Michael Pasternack DC

3038 Valley Ave Winchester, Winchester, VA, 22601

Phone: 540-545-7891

Cell: 540-550-3769

Fax: 540-545-7893

Autoinjurydr@gmail.com

https://winchestergethealthy

SELECTED OCCUPATIONAL HISTORY

Staff Chiropractor, Apple Medical Clinic, Winchester, Virginia, 2014 – Present

Staff Chiropractor, Family Chiropractic Center, Winchester, Virginia, 2009 – 2014

Staff Chiropractor, Family Chiropractic Center, Stephens City, Virginia, 1997 -2009

Staff Chiropractor, Family Chiropractic Center, Front Royal, Virginia, 1996 -2009

Staff Chiropractor, Chiro One, Lebanon, Pennsylvania, 1995 – 1996

Staff Chiropractor, Chiropractic Health Center, Fredericksburg, Virginia, 1994 – 1995

Staff Chiropractor, Chiropractic Health Center, Richmond, Virginia, 1991 - 1994

EDUCATION AND LICENSURE

Doctor of Chiropractic, Licensed in the State of New York, License # 007180, 2014 – 2017

Doctor of Chiropractic, Licensed in the State of Maryland, License # 01738, 1995 – 2007

Doctor of Chiropractic, Licensed in the State of Pennsylvania, License # DC-005792L, 1994 – 1998

Doctor of Chiropractic, Licensed in the State of New York, License # 007180, 1992 – 1995

Doctor of Chiropractic, Licensed in the Sate of Ohio, License # DC-01857, 1992 – 1993

Doctor of Chiropractic, Licensed in the State of Virginia, Licensed # 0104001035, 1991 - Present

Doctorate of Chiropractic, Life Chiropractic College, Marietta, Georgia, 1991

National Board of Chiropractic Examiners, Physiotherapy, 1990

National Board of Chiropractic Examiners, Part III, 1990

National Board of Chiropractic Examiners, Part II, 1990

National Board of Chiropractic Examiners, Part I, 1990

Associates Degree in General Studies – Pre Med, Suffolk County Community College, Selden, New York, 1986

Undergraduate Studies in Pre-Med Chiropractic, SUNY Albany, Albany, New York, 1986 - 1987

CERTIFICATIONS, QUALIFICATIONS AND DIPLOMATES

SELECTED POST-GRADUATE EDUCATION

 

Diagnosing and Case Management, The requirements for diagnosing based upon in an initial evaluation and management encounter ranging from a 99202 – 99205 that includes comorbidities, non-musculoskeletal, and sequellae to injury diagnosis. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Long Island, NY, 2020

Diagnosing and Case Management, The requirements for diagnosing imaging inclusive of static x-rays, biomechanical x-rays, and MRI. Documenting the clinical findings of disc bulge, herniation, protrusion, extrusion, and fragmentation. Coding, diagnosing, and documenting individual treatment encounters in the clinical setting. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Long Island, NY, 2020

Performing Impairment Ratings in Personal Injury, Impairment Course on the 5th edition of the AMA Guides to Permanent Impairment. National Chiropractic Association, Phoenix, AZ, 2020

 

Trends in Spinal Treatment, 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.  PACE approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

 

Neurology of Spinal Biomechanics, 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. PACE approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

MRI Age-Dating of Herniated Discs, 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 for 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. PACE approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Creating Ethical Collaborative and Medical-Legal Relationships, 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. PACE approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Central Innervation of Spinal Biomecinacal Engineering, 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. PACE approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Identifying Spinal Pathology of MRI, 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. PACE approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Computerized Mensuration of Spinal Biomechanical Pathology, Understanding the algorithmic interpretation of spinal biomechanical pathology in a 3-D model and creating treatment plans, impairment ratings and teaching models based upon the vertebral motor unit angles. Determining sagittal and axial alignments in creating a normative baseline for treatment goals and outcomes. PACE Approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2019

Neurosurgical-Chiropractic Collaboration on Spinal Pathology, Utilizing x-ray, MRI and other modalities of advanced imaging in conjunction with spinal biomechanical failure and clinical evaluation to collaboratively create treatment protocols for patients in both the operative and non-operative cases. Determining the boundaries of scope of care for both the chiropractor and neurosurgeon based upon a definitive diagnosis of the mechanical vs. an anatomical lesion. PACE Approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2019

Documentation and Ethics in Medical-Legal Relationships, Creating ethical relationships based upon accurate documentation reflective of the casually related condition of the injured. Ensuring accepted credentials of the doctor based upon Voir Dire standards reflected in an admissible curriculum vitae. How to present demonstrative documentation in the courts reflective of the patient’s pathology. PACE Approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2019

Coding, Documentation and Compliant Coding, Ensuring the correct codes are utilized in an evaluation and management encounter. The correct elements are utilized to support the level of E&M coded along with a self-audit program to ensure ethical billing occurs. Guidelines for history of present illness, primary complaint, review of systems, family, social and past histories are discussed and how to document the same. PACE Approved for the Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post-Doctoral Division, Long Island NY, 2019

Spinal Bio-Engineering Seminar, A course describing the structural and functional organization of the spinal-pelvic system. Fundamental and advanced concepts on spinal biomechanics are introduced by presenting a coherent spinal model describing normal segmental coupling, regional adaptation and global compensation. The clinical model is a structural and mechanical engineering approach based on x-ray physics, mathematics and statistical analysis. The normal movements of gait are integrated in this total biomechanical approach to explain spine distortion, predictable functional scoliosis and lumbar disc failure. Case studies are demonstrated to radiographic analyses and physical findings to determine clinical solutions and soft tissue rehabilitation. PACE Recognized by The Federation of Chiropractic Licensing Boards, St. Louis, MO, 2019

Documentation in Medical Collaborative Cases, Concluding an E&M report in cases involving medical primary care providers of medical specialists that have complicated case histories, significant risk factors, and inconclusive findings. Triage and management of complicated  cases requiring the clinical evaluation, advanced imaging and electrodiagnostics. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division,Long Island, NY, 2019 

MRI Spine Interpretation and Protocols, Contemporary acquisition protocols including slice thicknesses and sequences inclusive of the ordering process. Interpretation of axial, sagittal and coronal views in T1, T2 and stir views inclusive of the disc, spinal cord, extra-dural and intra-dural pathology. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division,Long Island, NY, 2019

Ethics and Medical Collaboration, Having referral relationships with emergency rooms, neurosurgeons, orthopedic surgeons, pain management specialists, neurologists, neuroradiologist and medical primary care providers based upon clinical dilemmas that processed after a thorough history, examination and imaging if clinically indicated to conclude diagnostic dilemmas. Utilizing evidence-based protocols and acquisition of images and treatment pathways, collaborating with medical specialists and primaries to conclude and accurate treatment plan. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division,Long Island, NY, 2019

Documentation in a Medical – Legal and Insurances, Constructing and concluding an E&M (99202-99205) report that accurately reflects the history, clinical findings and management of trauma cases that concurrently meets the needs of both the carriers in the courts and ethical relationship that concurrently matches the standards of both contemporary academia requirements and a contemporary literature-based standard. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division,Long Island, NY, 2019

Stroke Anatomy and Physiology: Brain Vascular Anatomy, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Stroke Anatomy and Physiology: Stroke Types and Blood Flow, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Stroke Principles of Treatment an Overview for the Primary Care Provider, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Clinical Evaluation and Protocols for Identifying Stroke Risk, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Orthopedic Testing: Principles, Clinical Application and Triage, Integration of orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Orthopedic Testing: Lumbar Spine, Integration of lumbar orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Orthopedic Testing: Clinical Grand Rounds, how to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Medical-Legal-Insurance Documentation, Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimburser’s requirements for complete documentation. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Mild Traumatic Brain Injury/Traumatic Brain Injury/Concussion, Differentially diagnosing mild traumatic brain injury vs. traumatic brain injury and the clinical and imaging protocols required to conclude an accurate diagnosis for head trauma. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctorial Division, Long Island, NY, 2019

Impairment Rating, 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, dislocation and functional loss are also detailed in relation to impairment ratings. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, NY, 2019

Accident Reconstruction: 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. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Accident Reconstruction: 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. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Accident Reconstruction: 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. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Accident Reconstruction: 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.PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

Spinal Trauma Pathology, Triage and Connective Tissue Injuries and Wound Repair, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Spinal Trauma Pathology, Ligament Anatomy and Injury Research and Spinal Kinematics, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Spinal Trauma Pathology, Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Spinal Trauma Pathology, Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Spinal Trauma Pathology, Clinical Grand Rounds, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Spinal Trauma Pathology, Research Perspectives, The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure and age-dating disc pathology. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Spinal Biomechanical Engineering: 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Spinal Biomechanical Engineering: Cervical Pathobiomechanics, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Spinal Biomechanics in Trauma, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Spinal Biomechanical Engineering & Organizational Analysis, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Spinal Biomechanical Engineering: Cervical Digital Analysis, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Spinal Biomechanical Engineering: Lumbar Digital Analysis, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequellae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequellae. 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

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.  PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

MRI Interpretation of Cervical Degeneration/Bulges, 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. PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

MRI Interpretation of 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 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.  PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

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 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.  PACE Approved for the Federation of Chiropractic Licensing Board, 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, Buffalo, New York, 2019

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. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

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 the significance of “risk factors” in spinal injury. PACE Approved for the Federation of Chiropractic Licensing Board, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Crash Dynamics and Its Relationship to Causality, 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. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient, MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Neurodiagnostic Testing Protocols, Physiology and 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. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

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. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

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. PACE Approved for the Federation of Chiropractic Licensing Board,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Pharmacogenics, History as well as the application of drugs and medicines. How the use of drugs and medicines can work in conjunction with chiropractic to get better patient outcomes. Chirohours.com, VA, 2018

Treatments for Bulging and Herniated Discs, Newest treatments in allopathic medicine as well as chiropractic for bulging and herniated discs. Chirohours.com, Winchester, VA, 2018

Future Stem Cell Treatments, History and application of stem cell treatments. Different types of stem cell treatments and their application and protocols. Chirohours.com, Winchester, VA, 2018

E-Spine Volumes 1-5, Evaluation, examination, treatment and management of headaches, whiplash injures, scoliosis and lower back aches. NY Chiropractic College, Winchester, VA, 2018

Cervical Radiculopathy – The diagnosis and Movement of Neck and Arm Pain, How to evaluate, examine, diagnose and manage patients with neck and arm pain. NY Chiropractic College, Winchester, VA 2018

Making Your Practice Well and Exceed Through Documentation, How to properly document all aspects of patients care and encounters. NY Chiropractic College, Winchester, VA, 2018

Understanding Whiplash Associated Disorders: Mechanics, Diagnosis, Management and Documentation, Various disorders that arise as a consequence of whiplash injuries. How to document, examine , diagnose and treat these conditions. NY Chiropractic College, Winchester, VA, 2018

Child Abuse Recognition and Reporting, Warning signs of child abuse in consultation and examination, as well as the proper protocols to report suspected child abuse. Elite Continuing Education, Pennsylvania Department of Human Services, Winchester, VA, 2015

Laser Therapy for Acute Pain and Inflammation, Theory of hold cold lasers work in addition to learning the protocols and application of cold laser for acute pain and inflammation. Logan University, Richmond, VA, 2015

Laser Therapy for Neurogenic Pain and Pain Syndromes, How cold lasers work and how to treat neurogenic pain as well as various pain syndromes via cold laser. Logan University, Richmond, VA, 2015

Neuromuscular Re-Education, The Anatomy of the neuro muscular system and the protocols and procedures to apply neuromuscular re-education on patients to help maximize clinical outcomes. University of Bridgeport, Austin, TX, 2013

The Meeks Method, S.A.F.E Movement and exercise for all the ages and stages of life, skeletally appropriate for everyone, How to evaluate diagnose and treat and exercise the osteoporotic patient. Florida Physical Therapy Association, Royal, VA, 2012

Healthcare Compliance, How to be compliant with accepted medical standards in consultation and examination. DC hours.com, Life University, School of Chiropractic, Royal, VA, 2010

Documentation, Appropriate procedures to properly document consultation and examination. DC hours.com, Life University, School of Chiropractic, Royal, VA, 2010

Radiopathology and Patient Assessment, How to assess patients for radiopathology via consultation and examination procedures. DC hours.com, Life University, School of Chiropractic, Royal, VA, 2010

Spinal Decompression, Protocols and procedures for administering spinal decompression in chiropractic practice. DC hours.com, Life University, School of Chiropractic, Royal, VA, 2010

Chiropractic Ethics, Different situations in chiropractic practice and how to maintain ethical stands in chiropractic practice. DC hours.com, Life University, School of Chiropractic, Royal, VA, 2010

Trigger Point Therapy, Basics of what trigger point is, the cause of trigger points, how to diagnose and care for a patient with trigger points. DC hours.com, Life University, School of Chiropractic, Royal, VA, 2010

The Neurology of Pain, specific anatomy involved with causes of pain and how to examine the patient to properly diagnose the cause of the patient’s pain. DC hours.com, Life University, School of Chiropractic, Royal, VA, 2010

Spinal Pain Syndromes, Different common pain syndromes that present clinically to chiropractic offices, and how to diagnose and care for patients with these symptoms. DC hours.com, Life University, School of Chiropractic, Royal, VA, 2010

OSHA Standards for Blood Borne Pathogens, Accepted standards in practice to prevent contamination of blood borne pathogens. DC hours.com, Life University, School of Chiropractic, Royal, VA, 2010

Basics Case Management, Basics of Consultation, history, exam and x-ray findings to come up with appropriate diagnosis, prognosis and treatment to more effectively manage cases and patients. DC hours.com, Life University, School of Chiropractic, Royal, VA, 2010

An Introduction to Communicable Diseases, Commonly presented communicable disease including common signs and symptoms, appropriate testing and referrals. DC hours.com, Life University, School of Chiropractic, Royal, VA, 2010

Conditions of the Disc, Anatomy of the spine and discs as well as different conditions that can affect the discs. DChours.com, Life University, School of Chiropractic, Royal, VA, 2010

Passive Care Modalities, Learned the application and protocols of passive physical therapy modalities and how to apply these to patients in a chiropractic clinical setting. DChours.com, Life University, School of Chiropractic, Royal, VA, 2010

Understanding Whiplash, Learned the basics of how damages occur in motor vehicle accidents as well as appropriate procedures to better care for patients involved in an automobile accident. Life University, School of Chiropractic, Royal, VA, 2010

Basic MRI, Studied and learned the basics of what MRI is, the theory and application of MRI, protocols for when and why to order MRI in clinical practice. Life University, DC hours.com, Royal, VA, 2010

Function Based Care, Studied and learned how to care for chiropractic patients on clinical practice using function based assessments, goals and outcomes. Life University, DChours.com, Royal, VA, 2010

Special Populations in Chiropractic – The Female Patient, How to Care for female patients in a clinical chiropractic setting. Palmer College of Chiropractic, Royal, VA 2006

Role of the Chiropractor in Legal Process, How to document care so I can help the patient in any legal procedures that would request information pertaining to my evaluation and treatment of insured patients. Palmer College of Chiropractic, Royal, VA, 2006

The Spine in Sport, How to evaluate and chiropractically treat patients insured during sporting activities. Palmer College of Chiropractic, Royal, VA 2005

Chiropractic Care of Peripheral Neuropathies, Evaluating, diagnosing, treating and referral of patients with peripheral Neuropathies. Palmer College of Chiropractic, Royal, VA 2005

Clinical Competency, Learned all of the clinical aspects of caring for patients in a chiropractic practices. Material learned included appropriate consultation procedures, history taking, exam procedures, x-ray procedures, and referral indicators and procedures. Life Chiropractic College, Marietta, GA, 1991

X-Ray Theory and Practice, Studied the theory and application of X-Ray and how it is to be applied to patients in a clinical setting in chiropractic practice. Life Chiropractic College, Marietta, GA, 1991

Physiological Therapeutics, Understanding all indications and protocols for various physical therapy modalities currently used to help promote health in the human body. National College of Chiropractic, Marietta, GA, 1990

SELECTED MEMBERSHIPS

Unified Virginia Chiropractic Association, Member, 2011 – Present

Rotary Club of Frederick County, Member, 2005 -2007