SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES
| Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – anatomy & biomechanics of the sacroiliac joint, – review of the anatomical structure of the sacroiliac joint was presented including ligamentous and cartilaginous components. Mechanical movement and restrictions were discussed and correlated to the surrounding anatomy. Review of causes of the sacroiliac joint as a source of pain was outlined. Differences in boney structure including cortical bone thickness and muscular overlay were detailed. Differentiation of different ligaments supporting the sacroiliac joint and the primary restraint of anatomical movement was presented including the posterior, sacrotuberous, sacrospinous, anterior, interosseus and iliolumbar ligaments. 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 – 2023 Present | | | | | Understanding No-Fault vs. Tort Systems in Personal Injury Law, This course provided an overview of the foundational differences between no-fault and tort systems in personal injury law. Learners reviewed the roles of Personal Injury Protection (PIP) and liability insurance in each system and discussed the impact of legal frameworks on claim resolution. The program presented scenarios illustrating the serious injury threshold and limitations on non-economic damage claims. Participants explored comparative examples from states like New York, Florida, and Texas. Key legal principles and practical implications were analyzed to foster deeper comprehension of legal processes and their effects on injured parties. The course concluded with a discussion of litigation risks and strategic considerations for attorneys and insurance adjusters. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Advanced Documentation Techniques for Traffic-Related Injuries, Advanced Documentation Techniques for Traffic-Related Injuries This program reviewed medicolegal documentation requirements for injuries caused by traffic accidents. Participants were introduced to the importance of recording both external and internal injuries with precision to support accident reconstruction and legal proceedings. The course discussed methodologies for documenting typical injuries based on their mechanisms and severity, including the use of the Abbreviated Injury Scale (AIS) and AO fracture classifications. Participants analyzed case studies to evaluate documentation practices and their role in litigation outcomes. Additional topics included forensic photography, injury diagrams, and the ethical responsibilities of medical practitioners. The session emphasized the intersection of clinical expertise and legal evidence requirements. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Exploring Deposition Strategies in Personal Injury Cases, This course provided a comprehensive overview of depositions as a pivotal element of the discovery process in personal injury litigation. Participants discussed the structure and function of depositions, including their role in fact-finding, preserving testimony, and shaping litigation boundaries. The curriculum reviewed techniques for questioning witnesses, assessing credibility, and uncovering new evidence. Real-world examples illustrated how depositions influence settlement strategies and trial preparation. The session highlighted the interplay between deposition records and courtroom testimony, emphasizing the importance of consistency and strategic communication. Practical exercises included drafting deposition questions and analyzing transcripts. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Personal Injury Protection (PIP): State-Specific Requirements and Legal Implications, This course offered an in-depth review of PIP insurance regulations across various states, focusing on the financial and legal nuances of no-fault systems. Participants explored mandatory and optional coverage levels, subrogation rights, and the interaction between PIP and health insurance. The curriculum highlighted significant differences in coverage requirements between states like Michigan, New York, and Florida. Case studies presented challenges in coordinating benefits and navigating waiver options. Learners reviewed the legal mechanisms of subrogation and discussed how PIP impacts settlement negotiations and claimant recovery strategies. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Expert Testimony Training: Key Legal Concepts for Physicians in Personal Injury Cases, Completed a comprehensive course focusing on the roles and qualifications of medical professionals in personal injury litigation. This course emphasized the distinctions between treating physicians and medical experts, strategies for establishing expertise, and overcoming legal objections to credibility. Detailed exploration of courtroom dynamics, jury evaluation, and the effective use of CVs to demonstrate professional qualifications was included. Practical applications for managing objections and leveraging transcripts to maintain consistency in testimony were also discussed. This training provided advanced strategies to enhance credibility and professionalism in medical-legal contexts. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025 | | | | | Advanced Training in Legal Testimony and Expert Qualifications, Completed specialized training on integrating advanced spinal diagnostics with legal testimony requirements. Emphasis was placed on bridging the gap between clinical care and expert analysis, including causation, prognosis, and future medical needs. Participants were instructed on meeting Rule 702 standards and ensuring credibility through clear communication and comprehensive documentation. This training has been instrumental in providing expert testimony with confidence and precision in complex legal settings. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025 | | | | | Presentation Development: Effective CV Strategies in Legal Testimony, Participated in an intensive training on creating impactful CVs for medical-legal applications. The session highlighted essential elements of a strong CV, such as education, certifications, and prior testimony, ensuring alignment with legal standards like Rule 702 of the Federal Rules of Evidence. Instruction covered practical methods for streamlining direct examinations and addressing objections through pre-prepared documentation. The training underscored the importance of maintaining updated, organized CVs to showcase qualifications and strengthen courtroom credibility. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Courtroom Preparation: Communication and Professionalism in Testimony, Attended a targeted lecture on the importance of effective communication and professionalism during legal proceedings. The program focused on presenting complex
medical information clearly, handling objections with composure, and aligning testimony with legal standards. Practical examples included cross-examination preparation, transcript review for consistency, and collaboration with attorneys to frame evidence effectively. This training emphasized the integration of medical knowledge with legal processes to enhance the impact and reliability of expert testimony. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025 | | | | | Biomechanical Analysis and Management of a Post-Motor Vehicle Collision Patient:, Participated in a case study focused on the evaluation and management of a patient involved in a motor vehicle collision on September 1, 2024. The patient, a belted driver, was rear-ended on the I-290 West, experiencing a rapid acceleration-deceleration mechanism that caused hyperextension and flexion of the cervical spine. Immediately following the impact, the patient reported neck, mid-back, and lower back pain. Initial management included over-the-counter medications, rest, and ice, with a follow-up appointment with their primary care physician on September 5, 2024. The patient presented with a prior posterior laminectomy and fusion C4-C7. The case incorporated advanced biomechanical principles and finite element modeling (FEM) to assess the cervical spine's response to whiplash forces, as described in the provided research. FEM simulations quantified spinal stress distribution and highlighted potential areas of adjacent segment degeneration (ASD) due to the sudden impact. Emphasis was placed on restoring proper biomechanics through a combination of spinal adjustments, postural correction, and rehabilitative exercises, leveraging insights from finite element analysis to guide care. Management strategies focused on addressing persistent symptoms through targeted interventions, including neuromuscular re-education, to reduce biomechanical stress on the cervical spine and adjacent structures. The integration of patient-specific modeling, derived from imaging data, supported personalized care planning and highlighted the value of finite element analysis in predicting long-term outcomes for whiplash-associated disorders. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025 | | | | | Advanced Strategies for Personal Injury Case Management., This course explored critical aspects of personal injury (PI) cases, including liability and personal injury protection (PIP) insurance, strategies for documenting causality, bodily injury, and persistent functional loss, and the effective use of ICD-10 S and M codes. The program integrated personalized treatment plans, standard operating protocols (SOPs), and macros for streamlined documentation while addressing primary care challenges in managing PI cases. Practical case studies emphasized collaboration and precision to optimize patient outcomes and ensure compliance with insurance and legal standards. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025 | | | | | Optimizing Documentation and Management in Personal Injury Cases for Chiropractors, This session emphasized the importance of accurate documentation in PI claims, exploring the nuances of liability insurance, medical expenses coverage, and the role of causality in linking injuries to incidents. The lecture included strategies for managing acute and chronic conditions using ICD-10 coding, employing macros in documentation to enhance efficiency, and collaborating with attorneys and other providers. Participants gained actionable insights for integrating ethical and detailed recordkeeping into their practices. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Best Practices for Chiropractors in Personal Injury Clinics., This session provided an in-depth analysis of exceeding policy limits in PI cases, leveraging umbrella insurance policies, and documenting persistent functional loss for fair compensation. It highlighted the role of chiropractors in supporting legal efforts through comprehensive records, causation evidence, and expert testimony. The workshop emphasized integrating technology, adhering to ethical standards, and maintaining objective measures to ensure credibility and optimize patient outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Documentation, Strategy, and Management in Personal Injury Cases., This session was designed to equip healthcare providers with tools for effective PI case handling. Topics included understanding pre-determined treatment plans versus SOPs, overcoming administrative and financial challenges in PI cases, and accurately coding acute and chronic conditions using ICD-10 standards. Emphasis was placed on creating tailored documentation strategies, utilizing macros for efficiency, and balancing automation with
personalization. Attendees were trained to strengthen collaborations with legal teams and improve multidisciplinary patient care. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Interprofessional Spine Management Grand Rounds –Thoracic Adjustment and Cervical Radiculopathy , eceivedadvanced educational materials on cervical spine anatomy, neuroanatomy, and radiculopathy to practicing healthcare providers, focusing on the motor and sensory functions of cervical spinal nerves. Was presented withcomprehensive white papers, quizzes, and instructional content that emphasized the clinical relevance of cervical nerve exit patterns, muscular innervation, and dermatomal sensory distributions in the upper extremities. Providedevidence-based insights on cervical radiculopathy, integrating pathophysiology, diagnostic strategies, and management approaches to enhance interprofessional understanding and patient outcomes. Discussed collaborationwith multidisciplinary teams to ensure alignment of educational content with current best practices and emerging trends in spinal biomechanics and trauma management. Demonstrated expertise in translating complex anatomical and neurological concepts into actionable knowledge for improving patient care in the clinical setting. NationalSpine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Medical Records and Litigation -, Medical Records and Litigation - Completed a specialized training program focused on the critical role of medical records in legal proceedings, emphasizing their impact on court testimony and litigation outcomes. Gained expertise in creating comprehensive and defensible documentation that aligns with healthcare standards and legal requirements. Developed skills in recording objective findings, patient history, causation, and treatment rationales to support testimony. Enhanced proficiency in preparing for depositions and trial testimony by ensuring consistency and clarity in records. This training underscored best practices for addressing challenges posed by opposing counsel and highlighted strategies for maintaining credibility under cross-examination. Graduates of this program are equipped to provide medical-legal documentation that strengthens both litigation success and patient advocacy. and patient advocacy. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program., 2025 | | | | | Complex Medical Testimony and Jury Communication, Complex Medical Testimony and Jury Communication - Completed an advanced workshop on effective jury communication through medical testimony, focusing on the simplification of complex medical concepts. Acquired practical skills in using layperson-friendly language to explain technical terms and presenting compelling visual aids like MRIs and anatomical models. Developed expertise in structuring testimony to engage jurors and maintain their attention while addressing the legal and medical aspects of a case. Learned techniques for managing cross-examination with professionalism, emphasizing objectivity and neutrality. The program also covered strategies to frame the long-term impacts of injuries in relatable ways for jurors. This training equips practitioners to clearly and effectively convey medical findings, ensuring they resonate with lay audiences and legal professionals alike. audiences and legal professionals alike. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program., 2025 | | | | | Expert Witness Training and Litigation Preparedness -, Expert Witness Training and Litigation Preparedness - Completed a comprehensive course on the roles and responsibilities of expert witnesses in personal injury litigation. This program focused on the admissibility of expert opinions, preparation for depositions, and courtroom testimony. Gained critical knowledge in delivering impartial, evidence-based opinions to assist courts in understanding complex medical issues. Developed the ability to align testimony with established legal precedents and effectively handle cross-examination. The course emphasized the importance of independence, integrity, and clarity in presenting evidence, ensuring practitioners are prepared to navigate the legal system as trusted experts. This training provided the tools necessary to support litigation outcomes while maintaining professional credibility. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Understanding Legal Precedent and Its Role in Personal Injury Litigation -, Understanding Legal Precedent and Its Role in Personal Injury Litigation - Completed a detailed educational series on legal precedent in personal injury litigation, focusing on its application in evaluating negligence, causation, and damages. Explored the significance of established diagnostic and treatment standards in ensuring predictability and fairness in court rulings. Gained insights into the challenges of introducing innovative medical techniques within the framework of legal precedent. Learned how precedent influences
admissibility of evidence, calculation of damages, and settlement negotiations. This program emphasized the importance of aligning medical practices with recognized legal standards to mitigate risk and improve case outcomes. Graduates are well-equipped to navigate the intersection of healthcare and law, ensuring their practices meet both clinical and legal benchmarks National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Understanding Pain Referral Patterns in Cervical and Cranial Vascular Disease-, Development ofa comprehensive understanding of pain referral patterns associated with cervical and cranial vascular diseases, with a particular emphasis on di8erentiating vascular-origin pain from musculoskeletal conditions. They examined the neuroanatomical basis of vascular pain, including the role of the trigeminocervical complex and the autonomic nervous system in mediating referred pain from the internal carotid and vertebral arteries. The course covered specific diagnostic criteria for identifying vascular pain syndromes, including internal carotid artery dissection, vertebral artery dissection, and basilar artery insu8iciency. Participants learned to recognize critical clinical presentations such as Horner’s syndrome, cranial nerve deficits, and pain patterns mimicking cervicogenic headache or radiculopathy. Advanced case-based discussions reinforced the ability to integrate patient history, symptom patterns, and risk factors into di8erential diagnoses. Emphasis was placed on the necessity of early vascular screening to prevent misdiagnosis and inappropriate manual therapy interventions. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Vertebrobasilar Assessment & Red Flags in Clinical Practice-, Attendees received specialized training in vertebrobasilar assessment, focusing on the identification of neurological red flags suggestive of vertebrobasilar insu8iciency (VBI) and arterial dissection. They practiced the implementation of standardized screening protocols, including the vertebral artery test, cranial nerve examination, and positional assessment of dizziness and drop attacks. The course provided in-depth instruction on recognizing high-risk populations, including patients with hypertension, connective tissue disorders, and recent infections predisposing them to vascular injury. Through clinical simulations, participants refined their ability to distinguish vascular from vestibular and musculoskeletal dizziness, ensuring appropriate triage andreferral decisions. Discussion of imaging modalities such as CT angiography (CTA) and magnetic resonance angiography (MRA) guided clinical decision-making for emergent vs. routine vascular assessments. This module reinforced the importance of interprofessional collaboration with neurologists, radiologists, and vascular specialists. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Pathological Reflexes & Neurological Screening - , A critical component of the course involved the identification and interpretation of pathological reflexes as indicators of upper motor neuron dysfunction and central nervous system pathology. Participants performed hands-on assessments of Ho8man’s sign, Tromner’s sign, and the Babinski reflex to detect corticospinal tract involvement in conditions such as cervical myelopathy, stroke, and demyelinating diseases. They explored the physiological mechanisms behind these reflexes, including the loss of descending cortical inhibition and subsequent
hyperexcitability of spinal interneurons. The course emphasized the integration of these neurological findings into broader clinical evaluations, correlating them with patient symptoms and risk factors for vascular and spinal cord pathology. Participants gained expertise in determining when advanced imaging, such as MRI or electromyography (EMG), was warranted for further neurological assessment. Discussions covered di8erential diagnoses of upper versus lower motor neuron lesions, ensuring a systematic approach to complex neurological presentations. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Clinical Decision-Making & Safe Chiropractic Management –, description of an evidence-based CeAD detection tool to stratify patient risk and determine when immediate referral or conservative management was indicated. Discussedapproachesto provide safe chiropractic management, modifying techniques to accommodate patients at risk for vascular events. They reviewed contraindications for high-velocity, low-amplitude cervical manipulations and explored alternative therapeutic interventions, such as mobilization, soft tissue therapy, and graded isometric exercises. Clinical discussions reinforced the necessity of continuous reassessment, ensuring that patients with evolving neurological symptoms were promptly directed to appropriate medical care. By the conclusion of the course, participants demonstrated proficiency in integrating vascular, neurological, and musculoskeletal assessments to enhance patient safety and optimize clinical outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Interprofessional Spine Management Grand Rounds –Acute and Chronic Spinal Injury Superimposed on One Another - , This course provided healthcare providers with advanced imaging interpretation skills to differentiate traumatic from degenerative spinal injuries, particularly in motor vehicle collision cases. Participants developed expertise in utilizing imaging biomarkers, such as Modic changes and STIR sequences, to assess acute and chronic spinal pathology. The curriculum covered key distinctions between traumatic disc herniations and degenerative disc bulges, emphasizing the role of inflammation and tissue morphologyin diagnostic accuracy. Clinicians gained proficiency in causation analysis by integrating imaging findings with clinical presentations, enhancing their ability to support injury claims with objective evidence. The course also included case-based learningto apply these principles in real-world scenarios. Completion of this program demonstrated a provider’s commitment to evidence-based spinal injury assessment and improved patient outcomes through precise diagnostic differentiation. NationalSpine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Interventional Pain Management in Spine Care-, This course reviewedthe fundamental principles of interventional pain management, focusing on patient selection, procedural indications, and evidence-based techniquesfor spine-related pain. It detailedcriteria for determining patient candidacy and the role of interventions such as epidural steroid injections, facet joint injections, and radiofrequency ablationin managing radiculopathy, spinal stenosis, and facet-mediated pain.The course outlinedcommonly utilized imaging modalities, including fluoroscopy and ultrasound guidance, emphasizing procedural accuracy, safety, and radiation exposure reduction. Contrast-enhanced imaging techniqueswere reviewed to highlight the importance of precise needle placement in optimizing treatment efficacy.Pharmacologic agents, including corticosteroids and local anesthetics, were examinedfor their mechanisms of action, clinical applications, and risks. Strategies for optimizing medication selection, minimizing adverse effects, and tailoring pharmacologic interventions to patient needs were discussedto enhance clinical decision-making. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Advanced Interventional Techniques for Spine Pain-, Thisprogram provided an in-depth reviewof interventional procedures for managing spine-related pain, including transforaminal, interlaminar, and caudal epidural steroid injections, as well as facet joint injections, medial branch blocks, and sacroiliac joint injections.Each procedure was analyzedin terms of its indications, mechanisms of action, and procedural execution,ensuring a thorough understanding of their role in pain management. Comparisons were drawnbetween different injection techniques, highlighting their relative effectiveness in addressing radiculopathy, facet-mediated pain, and sacroiliac joint dysfunction.The program describedthe importance of image-guided precisionin these interventions, emphasizing the use of fluoroscopy and ultrasound for enhanced accuracy and safety. Detailed case discussionswere included to illustrate patient selection criteria, contraindications, and post-procedural expectations.Additionally, the impact of adjunctive therapiessuch as physical rehabilitation and pharmacologic co-managementwas reviewed to underscore the importance of a multidisciplinary approachin optimizing patient outcomes.The application of radiofrequency ablation (RFA) for chronic pain syndromeswas outlined,with a focus on patient selection, procedural methodologies, and clinical efficacybased on current research and long-term outcome data. Technical considerationssuch as optimal electrode placement, lesioning parameters, and post-procedural carewere discussed to maximize procedural success and durability of pain relief. Emerging advancements in pulsed and cooled RFA techniqueswere also reviewed,
demonstrating their potential in expanding the scope of interventional pain management. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Neuromodulation in Spine Care-, This course provided a detailed overviewof the principles and clinical applications of spinal cord stimulation (SCS), emphasizing its role in modulating pain perception through neuromodulation techniques. Itoutlinedthe mechanisms ofSCS in disrupting nociceptive pathways, including its effects ondorsal column activation, inhibition of pain transmission, and neuromodulatory plasticity. Theprogramexamined patient selection criteria, discussing the importance ofidentifying appropriate candidates based on neuropathic pain profiles, previous treatment failures, and psychological suitability. The structured trial procedureswere reviewed, focusing on temporary lead placement, pain relief assessment, and outcome evaluationprior to permanent implantation.The course reviewed long-term efficacy considerations,including theimpact of SCS on functional improvement, opioid reduction, and overall quality of life. Itcompared traditional SCS modalities, such astonic stimulation, high-frequency (10 kHz), and burst stimulation, highlighting their distinct mechanisms of action, clinical efficacy, and patient-reported outcomes.The curriculum alsoanalyzed closed-loop feedback systems, detailing how real-time neurophysiologic adjustments optimize stimulation parameters to enhance patient comfort and maximize analgesic effects. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Advanced Diagnostic Interpretation: Thyroid Pathology and Empty Sella in MRI Spinal Imaging -, This course provided an in-depth review of incidental thyroid pathology identified on MRI, focusing on the appropriate follow-up for an enlarged thyroid. Participants analyzed the pathophysiology of thyroid enlargement, including benign and malignant differentials, and reviewed best practices for interdisciplinary communication. The course emphasized the role of ultrasound as the primary diagnostic modality, the indications for fine needle aspiration biopsy, and the interpretation of thyroid function tests.Through case-based discussions, attendees enhanced their ability to integrate incidental findings into comprehensive patient management, improving their diagnostic acumen and referral strategies in clinical practice. National Spine Management Group, Federation of Chiropractic Licensing Boards, 2025 | | | | | Conservative vs. Surgical Management of Rotator Cuff Tears - , an advanced course reviewing the comparative outcomes of conservative and surgical interventions for rotator cuff tears. The course provided an in-depth analysis of clinical and structural outcomes over one-and two-year follow-ups, including patient-reported functional scores and imaging assessments. Special emphasis was placed on evidence-based decision-making regarding physical therapy, pain management, and surgical repair techniques for full-thickness rotator cuff tears. The curriculum also explored patient selection criteria, discussing factors that influence the decision to pursue surgery versus conservative treatment, including age, tear size, and functional demands. Additionally, the course evaluated long-term complications associated with both treatment modalities, such as re-tear rates and residual weakness. Advanced imaging techniques, including MRI evaluation of postoperative tendon integrity, were also discussed to provide a comprehensive understanding of treatment efficacy. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Non-Surgical and Rehabilitative Interventions for Frozen Shoulder - , studied a comprehensive review of non-surgical and rehabilitative treatments for frozen shoulder (adhesive capsulitis). The course covered the pathophysiology of the condition, risk factors, and rehabilitation techniques, including corticosteroid injections, manual therapy, stretching protocols, and hydrodilatation. Additionally, it provided a critical evaluation of systematic reviews, highlighting the effectiveness of various interventions in improving range of motion and reducing pain. The curriculum alsoemphasized the importance of staging in frozen shoulder management, differentiating between the freezing, frozen, and thawing phases and their respective treatment approaches. The role of multidisciplinary care was examined, including collaborations between physical therapists, orthopedic specialists, and pain management physicians to enhance patient outcomes. The session concluded with a discussion on the latest clinical guidelines and emerging therapies, such as platelet-rich plasma (PRP) injections and extracorporeal shockwave therapy, as potential adjuncts to rehabilitation. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Diagnosis and Management of Shoulder Instability and Labral Tears -, completed a course on the evaluation and treatment of shoulder instability and labral pathology, including Bankart and SLAP lesions. The curriculum covered the role of conservative management, indications for surgical intervention, and current arthroscopicrepair techniques. The course also examined postoperative rehabilitation strategies to optimize functional outcomes for patients with recurrent dislocations or labral injuries. Special attention was given to patient-specific factors influencing treatment,such as athletic demands, history of prior dislocations, and the presence of associated bony defects like Hill-Sachs or glenoid fractures. The session reviewed the latest arthroscopic advancements, including suture anchor techniques, capsular plication, and the Latarjet procedure for cases with significant glenoid bone loss. Furthermore, rehabilitation protocols were discussed in detail, highlighting progressive strengthening exercises, proprioceptive training, and return-to-sport criteria for competitive athletes. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Acromioclavicular (AC) Joint Injuries and Proximal Humerus Fractures-, The doctor participated in an educational program focused on the classification, diagnosis, andtreatment of AC joint injuries, arthritis, and proximal humerus fractures. The session included discussions on surgical indications, such as AC joint reconstruction and distal clavicle excision, as well as fracture management techniques, including open reduction and internal fixation (ORIF) and reverse shoulder arthroplasty. The course emphasized evidence-based rehabilitation strategies to improve post-surgical recovery. Detailed case studies were presented to highlight different treatment pathways based on patient demographics, including young athletes with AC joint separations and elderly individuals with osteoporotic proximal humerus fractures. The curriculum also addressed complications associated with these conditions, such as post-traumatic arthritis, nonunion, and hardware-related issues following surgical repair. Advanced surgical planning techniques, including 3D imaging for complex fracture patterns, were explored to enhance surgical precision and patient outcomes. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Developmental Spinal Stenosis and Spinal Trauma –, Delivered a one-hour educational course examining the anatomical, clinical, and medicolegal implications of developmental spinal stenosis in the cervical spine, with a focus on its significance in personal injury litigation. The presentation provided an in-depth review of normal spinal canal dimensions, the anatomical boundaries of the cervical canal, and the pathophysiology of central canal narrowing. Special attention was given to cases where intervertebral disc herniation contributes to symptomatic stenosis, particularly in individuals with pre-existing developmental narrowing. Discussed the role of advanced imaging modalities in assessing canal diameter, di@erentiating congenital predisposition from trauma-induced exacerbation, and supporting causation analysis in legal cases. Emphasized the importance of objective documentation in establishing the impact of spinal injuries on long-term function and prognosis, as well as its relevance in determining case valuation and settlement considerations National Spine Management Group 2025, Federation of ChiropracticLicensing Boards, PACE Program , 2025 | | | | | Advanced Analysis of Circulating Biomarkers of Concussion-, Detailed outline providing a comprehensive review of circulating biomarkers in concussion. The course examined critical markers—including Glial Fibrillary Acidic Protein (GFAP), Ubiquitin C-terminal Hydrolase-L1 (UCH-L1), S100B, Tau Protein, and Neurofilament Light Chain (NFL)—with emphasis on cellular localization and roles in neuronal and glial injury. Training detailed temporal dynamics of biomarker release, analytical validity, and clinical utility in early diagnosis and patient monitoring. The program further explored integration of biomarker data into multimodal diagnostic frameworks to enhance precision in concussion management National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program , 2025 | | | | | Genetic Profiles and Concussion Severity, A comprehensive review focusing on genetic determinants influencing concussion outcomes, specifically examining APOE and MTHFR genes, was attended. Extensive review provided insight regarding APOE’s function in lipid transport, neuronal repair, and synaptic plasticity, with emphasis on clinical implications of the ε4 allele in exacerbating neuroinflammatory responses. Seminar content also addressed MTHFR function in folate metabolism, impact on homocysteine regulation, and consequences of common polymorphisms on vascular and neural health. The genetic-focused curriculum underscored the importance of personalized medicine for optimizing therapeutic strategies in concussion care. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program , 2025 | | | | | Laboratory Certifications and Testing Validity -, A detailed presentation on the validity of laboratory testing was completed, critically analyzing regulatory frameworks that ensure high-quality diagnostic assays. Extensive overview of the Clinical Laboratory Improvement Amendments (CLIA; 42 CFR 493) elucidated how federal standards guarantee accuracy, reliability, and timeliness of laboratory results. Additional oversight provided by the State of Texas was examined, emphasizing the complementarity of state-specific regulations with federal mandates. Rigorous accreditation processes administered by the College of American Pathologists (CAP) for Laboratory Developed Tests were detailed, ensuring that assays meet stringent analytical and clinical performance criteria. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program, 2025 | | | | | Interprofessional Care Coordination of Concussion -, A comprehensive presentation integrating multidisciplinary insights was successfully completed, combining advanced scientific concepts with clinical applications in concussion diagnosis and management. Educational experience synthesized data from circulating biomarkers, genetic markers, and laboratory validation processes to foster a holistic understanding of the neurophysiological and molecular underpinnings of concussion. Curriculum utilized scientific rigor to delineate contributions of each component to evidence-based clinical decision-making and personalized patient care. Overall, the course enriched proficiency in incorporating sophisticated diagnostic strategies into clinical practice, thereby enhancing
capacity to deliver optimized, patient-centered care. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program , 2025 | | | | | Advanced Imaging for Hip Pathologies-, Completed an in-depth course on advanced imaging techniquesfor the hip joint, focusing on MRI and MR arthrography (MRA) for diagnosing intra-articular and periarticular conditions. Key learnings included MRI protocols for femoroacetabular impingement (FAI), labral tears, avascular necrosis (AVN), and osteoarthritis. The course emphasized appropriate indications for MR arthrograms in labral pathology, interpretation of T1-weighted, STIR, and fat-suppressed proton density sequences, and the role of 3D isotropic imaging in detecting subtle cartilage and labral defects. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE,, 2025 | | | | | Radiographic Analysis and Interpretation of Hip Pathology-, Completed comprehensive training on radiographic analysis of the hip joint, including standard imaging protocols such as AP pelvis, AP hip, frog-leg lateral, and Dunn views. Developed proficiency in identifying radiographic markersof common hip conditions, including cam and pincer lesions in FAI, joint space narrowing in osteoarthritis, subchondral sclerosis, and femoral head collapse in AVN. Training included structured radiographic reporting for enhanced communication between musculoskeletal providers and orthopedic specialists. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE,, 2025 | | | | | Interventional Hip Injection Therapy in Musculoskeletal Management-, Acquired specialized knowledge in hip injection therapy, including diagnostic and therapeutic applicationsof corticosteroids, platelet-rich plasma (PRP), and hyaluronic acid. The course covered fluoroscopic vs. ultrasound-guided techniques, indications for intra-articular vs. periarticular injections, and clinical decision-making for non-surgical management of osteoarthritis, labral pathology, and trochanteric bursitis. Emphasis was placed on interprofessional collaboration between chiropractors and orthopedic surgeons in coordinating post-injection rehabilitation and optimizing patient outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE, 2025 | | | | | Surgical Considerations and Postoperative Rehabilitation in Hip Pathology-, Completed advanced training on surgical indications and post-surgical rehabilitationfor hip pathology, including total hip arthroplasty (THA), arthroscopic labral repair, core decompression for AVN, and surgical fixation for SCFE. Gained expertise in preoperative patient selection criteria, surgical referral guidelines, and post-surgical rehabilitation protocols. Training included rehabilitation timelines for THA, hip arthroscopy, and osteotomies, with a focus on gait retraining, strength progression, and functional return to activity. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE, 2025 | | | | | Acute vs Degenerative Intervertebral Disc Disease, advanced training on sensory nerve ingrowth into degenerating intervertebral discs and its role in triggering chronic discogenic pain following trauma. This course covered the pathophysiological mechanisms behind nerve ingrowth, including annular fissures, inflammatory mediators, and nociceptive activation, and how these factors contribute to the conversion of pre-existing but asymptomatic disc degeneration into a functionally limiting condition post-trauma. Special emphasis was placed on legal causation standards, including the "but for the accident" argument, the Eggshell Plaintiff Doctrine, and MRI findings that support the distinction between pre-existing asymptomatic degeneration and post-traumatic pain syndromes in personal injury litigation. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | | | Acute vs Degenerative Intervertebral Disc Disease, training on sensory nerve in-growth in degenerating intervertebral discs, focusing on the biochemical mechanisms of nociceptive sprouting and the clinical significance of neovascularization in chronic discogenic pain. The course examined the role of nerve growth factor (NGF), calcitonin gene-related peptide (CGRP), and substance P, which drive sensory nerve expansion and increase pain perception in degenerative discs. Clinical applications included the useof high-intensity zones (HIZ) on MRI as a marker for pathologic nerve ingrowth and the role of regenerative medicine, including platelet-rich plasma (PRP) and stem cell therapy, in mitigating disc-related pain. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | | | Acute vs Degenerative Intervertebral Disc Disease, presentation on intervertebral disc grading with a focus on the Pfirrmann MRI classification system for disc degeneration. This training provided an in-depth examination of Pfirrmann’s five-tier grading scale, detailing its clinical and research applications, as well as its role in legal cases differentiating acute trauma from chronic degenerative changes. The course also covered the comparative inter-rater reliability of disc grading systems, including Thompson, Schneiderman, and Modified Pfirrmann scales, highlighting their strengths and limitations. The Pfirrmann system was recognized as the gold standard for assessing disc degeneration severity, with practical applications in treatment planning, surgical decision-making, and medico-legal documentation. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | | | Acute vs Degenerative Intervertebral Disc Disease, evidence-based review of the Fardon et al. criteria for intervertebral disc morphology, focusing on the 2014 revisions and their implications for clinical and legal practice. This training covered the differentiation of disc bulges, protrusions, extrusions, and sequestrations on MRI, ensuring proper classification and reporting of disc pathology. Special emphasis was placed on the role of annular fissures, high-intensity zones (HIZ), and Modic changes in diagnosing symptomatic disc disease and distinguishing pre-existing degenerative changes from acute traumatic injury. The course also explored the relevance of these MRI criteria in personal injury and workers' compensation cases, providing a standardized framework for expert witness testimony and medicolegal reporting. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE,, 2025 | | | | | Foundations of Clinical Judgment and Gestalt Reasoning, Participated in academic instruction on the principles of clinical gestalt, exploring how experienced clinicians synthesize intuition, pattern recognition, and patient context to make real-time decisions. Gained insight into how tacit knowledge and experiential learning contribute to rapid diagnostic formulation, especially in emergency and outpatient care environments National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | | | Application of Diagnostic Sensitivity and Specificity, Completed coursework emphasizing the interpretation and application of diagnostic test characteristics, including sensitivity and specificity. Developed an understanding of how these metrics are used to guide screening and confirmatory strategies, and how to apply them in selecting appropriate diagnostic tools in various clinical scenarios. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | | | Introduction to TBI Biomarkers and Advanced Neuroimaging, Studied the clinical utility of traumatic brain injury biomarkers (UCH-L1, GFAP, Neurofilaments, and S-100B) and their temporal profiles. Reviewed imaging techniques such as Diffusion Tensor Imaging (DTI) and their application in diagnosing and monitoring brain injury. Engaged in discussions based on content from the National Academies of Sciences Workshop proceedings on biomarker integration in TBI care. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | | | Overview of FDA Regulatory Pathways and Laboratory Certification, Received instruction on FDA approval processes for medical devices, including 510(k), De Novo, and PMA pathways. Reviewed classification of medical devices by risk and studied key laboratory certification standards such as CLIA and ISO 13485. Developed foundational knowledge in the regulatory framework supporting safe and effective clinical innovation. National Spine Management Group, Federation of Chiropractic Licensing Boards PACE, 2025 | | | | | Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases, the 4 corners of a narrative and documenting damages with understanding defense medical documentation and consistent reporting of bodily injuries. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Part 2, Understanding report writing and the types of medical reports required for court inclusive of diagnosis, prognosis and treatment plans with requirements of reporting causality and permanency. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your documentation and understanding all collaborative documentation and how it fits into your diagnosis, prognosis and treatment plan, Understanding the nuances of the functional losses of your patients related to their bodily injuries, Academy of Chiropractic, Post-Doctoral Division. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 2, Utilizing demonstrative documentation in direct examination and communicating the results of your care concurrently with the written documentation and reporting an accurate diagnosis for all images. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, The evaluation, interpretation and reporting of collaborative medical specialists results and concluding an accurate diagnosis inclusive of all findings and reviewing all images to ensure an accurate diagnosis. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Determininig and documenting disabilities and impairments inclusive of loss of enjoyment of life and duties under duress and the evaluation and validation of pain and suffering. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony, Reporting your documentation factually and staying within the 4 corners of your medical report and scope of practice inclusive of understanding how your credentials allow you to report your documentation. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, A Documentation Relationship Between the Doctor and Lawyer, The level of organization required in a medical-legal case that accurately reflects the bodily injuries of your patients and the time constraints in rendering an accurate report. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Reviewing the facts of the case inclusive of your documentation, the defense medical examiner, medical specialists and the attorney to ensure accurate and consistent reporting. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Creating demonstrative evidence, visuals of your patient's bodily injuries inclusive of x-rays, MRI's, CAT Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc with ipsilateral findings and contralateral symptomatology. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY 2024 | | | | | Ethical Financial Relationships with Attorneys, Ethical financial relationship with lawyers and the documentation needed from the provider to define the relationship. Assignments, release of records, right to receive information, explaining statutes of limitations and document exchange are detailed. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2024 | | | | | Legality of Assignments, assignment of rights and benefits. What that means in a contemporary clinical practice and how to ensure you have the legal authority to bill and collect based on necessary documentation. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2024 | | | | | Ethical Medical-Legal Financial Relationships, Part 1, Detailing what an ethical relationship is for the doctor and attorney. It describes the differences in ethics for a lawyer and doctor and what constitutes a licensure violation in both practices. It also details how to ensure your documentation supports ethical relationships. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2024 | | | | | Ethical Financial Relationships, Part, Managing cases where lawyers are unethical and understanding the Rules of Professional Conduct mandated for lawyers nationally. It helps you creates business systems to manage these types for cases and work within the framework of the laws in each state to ensure compliance. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2024 | | | | | Documentation Required to Ensure a Reasonable Conclusion to a Case with an Attorney, The “Rules of Professional Conduct” as mandated by license for lawyers and further defines documentation required for a doctor to use with cases involving lawyers. It also details the necessary documentation needed for a doctor to provide in detailing injuries to patients in an evaluation and management encounter and a final narrative for the courts. Academy of Chiropractic Post-Doctoral Division, Long Island, NY 2024 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – RAND Center for Collaborative Research – discussion and review of the RAND Corporation’s Center for Collaborative Research in Complementary and Integrative Health (CIH), established in 2020. Outline of the responsibilities of a profession were presented including development of continued knowledge related to the profession that has an influence on the lives of the public. Details of the collaboration and sharing of financial, epidemiological, statistical, and public health professionals within a consortium of academic institutions. Presentation of objectives of CIH including maintaining guidance and support to chiropractic college institutions, training for investigators and the improvement of funding competitiveness through increased scale and reduced transaction costs of research was reviewed. 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 – 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Diagnosis and Management of Lumbar Spinal Stenosis – review of MRI as the gold standard for the diagnosis of lumbar stenosis (LSS) with emphasis on plain film radiograph’s historical limited role in 3-D diagnosis. Analysis of a convolutional neural network (CNN) for the diagnosis of severe lumbar stenosis using radiography was presented. Discussion of gradient weighted class activation mapping (Grand-CAM) was reviewed. Overview of the algorithm trained by a CNN to identify LSS on radiographs which showed high diagnostic accuracy and its application as a possible triage tool was presented. 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 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Pathophysiology of Craniocervical Arterial Dissection, detailed review of the anatomical structure and layers of the arterial wall was presented including the tunica externa, intima, and adventitia. Discussion of intimal tearing and thrombus formation was provided focused on hypoxic clinical patient presentations. Diagnostic angiography as the gold standard was presented. Clinical presentation of craniocervical arterial dissection was reviewed with past medical history such as genitive connective tissue disorders such as fibromuscular dysplasia, Ehlers-Danlos, Marfan, and Loeys-Dietz syndromes. Delineation between musculoskeletal and vascular manifestations of head/neck pain was presented and outlined with particular attention being given to hypoxic clinical presentations. 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 – 2023 | | | | | Spine Management Grand Rounds Internet Live and Recorded Regularly Scheduled Series – Pathophysiology of Intermedullary Spinal Cord Tumors – Part 1 – discussion of Intermedullary Spinal Cord Tumors (IMSCT) was presented with details regarding astrocytoma, hemangioblastoma and ependymomas. Review of specific characteristics of each of and their visualization on T1, T2 and STIR MRI images was presented. Clinical manifestations were emphasized including neck and back pain with details surrounding interprofessional communication with the neurosurgeon presented. Emphasis was additionally placed on early diagnosis and aggressive management with the spine surgeon. Intermedullary spinal cord metastasis was detailed and presented in the context of the neck and back pain patient. 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 – 2023 | | | | | Spine Management Grand Rounds Internet Live and Recorded Regularly Scheduled Series – Pathophysiology of Intermedullary Spinal Cord Tumors – Part 2 – review of interprofessional communication with the neurosurgeon and primary care physician in patients with IMSCT was presented. Intraoperative ultrasonography as a surgical adjunct to assist in the location and measurement of IMSCT was outlined. Importance of delineation of tumor versus normal tissue was described and emphasized. Surgical considerations for removal were outlined and correlated to operative outcomes. Specific surgical technique was presented and outlined in an evidenced based systematic review. 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 – 2023 | | | | | Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Magnetic Resonance Imaging Diagnosis of Demyelinating Diseases – detailed review of the most common demyelinating diseases including multiple sclerosis, neuromyelitis optica spectrum disorder (NMOSD), acute disseminated encephalomyelitis (ADEM) and myelin oligodendrocyte glycoprotein (MOG) encephalomyelitis was presented. Specific findings on advanced imaging such as MRI were presented to ensure a timely and accurate diagnosis. MRI roles including diagnosis, imaging biomarkers and the monitoring of pharmacological side-effects were listed and discussed. Characteristic lesions of demyelinating disease were presented and listed in detail with a specific focus on the T1, T2 weighted images and sagittal FLAIR was presented. 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 – 2023 | | | | | 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. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards>, 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, 2021 | | | | | 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 in stroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], 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, 2021 | | | | | 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. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], 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, 2021 | | | | | 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. ,.[Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], 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, 2021 | | | | | Traumatic Brain Injury and Concussion Overview:, This section is an in-depth overview of traumatic brain injury in concussion. It discusses that all brain injuries are traumatic and dispels the myth of a “mild traumatic brain injury.” Also, this covers triage protocols and the potential sequela of patients with traumatic brain injuries. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division,, Long Island, NY, 2021 | | | | | Head Trauma and Traumatic Brain Injury Part 2:, This section continues with multiple case studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and also discusses recovery sequela based upon the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division,, Long Island, NY, 2021 | | | | | Head Trauma and Traumatic Brain Injury Part 1: , This section discusses gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. There are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, , Long Island, NY, 2021 | | | | | Concussion And Electroencephalogram Testing: , This this section covers concussion etiology and cognitive sequela where gross bleeding has not been identified on advanced imaging. It discusses the significance of electroencephalogram testing in determining brain function and pathology (if present). This module also covers the understanding of waveforms in electroencephalogram testing in both normal and abnormal scenarios. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division, , Long Island, NY, 2021 | | | | | Concussion And Electroencephalogram Testing Pathological Results: , This module covers amplitude, conduction and conduction delays as sequela to traumatic brain injury to diagnose concussion and traumatic brain injury in the absence of gross bleeding and advanced imaging. This section covers electroencephalograms and event-related potentials which measures the brain response that is a direct result of specific sensory or motor events. It is a stereotype electrophysiological response to a stimulus and provides a noninvasive means of evaluating brain function. In this module multiple case studies are discussed with ensuing triage protocols pending the results. Cleveland University, Kansas City, PACE Recognized by the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Post-Doctoral Division,, Long Island, NY, 2021 | | | | | The Basics of Orthopedic Testing, 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. 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, Buffalo, NY, 2021 | | | | | 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. 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, Buffalo, NY, 2021 | | | | | 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. 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, Buffalo, NY, 2021 | | | | | 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. 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, Buffalo, NY, 2021 | | | | | 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. 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, Buffalo, NY, 2021 | | | | | Clinical Grand Rounds – Mechanical Response of Damaged Human Cervical Spine Ligaments, discussion
of the biomechanical properties of cervical spinal ligaments under sub-failure loads. Ligaments
discussed were the Anterior Longitudinal Ligament, Posterior Longitudinal ligament and the
Ligamentum Flavum. Deformations exceeding physiological limitations were presented and reviewed.
Grade I and Grade II injuries were outlined and discussed. Presentation included observed ligamentous
injury significantly compromising ligament ability to give tensile support within physiological spinal
motion. Findings were clinically correlated to long term sequalae in Alteration of Motion Segment
Integrity and the AMA Guides to the Evaluation of Permanent Impairment 5th and 6th Editions. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, 2021 | | | | | 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. 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, Buffalo, NY, 2021 | | | | | Hospital Based Spine Care Qualified, Credentialed in hospital protocols, emergency room protocols, acute and chronic patient triage inclusive of MRI spine interpretation, spinal biomechanical engineering, head trauma, concussion, mild traumatic and traumatic brain injuries. Co-credentialed through the ACCME (Accreditation Council for Continuing Medical Education), Cleveland University – Kansas City and the Academy of Chiropractic, Long Island, New York, 2021, Long Island, NY, 2021 | | | | | 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. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021 | | | | | 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. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021 | | | | | 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. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021 | | | | | 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 Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021 | | | | | Anatomy and Physiology of Electrodiagnostics, An in-depth review of basic neuro-anatomy and physiology dermatomes and myotomes to both the upper and lower extremities. It covers the neurophysiology of axons and dendrites along with the myelin and function of saltatory for conduction. This section goes into depth into explaining the sodium and potassium pump’s function in action potentials. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021 | | | | | Nerve Conduction Velocity (NCV) Part 1, Discusses nerve conduction velocity testing, the equipment required and the specifics of motor and sensory testing. This section covers the motor and sensory NCV procedures and interpretation including latency, amplitude (CMAP) physiology and interpretation including the understanding of the various nuances of the wave forms. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021 | | | | | Nerve Conduction Velocity (NCV) Part 2, Covers a continuation of compound motor action potentials (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median, ulnar and posterior tibial nerves; known as carpal tunnel, cubital tunnel and tarsal tunnel syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic conclusions Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021 | | | | | Needle Electromyogram (EMG) Studies, Covers what EMG do inclusive of how the test is performed and the steps required in planning and electromyographic study. This covers the spontaneous activity of a motor unit action potential, positive sharp waves and fibrillations. It covers insertional activity (both normal and abnormal), recruitment activity in a broad polyphasic presentation and satellite potentials. This covers the diagnosing of patterns of motor unit abnormalities including neuropathic demyelinated neuropathies along with acute myopathic neuropathies. This section also covers the ruling out of false positive and false negative results. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021 | | | | | Electrodiagnostic (EMG/NCV) Overview and Clinical Grand Rounds, A complete overview of what EMG and NCV procedures, results, diagnoses and documentation. It covers the clinical incorporation of electrodiagnostic studies as part of a care plan where neuropathology is suspected. It also covers how to use electrodiagnostics in a collaborative environment between the chiropractor as the primary spine care provider and the surgeon, when clinically indicated. This section covers sample cases and health conclude and accurate treatment plans based upon electro-neurodiagnostic findings when clinically indicated. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021 | | | | | 2021 Spine Management Conference – West – The Spine Management Physician, – discussion of
the Spine Management Physician concept utilizing supportive evidence was presented. Outline
of trends in spinal pain management versus a curative model was discussed. Credentials,
training, and triage methods were demonstrated for the Doctor of Chiropractic to increase
proficiency in spine management. Scientific evidence supporting the need for a portal of entry
physician dedicated to spine management oversight was outlined. Key differences between
Spine Management Physician and Primary Spine Care were discussed. National Spine Management Group, LLC Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Chiropractic Evidence – Pain Management Care, outline of neurological mechanisms of central nervous system modulation of pain in the
human body was demonstrated. Specific peer-reviewed, medically indexed evidence was
presented starting with 2012 Systematic Review outlining spinal manipulation’s effectiveness in
pain management. Current evidence as well as future trends were discussed and presented.
Neurological downregulation was discussed including afferent and efferent neurological
pathways regulated by the dorsal horn of the spinal cord. Interprofessional communication and
compliant documentation of the pain management phase of care was emphasized National Spine Management Group, LLC Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Chiropractic Evidence – Corrective Care –, specific trends in the biomechanical assessment of the human spine were provided and
discussed. Emphasis was placed on the transfer of laboratory based biomechanical science and
clinical utilization of biomechanical parameters in the diagnosis and correction of spinal
biomechanical pathology. Peer reviewed medically indexed publications defining symptomatic
vs asymptomatic were presented and discussed. Sagittal alignment and its relation to pelvic
incidence was reviewed in relation to asymptomatic parameters. Interprofessional
communication relating to biomechanical stabilization and spinal rehabilitation was outlined
and reviewed. Review of a regional versus whole spine model of spine management was
presented emphasizing the needs of the patient, primary care physician, pain management
physician and spine surgeon. National Spine Management Group, LLC Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Physical Examination Workflows – Cervical Spine, detailed review of cervical spinal physical examination with emphasis on clinical triage
between anatomical and biomechanical sources of spine pain. Neurological evaluation of the
neck and surrounding structures was reviewed including pathological reflexes, assessment of
vascular compromise and myelopathic findings. Detailed patient screening was stressed and its
correlation to physical examination, red flags and relative vs absolute contraindications to
chiropractic care was presented. Patient positioning and efficient processes were reviewed and
demonstrated. Details relating to cervical spine and orthopedic testing was discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Physical Examination Workflows – Thoracic and Lumbar Spine and Pelvis –, – outlines of thoracic, lumbar and pelvis physical examination were
presented. Neurological evaluation of the lumbar spine and surrounding structures was
reviewed including pathological reflexes, assessment of cauda equina syndrome and triage
processes for neurologically compromised patients. Detailed screening was stressed and its
correlation to physical examination, red flags and relative vs absolute contraindications to
chiropractic care was reviewed. Patient positioning and efficient processes was reviewed and
demonstrated. Details relating to lumbar spine and pelvic orthopedic testing was discussed. National Spine Management Group, LLC Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Interprofessional Communication and Reporting, review of electronic health record workflows were presented and discussed with emphasis on
CPT compliant and efficient reporting. The importance of communication with the patient’s
other healthcare providers was outlined and discussed. Specific needs of the primary care
physician, pain management physician and spine surgeon were outlined and reviewed. Details
of simplified vocabulary and necessity of thoroughness were emphasized. Administrative
workflows ensuring regular and continued communication of clinical documentation was
provided. National Spine Management Group, LLC Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Patient Communication, communication
techniques were discussed with emphasis on patient comprehension to increase compliance and
reduce patient anxiety. Details were presented on simplification of complex medical
terminology to ensure understanding at the initial visitation as well as throughout the patient’s
care plan. Conversational interaction and dissemination of health information at the
appropriate comprehension level was provided. Proper reporting and interprofessional
communication were emphasized in a wholistic approach to supporting the patient’s needs. National Spine Management Group, LLC Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Intervertebral Disc Morphology, detailed
discussion of the morphological descriptions of intervertebral disc pathology in the cervical,
thoracic, and lumbar spine was presented. Differential diagnosis of disc bulge, herniation,
protrusion, extrusion, and sequestration were presented. Attention was given to the five grades
of annular fissure associating circumferential, radial, and transverse morphology. High intensity
zone (HIZ) was discussed in detail as well as its correlation to acute inflammatory fluid. Specific
MRI images were presented and correlated to consensus driven definitions of intervertebral disc
pathology. Pre-existing degenerative changes in the human spine such as disc osteophyte
complex, spondylosis, increased innervation of the intervertebral disc and endplate changes
were discussed and correlated to acute findings on MRI. In depth discussion of the difference
between morphology and etiology of intervertebral disc pathology was outlined. N National Spine Management Group, LLC Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Ligamentous Response to Traumatic Injury –, anatomical review of spinal ligaments including nerve supply and formation of scar tissue post
injury was presented. Function and histological composition were detailed and clinically
correlated to physiological thresholds. Injury thresholds were also outlined and compared to the
AMA Guides to the Evaluation of Permanent Impairment 5th and 6th edition. Detailed review of
radiographic findings in the cervical and lumbar spine in the presence of ligamentous injury was
reviewed and presented. Clinical criteria supporting the diagnosis of ligament injury and
ligament laxity including patient history, physical examination, radiographic findings, and
advanced imaging was presented. National Spine Management Group, LLC Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Causality and Spinal Ligamentous Injury -, detailed outline of acute versus chronic spine injury findings were presented. Reliable grading
systems for phases of spinal degeneration was reviewed and discussed. Scientifically validated
measuring process for intervertebral disc height and the 5 Grades of spinal degeneration
proposed by Kettler were outlined. Specific discussion was presented in the differential
diagnosis of ligament laxity due to degenerative process and acute ligamentous injury in the
functional spinal unit with specific examples of radiographic and advanced imaging findings.
Clinical correlation with Modic I, Modic II and Modic III endplate changes including cadaver
specimens was presented. National Spine Management Group, LLC Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Differential Spinal Tissue and Spinal Injury Triage, review of spinal tissue types and their response to physical stress and injury was presented.
Prognostic factors in patient management were presented in relation to injury to spinal
musculature, nerve tissue, ligamentous tissue, intervertebral disc, and bone. Tissue based
triage, patient and interprofessional communication was emphasized and stressed. National Spine Management Group, LLC Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | 2021 Spine Management Conference – West – Innervation of Spinal Structures, specific
reviewed of the anatomical innervation of pain generating structures in the human spine was
presented. Scientific chronology of nerve supply discovery was presented and discussed.
Increased innervation of the degenerating interverbal disc was presented and supported with
contemporary scientific evidence. Spinal ligamentous structures as pain generating entities
were also reviewed including anterior longitudinal ligament, posterior longitudinal ligament,
supraspinous ligament, interspinous ligament and facet capsule. Clinical correlation to patient
history, physical examination and imaging findings was emphasized with specific discussion on
interprofessional triage and patient management. National Spine Management Group, LLC Federation of Chiropractic Licensing Boards, Cleveland University of Health Sciences, College of Chiropractic, Kansas City, 2021 | | | | | Chiropractic Diagnosis and Management of Lumbar Ligament Laxity, detailed outline of injury
thresholds of the anterior longitudinal, posterior longitudinal and ligamentum flavum was presented in
the lumbar spine. Review of structural and physiological properties relating to stress/strain curve of the
above ligaments. Outline of the toe region, linear region and failure region was
demonstrated. Transversely isotropic material properties of spinal ligaments was included and
correlated to chiropractic care and impairment rating using the AMA Guides to the Evaluation and
Management 5th and 6th editions. 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 , 2021 | | | | | Chiropractic Diagnosis and Management of Whiplash Disorder –, outline and discussion of Whiplash as a
mechanism of injury with particular focus on damage to underlying tissue structures. Review of anatomy,
with specific focus on surrounding muscular, supraspinous ligament, interspinous ligament, spinal nerve,
spinal cord, facet capsule and dorsal/ventral nerve roots was presented. Clinical correlation to imaging
studies and its influence on management of the Whiplash patient was reviewed. Focused attention was
paid to Whiplash as a mechanism of injury and not a complete diagnosis. 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 – 2021. 2021 | | | | | 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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | 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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | 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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | 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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | 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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-10 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | 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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Evaluation and Management, An overview of the evaluation and management process inclusive of utilizing electronic medical records to conclude evidenced-based conclusions with the utilization of macros. The importance of adhering to an academic standard and considering co-morbidities. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Evaluation and Management, Concluding a chief complaint, history and what needs to be considered in a physical examination., This covers in dept the required elements for chief complain, history of present illness, review of systems, and past, family, and/or social history. This module also covers the following components of a physical examination: observation, palpation, percussion, and auscultation. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Evaluation and Management, Coding and Spinal Examination, Detailing 99202-99205 and 99212-99215 inclusive of required elements for compliant billing. It reviews the elements for an extensive review of systems, cervical and lumbar anatomy and basic testing. The course also covers the basics of vertebra-basilar circulation orthopedic assessment. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Evaluation and Management, Neurological Evaluation, Reviewing complete motor and sensory evaluation inclusive of reflex arcs with an explanation of Wexler Scales in both the upper and lower extremities. The course breaks down testing for upper and lower motor neuron lesions along with upper and lower extremity motor and sensory testing examinations. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Evaluation and Management, Documenting Visit Encounters, Forensically detailing the S.O.A.P. note process for visit encounters and discussing the necessity for clinically correlating symptoms, clinical findings and diagnosis with the area(s) treated. It also details how to modify treatment plans, diagnosis, document collaborative care and introduce test findings between evaluations. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Evaluation and Management, Case Management and Treatment Orders, This module discusses how to document a clinically determined treatment plan inclusive of both manual and adjunctive therapies. It discusses how to document both short-term and long-term goals as well as referring out for collaborative care and/or diagnostic testing. It also includes how to prognose your patient and determine when MMI (Maximum Medical Improvement) has been attained. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | Credentialed in MRI 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, Buffalo, NY, 2020 | | | | | Primary Spine Care 2: Spinal Trauma Pathology, Morphology of healthy and traumatized connective tissue and the permanency implication of adhesions, spinal disc morphology in the healthy and pathological patient as sequella to trauma in relationship to bulges, herniations, protrusions, extrusions and sequestrations. Aberrant spinal biomechanics and negative sequella to trauma. Cleveland University – Kansas City, Academy of Chiropractic, Setauket, NY, 2020 | | | | | Primary Spine Care 2: Utilizing Research in Trauma, The ability of your electronic health records to convey tissue pathology while documenting case studies, field experiments, randomized trials and systematic literature reviews, Introducing evidence based macros in documentation to support the literature and necessity of care. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Setauket, NY, 2020 | | | | | Primary Spine Care 2: Chiropractic Evidence, Analyzing segmental pathology, adjusting vs. mobilization with cervicogenic headaches, Opioid alternatives and case management of mechanical spine pain based upon outcome studies. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Setauket, NY, 2020 | | | | | Primary Spine Care 2: Chiropractic Spinal Adjustment Central Nervous System Processing, Literature reviews of mechanoreceptor, proprioceptor and nociceptor stimulation of later horn gray matter with periaqueductal stimulation affecting the thalamus and cortical regions with efferent distribution in disparate regions of the body in both pain and systemic stimulation. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Setauket, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. , 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | 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. 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, Buffalo, NY, 2020 | | | | | Interprofessional Hospital Based Spine Care, Trends in hospital and emergent care in the healthcare delivery system inclusive of policies, hospital staffing and current care paths for mechanical spine issues Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2020 | | | | | Neurology of Ligament Pathology- Normal Morphology and Tissue Damage, Connective tissue morphology, embryology and wound repair as sequalae to trauma. Full components of strain-sprain models and permanency implications with wound repair and osseous aberration with aberrant structural integrity. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, ny, 2020 | | | | | Neurology of Ligament Pathology- Spinal Biomechanics and Disc Pathology, Disc pathology as sequella to trauma; herniation, extrusion, protrusion, sequestration and how the spinal unit as one system creates homeostasis to balance the pathology. , Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2020 | | | | | Neurology of Ligament Pathology- Neurological Innervation, The peripheral and central innervation of the disc and spinal ligaments of the dorsal root ganglion, spinal thalamic tracts, periaqueductal gray areas innervating the Thalamus and multiple regions of the brain. The efferent neurological distribution to disparate areas of the spine to create homeostatis until tetanus ensues creating osseous changes under the effect of Wolff's Law. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2020 | | | | | 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,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,Long Island, NY 2020 | | | | | Clinical Grand Rounds – Understanding Surgical Approaches and Techniques
– overview of Lumbar Interbody Fusion (LIF) as an established treatment for a range
of spinal disorders such as degenerative pathologies, trauma, infection, and
neoplasm was presented. Mechanical techniques and implant processes were
discussed. Rage of LIF approaches was outlined including posterior lumbar interbody
fusion (PLIF), transforaminal lumbar interbody fusion (TLIF or MI-TLIF), oblique
lumbar interbody fusion/anterior to psoas (OLIF/ATP), anterior lumbar interbody
fusion (ALIF), lateral lumbar interbody fusion (LLIF). Review of Minimally Invasive
Surgery (MIS) was discussed and detailed. Spine Management Group, LLC,
Federation of Chiropractic Licensing Boards – PACE, State University of New York at
Buffalo Jacobs School of Medicine, and Biomedical Sciences – 2022. 2013 | | | | | 2023 National Spine Management Conference South – Role of a Spine Management Physician - , Outline and overview of what a Spine Management Physician is, and the present day need in healthcare. Details relating to the Doctor of Chiropractic filling that role with specific discussion related to WHY physical therapy, nurse practitioners or physician assistants are unable to fill this position. Overview of a spine manager’s role in the evaluation and triage of non-operative spine patients was presented. Introduction to the diagnosis of non-specific spine pain was outlined with focus on the needs of primary care, pain management and spinal surgeons. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2013 | | | | | 2023 National Spine Management Conference South – Moving From a Curative Model of Spine Care , A comprehensive look at the history of spinal care, degenerative changes and both regional and global spinal compensation. Outline the spine as a whole organ system that must be monitored in relation to physical activity, lifestyle, and traumatic patient history was discussed and presented. Application of spine management principles mirroring internal medicine disorders was presented and reviewed. Specific peer reviewed medically index research was presented outlining initial criteria for determining medical necessity of supportive spine care. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Interprofessional Communication with Primary Care Physicians, Research trends and working with primary care physicians was outlined. Focus on the conservative management of spinal conditions, aiding the primary care clinic and working to prevent unnecessary escalation of care. Reduction in opioid utilization and reduced surgery trends will be discussed. Research documenting modulation of pain at the central nervous system level with the chiropractic adjustment was presented. Application to real world scenarios including evaluation and management documentation was reviewed. Details of effective communication were presented including phone call, email, fax, and text messaging within the HIPAA compliance environment was discussed. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Interprofessional Communication with Pain Management Physicians , Chiropractic diagnosis of spinal ligament pathology will be discussed in the context of co-management with pain management specialists. Specific review of the role of a fellowship trained interventional pain management physician in your community will be presented. Review of epidural steroid injection, medial branch block and spinal ablation will be presented in the context of when and how to refer. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Interprofessional Communication with the Spine Surgeon , Spinal sagittal balance and spine surgery research trends will be reviewed. Chiropractic’s role in the conservative management of spinal biomechanics pre-surgery and post-surgery will be outlined. Terminology and documentation requirements will be presented. National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Anatomy and Physiology of the Healthy Intervertebral Disc , Anatomy of the healthy intervertebral disc and its nerve supply will be reviewed. A brief overview of the biochemical structure of the intervertebral disc will be presented. The role of the
intervertebral disc as a spinal stabilizer and its influence on facet joint function will be outlined. Specific
attention will be given to radiologic vocabulary such as intervertebral disc herniation, extrusion,
sequestration, and traumatic annular tears. MRI samples will be provided demonstrating. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023.
2013 | | | | | 2023 National Spine Management Conference South – Anatomy and Physiology of the Degenerated Intervertebral Disc , Anatomy of the degenerative intervertebral disc and its nerve supply will be reviewed. An overview of the biochemical process of intervertebral disc degeneration will be outlined. Specific attention will be given to the Pfirrmann Scale and radiographic terms such as desiccation, intervertebral disc bulge and degenerative annular tears. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Basic Spinal Biomechanical Modeling , Basic spinal biomechanical principles will be reviewed including sagittal spinal alignment and
coronal positioning in relation to the spinal facet joints. Research trends including symptomatic vs
asymptomatic spinal parameters will be presented in the context of the Doctor of Chiropractic as the
portal of entry spine care provider. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023.
2013 | | | | | 2023 National Spine Management Conference South – Spinal Ligament Histological Structure and Function , Histology of ligament structure and function will be presented. Microanatomy and the wound
repair process will be discussed. Structural deficits post ligament injury will be presented and reviewed.
Anatomical positioning of ligamentous structures will be outlined with specific attention to the spinal
enthesis and the difference between an enthesophyte and osteophyte in spinal degeneration. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023.
2013 | | | | | 2023 National Spine Management Conference South – Spinal Ligament Traumatic Pathology , Ligament pathology as a source of persistent spinal pain and dysfunction will be outlined and reviewed. Objectifying ligament injury will be presented, and context will be provided using plain film radiographs and MRI examples. Focus on facet capsules and interspinous ligament will be central to the discussion. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Compliance and Documentation , Review of federal documentation guidelines with specific focus on CPT coding for initial and re-evaluation visits. Detailed outcomes of documentation audits by insurance carriers, regulator and special investigators will be presented in a case study format. Emphasis will be placed interprofessional communication and compliance. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | | | 2023 National Spine Management Conference South – Trends in Chiropractic Research , Review and discussion of 2022/2023 research supporting the chiropractic profession and the
doctor of chiropractor as a spine care manager. Specific papers will be presented related to the pain
management, corrective, and health maintenance phases of chiropractic care. Overview of current and
future research trends will be demonstrated. . National Spine Management Group, LLC, Parker University, Alabama State Board of Chiropractic Examiners, Kentucky Board of Chiropractic, Louisiana State Board of Chiropractic Examiners, Texas Board of Chiropractic Examiners, Florida Board of Chiropractic Medicine, Arizona Board of Chiropractic Examiners, Federation of Chiropractic Licensing Boards – PACE, 2023. 2013 | | | |
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