Skilled staff. Neatly maintained free-standing building. 436 patient visits per month. $213,000 gross with low overhead. Asking $89,000. Financing avail.
• Manitowoc area - 28 year established practice with excellent reputation. Located along beautiful Lake Michigan. 1,500 sq ft prime location. Rent only $1,400/mo. Div/Cox/FD, therapies. Gross $243,177. Net $123,080.
• Sheboygan - Free-standing Low volume practice by choice. Established 40 yrs. Doctor retiring. Poised for growth. Fully equipped office. Sale includes free-standing building with 2 apartments up, all for only $230,000. Financing available.
Contact Loren Martin: Practice Opportunities, Inc. P: 952.322.1177 | Email: martin@practiceop.com | Website: www.practiceop.com. WCA Member/Licensed Broker
YOUR PARTNER IN HEALTH
The specialists at Orthopedics & Sports Medicine
BayCare Clinic treat a wide range of bone, joint, and muscle problems with the latest in advanced technology and techniques
Our goal is to minimize pain, improve function, and get patients back to their normal activities.
BayCare Clinic is proud to partner with the Wisconsin Chiropractic Association and more than 100 chiropractors in northeastern Wisconsin to provide top-level musculoskeletal care to their shared patients
Learn more about how we can help.
EQUIPMENT FOR SALE - MILWAUKEE, WI
Zenith II HYLO w/ drops for sale.
• Good Condition w/ Navy upholstery
• No Mechanical issue
• Asking $3,900
If interested, please:
Call: 414-430-2696 for pictures and additional information.
POSITION WANTED - MILWAUKEE, WI
Milwaukee Spine & Rehab is a new office located in Wauwatosa, WI looking for a Chiropractor who will provide excellent patient care as well as help manage day-to-day operations as a Clinic Director. It is a great opportunity to see what owning your own office will look like and we give you all the tools needed to do that when you are ready.
Looking for a dynamic, dependable, versatile, intuitive Chiropractic professional. We are seeking someone who wants to work in brand-new, collaborative therapy-based Chiropractic setting. Pay range: $80,000 - $120,000 with bonus. This is an open position; new grads are very welcome!
If interested, contact Terri Thomas: Email: terri.8.thomas@gmail.com Phone: 252-450-0210
NOW HIRING MULTIPLE ASSOCIATION POSITIONSNORTHEAST WISCONSIN
Associate DC position(s) available in an award-winning practice based out of Northeast Wisconsin. Ability to potentially run your own practice someday if you are the right candidate. Starting pay range is $70,000 - $150,000, company paid malpractice insurance and continuing education after 2 years, $5000 Student Loan forgiveness every 5 years, IRA match, health insurance reimbursement, PTO, and paid maternity/paternity leave.
• Job Type: Full-time
• Pay: $70,000 - $150,000 per year
• Benefits: Employee Discount, Health Insurance, PTO, Professional Development assistance, Retirement Plan, and Tuition reimbursement.
See current locations that are hiring below (Click each logo to learn more):
*** If you're someone motivated and willing to grow with a passion for chiropractic; please apply! ***
Email: drbuss@thechiroadvantage.com
ASSOCIATE WANTED - WESTFIELD, WI
Opportunity for ambitious, up-beat, full-time Doctor to join our clinic in central Wisconsin. Well established family-based wellness practice with opportunity for future partnership potential. Looking for caring, self-motivated, energetic, and ethical doctor. EMR and electronic billing in state-of-art modern staffed facility. Digital x-rays and multiple physiotherapies. Activator certification, diversified, and drop piece adjusting skills preferred. Nutrition certification recommended.
Salary based on collections with opportunity to earn a very competitive income. Benefits include retirement, insurance, group practice, and continuing education.
Please submit your resume to: westfieldchiros@hotmail.com
Click on the link for more information.
OFFICE SPACE AVAILABLE - MILWAUKEE, WI
Office space available for an independent contractor or an office share for an experienced chiropractor. I am ready to reduce my practice after 42 years of practice in a well-respected clinic. The clinic is located in the Bayview neighborhood of Milwaukee. My goal is to find someone to join me in my low tech, client centered office. An option to purchase in the future is also available.
Serious inquiries only: Multiple Contact Options: Click Here
OFFICE SHARING OPPORTUNITY - FOND DU LAC, WI
Well established chiropractic office located in the east central Wisconsin city of Fond du Lac with an office sharing opportunity perfect for a self-motivated doctor to establish and build their independent practice. I am NOT looking for an associate doctor - my goal is to bring in a self-motivated doctor (or doctors) to establish themselves and then (ideally) absorb my practice upon retirement.
The office is a 3200 sq. ft. business condo located on one of the busiest thoroughfares in Fond du Lac and comes fully furnished with equipment ready for use. This is a great opportunity to develop and grow your own practice without the front-end costs or burden of high interest loans to finance the purchase of equipment and office furnishings, cost of office space-build out, recurring monthly utility expenses and a long-term office space lease commitment.
For Additional Details, view the flyer here.
For seriously interested parties: Email: wipracticeopportunity@gmail.com
EQUIPMENT FOR SALE - KENOSHA, WI
Zenith HYLO Table w/ drops. ** In Great Condition - Recently reupholstered w/ black Naugahyde **
• 71" L x 22" W x 23" H
• Holds 8.5" x 125" face paper roll
• No mechanical Issue
• Asking $3,000
Zenith Cox Table ** In Great Condition - Recently reupholstered w/ black Naugahyde **
• 73" L x 23" W
• Holds 12" x 125" face paper roll
• No mechanical issues
• Asking $5,000
To view the equiptment flyer click here.
Contact Lockhart Chiropractic if interested:
Email: lockhartchiropractic.kenosha@gmail.com
Phone: 262-657-8434
PRACTICE FOR SALE - HAYWARD, WI
Established clinic of 15 years closing due to retirement. Great location adjacent to Hayward Lake off of Co Hwy B. Clinic sees 80-100 pts / week with an average of 60% insurance and 40% cash patients. Primarily Diversified and AK along with utilizing modalities. 2 part-time support staff will stay through transition and clinic overhead is very low at $600/mo. (lease). This is an excellent opportunity to acquire a turn-key family practice just ahead of the very busy summer season.
Asking $10,000 OBO
If interested, please call:
Cell: 731-431-2526 Clinic: 715-634-3333
ASSOCIATE WANTED - DE PERE, WI
Looking for an Associate Chiropractor to help grow and already busy, established family practice in De Pere, WI. Practice is patient centric with an established patient base with modern equipment to provide the finest care available. This is an excellent long-term opportunity to start a career or to continue one while growing professionally in a group practice. Competitive compensation, benefit package, 401k, along with profit sharing. Applicants must be licensed or board eligible.
If interested, please contact Dr. Dave Van Drisse:
Email: drvands@yahoo.com
Call: 920-562-3691
ASSOCIATE WANTED - APPLETON, WI
Aascend Chiropractic is looking for a motivated and talented doctor to grow along with our expanding practice in Appleton, WI. Our clinic has amazing tools for you to work with your future patients such as digital x-ray, vertical/horizontal traction, class 4 laser, and a hyperbaric oxygen chamber. You will work a 4-day workweek with the opportunity to become a Partner Give us a call at (920) 574-3622 to discuss this great chance to work with a wonderful and supportive team.
• Starting salary of $48,000 per year
• Paid Malpractice and CEU
• Paid Short/Long term disability
• PTO
• Health Insurance
Email CV and Cover letter to: drreineking@aascendchiro.com
PRACTICE FOR SALE - FOND DU LAC, WI
Free-standing 1500ft2 office with 50+ years chiropractic history for sale! Great location on corner of N Hickory St and W Johnson Street – busiest street in FdL! Easy, quiet access, dedicated parking lot. New roof and mechanicals. Most recent practicing doctor passed away in early 2024 with 40+ years in practice. Client list ready for reactivation, equipment ready for use. Patient base was cash/ins mix. Stop paying rent. Take your practice to the next level!
Click here to view our listing brochure.
** Will divide parcels to facilitate a sale **
If Interested in this property, please contact:
• Name: Tom Ackermann
• Phone: 920-204-6850
• Email: tom@acfdl.com
ASSOCIATE WANTED - APPLETON, WI
** Wagner Family Chiropractic **
We are looking for a motivated chiropractor interested in helping patients of all ages in the Fox Cities. We are a fastpaced clinic that has been helping patients for 20 years. Join 3 other compassionate doctors in helping others with high-quality chiropractic care. The position includes base plus generous bonus, PTO, 401K, paid malpractice/CEU and health insurance.
Please call Dr. Jody or Dr. Mike as we want to hear from you!
Text or Call at: 920-209-9137 OR Email your resume to: resume@wagnerchiropractic.net
ASSOCIATE
WANTED
- GREEN BAY, WI
Massart Chiropractic is looking for an associate to join our team. We are a busy and successful clinic with multiple chiropractors in Green Bay, WI. Take over an existing patient base and continue to build your dream practice in a beautiful, state-of-the-art building with a full support staff. We are looking for a dependable, passionate, hard-working individual who is willing to embrace our systems to be part of our team. The successful candidate will receive all the education/training and support necessary to guarantee success. Very competitive salary with paid time off, matching retirement package, and health insurance.
Email cover letter and CV to: drmassart@massartchiropractic. com
View Massart Chiropractic for more information.
ASSOCIATE WANTED
- JANESVILLE, WI
Van Roo Family Chiropractic is seeking an Associate Doctor to join our family practice which has been serving the Janesville community for 20 years. We are at an ideal stage to begin the search for a long-term Associate Doctor with potential ownership of the clinic in the future. The new Doctor must have a good work ethic and values, like to have fun yet be professional, and would also like to be in our area long-term. We will provide training and salary of $50-100k plus incentives.
Call Dr. Ryan at 608.751.3124 or Email: ryanlaurawyatt@ hotmail.com if interested.
Visit the website for more information.
ASSOCIATE WANTED - WAUWATOSA, WI
Connect Chiropractic in Wisconsin seeks an Associate Doctor to join our dynamic team. Our high-energy, family-focused practice offers a nurturing environment and opportunities for growth. We prioritize team culture, setting and achieving goals together, and enjoying activities outside the office. With locations in Wauwatosa, Delafield/Lake Country, and Oak Creek we are surrounded by lakes and outdoor recreation for a vibrant lifestyle.
Starting salary ranges from $70-$100k+ and grows with effort. We welcome students to apply and seek individuals who are humble, hungry for growth, and heart-centered.
**If interested, email DrAlex@goconnectchiro.com with your resume. Join us in making a difference!
ASSOCIATE WANTED - WEYAUWEGA, WI
• MLS Robotic Laser
- New $50,000. Asking $20,000 OBO
• DRX9000 Lumbar Decompression Table
- Original price $90,000. Asking $8,000 OBO
• Bennett 1992 X-ray machine plus frame for upper cervical specific imaging
- Includes: Konika-Minolta processor / cassettes.
- Make an Offer
• Additional Equipment (Pictures available upon request
- Visual Odyssey Neuropatholator
- Asking $500 OBO
• Therapy Bench
- Asking $300
• Foot Levelers 3D Body View Scanner
- New $700. Asking $200
View the flyer for more equipment photos.
Contact: Dr. Fred Raschke Cell: 920-572-0370 Email: fredraschkedc@gmail.com
PRACTICE FOR SALE - PHILLIPS, WI
Free-standing fully equipped office and practice complete with waiting room, bathroom, 2 treatment rooms, private office w/ bath, x-ray machine, and a full-size basement. Basement has plumbing and ample storage. Downtown high visibility location. Established business with 21 years of success. Doctor retiring. Asking: $238,500.
*** Additional information available here: 596 Lake Ave S, Phillips, WI 54555 - Listing #:205970 (newhorizonsrealtywi.com)
View the flyer for more photos.
ASSOCIATE WANTED - FOX VALLEY AREA, WI
Busy chiropractic team looking for an associate. We have multiple clinics throughout the Fox Valley. Our clinics are growing, and we need another DC to be the clinic director of our Neenah, WI location. It is a fully furnished office, and new patients are provided. Our associate's focus will be on diagnosing patients, developing treatment plans, and delivering patient care. We are Integrity Doctor clients and have awesome clinic systems in place.
Benefit Package for New Associate DC's:
• Starting salary between $50k - $75k.
• Malpractice Insurance covered by the clinic.
• Allowance to cover continuing education.
• 2 weeks paid vacation, paid sick time, and PTO
Please your resume if interested: cdornchiro@hotmail.com
ASSOCIATE WANTED - GREEN BAY, WI
Opportunity for full-time Associate Doctor to join our office in Green Bay, Wisconsin. We are a fun, no-modalities, adjustingonly clinic. Your main responsibility will be to adjust and teach chiropractic! Our subluxation-based family practice focuses on lifelong chiropractic care. We utilize both by-hand and instrument techniques: Primarily Gonstead, Diversified, Thompson and TRT.
Compensation:
• $70k-$90k annually plus bonuses
• Potential for up to a $5k sign-on bonus (based on experience & possible relocation)
Benefits:
• Retirement (with match), health benefits, PTO, and Longterm disability coverage.
• All major holidays off.
• We cover all licensure, malpractice, and continuing education expenses.
Please submit your resume to: drmatthewfiltz@gmail.com
CLINIC WANTED FOR PURCHASE - GREATER MILWAUKEE AREA
Chiropractic Company is currently looking to purchase a clinic in the Greater Milwaukee area.
If you have interest in selling, a merger or are contemplating retirement and need an exit strategy:
Please contact Kent McLeod at 414-213-4808 or drmcleod@ chiropracticco.com or visit chiropracticbuyers.com for additional information.
ASSOCIATE WANTED - GREATER MILWAUKEE AREA
Chiropractic Company is a rapidly expanding group of clinics in the greater Milwaukee area, and we are currently looking for associate doctors.
We are unique in the profession in that doctors have the opportunity to advance from associate to clinic director, to shareholder in the corporation all based on their personal performance.
In addition to a salary and bonus structure we also offer health insurance, short term and long-term disability insurance, and a matching 401k plan. Continuing education, chiropractic coaching, 50% off a gym membership, license, CPR training, and malpractice insurance are also covered benefits of working with the Chiropractic Company.
For more information go to: www.chiropracticco.com/careers OR Email: drmcleod@chiropracticco.com
EQUIPMENT FOR SALE - ONALASKA, WI
Erchonia EVRL for sale. Very limited use, New $15,000. Asking $9,000.
Description:
The EVRL red & violet handheld laser has become Erchonia's most popular handheld device by offering the versatility of red and violet wavelengths taking outcomes to a whole new level. By combining these two specific wavelengths into one treatment modality, patients received better results during clinical studies. The violet is also shown to be effective with its anti-bacterial & anti-microbial properties.
Specifications:
• 7.5 mW Line Generated Violet Laser diode with Patented Optics
• Wavelength: 640 nm & 405 Nm
• Modulation: Constant Wave (CW) & Pulsed
• Laser Class 2 / Device Class II (USA)
Please contact Dr. John Anderson by: Email: jranderson7@hotmail.com or Call: 608-385-8747
PRACTICE FOR SALE - ADAMS, WI
Practice for Sale by sole proprietor. Close to Northern Bay Condominiums/Golf Resort, Sand Valley Golf Resort, and the Wisconsin Dells. Located in the city of Adams. This area has a great school district, small-town feel for raising a family, and local hospital to partner with for PT and X-Rays. 28-year established family referral practice. Balanced mix cash and insurance. Clinic is fully furnished in a great location with good visibility within a professional building with low overhead. Great for someone starting out that wants to have their own practice. Doctor is retiring and can provide pictures of the office upon request.
Asking $50,000.
Contact Information if interested: Call: 608-548-1277
Email: drslea@yahoo.com
Click here to view clinic photos.
CLINIC WANTED FOR PURCHASE - GREATER MILWAUKEE AREA
Chiropractic Company is currently looking to purchase a clinic in the Greater Milwaukee area.
If you have interest in selling, a merger or are contemplating retirement and need an exit strategy:
Please contact Kent McLeod at 414-213-4808 or drmcleod@ chiropracticco.com or visit chiropracticbuyers.com for additional information.
ASSOCIATE WANTED - GREATER MILWAUKEE AREA
Chiropractic Company is a rapidly expanding group of clinics in the greater Milwaukee area, and we are currently looking for associate doctors.
We are unique in the profession in that doctors have the opportunity to advance from associate to clinic director, to shareholder in the corporation all based on their personal performance.
In addition to a salary and bonus structure we also offer health insurance, short term and long-term disability insurance, and a matching 401k plan. Continuing education, chiropractic coaching, 50% off a gym membership, license, CPR training, and malpractice insurance are also covered benefits of working with the Chiropractic Company.
For more information go to: www.chiropracticco.com/careers OR Email: drmcleod@chiropracticco.com
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