US Chiropractic Directory

Gregory Kramer, DC DAAMLP

Livonia\'s Spine and Injury Center

20414 Farmington Rd, Livonia, MI, 48152

Phone: 248-615-1533Fax: 248-615-9068gkchiro@msn.comwww.LivoniaSpineAndHealth.com

Occupational History

  • Clinic Director, Chiropractor, Livonia Spine And Injury, Livonia, Michigan, 1993 – Present
  • One year voluntary hiatus to travel New Zealand and USA, 1992 – 1993
  • Chiropractor, Rose Chiropractic, Mandurah, Western Australia, 1991 – 1992
  • One year voluntary hiatus to travel USA, 1990 – 1991
  • Chiropractor, Newport Chiropractic, Newport, Oregon, 1989 – 1990

Licensure

  • Doctor of Chiropractic, Licensed in the State of Michigan, License # 2301005503, 1989 – Present

Education

  • Doctorate of Chiropractic, Los Angeles College of Chiropractic, Whittier, California, 1989
  • National Board of Chiropractic Examiners, Part I, 1987
  • National Board of Chiropractic Examiners, Part II, 1988
  • National Board of Chiropractic Examiners, Part III, 1989
  • National Board of Chiropractic Examiners, Physiotherapy, 1988

Postgraduate Education & Certifications

  • Primary Spine Care 15;, PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2024

    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.

  • Chiropractic Management Post C2-3 Fusion, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences Office of Continual Medical Education, 2023

    detailed review of upper cervical anatomy and spinal biomechanics was reviewed. Specific attention to upper cervical ligamentous attachments and histological descriptions was given. Evidence based approach to post-surgical care was presented on physician experience, published literature and patient response. Outline of a systemized approach to the diagnosis and management of the patient with post-surgical upper cervical fusion was presented and discussed.

  • Primary Spine Care 14: Case Management and Documentation - Spinal Biomechanics in Clinical Practice, Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023, 2023

    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.

  • Primary Spine Care 14: Case Management and Documentation - MRI Spine Sequence Acquisition and Interpretation, Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

    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.

  • Primary Spine Care 14: Case Management and Documentation - Spinal Disc Microanatomy, T, Chiropractic Post-Doctoral Division, Long Island, NY, 2023

    he 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.

  • Primary Spine Care 14: Case Management and Documentation - Interprofessional Collaboration on Mechanical Back Pain in Clinical Practice, Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

    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.

  • Primary Spine Care 14: Case Management and Documentation - Spinal Biomechanical Engineering Analytic, Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

    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.

  • Primary Spine Care 14: Case Management and Documentation - Demonstrative Reporting of MRI Spinal Disc Pathology, Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2023

    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.

  • Primary Spine Care 15, PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023

    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.

  • Primary Spine Care 15;, Post-Doctoral Division, Buffalo, NY, 2023

    Ethics in Clinical Practice, Ethical, collaborative relationships with medical PCPACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Ps 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. PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic

  • Primary Spine Care 15;, PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023

    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.

  • Primary Spine Care 15;, PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023

    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 sequella.

  • Primary Spine Care 15;, PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023

    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.

  • Primary Spine Care 15;, PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023

    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.

  • Primary Spine Care 15;, PACE Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2023

    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.

  • National Spine Management West Conference 2022 - LIVE WEBCAST - Communicating with the Lawyer – AOMSI, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, 2022

    Discussion of the medical-legal implications of injuries to the ligaments of the human spine was presented. Clinical correlation to mechanism of injury, objective physical examination findings, results of advanced imaging and persistent functional loss were reviewed. Medical legal discussion of the anatomy of spinal ligaments in the normal, degenerative, and traumatically injured spine was presented. Details of nerve supply to ligaments and the mechanism of scar tissue formation through the wound repair process was provided.

  • National Spine Management West Conference 2022 - LIVE WEBCAST - Communicating with the Lawyer – Low Speed Collisions -, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, 2022

    - Discussion of the medical-legal implications of injuries sustained as a result of a low speed/impact collision resulting in minimal property damage was outlined. Clinical correlation to the low-speed mechanism of injury, objective physical examination findings, results of advanced imaging and persistent functional loss was reviewed. Medical legal discussion related to the correlation between impact forces and human spinal tolerance with particular attention being given to pre-existing degenerative spinal conditions was presented

  • National Spine Management West Conference 2022 - LIVE WEBCAST - Anatomy of a Narrative Report –-, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, 2022

    Presentation on the flow of clinical information into the medicallegal format used by adjusters, attorneys, judges, jurors, and law clerks was provided. Key indicators of persistent functional loss such as physical examination findings, global and segmental range of motion, advanced imaging findings and results of electrodiagnostic testing were outlined. Direct discussion on where in a narrative report these findings are to be written with an emphasis on patient assessment and expert opinion

  • National Spine Management West Conference 2022 - LIVE WEBCAST - Advanced Imaging Protocols – update of the science of MRI -, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, 2022

    Detailed review of common MRI sequences for spine imaging will be presented including T1, T2 and STIR in the sagittal and axial planes was presented. Additional sequences such as Proton Density, Diffusion Weighted and Dixon was detailed and reviewed. Particular attention was given to ordering contrast medium in a spine care practice.

  • National Spine Management West Conference 2022 - LIVE WEBCAST - Compliance and Documentation – practice pitfalls 101 -, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, 2022

    Detailed review of compliance parameters within clinical documentation with emphasis on detailed efficient processes was presented. Pitfalls common to clinical practice was demonstrated with practical, office ready solutions to ensure proper workflows, compliance, and efficiency were outlined. Whole practice documentation modeling was discussed including the use of a scribe. N

  • CBP Corrective Chiropractic: Contemporary Research 2022, Life University, Nashville, TN, 2022

    2022 Spine Research Update: 11 Cervical Spine Randomized Trials,Full Spine Deformity as Adult Spine Deformity (ASD) & Rehabilitation Sciences;Medical-Surgical Patient Co-Management Meets the Science and Art of CBP: Identifying common injuries to the upper cervical spine complex and best practices for structural rehabilitation to help the injured patient heal; Scoliosis Deformities and Thoracic Kyphotic Deformities: The Mirror Image Bracing Concept with New Research and Insights

  • National Spine Management West Conference 2022 - LIVE WEBCAST - Preparing for Litigation – it starts with your documentation –, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, 2022

    National Spine Management West Conference 2022 - LIVE WEBCAST - Preparing for Litigation – it starts with your documentation –

  • National Spine Management West Conference 2022 - LIVE WEBCAST - How Jurors Determine Damage Awards- the importance of Anchors, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, 2022

    discussion and review of litigation award Anchors and their influence on the chiropractic practice and documentation of functional losses due to spinal injury was outlined. Courtroom processes and review of testimony was presented. Consensus driven diagnosis and case management was emphasized. Objectification of bodily injury and its relation to short and long-term functional losses was presented

  • National Spine Management West Conference 2022 - LIVE WEBCAST - The Future of Spinal Biomechanics, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, 2022

    Review of essential biomechanical parameters in the human spine was presented. Emphasis was placed on their clinical application, patient outcomes and communication with the spine surgeon when applicable. Pre and post-surgical case management was reviewed in the context of peerreviewed medically indexed literature. A look to the future of interprofessional spine care between the chiropractor and the surgeon was presented.

  • National Spine Management West Conference 2022 - LIVE WEBCAST - Spine Management and the Future of Spine Care, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, 2022

    Discussion of the role of a spine manager in the daily treatment of spine patients was presented. Emphasis was placed on the understanding of the roles of other providers in the care paradigm including interventional pain management, spine surgery and rehabilitation professionals. Interprofessional communication techniques were presented with a focus on diagnosis and management in a patient centered environment

  • National Spine Management West Conference 2022 - LIVE WEBCAST - Communicating with the Spine Surgeon, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, 2022

    Detailed review of the scientific literature supporting interprofessional collaboration between the spine surgeon and the Doctor of Chiropractic was presented. Emphasis on updated needs of the spine surgeon with focus on the understanding of pre and post-surgical chiropractic care. Literature updates and documentation requirements were discussed. Specific talking points are provided for telecommunication with the spine surgeon.

  • National Spine Management West Conference 2022 - LIVE WEBCAST - Communicating with the Pain Management Physician -, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, 2, 2022

    Review of the scientific literature supporting interprofessional collaboration with the interventional pain management physician was outlined. Updates and review of the chiropractic scientific literature in relation to pain management mechanisms of the chiropractic adjustment were presented. Documentation and interprofessional referral, communication and telecommunication talking points for daily practice was outlined

  • National Spine Management West Conference 2022 - LIVE WEBCAST - Communicating with the Primary Care Physician -, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, 2022

    Review of literature supporting interprofessional communication at the primary care level was presented. Literature outlining interprofessional communication and the needs of the primary care physician was discussed. Efficient reporting and communication points were reviewed. Chiropractic interaction with primary care physicians from a clinical perspective were outlined with an emphasis on supportive relationships.

  • National Spine Management West Conference 2022 - LIVE WEBCAST - Communication with Physical Therapy – t, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, 2022

    Discussion on developing a collaborative relationship with physical therapy and its effect on outcomes and community-based care was outlined. Supportive scientific literature presenting the interaction between spinal biomechanics and supervised rehabilitative techniques was reviewed. Outcomes and interprofessional communication techniques were discussed with an emphasis on interprofessional referral and support of both professions.

  • National Spine Management West Conference 2022 - LIVE WEBCAST - Interprofessional referral and pathways -, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, PACE, 2, 2022

    Review and outline of complete workflows for patient evaluation, documentation and triage when clinically indicated were detailed. Efficiency and accuracy of interprofessional communication was presented in terms of the needs of the patient, pain management physician, spine surgeon, physical therapist, and primary care physician. Evidence based triage workflows were discussed and detailed with emphasis on preventing unnecessary escalation of care in spine pain patients was presented.

  • National Spine Management West Conference 2022 - LIVE WEBCAST - Communicating with the Lawyer – Disc Injuries, National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, P, 2022

    Discussion of the medical-legal implications of injuries to the intervertebral disc was presented. Clinical correlation to mechanism of injury, objective physical examination findings, results of advanced imaging and persistent functional loss were reviewed. Medical legal discussion of anatomy of intervertebral disc herniation, degenerative bulge, annular tear, and their relationship to nerve supply in terms the legal community can understand was detailed

  • CBP Corrective Chiropractic: Contemporary Research and Practices for Unparalleled Patient Health & Wellness, Life University, Orlando, Florida, 2021

    2021 Spine Research Update: Radiographic Measures of Spinal Displacements and Deformities: Reliability, Validity, Clinical Utility, and Improved Patient Care Using Radiographic Imaging in Chiropractic Care, Thoracic Spine Deformity-Cervical Spine Deformity, • Evidenced based co-management of cervical spine injuries: injection, surgical intervention, and chiropractic rehabilitation. Dr. Chris Centeno, Identifying common injuries to the upper cervical spine complex and best practices for structural rehabilitation to help the patient heal. Scoliosis Deformities and Thoracic Kyphotic Deformities: The Mirror Image Bracing Concept with New Research and Insights

  • Structural Rehabilitation of the Thoracic Spine & CBP Case Management, Life University, Cabo San Lucas, Mexico, 2019

    This course provides an integrated education for the Doctor of Chiropractic in the Art and Science of chiropractic with an emphasis on postural and spinal distortions of the thoracic spine. Normal values for the sagittal plane of the thoracic kyphosis will be detailed from the literature and age related changes of the thoracic spine are reviewed. Chiropractic adjustive and rehabilitative treatment techniques for thoracic, lumbar, and cervical subluxations will be detailed.

  • THE ADVANCES IN THE MANAGEMENT OF TRAUMATIC INJURIES (AMTI), Life University, Denver, Colorado, 2019

    Module 1 is a detailed overview of traumatic injuries and the application of clinical knowledge in the evaluation, management and documentation of a patient’s injuries secondary to motor vehicle crash (MVC) injuries. In addition, participants will have a structured overview on the legal clinical documentation process. Attendees will be directed in the clinical rationale for the transition from a simple pain and soft tissue injury model of care to one that centers on properly managing the underlying pathologies/subluxation complex(s) with the goal of improving short and long-term outcomes.

  • Evidenced Based Care in a Collaborative Setting; Primary Spine Care 5, Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2018

    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.

  • Current Literature Standards of MRI Spine Interpretation; Primary Spine Care 5, Academy of Chiropractic Post-Doctoral Division. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2018

    MRI Spine Interpretation of the spine. How to triage 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.

  • Spine Brain Connection in Pain Pathways; Primary Spine Care 5, Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2018

    MRI Spine The spine-brain connection in managing chronic pain patients. Understanding how chronic pain negatively effects 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.

  • Bio-Neuro-Mechanical Mechanism of the Chiropractic Spinal Adjustment; Primary Spine Care 5, Academy of Chiropractic Post-Doctoral Division. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2018

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

  • Interprofessional Hospital Based Spine Care, Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

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

  • Drop Table Adjusting, Leg Length Inequality and Orthotic Intervention, Life University, Cabo San Lucas, Mexico, 2018

    The details of objective postural assessment and measurement will be reviewed. The Chiropractor will learn corrective global postural subluxation set-ups for the head, thoracic cage, & pelvis on a drop table.

  • Connective Tissue Spinal Disc Permanent Pathology, Primary Spine Care, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, 2017

    Herniated, bulged, protruded and extruded discs, etiology and morphology. Age-dating disc pathology inclusive of Modic changes, piezoelectric effect, Wolff’s Law and radicular clinical presentation,

  • Connective Tissue Pathology and Research, Primary Spine Care, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, 2017

    Utilization in spinal models considering the opioid abuse and various spinal models in contemporary health care. Care paths for mechanical spine pain and the evidence for conservative chiropractic care.

  • Bio-Neuro-Mechanical Lesions and Spine Care, Primary Spine Care, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island NY, 2017

    Mechanoreceptor, proprioceptor, nociceptor innervation and control of the spinal system with central nervous system action and interaction. The integration of the pain processing network and the HPA Axis (hypothalamus, adrenal and pituitary) with the chiropractic spinal adjustment.

  • Ethics, Documentation and Research, Primary Spine Care, Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College, Long Island NY, 2017

    Maintaining ethical Interprofessional relationships based upon an evidenced based practice inclusive of triage, diagnostics and reporting. Creating thorough documentation that reflects your complete findings encompassing descriptive ICD-10 codes and concludes the presence or absence of pathology.

  • Structural Rehabilitation of the Cervical Spine & Relationship to Chiropractic., Life University, Cabo San Lucas, Mexico, 2017

    The difference and similarities between functional and structural cervical spine rehabilitation procedures. Understanding the Posture Spine Connection & Abnormal Cervical Configurations:Cervical spinal kinematics and coupling for cervical-thoracic posture displacements:Body Weighting and Dynamic Head/Neck Braces for Cervical Rehabilitation  History of and clinical indications for use of body weighting for reducing postural/spinal subluxations of the cervical-thoracic region,

  • Chiropractic Biophysics (CBP®) Hands on Training Workshop, Life University, Eagle, ID, 2016

    This course provides an integrated education for the Doctor of Chiropractic in the Art of chiropractic techniques for spine and postural abnormalities in today’s patient populations. This is a 3 day hands on training designed to test the Chiropractic clinicians’ knowledge of CBP® technique and their ability to perform it. Emphasis is placed on analysis of spine/posture deformities using valid and reliable assessments and then the appropriate adjustive and rehabilitative treatment techniques.

  • Accident Reconstruction:, “Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, New York, 2014

    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.

  • Impairment Rating Certification, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards.”, Long Island, New York, 2014

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

  • Accident Reconstruction, “Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards.”, Long Island, New York, 2014

    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:, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, New York, 2014

    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:, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, New York, 2014

    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.

  • Spinal Biomechanical Engineering:, 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, 2014

    Cartesian System, 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.

  • Spinal Biomechanical Engineering: Cervical Pathobiomechanics, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2014

    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: Lumbar Pathobiomechanics, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2014

    Spinal biomechanical engineering of the lumbar spine. This includes the normal and pathobiomechanical movement of both the anterior and posterior motor units and normal function and relationship of the intrinsic musculature to those motor units. Nomenclature in reporting normal and pathobiomechanical findings of the spine.

  • Spinal Biomechanics in Trauma, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2014

    To utilize whiplash associated disorders in various vectors of impact and whiplash mechanisms in determining pathobiomechanics. To clinically correlate annular tears, disc herniations, fractures, ligament pathology and spinal segmental instability as sequellae to pathobiomechanics from trauma. The utilization of digital motion x-ray in diagnoising normal versus abnormal facet motion along with case studies to understand the clinical application.

  • Spinal Biomechanical Engineering & Organizational Analysis, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffal, New York, 2014

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

  • Spinal Biomechanical Engineering: Cervical Digital Analysis, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2014

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

  • Spinal Biomechanical Engineering: Lumbar Digital Analysis, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2014

    Digitalizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotatioal 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.

  • MRI Protocols Clinical Necessity, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2013

    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 Interpretation of Lumbar Degeneration/Bulges, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2013

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

  • MRI Interpretation of Lumbar Herniations, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2013

    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 Interpretation of Cervical Degeneration/Bulges, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2013

    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

  • MRI Interpretation of Cervical Herniations, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, LongIsland, New York, 2013

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

  • MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2013

    MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective.

  • Science Based Nutrition Foundational Laboratory Analysis:, Texas Chiropractic College, Van D. Merkle DC, DABCI, DABCN, CCN, Lansing, Michigan, 2013

    Identifying serious diseases, determine metabolic imbalances and nutrient recommendations by using objective testing. Prove and document results through retesting.

  • The Neuroendocrine Immunology of Blood Glucose Iss ues:, Apex Energetics,University of Bridgeport College of Chiropractic, Lansing, Michigan, 2013

    Understand the current concepts of autoimmune messenger systems and nutritional support for the immune system. The complex interplay between insulin surges and the neuroendocrine-immune network. How to plan and provide targeted nutritional and lifestyle support.

  • Diagnostic Imaging Interpretation: Evaluation of X-Rays After Trauma, Radiographic Mensuration, Spinal Kinetics, Jeffrey Cronk DC, Life Chiropractic College, Detroit, Michigan, 2012

    Understanding the utilization of Computerized Radiographic Mensuration Analysis(CRMA) in the triage of injured patients. Reviewing AMA Impairmen Guidelines 5th edition, and understanding how CRMA can demonstrate Alteration of Motion Segment Integrity(AOMSI), a commonly missed injury to spinal ligaments that is ratable under the AMA Impairment guidelines 5th edition between 25% to 28% whole person impairment

  • Mastering the Thyroid, University of Bridgeport College of Chiropractic, Atlanta, Georgia, 2011, Atlanta, Georgia, 2011

    Course provides detailed explanations of pathways and biomarkers in a structure relevant to the actual flow of a clinical nutrition practice. Case evaluations, diagrams, and flow charts have been created to help attendees understand how to master functional blood chemistry support. Apex Energetics,

  • Functional Blood Chemistry Analysis, Apex Energetics, University of Bridgeport College of Chiropractic, Minneapolis, Minnesota, 2010

    Course designed to review the basic concepts of human physiology, laboratory biomarkers, and blood chemistry patterns. Develop a reliable perspective for viewing lab reports, assess the immune system, evaluate thyroid health, identify and manage blood sugar imbalance. Assess liver, G.I. tract, and biliary function. Identify metabolic imbalances and hidden causes of pain and inflammation to enhance the healing of musculotskeletal injuries. Science-based approach to customize dietary and nutritional support for patients.

  • Head Trauma, Brain Injury and Concussion, . CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic

    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 electrodiagnostic are detailed in analysis to create a differential diagnosis. Balance disorders that are often as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis

  • MRI Normal Anatomy & Protocols, . CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Robert Peyster MD, DABR-NR, Neuroradiologist,

    Spinal anatomy of all MRI views utilizing T1, T2, 3D Gradient, stacking and STIR sequences of imaging. Advanced protocols of MRI examination with multiple sequences to create concurrent diagnostic findings.

  • MRI Disc & Spinal Canal Pathology, CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, Robert Peyster MD, DABR-NR, Neuroradiologist

    MRI interpretation of spinal disc pathologies as a result of trauma and degenerative factors and resultant neurological compromise. Spinal Cord and Spinal canal pathologies and space occupying lesion interpretation

  • Accident Reconstruction and Ensuing Bodily Injury, CMCS Post Doctoral Division, New York Chiropractic

    Understanding the forces involved in crashed and the transference of those forces from the bullet car to the target car. Quantifying those forces to determine bodily injury and calculating speed, distance, time and drag factors in determining causality and direction of forces.

  • MRI Physics and History, New York State Department of Education, Board for Chiropractic, Terry Button PhD, Medical Physicist

    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.

  • MRI Anatomy & History, New York State Department of Education, Board for Chiropractic, Robert Peyster MD, Neuroradiologist, State University of New York at Stony Brook

    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 Disc Pathology & Spinal Stenosis, New York State Department of Education, Board for Chiropractic, Robert Peyster MD, Neuroradiologist, State University of New York at Stony Brook

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

  • MRI Spinal Pathology, New York State Department of Education, Board for Chiropractic, Robert Peyster MD, Neuroradiologist, State University of New York at Stony Brook,

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

  • MRI Methodology of Analysis, New York State Department of Education, Board for Chiropractic, Robert Peyster MD, Neuroradiologist, State University of New York at Stony Brook

    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 Clinical Application, New York State Department of Education, Board for Chiropractic, Magdy Shady MD, Neurosurgeon, State University of New York at Stony Brook

    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 sequellae

  • Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Department of Education Board for Chiropractic

    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.

  • Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Education Department Board for Chiropractic

    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

  • Crash Dynamics and Its Relationship to Causality, CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Education Department Board for Chiropractic

    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

  • MRI, Bone Scan & X-Ray Protocols, Physiology and Indications for the Trauma Patient, CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Education Department Board for Chiropractic

    MRI interpretation, physiology, history and clinical indications, Bone Scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient

  • Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient, CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic

    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.

  • Documentation and Reporting for the Trauma Victim, CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic

    Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare

  • Documenting Clinically Correlated Bodily Injury to Causality, . CMCS Management Post Doctoral Division, New York Chiropractic Council, New York State Education Department, Board for Chiropractic,

    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, pathophysiology in both a functional and structural paradigm

  • Chiropractic Biophysics Thoracic Spine Rehabilitation and Comprehensive Case Management, Chiropractic Biophysics Seminars Inc.

    Chiropractic adjustive and rehabilitative treatment techniques for thoracic spine as well as cervical and lumbar spine, Survey of research material supporting the utilization and efficacy of Chiropractic Biophysics technique

  • Instrument Adjusting and Upper Cervical Protocol, Chiropractic Biophysics Seminars Inc.

    How postural displacements influence the upper cervical spine, Normal joint kinematics and instability analysis of the upper cervical spine, Biomechanics and neurophysiological mechanisms of instrument adjusting, corrective global postural subluxation set-ups for the head, thoracic cage and pelvis using a hand held instrument.

  • Chiropractic Certification in Spinal Trauma, . The Council on Applied Chiropractic Sciences of the International Chiropractors Associations

    Increases expertise and improves clinical outcomes in spinal trauma cases through more thorough, confident case management and enhanced communication with patients and other professionals

  • Myologic Bulletproof Seminar

    Review of contemporary research of auto injuries, auto accident outcome assessment form, auto injury impairment and disability ratings, objective computerized testing (range of motion, muscle testing, and X-ray digitization analysis).

  • Basics of Chiropractic Biophysics Technique, Chiropractic Biophysics Seminars Inc

    Defines a normal static equilibrium spinal model from the literature, Abnormal posture and segmental spinal coupling patterns as rotations and translations in 3-D, Validity, reliability, projection geometry and Chiropractic Biophysics analysis method

  • Drop Table Adjusting, Leg Length Inequality and Orthotic Intervention, Chiropractic Biophysics Seminars Inc

    Details of objective postural assessment and measurement, Corrective global postural subluxation set-ups for the head, thoracic cage and pelvis on a drop table, Diagnosis analysis and course of care for short leg syndrome, lower extremity disorders and upper cervical subluxation/fixation

  • Chiropractic Biophysics Structural Rehab of the Cervical Spine, Chiropractic Biophysics Seminars Inc.,

    Role of spinal manipulative therapy and structural correction of sagittal cervical lordosis, Detailed categories of head to thorax postures, Appropriate timing and application of postural and functional exercises for the cervical spine, Introduction to 16 categories of sagittal cervical traction and 3 methods of coronal traction.

  • Chiropractic Biophysics Structural Rehab of the Lumbar Spine, Chiropractic Biophysics Seminars Inc

    Role of spinal manipulative therapy and structural correction of sagittal lumbar lordosis, Detailed categories of lumbopelvic postures, Appropriate timing and application of postural and functional exercises for the lumbar spine, Introduction to 17 categories of sagittal lumbar traction and 5 methods of coronal traction

  • Chiropractic Biophysics Advanced Full Spine Analysis and Technique, Chiropractic Biophysics Seminars Inc

    Statistical correlations between each spinal region, Anatomic variables of pelvic morphology, Effect common anomalies have on sagittal plane alignment of the spine

  • Whiplash Advanced Topics: The Fundamental Science, Whiplash and Brain Injury Traumatology Program, Spinal Research Institute of San Diego

    Includes topics such as biomechanics, whiplash trauma mechanisms, soft tissue injuries, outcome of cervical acceleration, deceleration injury and review of contemporary literature

  • Management Principles in Personal Injury and Forensic Documentation, Whiplash and Brain Injury Traumatology Program, Spinal Research Institute of San Diego

    Intakes forms, SOAP notes, Re-Examination - when and why to perform them on an auto accident victim, effective narrative report writing, disability questionnaires

  • Medicolegal Fundamentals for Practitioners and Forensic Experts, Whiplash and Brain Injury Traumatology Program, Spinal Research Institute of San Diego

    Reporting, records keeping, medical photography, deposition strategy, arbitrations, testifying in court, using evidence, medical/legal rebuttal, cervical spine injury references and the defense of the whiplash case

  • Soft Tissue Injury: Stages of Healing, Life Chiropractic College West

    Examines the different stages of healing along with techniques for accelerating proper healing

  • Functional Soft Tissue Evaluation and Testing, National University of Health Sciences

    Examines the necessity of including soft tissue analysis and treatment with the chiropractic adjustment as well as theories and methods of soft tissue

Memberships

  • American Academy of Medical Legal Professionals, Member, 2009 – Present
  • International Chiropractors Association, Member, 1998 – Present
  • Academy of Chiropractic, Member, 2009 – 2019

Honors & Awards

  • Nominated Top Chiropractor, Detroit Hour Magazine, 2013/2014