Rick Junnila DC , DAAPM
3249 Mt. Diablo Court, Lafayette, CA, 94549
Phone: 925-978-2225
Fax: 925-978-2229
rick@drrickJ.com
http://www.DrRickJ.com
SELECTED OCCUPATIONAL HISTORY
Owner, LifeStyle Health & Fitness, Oakley, CA, 2006 - Present
Director Manual and Physical Medicine, Sutter Occupational Health, Oakland , CA, 1999 - 2006
CEO, Castro Valley Medical Center, Castro Valley, CA, 1997 - 1999
Director Manual and Physical Medicine, Focused Rehab, Castro Valley, CA, 1994 - 1997
Partner, Delta Spine & Sportcare, Brentwood, CA, 1992 - 1994
Exam Doctor Rehabilitation Assistant, Dan Murphy, DC, DACBO, Pleasanton, CA, 1991 - 1993
Physical Therapy Aide, Institute for Physical Medicine, Pleasanton, CA, 1989 - 1991
EDUCATION AND LICENSURE
Doctor of Chiropractic, Licensed in the State of California, License # 22554, 1992-
Doctorate of Chiropractic, Life Chiropractic College West, Hayward, California, 1992
Internship, Life Chiropractic College, Hawyard, California,

SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

Impairment Rating, 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. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, 2019, 2020
Primary Spine Care 9, Chiropractic as the First Option for Spine, A Literature-Based Standard, Utilizing clinical findings in conjunction with advanced imaging and electrodiagnostic findings in managing collaborative relationships with medical specialists. Applying a literature standard to care to ensure conservative care as the first option. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island NY 2020, 2020
Primary Spine Care 9, Chiropractic as the First Option for Spine, A Literature-Based Standard, Managing spinal related cases based upon MRI findings of herniations, bulges, protrusion, extrusions (comminuted and fragmented) utilizing thin-sliced acquisition protocols. When to consider ordering T1, T2, Short Tau Inversion Radiant, proton density and Dixon sequencing for spinal related pathology, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island NY 2020, 2020
Primary Spine Care 9, Chiropractic as the First Option for Spine, A Literature-Based Standard, Creating literature-based documentation inclusive of history and a clinical examination that encompasses causality, diagnosis, prognosis and treatment plans. Ensuring the whole person impairment ratings are consistent with contemporary literature, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island NY 2020 2020
Primary Spine Care 9, Chiropractic as the First Option for Spine, A Literature-Based Standard, Spinal biomechanical engineering models related to pathobiomechanics and literature-based standards in creating an accurate diagnosis, prognosis, and treatment plan. Determining impairment ratings based upon alteration of motion segment integrity utilizing motion-imaging, and creating demonstrable evidence for continued treatment plans, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island NY 2020 2020
Mild Traumatic Brain Injury, Traumatic Brain Injury and Concussion, Deferentially diagnosing mild traumatic brain injury vs. traumatic brain injury and the clinical and imaging protocols required to conclude an accurate diagnosis for head trauma. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post Doctoral Division, 2019
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 or PACE Recognized by The Federation of Chiropractic Licensing Boards],Academy of Chiropractic Post Doctoral Division, 2019
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, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2019
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, PACE approved of the Federation of Chiropractic Licensing Boards, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2019
Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your documentation and understanindg 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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island NY , 2019
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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island NY , 2019
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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island NY , 2019
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Determining 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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island NY , 2019
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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island NY , 2019
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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island NY , 2019
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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island NY , 2019
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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island NY , 2019
Bio-Neuro-Mechanical Mechanism of the Chiropractic Spinal Adjustment, Primary Spine Care 5, The biological, neurological and mechanical mechanisms and pathways from the thrust to the lateral horn and brain connection and how the brain processes the chiropractic spinal adjustment based upon the literature. Care paths of chiropractic and physical therapy from an outcome basis. Academy of Chiropractic PostDoctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island NY, 2018
Basic and special concepts of biomechanics, Properties of discs, ligaments, muscle and bone, as well as the normal motion of the cervical spine. Soft tissues have viscoelastic material properties which is key to understanding injury mechanisms. He will also touch on the concepts of coupled, intersegmental, and paradoxic motion. Spine Research Institute of San Diego CA, 2018
Injury impairment scales (AIS, IIS, ISS, KABCO), Widely adopted cervical acceleration/deceleration (CAD) (or whiplash-associated disorder or WAD) grading system which he developed more than a decade ago. This grading system, which has now been validated in numerous studies, provides the basis for effective intervention and for prognostication. Spine Research Institute of San Diego CA, 2018
Epidemiology of whiplash, The tremendous scope of the current public health problem and the factors contributing to it. He reviews the substantial international literature, including the latest crash data of real world crashes obtained from on-board black boxes. He develops from this analysis—as well as his own published research—a risk estimate for adults and for children, incidence rates, and the prevalence of chronic pain in the U.S. attributable to motor vehicle trauma. With all the confusion and misinformation that exist regarding low speed crashes, amounts of property damage, and relative risk, Dr. Croft is careful to clarify these issues in great detail. For example, and perhaps counter-intuitively, within a specific range of low speed crashes, it is shown that the risk for occupant injury is actually greater when property damage is minimal. Spine Research Institute of San Diego CA, 2018
Brain, neck, and cervical spine trauma mechanisms from motor vehicle crashes (MVC), Nomenclature and progresses to a discussion of velocity change (delta V), barrier velocity, and the ways in which velocity, time, and acceleration interact to affect the risk for occupant injury. Dr. Croft then takes attendees on an exploration of our current knowledge based on mathematical models, animal experiments (including the porcine experiments from whence the neck injury criterion (NIC) was proposed), cadaver experiments (where many recent discoveries have been made), dummy experiments (including those of the newest rear impact dummies or RID, which have been tested at the Spine Research Institute of San Diego by Dr. Croft and others), and, finally, the numerous human subject volunteer crash tests. Dr. Croft discusses his several years of crash testing as well as all of the other serious research in that area. As always, his presentation is replete with video footage and illustration to assist in understanding. Also in this section, Dr. Croft will discuss crash vectors other than rear, the important vehicle and subject parameters which modify risk, the dubious practice of estimating injury risk from property damage, the New Car Assessment Program and its unintended effects in low speed crashes, head restraints, seat backs, air bags, and other safety systems and how they modify injury risk and severity. Also discussed will be the general sequence of kinematic events in CAD injury and their relative timing, the head injury criterion (HIC), the neck injury criterion (NIC), and other important injury assessment reference values (IARV). Spine Research Institute of San Diego CA, 2018
Soft tissue injuries, Soft and hard tissue injuries resulting from whiplash, including data obtained from experimental animal research and surgical and autopsy findings. Fractures (stable and unstable), dislocations, and the broad range of soft tissue lesions, or WAD, will be discussed in the context of mechanism of injury and vector-based occupant kinematics. Dr. Croft has catalogued an immense database of this literature. He will offer an explanation for most of the common components of CAD/WAD including headache, various types of neck and back pain, shoulder and upper extremity pain, lower extremity pain, neurological syndromes, dizziness/lightheadedness, vertigo, visual disturbances, cognitive, and endocrinological disorders, and will additionally explore the common phenomenon of delayed onset of symptomatology. Spine Research Institute of San Diego CA, 2018
Common Syndromes, Common syndromes associated with whiplash include cognitive disorders, usually resulting from mild traumatic brain injury (MTBI), postconcussion syndrome (PCS), thoracic outlet syndrome (TOS), TM joint disorder, carpal tunnel syndrome (CTS), posttraumatic headache, myofascitis, and numerous other less common conditions. Also discussed will be the clinical and diagnostic components of each, again making constant reference to current world literature. Common symptoms of whiplash will be explained and, for those conditions that remain poorly understood, Dr. Croft will discuss the relevant literature and develop and/or describe the best and most current hypotheses. Dr. Croft goes into extensive detail on the subject of MTBI, ranging from the history of our knowledge base to current predictive models, and outlines the range of common symptoms resulting from this all too common, but poorly understood, condition. Headaches are discussed in the context of current classification systems, including that of the International Headache Society. Long-term consequences of MTBI in children and adults is also discussed. Spine Research Institute of San Diego CA, 2018
Conditions affecting muscles, The two most common forms of posttraumatic muscle disorder: myofascitis and fibromyalgia, going into detail about their respective diagnostic methods and criteria, such as those of the American College of Rheumatology. He will also provide a historical account of this controversial area, beginning with Virchow in 1852, and ending with the latest research findings. Spine Research Institute of San Diego CA, 2018
Pain syndromes, Neurogenic pain, i.e., the pain that is conducted from peripheral nociceptor to dorsal root ganglion, to spinal cord, and eventually to the somatosensory cortex via the lateral spinothalamic tracts and thalamus, is the type studied and understood by most practitioners. However, few practitioners possess a deep understanding of discogenic, vertebrogenic, and scleragenic pain mechanisms, all of which are critically important in the diagnosis, management, and medicolegal explanation of most CAD cases. Dr. Croft explores the various pain mechanisms associated with CAD injury and its sequelae. He also looks at the epidemiology of chronic pain, sleep disturbance, and depression as an alternate explanation for some CAD symptoms. Spine Research Institute of San Diego CA, 2018
Outcome of CAD injury, For many, this is perhaps the most poorly understood area of this science, despite the magnitude of the current literature that is available. It is also one of the most hotly contested subjects from a forensic standpoint. Yet, in spite of the commonly voiced misconceptions about recovery from CAD, the preponderance of the evidence is clear and unambiguous. Dr. Croft reviews the substantial outcome literature and statistics in detail, and presents not only a thorough meta-analysis of it, but also develops a comprehensive risk analysis methodology found nowhere else. He explores the known risk factors for acute injury, as well as the risk factors for poor outcome—information that provides the physician and the patient with a meaningful guide to management and a scientific basis for clinical expectation. Moreover, Dr. Croft will emphasize the unique qualifications and role of the physician in this comprehensive risk analysis, which typically overshadows simple crash reconstruction or biomechanical analysis in its scope and construct validity. The section concludes with a review of the current literature on litigation neurosis concerning CAD and MTBI. Spine Research Institute of San Diego CA, 2018
Accident reconstruction primer, Newton's laws of motion, vehicle dynamics, conservation of linear momentum methods, restitution and energy methods, barrier equivalent methods, computer methods, and the practical application of those laws to the understanding vehicle dynamics and occupant kinematics. Dr. Croft will also discuss the application of data retrieved from event data recorders (ERD)—the vehicle’s on-board black box—and his own research from years of crash testing. He will also go beyond classical reconstruction and correlate these reconstructions with occupant kinematics and known risk factors: a dimension in which classically-trained accident reconstructionists, biomechanists, and engineers are not trained. With a good comprehension of the principles taught in this section, along with the risk factor analysis material and other information presented in Module 1, physicians will have the necessary intellectual tools to assess the relative validity and credibility of most reconstructions and biomechanical analyses pertaining to LOSRIC. A final section critically examines the uncertainty of LOSRIC reconstruction and presents both mathematical (log-differential) and practical ways of assessing the reliability and validity of these reconstructions based on the data from which they were constructed. Spine Research Institute of San Diego CA, 2018
History taking MVC, The historical data necessary to provide not only optimal medical/chiropractic care, but also to ensure that a comprehensive record of pertinent facts is available for forensic purposes when needed. Attendees will learn to use a standardized history form developed by Dr. Croft. From this, concise and comprehensive case reports can be produced, as will be developed in great detail in Module 3. Moreover, in cases in which permanent residuals result, it is important to make a determination concerning apportionment of any pre-existing disability that may have been present. Dr. Croft will present a standardized, scaled lexicon for severity and frequency of symptoms for general use and for use in apportionment questions. This method is formula-based and is highly dependent on accurate historical data. Spine Research Institute of San Diego CA, 2018
Physical examination, The important general and special examination procedures and methods, including neurological (sensory, deep tendon and superficial reflexes, motor, visual, and coordination), orthopaedic, and cognitive examination methods. Dr. Croft will discuss the use of the SCL-90-R and all of its dimensions, the postconcussion syndrome examination, and vestibular tests. He’ll also discuss musculoskeletal exam procedures, special tests, such as those for the TM joint, CTS, and TOS; tests to rule out malingering (including the AMA’s methods of assessing repetitive ranges of motion vs. the coefficient of variation methods), and the most scientific way of estimating probable normal ranges of motion using published regression equations. Spine Research Institute of San Diego CA, 2018
Radiographic examination, Guideline-based radiographic procedures in terms of what views to obtain and when. He will also discuss the sensitivity and specificity of radiography in terms of its limitations in the diagnosis of both fractures and soft tissue injury, comparing emergency department films (e.g., cross-table laterals) with clinic-based films (e.g., standing 7-view studies). He’ll contrast cost containment issues with physician accountability and responsibility. He’ll additionally review the various established methods of stability assessment of motion films, using mensuration schemes as well as templating protocols, and he’ll point out their relative validity. Some are as recent as 2003. He’ll discuss the cervical curve and the SRISD’s ongoing research in that area. Spine Research Institute of San Diego CA, 2018
CT examination, CT technology remains the test of choice in the acute situation for conditions such as serious brain trauma. It is also still an important imaging study for fracture and other conditions. These are discussed in this section. Spine Research Institute of San Diego CA, 2018
MRI examination, Motion MRI and MRI neurography, as well the limitations of this technology in CAD trauma. It is now emerging that special techniques, such as proton density-weighted MRI, are required to visualize the various ligamentous components of the cervical spine and that certain cervical ligaments are better viewed using T2-weighted fast spin echo sequences, while others are better appreciated using T1-weighted sequences. Despite this, however, recent cadaver research highlights the shortcomings of even high resolution MRI in the detection of some cervical soft tissue lesions. Dr. Croft will discuss the most recent and relevant studies. He will also contrast the sensitivity of CT, MRI, and SPECT for brain injury. Spine Research Institute of San Diego CA, 2018
Special diagnostic imaging, Advanced diagnostic imaging modalities which are available to clinicians today, including intravenous contrast-enhanced MRI and CT, arthrography, discography, videofluoroscopy (VF), radionuclide bone scan, single photon emission computed tomography (SPECT), positron emission tomography (PET), and color-coded duplex sonography (CCDS). The relative strengths, weaknesses, and clinical indications of each will be described. An algorithm for choosing specific tests will be developed. In this section, Dr. Croft will also review the natural history of disc disease and the prevalence of herniation among the asymptomatic population in both cervical and lumbar spines—another area rife with misinformation. Spine Research Institute of San Diego CA, 2018
Electrodiagnostics, Foundational discussion of relevant neuropathophysiology which segues into an easily understood synthesis of the currently available electrodiagnostic tests which are potentially useful in CAD trauma. These include various forms of electroencephalography (EEG), brain stem auditory evoked response (BAER), visual evoked potentials (VEP), electronystagmography (ENG), brain electrical activity mapping (BEAM), electromyography (EMG and sEMG), nerve conduction velocity (NCV), and somatosensory evoked potentials (SSEP). Discussions will always include the modality’s relative strengths and weaknesses and clinical indications/contraindications. As always, tables are provided for convenient reference. Spine Research Institute of San Diego CA, 2018
Summary of diagnostic testing, Summary and simplification of the myriad of imaging, electrodiagnostic, and other tests that are currently available on a condition-by-condition basis. For example, for MTBI, imaging studies include CT and MRI, SPECT can be used to evaluate perfusion, PET can be used to evaluate the brain’s metabolism, and potentially useful electrodiagnostic tests include QEEG, BEAM, VEP, ENG, BAER. Other available tests include chemosensory evaluation, audiologic evaluation, polysomnography, and posturography. All are available in most areas of the country. Spine Research Institute of San Diego CA, 2018
Diagnosis/impression, Methods of developing working, differential, and final diagnoses. This will include assembling sensible and accurate diagnoses encompassing stage, causation, condition, and complications. This is an indispensable skill which many practitioners have yet to completely master. Emphasized here are the skills required to provide clear, concise, unambiguous, and accurate communication of your objective assessment of the patient’s condition(s). Dr. Croft cautions, for example, against the use of poorly defined terminology, and against commonly misused diagnoses. Spine Research Institute of San Diego CA, 2018
Report of findings, Honest and straightforward communication with patients, avoiding the unrealistic or overly sanguine expectations commonly espoused by some authorities, while also avoiding pessimism or negativism at the other end of the spectrum. This section includes a risk-based discussion of informed consent pertaining to spinal manipulation along with a brief presentation of Dr. Croft’s published research on arterial injuries attributed to spinal manipulation. Spine Research Institute of San Diego CA, 2018
Designing a treatment plan, CAD treatment guidelines he developed in 1992, and how to use them. These guidelines have been widely adopted in the U.S. and Canada. Grading the severity and staging the injury are important components discussed here, as well as how to deal with common complicating factors. Dr. Croft will tie in a recap of known risk factors from Module 1 here because they figure into the grading system and the topic of maximal medical improvement (MMI). Spine Research Institute of San Diego CA, 2018
Treatment of TMD, An overview written by Dennis Steigerwald, DC, one of the leading chiropractic TMD experts in the multidisciplinary management of the TM joint. Spine Research Institute of San Diego CA, 2018
Spine Brain Connection in Pain Pathways, ; Primary Spine Care 5, MRI Spine The spine-brain connection in managing chronic pain patients. Understanding how chronic pain negatively effects brain morphology and potential pathology as sequala. The role of chiropractic in preventing the loss of gray matter and the most recent evidence as outlined in indexed peer reviewed literature over the last 10 years verifying chiropractic’s role. Academy of Chiropractic PostDoctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island NY, 2018
Current Literature Standards of MRI Spine Interpretation, Primary Spine Care 5, MRI Spine Interpretation of the spine. How to triage a trauma and non-trauma with advanced imaging and document the necessity. We will also cover the basics of MRI Spine Interpretation inclusive of all types of herniations, bulges. Academy of Chiropractic Post Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island NY , 2018
Evidenced Based Care in a Collaborative Setting, Primary Spine Care 5, A literature based model for collaborating with hospitals, medical primary care providers and specialists. Reviewing the documentation requirements to communicate the diagnosis, prognosis and treatment plans with medical entities and having the evidence as a basis for those recommendations Academy of Chiropractic Post Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island NY , 2018
Diagnostic dilemmas and connective tissue Morphology, 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, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018
Ligament anatomy and injury research and spinal kinematics, 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, 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, 2018
Clinical Grand Rounds 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, 2018
Lumbar Spine 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, 2018
Cervical Spine Part 2 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, 2018
Cervical Spine Orthopedic Testing, 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, 2018
Basics of 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, 2018
Clinical Evaluation & Protocols for Identifying Stroke Risk, 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. . 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, 2018
Stroke Principles of Treatment an Overview for the Primary Care Provider, 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. 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, 2018
Stroke Anatomy and Physiology Part 2, 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. 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, 2018
Stroke Anatomy and Physiology Part 1, 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. 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, 2018
Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, 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. 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, New York, 2018
Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, 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. 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, New York, 2018
Spinal trauma pathology, clinical grand rounds, 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, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018
Spinal trauma pathology, Research and documentation Review, 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, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2018
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 or PACE Recognized by The Federation of Chiropractic Licensing Boards],Academy of Chiropractic Post Doctoral Division, 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 reconstructing an accident. The application of the critical documentation acquired from an accident site. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards],Academy of Chiropractic Post Doctoral Division, 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 or PACE Recognized by The Federation of Chiropractic Licensing Boards],Academy of Chiropractic Post Doctoral Division, 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 reconstructing an accident. The application of the critical documentation acquired from an accident site [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards],Academy of Chiropractic Post Doctoral Division, 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 get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards],Academy of Chiropractic Post Doctoral Division, 2017
Accident Reconstruction, Terms, Concepts & 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 or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post Doctoral Division, 2017
Mild Traumatic Brain Injury, Traumatic Brain Injury and Concussion, Deferentially diagnosing mild traumatic brain injury vs. traumatic brain injury and the clinical and imaging protocols required to conclude an accurate diagnosis for head trauma. [Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards], Academy of Chiropractic Post Doctoral Division, 2017
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, New York State Department of Education Board for Chiropractic, Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, 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, New York State Department of Education Board for Chiropractic, Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Islandia NY, 2015
MRI Physics and History, 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. Accreditation Council for Continuing Medical Education (ACCME) in joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 2015
MRI Normal Anatomy and Protocols, Spinal anatomy of all MRI views utilizing T1, T2, 3D Gradient, stacking and STIR sequences of imaging. Advanced protocols of MRI examination with multiple sequences to create concurrent diagnostic findings Accreditation Council for Continuing Medical Education (ACCME) in joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 2015
MRI Disc & Spinal Cord and Spinal Canal Pathology, MRI interpretation of spinal disc pathologies as a result of trauma and degenerative factors and resultant neurological compromise. Spinal Cord and Spinal canal pathologies and space occupying lesion interpretation. Accreditation Council for Continuing Medical Education (ACCME) in joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 2015
MRI Anatomy & History, 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. Accreditation Council for Continuing Medical Education (ACCME) in joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 2015
MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, extruded sequestered and fragmented disc pathologies in etiology and neurological sequellae in relationship to the spinal cord and spinal nerve roots. Accreditation Council for Continuing Medical Education (ACCME) in joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 2015
MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metasasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions. Accreditation Council for Continuing Medical Education (ACCME) in joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 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. Accreditation Council for Continuing Medical Education (ACCME) in joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 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 sequellae. Accreditation Council for Continuing Medical Education (ACCME) in joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 2015
MRI Interpretation of Spinal Cord, Spinal Disc and Spinal Canal Disorders, MRI interpretation of herniated, protruded, extruded, bulged and sequestered discs & spinal stenosis as sequelae of ligamentous hypertrophy, congenital malformation, spinal cord pathology. Accreditation Council for Continuing Medical Education (ACCME) in joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 2015
MRI Interpretation of Herniated Disc and Spinal Cord and Root Encroachment, MRI interpretation of herniated, protruded, extruded, bulged and sequestered discs and their relationship to the spinal cord and spinal nerve roots and the clinical correlation to spinal adjustments, manual spinal therapy and joint mobilization. Accreditation Council for Continuing Medical Education (ACCME) in joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 2015
Spinal Biomechanical Engineering, Cartesian Coordinate System, Cervical Pathobiomechanics, Lumbar Pathobiomechanics, Spinal Biomechanics in Trauma, Organizational Analysis, Cervical Digital Analysis, Lumbar Digital Analysis, Full Spine Digital Analysis Accreditation Council for Continuing Medical Education (ACCME) in joint sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, 2015
Primary Spine Care, Chiropractic as the First Option for Spine, A Literature-Based Standard, Utilizing clinical findings in conjunction with advanced imaging and electrodiagnostic findings in managing collaborative relationships with medical specialists. Applying a literature standard to care to ensure conservative care as the first option. PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island NY 2020 2013
Laser Therapy, Characteristics of Laser, Laser Physics, Safety, Mechanisms of Therapy. Dose, Time and Power. Treatment Procedures, Wound Healing, Tendonopathies, Myofascial Pain, Muscular Injury, Osteoarthritis, Sports Injury and Fatigue, Tinnitis, TMJ and Other Indications Irradia, 2010
Hospital Protocols, Review of Medical Staff and Committees, Admitting Procedures and Criteria, Discharge Procedures, Medical-Surgical Records, Surgical Dictation, Differential Diagnosis, Out Patient Work-Up, X-Ray, EMG, Lab Studies, and Surgical Protocols. American Academy Manual & Physical Medicine, Doctors Hospital of New Boston, 1998
Manipulation Under General Anesthesia, MUA Certification: Review of Anesthesiologist Procedures, Indications, Contraindications, Admitting, Techniques for the Cervical, Thoracic and Lumbar Spines, Extremities, Fibrotic Tissue Stretching Techniques, Patient Safety, Discharge, Charting and Review of Literature. Certification in Manipulation Under Anesthesia, American Academy Manual & Physical Medicine, Doctors Hospital of New Boston, 1998
Clinical Nutrition, Intestinal and Systemic Detoxification, Gastrointestinal Nutrition, Liver Metabolism, Immune Function, Cardiovascular, Glucose Tolerance, Pulmonary Function, Urological Nutrients, Musculoskeletal Nutrition, Urinalysis, Fasting, Hair Analysis, Fecal Analysis, Modified Elimination Diets, etc. Certification in Clinical Nutrition, IPS, 1997
Industrial Disability Examiner, Medical History, Injury Mechanics, Employment History, Activities of Daily Living, Occupational Requirements, Reasonable and Necessary Treatment, Clinical Assessment, Review of Records, Causation, Apportionment, Disability Rating, etc. International Chiropractic Association, 1997
Chiropractic Rehabilitation, Physical Therapy Methods and Concepts: Passive Motion, Active Exercise, Strengthening Exercise, Dynamic Neuromuscular Stabilization, Soft Tissue Mobilization, Dry Needling for Muscular Fibrosis. Canadian Memorial College of Chiropractic, 1996
Chiropractic Rehabilitation, Neurophysiological Foundation fo Physical Therapy Approaches: Neuroplasticity, Evolutionary Plasticity, Repair Placidity, Neuroplastic and Sensorimotor Programs, Training and Exercises, etc. Canadian Memorial College of Chiropractic, 1996
Chiropractic Rehabilitation, Entrapment Syndromes: Etiology, Manifestation, Pathogenesis, Treatment and Diagnosis. Entrapment of; Upper Thoracic Aperature, Scalenus, Costoclavicular, Hyper-Abduction, Supra Clavicular, Median Nerve, Ulnar Nerve, Radial Nerve, Femoral Nerve, Sciatic Nerve, Peronial Nerve, Tibial Nerve, ect. Treatment and Rehabilitation. Canadian Memorial College of Chiropractic, 1996
Chiropractic Rehabilitation, Deficits in Cerebellar Function: Vestibular System Disturbances, Unilateral Vestibular Lesion, Benign Proxismal Positional Vertigo, Bilateral Vestibular Deficit, Deficits due to Cervical Spine, Central Balance Deficits, Vertebral Artery Syndrome, Psychogenic Vertigo. Extrapyramidal Deficits; Hypokenetic and Hyperkenetic Deficits, Bradykinesia, Akinesia, Rigidity, Tremor and Postural Deficits. Canadian Memorial College of Chiropractic, 1996
Chiropractic Rehabilitation, Influence of Function on Morphological Tissue Restructuring: Functional Changes in Soft Tissue, Motion Restrictions, Hypermobility, Change in Afferentation from Receptors, Motor Learning from Central Regulation, Overloading causing Tendonitis, Enthesopathy, Paratenonitis, Paritendinitis and Tenosynovitis. Post-Surgical Rehabilitation. Treatment Rehabilitation and Strategies. Canadian Memorial College of Chiropractic, 1996
Chiropractic Rehabilitation, Degenerative Joint Diseases: Primary OA, Secondary OA, Coxarthrosis, Gonarthrosis, Surgical Procedures, Rehabilitation following Arthroplasty. Traumatology of the Movement System; Contusion, Tendon Injury, Muscle Injury, Bone Injury Joint Injury, Treatment Options, Rehabilitation. Canadian Memorial College of Chiropractic, 1996
Chiropractic Roentgenology, Shoulder - Knee - Paraspinal Soft Tissue Findings: Shoulder Disorders, Shoulder Dislocations, Shoulder Fractures, Knee Disorders, Knee Dislocations, Knee Fractures, Abdominal Aortic Aneurism Calcification in; Arteries, Prostate, Lymph Nodes, Gallstones, Urinary Calculi, Teratomas, Heart and Chest Studies, Pneumothorax, etc. Life Chiropractic Colege West, 1995
Chiropractic Roentgenology, Fractures of the Upper and Lower Extremities: Pott's Fracture, Jones, Calcaneal Fractures, Tibila Plateau, Patella, Toddler's, Fender Fractures. Radial Head Fractures, Supracondylar, Olecranon, Manteggia' s, Collie's, Bennett's, Smith's, Scaphoid, Gamekeeper's Thumb, etc. Palmer Chiropractic College, 1995
Chiropractic Roentgenology, Principals of Magnetic Resonance Imaging: Tendons and Muscles: Degeneration, Tenosynovitis, Tears, Subluxation/Dislocation, Indirect and Indirect Muscle Injury, Muscle Trauma. TMJ, Shoulder, Elbow, Wrist, Hand, Hip, Knee, Foot and Spine: Normal Anatomy, Tendon, Ligament, Nerve and Bone Injury both Traumatic and Non-Traumatic Plamer College of Chiropractic, 1995
Chiropractic Roentgenology, Chest Imaging: MRIiography, Scintigraphy, Bronchography, Fluoroscopy. Radiographic Signs of Chest Disease: Rosette Pattern, Silhouette Sign, Atelecatasis, Interstitial Disease, Calcifications, Alterations in Lung Volume, HRTC patterns of Airway Disease, Lung Disease, Congenital Malformations, etc. Palmer Chiropractic College, 1995
Chiropractic Rehabilitation, Functional and Neurologic Symptomology: Postural Stability, Stabilization, Reactibility, Disturbances. Gait Cycle, Typology of Gait Dysfunctions Neurological, Examination of Postural Stabilization and Postural Reactibility. Trigger Points, Muscular Disturbances, Myotatic Reflexes, Involentary movements, Tremor, Spasm, Clonus, Fibrillar Twitches. Chorelic and Athenoid Hyperkensesis. CanadianMemorial College of Chiropractic, 1995
Chiropractic Rehabilitation, Neurologic Syndromology: Myasthenia Gravis, Lambert-Eaton Myasthenic Syndrome. Peripheral Nerve Deficits. Spinal Cord: Transverse (sudden/gradule) Cord Lesions, Pseudoparetic, Spastic, Mixed Cord Lesions. Conus Medularis, Cauda Equina, Posterior Cord. Cerebellar Syndrome, Flaccidity, Hypermetria, Diadochokinesia, Extrapyramidal, Thalamic and Brain Stem Syndromes. Meningeal Irritation, Intracranial Hypotension and Ventricularr Syndromes, etc. Canadian Memorial College of Chiropractic, 1995
Chiropractic Rehabilitation, Kinesiology and Clinical Examination of the Joint System: Kinesiology of the Spine, Thorax, Pelvis, Shoulder Girdle, Elbow Joint, Wrist, Hand, Hip, Knee, Lower leg and Foot. Canadian Memorial College of Chiropractic, 1995
Chiropractic Roentgenology, Lumbar Spine: Low Back Syndromes and their Related X-Ray Scanning Lines and Angles, Spondylolesthesis, Spondylolysis, Retrolesthesis, Block Vertabrae, Coronal and Sagittal Tropism, Lumbar Stenosis, Spina Bifida, Lumbosacral Transitional Vertebrae, Knife Clasp Deformity, Hemi and Butterfly Vertebrae, etc. Life Chiropractic College West, 1994
Chiropractic Roentgenology, Pelvic - Sacroilliac _ Hip Roentgenology: Hip Fractures, Stenton's Line, Protrusio Acetabuli, Osteitis Condensans Ilii, Osteitis Pubis, Sacroilliac Alterations, Congenital Structural Faults, Aknalosing Spondylitis, Infections, Congenital Hip Displasia, Slipped Femoral Capital Ephysis, Osteochondrosis, etc. Life Chiropractic College West, 1994
Chiropractic Roentgenology, Cervical Spine: Whiplash Syndromes and their Related X-Ray Scanning Lines and Angles, Whiplash Syndromes, Joints of Luschka, Posterior Joint Arthrosis, Basilar Impression, Klippel-Feil Syndrome, Cervical Ribs, Twelve Indirect Signs of Cervical Spine Trauma, Cervical Fractures, etc. Life Chiropractic College West, 1994
Chiropractic Roentgenology, Primary Characteristics and Sites: Benign vs. Malignant, Infection vs. Malignant, Osteoperosis, Paget's, Target Areas of Bone Disorders Life Chiropractic College West, CA, 1993
Chiropractic Roentgenology, Bone Tumors - Benign and Malignant: Bone Tumor Characteristics - Contrast between Benign and Malignant, Neoplasms, Metastatic Carcinoma, and Sarcoma. Life Chiropractic College West, 1993
Chiropractic Roentgenology, Arthritis and Osteochondrosis: Osteoarthritis, Infective Arthritis, Inflammatory Arthritis and Gout. Non-Articular Rheumatism. Legg-Calve-Perthes', Scheuermann's disease, Traumatic Epiphysitis, Osgood Schlatter's, Sever's Disease, Kohler's, Kienbock's Disease, etc. Life Chiropratic College West, 1993
Chiropractic Roentgenology, The Vertebral Motor Unit: Degeneration of Motion Segments, Effects of Subluxation, Vertebral Body Fractures, Congenital/Developmental/Pathological Vertebral Body Alterations, Schmoral's Nodes, Persistent Notochord, Bone-Within-A-Bone, Ivory Vertebrae, Ruptured Disc, Disc Bulge, Herniation, Circumferential Tears, etc. 1993

SCHOLARLY PRESENTATIONS

Busfield , B., Junnila, R. (2016, June). Spinal MRI and Shoulder Surgical Procedures Lunch Seminar presented at the Brentwood, CA, 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.
Busfield , B., Junnila, R. (2015, January). Spinal MRI Lunch Seminar presented at the Brentwood, CA, 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.
Hart, J., Junnila, R. (2004, March). Anesthesia Assisted Traction and Fibrosis Procedures Including Manipulation Topics: Saftey, Cost Effectiveness, MUA vs Laminectomy, Literature Review 1952-2002, Fibrosis of Repair, Techniques, Out Patient Surgical Center Protocols. presented at the Seminar, Sutter Occupational Sacramento, CA.
Junnila, R. (2001, October). Science of Manipulation, Chiropractic's Role in Modern Healthcare Topics Covered: The Neurophysiology of an Adjustment, Kinesiopathomechanics, Afferent and Efferent Neurophysiology, Fibrosis of Repair, Indications and Contraindications to Treatment, Disc Injury Types, Neurological Deficits, Myofascial Release, Protocols presented at the Seminar, Sutter Symposium, Vallejo, CA.

SELECTED TEACHING/INSTRUCTING/LECTURING/CONSULTING

Lecturer, Current Clinical Concepts in Chiropractic, Brentwood , CA, 2013- Present
Lecturer, Industrial Injury Prevention, CA, 2008- Present
Instructor, Anesthesia Assisted Traction and Fibrosis Procedures Including Manipulation, Sutter, Sacramento, CA, 2004-