Chris Quigley, DC CCST

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

Advanced MRI Interpretation in Clinical Practice, 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.

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

Spinal CAT Scan Interpretation, 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 an unclear conclusion to render a complete image of the morphology of the indeterminate pathology. Understanding the physics of CAT Scan and the radiation levels with different types of CAT Scan technology.

Connective Tissue/Strain Sprain Pathology, 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 r permanent aberrant sequela.

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

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

Documentation in Clinical Practice, 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.

The application of spinal biomechanical engineering models in trauma and the negative sequelae it has on the central nervous system inclusive of the lateral horn, periaqueductal grey matter, thalamus and cortices involvement.

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 remodeling. Diagnosing thecal sac abutment, central canal root compression and ligamentum flava involvement

Case study visualizing, diagnosing, and documenting cervical 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 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 with biomechanical failures

Visualizing, diagnosing, and documenting cervical spine sequencing, disc extrusion type herniations, neural canals, disc degeneration, thecal sac compression, central canal stenosis, cord displacement, reversal of cervical curve, Chiari 1 malformation. Identifying spinal biomechanical failure in MRI sequencing, with visualizing ligamentous pathology as cause for failure. Differentially diagnosing recent vs. older trauma based upon edematous signal in T1, T2, and STIR images

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 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, 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 tongue, epiglottis, hyoid cartilage, pharynx, thyroid. Reviewing fat saturation sequences for osseous metastatic tumors and advanced degeneration.

Visualizing, diagnosing, and documenting lumbar spine sequencing, degenerative disc disease, nerve root sleeve abutment, far lateral herniations 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 S1-S2 level.

Visualizing, diagnosing, and documenting cervical spine sequencing utilizing 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. Cerebral spinal fluid (CSF) flow and the utilization of the spinal cord’s central canal for CSF transport.

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

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

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

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

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

Identifying and diagnosing Schwannoma’s, Adenoma’s, Fibroid Leiomyomas and Uterine Sarcoma’s, Renel Cell Tumors, Renal Cysts, and Aortic Aneurysms. The physics of T1, T1 fat saturation, T2, T2 fat saturation, STIR, proton density, fast spin echo, echo gradient, coronal, sagittal, and axial. CT hounsfield units and diagnosing tumors

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

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

Development of shockwave skill set with labs for MSK tendinopathies and over 10 other conditions including: Fascia and application technique, Treating Tendinopathies: Plantar Fascia & Achilles Anatomy, Achilles tendinopathy, Patella Tendinopathy, Tennis elbow, shoulder, Tendinopathies and Adhesive capsulitis, Extracorporeal Shock Wave Therapy for spine treatment and Cervicogenic headache, Treating osteoarthritis in the knee with Extracorporeal Shock Wave Therapy and Extracorporeal Magnetotransduction Therapy, Peripheral Nerves and Carpal tunnel syndrome.

Triaging the injured and differentially diagnosing both the primary and secondary complaints. Connective tissue injuries and wound repair morphology focusing on the aberrant tissue replacement and permanency prognosis potential

Spinal ligamentous anatomy and research focusing on wound repair, future negative sequelae of abnormal tissue replacement and the resultant aberrant kinematics and spinal biomechanics of the spine

The biomechanics of traumatic disc bulges as sequelae from trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff’s Law.

The review of case histories of mechanical spine pathology and biomechanical failures inclusive of case histories, clinical findings and x-ray and advanced imaging studies. Assessing comorbidities in the triage and prognosis of the injured.

Interpretation sequencing of STIR, T1, T2, Axial and Sagittal acquisitions. Landmarks, physics, and literature-based definitions of disc and osseous pathology, Visualizing, diagnosing, and documenting cervical and lumbar anatomy vs. pathology

MRI, CAT Scan, and X-ray interpretation of shoulder, elbow, wrist, hand, and fingers. Identifying arthridities in upper extremities.

MRI, CAT Scan, and X-ray interpretation of shoulder, elbow, wrist, hand, fingers. Identifying tumors, fractures, dislocations, and infections in joints, including the long bones attached to the joints.

MRI, CAT Scan, and X-ray interpretation of shoulder, elbow, wrist, hand, fingers. Identifying soft tissue injuries in joints; labrum, meniscus, and ligament and tendon injuries

MRI, CAT Scan, and X-ray interpretation of pelvis, hips, knee, ankle, foot, and toes. Identifying arthridities in upper extremities.

MRI, CAT Scan, and X-ray interpretation of pelvis, hips, knee, ankle, foot, and toes. Identifying tumors, fractures, dislocations, and infections in joints, including the long bones attached to the joints

MRI, CAT Scan, and X-ray interpretation of pelvis, hips, knee, ankle, foot, and toes. Identifying soft tissue injuries in joints; labrum, meniscus, and ligament and tendon injuries.

Evidence-based studies in Modic Changes, Disc and Referred Pain, MRI and Cervical Musculature, Kinetic MRI Images, Neurological Innervation, MRI and Injury Mechanisms, Discogenic Pain, Annular Tears and Fissures, Asymptomatic Herniations

Laser Protocols for each phase of life and their common conditions.

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

This covers in dept the required elements for chief complain, 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.

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

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

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

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

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

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

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

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

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

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

Identify and oral examination of 60 MRI sequences (over 2500 images) of disc bulges, circumferential, radial, and transverse fissures, varices, and herniations inclusive of the following types: protrusion, extrusions (sequestered and migrated/comminuted extrusions). MRI sequencing for accurate interpretation with contemporary nomenclature and reporting

Longevity, DNA damage, Micronutrient deficiency and cognitive dysfunction, Prolonging healthy aging, Multivitamin use, Resolvins, Controlling inflammation, Melatonin, Sleep and glymphatics, Omega-3’s, Biochemical origin of pain

How the Sugar Industry Shifted the Blame to Fat, Obesity rates, OTC medication that depletes important nutrients, Hallmarks of aging, Biomarkers for longevity, Fascia, Muscle mass and longevity, Key nutrients for sleep

Whiplash history, Whiplash today, Low speed collisions, Minor vehicle damage, Crushing can be good, Soft tissue injury and repair, The concept of motion, Selected interesting studies

Proper Car Seat Set up,Signs of Injury in the pediatric patient, Demonstration, Examination and Resolution of Abnormal Primitive Reflexes, Neurology based exam protocols for the injured child.

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

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

dentifying 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 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 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 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.

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 the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement.

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

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

CPT Coding Guidelines for Initial and Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination, and Medical Decision making. Specific differences in coding levels and required elements for a 99202-99203-99204-99205, and a 99212-99213-99214-99215.

athways 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.

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.

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

Recognized by Cleveland University-Kansas City, Chiropractic and Health Sciences with courses recognized by the ACCGME in conjunction with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences.

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

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

Organizing your 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

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 an accurate diagnosis

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

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

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.

Reviewing the facts of the case inclusive of your documentation, the defense medical examiner, medical specialists and the attorney to ensure accurate and consistent reporting

Creating demonstrative evidence, visuals of your patient's bodily injuries inclusive of x-rays, MRI's, CAT Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc with ipsilateral findings and contralateral symptomatology

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 models, graphs and patient image of x-ray and advanced imaging.

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

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

Preparing demonstrative documentation in a medical-legal case ensuring that you are familiar with all other 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 medical improvement documenting continuum of care

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

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

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

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

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

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

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

History of clinical biomechanics with an emphasis on the diagnosis and management of spine pain of mechanical/functional origin. Evidence-based symptomatic vs. asymptomatic parameters using peer-reviewed medical index literature. Computerized mensuration analysis of spinal biomechanical pathology. Comparison of demonstrable spinal biomechanical failure on imaging to clinical evaluation and physical examination

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 Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination, and Medical Decision making. Specific differences in coding levels and required elements for a 99202-99203-99204-99205.

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

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

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

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

How a vehicle is prepared for crash-testing and experience the final countdown to impact, watch the crash in slow motion crash from different angles. Post-crash measurements and calculations used to translate the test results into a final rating.

This section discusses gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. There are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes

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

This this section covers concussion etiology and cognitive sequela where gross bleeding has not been identified on advanced imaging. It discusses the significance of electroencephalogram testing in determining brain function and pathology (if present). This module also covers the understanding of waveforms in electroencephalogram testing in both normal and abnormal scenarios.

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

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

The literature, academic and clinical standards to age-date herniated discs. The clinical correlation the pain patters with advanced imaging finings of bone edema, spurs based upon the Piezoelectric effect fo remodeling, high signal on T2 weighted images, Vacuum Discs and disc heights in determining the time frames of the etiology of the spinal disc pathology

Understanding the normal of spinal biomechanics and the neurotransmitters required for homeostasis. The interconnected role of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors and Mechancoreceptors in maintaining sagittal and axial alignment in the presence of mechanical pathology

Migration of spinal care for mechanical spine issues from hospitals and medical specialists to trauma qualified chiropractors based upon published outcomes. Utilizing imaging studies in spinal biomechanics, pain models and clinical outcomes to determine a conclusive diagnosis, prognosis and treatment plan for triaging in a collaborative environment.

The Cartesian Coordinate System from the history to the application in the human body. Explanation of the x, y and z axes in both translation and rotations (thetas) and how they are applicable to human biomechanics. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York,

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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York,

Pinal biomechanical engineering of the lumbar spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York,

To clinically correlate annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as sequella 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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York,

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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York,

This includes alteration of motion segment integrity (AMOSI) in both angular and translational movement. Ligament instability/failure/pathology are identified all using numerical values and models. Review of case studies to analyze pathobiomechanics using a computerized/numerical algorithm. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York,

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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York,

ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York,

Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequella to trauma in relation to ligamentous failure and disc and vertebral pathology as sequella. 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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, New York,

Understanding the lateral and ventral horn’s innovations of Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors and Mechancoreceptors and the pathways through the spinal thalamic tracts through the periaqueductal region, the Thalamus into the Occipital, pre-frontal, sensory and motor cortexes and the efferently back through the Thalamus to disparate regions in creating spinal homeostasis, Pacinian Corpuscles, Ruffini Corpuscles, Golgi Organ Receptors, Nociceptors, Proprioreceptors and Mechancoreceptors.

Utilizing T1, T2, STIR and Gradient studies in determining myelomalacia, intra and extra-dural tumors and systemic disease patterns affecting the spinal cord. When to use contrast post-operatively in identifying discal structures vs. adhesions on postoperative advanced imaging. MRI Interpretation of herniated, circumferential bulges, focal bulges, protruded, extruded, comminuted, sequestered and fragmented discs. When to consider a neurosurgical consultation based upon the correlation of imaging and clinical findings.

Understanding the timely triage necessities based upon clinical and imaging outcomes and the documentation required for collaborative physicians to continue care. Ensuring that the documentation is complete, reflective of services rendered and clear for third party consideration in an admissible format to considered in a medical-legal environment.

Analyzing a sample accident (case 3) utilizing all the vehicle, road surface combining standardized calculation variables in reconstructing an accident and the resultant energy considered for connective tissue pathology and resultant aberrant spinal biomechanics

Analyzing a sample accident (case 2) utilizing all the vehicle, road surface combining standardized calculation variables in reconstructing an accident and the resultant energy considered for connective tissue pathology and resultant aberrant spinal biomechanics

Analyzing a sample accident (case 1) utilizing all the vehicle, road surface combining standardized calculation variables in reconstructing an accident and the resultant energy considered for connective tissue pathology and resultant aberrant spinal biomechanics

Mathematical worksheet reviewing kinetic and work energy, momentum, acceleration and G-forces in numerically quantifying a collision, the energy created to deform an automobile and the transference of forces creating connective tissue pathology and altered spinal biomechanics

Energy and momentum coefficients and data utilized as determinants and error ranges in calculations. Considering the stiffness of the vehicle, air bag function and formulation of timing in it's release point and injury potential to facial and spinal structures

The osseous and ligamentous structures that are subject to pathology in bodily injury. The pathological reaction of connective tissue when it exceeds its paraphysiological limits and the bio-neuro-mechanical changes the connective tissue undergoes as sequella to trauma

Coefficients of acceleration, negative acceleration and G-forces in collisions that contribute to vehicular and bodily injuries. Analyzing time, speed and weight of bullet and target automobiles to reconstruct the energy of a collision and injury potential

Coefficients of momentum and calculating plastic vs. elastic deformation. Direction of forces as mathematical determinants of collision and resultant bodily injury forces

Reconstructing and calculating speed and velocity as injury and damage factors based upon yaw marks considering coefficients of friction based upon various road surfaces

Reconstructing and calculating minimal speed and velocity as injury and damage factors based upon skid marks considering coefficients of friction based upon various road surfaces

Newton's laws of inertia and the determinant calculations required based upon the action of the vehicle and how spinal biomechanics are effected. Analyzing the vehicle and accident site to reconstruct the actions of the car to create a model

When correlating crash to injury, inspecting the vehicle for evidence of damage to verify causality and extent of malformation of the vehicle beyond that of the outer shell of the vehicle

An analysis of vehicle parts and construction design that contribute to the energy translated to the human body and spine inclusive of seatbelts, airbags, bumpers, event data recorders, tires, axles and auto frames

Calculation worksheets in the mathematical models required to analyze a collision and create coefficients of forces transferred in a collision that effect the automobile and the occupant

Understanding the mathematical models required to analyze a collision and create coefficients of forces transferred in a collision that effect the automobile and the occupant

Analyzing the integration of collision reconstruction and spinal biomechanics utilizing a mathematical model. Understanding the model and transference of energy from the bullet car to the target car to the occupant to aberrant spinal biomechanics

Mechanisms of neuro degeneration and disease. Economic impact of neurological conditions in America. Neuroprotective physiology including literature review. Condition specific neurology review applications for: Dementia, Alzheimer’s disease, Basal Ganglia disorders. Acute brain injury and inflammation (Traumatic brain injury-acute phase and chronic). Using objective biomarkers for outcome assessments & documentation. Demonstrations of laser applications and summary. Lab testing and interpretation. Nutrition protocols.

Correlation to Radiographic and MRI Imaging Examinations The neurology and pathology of neural tissue and the sequella of trauma at the biomechanical level leading to bio-neuro-mechanical failure

Utilizing Small Pain Fiber Testing to identify the source of chronic spinal and peripheral pain. Contemporary research on anatomy and physiology of pain fibers

Low back neurologic and orthopedic examinations. Pain neurophysiology, Pharmaceutical approaches to pain management, Electrotherapeutic pain management techniques. Fibromyalgia and small nerve fiber electrodiagnostic exams.

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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

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. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

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 the primary care provider. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2018

The latest research on the 6 ways to age-date disc herniations and bulges from trauma inclusive of disc pathology nomenclature. MRI ordering protocols, inclusive of Dixon format and fat-suppressed images. The neurology and pathology of connective tissue and the sequella of trauma at the biomechanical level leading to bio-neuro-mechanical failure. Contemporary “evidenced-based building blocks” for triaging and in a collaborative environment. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2018

integrating automated mensuration into creating treatment plans and determining maximum medical improvement. A literature-based study of normal vs. abnormal motor until function. Determining ligamentous laxity, alteration of motion segment integrity and pathological stress units and whole person impairments based upon the literature and academic standards, Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2018

The literature-based definitions of both the mechanisms the chiropractic adjustment and how it affects the central nervous system in pain pathways and systemic issues that is the arbiter for normal vs. abnormal function. The “physiological mechanisms” of how the chiropractic spinal adjustment affects the peripheral and central nervous systems. Subluxation degeneration/Wolff’s Law will be detailed from a literature perspective combined with the mechanism of subluxation (bio-neuro-mechanical lesion). A literature perspective why “long-term” chiropractic care is clinically indicated as usual and customary to effectuate demonstrable biomechanical changes in the spine. An evidenced-based perspective of why physical therapy is a poor choice for spine as a 1st referral option for any provider inclusive of the literature. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2018

An academic basis for documentation that is usual and customary across professions in collaborative care. Maintaining ethical medical-legal relationships based upon Voir Dire and Duabert standards with ensuring a “4-corners” inclusive report. Ensuring Primary Care Status based upon an academic standards. Cleveland University Kansas City, Chiropractic and Health Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2018

The neurology and pathology of neural tissue and the sequella of trauma at the biomechanical level leading to bio-neuro-mechanical failure. American Association of Sensory Electrodiagnostic Medicine, ACCME, Little Rock Arkansas 2018.

Utilizing Small Pain Fiber Testing to identify the source of chronic spinal and peripheral pain.  Contemporary research on anatomy and physiology of pain fibers. American Association of Sensory Electrodiagnostic Medicine, ACCME, Little Rock Arkansas 2018.

Pain neurophysiology, Pharmaceutical approaches to pain management, Electrotherapeutic pain management techniques. Fibromyalgia and small nerve fiber electrodiagnostic exams.  American Association of Sensory Electrodiagnostic Medicine, ACCME, Little Rock Arkansas 2018.

American Association of Sensory Electrodiagnostic Medicine, ACCME, Little Rock Arkansas 2018

Grand Rounds, Whiplash, Spinal Trauma and Chronic Pain, How to Break the Chronic Pain Cycle, Maximum Medical Improvement, Low Property Damage Motor Vehicle Collisions and Must Know Medical Research Literature Review, Aggravation and New Injuries to Underlying Trauma, Mock Trial Demonstration, Opioid Pharmacology, Understanding the Crisis, Must Know Medical Legal Updates, Whiplash and Spinal Trauma Prognosis, Measurement Outcomes and Reimbursement Landmines in the Affordable Care Act, Understanding the Pathology of Mild Traumatic Brain Injury, Must Know Current and Key Medical Research Studies in the Whiplash and Spinal Trauma Case.

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.

The bio-neuro-mechanical scientific foundation of spinal lesion and the neurological pathways, both in the lower and upper motor neuron pathways. The autonomic sequella of the vertebral subluxation and the effects of the correction and maintenance of those lesions

Interdisciplinary approaches in documentation of spinal related injuries inclusive of connective tissue disorders and biomechanical failure. Clinically correlating history, imaging, advanced imaging and clinical findings to conclude an accurate diagnosis, prognosis and treatment plan

Normal vs. pathological biomechanical spinal motion both in a single motor unit and coupling actions. Interdisciplinary approach to mechanical spine issues and evidenced based care paths

Bulging, herniated, protruded and extruded disc contemporary nomenclature, analysis and differential diagnosis. Connective tissue physiology and pathology with aberrant biomechanical permanent sequalae

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

Removing lens distortion from photographs and video. Utilize the latest techniques in photogrammetry software. Accurately locate roadway evidence using photogrammetry. Determine crush measurements from photogrammetry. Create photogrammetry-based point clouds. Analyze video footage for object positioning and timing. Effectively present your findings in court

Central neural pathways of pain and higher cortical responses to pain and the effect of high amplitude-low velocity forces on mechanoreceptors and proprioceptors. The effects of neuropeptides on the hypothalamus, pituitary and adrenal axis when treating patients.

The effects of trauma on spinal vertebral segments and the short and long term sequella to morphology. Identifying and diagnosing bone edema, spurring, types of degeneration in assessing biomechanical stability in conjunction with Modic and Pfeiffer changes.

Identifying spinal lesions inclusive of cord and root lesion through examination and advanced imaging in creating an accurate diagnosis, prognosis and treatment plan to effectively triage in collaboration and coordination with medical specialists and emergency department physicians. Differentially diagnosing and triaging disc degenerative bulges, traumatic disc bulges, protrusion herniations, extrusion herniations and fragmented herniations along with managing traumatically induced pain as sequella to degenerative disc trauma.

Gate theory of pain, mild traumatic brain injury, S shaped cervical spine configuration during whiplash trauma and the resulting injury to the disc and facet joint capsules. Factors that affect patient injury, including awareness, head/neck rotation and pre-accident degenerative joint disease. Patient injury in low speed collisions. Review of the literature on whiplash injury prognosis. Neuroanatomy of the intervertebral disc and the facet articulation. Management of the soft tissue trauma patient with emphasis on the neurological component

Whiplash, Telomeres, The Theory of Everything: Inflammation and omega-3’s, Antioxidants, Statin update, Back pain, The pain gate, The chiropractic adjustment, Adenosine-tri-phosphate. The healthy diet, Required supplements, aging, Aspartame, Mild traumatic brain injury, Neuro-degenerative disorders, Magnesium: our most important element.

Whiplash, Panjabi Mechanoreceptor/subfailure injury model, Soft tissue healing, Complicating factors in whiplash injury, Croft Whiplash Guidelines, Uninsured/underinsured insurance and commercial insurance cases, Examination and care protocols.

Correlating spinal biomechanics secondary to trauma and MRI findings inclusive of herniation, bulging, protruded and extruded discs. Correlating co-efficient of forces translated form the bullet vehicle to the target vehicle to the occupant in determining causality of bodily injury

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.

Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident

The 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

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

The role of scientific research conclusions with contemporary documentation to effectively support the necessity for clinically indicated care. The role of timely evaluations and re-evaluations in coordinating care inclusive of history, physical and evaluation report and concludes with the correlation of the SOAP note and HCFA that correlates the conclusion of the evolutionary findings. Coordinating research and clinical findings with primary care providers and medical specialists in the rehabilitation process inclusive of insurance requirements and contemporary MRI research nomenclature.

Chiropractic as Primary spine care based upon the literature conclusions and the documentation requirements to support those conclusions in an ethical collaborative environment inclusive of hospitals, emergency rooms, primary care medical doctors and medical specialists

Chiropractic as Primary spine care based upon the literature conclusions and the documentation requirements to support those conclusions in an ethical collaborative environment inclusive of hospitals, emergency rooms, primary care medical doctors and medical specialists

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 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

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

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

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.

The latest scientific evidence of the effects of the chiropractic spinal adjustment on the central nervous system, both upper and lower motor neurons. A comparative analysis of chiropractic vs. other modalities and therapies

Correlating spinal biomechanics secondary to trauma and MRI findings inclusive of herniation, bulging, protruded and extruded discs. Correlating co-efficient of forces translated form the bullet vehicle to the target vehicle to the occupant in determining causality of bodily injury

Chiropractic as Primary spine care based upon the literature conclusions and the documentation requirements to support those conclusions in an ethical collaborative environment inclusive of hospitals, emergency rooms, primary care medical doctors and medical specialists

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

Brain and head physiology, brain mapping and pathology as a sequella to trauma. Traumatic brain Injury, mild traumatic brain injury, axonal shearing, diffuse axonal injury and concussion are detailed in etiology and clinically. Clinical presentation advanced diagnostic imaging and electrodiagnosis are detailed in analysis to create a differential diagnosis. Balance disorders that often occur as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis.

The role of scientific research conclusions with contemporary documentation to effectively support the necessity for clinically indicated care. The role of timely evaluations and re-evaluations in coordinating care inclusive of history, physical and evaluation report and concludes with the correlation of the SOAP note and HCFA that correlates the conclusion of the evolutionary findings. Coordinating research and clinical findings with primary care providers and medical specialists in the rehabilitation process inclusive of insurance requirements and contemporary MRI research nomenclature

Colossus to the Courtroom

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.

Colossus to the Courtroom, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy Of Chiropractic

Congenital Spine Abnormalities, MRI of the spine: Case Review, Indications of Brain PET /CT, Hydrocephalus and CSF Imaging, Fundamentals of Pain Management, Congenital Brain Abnormalities, Advanced Techniques in Tumor Imaging and Preoperative Planning, Head & Neck MR Review.

Congenital Spine Disorders, Sports Related Knee Injuries, Foot and Ankle Case Review, Imaging of ACL Injuries and ACL Reconstruction, Alternative Generators of Back Pain: Implications for Pain Management, Ankylosing Spondylitis: imaging and Complications, failed back Surgery Syndrome, Stress Injury of the Lower Extremity, Pelvis Muscle Injuries, Athletic Pubalgia and Bursitis, Hip: Labrum Tear.

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.

MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots

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

MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized.

The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequelae.

Interpreting MRI pathology as sequella to trauma to determine herniation, bulge, protrusion and extrusion in order to create diagnostic, prognostic and treatment protocols.

Understanding and applying scientific literature in trauma patients to create diagnostic, prognostic treatment protocols

Effects of excitotoxins and neurodegenerative diseases. Influence of essential fatty acids on pain, joint degeneration and brain structure and function. The anti-oxidant network and pathoneurology. The impact of nutrition on pathoneurology, cardiovascular function and immune response. Clinical management of trauma, pain, degeneration and mobility. Case management approaches including the neurological components of care.

Identifying the primary health care issue in America today. Concepts in improving America’s healthcare delivery system. Adenosine Triphosphate: Importance of ATP in human physiology and the key physiological functions of ATP. Problems with inadequate production of ATP. Mitochondria: The importance of mitochondria in health and disease and the relationship between mitochondria, free radicals and ATP. Laser Photon Therapy: The relationship between mitochondria, free radicals, ATP cytochrome C, oxidase enzyme and laser photon therapy. Laser physiology and the biphasic nature of laser photon therapy, wavelengths, amperage, penetration, both secondary and primary physiological influences. Brain function: trauma, degeneration, vascular. Systemic wellness and peak performance. Chronic low back pain. Acute whiplash. Scar tissue and the fibrosis of repair.

Quantitative Volumetric Assessment of the Brain, MRI of Hemorrhagic Lesions, Imaging of Multiple Sclerosis, Epilepsy, Complications of Immunomodulatory Therapies, Overall approach to spine lesions, Alternative generators of back pain, Transverse Myelitis and Degenerative Disease Nomenclature.

New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic, Post-Doctoral Division, East Setauket, Boston

New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic, Post-Doctoral Division, East Setauket, Boston

New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic, Post-Doctoral Division, East Setauket, Boston

Neurodiagnostics: EMG, NCV, SSEP, BAER, V-ENG; Clinical Indications And Interpretation

New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic, Post-Doctoral Division, East Setauket, Boston,

Combining Clinical Excellence and Admissibility to Ensure The Medical-Legal Community Seeks you Out For Their Clients: Creating The Paradigm Shift

Clinical neuroanatomy involved in spinal mechanoreception of chronic pain. Integrating the clinical relationships between chronic pain and spinal mechanoreception. Clinical relevance of receptor-driven neuroplasticity, synaptogenesis, and transneural degeneration. Spinal mechanoreceptor control of somatic and visceral function. Spinal cord laminar reflexes as relating to somatic and visceral function. Subluxation Neurology involving the immune system, posture, motion, balance, cognition... and more. Optimal healing of injured soft tissues. Effective management of pain and tissue healing through nutrition. How the innate balances of omega- 6 to omega-3 essential fatty acids influence cell physiology and pain syndromes. Dietary strategies to help maintain the innate balance of omega-6 to omega-3 fatty acids. Chiropractic care and the neurobiology of spinal issues. Clinical relevance of nuclear DNA, the neurological receptor, neurotransmitters, and membrane fatty acids.

How to legally and properly structure the DC-MD-NP-PT arrangement, Stark anti-kickback and self-referral, Payment of MD, NP or PT. Hiring an MD, NP or PT. Patient flow between a MD, DC and PT. Billing and coding for physical therapy evaluations and re-evaluations. Billing and coding for the most common therapeutic procedures and modalities and patient financial policies.

MRI of the Ankle, Foot and Knee (ligaments & cartilage), Technology Innovations, MRI of the Knee (meniscus) and the Hip, 2 Sessions of Interesting Case Reviews, Groin Pain in the Athlete, 3D MRI of Lower Extremity, MRI of the Spine,

Pettibon Spinal Biomechanics, Integrated Spinal Disc Rehabilitation, Application of The Pettibon Weighting System, Mobilization procedures, Use of Instruments & Rehabilitation Equipment.

Review of care of acute trauma, cranial nerve up regulation, extremity conditions, chronic low back pain, wellness protocols, sports injuries, cervical and whiplash conditions.

Injuries in a motor vehicle collision. Spinal injury occurrence where there is little or no vehicle damage. Spinal tissues as a source of chronic pain. Pain travel from the injured tissues to the brain. Document whiplash posttraumatic articular stability. The 5 principles for chronic pain syndrome. Whiplash injury its affect the immune system, vision, dizziness, emotions, cognition. Soft-tissues injuries and healing. The best treatment to heal injured spinal tissues. Nutritional managing pain and tissue healing. Chiropractic adjustments inhibition of whiplash trauma pain. Chiropractors and the minimization adverse post-traumatic fibrosis. Chiropractic and the neurobiology of chronic spinal pain.

Comprehensive review of MRI for the ankle, hip, foot, lumbar spine, knee and tempromandibular joint and cervical spine.

Review of current research in to basic neuroscience and promotes practical applications from research into clinical neuroscience. Introduction to diseases, defects and malfunctions of the nervous system including therapies. The primary focus is the application of treatments without the use of drugs and surgery in a functional model of neurology. Review of neuron structure and ion homeostasis, electrical activity and signaling in health and disease. Relationships of glial cells, tropic factors and neuronal plasticity will promote the understanding of neurodegeneration in human kind. Relationships of the sensory and motor systems as well as higher order relay nuclei involved in clinical scenarios and applications will be explored.

Toxins: Free Radical genesis and neutralization Carcinogenic, Endocrine Disruptors, Neurotoxins. Laser Physiology I:Newtonian Concepts Wavelength, Monochromatic Coherent, Mitochondria, ATP, Cytochrome C oxadase, Second messengers, Laser Physiology II: Quantum Biological Concepts, Power, Laser Variables. Chronic Low Back Pain: L5 Disc, Disc Degenerative Disease, Neoneuroalization, Anatomic Short Leg, Acute Trauma, Scar Tissue, Chronic Pain. Laser Physiology Article Review. Cervical Trauma: Neck, Temporomandibular Joint Dysfunction (TMJ), Thoracic Outlet (TOS), Carpal Tunnel Syndrome (CTS), Cervicogenic Headache (CGH). Neuroanatomy: Mechanotransduction, Mechano-Sympathetic, Reflexes, Neuroimmunology. Neurophysiology:Prespondylosis, Myofascial Pain Syndrome (MPS). Upper Extremity Myotomes, Lower Extremity Myotomes. Brain Injury:Traumatic Brain injury (TBI), Stroke. Nutritional Inflammation Management: Omega-6 / Omega-3 ratio.

Normal spinal form and function, Neural control of posture, The Pettibon Spinal ModelTM and its key principles, Abnormal spinal form and function, Posture patterns, Soft tissue physiology, Initiating Event Spinal Displacement Complex, Soft tissue physiology, Overview of Pettibon System X-ray Procedures, Purpose of rehabilitation The Pettibon Weighting System, Diagnostics & testing, Overview of the three phases of care.

Injuries From Low Impact Collisions: Review of the literature that documents the bodily injuries that may occur in low speed impacts, with little or no vehicle damage. Whiplash injury determination with conventional spinal imaging and cryomicrotomy. Reflex Muscle Contraction in the unaware occupant in whiplash injury. Whiplash Syndrome: Kinematic Factors Influencing Pain Patterns. Effectiveness of active head restraints in preventing whiplash. Car versus sport utility, van or pickup trucks.

Spinal Lesions After Low Speed Rear End Collisions. Facet Joint Sprain. Shearing force. Cervical Facet Capsule and Its Role in Whiplash Injuries: biomechanical investigations. Whiplash injuries and the Potential for Mechanical Instability. Neck Kinematics in Rear-End Impacts.

Documenting the Condition and the Need For Care: Principles of History, Examination, Re-examination and Care Planning for the Whiplash Injured.

Comprehensive review of the 5th Edition of the AMA Guides to the Evaluation of Permanent Impairment. Implementation strategies with a focus on the spine and the pelvis.

Wellness Practice Certification Program

Wellness Practice Certification Program

Clinical neuroanatomy involved in spinal mechanoreception of chronic pain. Integrating the clinical relationships between chronic pain & spinal mechanoreception. Clinical relevance of receptor-driven neuroplasticity, synaptogenesis, and transneural degeneration. Spinal mechanoreceptor control of somatic and visceral function. Spinal cord laminar reflexes as relating to somatic & visceral function. Subluxation Neurology involving the immune system, posture, motion, balance, cognition. Optimal healing of injured soft tissues. Effective management of pain and tissue healing through nutrition. How balances of omega- 6 to omega-3 essential fatty acids influence cell physiology & pain syndromes. Dietary strategies to help maintain the balance of omega-6 to omega-3 fatty acids. Chiropractic care and the neurobiology of spinal issues. Clinical relevance of nuclear DNA, the neurological receptor, neurotransmitters, and membrane fatty acids. Case management choices and clinical advances.

Comprehensive course in the biological, mechanical and engineering aspects of the spine.

Measurements for normal, Normal versus abnormal posture, Patient positioning and tools set-up, Marking and measuring the seven views Identify the equipment and film requirements, tube distances, and how patients are positioned for taking accurate x-rays, Determine forward head posture, skull-atlas relationship, disc height, cervical lordosis, percentage of loss of cervical lordosis (curve), and vertebral participation.

Normal spinal form and function, Neural control of posture, The Pettibon Spinal ModelTM and its key principles, Abnormal spinal form and function, Posture patterns, Soft tissue physiology, Initiating Event Spinal Displacement Complex, Soft tissue physiology, Overview of Pettibon System X-ray Procedures, Purpose of rehabilitation, The Pettibon Weighting System, Diagnostics & testing, Overview of the three phases of care.

integration of spinal biomechanical knowledge and care of the whiplash injured patient including acute trauma and spinal correction protocols.

120 hours on all facets of injury caused in motor vehicle accidents.

Overview of the total care of the whiplash and spinal trauma patient. Including Neurology, Principles of Soft Tissue Injury, Trauma Management, Imaging and Medical & Legal aspects of care.

Anatomy of structures injured in whiplash injuries and relationship to occupant injury, including biomechanical aspects of collision and physics involved in injury mechanisms. Biomechanics, accident reconstruction, insurance and federal standards and spine trauma literature. Common safety features and factors with road conditions, vehicle and patient considerations

Integrative Care Strategies and Case Management; proper history and past pertinent history collection for the spine trauma patient, including applications of physical examination for the trauma patient. Applications of creating a diagnosis based on mechanism, history, complaint, physical examination, and additional diagnostic testing. Appropriate aspects of daily charting for patient and doctor safety; re-examination protocols and measurement outcomes to assess patient progress, current clinical status, functional improvement, therapeutically necessary treatment and maximum progress status. Applications of reporting formats, narrative reports and testimony. Review of new research on spine trauma including injury, findings and case management.

Chiropractic radiological evaluation series for the spinal trauma patient: cervical series, lumbar series, and other regions, including pelvis, skull, ribs and thoracic spine. Radiographic and imaging analysis of trauma in regions, including pelvis and skull trauma, and thoracic spine, rib and shoulder trauma. Applications of MRI, CT, Videofluoroscopy and imaging examples for chiropractic patients in trauma cases. Observations/examples from specific trauma imaging examples

Documentation of injuries and assessing and proving reasonable and necessary care, including report writing and apportioning new and old injuries as well as apportioning multiple and subsequent traumas. Understanding and addressing insurance medical exams, peer reviews, including paper reviews. Coordination of communications with attorneys, insurers, and other health care professionals, understanding and responding to chiropractic practice guidelines and standards, litigation and records, preparation and participation in chiropractic testimony, deposition and trial.

Overview and discussion relating whiplash trauma, neurological function and chiropractic health care. Relationship between perception of pain, spinal join mobility, chiropractic diagnostics, and chiropractic adjustment. Factors affecting patient injury, including awareness, pre-accident degenerative issues, including review of studies on injury prognosis and studies on chiropractic management. Clinical neuroanatomy relating to adjustive technique and effects on pain inhibition including concepts of chronic spine pain, referred pain syndromes and spinal cord reflexes; practical orthopedic applications of adjustive technique to spinal pathoanatomy including affects on tissue fibrosis, adhesions, and altered instantaneous axis of rotation for subluxated vertebra. Integration of neurological and orthopedic information with principles of chiropractic subluxation complex and spinal adjusting.

Importance and commonly encountered issues in proper record keeping, accurate documentation, proper usages of case history, questionnaire, personal injury history, and pain/symptom documents. Patient-doctor interviews, physical examination and commonly encountered issues and errors in evaluation and assessment including range of motion, muscle strength and guidelines. Neuroanatomical considerations with IVD and facet articulation, including concepts of motion, chiropractic manipulative motion relating to clinical management of soft tissue trauma component. Discussion and demonstrations of documentation of clinical management of soft tissue trauma of cervical spine and lower back regions, with relationship to tissue healing phases including regeneration, repair and fibrosis. Methods of documentation and preparation of ratable narrative reports including examples of narratives.

Human nervous system – anatomy review and discussions of afferent, efferent, and central nervous, neurology; spinal cord reflexes, neurology of pain; categories of musculoskeletal pain. Neurology of mechano-reception, the motor system; neurology of the sympathetic nervous system; review of Neurology literature.

Discussion of specific tissue histology and healing mechanisms with different tissues including nerve and connective tissue. Discussion of healing mechanisms for various tissues, including three types of healing (regeneration, repair, fibrosis). Healing and the pathophysiological process. Fibrosis and repair, and chiropractic management of adverse tissue fibrosis. Discussion of motion and soft tissue healing with three phases of soft tissue injury healing. Integration of chiropractic health care with phases and physiology of tissue regeneration and remodeling.

Pathophysiology of trauma induced syndromes and in-office chiropractic management of trauma, including trauma induced myofascial pain syndromes, articular dysfunctions, chiropractic subluxation complex, thoracic outlet syndrome. Pathophysiology and in-office chiropractic management of cervicogenic headache, fibromyalgia syndrome, and temperomandibular dysfunction.

Complicating factors of pelvic unleveling on healing of spinal soft tissue trauma and anatomical short leg syndrome analysis and clinical management; pathoneurology of sympathetically maintained pain (reflex sympathetic dystrophy/dysfunction). Chiropractic analysis and clinical management of sympathetically maintained pain. Analysis of trauma induced spinal instability and management. Cranial Facial trauma assessment and management, including pathoanatomy and pathoneurology of TMJ trauma.

Torque Release Technique

The Component Basis of the Vertebral Subluxation Complex and Subluxation Degeneration and Gonstead Adjusting Procedures

Examination Techniques for Infant, Toddler and Pediatric Patient and Gonstead Adjusting Procedures

Advanced Chiropractic Seminars. Boston, Massachusetts, Certificate Received

Chiropractic Hospital Privileges and Protocols