David Greif, DC

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 9 thetas) and how they are applicable to human biomechanics.

Triaging and reporting while maintaining ethical medical-legal relationships Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, an in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community.

Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating the history, physical findings, and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and he 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.

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

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.

MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE, and sagittal images in the interpretation of lumbar herniations. With the 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.

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 #D 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.

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 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 interpretations with management.

MRI Interpretation of Cervical Degeneration/ Bulges, MRI slices, views, T!, 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 fo cervical Herniations, 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 the 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, 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, and physical medicine perspective.

Documentation and Reporting for the Trauma Victim, 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.

Applying Active Release Technique to muscles of the upper extremity

Applying Active Release Technique to the muscles and tendons along the spine

Variety of seminars on curve reconstruction in the cervical, thoracic, and lumbar regions

Applying Active Release Technique to muscles and tendons of the lower extremity

Reconstructing Mechanism of Human Injuries sustained in motor vehicle accidents and appropriate documentation to support said accident.

Evaluating and Documenting Injuries in Motor Vehicle Accidents

Proficiency in evaluating cervical spinal curvature alterations and evaluating/ applying appropriate traction/ rehabilition to restore normal lordosis