Dennis Barker, DC

Evidence-Based demonstrative documentation for creating successful patient-centered collaborative care. Using "reputation building" through effective documentation to develop relationships with MD PCP's, MD Specialists, ERs, and Urgent Care Centers. Using demonstrative evidence will eradicate the Non-Specific Back Pain "Dogma", allowing chiropractic utilization to increase based on the evidence.

Spinal Imaging techniques to assess spinal structures and detect abnormalities. The sequences also identify ancillary findings such as renal, ovarian, extradural, and intradural tumors. Careful evaluation of spinal MRIs can reveal critical pathologies beyond musculoskeletal issues. Analyzing the morphology of the abdominal aorta to determine potential stroke risks.

Identifying and Diagnosing spinal segmental lesions in the facet, joint capsules involving ligamentous mechanoreceptors, and spinal proprioceptors. The central segmental motor control mechanism with upper motor neuron involvement with disparate efferent effects and demonstrative diagnostic tools to differentially diagnose the primary lesion. The statistical outcome of treating biomechanical spinal lesions.

Identifying and diagnosing spinal segmental lesions in the facet, joint capsule involving ligamentous mechanoreceptors, and spinal proprioceptors. The central segmental motor control mechanism with upper motor neuron involvement with disparate efferent effects and demonstrative diagnostic tools to differentially diagnose the primary lesion. The statistical outcome of treating biomechanical spinal lesions.

Creating a professional bio and CV, essential for establishing credibility in the medical-legal field. Incorporating outcome statistics from cases helps demonstrate your work's real-world impact, especially in the medical legal arena. Getting published in the National Institutes of Health (NIH) using research, peer review and adherence to scientific standards and enhances your reputation by validating your work within the healthcare community and increasing your authority in the healthcare community field.

Detailing 99202-99205 and 99212-99215 inclusive of required elements for compliant billing. It reviews the elements for an extensive review of systems, cervical and lumbar anatomy and basic testing. The course also covers the basics of vertebra-basilar circulation orthopedic assessment.

An overview of the evaluation and management process inclusive of utilizing electronic medical records to conclude evidence-based conclusions with the utilization of macros. The importance of adhering to an academic standard and considering co-morbidities.

Concluding a chief complaint, history and what needs to be considered in a physical examination. This covers in dept the required elements for a chief complain, history of illness, review of systems, and a past, family, and/or social history. This module also covers the following components of a physical examination: observation, palpation, percussion, and auscultation.

Creating comprehensive evaluation, management, and medical-legal reports tailored to the complexity of each case. Integrating clinical findings with imaging and laboratory data to support evidence-based care. Demonstrated ability to manage cases independently or in collaboration with medical specialist when appropriate. Translating complex diagnostic and functional findings into clear, actionable documentation for clinical and legal use.

Ongoing study of emerging spinal research with emphasis on disc pathology, biomechanical engineering, anomalies, tumors, and infections. Actively engaged in reviewing clinical applications of cutting-edge findings to improve patient outcomes. Focus includes interpreting complex imaging and integrating advancements in diagnostics and treatment protocols. Collaboration with neurosurgeons, orthopedic specialists, oncologist, and infectious disease experts is integral to case management based on pathology. Emphasis is placed on interdisciplinary coordination to ensure comprehensive and evidence-based spine care.

Clinical Grand rounds for a case involve assessing disc, ligament and spinal pathology. The process includes establishing a diagnosis, determining the prognosis, and developing treatment plan. Special attention is given to conditions such a cord edema, myelomalacia, myelopathy, and tethered cords. Utilizing follow-up examinations as a step in crucial in refining the diagnosis and treatment plan approach. Adjustments to the treatment plan are made as new clinical findings emerge. This ensures that patient care remains dynamic and responsive to evolving spinal conditions.

Utilizing the evidence in the literature to age-dating spinal herniated discs and trauma. Including interpreting X-rays, MRIs in T1, T2, STIR and Fat Saturation sequences, and other imaging alongside understanding the evidence of joint pathology. Being able to collaborate with physicians or as medical-legal expert Accurate age-dating s establish a prognosis for patient recovery. The process must be grounded in evidence-based rationale to ensure reliability. Mastering this skill enhances both clinical decision-making and legal credibility.

Reviewing complete motor and sensory evaluation inclusive of reflex arcs with an explanation of Wexler Scales in both the upper and lower extremities. The course breaks down testing for upper and lower motor neuron lesions along with upper and lower extremity motor and sensory testing examinations.

Forensically detailing the S.O.A.P note process for visit encounters and discussing the necessity for clinically correlating symptoms, clinical findings and diagnosis with the area(s) treated. It also details how to modify treatment plans, diagnosis, document collaborative care and introduce test findings between evaluation.

This module discusses how to document a clinically determined treatment plan inclusive of both manual adjunctive therapies. It discusses how to document both short-term and long-term goals as well as referring collaborative care and/or diagnostic testing. It includes how to prognose your patient and determine when MMI (Maximum Medical Improvement) has been attained.

Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activity of daily living, duties under duress of enjoyment of life. Prognosing static vs, stable care, gaps in care both in onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimbursor's requirements for complete documentation.

Documentation, and coding for x-ay and MRI reports, and patient education. Connective tissue pathology as sequella to trauma and diagnosing of ligament and strain-sprain in conjunction with biomechanical lesions of the human spine. The demonstrative reporting of spinal biomechanical lesions and the subsequent creation of treatment plans. .

Correlating clinical findings with x-ray and advanced imaging to conclude and accurate diagnosis, prognosis and treatment plan. The utilization of demonstrative documentation in diagnostic testing to visualize pathology in the trauma and non-trauma case.

Accurate documentation of patient-reported pain, including exacerbating factors and pain elicitation during evaluations. His reporting aligns with appropriate Evaluation & Management (E&M) coding standards to reflect the complexity of each case. This thorough approach enhances diagnostic accuracy, continuity of care, and proper reimbursement.

The utilization of X-ray in spinal biomechanical engineering for accurate diagnosis, prognosis, and treatment planning. This approach aids in identifying the primary lesion in the spine, ensuring targeted and effective care. Additionally, it facilitates the assignment of impairment ratings to spinal pathology based on objective imaging findings. Accurate X-ray analysis enhances clinical decision-making and patient outcomes in spinal healthcare.

The requirements for diagnosing based upon in an initial evaluation and management encounter ranging from 99202-99205 that includes comorbidities, non-musculoskeletal, and sequallae to injury diagnosis.

The requirements for diagnosing imaging inclusive of static-rays, biomechanical x-rays, biomechanical x-rays, and MRI. Documenting the clinical findings of disc bulge, herniation, protrusion, and fragmentation. Coding, diagnosing, and documenting individual treatment encounters in the clinical settings.

Diagnosing and demonstrative reporting of the spinal cord, nerve root, thecal sac, disc recurrent meningeal, myelomalacia, myelopathy, fracture, chemical radiculitis, and connective tissue pathologies, and osseous compression of nociceptors . Collaborative care with medical specialists on spinal pathology and medical-legal reporting requirements.

Identifying and diagnosing spinal disc pathologies: bulged, herniated, protruded, extruded-comminuted, extruded-sequestered. MRI sequence protocols: T1, T2, fat saturation, T2, T2 fat saturation, STIR, Proton density, fast spin echo, echo gradient, coronal, sagittal and axial. Triage of disc pathologies and collaborative care.

Identifying and diagnosing spinal segmental lesions in the facet, joint capsule involving ligamentous mechanoreceptors, and spinal proprioceptors. The central segmental motor control mechanism with upper motor neuron involvement with disparate efferent effects and demonstrative diagnostic tools to differentially diagnose the primary lesion. The statistical outcome of treating biomechanical spinal lesions.

Identifying and diagnosing Osteoarthritis in hand, wrist, elbow, shoulder, foot, and ankle, knees, hips on X-ray. Identifying and diagnosis erosive arthritis and Rheumatoid Arthritis on X-ray, MRI imaging, and ultrasound MRI in the hand, elbow, knee, and spine, Psoriatic and Lupus/Jaccoud Arthritis in the hand. Crystallin arthropathy of the hand, Gout in the feet and spine, and Calcium Pyrophosphate Dihydrate Deposition Disease (CPDDD) of the hand. Diagnosing of ankylosing spondylitis of the spine was also identified.

Identifying and diagnosing Schwannoma's, Adenomas', Fibroid Leiomyomas and uterine Sarcomas, Renel Cell Tumors, Renal Cysts and Aortic Aneurysms. The physics of T1, T1 Fat Saturation, T2, T2 Fat Saturation, STIR, Proton Density, Fast Spin echo, echo Gradient, coronal, sagittal, and axial. CT Hounsfield units and diagnosing tumors.

Determining and documenting the history of proximate cause, how to demonstratively document pain, weakness, and numbness using evidence-based protocols. the demonstrative documentation of MRI spine pathology and being able to differentially diagnose previous vs current pathology in prognosing permanencies. the clinical correlation of casualty, demonstrative bodily injury, and persistent functional losses using emotional intelligence

Spinal Disc Morphology of lamellar tracts and fiber orientation, the non-uniformity of discal zones with the chemical content of each. How Proteoglycans and Aggrecans are integral in disc hydration and age-dating pathology. Understanding the vascularization of the osseous end-plate, cartilaginous end-plate, and disc from birth through puberty is essential to accurately diagnosing disc pathology, Being able to relate disc herniations to end-plate fractures with central herniation and clinically correlating it to chronic back pain.

Understanding future trends in chiropractic and clinical record-keeping is essential for maintaining professional excellence and delivering high-quality patient care. As healthcare evolves with new technologies and reimbursement models, clinical documentation must adapt to remain effective and complaint. This module provides a structured, step-by-step guide to creating accurate clinical notes, covering their purpose, context, key elements, practical tips, and relevant legal considerations. Mastery of these skills supports both regulatory compliance and the highest standards of patient care.

Instruction in the interpretation of MRI sequences, including sagittal, axial, T1, T2,STIR, and proton density. Trained students to accurately identify vertebrae, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Emphasized recognition of common pathologies such as bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and Schmorl's nodes. Developed students' practical skills in applying MRI findings to clinical decisions-making.

This module covers he foundational principles of biomechanical lesions, starting with ligamentous pathology and extending to overall biomechanical dysfunction. Students will learn how ligament damage impacts spinal stability and joint function. The course explores the compensatory changes that develop into chronic biomechanical pathology. Emphasis is placed on the clinical relevance of these lesions for accurate diagnosis, effective treatment, thorough documentation.

This modules examines the neurological impact of connective tissue injuries and biomechanical pathology. It highlights how structural damage can create effector organ dysfunction, leading to abnormal neurological signaling. The course traces the progression from localized tissue pathology to widespread central sensitization. Focused is placed on understanding the mechanisms that connect tissue injury to long-term neurological consequences.

This module develops the essential skill of "Evidence-Based" age-dating for herniated discs and spinal trauma. Students will lean to combine imaging interpretation from X-Ray, MRI, and other modalities with clinical insights into joint pathology. Emphasis is placed on applying this expertise in collaborative medical and medical-legal contexts. The course also underscores the importance of evidence-based reasoning in established accurate patient progress.

This module covers the diagnosis and management of ligament pathology in acute and chronic patients. It reviews the evidence-based physiology of ligament morphology, trauma mechanisms and resulting compensatory spinal changes. A master-level analysis addresses ligament anatomy, vascularization, neurological innervation, and tissue repair, emphasizing clinical relevance. The course also explores how ligament pathology drives patho-neuro-biomechanical lesions and informs the mechanisms of chiropractic spinal adjustments.

This module focuses on the screening and diagnosis of brain injuries, from concussion and mild traumatic brain injury (mTBI) to severe TBI and stroke. It emphasizes recognizing key clinical signs to support timely and accurate assessment. Participants learn essential triage protocols to ensure patients receive appropriate care. This course also introduces evidence-based strategies for distinguishing between conditions and minimizing the risk of delayed or missed diagnoses

This course module provides an evidence-based framework for spinal diagnosis, focusing on accurate identification of specific pathologies rather than generalized labels like "non-specific back pain". Clinicians are trained to integrate clinical assessment and imaging to establish definitive diagnoses. The module emphasizes collaborative management

This course module outlines the documentation requirements essential for supporting long-term chiropractic care and fostering collaborative relationships. It provides an evidence-based framework for spinal diagnosis, emphasizing precise identification of specific pathologies over broad labels such as "non-specific back pain". Clinicians are trained to synthesize clinical assessments with imaging findings to establish accurate and definitive diagnoses. The module highlights strategies for collaborative management with medical specialists to optimize patient outcomes. Participates learn to apply evidenced-based reasoning guide treatment decisions while enhancing interdisciplinary communication and care coordination

Advanced documentation based on clinical and testing findings that correlate to Evaluation and Management Guidelines. Evidence-Based necessity parameters for considering spinal imaging and electrodiagnostic testing.

Recognized by Cleveland University-Kansas City, Chiropractic and Health Sciences with courses recognized by the ACCGME in conjunction with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences. Qualification language approved by the American Chiropractic College of Radiology (ACCR) and the American Chiropractic Board of Radiology (ACBR).

Analyzing spinal healthcare trends in both utilization and necessity and understanding the marketplace and how a level of clinical excellence is reflected in a doctor's documentation and credentials. Treatment pathways in triaging spinal pathobiomechanics.

An evidence-based understanding of time-related etiology of disc pathology considering the American Society of Neuroradiology's designation of protrusion, extrusion, and sequestration of spinal discs. Considering the signal intensity of discs in age-dating pathology and acquisition protocols for advanced spinal imaging.

An evidence based model for spinal biomechanical engineering and pathobiomechanics considering the pathophysiological limits in translations, angular deviation, and rotational planes. Utilizing the Cartesian system in plotting vertebral points to demonstratively conclude an accurate diagnosis, prognosis, and biomechanical treatment plan with the consideration of long-term care in the non-specific mechanical spine pain patient when necessary.

Clinical Grand Rounds of herniated, protruded, extruded, sequestered, and bulging discs. Differentially diagnosing vascular vs. mechanical spinal lesions and the necessity for urgent vascular, neurological intervention. Collaborating in a team environment utilizing a neuroradiologist, electrophysiologist, and neurosurgeon with the chiropractor as the primary spine care provider.

Documenting basics of diagnosing bodily injuries vs. pain, and the correct utilization of active vs. sequella coding. Diagnosing the radiation of pain and ensuring etiology is diagnosed and not solely the effect of the pathology. Documenting pathologies with the understanding of relative weights of the ICD.

Understanding spinal biomechanical engineering and biomechanical pathologies to correctly diagnose and document according to demonstrative validation of the specific connective tissue injuries. Considering outcomes studies in spinal analytics when concluding an accurate diagnosis, prognosis, and treatment plan. The safe use of X-rays when utilizing digitizing tools to conclude an accurate biomechanical diagnosis.

Utilization of Federal Daubert admissibility standards when documenting the utilization of tools, devices, and modalities in treatment. The applicability of research meeting Federal and State requirements for the necessity of treatment in clinical practice. How a doctor's credentials lead to better outcomes, and resolve many issues based on the knowledge attained while earning the credentials.

Trends in hospital and emergent care in the healthcare delivery system inclusive of policies, hospital staffing and current paths for mechanical spine issues.

This qualification includes graduate chiropractic education in healthy and traumatically altered spinal morphology inclusive of osseous, connective tissue and neurological structure, function and pathology. This certifies you are qualified in assessing predictive models in spinal biomechanics and devising engineering paradigms for treatment plans to maximize spinal homeostasis in an evidenced based conclusion. In addition, this qualification acknowledges your expertise in triaging the injured and coordinating collaborative care from the trauma through conclusion of rehabilitation.

This advanced qualification integrates graduate-level medical and chiropractic education to provide comprehensive expertise in triaging injured patients. Training begins with a strong foundation in patient history-taking, clinical examination, and basic imaging, equipping practitioners with the essential tools to effectively assess and diagnose trauma cases. Advanced imaging modules focus on mastering MRI spine interpretation, enabling practitioners to identify and differentiate conditions such as herniated, bulged, protruded, and extruded discs with precision.

A significant emphasis is placed on spinal biomechanics and the management of non-anatomical pathology, offering an in-depth understanding of complex spinal conditions. This qualification also includes accident engineering principles, which assist in analyzing the mechanisms of injury to improve clinical outcomes. Advanced case management protocols are a central theme, ensuring practitioners can design and implement effective, evidence-based treatment plans.

Specialized topics such as electrodiagnostics, connective tissue pathology, and stroke diagnosis in a primary care setting are covered comprehensively. These advanced diagnostic skills prepare practitioners to manage a wide range of trauma-related conditions. This advanced qualification underscores a detailed understanding of trauma and its complex presentation in clinical practice.

Trends in hospital and emergent care in the healthcare delivery system inclusive of policies, hospital staffing and current care paths for mechanical spine issues.

Utilizing a complete history and evaluation, triaging the chronic and acute patient with consideration of collaboration with medical specialists as indicated. Correlation the patient intake forms, clinical history, evaluation, and testing, including X-rays, MRI, CAT Scan and EMG's in determining a treatment plan.

Understanding MRI ordering sequences, T1, T2, STIR, Proton Density, and other sequences to conclude and accurate diagnosis. Clinically correlating history, clinical findings to advanced imaging to determine appropriate triage and an accurate conclusive diagnosis.

Concluding an accurate diagnosis, based on x-ray digitizing, and outcome studies in the literature to determine triage and the possible necessity for collaborative care with medical specialists. The documentation requirements for accurate communication between professions to ensure an accurate treatment plan is created and followed.

Clinically correlating history and clinical findings to biomechanical connective tissue pathology and advanced imaging with herniated, protrude, extended, and bulging discs. Triaging trauma and chronic patients based upon clinical presentation and test results.

Clinically correlating history and clinical findings to biomechanical connective tissue pathology and advanced imaging with herniated, protrude, extruded, and bulging discs. Triaging trauma and chronic based upon clinical presentation and testing results.

Lumbar Digital Analysis, Digitizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotational analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using computerized/numerical algorithm along with corrective guidelines.

Full Spine Digital Analysis, Digitizing and analyzing the full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. this includes anterior and posterior vertebral body elements in rotational analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical algorithm along with corrective guidelines.

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.

Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create am accurate diagnosis in MRI.

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.

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.

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.

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.

MRI Protocols Clinical Necessity, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequelae, including bulge, herniation, protrusion, extrusion and sequestration.

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.

MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl/'s nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestrations, focal and broad based herniations are defined and illustrated. Central canal and cauda equina compromise interpretation with management.

MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of cervical degeneration. With co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation with management.

MRI slices, views, T1, T2, STIR axial, FFE, FSE and sagittal images in the interpretation of cervical herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, schmorl's nodes and herniation. morphology of cervical disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management.

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.

Connective tissue morphology, embryology and wound repair as sequalae to trauma. Full components of strain-sprain models and permanency implications with wound repair and osseous aberration with aberrant structural integrity.

Disc pathology as sequella to trauma, herniation, extrusion, protrusion, sequestration and how the spinal unit as one system creates homeostasis to balance the pathology.

The peripheral and central innervation of the disc and spinal ligaments of the dorsal root ganglion, spinal thalamic tracts, periaqueductal gray areas innervating the Thalamus and multiple regions of the brain. The efferent neurological distribution to disparate areas of the spine to create homeostatis until tetanus ensues creating osseous changes under the effect of Wolf's Law.

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.

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.

Integration of lumbar orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.

How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process.

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.

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.

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.

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.

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.

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.

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.

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.

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.

The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure, and age-dating disc pathology.

Spine, neurological sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station, and gait disorders, and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture, dislocation, and functional loss are also detailed in relation it impairment ratings.

The diagnosis, and reporting of spinal disc bulges, herniations, protrusions, extrusions, and fragments. Reporting varices, Modic 1, 2, and 3, posterior longitudinal, interspinous, and intertransverse ligament. Reporting the ligamentum flavum and epidural fat as a space-occupying lesion.

The analytics of spinal biomechanical engineering utilizing X-ray digitizing for Alteration of Motion Segment Integrity and biomechanical pathology. Determining laxity of ligaments in connective tissue pathology and the long-term negative sequels of the pathology.

Triaging neurologically compromised cases in conjunction with positive MRI images, and collaboratively managing cases with neurosurgeons in clinical practice. Post-operative management of spinal cases through full recovery.

The understanding of the human spinal discal elements; annulus, nucleus pulposis, cartilaginous end plates inclusive of the neurology, visualization, differentiation from the neonate to adults. The understanding of the etiology of Modic changes on MRI and how spinal biomechanics are altered.

The understanding and utilization of T1, T2, STIR, Proton Density, FSE, GRE imagine sequencing for conclusive diagnosing of fracture, tumor, infection, and disc pathology. Identifying herniation, protrusion, bulge, extrusion-migrated, and extrusion-fragments on MRI images.

The utilization of X-ray digitization to diagnose spinal biomechanical pathology and analyzing trends in healthcare when triaging mechanical spine pain. The role of credentials in interprofessional collaboration.

The clinical incorporation of electrodiagnostic studies as part of a care plan where neuropathology is suspected. It also covers how to use electrodiagnostic in a collaborative environment between the chiropractor as the primary spine care provider and the surgeon, when clinically indicated. This section covers sample cases health conclude and accurate treatment plans based upon electro-neurodiagnostic findings when clinically indicated.

The EMG process, inclusive of how the test is performed and the steps required in planning and electromyographic study. This covers the spontaneous activity of a motor unit action potential, positive sharp waves, and fibrillations. The insertional activity (both normal and abnormal), recruitment activity in a board polyphasic presentation, and satellite potentials. This covers diagnosing of patterns of motor unit abnormalities including neuropathic demyelinated neuropathies along with acute myopathic neuropathies. This section also covers the ruling out of false positive and false negative results.

Compound motor action potentials, (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median, ulnar, and posterior tibial nerves; known as carpal tunnel, cubital tunnel, and tarsal tunnel syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic conclusions.

Nerve conduction velocity testing, the equipment required, and the specifics of motor and sensory testing. This section covers the motor and sensory NCV procedures and interpretation including latency, amplitude (CMAP) physiology, and interpretation including the understanding of the various nuances of the wave forms.

An in-depth review of basic neuro-anatomy and physiology dermatomes and myotomes to both upper and lower extremities and the neurophysiology of axons and dendrites along with the myelin and function of saltatory for conduction. The sodium and potassium pump's function in action potentials.

This module covers amplitude, conduction, and conduction delays as sequela to traumatic brain injury to diagnose concussion and traumatic brain injury in the absence of gross bleeding and advanced imaging. This section covers electroencephalograms and event-related potentials which measure the brain response that is a direct result of specific sensory or motor events. It is a stereotype electrophysiological response to a stimulus and provides a noninvasive means of evaluating brain function. In this module, multiple case studies are discussed with ensuing triage protocols pending the result.

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.

This section continues with multiple case studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and also discusses recovery sequela based on the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short demonstrable bleeding on advanced imaging.

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.

This section is an in-depth overview of traumatic brain injury in concussion. It discusses that all the brain injuries are traumatic and dispels the myth of a "mild traumatic brain injury". Also, this covers triage protocols and the potential sequela of patients with traumatic brain injuries.

Chiropractic Diagnosis and Management of non-specific spine pain. Educating the Primary Care Physician about biomechanical pathology and how it can be demonstrated and managed. A review of the ligament, biomechanical and neurologic implications of chronic spine conditions. The methods to determine stability and co-management with medical specialists was reviewed. Identification of the biomechanical ligament injury associated with the structural compromise.

Understanding the morphology and physiology of connective tissue at the cellular and extra-cellular levels in building a foundation for understanding the function and interaction of ligaments, tendons, muscles, and bone, identifying connective tissue pathology and the repair process with a foundation of permanent aberrant sequella.

Understanding the concepts of normal vs. pathological movement of vertebral motor units in accurately concluding diagnosis on biomechanical pathology when considering excessive motion. An evidence-based approach to determining translation, angular deviation, and rotations beyond pathobiomechanical limitations in the spine.

An evidence-based approach to concluding accurate diagnosis, prognosis, and treatment plan. Eradicating the non-specific back pain dogma utilizing X-ray digitizing based on literature standards, Creating treatment plans by identifying the primary spinal lesions using evidence-based tools.

Understanding and including all historical elements; current history, past history, family history, and social history when documenting a 99201, 99202, 99203, 99204, and 99205. the application of time as the prime element as per Medicode in coding examinations and re-examination with face-to-face, review of records, and the time necessary to document in an electronic health record.

Identifying normal anatomy on both MRI and X-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement.

Identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors.

Identifying normal anatomy on both MRI and X-ray, inclusive of osseous, connective tissue, and neurological structures, identifying in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors.

Identifying normal anatomy on both MRI and X-ray, inclusive of osseous connective tissue, and neurological structures, identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors.

Identifying normal anatomy on both MRI and X-ray, inclusive of osseous connective tissue, and neurological structures, identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors.

Identifying normal anatomy on both MRI and X-ray, inclusive of osseous connective tissue, and neurological structures, identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement.

Identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign metastatic tumors.

Identifying normal anatomy on both MRI and X-ray, inclusive of osseous connective tissue, and neurological structures, identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement.

Identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors.

Identifying normal anatomy on both MRI and X-ray, inclusive of osseous connective tissue, and neurological structures, identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors.

Identifying normal anatomy on both MRI and X-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic tumors.

Herniated, bulged, extruded, protruded, sequestered, and degenerative disc. The morphology of a pathological disc vs normal morphology and the sequences required including T1, T2, and STIR for all spinal regions. Modic 1-2-3 changes detailed and the traumatic relationship.

Protocols and disc pathology, Normal anatomy of axial and sagittal views utilizing T1, T2, gradient, and STIR sequences of imaging. Degenerations and annular fissures of discs in both trauma and non-trauma patients and the biochemical properties of joints in age dating pathology. Disc bulges from degenerative and sequela to osseous issues, herniation pathology and protrusion, extrusion, migrated and sequestered variations. Clinical scenarios as sequela to disc and pre-existing pathologies.

Interpreting and utilizing X-ray and MRI findings in creating demonstrative documentation. Advanced identification of spinal disc lesions, herniations, bulges, protrusion, extrusion, and fragmentations through computer graphics. Identification and demonstrative documentation of vertebral motor unit pathology and reporting demonstratively using computer graphics.

Ethical, collaborative relationships with medical PCPs and specialists using advanced documentation and accurate reporting of imaging and advanced imaging. Creating a collegial relationship when conflicts arise in concluding accurate diagnosis to allow consensus and the evidence to determine final diagnosis.

Understanding the utilization of CAT Scan slicing and reformatting when using bone and soft tissue windows. Correlating MRI to CAT Scan creates an unclear conclusion to render a complete image of the morphology of the indeterminate pathology. Understanding the physics of CAT Scan and the radiation levels with different types of CAT Scan technology.

The Cartesian Coordinate System, from the history to the application to the human body. Explanation of the x, y, and z axes, in both translation and rotations (thetas), and how they are applicable to human biomechanics.

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.

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.

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.

Integrating spinal biomechanics and pathobiomechanics through digitized analysis. The comparison of organized versus disorganized compensation with regional and global compensation. Correlation of the vestibular, occular and proprioceptive neurological integration in the righting reflex as evidence in imaging. Digital and numerical algorithm in analyzing a spine.

Cervical Digital Analysis, Digitizing and analyzing the cervical spine in neutral, flexion and extension views to diagnose pathobiomechanics. This includes alteration of motion segment integrity (AMOSI) in both angular and translational movement. Ligament instability/failure/pathology are identified all using numerical values and models. Review of case studies to analyze pathobiomechanics using a computerized/numeric algorithm.

Utilization of thin slice acquisitions with T2 Fat suppressed, STIR, proton density, T1 and T2 sequencing for advanced identification of spinal disc lesions, herniations, bulges, protrusion, extrusion, and fragmentation. better visualization of intradural and extradural lesions, neoplasms, and infections.

Clinical record-keeping, why write clinical notes, the importance of context, what to include in a clinical note, tips for better clinical documentation, basic legal considerations, open clinical notes, how to keep documentation efficient.

Analyzing the requirements in anatomical diagnostic imagery to communicate spinal pathology. Integrating technology, clinical findings, and advanced graphic tools to communicate a diagnostic conclusion.

Clinical case review of MRI including intra and extra-dural findings inclusive of the disc and vascular anatomical lesions. Differentially diagnosing central cord lesions, and spinal cord vascular lesions in both acute trauma and degenerative presentations.

Analyzing neuro-biomechanical pathological lesions defines primary spinal lesions and removes the dogma of non-specific back pain.

Diagnosing and documenting: Ependymoma, Astrocytoma, Hemangioma, Lipoma, Meningioma, Neurofibroma, Schwannoma, Myxopapillary Ependymoma

Utilizing pain patterns, the high signal in the annulus, high signal outside the annulus, Modic changes, disc height, vacuum disc, sclerosis, Phirrman rating, facet edema, and previous MRIs to determine the chronicity of pathology. Master-Class in ligaments; anatomy, physiology, vascularizaion, neurological innervation, tissue repair, and how they all relate to clinical practice. Ligament pathology correlating to the mechanisms of patho-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in the chiropractic spinal adjustment and in defining the chiropractic spinal adjustment mechanisms.

Case reviews concluding and accurate diagnosis, prognosis, and treatment plan utilizing evidence-based instrumentation and algorithms .Using demonstrative reporting of case findings to collaborate with co-treating physicians.

A documentation discussion on meeting the requirements of the courts, carriers, and licensure boards in complete and accurate reporting. Ensuring the diagnosis, prognosis, and treatment plan are demonstatively documented.

RockBlades are an instrument assisted soft tissue mobilization (IASTM) tool set. Rocktape has advocated a fascial approach to the body using the tools.

The course teaches the use of kinesiology tape in the treatment of fascial dysfunction.