Thomas Gugerli DC , FASBE
3100 NC HWY 55, #204, Cary, NC, 27519
Phone: 919 589 0909
drgugerli@swissspineclinic.com
http://SwissSpineClinic.com
SELECTED OCCUPATIONAL HISTORY
CEO and Clinic Director, Swiss Spine Clinic, Cary, NC, 2009 - Present
CEO and Clinic Director of a multi disciplinary practice, Cabinet Chiropratique, Rolle Switzerland, 2000 - 2012
Chiropractor, Institut for the Study of the Static and the Dynamics of the Human Body, Geneva, Switzerland, 1995 - 2000
Chiropractic Physician, Confer Clinic of Chiropractic, Uniontown, PA, 1992 - 1993
EDUCATION AND LICENSURE
Doctor of Chiropractic, Licensed in the State of NC, License # 3955, 2009-Present
Doctorate of Chiropractic, Northwestern College of Chiropractic, Bloomington, MN, 1991
Internship, Institut de la Statique et de la Dynamique du corps Humain, Geneva, Switzerland, 1993 - 1995
National Board of Chiropractic Examiners, Part I, 1991
National Board of Chiropractic Examiners, Part II, 1991
National Board of Chiropractic Examiners, Part III, 1991
National Board of Chiropractic Examiners, Physiotherapy, 1991
BS in Sciences, Gymnase du Belvedere, Lausanne, Switzerland, VD, 1985
Swiss Boards of Chiropractic in Chiropractic, ChiroSuisse, Bern, Switzerland, 1995
1st Medical Propredeutics in medicine, Medical School, Lausanne, Switzerland, 1987

SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

The Safe Use of X-Ray in a Clinical Setting, The Safe Use of X-Ray in a Clinical Setting, Utilizing the guidelines created by the American College of Radiology and the evidence in the scientific literature for case management involving x-ray. Understanding the standards for safe radiation exposure when creating a demonstrative spinal biomechanical diagnosis and ruling out anatomical pathology Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023
Coding and Care Planning, ICD -10, and CPT cross-coding requirements form the acute stage through rehabilitation, including home care. The documentation of passive vs. active care in chronic and trauma case management. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023
Coding and Care Planning with Spinal Biomechanical Pathology, The documentation of short and long-term care, including demonstrative validation or spinal pathology in the clinical setting. Connective tissue pathological mechanisms in chronic and traumatic etiology. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023
Diagnosing and Case Management, The requirements for diagnosing based upon in an initial evaluation and management encounter ranging from a 99202 – 99205 that includes comorbidities, non-musculoskeletal, and sequalae to injury diagnosis. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023
Diagnosing and Case Management, Diagnosing and Case Management, The requirements for diagnosing imaging inclusive of static x-rays, biomechanical x-rays, and MRI. Documenting the clinical findings of disc bulge, herniation, protrusion, extrusion, and fragmentation. Coding, diagnosing, and documenting individual treatment encounters in the clinical setting. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023
Diagnosing and Case Management, Elements of Evaluation and Management codes 99202-99203-99204-99205, inclusive of complexity of management and time components. Demonstrative documentation of spinal-related pain generators; spinal cord, thecal sac, myelomalacia, spinal nerve root insult, connective tissue, recurrent meningeal nerves. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023
Documentation, Demonstrative and Compliance, Elements of Evaluation and Management codes 99202-99203-99204-99205, inclusive of complexity of management and time components. Demonstrative documentation of spinal-related pain generators; spinal cord, thecal sac, myelomalacia, spinal nerve root insult, connective tissue, recurrent meningeal nerves. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023
Documentation, Demonstrative and Compliance, Elements of Evaluation and Management codes 99202-99203-99204-99205, inclusive of complexity of management and time components. Demonstrative documentation of spinal-related pain generators; spinal cord, thecal sac, myelomalacia, spinal nerve root insult, connective tissue, recurrent meningeal nerves. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023
MRI Spinal Anatomy, Protocols and Disc Pathology, Normal anatomy of axial and sagittal views utilizing T1, T2, gradient and STIR sequences of imaging. Degeneration and annular fissures of discs in both trauma and non-trauma patients and the biochemical properties of joints in age dating pathology. Disc bulges from degenerative and sequela to osseous issues, herniation pathology and protrusion, extrusion, migrated and sequestered variations. Clinical scenarios as sequela to disc and pre-existing pathologies. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences. Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023
MRI Spine Interpretation, Herniated, bulged, extruded, protruded, sequestered and degenerative discs. The morphology of a pathological disc vs. normal morphology and the sequences required including T1, T2 and STIR for all spinal regions. Modic 1-2-3 changes detailed and the traumatic relationship. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences. Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023
Injury and the Intervertebral Disc, Epidemiology of IVD in asymptomatic cohort, annular tears, HIZs, pathogenesis of IVD healing, IVD nutrition, Modic changes. Research and physiologic rationales related to the effect of trauma and mechanisms of healing affecting the intervertebral disc. PostgradDC, Wilmington, NC, 2023
MRI Spine Interpretation, T1, T2, and STIR sequencing of the cervical, thoracic, and lumbar spinal regions to diagnose herniated, bulged, protruded, and fragmented discs. The clinical necessity and timing of ordering MRI spinal studies. Academy of Chiropractic Post-Doctoral Division, Raleigh, NC, 2023
Connective Tissue Pathology, The morphology of ligaments from the neonate to maturity and the wound repairing process explaining permanency. The functionality and lack thereof with collagen, elastin, and fibroblast in trauma care. Academy of Chiropractic Post-Doctoral Division, Raleigh, NC, 2023
Trends in Primary Spine Care, The diagnosis and management of anatomical and biomechanical spine pain using x-ray, MRI, digitizing, and electrodiagnostics to conclude a prognosis and treatment plan. Collaborating with other spinal specialists from the acute stage of care through rehabilitation. Academy of Chiropractic Post-Doctoral Division, Raleigh, NC, 2023
Physiological Mechanism of Biomechanical Failure in Contemporary Chiropractic Practice, The mechanisms of facet and meniscoid failure with repetitive micro and macro traumas. The central nervous system responses with facet nociceptors and ligamentous mechanoreceptors. The central nervous system’s response as compensation to biomechanical failure. Academy of Chiropractic Post-Doctoral Division, Raleigh, NC, 2023
Challenges in treating and managing cervical radiculopathies, Fetterman Events, Charlotte, NC, 2022
Advanced Imaging review, Diplomate, Swiss Spine Clinic, PostgradDC, Wilmington, NC, 2021
Treating Common Sports Injuries, Diplomate, Swiss Spine Clinic, Fetterman Events, Charlotte, NC, 2021
Concussion Protocol, Fetterman Events, Charlotte, NC, 2021

SELECTED MEMBERSHIPS

ACA, 2013 - Present
NCCA, 2010 - Present