Mark Balderston, DC CCIC, FICC

understanding of current concepts related to Facet Syndrome. POSTGRADDC recognized by Providers of Approved Continuing Education (PACE) of the Federation of Chiropractic Licensing Board (FCLB). James Demetrious, DC, DABCO, Wilmington, NC

Interactive discussion related to the clinical features related to a highly publicized cervical artery dissection case

Identify the difference between deposition and trial. Understand the fundamentals and subtleties of the discovery of evidence. Describe the steps involved in a deposition and trial. Discuss critical issues encountered in the deposition and trial.

Review of research related to Cervical Artery Dissection and Fluoroquinolones antibiotics as a risk factor. Attendees will receive current, advanced rationales gleaned from the literature. CAD epidemiology, risk factors, signs and symptoms of CAD, protopathic bias. Clinical cases, Fluoroquinolones/mechanisms of damage. Better understand current concepts related to Cervical Artery Dissections and related clinical indications and risk factors. Improve diagnostic decision-making. Better prepared with regard to questions related to CAD and the role of FQs as a risk factor.

Primer to differential diagnosis in chiropractic practice. Attendees will receive a brief glimpse in to the importance of DDX with instructive cases and concepts. Approaches to DDX, multi-disciplinary concepts, demonstrative cases with discussion. Better understand current concept related to DDX. Better prepared with regard to assessment and diagnostic DDX.

Dr. Robert Vining outlines the physiological basis of cervical artery dissection and discusses peer-reviewed literature on the topic of chiropractic care and stroke. The course takes learners through the process of interpreting scientific literature to better understand the strengths and weaknesses of the issues surrounding the association between chiropractic care and stroke. Risk factors, and diagnostic characteristics of patients experiencing cervical artery dissection are also presented.

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.

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

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 pathobiomechincal limitations in the spine.

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

Understanding the utilization of CAT Scan slicing and the reformatting when using bone and soft tissue windows. Correlating MRI to CAT Scan when either creates and 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.

collaborative relationships with medical PCP's 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.

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 fragmentations. Better visualization of intradural and extradural lesions, neoplasms, and infections.

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

Discusses the current literature, epidemiology, risk factors, symptoms, and examination findings to evaluate, and diagnose the developing cervical artery dissection. Review of CAD symptoms, signs, physical examination findings, connective tissue joint hyper-mobility assessment, and instructive cases. Better understand current concepts related to the assessment and diagnosis of cervical artery dissection. Will improve diagnostic using CAD assessment tool/flow chart. Will gain insight into CAD appropriateness criteria and standards of care.

Current literature, epidemiology, risk factors, symptoms, and examination findings to evaluate, and diagnose the developing cervical artery dissection. Reviewing epidemiology, adverse events, causality, SMT strain force, the effect of range of motion on cervical artery blood flow, fluoroquinolones, and risk factors. Better understand current concepts related to the assessment and diagnosis of cervical artery dissection. Improve diagnostic using a CAD assessment tool/flow chart. Gain insight into CAD appropriateness criteria and standards of care.

Chiropractic and CAD, CAD clinical signs/symptoms, chiropractic cases, identified risk factors, Fluoroquinolones connective tissue degradation, FQ aortic and cervical artery dissections. Better understand current concepts related to cervical artery dissection, risk factors and the role of Fluoroquinolones as a CAD risk factor. Will improve diagnostic decision-making. Better prepared with regard to questions related to CAD and FQ's.

Epidemiology of peripheral neuropathy, MRI vs. US, terminology and technical considerations, and review of the Neuropathy Score Reporting and Data System consensus proposed recommendations/classifications, imaging case review. Better understand concepts related to peripheral neuropathy and MRI classifications. Gain insight in MRI utility in the objective assessment of neuropathy. Appreciate the clinical classifications associated with peripheral neuropathy.

Clinical degenerative myelopathy, tandem spinal stenosis, cauda equina syndrome, chiropractic care, and complications of surgery.

Imaging clues, IVD nomenclature, and dynamic stenosis

Tools and useful resources, epidemiology, interesting cases, the prevalence in asymptomatic populations, IVD anatomy/physiology, and causative factors.

Evidence-based discussion related to clinical risk management issues associated with cervical artery dissection. The Dissection, Highly Powered Evidence, Refuting SMT Mechanisms of Injury, Diagnostic Risk Factors, Fluoroquinolones, Chaibi and Russell, Instructive Cases, Informed Consent, Challenges. Attendees will better understand current concepts related to cervical artery dissection and improve their ability to explain complex issues associated with cervical artery dissection.

Information related to chiropractic informed consent and risk management. Definitions and importance of informed consent, standards of care, office implementation, processes, and implementation. Attendees will better understand the legal, ethical, and administrative compliance issues related to informed consent.

Series Objective, 1. Define and classify different types of spinal pain, including axial pain, with focus on accurate diagnosis. 2. Recommend evidence-based treatment options for various spinal pain conditions, taking into account patient-specific factors and preferences. 3. Demonstrate the ability to coordinate care effectively among all members of the healthcare team involved in the continuum of back pain management. 4. Recognize the clinical indications and criteria for specialist referrals in the management of spinal pain, ensuing timely and appropriate consultations. 5. Explain the role of advanced imaging techniques in diagnosing and creating an effective plan of care for patients with spinal conditions, while considering the principles of evidence-based medicine. 6. Assess and manage axial pain as a distinct and significant component of spinal pain, including its evaluation, differential diagnosis and evidence-based management strategies.

The University of Kansas Health System Center for Concussion Management and guest faculty will demonstrate an integrated therapeutic approach to successful concussion symptom resolution and improved patient outcomes. Specialist in neurology, physical, occupational, speech and vestibular therapies, mental health, primary care, sports medicine, and neuropsychology will contribute to this patient-centered approach. Series Objectives: 1. Discuss the medico-legal factors in caring for concussed patients. 2. Describe the psychological factors that affect concussion recovery. 3. Recognize symptoms of dysautonomia and describe how they may be related to concussion. 4. Recognize the utility of using cognitive behavioral therapy for insomnia in concussed individuals. 5. Explore emerging science of neuroendocrine impact on concussion recovery. 6. Describe collaborative efforts between vestibular therapy and audiology. 7. Apply techniques to evaluate concussed athletes on the sideline. 8. Recognize occupational therapy's role in caring for visual deficits in concussed patients. 9. Describe appropriate assessment and treatment techniques of cervical impairments. 10. Discuss treatment of cognitive symptoms by speech pathology. 11. Recognize treatment practices and assessment of mTBI in the military.

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 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 image 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.

Reviewing imaging appropriateness criteria, improving prescription conspicuity, basic sequences, the IVD, vertebral body, Modic changes, posterior joints, paraspinal mm, canal/neuroforamina, extra-vertebral findings, measurements, alignment, and hardware/instability. Attendees will better understand the indications for MRI assessment, will improve ability to interpret radiology reports and MRI images and gain insight into how to utilize the information gained from MRI studies on behalf of their chiropractic patients

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 evidence based conclusion. In addition, this qualification acknowledges your expertise in triaging the injured and coordinating collaborative care from the trauma through conclusion of rehabilitation

Utilizing the guidelines created by the American College of Radiology and the evidence in the scientific literature for case management involving x-ray. Understanding the standards for safe radiation exposure when creating a demonstrative spinal biomechanical diagnosis and ruling out anatomical pathology.

The documentation of short and long-term care, including demonstrative validation or spinal pathology in the clinical setting. Connective tissue pathological mechanisms in chronic and traumatic etiology.

ICD-10, and CPT cross-coding requirements from the acute stage through rehabilitation, including home care. The documentation of passive vs. active care in chronic and trauma case management.

this webinar, Dr. Cox will share some of the more recent published spine research regarding the care of spinal stenosis with the emphasis on chiropractic CTFDD research: retrospective and prospective outcomes for failed back surgical syndrome, ultrasound study measuring of spinous process movement under CTFDD, and balance improvement.

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)

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 demonstratively documented.

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.

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, vascularization, 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.

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.

Diagnosing and documenting Ependymoma, Astrocytoma, Hemangioblastoma, Lipoma, Meningioma, Neurofibroma, Schwannoma, Myxopapillary Ependymoma.

Analyzing neuro-biomedical pathological lesions defines primary spinal lesions and removes the dogma of non-specific back pain. Creating evidence-based demonstrative documentation in the creation of treatment plans.

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

Rotator cuff injuries account for 4.5 million physician office visits per year. Management of this problem can range from frustrating to rewarding depending on the depth of your training. Drs. Bertelsman and Steele will present a practical, 1-hour workshop outlining everything you need to know about successfully treating rotator cuff pathology. The workshop will review the current "best practices" for evaluation, treatment, and home rehab. You will have a greater understanding and confidence about how to manage the most common problem to affect the shoulder.

Neck pain is one of the most common reasons for a chiropractic visit. With the rise of an office-based culture and the predominance of screens, millions of people around the world are finding themselves with life affecting neck pain and symptoms. Chiropractors have been successfully treating neck pain for over a century, but how do we KNOW what we have been doing is supported by evidence? Are we doing the right things? How do we handle complicated patients? How long do we treat them before we seek collaboration? What exactly ARE the best practices? This webinar will explore the nature of clinical evidence, the difference between best practices and clinical practice guidelines, and how the Chiropractic profession, through Clinical Compass, is bridging the gap between evidence and everyday practice.

The topic of stroke is particularly important given the sensationalized social networking headlines. It is critical Doctors of Chiropractic understand the importance and mechanics of a good consultation and examination, especially for patients presenting for neck pain and headaches. This issue is not only relevant for the health and safety the patients we serve, but also good for your protection as the provider.

Documentation required to ensure a reasonable conclusion to a case with an attorney, The "Rules of Professional Conduct" as mandated by license for lawyers and further defines documentation required for a doctor to use with cases involving lawyers. It also details the necessary documentation needed for a doctor to provide in detailing injuries to patients in an evaluation and management encounter and a final narrative for the courts.

Managing cases where lawyers are unethical and understanding the Rules of Professional Conduct mandated for lawyers nationally. It helps you create business systems to manage these types for cases and work within the framework of the laws in each state o ensure compliance.

Detailing what an ethical relationship is for the doctor and attorney. It describes the differences in ethics for a lawyer and doctor and what constitutes a licensure violation in both practices. It also details how to ensure your documentation supports ethical relationships.

Legality of Assignments, assignment of rights and benefits. What that means in a contemporary clinical practice and how to ensure you have the legal authority to bill and collect based on necessary documentation.

Ethical financial relationship with lawyers and the documentation needed from the provider to define the relationship. Assignments, release of release of records, right to receive information, explaining statutes of limitations and document exchange are detailed.

It is an important ethical and legal obligation for all practicing Doctors of Chiropractic to obtain the informed consent of patients before treatment. Presentation will help one to create effective and efficient policies for your practice, and help you answer any challenging questions your patients might ask. Learn how to manage risk in the practice learning how to develop an effective and efficient informed consent. Employ skills to better communicate with patients about the relative safety of chiropractic procedures.

Discussion of the current evidence-based evaluation and management of common lumbar complaints. The discussion will progress to review commonly overlooked "functional" problems that delay recovery. in one way or another, these functional diagnoses contribute to many, if not all, of the lumbopelvic structural diagnoses that chiropractors treat. Attendees will leave this class with real-world tools to better manage the most common MSK presenting problem.

Understanding ethical relationships about anti-kickback laws, fee-splitting and appropriate hiring practices in the clinical arena. How to use your initial patient documentation to conclude a case and ensure you are within the ethical boundaries.

Documenting and communicating your credentials in a manner consistent with licensed boards and the courts. Communicating sub-specialties as awarded through formal academic accomplishments and utilizing that level of education to better understand and explain pathology.

The clinical standard for ordering diagnostic test as indicated. This includes advanced testing as MRI, CAT Scans, and electrodiagnostics as electomyogram, nerve conduction studies, vestibulo-electronystagmography and somatosensory evoked potentials. The failure to order indicated testing and how it creates a public health risk and will negatively reflect on your license and reputation.

The academic and court standards for documenting an Evaluation and Management encounter with the utilization of accurate CPT Coding. Accurately documenting your credentials based upon earned credentials.

A clinical discussion of collaborating with neurosurgeons on spinal cord and spinal nerve root co-morbidities. Triaging cases with herniated, protruded, extruded, fragments discs and differentially diagnosing tethered cord, syringomyelia, traumatic Schmorl's Nodes, Myelomalcia, spinal cord edema, vacuum disc and other intra, and extra-dural lesions

Case reviews utilizing E/M, MRI, and x-ray mensuration reports to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods

Age dating herniated discs and trauma is a critical skill for an expert in the spine. It combines the clinical skills of interpreting X-ray, MRI, and other imaging modalities with a clinician's understanding of joint pathology. This level of expertise is critical when collaborated with other physicians or working in the medical-legal environment as an expert. Age dating pathology is also central to creating a prognosis on your patient's recovery and must be evidence-based in rationale

Diagnosing, triaging, and documenting headaches, migraines, and vascular incidents (stroke) in the primary provider's office. Imaging protocols based upon history and clinical presentation will be presented, along with analyzing imaging findings in determining the etiology. There will be an extensive question and answer session following the instructional presentation

Master-Class in ligaments; anatomy, physiology, vascularization, 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

Effectively creating demonstrative medical-legal documentation and meeting the needs of the courts, and making your "4-Corner" (narrative) report to build your reputation as an evidence-based provider. The step-by-step minutiae of building a report, accomplishing report writing timely and effectively by understanding the regulatory and administrative rules. Learn how to educate the lawyer on bodily injury through evidence-based demonstrative reporting

Utilizing both MRI and x-ray in identifying via x-ray and advanced imaging extremity instabilities from ligamentous, osseous or neoplastic derangement

Analyzing evidence-based outcomes in triaging non-anatomical lesions. The analysis of neuro-biomechanical pathological lesions defines primary spinal lesions and removes the dogma of non-specific back pain. Managing collaborative relationships with medical primary providers and specialists in clinical practice

Clinical case review of MRI's including sagittal, axial, T1, T2, STIR, and proton density sequences. Identified will be the vertebrate, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Pathology will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and Schmorl's nodes. Learn how to collaborate effectively with radiologists, neuroradiologists, and neurosurgeons on the clinical findings

Analyzing evidenced-based spinal healthcare trends in both utilization and necessity and understanding the marketplace. The use of evidence-based demonstrative documentation in reporting treatment pathways in triaging spinal pathobiomechanics.

Treatment modalities centered upon "best-outcomes" in an evidence-based model considering chiropractic vs. physical therapy and chiropractic vs. medicine. Considerations of disability, pain reduction, functional improvement, drugs utilized, and side-effects are all considered.

The narrative report. How to effectively create medical-legal documentation and what the courts look for. Making your "4-Corner" (narrative) report demonstrable and build a reputation as an evidence-based provider. The step-by-step minutiae of building a report.

Utilizing both MRI and x-ray to diagnose 1) Arthritis - inflammatory and Degenerative, 2) Advanced cartilage assessment, 3) Rotator Cuff Tears, 4) Labral tears (shoulder and hip), 5) Tendon injuries and degeneration, 6) Meniscal tears, 7) Ligamentous injuries, 8) Common fractures, 9) Sports-related injury patterns, 10) Plantar fascitis.

Utilizing spinal mensurating algorithms to conclude a pathobiomechanical vs. normal spine in the absence of anatomical pathology. Clinically correlating a history and physical examination findings to x-ray biomechanical results in creating an accurate diagnosis

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, T1, T2, STIR and Proton-Density weighted evaluation to diagnose spine from MRI accurately

Constructing and concluding an E&M (99202-99205) report that accurately reflects the history, clinical findings and management of trauma cases that concurrently meets the needs of both the carriers in the courts and ethical relationship that concurrently matches the standards of both contemporary academia requirements and contemporary literature-based standard.

Having referral relationships with emergency rooms, neurosurgeons, orthopedic surgeons, pain management specialists, neurologists, neuroradiologists, and medical primary care providers based upon clinical dilemmas that processed after a thorough history, examination and imaging if clinically indicated to conclude diagnostic dilemmas.

Contemporary acquisition protocols including slice thickness and sequences inclusive of the ordering process. Interpretation of axial, sagittal, and coronal views in T1, T2, and STIR views inclusive of the disc, spinal cord, extra-dural, and intra-dural pathology

Concluding an E & M report in cases involving medical primary care providers of medical specialists that have complicated case histories, significant risk factors, and inconclusive findings. Triage and management of complicated cases requiring clinical evaluation, advanced imaging, and electrodiagnostic.

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 the adult and pediatric cases, Differentially diagnosing various arthritic etiologies of osseous derangement. Differential diagnosing various arthritic changes vs. benign and metastatic Tumors.

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.

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

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 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 the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors.

Identifying fractures in the 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.

Documentation of Low-Speed Crashes in Determining Etiology of Serious Bodily Injuries. Case Management, Spinal MRI and Documentation, Documentation of Low-Speed Crashes in Determining Etiology of Serious Bodily Injuries, Documentation requirements during the evaluation, and management encounter to understand the etiology of spinal injuries. Having a complete understanding the forces involved to conclude a differential diagnosis, while concurrent ruling malingerers, if applicable.

Post-Traumatic Herniated Discs, Related Migraines-Headaches & Strain/Sprain Permanences Case Management, Spinal MRI and Documentation, Post-Traumatic Herniated Discs, Related Migraines-Headaches & Strain/Sprain Permanences, Relationship of headaches, and migraines to cervical spine disc herniation, clinical rationale for ordering MRI's and the relationship of ligamentous pathology to spinal trauma.

Demonstrative Documentation of Disc Herniation and MRI Physics, Case Management, Spinal MRI and documentation requirements to demonstratively show spinal disc lesions in reporting pathology. Understanding the physics of a nucleus resonating in T1 and T2 weighted imagery.

Herniated Discs and Permanent Brain Malfunction & Biomechanical Failure Case Management, Spinal MRI and Documentation, Herniated Discs and Permanent Brain Malfunction & Biomechanical Failure, A case-study of a post-traumatic herniated disc and related brain malfunction supported by contemporary literature, MRI acquisition, and necessity protocols.

Managing Herniated and Bulging Discs, Serious Injury in Non-Herniated Cases from Trauma Case Management, Spinal MRI and Documentation, Managing Herniated and Bulging DIscs, Serious Injury in Non-Herniated Cases from Trauma, Spinal disc morphology, and innervation. Herniated, bulged, protruded, and sequestered disc characteristics and management. Literature-based documentation requirements for no-disc spinal injuries.

Spinal MRI and Documentation, Case Management of Traumatic Spinal Injuries, Understanding flexion-extension cervical injuries and diagnosing connective tissue pathology. Determining impairments and the literature-based standard for permanent injuries.

Case Management, Spinal MRI and Documentation Documenting Herniated Discs, Age-Dating Disc Pathology, and Connective Tissue Pathology as Sequella to Trauma, Herniated Discs, and connective Tissue Pathology, differentially diagnosing herniated discs vs. normal bulging discs and protruded, extruded and fragmented discs. Normal vs. Pathological connective tissues and age-dating herniated discs.

Visualizing, diagnosing, and documenting cervial spine sequencing utilizating T1 weighted images for pathology, inclusive of advanced degeneration and tumor detection. STIR in a fat saturated image for ligamentous pathology inclusive of the posterior longitudinal, ligamentous flava and interspinal ligaments. Normal clivus and odontoid for cerebellar tonsil location

Visualizing, diagnosing, and documenting lumbar spine sequencing, degenerative disc disease, nerve root sleeve, far lateral herniation vs bulges, normal vs dissected inferior vena cava aneurism, epidural fat as a space occupying lesion, facet arthropathy and edema, hypertrophy of ligamentum flava, and pseudo disc at the Si-S2 level

Visualizing, diagnosing, and documenting cervical spine sequencing, cervical spondylosis, pathological spinal biomechanics, reversal of lordotic curve, and vertebral width vs height in determining segmental remodeling, central herniation, thecal sac compression of the cord, identifying tonge, epiglottis, hyoid cartilage, pharynxz, thyroid. Reviewing fat saturation sequences for osseous metastatic tumors and advanced degeneration

Visualizing, diagnosing, and documenting 1) improper sequence acquisitions invalidating interpretation 2) incomplete study invalidating interpretation 3) visualizing, diagnosing, and documenting lumbar spine sequencing, multiple disc extrusion type herniations, vertebral remodeling, multiple thecal sac compressions, neural canal stenosis, disc osteophyte/ridging complex, central canal stenosis, spondylolisthesis. Identifying the spleen, liver, kidneys, inferior vena cava, and psoas musculature on imaging.

Visualizing, diagnosing, and documenting cervical spine sequencing, multiple disc extrusion type herniations, vertebral remodeling, intradural tumor displacing the spinal cord visualized in T1, T2, and STIR sequences, neural canal stenosis, disc degeneration, thecal sac compression, central canal stenosis, cord displacement, reversal of cervical curve, Chiari 1 malformation, and identifying of inferior brain structures.

Visualizing, diagnosing, and documenting cervial spine sequencing, disc extrusion type herniations, neural canals, disc degeneration, thecal sac compression, central canal stenosis, cord displacement, reversal of cervial curve, Chiari 1 malformation. Identifying spinal biomechanical failure in MRI sequencing, with visualizing ligamentous pathology as cause for failure.

Visualizing, diagnosing lumbar spine sequencing, disc extrusion type herniations, neural canals, cauda equina, conus medullaris, spondylolisthesis degenerative spondylolisthesis, disc degeneration, neural canal and central root compressions, central canal stenosis. Varices vs herniations, and multiple level disc pathology and biomechanical failures.

Case study visualizing, diagnosing, and documenting cervcical spine sequencing, disc herniations, neural canals, cauda equina, conus medullaris, and vertebral width vs height in determining, segmental remodeling. Identifying the Pons, Occipital junction, and spinal cord to identify Chiari 1 malformations

Visualizing, diagnosing, and documenting lumbar spine sequencing, disc herniations, neural canals, cauda equina, conus medullaris, nerve sleeves, canal stenosis grading, and vertebral width vs height in determining segmental remodling. Diagnosing thecal sac abutment, central canal root compression and ligamentum flava,

Landmarks, physics, and literature-based definitions of disc and osseous pathology, Visualizing, diagnosing, and documenting cervical and lumbar anatomy vs pathology.

The biological neurological and mechanical mechanisms and pathways from the thrust to the dorsal horn and brain connection and how the brain processes the chiropractic spinal adjustment are based upon the literature. Care paths of chiropractic and physical therapy from an outcome basis

MRI Spine The spine-brain connections in managing chronic pain patients. Understanding how chronic pain negatively affects brain morphology and potential pathology as sequella. The role of chiropractic in preventing the loss of gray matter and the most recent evidence as outlined in indexed peer-reviewed literature over the last 10 years verifying chiropractic's role.

MRI Spine Interpretation of the spine. How to image a trauma and non-trauma with advanced imaging and document the necessity. We will also cover the basics of MRI Spine Interpretation inclusive of all types of herniations, bulges

Primary Spine Care 5, A literature-based model for collaborating with hospitals, medical primary care providers, and specialists. Reviewing the documentation requirements to communicate the diagnosis, prognosis, and treatment plans with medical entities and having the evidence as a basis for those recommendations.

Elements of Evaluation and Management codes 99202-99203-99204-99205, inclusive of complexity of management and time components. Demonstrative documentation of spinal-related pain generators; spinal cord, thecal sac, myelomalacia, spinal nerve root insult, connective tissue, recurrent meningeal nerves.

Credentialed in hospital protocols, emergency room protocols, acute and chronic patient triage inclusive of MRI spine interpretation, spinal biomechanical engineering, head trauma, concussion, mild traumatic and traumatic brain injuries.

Couse by William Morgan, DC will uncover the subjective presentation, physical findings, and appearance on MRI of a patient with lumbar central canal stenosis. After completing this course of instruction, the attendee will understand the nuances of lumbar central canal stenosis and should feel confident in identifying and offering conservative care to patients with this malady. This course will attempt to present the most up-to0date research regarding lumbar stenosis.

Medico-Legal Considerations

The Occupational Health Consultant

Applied Ergonomics, The Human/Workplace Interface

Utilizing peer reviewed scientific literature in creating a diagnosis, prognosis, and treatment plan for the chronic and acute patient. How to implement and stay current on techniques and technology in healthcare.

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

An evidence-based model for spinal engineering and pathobiomechanics considering the pathophysiological limits in translations, angular deviation, and rotational planes. Utilizing the Cartesian system in plotting vertebral points to demonstrative 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.

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 disc, Considering the signal intensity of discs in age-dating pathology and acquisition protocols for advanced imaging.

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

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 discussion of diagnostic dilemmas and proper communication methods. Academy of Chiropractic Post-Doctoral Division, Cleveland University Kansas City, Long Island,

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 clinically evaluation and physical examination

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.

CPT Coding Guidelines for Initial and Establish 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 99202-99203-99204-99205.

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.

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.

Designed for golf professionals, medical practitioners and fitness trainers, the TPI Certification program is an evidence based educational pathway designed to teach industry professionals how to increase player performance through a deep understanding of how the body functions during the golf swing.

The requirements for diagnosing based upon in an initialent encounter ranging from a 99202-99205 that includes comorbidities, non-musculoskeletal, and sequella to injury diagnosis

Differentiate between the different types of back pain and the accompanying symptoms. Describe the different causes of back pain, including those with no underlying pathology. Assess/diagnose back pain based on defined criteria. Recommend evidence-based treatment options. Coordinate care between all members in the continuum of back pain management. Recognized when specialist referrals are needed.

Differentially diagnosing mild traumatic brain injury vs. traumatic brain injury and the clinical and imaging protocols required to conclude an accurate diagnosis for head trauma.

Record Review and Documentation Reporting, How to report records of collaborative treating doctors and communicating your scope of practice in the management of your case. How to ethically report your role as a doctor in medical-legal cases

Reporting Bodily Injury, How to report bodily injury and functional losses as supported by your credentials in a medical-legal case. Clinically correlating causality causality and permanent tissue pathology as sequela to trauma

Reporting Temporary vs. Permanent Issues, Preparing documentation in a medical-legal case ensuring that you can communicate permanent vs. temporary functional losses and permanent vs. temporary tissue pathology. How to maintain and explain ethical relationships in medical-legal cases

Reporting Chiropractic Care and Injured Anatomy, Preparing demonstrative documentation in a medical-legal case to report the bodily injuries of your patients, inclusive of loss of function and permanent tissue pathology.

Reporting Patient History and Credentials, Preparing patient history in a medical-legal case based upon your initial intake forms and understanding the work, social, academic, household and social activities of your patient. Understanding and explaining your doctoral and post-doctoral credentials in the courtroom.

Qualifications and Preparation of Documentation, How to prepare your documentation for courtroom testimony and ensuring your qualifications are documented properly on an admissible, professional curriculum vitae. How to include peer-reviewed literature in medical-legal documentation

Initial, Final and Collaborative Reporting, Preparing demonstrative documentation in a medical-legal case ensuring that you are familiar with all other treatment treating doctor's reports. Correlating your initial and evaluation and management (E&M) report and your follow-up E&M reports with the narrative upon maximum medial improvement documenting continuum of care.

Reporting Direct Opinions, Causality, bodily injury and persistent functional losses documented and reported in a medical-legal environment as your direct opinion. Avoiding hearsay issues to ensure ethical relationships.

Demonstrative Documentation, Demonstratively reporting spinal biomechanical failure and spinal compensation. How in medical-legal environment to ethically report pre-existing injuries vs causally related current injuries and what is permissible in a legal proceeding.

Report Writing, Report writing in a medical-legal case inclusive of causality, bodily injury, persistent functional loss and restrictive sequela from trauma. Demonstratively documenting bodily injury utilizing, graphs and patient image of x-ray and advanced imaging.

Report Writing and Preparing for a Legal Case, Creating demonstrative evidence, visuals of your patient's body injuries inclusive of x-rays, MRI's, CAT Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc and ipsilateral findings and contralateral symptomatology.

Reports Writing and Preparing for a Legal Case, the facts of the case inclusive of your documentation, the defense medical examiner, medical specialists and the attorney to ensure accurate and consistent reporting.

A Documentation Relationship Between the Doctor and Lawyer, The level of organization required in a medical-legal case that accurately reflects the bodily injuries of your patients and the time constraints in rendering an accurate report.

Documentation and Cross Examination Testimony, Reporting your documentation factually and staying within the 4 corners of your medical report and scope of practice inclusive of understanding how your credentials allow you to report your documentation.

Documentation and Direct Testimony Part 4, Determining and documenting disabilities and impairments inclusive of loss of enjoyment of life and duties under duress and the evaluation and validation of pain and suffering.

Documentation and Direct Testimony Part 3, The evaluation, interpretation and reporting of collaborative medical specialists results and concluding an accurate diagnosis inclusive of all findings and reviewing all images to ensure and accurate diagnosis.

Documentation and Direct Testimony Part 2, Utilizing demonstrative documentation in direct examination and communicating the results of your care concurrently with the written documentation and reporting an accurate diagnosis for all images.

Documentation and Direct Testimony, Organizing you documentation and understanding all collaborative documentation and how it fits into your diagnosis, prognosis and treatment plan, Understanding the nuances of the functional losses of your patients related to their bodily injuries

Part 2, Understanding report writing and the types of medical reports required for court inclusive of diagnosis, prognosis and treatment plans with requirements of reporting causality and permanency.

Report writing for legal cases, the 4 corners of a narrative and documenting damages with understanding damages with understanding defense medical documentation and consistent reporting of bodily injuries.

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.

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 comorbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrae. Schomorl'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.

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 comorbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrae, Schmorl's nodes and herniations. Spinal cord and canal compromise interpretation and management.

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 comorbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrae, 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.

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 vertebrae, Schmol's nodes and herniations. Central canal and cauda equina compromise interpretation with management.

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 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.

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.

MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwannoma and numerous other spinal related tumors and lesions.

MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequela in relationship to the spinal cord and spinal nerve roots.

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 and accurate diagnosis in MRI.

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.

Orthopedic Testing: Clinical Grand Rounds, how to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, 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.

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

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

Orthopedic Testing: Cervical Spine, Integration of cervical 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.

Orthopedic Testing: Principles, Clinical Application and Triage, Integration of orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verity tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.

Accident Reconstruction: Research, Causality and Bodily Injury, Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints.

Accident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site.

Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple Zones and Critical Documentation, Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident.

Accident Reconstruction: Terms, Concepts and Definitions, The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury.

Neurology of Ligament Pathology- Neurological Intervention, The peripheral and 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 homeostasis until tetanus ensues creating osseous changes under the effect of Wolff's Law.

Neurology of Ligament Pathology- Spinal Biomechanics and Disc Pathology, Disc pathology as sequelae to trauma; herniation, extrusion, protrusion, sequestration and how the spinal unit as one system creates homeostasis to balance pathology.

Neurology of Ligament Pathology- Normal Morphology and Tissue Damage, 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 and aberrant structural integrity.

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.

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.

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.

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 is has on the central nervous system inclusive of the lateral horn, periaqueductal gray matter, thalamus and cortices involvement.

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.

Spinal Trauma Pathology, Triage and Connective Tissue Injuries an 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.

Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. This includes anterior and posterior vertebral body elements in rotational analysis with neutral, left and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified all using numerical values and models. Review of case studies for analysis of pathobiomechanics using a computerized/numerical algorithm along with corrective guidelines.

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

Spinal Biomechanical Engineering: Cervical Digital Analysis, Digitizing and analyzing the cervical 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 indentified all using numerical values and models. Review of case studies to analyze pathobiomechanics using computerized/numerical algorithm.

Spinal Biomechanical Engineering & Organizational Analysis, Integrating spinal biomechanics and pathobiomechanics through digitized analysis. The comparison of organized versus disorganized compensation with regional and global compensation. Correlation of the vestibular, ocular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithm in analyzing a spine.

Spinal Biomechanics in Trauma, To utilize whiplash associated discorders 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.

Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, Spinal biomechanical engineering of the lumbar spine. This includes the normal 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.

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.

Spinal Biomechanical Engineering: Cartesian System, 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.

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.

Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-10 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare.

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.

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 for the trauma patient.

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.

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.

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.

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

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 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.

Concussion And Electroencephalogram Testing: 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.

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 model also concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging.

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. These are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes.

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.

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

Needle Electromyogram (EMG) Studies: 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 broad polyphasic presentation and satellite potentials. This covers the 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.

Nerve Conduction Velocity (NCV) Part 2 Compound motor action potentials testing (CMAP) and sensory nerve actions potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the medium, 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 (NCV) Part 1: 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 the 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.

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, dislocation and functional loss are also detailed in relation to impairment ratings.

Chiropractic as the First Option for Spine, A literature-Based Standard, Spinal biomechanical engineering models related to pathobiomechanics and literature-based standards in creating an accurate diagnosis, prognosis, and treatment plan. Determining impairment ratings based upon alteration of motion segment integrity utilizing motion-imaging, and creating demonstrable evidence for continued treatment plans.

Chiropractic as the First Option for Spine, A Literature-Based Standard, Creating literature-based documentation inclusive of history and a clinical examination that encompasses causality, diagnosis, prognosis and treatment plans. Ensuring the whole person impairment ratings are consistent with contemporary literature,

Chiropractic as the First Option for Spine, A literature-Based Standard, Managing spinal related cases based upon MRI findings of herniations, bulges, protrusion, extrusions (comminuted and fragmented) utilizing thin-sliced acquisition protocols. When to consider ordering T1, T2, Short Tau Inversion Radiant, proton density and Dixon sequencing for spinal related pathology.

Chiropractic as the First Option for Spine, A Literature-Based Standard, Utilizing clinical findings in conjunction and advanced imaging and electrodiagnostic findings in managing collaborative relationships with medical specialists. Applying a literature standard to care to ensure conservative care as the first option.

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

Literature reviews of mechanoreceptor, proprioceptor and nociceptor stimulation of later horn gray matter with periaqueductal stimulation affecting the thalamus and cortical regions with efferent distribution in disparate regions of the body in both pain and systemic stimulation.

Analyzing segmental pathology, adjusting vs. mobilization with cervicogenic headaches, Opioid alternatives and cases management of mechanical spine pain based upon outcome studies.

The ability of your electronic health records to convey tissue pathology while documenting case studies, field experiments, randomized trials and systematic literature reviews, Introducing evidence based macros in documentation to support the literature and necessity of care.

Morphology of healthy and traumatized connective tissue and the permanency implication of adhesions, spinal disc morphology in the health and pathological patient as sequella to trauma in relationship to bulges, herniations, protrusions, extrusions and sequestrations. Aberrant spinal biomechanics and negative sequella to trauma.

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

Documenting Visit Encounters: 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 evaluations.

Neurological Evaluation: Reviewing complete motor and sensory evaluations 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.

Coding and Spinal Examination: 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.

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

Contemporary Spine Research and Documentation, Central nervous system connection and the thalamus, hypothalamus connection in both ascending and descending central pathways with neuro-endocrine implications that have the mechanisms to be a component of Schizophrenia.

Hospital Administration, Triage, Clinical Requirements and Collaborative Relationships with Medical Specialists, Understanding hospital and medical specialists care paths for mechanical spine pathology and integrating the doctor of chiropractic in the hospital and allopathic treatment protocols.

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.

Spinal Biomechanical Engineering and MRI Spine Interpretation, Integrating Spinal Biomechanical Engineering and MRI Spine Interpretation into a primary spine care model, inclusive of necessity and acquisition protocols. A comprehensive review the latest evidence in documenting mechanical issues.

Credentials and Knowledge Base, The credentials and knowledge based from an academia perspective when cooperatively treating in a collaborative environment inclusive of understanding pathology and mechanical spine issues.

The neurological history and examination for identifying stroke risks with a focus on supra and infratentorial regions, upper and lower motor lesions, cranial nerve signs, spinal cord pathology, motor and sensory pathology and gait abnormalities. Examining genetic and family histories along with dissection risk factors. Stroke orthopedic testing and clinical guidelines pertaining to triage for primary care provider.

Stroke type and treatments performed by vascular specialists. The goals of treatment with the physiology of the infarct and penumbra zones and the role of immediate triage in the primary care setting. Detailing the complications of stroke and future care in the chiropractic, primary care or manual medicine clinical setting.

Certification in Medical Compliance

Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various types of stroke identifying ischemia, hypoperfusion, infarct and penumbra zones and emboli. Cardiac etiologies and clinical features as precursor to stroke with associated paradoxical emboli and thrombotic etiologies. Historical and co-morbidities that have etiology instroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies.

The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia.

Certification in Medical Compliance

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.

In-depth training on all aspects of management of trauma, from beginning to end; a comprehensive primer on crash reconstruction. Soft tissue healing times and implications for successful case management. Auto crash reconstruction in low speed crashes; critical knowledge for today's forensic practioners. Historical documentation in personal injury and forensic medicine applications. Comprehensive physical examination of whiplash and traumatic brain injury. MRI examination of brain and soft tissue injuries; latest techniques. Special diagnostic imaging modalities. Designing a treatment plan and living with guidelines. Important applications of activities of daily living; optimizing outcomes.

Taking the pain out of depositions, arbitrations, and testifying in court. Preparing for the classic cross-examination strategies. Critical differences between chiropractic and medical approaches and literally make or break a case. Using evidence effectively; models, charts, diagrams, photos, movies, and more. Dauber and Frye rules; how they affect your testimony and how they can exclude opposing experts. Learned treatises amd reliable authorities; other federal rules of evidence experts should know.

Critical documentation from day 1; what every personal injury and forensic expert needs to know, The essential craft of narrative report preparation from A-Z; style, strategy, methods, organization, and common pitfalls. Incorporating outcomes assessment and disability instruments into your reports. The application of AMA guidelines in personal injury and forensic practice. Modern guidelines and best practices. Critical rebuttal methods and strategies in today's modern forensic practice.

Requisite and comprehensive biomechanics knowledge for forensic experts. Whiplash and brain injuries. All clinical syndromes and conditions resulting from whiplash (WAD/CAD), The minimal property damage = minimal injury risk myth exposed. In-depth analysis of brain, neck, and cervical spine trauma mechanisms. Soft tissue injuries: a comprehensive and cutting edge analysis. What forensic experts need to know about the various pain syndromes. Risk assessment: the fundamental key to modern forensic practice.