John Smith DC

9882 Colerain Avenue, Cincinnati, Ohio, 45251

Phone: 513-385-2273

Cell: 513-302-09124

Fax: 513-385-2603

drsmith@abetterlifechiro.com

http://www.abetterlifechiro.com

                                    

SELECTED OCCUPATIONAL HISTORY

Clinic Director, Chiropractor, A Better Life Chiropractic, Cincinnati, Ohio 2011- Present

Clinic Director, Chiropractor, Alert Care Chiropractic, Cincinnati, Ohio, 2010 - 2011

Chiropractor, Monument Spine & Rehab, Indianapolis, Indiana, 2007 - 2009

Chiropractor, Morehead Family Chiropractic, Morehead, Kentucky, 2006 - 2007

EDUCATION AND LICENSURE

Doctor of Chiropractic, Licensed in the State of Kentucky, License #4989, 2006 - Present

Doctor of Chiropractic, Licensed in the State of Ohio, License #3821, 2007 - Present

Doctor of Chiropractic, Licensed in the State of Indiana, License #08002352A, 2007 - Present

Doctorate of Chiropractic, Parker Chiropractic College, Dallas, Texas, 2006

Bachelor of Science in Anatomy, Parker Chiropractic College, Dallas, Texas, 2006

National Board of Chiropractic Examiners, Physiotherapy, 2005

National Board of Chiropractic Examiners, Part IV, 2005

National Board of Chiropractic Examiners, Part III, 2005

National Board of Chiropractic Examiners, Part II, 2004

National Board of Chiropractic Examiners, Part I, 2003

Bachelor of Science in Biology, McNeese State University, Lake Charles, Louisiana, 2001

CERTIFICATIONS, QUALIFICATIONS AND DIPLOMATES

Post-Doctoral Certification in the Diagnosis of Accident-Related trauma Injuries of the Head and Neck, Ligament Injury Institute, Parker College of Chiropractic, Orlando, Florida, 2018

Whiplash Biomechanics & Injury Traumatology, Advanced Certification, Spine Research Institute of San Diego, Atlanta, Georgia, 2018

SELECTED POST-GRADUATE EDUCATION

National Spine Management East Conference 2023, Interprofessional Communication System – make it easy and effective, Overview of professional reporting systems in the modern area including completion of clinical reporting timely, outline of clinical information to include in specialist referral and imaging orders will be presented. Details of interprofessional communication to the primary care physician, spine surgeon and interventional pain management provider were detailed and explained. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023, Professional Liability: How to protect yourself, Common pitfalls and risk factors related to professional liability will be reviewed including physical examination and diagnostic duties. Review of professional boundaries will be presented. Proper patient intake, examination and clinical behavior will be presented. Emphasis will be placed on adverse events risk factors such as hypertension and genetic connective tissue disorders including Marans and Ehlers-Danlos Syndrome were outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023 - Documentation and Diagnostic Workflows, Modernization of documentation workflows were presented with focus on E/M evaluations and care schedules. Medical necessity and clinical timing were outlined and addressed relating to diagnostic testing and specialist referral. The benefits of using case findings to reach out to the medical community were addressed and compared to outreach processes. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023, Communicating Chiropractic to the Legal Community, Presentation on the anatomy of medical-legal reporting and connective tissue diagnosis was provided. Overview of the care paradigm was presented including causal relationship, bodily injury, and persistent functional loss. Objectification of spinal injury and delineation between new and pre-existing conditions was outlined. Specific case reporting and timelines for accurate explanation of bodily injury were detailed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023, Communicating Chiropractic to the Medical Community, Overview, and specific examples of interprofessional communication with the medical community were discussed. Common mistakes relating to speaking with primary care, interventional pain management and spine surgeons will be presented and reviewed. Emphasis will be placed on diagnosis and management of the spine pain patients within the pain management, corrective, and health maintenance phases of chiropractic care. The presentation was supported by examples published in the peer reviewed medically indexed scientific literature. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023, Spinal Biomechanics – Sagittal Alignment Parameters, Detailed overview of sagittal balance in both a whole spine and regional perspective will be presented. Correlation to segmental changes will be reviewed. Interprofessional communication with primary care and medical specialists will be outlined with focus on kyphotic, lordotic and pelvic parameters. Emphasis was placed on pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis, thoracic kyphosis, T1 angle and cervical lordosis. Discussion of these biomechanical parameters within the corrective phase of chiropractic and communication with the spine surgeon was emphasized.National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

 

National Spine Management East Conference 2023, Functional Physiology of the Spinal Ligament and the Chiropractic Subluxation, Biomechanical alterations and their effect on spinal ligaments will be presented including isotropic and anisotropic changes in ligament function. Clinical correlation will be provided based on radiographic findings, traumatic events, and chronic compensatory pain patterns. Emphasis was placed on recent peer-reviewed evidence showing transection of one ligament in the spine has an influence on all others. Correlation to chiropractic care was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

 

National Spine Management East Conference 2023, Anatomy and Histology of Spinal Ligaments, Presentation of the ligamentous structures of the human spine including but not limited to the anterior longitudinal, posterior longitudinal, intertransverse, facet capsular, ligamentum flavum, interspinous and supraspinous ligaments was outlined. Histological presentation will be provided with focus on regional adaptation to ligamentous microscopic structure with details presented on intracellular matrix and cytokine activity following traumatic events. Emphasis was placed on injury thresholds using the stress/strain curve as a guide.National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards,Buffalo, NY,2023

 

National Spine Management East Conference 2023, Nomenclature of the Intervertebral Disc, Detailed presentation of intervertebral disc nomenclature as outlined by the combined task forces of the North American Spine Society, the American Society of Spine Radiology, and the American Society of Neuroradiology. Specific classification parameters and descriptions of intervertebral disc bulge, protrusion, herniation, extrusion, sequestration, and traumatic disc bulge will be presented and reviewed. Differences in morphological description were presented with sagittal and axial MRI examples. Review of clinical correlation to etiology was discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

 

National Spine Management East Conference 2023, Anatomy and Histological Composition of the Degenerative Intervertebral Disc, Anatomy of the degenerative intervertebral disc and its nerve supply will be reviewed.An overview of the histological structure of the degenerating intervertebral disc was presented. Discussion of the chemical and histological make-up of the degenerative intervertebral disc including vascular, proteoglycan and extracellular matrix composition will be presented. Key differences between the healthy and degenerative disc will be outlined including neovascularization and the ingrowth of free nerve endings.National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

 

National Spine Management East Conference 2023, Anatomy and Histological Composition ofthe HealthyIntervertebral Disc, Anatomy of the healthy intervertebral disc and its nerve supply was reviewed.An overview of the histological structure of the intervertebral disc was presented. Discussion of the chemical and histological make-up of the intervertebral disc including vascular, proteoglycan and extracellular matrix composition was outlined and presented. Specific innervation and vascularization patterns and their relation to pain generating injuries was explained. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023, The Science of Chiropractic–whatdoestheresearch say? Detailed analysis of the 2022-2023 scientific literature supporting chiropractic management of spine pain patients. An outline of supporting evidence in the pain management, corrective care and health maintenance phases of care was presented. Peer reviewed medically indexed papers were discussed and correlated to trends in research with emphasis on the RAND Corporation’s Center for Collaborative Research in Complementary and Integrative Health was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 2023

National Spine Management East Conference 2023, Objectifying Tissue Injury in the Spine, Detailed discussion of the “gold standard” tests that objectify injury in the human spine. Assessment of muscle, tendon/ligament, intervertebral disc, spinal nerve, and bone injuries was presented and correlated to imaging findings. Physical examination findings examples were correlated for the compliant need for testing orders including but not limited to plain film radiographs, MRI, CT, EMG/NCV and Bone Scan. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Buffalo, NY, 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 Disc 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 Grand 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 Perspectives, 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

Neck Pain, Headaches, and Dizziness, Cervical Spine, strain sprain, whiplash injury, cervical spondylosis, chronic neck pain, upper back pain, headaches, dizziness, and risk management. Training includes the mechanism of injury for these complaints and associated conditions. Training is provided in how and why these issues occur and how they are best managed. Explore records documentation, clinical rationale, history taking, general health assessment to better understand how you can ensure you are avoiding risk and making sure your records document your care plans effectively. Northwestern Heath Sciences, Louisville, KY, 2023

Bootcamp for Lumbar Spinal Stenosis Part I & II, Review of diagnosis, treatment and management of lumbar stenosis, symptoms of lumbar stenosis reviewed, recommended treatment plans, therapies and exercises reviewed. Parker Seminars, Orlando, FL, 2022

Principles of Neuro Rehabilitation, A Case-Based Interactive Presentation Part I & II, Review of relevant anatomy and physiology of the oculomotor and vestibular systems in application and management of brain injured patients. Parker Seminars, Orlando, FL, 2022

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. 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, NY, 2022

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. 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, NY, 2022

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, NY, 2022

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 diagnoising 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, NY, 2022

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 evidenced in imaging. Digital and numerical algorithm in analyzing a 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, NY, 2022

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. 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, NY, 2022

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 rotatioal 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. 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, NY, 2022

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 rotatioal 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. 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, NY, 2022

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, NY, 2021

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. 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, NY, 2021

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, NY, 2021

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, NY, 2021

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, NY, 2021

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, NY, 2021

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. 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, NY, 2021

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. 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, NY, 2021

MRI 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-morbities 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. 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, NY, 2021

MRI Interpretation 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. 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, NY, 2021

MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, 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. 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, NY, 2021

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.  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, NY, 2021

Pathobiomechanics and Documentation, CPT Coding Guidelines for Initial and Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination, and Medical Decision making. Specific differences in coding levels and required elements for a 99202-99203-99204-99205. Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, NY, 2020

Using Documentation and Ethical Relationships, Pathways to improve coordination of care, and interprofessional communication with collaborating physicians. Maintaining ethical relationships in the medical-legal community through documentation and communication of demonstrable diagnosis, prognosis and treatment plans. Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, NY, 2020

Spinal Biomechanical Engineering Clinical Application, History of clinical biomechanics with an emphasis on the diagnosis and management of spine pain of mechanical/functional origin. Evidence-based symptomatic vs. asymptomatic parameters using peer-reviewed medical index literature. Computerized mensuration analysis of spinal biomechanical pathology. Comparison of demonstrable spinal biomechanical failure on imaging to clinical evaluation and physical examination. Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, NY, 2020

Spinal Biomechanical Engineering Clinical Grand Rounds, Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods. Academy of Chiropractic Post-Doctoral Division, Cleveland University - Kansas City, Long Island, NY, 2020

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. 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, 2020

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. 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, 2020

Documentation, MRI Necessity and Trends in Spinal Treatment Protocols, Correlating history and a thorough clinical evaluation in determining the necessity for x-ray and MRI evaluations in the trauma and non-trauma patient. Considering whole spine patho-biomechanics in formulating treatment plans and long-term supportive care. Documentation requirements in transitioning from telemedicine to in-office care. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Long Island, NY, 2020

Traumatic Brain Injury and Concussion Overview: This section is an in-depth overview of traumatic brain injury in concussion. It discusses that all 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. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2019

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. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2019

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 upon the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2019

Concussion And Electroencephalogram Testing: This 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. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2019

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 measures 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 results. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2019

Cervical Myelopathy: Pathophysiology and Case Examples, Effects of cervical spondylosis in respect to spinal cord compression discussed. Pathophysiology of spinal cord compression reviewed. Modern surgical techniques discussed. Indiana State Chiropractic Association, Indianapolis, IN, 2019

Colossus Level I and II, Colossus Workshop: Understanding Colossus and other insurance based software programs used for handling claims. Understanding proper documentation, coding, identification of injuries, understanding MIST claims, required input for insurance based software programs. Sequoia Visions, Inc., Reno, NV, 2019

Handling Traumatic Brain Injuries, Training focused entirely on traumatic brain injury cases, from nationally-recognized experts in neuropsychological testing, psychological defenses, neurological aspects of traumatic brain injuries, brain stem injuries, autonomic nervous system injuries (including associated impacts on the visual and inner ear systems), and advanced brain imaging. Trial Guides, Orlando, FL, 2019

Stress & Strain: Nutritional Pearls for a Toxic World, Nutritional Stress and Supports for healing and promoting healthy gut and digestion; Probiotics, Chemical Stress in the environment and in food and beverages, the latest research on Cancer, Inflammation, Common Health Conditions, Physical Stress: Diagnostic imaging, TMJ, headaches, ergonomics. University of Western States, Fort Wayne, IN, 2019

Triage and Management of the Trauma and Non-Trauma Patient, Differentially diagnosing spinal issues in the trauma and non-trauma patient inclusive of spinal disc pathology utilizing x-ray, MRI, CAT Scan and clinical evaluations. Collaborative triaging protocols with neurologists, neurosurgeons, orthopedic surgeons, pain management and primary medical care providers with both mechanical and anatomical spinal pathologies. Academy of Chiropractic, Cleveland University - Kansas City Chiropractic and Health Sciences, Long Island, NY, 2018

Performing Impairment Ratings According to the 5th Edition of the AMA Guides to the Evaluation of Permanent Impairment, Impairment Ratings: DRE and ROM models, Upper and Lower Extremity Impairments, Pain impairments, History and Physical Exam. Provider Compliance Solutions,Online training, Dallas, TX, 2018

Chiropractic X-Ray: A Review of Bone Tumors and Arthritis with Radiology Risk Management, Review of disease entities the chiropractor should know and is most likely to encounter in practice.  These disease categories include normal variants, congenital, traumatic, arthritic, tumorous, infectious, hematologic, and metabolic diseases, with a special section on must-know soft tissue signs in radiological diagnosis. For each disease entity presented, the general considerations, clinical features, radiologic/diagnostic imaging findings and patient management considerations are presented. Radiology risk management included. Texas Chiropractic College, Louisville, KY, 2018

Chiropractic Bootcamp, Benefits of chiropractic care vs opioids & surgery, proper use of treatment and xray guidelines, management of auto claims with attorneys, workers comp cases, stroke research, appealing IME exams, informed consent. OSCA, Dayton, OH, 2018

The Art of Gait Analysis, Analysis of gait used to determine different type of musculoskeletal conditions, biomechanical abnormalities. OSCA,Dayton, OH, 2017

Cardiac/Autoimmune/Nutrition, Training in effective strategies in dealing with autoimmune conditions; Neuroendocrine cascade in the brain discussed; Evaluation of stress on the muscular system by listening to heart sounds and incorporation of nutrition and lifestyle changes in treatment. OSCA Convention, Columbus, OH, 2017

Chiropractic Intervention for Neurological Decline, treatment and support for auto immune conditions and cognitive decline, due to trauma, environmental and nutritional.Texas Chiropractic College, Louisville, KY, 2017

Coding, Colossus and Documentation in Personal Injury, Proper documentation of Personal Injury discussed in relation to coding, treatment, management of personal injury cases in conjunction with Colossus and related insurance software. National University of Health Sciences, Irving, TX, 2016

Collision Biomechanics Diagnostics and Treatment, Training in Collision Biomechanics, lectures included from guest speakers leading in the field of biomechanics, with live car crash demonstrations and engineers' reviews of crash tests with a summary of the study of biomechanics and the effect on the body. Barczyk Biomechanics Institute, Lafayette, LA, 2016

Whiplash and Spine Trauma, review of the clinical neuroanatomy of the cervical spine, discussion of the 5 primary concepts of chronic spine pain and their relationship to the chiropractic adjustment, and discussion of non-pharmacological anti-inflammatory patient management; discussion of orthopedic components with a look at how the adjustment affects tissue fibrosis, adhesions, and other conditions. OSCA, Beavercreek, OH, 2016

Concussion Protocols and Sports Injuries, the current best practices for evaluating and managing individuals, from all age groups, who present with a concussive injury; Specific protocols regarding the implementation of manual care in concussion management is discussed; discussion regarding the evaluation, diagnosis and management of spinal injury in sports. OSCA, Silver Lake, OH, 2016

Auto Trauma & Common Spinal Ligament Injuries: Diagnosis and Treatment

How to concisely identify, document and effectively treat serious cervical spine injuries, based on established guidelines (i.e., AMA guides); look at your personal injury cases through the eyes of the software programs used by insurance industry (i.e. Colossus); utilize evidence-based protocols to ensure medical necessity; safely and effectively treat these surprisingly common injuries. Texas Chiropractic College, Louisville, KY, 2016

Post Surgical Spine Rehabilitation Training, instruction to doctors of chiropractic in the rehabilitation of patients who have undergone minimally invasive spinal surgery; management of complex surgical cases and interaction with medical providers in coordination of care, emphasizing the continuum of quality treatment for post surgical patients.ACA, Cincinnati, OH, 2015

The Coding Essentials...A Fundamental Look at Coding Chiropractic Care. A fundamental look at principles of coding and documentation. requirements for coding procedures and how insurance companies interpret the codes that are submitted– everything from evaluations and management codes to modalities.OSCA, Cincinnati, OH, 2015

Electronic health Records and Practice Management Software, Discussion of how to best use her and practice management software; improving efficiency while staying compliant with required components for different levels of Evaluation and Management, and daily visits, Review of pros and cons of different software and what EHR should do for you., ISCA Spring Conference, Indianapolis, IN, 2015

Management of Lumbar Disc Derangements I & II, Training on treatment and management of Lumbar disc pathology. Understanding mechanism of injury, realistic expectations of managing treatment, including timely referrals.ISCA Spring Conference, Indianapolis, IN, 2015

ICD10 Boot Camp, Training in ICD10 coding: The basics of ICD10, understanding which codes to select to replace ICD9 codes, to properly implement the new coding system. ISCA Spring Conference, Indianapolis, IN, 2015

Documentation Principles, Principles of Proper documentation, diagnosis and CPT coding, E/M codes.Chiropractic Association of Ohio, Columbus, OH, 2014

Documentation and working within your state laws to ensure compliant paperwork and reimbursement, Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe regulations on reimbursement issues pertaining to healthcare. New York State Education Department, Long Island, NY, 2010

Neurodiagnostics: EMG, NCV, SSEP, BAER, V-ENG; Clinical indications and interpretation, 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. New York State Education Department, Long Island, NY, 2010

MRI spine interpretation, bone scan protocols and interpretation and x-ray protocols in trauma, 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. New York State Education Department, Long Island, NY, 2010

Crash dynamics and its relationship to causality, 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. New York State Education Department, Long Island, NY, 2010

Physical examination and documentation for the trauma patient, Diagnostics, 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. New York State Education Department, Long Island, NY, 2010

SELECTED MEMBERSHIPS

Colerain Chamber of Commerce 2017 – Present

International Chiropractic Association 2018 – Present

American Chiropractic Association 2015 – 2018

Southwest Ohio Chiropractic Association 2014 - Present

Indiana State Chiropractic Association 2011 – Present

Kentucky Association of Chiropractic 2011 – Present

Ohio State Chiropractic Association, Member, 2010 - Present

Business Networking International, 2010 - 2015

Toastmasters, Member, 2004 - 2006

SELECTED HONORS AND AWARDS

Voted in Best Chiropractors in Cincinnati by Expertise, 2018

Outstanding Achievement for Exemplary Service and Expertise in the Treatment and Management of Auto Accidents, 2016

Winner of Patient's Choice Awards, Cincinnati Chiropractor, 2015

Member of Who's Who On College Campuses 2005, Who’s Who, 2005

Certificate of Excellence, McNeese State University, 2001

SELECTED COMMUNITY SERVICE

Special Olympics, Volunteer, Dallas, Texas, 2005 - 2006

Kid's Day America, Volunteer, Dallas, Texas, 2004 - 2005