Michael Putman, DC CFMP, CErg, CPN

SELECTED OCCUPATIONAL HISTORY

Clinic Director, Twin Creeks Health, Roseville CA, 1996 - present

President, ErgoForce, Work Force Ergonomics, Roseville CA 2017 – present

EDUCATION AND LICENSURE

Doctor of Chiropractic, Licensed in the State of California, #DC23354, 1994 – present

X-ray Operator and Supervisor, State of California, 1994

Life College of Chiropractic – West, Hayward, CA 1994; Graduated Suma Cum Laude, Class Valedictorian

University of California, Santa Cruz, Bachelor of Arts in Environmental Studies, 1984

Post Graduate Certifications in:  Functional Medicine, Postural Neurology, Non-surgical Spinal Decompression, and Ergonomics

SELECTED POST-GRADUATE EDUCATION AND CERTIFICATIONS

Non-Surgical Spinal Decompression Certification, Parker University, Dallas Texas; The subject matter includes, but not limited to: MRI Spine Interpretation and the use of Non-surgical Spinal Decompression to reduce the effects of degenerated, bulging and herniated discs. 2016

Certification in Postural Neurology: The American Posture Institute. Clinical analysis of posture, neurology and health. The subject matter includes, but not limited to: Posture and neuro-endocrine influence. The neurology of Pain, The ANS, Motor System, and Sensory System; Neurology of the Posture System. Postural Balance and Proprioception. Rehabilitation of Motor Cortex, Sensory Cortex, Visual System, Vestibular System and Cerebellum. 2017

Certification in Postural Ergonomics:  The American Posture Institute. Certified Ergonomist Program. Subject matter includes, but not limited to:  The Public Health Impact of poor posture in the workplace. Brain Based Ergonomics and Human Factors Engineering. The Effectiveness of Ergonomic Programs and Productivity. The Biological Impact of Postural Ergonomics. 2017

Certified Functional Medicine Practitioner:  Functional Medicine University. Clinical analysis and case evaluations from a Functional Medicine perspective.  Subject matter includes:  GI System function, Immune System, Dysglycemia and Oxidative Stress, Inflammation, Detoxification, Endocrinology, and Nutrition. 2015

MRI Spine Credentialing Course, Texas Chiropractic College, 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, 12 modules, 2018

Module #1: MRI History and Physics

MRI History and Physics, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI. Texas Chiropractic College, 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, 2018

Module #2: MRI Spinal Anatomy and Protocols 

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. Texas Chiropractic College, 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, 2018

Module #3: MRI Disc Pathology and Spinal Stenosis

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. Texas Chiropractic College, 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, 2018

Module #4: MRI Spinal Pathology

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. Texas Chiropractic College, 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, 2018

Module #5: MRI Methodology of Analysis

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.  Texas Chiropractic College, 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, 2018

Module #6: MRI Clinical Application

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. Texas Chiropractic College, 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, 2018

PART 2 Syllabus

Module #1: MRI Disc Overview & Imaging Protocols 

MRI Protocols Clinical Necessity, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequellae, including bulge, herniation, protrusion, extrusion and sequestration. Texas Chiropractic College, 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, 2018

Module #2: MRI Interpretation of Lumbar Bulges/Degenerative Disc Disease 

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. Texas Chiropractic College, 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, 2018

Module #3: MRI Interpretation of Lumbar Herniated Discs

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. Texas Chiropractic College, 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, 2018

Module #4: MRI Interpretation of Cervical Bulges/Degenerative Disc Disease 

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. Texas Chiropractic College, 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, 2018

Module #5: MRI Interpretation of Cervical Herniated Discs

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.  Texas Chiropractic College, 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, 2018

Module #6: Virtual Grand Rounds

MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective.  Texas Chiropractic College, 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, 2018

Connective Tissue Spinal Disc Permanent Pathology, Primary Spine Care,Herniated, bulged, protruded and extruded discs, etiology and morphology. Age-dating disc pathology inclusive of Modic changes, piezoelectric effect, Wolff’s Law and radicular clinical presentation,Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island NY 2017

Connective Tissue Pathology and Research, Primary Spine Care,Utilization in spinal models considering the opioid abuse and various spinal models in contemporary health care. Care paths for mechanical spine pain and the evidence for conservative chiropractic care,Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island NY 2017

Bio-Neuro-Mechanical Lesions and Spine Care, Primary Spine Care,Mechanoreceptor, proprioceptor, nociceptor innervation and control of the spinal system with central nervous system action and interaction. The integration of the pain processing network and the HPA Axis (hypothalamus, adrenal and pituitary) with the chiropractic spinal adjustment,Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island NY 2017

Ethics, Documentation and Research, Primary Spine Care,Maintaining ethical Interprofessional relationships based upon an evidenced based practice inclusive of triage, diagnostics and reporting. Creating thorough documentation that reflects your complete findings encompassing descriptive ICD-10 codes and concludes the presence or absence of pathology.Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island NY 2017

Triaging and reporting while maintaining ethical medical-legal relationships

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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Physical Examination & 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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient

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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Neuro-diagnostics Testing: EMG/NCV, VEP, BAER, V-ENG and SSEP, Clinical Indications and Interpretation

Neuro-diagnostic 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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

 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 the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Strategic Plan

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. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018