Stephen Wander, DC

Neurophysiological central and peripheral nervous systems mechanisms of pain with integrated higher cortical functions of the thalamus, cingulate, amygdala, pre-frontal, motor and sensory cortexes. Trauma and chronic pain care effecting mechanoreceptors, nociceptors and proprioceptors through adjustive therapy based upon evidenced based care and current literature verification,

Introduction to the different types of Spinal Decompression, indications, contraindications, phases and goals.

This class is designed to explore the clinical use of spinal decompression therapy by the chiropractic physician. A discussion of the relevant anatomy and a literature review of clinical outcomes will balance out the program.

Triage of patients based upon MRI findings of disc herniation, disc bulge, protrusion, extrusion or sequestrations and spinal cord or nerve root negative sequella, clinical findings of neuro-compressive pathologies and neurodiagnostic findings of EMG-NCV, SSEP, VEP, BAER, VEP and V-ENG findings.

Preparation for becoming a neuro-musculoskeletal specialist. Evaluation and management of the care of patients with acute and chronic pain.

The paradigm and progression of traditional Chinese medicine. Study of the most clinically useful associations and functions of yin and yang.

Record keeping and managing risk in practice with appropriate documentation.

The structural and functional anatomies of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the ankle and foot.

Nutrition and how it relates to different types of patients including athletic, geriatric and pediatric.

The unique properties of lasers and their clinical applications. Indications and contraindications to cold laser therapy.

The structural anatomy of the bones, joints, ligaments, muscles, bursa, nerves, blood vessels and fascia of the hip and knee along with biomechanics of the hip and knee.

Review and comprehend COMAR Subtitle 43, Board of Chiropractic Examiners. Cite and understand the code of ethics.

Examine the historical background of the various Latino/Hispanic groups in the U.S. Develop the skills needed to care for people from Spanish speaking parts of the world

Define and discuss confidentiality laws covering the medial records and behavioral interventions of HIV/AIDS patients.

Discuss strategies for preventing HIV in the health care workplace. Outline universal precautions and additional precautions to prevent transmission of HIV by blood.

Define HIV. Outline HIV epidemiology and symptoms and review current facts.

Understanding of magnetic resonance imaging of the spine and instability of the spine.

The mechanism of injury, the evaluation, treatment and management of knee, shoulder and high ankle.

Basic understanding of neurology and its implication in private practice.

The relevant brain anatomy and functional neurology with focus on the frontal lobe and motor cortex and how it relates to chiropractic and spinal subluxation.

Review of bone scans, rib stress fractures in golfers, cervical spinal stenosis and football players.

How to apply manual therapy interventions for people living with HIV disease.

Aspects of macronutrient deficiency and progression to AIDS.

Vertebral compression fractures. Focus on fractures that are likely to be seen in a primary care setting.

A review of current procedures and research to show the effectiveness and outcomes from non-invasive, minimally invasive, and invasive procedures.

Approaches to measuring the burden of injuries around the world. Basic skills for assessment of injury epidemiology.

The importance of motion for the survival and propagation of any living species. Mechanics of walking, running, cycling and swimming, with emphasis on efficient use of energy.

Introduction to the intricate anatomy and biomechanics of the hip and lumbar spine in order to provide the framework for the development of comprehensive rehabilitation programs.

The phases of human walking gait. The events associated with stance phase of gait and the rockers of the foot.

Identifying trigger points based on referral system, range of therapies that treat trigger points, myofascial release and stretching.

Overview of protruded intervertebral disc issues and techniques uses to treat symptoms.

The proper use of the clinical laboratory within the practice of chiropractic.

The skeletal and muscular anatomy of the pectoral girdle and shoulder joint. Diagnosis and treatment of shoulder conditions.

Radiology report writing, imaging techniques, MRI imaging techniques, congenital anomalies and normal skeletal variants.

How to prepare for a medical emergency. Four emergency medical conditions: stroke, heart attack, difficulty breathing, diabetic emergencies.

Review of ultrasound and plain film X-ray, diskography, and myelography, CT Scan.

How to integrate exercise and active care into practice for the treatment of subluxations.

Focus on the normalization/minimization of aberrant stresses and strains action on spinal tissues.

Nutrition in private practice focusing on exercise, blood profiles, free radicals, cardiovascular disease risk factors, hypertension, herbal medicine, vitamins and the elderly, calcium and osteoporosis, weight gain in childhood, obesity and disease.

Documenting medical information to meet insurance guidelines.

Discussion of adequate nutriton and aging, risks of being sedentary, exercises for health and longevity, stress reducing techniques, nutrition and smoking, diet and cancer, diet and disease, fruits and vegetables as anti-aging foods, grains and health, yogurt and the immune system, benefits of wine, and the daily multi-vitamin and health.

The importance of chart documentation from the standpoint of the patient, clinician, and third party payors. Outcome assessment and application in patient-centered care. Differentiate between acceptable and non-acceptable daily treatment notes.

Electrical stimulation to control pain.

Therapeutic theory and strategy, biofeedback and theories of physical-mechanical interventions

Ideal pad placement for interferential therapy. Increasing muscle strength in the elderly.

HIV in body fluids and metabolic abnormalities. The study of mortality for liver disease in patients with HIV infection.

Neuromuscular manifestations of HIV and electroacupuncture.

Basic principles of human nutrition, including the physical and chemical nature of carbohydrates, proteins and fats.

Explanation and research into extremity adjustments and diagnosis.

Explanatory models, clinical evaluation of comorbid psychiatric disorders and stress factors.

Discussion of reasons for and ways to decrease medical errors.

Introduction on how and why to refer a patient to a neurosurgeon and how to evaluate and manage a patient who was referred by a neurosurgeon.

Graston techniques, treatments and benefits. Indications and contraindications

Presentation on types of spondylolysis and how to recognize and treat this condition.

Introduction to normal posture and the relationship between abnormal and types of symptoms and treatment of each.

Introduction on how to properly diagnose trauma patients and management of these patients along with understanding of the medico-legal world in the eyes of the legal profession.

Encouraged cooperation with WCA whose values are congruent with those of your practice.

Better understanding of HIPAA and working towards creating a blueprint for compliance

Gaining a sense of importance for knowing what happens when delivering a treatment. Normal and abnormal nerve and muscle function. Pettibon spinal models for control of posture and adjusting techniques. Normal nerve function, motor and autonomic nerve tests.

Proper Medicare billing practices and common mistakes