Dennis Barker DC
1901 Olympic Boulevard, Suite 120, Walnut Creek, CA, 94596
Phone: 925-210-8000
Fax: 925-935-0960
drdbarker1@gmail.com
https://www.contracostainjury.com
SELECTED OCCUPATIONAL HISTORY
Doctor of Chiropractic-Owner, Contra Costa Injury and Chiropractic, Walnut Creek, California, 2023 - Present
Doctor of Chiropractic, owner, Tice Valley Chiropractic, Walnut Creek, California, 1994 - 2023
Associate Doctor, Budincich Chiropractic, Pasadena, California, 1991 - 1994
EDUCATION AND LICENSURE
Doctor of Chiropractic, Licensed in the State of California, License # 21640, 1992-Present
Doctorate of Chiropractic, Southern California College of Health Sciences, Whittier, California, 1990
Internship, Whittier Health Center, Whittier, California, 1990 - 1990
National Board of Chiropractic Examiners, Part I, 1989
National Board of Chiropractic Examiners, Part II, 1989
Bachelor of Science in Biology in Biology/Biochemistry(minor), University of Redlands, Redlands, California, 1986

SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

MRI Interpretation Qualified, Recognized by Cleveland University-Kansas City, Chiropractic and Health Sciences with courses recognized by the ACCGME in conjunction with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences. Qualification language approved by the American Chiropractic College of Radiology (ACCR) and the American Chiropractic Board of Radiology (ACBR). 2024
MRI Spine Interpretation , Herniated, bulged, extruded, protruded, sequestered, and degenerative disc. 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. Cleveland University Kansas City, 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, New York, 2023
MRI Spinal Anatomy, Protocols and disc pathology, Normal anatomy of axial and sagittal views utilizing T1, T2, gradient, and STIR sequences of imaging. Degenerations 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. Cleveland University Kansas City, 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, New York, 2023
Advanced MRI and X-Ray Documentation in Clinical Practice , Interpreting and utilizing X-ray and MRI findings in creating demonstrative documentation. Advanced identification of spinal disc lesions, herniations, bulges, protrusion, extrusion, and fragmentations through computer graphics. Identification and demonstrative documentation of vertebral motor unit pathology and reporting demonstratively using computer graphics. Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2023
Advanced MRI Interpretation in Clinical Practice , Utilization of thin slice acquisitions with T2 Fat suppressed, STIR, proton density, T1 and T2 sequencing for advanced identification of spinal disc lesions, herniations, bulges, protrusion, extrusion, and fragmentation. better visualization of intradural and extradural lesions, neoplasms, and infections. Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2023
Ethics in Clinical Practice, Ethical, collaborative relationships with medical PCPs and specialists using advanced documentation and accurate reporting of imaging and advanced imaging. Creating a collegial relationship when conflicts arise in concluding accurate diagnosis to allow consensus and the evidence to determine final diagnosis. Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2023
Spinal CAT Scan Interpretation , Understanding the utilization of CAT Scan slicing and reformatting when using bone and soft tissue windows. Correlating MRI to CAT Scan creates an unclear conclusion to render a complete image of the morphology of the indeterminate pathology. Understanding the physics of CAT Scan and the radiation levels with different types of CAT Scan technology. Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2023
Spinal Biomechanical Engineering, Cartesian System, The Cartesian Coordinate System, from the history to the application to the human body. Explanation of the x, y, and z axes, in both translation and rotations (thetas), and how they are applicable to human biomechanics. Cleveland University Kansas City, 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, New York, 2023
Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal biomechanical engineering of the cervical and upper thoracic spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Cleveland University Kansas City, 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, New York, 2023
Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, Spinal biomechanical engineering of the lumbar spine. this includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. Cleveland University Kansas City, 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, New York, 2023
Spinal Biomechanics in Trauma, To utilize whiplash associated disorders in various vectors of impact and whiplash mechanisms in determining pathobiomechanics. To clinically correlate annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as sequellae to pathobiomechanics from trauma. The utilization of digital motion x-ray in diagnosing normal versus abnormal facet motion along with case studies to understand the clinical application. Cleveland University Kansas City, 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, New York, 2023
Spinal Biomechanical Engineering & Organizational Analysis, Integrating spinal biomechanics and pathobiomechanics through digitized analysis. The comparison of organized versus disorganized compensation with regional and global compensation. Correlation of the vestibular, occular and proprioceptive neurological integration in the righting reflex as evidence in imaging. Digital and numerical algorithm in analyzing a spine. Cleveland University Kansas City, ACCME Joint Partnership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division , Buffalo, New York, 2023
Spinal Biomechanical Engineering, Cervical Digital Analysis, Digitizing and analyzing the cervical spine in neutral, flexion and extension views to diagnose pathobiomechanics. This includes alteration of motion segment integrity (AMOSI) in both angular and translational movement. Ligament instability/failure/pathology are identified all using numerical values and models. Review of case studies to analyze pathobiomechanics using a computerized/numeric algorithm. Cleveland University Kansas City, ACCME Joint Partnership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division , Buffalo, New York, 2023
Spinal Biomechanical Engineering, Lumbar Digital Analysis, Digitizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotational analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using computerized/numerical algorithm along with corrective guidelines. Cleveland University Kansas City, ACCME Joint Partnership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division , Buffalo, New York, 2023
Spinal Biomechanical Engineering, Full Spine Digital Analysis, Digitizing and analyzing the full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. this includes anterior and posterior vertebral body elements in rotational analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical algorithm along with corrective guidelines. Cleveland University Kansas City, ACCME Joint Partnership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division , Buffalo, New York, 2023
MRI History and Physics, MRI History and Physics, Magnetic Fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI. Cleveland University Kansas City, 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, New York, 2023
MRI Spinal Anatomy and Protocols , Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create am accurate diagnosis in MRI. Cleveland University Kansas City, 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, New York, 2023
MRI Disc Pathology and Spinal Stenosis, MRI Interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots. Cleveland University Kansas City, 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, New York, 2023
MRI Spinal Pathology, MRI Interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions. Cleveland University Kansas City, 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, New York, 2023
MRI Methodology of Analysis , MRI Interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized. Cleveland University Kansas City, 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, New York, 2023
MRI Clinical Application , The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequelae. Cleveland University Kansas City, 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, New York, 2023
MRI Disc Overview & Imaging Protocols , MRI Protocols Clinical Necessity, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequelae, including bulge, herniation, protrusion, extrusion and sequestration. Cleveland University Kansas City, 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, New York, 2023
MRI Interpretation of Lumbar Bulges/Degenerative Disc Disease , MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl'/s nodes and herniations. Central canal and cauda equina compromise interpretation with management. Cleveland University Kansas City, 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, New York, 2023
MRI Interpretation of Lumbar Herniated Discs, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl/'s nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestrations, focal and broad based herniations are defined and illustrated. Central canal and cauda equina compromise interpretation with management. Cleveland University Kansas City, 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, New York, 2023
MRI Interpretation of Cervical Bulges/Degenerative Disc Disease, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of cervical degeneration. With co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation with management. Cleveland University Kansas City, 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, New York, 2023
MRI Interpretation of Cervical Herniated Discs, MRI slices, views, T1, T2, STIR axial, FFE, FSE and sagittal images in the interpretation of cervical herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, schmorl's nodes and herniation. morphology of cervical disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management. Cleveland University Kansas City, 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, New York, 2023
Virtual Ground Rounds , MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, MRI slices, views, T1, T2, STIR axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective. Cleveland University Kansas City, 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, New York, 2023
Neurology of Ligament Pathology-Normal Morphology and Tissue Damage , Connective tissue morphology, embryology and wound repair as sequalae to trauma. Full components of strain-sprain models and permanency implications with wound repair and osseous aberration with aberrant structural integrity. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic , Long Island, New York, 2023
Neurology of Ligament Pathology- Spinal Biomechanics and Disc Pathology, Disc pathology as sequella to trauma, herniation, extrusion, protrusion, sequestration and how the spinal unit as one system creates homeostasis to balance the pathology. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic , Long Island, New York, 2023
Neurology of Ligament Pathology- Neurological Innervation, The peripheral and central innervation of the disc and spinal ligaments of the dorsal root ganglion, spinal thalamic tracts, periaqueductal gray areas innervating the Thalamus and multiple regions of the brain. The efferent neurological distribution to disparate areas of the spine to create homeostatis until tetanus ensues creating osseous changes under the effect of Wolf's Law. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic , Long Island, New York, 2023
Orthopedic Testing, Principles, Clinical Application and Triage, Integration of orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Cleveland University Kansas City, 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, New York, 2023
Cervical Spine Orthopedic Testing, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Cleveland University Kansas City, 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, New York, 2023
Orthopedic Testing Lumbar Spine, Integration of lumbar orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. Cleveland University Kansas City, 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, New York, 2023
Orthopedic Testing, Clinical Grand Rounds, How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. Cleveland University Kansas City, 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, New York, 2023
Accident Reconstruction Terms, Concepts and Definition, The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Accident Reconstruction Causality, Bodily Injury, Crumple Zones, Force & Critical Documentation, Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors, and the legal profession in reconstructing an accident. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction, and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Accident Reconstruction Research, Causality & Bodily Injury, Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Spinal Trauma Pathology, Triage and Connective Tissue Injuries and Wound Repair, Triaging the injured and differentially diagnosing both the primary and secondary complaints. Connective tissue injuries and wound repair morphology focusing on the aberrant tissue replacement and permanency prognosis potential. Cleveland University Kansas City, 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, New York, , 2023
Spinal Trauma Pathology, Ligament Anatomy and Injury Research and Spinal Kinematics, Spinal ligamentous anatomy and research focusing on wound repair, future negative sequelae of abnormal tissue replacement, and the resultant aberrant kinematics and spinal biomechanics of the spine. Cleveland University Kansas City, 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, New York, 2023
Spinal Trauma Pathology, Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, The application of spinal biomechanical engineering models in trauma and the negative sequelae it has on the central nervous system inclusive of the lateral horn, periaqueductal grey matter, thalamus and cortices involvement. Cleveland University Kansas City, 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, New York, 2023
Spinal Trauma Pathology, Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Discs Pathology, The biomechanics of traumatic disc bulges as sequelae from trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff's Law. Cleveland University Kansas City, 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, New York, 2023
Spinal Trauma Pathology, Clinical Ground Rounds, The review of case histories of mechanical spine pathology and biomechanical failures inclusive of case histories, clinical findings, and x-ray and advanced imaging studies. Assessing comorbidities in the triage and prognosis of the injured. Cleveland University Kansas City, 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, New York, 2023
Spinal Trauma Pathology, Research Prospectives, The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure, and age-dating disc pathology. Cleveland University Kansas City, 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, New York, 2023
Impairment Rating- The understanding and utilization of the protocols and parameters of the AMA Guide to the Evaluation of Permanent Impairment 6th Edition, Spine, neurological sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station, and gait disorders, and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture, dislocation, and functional loss are also detailed in relation it impairment ratings. Cleveland University Kansas City, 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, New York, 2023
Case Management and Documentation- Demonstrative Reporting of MRI Spinal Disc Pathology, The diagnosis, and reporting of spinal disc bulges, herniations, protrusions, extrusions, and fragments. Reporting varices, Modic 1, 2, and 3, posterior longitudinal, interspinous, and intertransverse ligament. Reporting the ligamentum flavum and epidural fat as a space-occupying lesion. Long Island, New York, 2023
Case Management and Documentation- Spinal Biomechanical Engineering Analytic, The analytics of spinal biomechanical engineering utilizing X-ray digitizing for Alteration of Motion Segment Integrity and biomechanical pathology. Determining laxity of ligaments in connective tissue pathology and the long-term negative sequels of the pathology. Long Island, New York, 2023
Case Management and Documentation- Interprofessional Collaboration on Mechanical Back Pain in Clinical Practice, Triaging neurologically compromised cases in conjunction with positive MRI images, and collaboratively managing cases with neurosurgeons in clinical practice. Post-operative management of spinal cases through full recovery. Cleveland University Kansas City, 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 , Long Island, New York, 2023
Case Management and Documentation- Spinal Disc Microanatomy, The understanding of the human spinal discal elements; annulus, nucleus pulposis, cartilaginous end plates inclusive of the neurology, visualization, differentiation from the neonate to adults. The understanding of the etiology of Modic changes on MRI and how spinal biomechanics are altered. Long Island, New York, 2023
Case Management and Documentation- MRI Spine Sequence Acquisition and Interpretation , The understanding and utilization of T1, T2, STIR, Proton Density, FSE, GRE imagine sequencing for conclusive diagnosing of fracture, tumor, infection, and disc pathology. Identifying herniation, protrusion, bulge, extrusion-migrated, and extrusion-fragments on MRI images. Cleveland University Kansas City, 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 , Long Island, New York, 2023
Case Management and Documentation- Spinal Biomechanics in Clinical Practice, The utilization of X-ray digitization to diagnose spinal biomechanical pathology and analyzing trends in healthcare when triaging mechanical spine pain. The role of credentials in interprofessional collaboration. Cleveland University Kansas City, 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 , Long Island, New York, 2023
Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Overview of EMG and NCV Procedures, Results, Diagnosis and Documentation , The clinical incorporation of electrodiagnostic studies as part of a care plan where neuropathology is suspected. It also covers how to use electrodiagnostic in a collaborative environment between the chiropractor as the primary spine care provider and the surgeon, when clinically indicated. This section covers sample cases health conclude and accurate treatment plans based upon electro-neurodiagnostic findings when clinically indicated. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Needle Electromyogram (EMG) Studies, The EMG process, inclusive of how the test is performed and the steps required in planning and electromyographic study. This covers the spontaneous activity of a motor unit action potential, positive sharp waves, and fibrillations. The insertional activity (both normal and abnormal), recruitment activity in a board polyphasic presentation, and satellite potentials. This covers diagnosing of patterns of motor unit abnormalities including neuropathic demyelinated neuropathies along with acute myopathic neuropathies. This section also covers the ruling out of false positive and false negative results. Cleveland University Kansas Cleveland University of Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Nerve Conduction Velocity (NCV) Part 2, Compound motor action potentials, (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median, ulnar, and posterior tibial nerves; known as carpal tunnel, cubital tunnel, and tarsal tunnel syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic conclusions. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Nerve Conduction Velocity (NCV) Part 1, Nerve conduction velocity testing, the equipment required, and the specifics of motor and sensory testing. This section covers the motor and sensory NCV procedures and interpretation including latency, amplitude (CMAP) physiology, and interpretation including the understanding of the various nuances of the wave forms. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Anatomy and Physiology of Electrodiagnostics, An in-depth review of basic neuro-anatomy and physiology dermatomes and myotomes to both upper and lower extremities and the neurophysiology of axons and dendrites along with the myelin and function of saltatory for conduction. The sodium and potassium pump's function in action potentials. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Concussion and Electroencephalogram Testing Pathological Results, This module covers amplitude, conduction, and conduction delays as sequela to traumatic brain injury to diagnose concussion and traumatic brain injury in the absence of gross bleeding and advanced imaging. This section covers electroencephalograms and event-related potentials which measure the brain response that is a direct result of specific sensory or motor events. It is a stereotype electrophysiological response to a stimulus and provides a noninvasive means of evaluating brain function. In this module, multiple case studies are discussed with ensuing triage protocols pending the result. Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2023
Concussion and Electroencephalogram Testing , This section covers concussion etiology and cognitive sequela where gross bleeding has not been identified on advanced imaging. It discusses the significance of electroencephalogram testing in determining brain function and pathology (if present). This module also covers the understanding of waveforms in electroencephalogram testing in both normal and abnormal scenarios. Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2023
Head Trauma and Traumatic Brain Injury Part 2, This section continues with multiple case studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and also discusses recovery sequela based on the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short demonstrable bleeding on advanced imaging. Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2023
Head Trauma and Traumatic Brain Injury Part 1, This section discusses gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. There are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes. Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2023
Traumatic Brain Injury and Concussion Overview, This section is an in-depth overview of traumatic brain injury in concussion. It discusses that all the brain injuries are traumatic and dispels the myth of a "mild traumatic brain injury". Also, this covers triage protocols and the potential sequela of patients with traumatic brain injuries. Academy of Chiropractic, Post-Doctoral Division, Long Island, New York, 2023
Spinal Biomechanics and Anatomical Pathology Grand Rounds, Chiropractic Diagnosis and Management of non-specific spine pain. Educating the Primary Care Physician about biomechanical pathology and how it can be demonstrated and managed. A review of the ligament, biomechanical and neurologic implications of chronic spine conditions. The methods to determine stability and co-management with medical specialists was reviewed. Identification of the biomechanical ligament injury associated with the structural compromise. 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, New York, 2023
Connective Tissue/Strain Sprain Pathology, Understanding the morphology and physiology of connective tissue at the cellular and extra-cellular levels in building a foundation for understanding the function and interaction of ligaments, tendons, muscles, and bone, identifying connective tissue pathology and the repair process with a foundation of permanent aberrant sequella. Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2023
Advanced Spinal Biomechanical Engineering , Understanding the concepts of normal vs. pathological movement of vertebral motor units in accurately concluding diagnosis on biomechanical pathology when considering excessive motion. An evidence-based approach to determining translation, angular deviation, and rotations beyond pathobiomechanical limitations in the spine. Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2023
Trends in Spinal Care, An evidence-based approach to concluding accurate diagnosis, prognosis, and treatment plan. Eradicating the non-specific back pain dogma utilizing X-ray digitizing based on literature standards, Creating treatment plans by identifying the primary spinal lesions using evidence-based tools. Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2023
Documentation in Clinical practice, Understanding and including all historical elements; current history, past history, family history, and social history when documenting a 99201, 99202, 99203, 99204, and 99205. the application of time as the prime element as per Medicode in coding examinations and re-examination with face-to-face, review of records, and the time necessary to document in an electronic health record. Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2023
Extremity MRI and X-Ray Interpretation of the shoulder, Identifying normal anatomy on both MRI and X-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Extremity MRI and X-Ray Interpretation of the shoulder, Identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Extremity MRI and X-Ray Interpretation of the Elbow , Identifying normal anatomy on both MRI and X-ray, inclusive of osseous, connective tissue, and neurological structures, identifying in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Extremity MRI and X-Ray Interpretation of the Wrist, Identifying normal anatomy on both MRI and X-ray, inclusive of osseous connective tissue, and neurological structures, identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Extremity MRI and X-Ray Interpretation of the Hand , Identifying normal anatomy on both MRI and X-ray, inclusive of osseous connective tissue, and neurological structures, identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Extremity MRI and X-Ray Interpretation of the Hip, Identifying normal anatomy on both MRI and X-ray, inclusive of osseous connective tissue, and neurological structures, identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Extremity MRI and X-Ray Interpretation of the Hip, Identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign metastatic tumors. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Extremity MRI and X-Ray Interpretation of the Knee, Identifying normal anatomy on both MRI and X-ray, inclusive of osseous connective tissue, and neurological structures, identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Extremity MRI and X-Ray Interpretation of the Knee, Identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Extremity MRI and X-Ray Interpretation of the Foot, Identifying normal anatomy on both MRI and X-ray, inclusive of osseous connective tissue, and neurological structures, identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Extremity MRI & X-ray Interpretation of Ankle, Identifying normal anatomy on both MRI and X-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division , Long Island, New York, 2023
Demonstrative Narrative and Evaluation and Management Report Writing, Clinical record-keeping, why write clinical notes, the importance of context, what to include in a clinical note, tips for better clinical documentation, basic legal considerations, open clinical notes, how to keep documentation efficient. Cleveland University Kansas City, 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, New Youk, 2022
2023 Demonstrative Documentation Requirements, Analyzing the requirements in anatomical diagnostic imagery to communicate spinal pathology. Integrating technology, clinical findings, and advanced graphic tools to communicate a diagnostic conclusion. Cleveland University Kansas City, 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, New York, 2022
MRI Spine Advanced Clinical Case Grand Rounds, Clinical case review of MRI including intra and extra-dural findings inclusive of the disc and vascular anatomical lesions. Differentially diagnosing central cord lesions, and spinal cord vascular lesions in both acute trauma and degenerative presentations. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2022
Non-Specific Spine Pain, Chiropractic and Outcomes, Analyzing neuro-biomechanical pathological lesions defines primary spinal lesions and removes the dogma of non-specific back pain. Cleveland University Kansas City, 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, New York, 2022
Spinal Tumor MRI Interpretation, Diagnosing and documenting: Ependymoma, Astrocytoma, Hemangioma, Lipoma, Meningioma, Neurofibroma, Schwannoma, Myxopapillary Ependymoma Cleveland University Kansas City, 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, New York, 2022
Age-Dating LIgament/Connective Tissue Physiology and Pathology, Utilizing pain patterns, the high signal in the annulus, high signal outside the annulus, Modic changes, disc height, vacuum disc, sclerosis, Phirrman rating, facet edema, and previous MRIs to determine the chronicity of pathology. Master-Class in ligaments; anatomy, physiology, vascularizaion, neurological innervation, tissue repair, and how they all relate to clinical practice. Ligament pathology correlating to the mechanisms of patho-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in the chiropractic spinal adjustment and in defining the chiropractic spinal adjustment mechanisms. Cleveland University Kansas City, 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, New York, 2022
Clinical Grand Rounds in Biomechanics, Digitizing, and Advanced Imaging:, Case reviews concluding and accurate diagnosis, prognosis, and treatment plan utilizing evidence-based instrumentation and algorithms .Using demonstrative reporting of case findings to collaborate with co-treating physicians. Cleveland University Kansas City, 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, New York, 2022
Medical-Legal Documentation, A documentation discussion on meeting the requirements of the courts, carriers, and licensure boards in complete and accurate reporting. Ensuring the diagnosis, prognosis, and treatment plan are demonstatively documented. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropract Post-Doctoral Division, Buffalo, New York, 2022
Functional Movement Techniques-Blades, RockBlades are an instrument assisted soft tissue mobilization (IASTM) tool set. Rocktape has advocated a fascial approach to the body using the tools. Certification in FMT Blades, California Chiropractic Association, Rocktape, Walnut Creek, California, 2017
Fascial Movement Techniques, The course teaches the use of kinesiology tape in the treatment of fascial dysfunction. Certification in Fascial Movement Techniques, Basic and Performance, Rocktape, California Chiropractic Association, San Jose, California, 2017

SCHOLARLY PRESENTATIONS

Williams,MD, I., Barker,DC, D. (2019, September). Safe Pain Management Powerpoint presented at the Alameda Contra Costa Medical Association Seminar/Webinar, Berkeley, California.

SELECTED ADVANCED EDUCATION

Trauma Qualified, Cleveland University, Kansas City., 2023.
MRI Interpretation Review Qualified, Cleveland University, Kansas City., 2024.

SELECTED MEMBERSHIPS

Contra Costa Chiropractic District, President 1998-2003, Treasurer 2018-Present, 1994 - Present
California Chiropractic Association, Board member of political action committee, 1990 - Present
San Gabriel Chiropractic District, Secretary, 1991 - 1993

SELECTED HONORS AND AWARDS

CalChiro Fellow, California Chiropractic Association, 2024
Doctor of the Year, Contra Costa Chiropractic District, 1997 & 2006

SELECTED COMMUNITY SERVICE

Contra Costa Meds Coalition, Martinez, California, 2018 - Present
Bay Area Crisis Nursery, Concord, California, 2000 - Present
Walnut Creek Kiwanis Club, Walnut Creek, California, 1995 - 2020
Race Director, Walnut Creek Run For the Schools, Walnut Creek, California, 1996 - 1998