Aaron Smith DC, DAAMLP
1603 Medical Parkway Suite 310, Cedar Park, TX, 78613
Phone: 512-918-2225
Fax: 512-918-2229
asmith@txspineandinjury.com
http://www.txspineandinjury.com

Occupational History

Clinic Director, Chiropractor, Texas Chiropractic and Rehab, PC  DBA: Texas Spine and Injury Center, Cedar Park, TX, 2007 - Present

Designated Doctor, Texas Department of Insurance / Division of Workers’ Compensation, State of Texas, 2012 - Present

Co-Director, Chiropractor, Advanced Spine and Joint Associates, Austin, TX, 2008 - 2010  

Chiropractor, Scott Chiropractic Center, Layton, UT, 2006 - 2007

Education and Licensure

Doctor of Chiropractic, Licensed in the State of Texas, License #10631, 2007 - present

Doctor of Chiropractic, Licensed in the State of Utah, License #6329800-1202, 2006 - 2008

Doctor of Chiropractic, Licensed in the State of Idaho, License #CHIA-1223, 2006 - 2008  

Doctorate of Chiropractic, Texas Chiropractic College, Pasadena, TX, 2006

Externship, Advanced Spine and Rehabilitation.  Las Vegas and Henderson, NV, 2006

Preceptorship, Texas Chiropractic College, Advanced Spine and Rehabilitation, Las Vegas and Henderson, NV, 2006

Neurosurgery Hospital Rotation Program, Texas Chiropractic College, St. Joseph Medical Center, Houston, TX, 2006

Chiropractic Internship, Texas Chiropractic College, Moody Health Center. Pasadena, TX 2005-2006

National Board of Chiropractic Examiners, Part I, 2004

National Board of Chiropractic Examiners, Part II, 2005

National Board of Chiropractic Examiners, Part III, 2006

National Board of Chiropractic Examiners, Physiotherapy 2006

National Board of Chiropractic Examiners, Part IV, 2006   

Bachelor of Science in Human Biology, Texas Chiropractic College, Pasadena, TX, 2004

Associate of Science, Utah Valley University, Orem, UT, 2002

Post-Graduate Education, Certifications, and Diplomates

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. Texas Chiropractic College Graduate Doctoral Program, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2018

Triage and Management of the Trauma and Non-Trauma Patient, Differentially diagnosing spinal issues in the trauma and non-trauma patient inclusive of spinal disc pathology utilizing x-ray, MRI, CAT Scan and clinical evaluations. Collaborative triaging protocols with neurologists, neurosurgeons, orthopedic surgeons, pain management and primary medical care providers with both mechanical and anatomical spinal pathologies. Academy of Chiropractic, Cleveland University - Kansas City Chiropractic and Health Sciences, Long Island, NY, 2018

Designated Doctor Certification Training Course, Training for doctors to authorize and certify maximum medical improvement, impairment rating, return to work, and extend of injury. Utilization and application of the AMA Guides to the Evaluation of Permanent Impairment, Official Disability Guidelines – Treatment in Workers Compensation (OGD) and MDGuidelines. Texas Department of Insurance Division of Workers’ Compensation Designed Doctor Outreach and Oversight Section, Austin, TX 2018

Primary Spine Care Qualified, This qualification includes graduate chiropractic education in healthy and traumatically altered spinal morphology inclusive of osseous, connective tissue and neurological structure, function and pathology. This certifies you are qualified in assessing predictive models in spinal biomechanics and devising engineering paradigms for treatment plans to maximize spinal homeostasis in an evidenced based conclusion. In addition, this qualification acknowledges your expertise in triaging the injured and coordinating collaborative care from the trauma through conclusion of rehabilitation, Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2017

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. Texas Chiropractic College, 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, 2017

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. Texas Chiropractic College, 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, 2017

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. Texas Chiropractic College, 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, 2017

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. Texas Chiropractic College, 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, 2017

Medical-Legal Insurance Documentation, Accurate and compliant documentation of history and clinical finding inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimburser’s requirements for complete documentation. Texas Chiropractic College, 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, 2017

MRI Spine Interpretation and Spinal Biomechanics, Bulging, herniated, protruded and extruded disc contemporary nomenclature, analysis and differential diagnosis. Connective tissue physiology and pathology with aberrant biomechanical permanent sequalae, Texas Chiropractic College, Academy of Chiropractic, Melville NY, 2017
 
Contemporary Literature in Spinal Biomechanics, Normal vs. pathological biomechanical spinal motion both in a single motor unit and coupling actions. Interdisciplinary approach to mechanical spine issues and evidenced based care paths, Texas Chiropractic College, Academy of Chiropractic, Melville NY, 2017
 
Documentation of Spinal Trauma, Interdisciplinary approaches in documentation of spinal related injuries inclusive of connective tissue disorders and biomechanical failure. Clinically correlating history, imaging, advanced imaging and clinical findings to conclude an accurate diagnosis, prognosis and treatment plan, Texas Chiropractic College, Academy of Chiropractic, Melville NY, 2017
 
Contemporary Literature of the Chiropractic Spinal Adjustment, The bio-neuro-mechanical scientific foundation of spinal lesion and the neurological pathways, both in the lower and upper motor neuron pathways. The autonomic sequella of the vertebral subluxation and the effects of the correction and maintenance of those lesions, Texas Chiropractic College, Academy of Chiropractic, Melville NY, 2017

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, 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, 2017

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, 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, 2017

Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various types of stroke identifying ischemia, hypoperfusion, infarct and penumbra zones and emboli. Cardiac etiologies and clinical features as precursor to stroke with associated paradoxical emboli and thrombotic etiologies. Historical and co-morbidities that have etiology instroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies. Texas Chiropractic College, 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, 2017

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, 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, 2017

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. Texas Chiropractic College, 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, 2017

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. Texas Chiropractic College, 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, 2017

Spinal Trauma Pathology: Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology,The biomechanics of traumatic disc bulges as sequella from trauma and the comorbidity of ligamentous pathology. Age-dating spinal disc pathology in accordance with Wolff’s Law. Texas Chiropractic College, 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, 2017

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 gray matter, thalamus and cortices involvement. Texas Chiropractic College, PACE Recognized The by 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, 2017

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. Texas Chiropractic College, 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, 2017

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. Texas Chiropractic College, 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, 2017

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. Texas Chiropractic College, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2017

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 reconstruction an accident. The application of the critical documentation acquired from an accident site. Texas Chiropractic College, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2017

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 gets translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident. Texas Chiropractic College, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2017
   
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. Texas Chiropractic College, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2017

Primary Spine Care Symposium – Interprofessional Spine Care, Clinical analysis of anatomic versus biomechanical spine pain and clinical triage protocols.  Relating current research trends in the Whole Spine Model of patient including normal versus abnormal sagittal curvature in the adolescent and adult spine, pelvic incidence as a parameter for sagittal balance in the human spine and current methods of assessment. Patient centered approach to Evidenced Based Spine care with a focus on diagnosis, prognosis and triage of the spine pain patient, Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville NY 2017

Primary Spine Care Symposium – Epidemiology of Spine Pain, Review of the current Centers for Disease Control [CDC] data on the frequency of musculoskeletal pain in the United States population with emphasis on pain of spinal origin.  CDC guidelines on opioid medication were discussed and correlated to persistent pain syndromes.  Research was reviewed showing the importance of managing the spine pain patient properly from the entry point of care with a concentration on maintenance of spinal biomechanics, Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville NY 2017

Primary Spine Care Symposium- Connective Tissue and Spinal Disc Pathology, The morphology and pathology of connective tissue, inclusive of spinal disc disorders and prognosticating wound repair with permanency implications. Disc bulge, herniation, protrusion and extrusion classifications based upon contemporary literature and how to age-date disc pathology, Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville NY 2017

Primary Spine Care Symposium – Physiology and Anatomy of Spinal Manual Adjusting, Understanding the role of mechanoreceptors, proprioceptors and nociceptors with facets, ligaments, tendons and muscles in aberrant spinal biomechanics. MRI and imaging studies of decompressing via a chiropractic spinal adjustment of the bio-neuro-mechanical lesion and its effects on the central nervous system both reflexively and supratentorally, Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville NY 2017

Primary Spine Care Symposium – Medical-Legal Documentation, The contemporary documentation required in a medical-legal environment that is evidenced based and meets the standards of the courts and academia. Utilizing the scientific data to support a diagnosis, prognosis and treatment plan while meeting the admissibility standards based upon a professional’s credentials. Texas Chiropractic College Post-Doctoral Division, Academy of Chiropractic Post-Doctoral Division, Melville NY 2017

Clinical Excellence in Chiropractic and Primary Spine Care, Academy of Chiropractic, 2017

Certification in Spinal Biomechanical Engineering, Texas Chiropractic College, 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, 2016

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. Texas Chiropractic College, 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, 2016

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. Texas Chiropractic College, 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, 2016

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. Texas Chiropractic College, 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, 2016

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. Texas Chiropractic College, 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, 2016

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. Texas Chiropractic College, 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, 2016

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. Texas Chiropractic College, 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, 2016

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. Texas Chiropractic College, 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, 2016

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. Texas Chiropractic College, 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, 2016

New Blood Biomarkers Useful for Concussion Diagnosis, The utilization of GFAP and UCH-l-1 in determining, traumatic brain injury, mild traumatic brain injury and mild-moderate traumatic brain injury as a triage tool to manage head trauma patients, Accreditation Council on Continuing Medical Education in cooperation with Medscape, 2016

Primary Spine Care – Central Nervous System Processing of Pain and Physiology, Central neural pathways of pain and higher cortical responses to pain and the effect of high amplitude-low velocity forces on mechanoreceptors and proprioceptors. The effects of neuropeptides on the hypothalamus, pituitary and adrenal axis when treating patients. Texas Chiropractic College, Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Melville NY, 2016
 
Primary Spine Care – MRI, Bone Edema and Degeneration, The effects of trauma on spinal vertebral segments and the short and long term sequella to morphology. Identifying and diagnosing bone edema, spurring, types of degeneration in assessing biomechanical stability in conjunction with Modic and Pfeiffer changes   Texas Chiropractic College, Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Melville NY, 2016
 
Primary Spine Care – Hospital and Emergency Room Care, Identifying spinal lesions inclusive of cord and root lesion through examination and advanced imaging in creating an accurate diagnosis, prognosis and treatment plan to effectively triage in collaboration and coordination with medical specialists and emergency department physicians. Differentially diagnosing and triaging disc degenerative bulges, traumatic disc bulges, protrusion herniations, extrusion herniations and fragmented herniations along with managing traumatically induced pain as sequella to degenerative disc trauma, Texas Chiropractic College, Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Melville NY, 2016

Certification as a Texas State Designated Workers’ Compensation Doctor, Texas Department of Insurance Division of Workers’ Compensation Designated Doctor Outreach and Oversight Section, Austin, TX, 2016  

Designated Doctor Certification Training Course,  Training for doctors to authorize and certify maximum medical improvement, impairment rating, return to work, and extend of injury.  Utilization and application of the AMA Guides to the Evaluation of Permanent Impairment, Official Disability Guidelines – Treatment in Workers Compensation (OGD) and MDGuidelines.  Texas Department of Insurance Division of Workers’ Compensation Designed Doctor Outreach and Oversight Section, Austin, TX 2016

Head Trauma, Brain Injury and Concussion, Brain and head physiology, brain mapping and pathology as a sequella to trauma. Traumatic brain injury, mild traumatic brain injury, axonal shearing, diffuse axonal injury and concussion are detailed in etiology and clinically.  Clinical presentation advanced diagnostic imaging and electrodiagnostics are detailed in analysis to create a differential diagnosis. Balance disorders that often occur as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis. Texas Chiropractic College, 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, 2016

Utilization of Research in the Clinical setting, Utilizing peer reviewed scientific literature in creating a diagnosis, prognosis and treatment plan for the chronic and acute patient. How to implement and stay current on techniques and technology in healthcare. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015

Certification in MRI Spine Interpretation, Texas Chiropractic College, Recognized by the PACE Program of 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, 2015  

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.  Texas Chiropractic College, Recognized by the PACE Program of 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, 2015  

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.  Texas Chiropractic College, Recognized by the PACE Program of 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, 2015  

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. Texas Chiropractic College, Recognized by the PACE Program of 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, 2015  

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. Texas Chiropractic College, Recognized by the PACE Program of 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, 2015  

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. Texas Chiropractic College, Recognized by the PACE Program of 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, 2015  

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. Texas Chiropractic College, Recognized by the PACE Program of 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, 2015  

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. Texas Chiropractic College, Recognized by the PACE Program of 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, 2015  

MRI Methodology of Analysis, MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized. New York Chiropractic Council, Texas Chiropractic College, Recognized by the PACE Program of 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, 2015  

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. Texas Chiropractic College, Recognized by the PACE Program of 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, 2015  

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. Texas Chiropractic College, Recognized by the PACE Program of 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, 2015  

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. Texas Chiropractic College, Recognized by the PACE Program of 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, 2015  

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. Texas Chiropractic College, Recognized by the PACE Program of 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, 2015  

Diplomate, American Academy of Medical Legal Professionals, 2015

Primary Spine Care, Neurophysiological central and peripheral nervous systems mechanisms of pain with integrated higher cortical functions of the thalamus, cingulate, amygdala, pre-frontal, motor and sensory cortexes. Trauma and chronic pain care effecting mechanoreceptors, nociceptors and proprioceptors through adjustive therapy based upon evidenced based care and current literature verification, Texas Chiropractic College, Federation of Chiropractic Licensing Boards, New York State Department of Education Board for Chiropractic, Academy of Chiropractic, Islandia NY 2015
 
Primary Spine Care with Interdisciplinary Collaborative Care, Triage of patients based upon MRI findings of disc herniation, disc bulge, protrusion, extrusion or sequestrations and spinal cord or nerve root negative sequella, clinical findings of neuro-compressive pathologies and neurodiagnostic findings of EMG-NCV, SSEP, VEP, BAER, VEP and V-ENG findings. Texas Chiropractic College, Federation of Chiropractic Licensing Boards, New York State Department of Education Board for Chiropractic, Academy of Chiropractic, Islandia NY 2015

Triaging the Trauma and Non-Trauma Patients, Correlating clinical findings and the patient history in determining the correct course of care in triaging the patient utilizing orthopedic and neurological evaluations in the clinical setting. Understanding the parameters for immediate referrals vs. following the continuum of care to determine the necessity for referrals. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015

Advanced Certification of Competency, Whiplash and Brain Injury Traumatology, Successfully completed a comprehensive training program and qualifying examination in biomechanics, occupant kinematics, clinical diagnostics, and management of spinal trauma and mild traumatic brain injuries, and having satisfied all other prerequisite training requirement. Spine Research Institute of San Diego, 2014

19th Annual Spine Research Institute of San Diego Scientific Conference,  A review of the entire year of scientific research and publication from the diverse fields of clinical medicine and automotive safety engineering, as well as research coming directly from SRISD and its research affiliate, the Center for Research into Automotive Safety and Health. In addition to the literature indexed by the National Library of Medicine, the conference reviews literature published in the Annual Association for the Advancement of Automotive Medicine Scientific Program, the Annual Conference of the International Research Council on the Biomechanics of Impact, the Annual SAE Stapp Car Crash Conference, the Annual International Traffic Medicine Association Conference, and the Annual International Technical Conference on the Enhanced Safety of Vehicles. Spine Research Institute of San Diego, Southern California University of Health Sciences, Coronado, CA, 2014

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, even data recorder and graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2014

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. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2014

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. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2014

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 relationship with the medical-legal community. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2014

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. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2014

Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2014

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 kinesiopatholog, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2014.  

Certification, Whiplash and Brain Injury Traumatology, Satisfactorily completed a comprehensive training program in whiplash and brain injury traumatology, emphasizing the biomechanics of injury mechanisms, occupant kinematics, automobile crash reconstruction methods, our most current knowledge of soft tissue, endocrinolgical, bony, and nervous system disorders, advanced imaging techniques, and comprehensive case management of whiplash and related disorders. Spine Research Institute of San Diego, Houston, TX, 2014   

Medicolegal Fundamentals for Practitioners and Forensic Experts - Whiplash Injury Biomechanics and Traumatology Module IV, Reporting, records keeping, medical photography, depositions, arbitrations, testifying in court, using evidence, medicolegal rebuttal, Daubert and Frye, motions in limine. Spine Research Institute of San Diego, Southern California University of Health Sciences, Houston, TX, 2014

Principles of Impairment Rating and Forensic Reporting - Whiplash Injury Biomechanics and Traumatology Module III,  Critical documentation including intake forms, SOAP notes, re-examinations, and supplemental reports, the narrative report disability questionnaires, independent medical examinations. Spine Research Institute of San Diego, Southern California University of Health Sciences, Houston, TX, 2014

Certification as a Texas State Designated Workers’ Compensation Doctor, Texas Department of Insurance Division of Workers’ Compensation Designated Doctor Outreach and Oversight Section, Austin, TX, 2014  

Designated Doctor Certification Training Course,  Training for doctors to authorize and certify maximum medical improvement, impairment rating, return to work, and extent of injury. Utilization and application of the AMA Guides to the Evaluation of Permanent Impairment 4th Edition, Official Disability Guidelines – Treatment in Workers Compensation (OGD) and MDGuideline.   Texas Department of Insurance Division of Workers’ Compensation Designed Doctor Outreach and Oversight Section, Austin, TX, 2014

Management Principles in Personal Injury and Forensic Documentation - Whiplash Injury Biomechanics and Traumatology Module II, In-depth training on accident reconstruction, history taking, physical examination, radiographic, CT and MR examination, and electrodiagnostics. Designing a treatment plan, activities of daily living, chiropractic manipulative therapy, physical therapy modalities, treatment of TMD, and maximum medical improvement (MMI). Spine Research Institute of San Diego, Southern California University of Health Sciences, Minneapolis, MN, 2014

Whiplash Advanced Topics: The Fundamental Science - Whiplash Injury Biomechanics and Traumatology Module I, Comprehensive biomechanics knowledge for forensic experts, including injury impairment scales, brain, neck, and cervical spine trauma mechanisms from motor vehicle crashes. Review of common muscle and joint syndromes, disorders, and criteria for referral and advanced imaging. Spine Research Institute of San Diego, Houston, Southern California University of Health Sciences, TX, 2014

Personal Injury Case and Medical Legal Management, Understanding Personal Injury Protection and Texas Department of Insurance Auto Insurance laws. Coding, compliance and documentation.  National Education Seminars, Texas Chiropractic Association, Austin, TX, 2013

Texas Designated Doctor and Physician Training, Utilization and application of the AMA Guides to the Evaluation of Permanent Impairment 4th Edition, Official Disability Guidelines – Treatment in Workers Compensation (OGD and MDGuideline). American Academy of Disability Evaluating Physicians, Texas Department of Insurance Division of Workers’ Compensation, Austin, TX, 2012

Certification as a Texas State Designated Workers Compensation Doctor, American Academy of Disability Evaluating Physicians, Austin, TX  2012  

Coding, Compliance, Ethics and Risk Management, Medicare compliance and Texas chiropractic office compliance. DC Seminars, Texas Chiropractic Association, San Antonio, TX, 2012

Mechanical Diagnosis and Therapy Part A - The Lumbar Spine, Mechanical diagnosis and therapy analysis and treatment protocols for the lumbar spine. The McKenzie Institute, Austin, TX, 2011

Whiplash Trauma and Permanent Soft Tissue Injuries, Clinical case management for MVA trauma. Texas Chiropractic College, San Antonio, TX, 2011

Musculoskeletal Practice Integration, Conservative care to surgical intervention. Multi-specialty care for better patient outcomes. University of Bridgeport College of Chiropractic, Dallas, TX, 2010

Orthopedic Care in the Primary Care Setting, Mild trauma triage for spine, upper extremity and lower extremity injuries. Texas Orthopedics Sports and Rehabilitation Associates, Texas Academy of Family Physicians, Austin, TX, 2009

Medical Legal Ethics, Texas required ethics and Medicare training for all Texas chiropractors. Texas Chiropractic Association, Austin, TX, 2009

Certification in Manipulation under Anesthesia, American Academy of Manual and Physical Medicine, University of Bridgeport College of Chiropractic Post Doctoral Education Division, Houston, TX, 2008

Texas Designated Doctor and Physician Training, Utilization and application of the AMA Guides to the Evaluation of Permanent Impairment 4th Edition. American Academy of Disability Evaluating Physicians, Austin, TX, 2008

Spinal cord and the peripheral nervous system, Clinical application with diagnosis and management of the spinal cord and peripheral nervous system. Carrick Institute of Graduate Studies, Pasadena, TX, 2006

Selected Teaching Positions


Adjunct Faculty, Department of Human Anatomy and Physiology, Community College of Southern Nevada, Las Vegas, NV, 2006

Memberships


Academy of Chiropractic – Active Trauma Team Member, 2017 - Present


American Academy of Medical and Legal Professionals, Member, 2014 - Present


Academy of Chiropractic, Member, 2014 - Present


Texas Chiropractic Association, Member, 2008 - Present


American Academy of Pain Management, Member, 2008 - 2010


American Chiropractic Association, Member, 2007 – Present