Vincent Taffuri, DC DAAMLP

MRI interpretation of herniated, protruded, extruded, bulged and sequestered discs & spinal stenosis as sequelae of ligamentous hypertrophy, congenital malformation, spinal cord pathology. Clinical necessity and contraindications

The basic understanding and application of MRI diagnosis from theoretical and clinical perspective in the treatment of various neuromusculoskeletal conditions

The theoretical and clinical treatment protocols from a neurological perspective in dealing with various components of physical rehabilitation

Historical evolution of the chiropractic profession since its inception in 1895. The science, art and philosophical basis of chiropractic

The anatomy and physiology of normal and abnormal spinal biomechanical function as it applies to scoliosis. Treatment and therapeutic application of chiropractic care for improved structural outcome

A historical perspective of clinical research that defines why and what we do as chiropractors

An overall evaluation of current treatment protocols utilized primarily with children in the USA. The overt dependence of pharmaceutical intervention for treatment of children from infancy to adolescence. The presentation of optimal holistic treatment for better health with less iatrogenic complications

A holistic overview of health, disease and the various approaches of treatment to attain better health while reducing sickness over a lifetime

Chiropractic philosophy, science and art for health preservation

The philosophical and practical application of chiropractic treatment and outcome assessment

The anatomical, functional and structural understanding of the vertebral subluxation complex as it affects our health

Jurisprudence application of staff hiring and termination, and avoiding problematic outcomes

The integrative approach to desired patient outcome for neuromusculoskeletal conditions with primary focus on manipulation, rehabilitation and application of corrective orthotic pedal support

Treatment protocol for neuromusculoskeletal conditions utilizing an integrative approach of chiropractic manipulation, sports medicine, physiotherapy, therapeutic exercise and corrective orthopedic/pedal orthotic support

Chiropractic treatment protocols for neuromusculoskeletal conditions

Current research that validates the chiropractic art, science and philosophy

Clinical application for patients to reduce and maintain appropriate body weight and structure. Focus on Body Mass Index (BMI)

Office and business protocols to assist daily business operation

Treatment protocols utilizing manipulation, physiotherapy and kinesio/osseous supports for upper and lower extremity conditions

The evaluation and recommendation of treatment protocols for improved patient treatment results

Two part series of theory, clinical interpretation and recommendation treatment protocols for patient care utilizing MRI diagnostics

The latest research and practical application of currently utilized in office physiotherapy

Philosophical and practical application of day to day treatment protocols used in your practice

Complimentary health care approaches to enhance patient treatment outcomes

Various effective treatment protocols to maximize patient benefit outcome

Application of diagnostic and treatment protocols using the science of Applied Kinesiology

Application of light therapy with a specific therapeutic frequency range and beneficial outcomes in treating neuromusculoskeletal conditions

Chiropractic rehabilitation treatment protocol to maximize patient outcome

Chiropractic philosophy of patient care

Chiropractic treatment protocol utilizing specific analytical guidelines and instrumental treatment

The holistic paradigm to patient care

Understanding appropriate coding as it pertains to treatment and third party billing

Holistic medicine, nutritional therapy, homeopathy, advanced chiropractic manipulative/instrumentation cold-laser therapy

MRI Interpretation in the Trauma Patient, Interpreting MRI’s of the cervical, thoracic and lumbar spine utilizing standards of the American College of Radiology and the American Society of Neuroradiology. Differentially diagnosing herniation, bulged, protruded, extruded and fragmented discs and their relationship to trauma vs. degeneration. Academy of Chiropractic Post-Doctoral Division, New York Chiropractic Council, New York State Department of Education Board for Chiropractic, Brentwood, NY, 2001

Triaging the Trauma Patient, Clinically correlating causality and bodily injury in determining through clinical evaluation a conclusive diagnosis and treatment plan. Integrating neurological conductive studies and evoked potentials with MRI’s in concluding the final diagnosis when differentially diagnosing critical care vs. rehabilitative care as a sequella to trauma, Academy of Chiropractic Post-Doctoral Division, New York Chiropractic Council, New York State Department of Education Board for Chiropractic, Brentwood, NY, 2010

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.

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.

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 interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient.

Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient.

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.

Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm.

ICD-9 and CPT requirements in coding for the traumatically injured including integrating electronic health records including informed consent, evaluation and management, testing orders. The utilization of research in medical reports for both the trauma and non-trauma patients. Clinical coordination of care and reporting to healthcare and legal providers. New Jersey State Board of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, Florida, 2012

Review of current research published in peer reviewed medically indexed journals focusing on traumatic injuries and how current literature affects the diagnostic conclusion and how to formulate treatment plans.New Jersey Board of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, Florida, 2012

Whiplash Associated Disorders and the biomechanics of side impact vs. rear impact with emphasis on traumatic forces and body position, the mechanism of whiplash injury phases with their relationships to physiologic tolerance to trauma, specific diagnosis of disc pathology and annular tear, disc herniation, fracture, ligamentous injury and instability. Details of spinal nerve root stretching injury and dimensions of the spinal canal during whiplash was outlined particular to significant spinal injury resulting from low level accelerations including pediatric spinal trauma and physiological normals. Spinal surgical intervention techniques including ordering diagnostic studies using MRI, CT and digital motion x-ray. New Jersey Board of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, Florida, 2012

Spinal MRI findings related to degenerative changes vs. traumatic changes of the intervertebral disc by using definitions provided by the American Society of Neuroradiology. Anatomy of the intervertebral disc, spinal cord, nerve roots and spinal ligaments correlated to T1, T2, STIR sagittal, stacking and axial images. Anatomical MRI differentiation of normal, degenerative and traumatic changes. New Jersey Board of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, Florida, 2012

EMG/NCV, Somato-sensory evoked potentials, brain stem auditory evoked potential and visual evoked potential utilization, physiology and interpretation, electrodiagnostic testing as a clinical component in part of the neurological work-up of the traumatically injured patient in both the peripheral and central nervous system. Inductions and contraindications to electrodiagnostic procedures . The utilization of electrodiagnostics in concluding radiculopathy, myelopathy and plexopathy and determining recent trauma or chronic pathology. New Jersey Board of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, Florida, 2012

Documentation requirements of the courts in a medical-legal case including causality, bodily injury and persistent functional losses, ethically reporting of functional loss as it pertains to the integrity of the joint and activities of daily living and implications of chronicity, reporting of normal findings, maximum medical improvement and the release of the patient in the medical-legal arena. New Jersey Board of Chiropractic, American Academy of Medical-Legal Professionals, Hollywood, Florida, 2012

MRI History and Physics, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI. [Federation of Chiropractic Licensing Boards], 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, NY, 2012

MRI Spinal Anatomy and Protocols, Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI. [Federation of Chiropractic Licensing Boards],ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2012

MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots. [Federation of Chiropractic Licensing Boards], Board for Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2012

MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions. [Federation of Chiropractic Licensing Boards], ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2012

MRI Methodology of Analysis, MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized. New York Chiropractic Council, [Federation of Chiropractic Licensing Boards], ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2012

MRI Clinical Application, The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequelae. [Federation of Chiropractic Licensing Boards], Board for Chiropractic, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2012

MRI Spine and Disc Pathology, MRI interpretation of bulged, herniated, protruded and sequestered disc pathologies in etiology and neurological sequella in relationship to the spinal cord and spinal nerve roots. Utilization of MRI sequencing to maximize visualization of pathology in the trauma and non-trauma patient. Academy of Chiropractic Post-Doctoral Division, New Jersey Office Attorney General, Division of Consumers Affairs, State Board of Chiropractic, Iselin, NJ, 2012

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

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

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 interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient

Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protcols and clinical indications for the trauma patient

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

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

Theory and clinical presentation of the appropriate use and benefits of MUA. Extensive historical evolution of this 70 year old treatment modality. Risk assessment, indications and contraindications for patient application and selection

Procedure and protocol of working with other healthcare professionals in an operating room setting. MUA proctorship is a hands on application of MUA protocols and procedures done on patients over a 3 day course of treatment

The appropriate use and application of invasive and conservative pain management procedures with patients who experience acute or chronic pain

Understanding the forces involved in crashes 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 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

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

Clinically coordinating spinal pathology with neurological and functional sequelae including station & gait, migraines, sexual dysfunction, sleep & arousal disorders, paroxysmal disorders, radiculopathic disorders and central nervous system disorders

MRI interpretation of herniated, protruded, extruded, bulged and sequestered discs and their relationship to the spinal cord and spinal nerve roots and the clinical correlation to spinal adjustments, manual spinal therapy and joint mobilization