O.L. Fikes DC

5309 Wurzbach Road, Suite 114, San Antonio, TX, 78238

Phone: 210-684-8464

Fax: 210-684-8894

olfikes@sbcglobal.net

http://www.fikeschiro.com

 OCCUPATIONAL HISTORY

Clinic Director, Chiropractor, Fikes Chiropractic Center, 5309 Wurzbach Road, Ste 114: 1989-Present

Clinic Director, Chiropractor, Great Northwest Chiropractic Center, 5581 Grissom Road: 1982-1989

 

EDUCATION AND LICENSURE

Doctor of Chiropractic, Licensed in the State of Texas, License # 2784, 1981-Present

Doctorate of Chiropractic, Texas Chiropractic Center College, Pasadena, Texas, 1981

Internship, Texas Chiropractic College Outpatient Clinic, Pasadena, Texas, 1980-1981

National Board of Chiropractic Examiners, Part I, 1981

National Board of Chiropractic Examiners, Part II, 1981

Bachelor of Science in Biology, East Texas State University, Commerce, Texas, 1977

 

SELECTED POST GRADUATE EDUCATION

Stroke Anatomy and Physiology: Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], 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, 2017

 

 Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various type of stroke identifying ischemia, hypo-perfusion, infarct and penumbra zones and emboli. Cardiac etiologies and clinical features as precursor to stoke with associated paradoxical emboli and thrombotic etiologies. Historical and co-morbidities that have etiology instroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], 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, 2017

 

 Stroke Principles of Treatment an Overview for the Primary Care Provider, Stroke type and treatments performed by vascular specialist. The goals of treatment with the physiology of the infarct and penumbra zones and the role of immediate triage in the primary care setting. Detailing the complications of stroke and future care in the chiropractic, primary care or manual medicine clinical setting. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], 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, 2017

 

 Clinical Evaluation and Protocols for Identifying Stroke Risk, The neurological history and examination for identifying stoke risks with a focus on supra and infratentorial regions, upper and lower motor lesions, cranial nerve signs, spinal cord pathology, motor and sensory pathology and gait abnormalities. Examining genetic and family histories along with dissection risk factors. Stroke orthopedic testing and clinical guidelines pertaining to triage for the primary care provider. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], 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, 2017

 

 Triaging the Trauma and Non-Trauma Patients, Correlating clinical findings and the patient history in determining the correct course of care in triaging the patient utilizing orthopedic and neurological evaluations in the clinical setting. Understanding the parameters for immediate referrals vs. following the continuum of care to determine the necessity for referrals. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY 2017

 

Primary Spine Care – Credentials and Knowledge Base, The credentials and knowledge based from an academia perspective when cooperatively treating in a collaborative environment inclusive of understanding pathology and mechanical spine issues. Texas Chiropractic College Graduate Doctoral Program, PACE approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

 

Primary Spine Care – Spinal Biomechanical Engineering and MRI Spine Interpretation, Integrating Spinal Biomechanical Engineering and MRI Spine Interpretation into a primary spine care model, inclusive of necessity and acquisition protocols. A comprehensive review the latest evidence in documenting mechanical issues. Texas Chiropractic College Graduate Doctoral Program, PACE approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

 

 Primary Spine Care – Hospital Administration, Triage, Clinical Requirements and Collaborative Relationships with Medical Specialists, Understanding hospital and medical specialist’s care paths for mechanical spine pathology and integrating the doctor of chiropractic in the hospital and allopathic treatment protocols. Texas Chiropractic College Graduate Doctoral Program, PACE approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

 

 Primary Spine Care – Contemporary Spine Research and Documentation, Central nervous system connection and the thalamus, hypothalamus connection in both ascending and descending central pathways with neuro-endocrine implications that have the mechanisms to be a component of Schizophrenia, Dementia and Alzheimer’s with a linear relationship to the chiropractic spinal adjustment and chronic pain. Texas Chiropractic College Graduate Doctoral Program, PACE approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2017

 

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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

 

Orthopedic Testing: Cervical Spine, 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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

 

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 pan as sequelae. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

 

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, 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 vetebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2017

 

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. ACCME joint partnership with the State University of New York, Buffalo, New York, 2017

 

 Spinal Trauma Pathology: Ligament, Anatomy and Injury Research 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. ACCME joint partnership with the State University of New York, Buffalo, New York, 2017

 

 Spinal Trauma Pathology: Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, The application of spinal biomechanical engineering models in trauma and the negative squelae it has on the central nervous system inclusive of the lateral horn, periaqueductal gray matter, thalamus and cortices involvement. ACCME joint partnership with the State University of New York, Buffalo, New York, 2017

 

 Spinal Trauma Pathology: Biomechanics of traumatic Disc Bulge and Age Dating Herniated Disc Pathology, The Biomechanics of traumatic disc bulges as sequella from trauma and the comorbidity of ligamentous pathology. Age dating spinal disc pathology in accordance with Wolf’s Law. ACCME joint partnership with the State University of New York, Buffalo, New York, 2017

 

 Spinal Trauma Pathology: Clinical grand Rounds, The review of case histories of mechanical spine pathology and biomechanical failures inclusive case histories, clinical findings and x-ray and advanced imaging studies. Assessing comorbidities in the triage and prognosis of the injured. ACCME joint partnership with the State University of New York, Buffalo, New York, 2017

 

 Spinal Trauma Pathology: Research Perspectives, The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure and age-dating disc pathology. ACCME joint partnership with the State University of New York, Buffalo, New York, 2017

 

Primary Spine Care Symposium – Interprofessional Spine Care, Clinical analysis of anatomic versus   biomechanical spine pain and clinical triage protocols. Relating current   research trends in the Whole Spine Model of patient including normal versus   abnormal sagittal curvature in the adolescent and adult spine, pelvic   incidence as a parameter for sagittal balance in the human spine and current   methods of assessment. Patient centered approach to Evidenced Based Spine   care with a focus on diagnosis, prognosis and triage of the spine pain   patient, Texas Chiropractic College Post-Doctoral Division, Academy of   Chiropractic Post-Doctoral Division, Melville NY 2017

 

Primary Spine Care Symposium – Epidemiology of Spine Pain, Review of the current Centers for Disease   Control [CDC] data on the frequency of musculoskeletal pain in the United   States population with emphasis on pain if spinal origin. CDC guidelines on   opioid medication were discussed and correlated to persistent pain syndromes.   Research was reviewed showing the importance of managing the spine pain   patient properly from the entry point of care with a concentration on   maintenance of spinal biomechanics, Texas Chiropractic College   Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division,   Melville NY 2017

 

Primary Spine Care Symposium – Connective Tissue and Spinal Disc Pathology, The morphology and   pathology of connective tissue, inclusive of spinal disc disorders and   prognosticating wound repair with permanency implications. Disc bulge,   herniation, protrusion and extrusion classifications based upon contemporary   literature and how to age-date disc pathology, Texas Chiropractic College   Post-Doctoral Division, Academy of Chiropractic Post- Doctoral Division,   Melville NY 2017

 

Primary Spine Care Symposium – Physiology and Anatomy of Spinal Manual Adjusting, Understanding the   role of mechanoreceptors, proprioceptors and nociceptors with facets,   ligaments, tendons and muscles in aberrant spinal biomechanics. MRI and   imaging studies of decompressing via a chiropractic spinal adjustment of the   bio-neuro-mechanical lesion and its effects on the central nervous system   both reflexively and supratentorally, Texas Chiropractic College   Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division,   Melville NY 2017

 

Primary Spine Care Symposium – Medical-legal Documentation, The contemporary documentation required   in a medical-legal environment that is evidenced based and meets the   standards of the courts and academia. Utilizing the scientific data to   support a diagnosis, prognosis and treatment plan while meeting the   admissibility standards based upon a professional’s credentials. Texas   Chiropractic College Post-Doctoral Division, Academy of Chiropractic   Post-Doctoral Division, Melville NY 2017

 

Spinal Biomechanical Engineering: Cartesian System, The Cartesian Coordinate System from the   history to the application in 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. Texas Chiropractic College, ACCME Joint   Providership with the State University of New York at Buffalo, School of   Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral   Division, Buffalo NY 2017

 

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. Nomenclature in reporting normal and pathobiomechanical findings of   the spine. Texas Chiropractic College, ACCME Joint Providership with the   State University of New York at Buffalo, School of Medicine and Biomedical   Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo NY 2017

 

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. Texas   Chiropractic College, ACCME Joint Providership with the State University of   New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of   Chiropractic Post-Doctoral Division, Buffalo NY 2017

 

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. Texas   Chiropractic College ACCME Joint Providership with the State Univerity of New   York at Buffalo, School of Medicine and Biomedical Sciences, Academy of   Chiropractic Post-Doctoral Division, Buffalo NY 2017

 

Primary Spine Care – Central Nervous System Processing of Pain   and Physiology, Central neural pathways of pain and higher cortical responses to pain and the effect of high   amplitude-low velocity forces on mechanoreceptors and proprioceptors. The   effects of neuropeptides on the hypothalamus, pituitary and adrenal axis when   treating patients. Texas Chiropractic College, Academy of Chiropractic,   Recognized by the PACE Program of the Federation of Chiropractic Licensing   Boards, Melville NY 2017

 

Primary Spine Care – MRI, Bone Edema and Degeneration, The effects of trauma on spinal vertebral   segments and the short and long term sequella to morphology. Identify and   diagnosing bone edema, spurring, types of degeneration in assessing   biomechanical stability in conjunction with Modic and Pfeiffer changes. Texas   Chiropractic College, Academy of Chiropractic, Recognized by the PACE Program   of the Federation of Chiropractic Licensing Boards, Melville NY 2017

 

Primary Spine Care – Hospital and Emergency Room Care, Identifying spinal lesions inclusive of   cord and root lesion through examination and advanced imaging in creating an   accurate diagnosis, prognosis and treatment plan to effectively triage in   collaboration and coordination with medical specialists and emergency department   physicians. Differentially diagnosing and triaging disc degenerative bulges,   traumatic disc bulges, protrusion herniations, extrusion herniations and   fragmented herniations along with managing traumatically induced pain as   sequella to degenerative disc trauma, Chiropractic College, Academy of   Chiropractic, Recognized by the PACE Program of the Federation of   Chiropractic Licensing Boards, Melville NY 2017

 

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, ocular and proprioceptive neurological   integration in the righting reflex as evidence in imaging. Digital and   numerical algorithm in analyzing a spine. Texas Chiropractic College.   ACCME Joint Providership with the State University of New York at Buffalo,   School of Medicine and Biomedical Sciences, Academy of Chiropractic   Post-Doctoral Division, Buffalo, NY, 2017

 

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/numerical algorithm. Texas   Chiropractic College, ACCME Joint Providership with the State University of   New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of   Chiropractic Post-Doctoral Division, Buffalo NY 2017

 

Spinal Biomechanical Engineering: Lumbar Digital Analysis, Digitalizing 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 a   computerized/numerical algorithm along with corrective guidelines. Texas   Chiropractic College, ACCME Joint Providership with the State University of   New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of   Chiropractic Post-Doctoral Division, Buffalo NY 2017

 

Spinal Biomechanical Engineering: Full Spine Digital Analysis,   Digitalizing 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 values and models. Review of case studies for analysis of   Pathobiomechanics using a computerized/numerical algorithm along with   corrective guidelines. Texas Chiropractic College, ACCME Joint   Providership with the State University of New York at Buffalo, School of   Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral   Division, Buffalo NY 2017

 

Clinical Excellence in Chiropractic and Primary Spine Care,   Academy of Chiropractic, 2017

 

New Blood Biomarkers Useful for Concussion Diagnosis, The utilization of GFAP and UCH-I-1 in   determining, traumatic brain injury, mild traumatic brain injury and   mild-moderate traumatic brain injury as a triage tool to manage head trauma   patients, Accreditation Council on Continuing Medical Education in   cooperation with Medscape, 2016

 

Primary Spine Care – Central Nervous System Processing of Pain   and Physiology, Central neural pathways   of pain and higher cortical responses to pain and the effect of high   amplitude-low velocity forces on mechanoreceptors and proprioceptors. The   effects of neuropeptides on the hypothalamus, pituitary and adrenal axis when   treating patients. Texas Chiropractic College, Academy of Chiropractic,   Academy of Chiropractic, Recognized by the PACE Program of the Federation of   Chiropractic Licensing Boards, Melville NY, 2016

 

Primary Spine Care – MRI, Bone Edema and Degeneration, The effects of trauma on spinal vertebral   segments and the short and long term sequella to morphology. Identifying and   diagnosing bone edema, spurring, types of degeneration in assessing   biomechanical stability in conjunction with Modic and Pfeiffer changes, Texas   Chiropractic College, Academy of Chiropractic, PACE Recognized by the   Federation of Chiropractic Licensing boards, Melville NY, 2016

 

Primary Spine Care – Hospital and Emergency Room Care, Identifying spinal lesions inclusive of   cord and root lesion through examination and advanced imaging in creating an   accurate diagnosis, prognosis and treatment plan to effectively triage in   collaboration and coordination with medical specialists and emergency   department physicians. Differentially diagnosing and triaging disc   degenerative bulges, traumatic disc bulges, protrusion herniations, extrusion   herniations and fragmented herniations along with managing traumatically   induced pain as sequella to degenerative disc trauma, Texas Chiropractic   College, Academy of chiropractic, Academy of Chiropractic, Recognized by the   PACE Program of the Federation of Chiropractic Licensing Boards, Melville NY   2016

 

Clinical Excellence in Chiropractic and Primary Spine Care,   Academy of Chiropractic, 2016

 

Accident Reconstruction: Terms, Concepts and Definitions, 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.   Academy of Chiropractic Post Doctoral Division, Recognized by the PACE   Program of the Federation of Chiropractic Licensing Boards, Long Island, New   York, 2014

   

Accident Reconstruction: Causality, Bodily Injury, Negative   Acceleration Forces, Crumple Zones and 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. Academy of Chiropractic Post   Doctoral Division, Recognized by the PACE Program of the Federation of   Chiropractic Licensing Boards, Long Island, New York, 2014

     

Accident Reconstruction: 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. Academy of Chiropractic Post Doctoral   Division, Recognized by the PACE Program of the Federation of Chiropractic   Licensing Boards, Long Island, New York, 2014

     

Accident Reconstruction: Research, Causality and 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, Academy of Chiropractic Post   Doctoral Division, Recognized by the PACE Program of the Federation of   Chiropractic Licensing Boards, Long Island, New York, 2014

     

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 sequellae, including bulge, herniation, protrusion, extrusion and   sequestration. ACCME Joint Sponsorship with the State University of New   York at Buffalo, School of Medicine and Biomedical Sciences, Academy of   Chiropractic Post Doctoral Division, Buffalo, New York, 2014

     

MRI Interpretation of Lumbar Degeneration/Bulges, 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. ACCME Joint Sponsorship with the State   University of New York at Buffalo, School of Medicine and Biomedical   Sciences, Academy of Chiropractic Post Doctoral Division , Buffalo, New York,   2014

     

Lumbar Interpretation of Lumbar Herniations, 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, sequestration,   focal and broad-based herniations are defined and illustrated. Central canal   and cauda equina compromise interpretation with management. ACCME Joint   Sponsorship with the State University of New York at Buffalo, School of   Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral   Division, Buffalo, New York, 2014

     

MRI Interpretaion of Cervical Degeneration/Bulges, MRI   slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in   the interpretation of cervical degeneration. With the co-morbidities and   complications of stenosis, pseudo-protrusions, cantilevered vertebrate,   Schmorl's nodes and herniations. Spinal cord and canal compromise   interpretation with management. ACCME Joint Sponsorship with the State   University of New York at Buffalo, School of Medicine and Biomedical   Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York,   2014

     

MRI Interpretation of Cervical Herniations, MRI slices,   views, T1, T2, STIR axial, FFE, FSE and sagittal images in the interpretaion   of cervical herniations. With the co-morbidities and complications of   stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and   herniations. 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. ACCME Joint Sponsorship with the State   University of New York at Buffalo, School of Medicine and Biomedical Sciences,   Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2014

     

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 spondylolisthesis, 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. ACCME Joint Sponsorship with the State University of New   York at Buffalo, School of Medicine and Biomedical Sciences, Academy of   Chiropractic Post Doctoral Division, Buffalo, New York, 2014

     

Neurodiagnostics, Imaging Protocols and Pathology of the   Trauma Patient, An in-depth understanding of the protocols in triaging and   reporting the clinical findings of the trauma patient. Maintaining ethical   relationships with the medical-legal community. Academy of Chiropractic   Post-Doctoral Division, Recognized br the PACE Program of the Federation of   Chiropractic Licensing Boards, Long Island, New York, 2014

     

Diagnosis, Risk Factors, Clinical Presentation and Triaging   the Trauma Patient, An extensive understanding of the injured with   clinically coordinating the history, physical findings and when to integrate   neurodiagnostics. An understanding on how to utilize emergency room records   in creating an accurate diagnosis and the significance of "risk   factors" in spinal injury. Academy of Chiropractic Post-Doctoral   Division, Recognized by the PACE Program of the Federation of Chiropractic   Licensing Boards, Long Island, New York, 2014

     

Crash Dynamics and its Relationship to Causality, An   extensive understanding of the physics involved in the transference of energy   from the bullet car to the target car. This includes G's of force, newtons,   gravity, energy, skid marks, crumple zones, spring factors, event data   recorder and the graphing of the movement of the vehicle before, during and   after the crash. Determining the clinical correlation of forces and bodily   injury. Academy of Chiropractic Post-Doctoral Division, Recognized by the   PACE Program of the Federation of Chiropractic Licensing Boards, Long Island,   New York, 2014

     

MRI, Bone Scan and X-Ray Protocols, Physiology and Indications   for the Trauma Patient, MRI interpretation, physiology, history and   clinical indications, bone scan interpretation, physiology and clinical   indications, x-ray clinical indications for the trauma patient. Academy   of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the   Federation of Chiropractic Licensing Boards, Long Island, New York, 2014

     

Neurodiagnostic Testing Protocols, Physiology and Indications   for the Trauma Patient, Electromyography (EMG), Nerve Conduction Velocity   (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP),   Brain Stem Auditory Evoked Potential (BAER) and Visual Electronystagmography   (V-ENG) interpretation, protocols and clinical indications for the trauma   patient. Academy of Chiropractic Post-Doctoral Division, Recognized by   the PACE Program of the Federation of Chiropractic Licensing Boards, Long   Island, New York, 2014

     

Documentation and Reporting for the Trauma Victim, Understanding   the necessity for accurate documentation and diagnosis using the ICD-9 and   the CPT to accurately describe the injury through diagnosis. Understanding   and utilizing state regulations on reimbursement issues pertaining to   healthcare. Academy of Chiropractic Post-Doctoral Division, Recognized by   the PACE Program of the Federation of Chiropractic Licensing Boards, Long   Island, New York, 2014

     

Documenting Clinically Correlated Bodily Injury to Causality, Understanding   the necessity for accurate documentation, diagnosis and clinical correlation   to the injury when reporting injuries in the medical-legal community.   Documenting the kinesiopathology, myopathology, neuropathology, and   pathophysiology in both a functional and structural paradigm. Academy of   Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the   Federation of Chiropractic Licensing Boards, Long Island, New York, 2014

     

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. ACCME Joint Sponsorship with the State University of New   York at Buffalo, School of Medicine and Biomedical Sciences and Academy of   Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the   Federation of Chiropractic Licensing Boards, Buffalo, New York, 2014

     

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 an accurate diagnosis in MRI. ACCME Joint   Sponsorship with the State University of New York at Buffalo, School of   Medicine and Biomedical Sciences and Academy of Chiropractic Post-Doctoral   Division, Recognized by the PACE Program of the Federation of Chiropractic   Licensing Boards, Buffalo, New York, 2014

     

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. ACCME Joint Sponsorship with the   State University of New York at Buffalo, School of Medicine and Biomedical   Sciences and Academy of Chiropractic Post-Doctoral Division, Recognized by   the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo,   New York, 2014

     

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. ACCME Joint Sponsorship with the State University of   New York at Buffalo, School of Medicine and Biomedical Sciences and Academy   of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the   Federation of Chiropractic Licensing Boards , Buffalo, New York, 2014

     

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.   ACCME Joint Sponsorship with the State University of New York at Buffalo,   School of Medicine and Biomedical Sciences and Academy of Chiropractic Post-Doctoral   Division, Recognized by the PACE Program of the Federation of Chiropractic   Licensing Boards, Buffalo, New York, 2014

     

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. ACCME Joint   Sponsorship with the State University of New York at Buffalo, School of   Medicine and Biomedical Sciences and Academy of Chiropractic Post-Doctoral   Division, Recognized by the PACE Program of the Federation of Chiropractic   Licensing Boards, Buffalo, New York, 2014

 

Spinal Biomechanical Engineering Principles and Application, Integrating spinal biomechanics and   pathobiomechanics through digitized analysis. The comparison of organized   versus disorganized compensation with regional and global compensation.   Advanced analysis and integration of pathobiomechanics as sequella to trauma   in clinical practice and documentation, PACE Recognized by the Federation   Chiropractic Licensure Boards, Las Vegas NV 2013

 

Evidenced Based Practice, Integrating   indexed peer reviewed research as evidence into clinical practice related to   trauma and the creation of a diagnosis, prognosis and treatment plan, PACE   Recognized by the Federation of Chiropractic Licensure Boards, Las Vegas NV   2013

 

Auto Injuries Differential Assessment, The differential assessment of the injuries sustained due to an automobile accident. Triage for different types of injury from slight to serve injury including concussion, brain injury, post-concussion symptoms, whiplash, closed head trauma and the examination issues of the injured patient with reporting and imaging studies that are available. Texas Chiropractic College Division of Postgraduate Studies, San Antonio, Texas, 2012

Permanent Soft Tissue Injuries and Records Documentation, Examination, X-ray and MRI findings associated with permanent soft tissue injuries and the documentation and reports needed to meet the standard of care requirements. Texas Chiropractic College Division of Postgraduate Studies, San Antonio, Texas, 2011

Coding Compliance and Documenting Medical Necessity in the Chiropractic Practice, The proper use of the coding of examinations, office visits, therapy, rehabilitation and therapeutic exercises with the documentation needed to support the level of each service for accurate billing. Texas Chiropractic College Division of Postgraduate Studies, San Antonio, Texas, 2011

Chiropractic Research Year in Review, Review of medical publications and research concerning spinal manipulation and extra spinal manipulation with effectiveness of treatment and patient satisfaction outcomes. Wyoming Chiropractic Council, San Antonio, Texas, 2000

Texas Workers’ Compensation Commission, Designated Doctor Program, Implementation and proper utilization of the AMA Guide of Impairment 4th Ed. in determining whole person impairment of an injured worker. Texas Chiropractic Association and Texas Council of Chiropractic Orthopedists, Austin, Texas, 1997

Issues Associated with Imaging, Issues with ordering the correct scan, use of IV contrast, imaging of spine and soft tissue, imaging of suspected fracture and imaging of pathological conditions. Texas Chiropractic Association-National, Chiropractic Mutual Insurance Company, Dallas, Texas, 1997

Risk Management Associated with the Cervical & Lumbar Spine, The risk factors including instability, stenosis, fracture, congenital factors and pathology of the spine when using chiropractic manipulative therapy. Texas Chiropractic Association-National, Chiropractic Mutual Insurance Company, Dallas, Texas, 1997

X-Ray & MRI Advanced Imaging Techniques, Current research and literature on soft tissue injuries, neurological patterns, response and risk management. Texas Chiropractic Division of Postgraduate Studies, Houston, Texas, 1996

Utilizing Plain Film X-ray in Diagnosis of Arthritis, Infection and Pathological Conditions, Proper use of x-ray to diagnose arthritis, infection and pathological conditions of the spine and extremities. Sunport Radiology, San Antonio, Texas, 1995

Introduction to Diagnostic Ultrasound-Spinal Musculoskeletal Applications, Clinical application and equipping the doctor to cover all aspects of musculoskeletal ultrasound used on a day to day basis with proper reporting of the findings. Research and current literature on the clinical applications. Anatomy and physiology of the body in response to utilizing diagnostic ultrasound. Protocols and usage in a clinical setting. Fukuda Denshi of America, Los Angeles, California, 1995

Diagnostic Ultrasound-Spinal Musculoskeletal Applications, The use of diagnostic ultrasound for musculoskeletal conditions. Current literature and research and clinical applications and extremity applications for shoulder, elbow, wrist, knee and ankle conditions. Demonstration for the use of the equipment and hard copy documentation of the results. Fukuda Denshi of America, San Antonio, Texas, 1995

Documentation, The documentation necessary to provide the standard of care for the patient. History, initial examination, re-evaluation, supplemental reports, and specialty reports including final reports and work status reports. Texas Chiropractic Association, San Antonio, Texas, 1995

 

Radiographic Imaging & Diagnosis, Proper diagnosis with radiographic imaging. Technique and positioning of patients for ideal imaging. Normal imaging joint degeneration, compression fractures, joint hypermobility, joint pathology and lesions. Texas Chiropractic Association, San Antonio, Texas, 1995

 

Stabilization/Rehabilitation-Acute Low Back, The stabilization and rehabilitation of the acute low back pain patient. Examination and radiographic findings. The lumbar spine and pelvis with stabilization and rehabilitation of the acute low back patient. Texas Chiropractic Association, Grapevine, Texas, 1995

Whiplash, An overview of the whiplash injury and the current literature and research articles related to whiplash. Mechanism of injury, types of injury, complaints of patients, examination findings, orthopedic and neurological findings, radiographic and MRI findings associated with the whiplash injured patient. Texas Chiropractic Association, San Antonio, Texas, 1994

Lumbar Degenerative Joint Disease, The process of joint degeneration and the lumbar spine. Mechanism of injury verses aging and current research and literature findings on degeneration and its effect on the patient. X-ray and MRI findings for the normal verses the injured patient. Texas Chiropractic Association, San Antonio, Texas, 1994

Spinal Surgery and Microsurgery of the Brain and Spine, Types of spinal surgery and microsurgery options currently available for the brain and spine. Protocols for referral for surgical opinions and examination, radiological, MRI, CT scan, and Myelogram findings for the surgical patient. Texas Chiropractic Association, San Antonio, Texas, 1994

Biomechanics of the Spine and Lower Extremities, The normal and the injured patient findings on evaluation, exam findings, orthopedic and neurological exam, range of motion testing, sensory and motor nerve examination and radiology evaluation for the spine and the lower extremities. Texas Chiropractic Association, San Antonio, Texas, 1994

What MRI Can Do for Chiropractors and Their Patients, The use of advanced medical imaging utilizing MRI for the spine. Normal findings verses pathological findings including disc pathology and metastatic lesions with case studies. Chiropractic Association, San Antonio, Texas, 1994