Van Merkle, DC, CCN, DCBCN, DABCI

Dr. Van D. Merkle, president of Science Based Nutrition, is a diplomate of the American Clinical Board of Nutrition and the American Board of Chiropractic Internists. He is also a diplomate of the recently formed Chiropractic Board of Clinical Nutrition and currently serves as vice president. Dr. Merkle has practiced in the Dayton, Ohio area for more than 25 years, and hosted the call-in radio talk show "Back To Health, Your Guide to Better Living" since 1995.

Previous Articles

Cancer Free for 18 Years
August 1, 2013 (Vol. 31, Issue 15)
Using Nutrition to Overcome Complications of Anal Stenosis
February 1, 2013 (Vol. 31, Issue 03)
Removing Toxins to Treat Teen Arthritis
August 12, 2012 (Vol. 30, Issue 17)
Fiery Feet: Treating Gout With Nutrition
February 12, 2012 (Vol. 30, Issue 04)
Too Many Toxins, Too Few Nutrients
December 2, 2011 (Vol. 29, Issue 25)
Prostate Cancer: The Argument for Conservative Care
August 12, 2011 (Vol. 29, Issue 17)
57 Radiation Treatments Avoided – Why Nutrition Was Essential
June 3, 2011 (Vol. 29, Issue 12)
A Silent Case of Hemochromatosis
May 20, 2011 (Vol. 29, Issue 11)
Treat Rheumatoid Arthritis With More Than an Adjustment
November 4, 2010 (Vol. 28, Issue 23)
Treat an MS Patient? Yes You Can!
August 12, 2010 (Vol. 28, Issue 17)
Parasites: Nutritional Remedies Do Work!
July 1, 2010 (Vol. 28, Issue 14)
Inflammatory Bowel Disease: Nutritional Considerations
May 20, 2010 (Vol. 28, Issue 11)
Blood Testing: Three Easy Steps
May 20, 2009 (Vol. 27, Issue 11)
Chiropractic Goes to Nepal
May 6, 1994 (Vol. 12, Issue 10)
Mission to China
February 13, 1995 (Vol. 13, Issue 04)
Trending
Diagnosis & Diagnostic Equip
Diagnosing Radiculopathies Through History & Observation
Diagnosing Radiculopathies Through History & Observation

MRI is currently the gold standard for identifying radicular pathology, but unfortunately, it requires preauthorization, which isn’t easy to obtain. Physical tests are what most practitioners depend on – despite the marginal reliability of the tests. The information in this article brings history and observation to the forefront of radicular diagnostics. Each factor listed can significantly increase the clinician’s ability to diagnose radiculopathies.

K. Jeffrey Miller, DC, MBA
Billing / Fees / Insurance
Multiple-Procedure Claim Reductions?
Multiple-Procedure Claim Reductions?

With some plans – and it starts with Medicare (CMS) – there is a payment protocol called the multiple-procedure payment reduction (MPPR). This protocol means that if a health care provider performs multiple procedures during a single patient encounter, Medicare (and many commercial insurers) typically will pay “full price” for only the highest-valued procedure. The subsequent procedures will be reduced, as there is overlap.

Samuel A. Collins
Chronic / Acute Conditions
From Sciatica to Brain Tumor: A Life-Saving Diagnosis
From Sciatica to Brain Tumor: A Life-Saving Diagnosis

A 42-year-old male former patient arrives at your chiropractic office with excruciating low back pain that travels all the way down his right leg to his foot. A spinal surgeon previously recommended surgery to correct an MRI-confirmed disc herniation (sequestration) at L5, but the patient chose conservative chiropractic care. Although conservative treatment is effective for many lumbar disc herniations, the warning signs in this case call for escalation.

Ronald Feise, DC