Stephen Chester DC
111 The Acres, Lewisburg, TN Tennessee, 37091
Phone: 931-270-7000
Cell: 9316378200
Fax: 931-270-7701
dr.stephenchester@yahoo.com
http://drstephenchester.com
 
Selected Occupational History
 
Owner and Clinical Director,  Advanced Chiropractic  2010-present 
 
Sole Proprietor, Smith Chiropractic and Rehabilitation  2008-2010
 
Sole Proprietor, Back and Neck Care Center  2003-2008
 
 
Education and Licensure
 
Doctor of Chiropractic, Licensed in the state of Texas, 2003-2008,  Licensed in TN  2008-present
 
Parker College of Chiropractic, Doctorate of Chiropractic, Dallas, TX, 2002
          Internship, Parker College of Chiropractic Alpha Outpatient Clinic, 2000-2002
 
Parker College of Chiropractic, Bachelor of Science in Anatomy, 1999
 
 
Professional Memberships
 
American Chiropractic Association, Member
 
Tennessee Chiropractic Association, Member
 
 
Selected Post Graduate Education and Certifications
 
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. Tennessee Board of Chiropractic, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2013
 
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,dislocationa and functional loss are also detailed in relation to impairment ratings. Tennessee Board of Chiropractic, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2015
 
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. Tennessee Board of Chiropractic, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2013
 
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. Tennessee Board of Chiropractic, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2013
 
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. Tennessee Board of Chiropractic,Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2013
 
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-Electronystagmosgraphy(V-ENG) interpretation, protocols and clinical indications for the trauma patient. Tennessee Board of Chiropractic, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2013
 
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 the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. Tennessee Board of Chiropractic, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2013
 
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. Tennessee Board of Chiropractic, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2013
 
 
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, Tennessee Board of Chiropractic, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015
 
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, Tennessee Board of Chiropractic, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015
 
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, Tennessee Board of Chiropractic, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015
 
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, Tennessee Board of Chiropractic, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015
 
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. New York Chiropractic Council, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Tennessee Board of Chiropractic, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015
 
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, , Tennessee Board of Chiropractic Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015
 
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, , Tennessee Board of Chiropractic, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015
 
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, Tennessee Board of Chiropractic, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015
 
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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, , Tennessee Board of Chiropractic, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015
 
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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences,  Tennessee Board of Chiropractic, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015
 
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.  ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Tennessee Board of Chiropractic, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015
 
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.  ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Tennessee Board of Chiropractic, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2015
 
MRI of the Spine: Essentials for the Spine Specialist, presented by the North American Spine Society,  Essentials of MRI physics, pulse sequences, and MRI safety, adapting a systematic way of reviewing MR imaging studies, MRI anatomy of the spine and normal variants, MRI essentials of the cervical and lumbar spine, anatomy and special considerations of the pediatric spine, protocol in regards to tumors on MRI including differential diagnosis, spinal compartments, and individual spine tumor imaging, correlation of MRI with other imaging modalities, and advanced techniques in spine MR imaging,  Daniel M. Sciubbu, MD, A. Jay Khanna, MD, John A. Carrino, MD,  North American Spine Society, 2015 
 
Function Based Care Part I,  A discussion on how to demonstrate medical necessity for function based care, how to perform physical capacity tests, and how to prescribe specific exercises related to the patient's ability to perform those tests. Guy Annunziata, DC, DC Seminars, 2013
 
Function Based Care Part II, Discussing the theory of neuro-muscular re-education as well as how to demonstrate medical necessity for these exercises. This course also discusses stretching exercises and postural correction exercises.  Guy Annunziata, DC, DC Seminars, 2013
 
Basic Case Management, Basic principles of case management, including discussion on evaluation, diagnosis, and setting goals and treatments, as well as using outcome assessments to quantify those goals. Guy Annunziata, DC, DC Seminars, 2010
 
Understanding Whiplash Part I,  Detailing the biomechanics of low speed rear impact collisions, including discussions on the S shaped curve of the spine, general magnitudes of force, factors associated with increased risk of injury and the types of injuries that result from these collisions.  Guy Annunziata, DC, DC Seminars, 2013
 
Understanding Whiplash Part II,  Focusing on specific conditions and symptoms related to whiplash type injuries, to include: the etiology of neck pain and headache, radiculopathy, thoracic outlet syndrome, myofascial pain syndrome, fibromyalgia, post-concussive syndrome, and temporomandibular joint disorder.  Guy Annunziata, DC, DC Seminars, 2013
 
Basic MRI Part I,  Understanding of the basic principles involved in producing MRI images. Reviewing the basic fundamental principles shared by all MRI scanners.  Guy Annunziata, DC, DC Seminars, 2010
 
Basic MRI Part II, Understanding the multiplanar images of MRI, the shades of gray and the differences between T1 and T2 weighted images. Reviewing the special MRI studies that have been created to help identify different pathologies, including discussions on Fat Suppression, Contrast Enhanced and Functional MRI studies. Guy Annunziata, DC, DC Seminars, 2010
 
Basic MRI Part III, Contraindications to MRI, how to read an MRI report, the MRI appearance of degenerative disc disease, ligamentum flavum hypertrophy, disc herniations, annular tears and post-disc surgical cases.  Guy Annunziata, DC, DC Seminars, 2010
 
Conditions of the Disc Part I,  A discussion on the functional anatomy of the disc, including disc innervation, disc nutrition and structural composition, continued with a discussion on the basic interpretation of MRI. Guy Annunziata, DC, DC Seminars, 2011
 
Conditions of the Disc Part II,  A review of the basic aspects of MRI, followed by a detailed analysis of disc herniations and normal disc aging.  Instructor: Guy Annunziata, DC, 2011
 
Conditions of the Disc Part III, A review of normal disc aging, a discussion on the differences between normal disc aging and degenerative disc disease, internal disc disruptions, and nerve in growth.  Guy Annunziata, DC, DC Seminars, 2011
 
Passive Care Modalities Part I, Detailed instruction on symptom based care, including a discussion regarding thermal therapies and electric stimulation and TENS unit integration as an effective pain management tool.  Guy Annunziata, DC, DC Seminars, 2011
 
Passive Care Modalities Part II, Continuing the discussion on passive care modalities, this course will provide information and instruction on ultrasound, trigger point therapy, and traditional traction. Guy Annunziata, DC, DC Seminars, 2011
 
Radiculopathy: Patient Assessment, Effectively evaluating radiculopathies, as well as a discussion on neuropathic pain syndromes, orthopedic evaluation, neurological work up and MRI.  Guy Annunziata, DC, DC Seminars, 2013
 
Spinal Decompression,  Examining spinal decompression therapy through an objective review of the medical and chiropractic literature regarding its efficacy. Guy Annunziata, DC, DC Seminars, 2010
 
Spinal Pain Syndromes,  Clinical aspects of pain, including the differences between sclerotogenous, myofascial, visceral and neuropathic pain syndromes. A review of the literature of Bogduk, Lord and Kuslich.   Guy Annunziata, DC, DC Seminars, 2010
 
Chiropractic Treatment and Management of Headaches,  Differential diagnosis of headaches and identifying the root cause.  Etiology of the different types of headaches and documentation using outcome assessment tools.  Co-mangement of the headache patient with the medical doctor. Whiplash and headaches, and the chiropractic approach to treatment. Guy Annunziata, DC,  Charles Annunziata, DC, DC Seminars, 2009
 
Neurological Dysregulation: How Subluxation Affects the Brain,  Concepts, theories, and medical literature related to neurological dysregulation and specific chiropractic techniques directed at regulating the nervous system.  Guy Annunziata, DC,  Charles Annunziata, DC,  DC Seminars, 2011  
 
Spinal Disorders: The Dynamic Analysis, Treatment, and Rehabilitation of Movement- Related Dysfunctions,  Analyzing patients using static postural distortions as well as observing their 3D dynamic movement patterns. Rehabilitation to avoid re-injury. Proving and documenting medical necessity to treat conditions using proper diagnostic tools. Charles Annunziata, DC, DC Seminars, 2012
 
 
IASTM:  Instrument Assisted Soft Tissue Mobilization Technique,  The role of soft tissue pathology in injuries causing limited mobility and resulting loss of function.  Decreasing tissue adhesions along with fascial contractions that create stress on spinal and extremity joints making joint mobilization difficult.  Instructors: Dr. Charles Annunziata, DC Seminars 2015