12th Annual Joseph W. Howe Oration in Diagnostic Imaging

June 6, 2019 -- Logan University welcomed Michael S. Montileone, MD, DACR, DC, DACBR (1980) to campus on May 30 for the 12th Annual Joseph W. Howe Oration in Diagnostic Imaging.

During his presentation titled “MD versus DC radiologist, What’s the Difference?” Dr. Montileone detailed the differences and similarities between these two types of radiology. Ultimately, he said, “Bottom line: we’re all here to help the patient. That’s what it’s all about.”

Dr. Montileone completed two years of radiology residency training at the Phillip Institute of Technology in Melbourne, Australia, and was awarded Diplomate status by the American Chiropractic Board of Radiology in 1983. Today, Dr. Montileone is a medical radiologist at Tidewater Diagnostic Imaging LLC and musculoskeletal radiologist at Sentara Williamsburg Hospital, Sentara Careplex Hospital and Port Warwick Medical Center in Virginia.


Howe Oration in Diagnostic Imaging - May 31, 2018


Click here to watch the 11th Annual Joseph W. Howe Oration in Diagnostic Imaging.

On Thursday, May 31st at 10:30am, the Department of Radiology will host the 11th Annual Joseph W. Howe Oration in Diagnostic Imaging. This Oration is designed to honor the extensive contributions and achievements of Dr. Joseph W. Howe to the education, research and practice of chiropractic radiology. 

Every year, eminent speakers are selected to deliver the Oration from the fields of radiology, clinical practice, education and research, reflecting the extraordinarily wide scope of intellectual interest and contributions in the career of Dr. Howe, who has served as faculty in the Department of Radiology since 2002. 

The 11th Annual Oration address, titled 35 Years a DACBR: Lessons Learned and Things I Missed, will be delivered by Dr. Gary Guebert.

Please join us in The Purser’s Walters Auditorium to celebrate the distinguished career of Dr. Joseph W. Howe. 

Dr. Terry Yochum, Dr. James Cox and Dr. Norman Kettner share experiences at 2017 Howe Oration


Dr. Terry Yochum, Dr. Norman Kettner, Dr. Joseph Howe and Dr. James Cox

Salvaging athletic careers, creating pain treatment methods and working to understand the effects of both physical and psychological pain are just some ways Doctors of Chiropractic are contributing to health care. Three eminent DCs specifically shared their experiences with these topics during the 10th Annual Joseph W. Howe Oration in Diagnostic Imaging, an event held May 25 at Logan to honor the contributions and achievements of Dr. Howe.

Speakers included Terry R. Yochum, DC, DACBR, James Cox, DC, DACBR and Norman W. Kettner, DC, DACBR.

Dr. Terry Yochum – Saving a Career

Dr. Yochum discussed a case highlighting a 16-year old female soccer player who was slated to join the United States’ Junior Olympic Soccer Team. The patient was experiencing low back pain on her right side as she kicked the soccer ball and extended. Dr. Yochum concluded that she had developed spondyloysis and his answer was to put her in the Boston Overlap brace and reduce her activity. 

Dr. Yochum noted that athletes are the hardest patients to manage because as soon as the pain goes away, they want to play. However, he praised this aspiring soccer star for following orders. He said the key is to remind athletes, parents and coaches that the brace is not a career-ending activity, but it is ultimately a career-saving activity. As a result, the patient fulfilled her goal and was selected for the Junior Olympic soccer team. Dr. Yochum has performed this treatment with hundreds of patients, in addition to the soccer player, without one reoccurrence.

Dr. James Cox – Treating Post-Surgical Patients  

“The suicide rate is high…the depression rate is high,” said Dr. Cox empathetically during the Howe Oration, as he discussed the chiropractor’s obligation to meet the challenges of post-surgical, continued-pain patients. 

Dr. Cox shared a study he and other colleagues conducted to address the pain patients often continue to feel after undergoing spinal surgery, which may lead to severe depression or even suicide. They found that 10 to 40 percent of patients will experience pain after surgery. Dr. Cox and the participating chiropractors performed chiropractic distraction spinal manipulation on patients and were pleased to record 81 percent of these patients experienced more than a 50 percent relief in pain. 

Chiropractic distraction spinal manipulation is a method aided by an instrument called a transducer, which helps teach doctors how much force to apply. Dr. Cox noted that the transducer is valuable because one of the hardest things with this method of spinal manipulation is teaching doctors how much force to apply to a joint.

Dr. Norman Kettner – Pain & The Brain  

The Oration concluded with Dr. Kettner addressing the human brain and the importance of understanding the brain’s adaptation to chronic pain. He described the models of functional brain dynamics, reviewed the dynamics of nociceptive and anti-nociceptive peripheral and central networks, provided an overview of the techniques of functional neuroimaging and examples of data demonstrating how neuroplasticity of chronic pain may be modified by interventions such as acupuncture and spinal manipulation.

Dr. Kettner stressed the importance of understanding the biopsychosocial model which combines anatomic, physiologic and psychosocial patient-doctor interactions. “We will fail unless we integrate this principle into education and clinical practice,” he said. “It’s the integrative relationships between networks of molecules, cells, systems and the psychosocial dimensions that is more important than the individual components.”  

Over the years, Dr. Kettner has authored numerous publications in the field of chiropractic radiology and functional neuroimaging including prestigious journals such as Brain, NeuroImage, Human Brain Mapping and Pain

Howe Oration in Diagnostic Imaging - May 25, 2017


On Thursday, May 25th at 10:30am, the Department of Radiology will host the 10th Annual Joseph W. Howe Oration in Diagnostic Imaging. This Oration is designed to honor the extensive contributions and achievements of Dr. Joseph W. Howe to the education, research and practice of chiropractic radiology. 

Every year, eminent speakers are selected to deliver the Oration from the fields of radiology, clinical practice, education and research, reflecting the extraordinarily wide scope of intellectual interest and contributions in the career of Dr. Howe, who has served as faculty in the Department of Radiology since 2002. 

The 10th Annual Oration address will be delivered by the following:

  • Terry R. Yochum, DC, DACBR
  • James Cox, DC, DACBR
  • Norman W. Kettner, DC, DACBR

Please join us in The Purser’s Walters Auditorium to celebrate the distinguished career of Dr. Joseph W. Howe. 

A box lunch will be provided to the first 150 attendees.

A link to the live stream of this event will be available at Logan.edu the day of the event for those who are not on campus.

Howe Oration - May 26th, 2016

The 9th annual Joseph W. Howe Oration in Diagnostic Imaging will be held on Thursday, May 26th at 9:30am in the Purser Center. Students, faculty and staff are invited to attend.

The topic of this year's presentation will be "The History of the Radiological Specialty in Chiropractic" and the event will be live streamed for those unable to attend.

The live stream will begin shortly before the beginning of the event.



Howe Oration - May 28th

The 8th annual Joseph W. Howe Oration in Diagnostic Imaging will take place Thursday, May 28th beginning at 9:15 am in the Purser Center.

The speaker will be Victor Tong, DC, DACBR, and his topic will be Ethics in Chiropractic Radiology. Dr. Tong graduated from Logan in 1979. Dr. Tong is the first resident who started and completed a radiology residency program with Dr. Joseph Howe at Los Angeles College of Chiropractic (LACC). Dr. Tong has been teaching Radiology in chiropractic colleges for more than 31 years. Additionally, he maintains a private Radiologic Consultation practice in Southern California and teaches Chiropractic Education seminars in Cali-fornia and Arizona.

All third and fourth period Trimester 7, 8, and 9 classes on Thursday are canceled so students may attend the Oration and hear Dr. Tong’s presentation. Faculty, staff, and all other students are invited and encouraged to attend as schedules allow.

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