Charles Zollner, DC CCEP

Postgraduate and Continuing Education in Chiropractic Philosophy.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Ethics and Law.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Chiropractic Wellness.

Postgraduate and Continuing Education in Ethics and Law.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in History Taking and Examination.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Wellness.

Postgraduate and Continuing Education in Chiropractic Philosophy.

Postgraduate and Continuing Education in Ethics and Law.

Postgraduate and Continuing Education in History Taking and Examination.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in History Taking and Examination.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Ethics and Law.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Wellness.

Postgraduate and Continuing Education in Neurology.

Postgraduate and Continuing Education in Ethics and Law.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in History Taking and Examination.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Radiology.

Strategies, examples & demonstrations for patient education. Brainstorm and list the common misconceptions of chiropractic, frequently asked questions, and “things the patient needs to know”, before starting chiropractic care. Chiropractic as a pain/symptom based model. Chiropractic as a non-pain and non-symptom based model, wellness care. Develop initial intake forms from a wellness care perspective. Develop re-evaluation forms from a wellness care perspective, with subjective and objective measurement systems.

The Matrix Repatterning Foundation Webinar introduces the learner to the theoretic basis, the assessment and treatment protocols and the application of Matrix Repatterning to certain key structural areas of dysfunction found in clinical practice.

How nutrition is relevant to the chiropractic patient. Nutrient deficiencies associated with common dietary patterns such vegetarian, Paleo, Standard American Diet and skipping meals. Symptoms of nutrient deficiencies that can mimic symptoms of subluxation – fatigue, headaches, PMS, TOS, paresthesia, joint pain, constipation, heartburn, indigestion. Using and interpreting dietary assessment tools. Physical signs of deficiency. Basic blood chemistry: assessing inflammation, 3 types of anemia, high blood sugar, cholesterol, Vit D, thyroid, liver enzymes. Nutritional recommendations based on common history, exam and lab findings. Review of literature and how to discuss with patient. The benefits and drawback of carrying in-house inventory versus over-the counter. Strategies for improving patient compliance.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Ethics and Law.

Postgraduate and Continuing Education in Patient History Taking and Exam Procedures.

Postgraduate and Continuing Education in Chiropractic Philosophy.

This section is an in-depth overview of traumatic brain injury in concussion. It discusses that all brain injuries are traumatic and dispels the myth of a “mild traumatic brain injury.” Also, this covers triage protocols and the potential sequela of patients with traumatic brain injuries.

This section discusses gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. There are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes.

This section continues with multiple case studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and also discusses recovery sequela based upon the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging.

This section covers concussion etiology and cognitive sequela where gross bleeding has not been identified on advanced imaging. It discusses the significance of electroencephalogram testing in determining brain function and pathology (if present). This module also covers the understanding of waveforms in electroencephalogram testing in both normal and abnormal scenarios.

This module covers amplitude, conduction and conduction delays as sequela to traumatic brain injury to diagnose concussion and traumatic brain injury in the absence of gross bleeding and advanced imaging. This section covers electroencephalograms and event-related potentials which measures the brain response that is a direct result of specific sensory or motor events. It is a stereotype electrophysiological response to a stimulus and provides a noninvasive means of evaluating brain function. In this module multiple case studies are discussed with ensuing triage protocols pending the results.

An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community.

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.

An extensive understanding of the physics involved in the transference of energy from the bullet car to the target car. This includes G's of force, newtons, gravity, energy, skid marks, crumple zones, spring factors, event data recorder and the graphing of the movement of the vehicle before, during and after the crash. Determining the clinical correlation of forces and bodily injury.

MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient.

Electromyography (EMG), Nerve Conduction Velocity (NCV), Somato Sensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER) and Visual-Electronystagmosgraphy (V-ENG) interpretation, protocols and clinical indications for the trauma patient.

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.

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.

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.

Normal anatomy of axial and sagittal views utilizing T1, T2, 3D gradient and STIR sequences of imaging. Standardized and desired protocols in views and sequencing of MRI examination to create an accurate diagnosis in MRI.

MRI interpretation of bulged, herniated, protruded, extruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots.

MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwanoma and numerous other spinal related tumors and lesions.

MRI interpretation sequencing of the cervical, thoracic and lumbar spine inclusive of T1, T2, STIR and 3D gradient studies to ensure the accurate diagnosis of the region visualized.

The clinical application of the results of space occupying lesions. Disc and tumor pathologies and the clinical indications of manual and adjustive therapies in the patient with spinal nerve root and spinal cord insult as sequelae.

MRI 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 sequelae, including bulge, herniation, protrusion, extrusion and sequestration.

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.

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.

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.

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.

MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolisthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective.

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.

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.

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

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.

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.

Digitalizing and analyzing the lumbar spine images to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotational 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.

Digitalizing and analyzing the full spine images to diagnose pathobiomechanics as sequelae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequelae. This includes anterior and posterior vertebral body elements in rotational 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.

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.

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.

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.

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.

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.

The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure and age-dating disc pathology.

Connective tissue morphology, embryology and wound repair as sequalae to trauma. Full components of strain-sprain models and permanency implications with wound repair and osseous aberration with aberrant structural integrity.

Disc pathology as sequela to trauma; herniation, extrusion, protrusion, sequestration and how the spinal unit as one system creates homeostasis to balance the pathology.

The peripheral and central innervation of the disc and spinal ligaments of the dorsal root ganglion, spinal thalamic tracts, periaqueductal gray areas innervating the Thalamus and multiple regions of the brain. The efferent neurological distribution to disparate areas of the spine to create homeostasis until tetanus ensues creating osseous changes under the effect of Wolff's Law.

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.

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.

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.

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.

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.

Differentially diagnosing mild traumatic brain injury vs. traumatic brain injury and the clinical and imaging protocols required to conclude an accurate diagnosis for head trauma.

The requirements for diagnosing based upon in an initial evaluation and management encounter ranging from a 99202 – 99205 that includes comorbidities, non-musculoskeletal, and sequelae to injury diagnosis.

An in-depth review of basic neuro-anatomy and physiology dermatomes and myotomes to both the upper and lower extremities and the neurophysiology of axons and dendrites along with the myelin and function of saltatory for conduction. The sodium and potassium pump’s function in action potentials.

Nerve conduction velocity testing, the equipment required and the specifics of motor and sensory testing. This section covers the motor and sensory NCV procedures and interpretation including latency, amplitude (CMAP) physiology and interpretation including the understanding of the various nuances of the wave forms.

Compound motor action potentials (CMAP) and sensory nerve action potentials (SNAP) testing and interpretation including the analysis and diagnosis of the wave forms. It also covers compressive neuropathies of the median, ulnar and posterior tibial nerves; known as carpal tunnel, cubital tunnel and tarsal tunnel syndromes. This section offers interpretation algorithms to help understand the neurodiagnostic conclusions.

The EMG process, inclusive of how the test is performed and the steps required in planning and electromyographic study. This covers the spontaneous activity of a motor unit action potential, positive sharp waves and fibrillations. The insertional activity (both normal and abnormal), recruitment activity in a broad polyphasic presentation and satellite potentials. This covers the diagnosing of patterns of motor unit abnormalities including neuropathic demyelinated neuropathies along with acute myopathic neuropathies. This section also covers the ruling out of false positive and false negative results.

The clinical incorporation of electrodiagnostic studies as part of a care plan where neuropathology is suspected. It also covers how to use electrodiagnostics in a collaborative environment between the chiropractor as the primary spine care provider and the surgeon, when clinically indicated. This section covers sample cases and health conclude and accurate treatment plans based upon electro-neurodiagnostic findings when clinically indicated.

This hour covers screening tests physical examinations of neurological symptoms. The difference between constant and intermittent radiculopathy is discussed and differential diagnoses are discussed. I will teach the most important neurological screening test, the Drift test. This screens the upper and lower extremities for subtle motor weakness in the brain, spinal cord and peripheral nerves. Doctors will be taught how to record the findings correctly in the patient’s chart and how to write a referral to a neurologist that explains the findings and the purpose of the referral.

I will focus on “When” the chiropractor is likely to see abnormal cranial nerve function (usually trauma cases), how to document the findings in the patient’s chart notes and what to write in a referral to a neurologist when enlisting help for the patient. Brain concussion is a neurological condition that presents to chiropractic offices frequently. Doctors will be taught how to assess an athlete or other trauma patient for concussion using the Acute Concussion Evaluation, the Rivermead Post-Concussion Symptoms Questionnaire and the Epworth Sleepiness Scale.

Post-Traumatic Stress Disorder is commonly caused by car accidents (according to the National Institutes of Mental Health.) Doctors will be taught how to consult with a PTSD patient, how to advise these patients with in-office care and home care instructions for this condition. The Folstein Mini-Mental State Exam (MMSE) is used to examine brain-impaired patients (both trauma and Alzheimers) and I teach its use and clinical interpretation.

Once a patient with a neurological deficit is identified, the doctor must follow up with his/her own evaluations as well as make a proper referral to a specialist for co-treatment when indicated. Outcome assessment questionnaires are taught their use and function.

Brain function controls the pituitary gland and a large number of hormone imbalances. Brain trauma causes a roller coaster of hormone problems which the chiropractor should recognize and document properly. They will be taught the proper way to test and document in the patient’s chart the results as well as make a referral to a hormone specialist to help the patient.

Numerous recent studies document the sequelae of neurological trauma. I will teach doctors the importance of correctly diagnosing these neurological conditions early in the patient’s case so that help can be obtained and proper referrals can be made to benefit the patient and minimize long term permanent neurological residuals.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Chiropractic Philosophy.

Postgraduate and Continuing Education in Ethics and Law.

Postgraduate and Continuing Education in Patient History Taking and Exam Procedures.

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.

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.

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.

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.

Provide importance in taking standard radiographs of the cervical, thoracic and lumbar spine when clinically necessary. The clinician will have an understanding on radiology positioning and evaluation of the spinal x-rays. An emphasis will be on evaluating the Alignment, Bone, Cartilage, and Soft Tissues for complete search pattern on the radiographs. Examples of normal versus abnormal radiographs will be utilized for comparison.

Postgraduate and Continuing Education in Neurology.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Ethics and Law.

Postgraduate and Continuing Education in Patient History Taking and Exam Procedures.

Postgraduate and Continuing Education in Chiropractic Philosophy.

Postgraduate and Continuing Education in Patient History Taking and Exam Procedures.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Patient History Taking and Exam Procedures.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Ethics and Law.

Postgraduate and Continuing Education in Chiropractic Philosophy.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Patient History Taking and Exam Procedures.

Postgraduate and Continuing Education in Neurology.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Chiropractic Ethics and Law.

Postgraduate and Continuing Education in Ethics and Law.

Assessment of the Extremities for Pathology and/or Subluxation and Adjustment Techniques.

Postgraduate and Continuing Education in Chiropractic Philosophy.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Patient History Taking and Exam Procedures.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Patient History Taking and Exam Procedures.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Patient History Taking and Exam Procedures.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Patient History Taking and Exam Procedure.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Ethics and Law.

Postgraduate and Continuing Education in Chiropractic Philosophy.

Postgraduate and Continuing Education in Chiropractic Philosophy.

Introduction to Activator Technique Instrument Adjusting.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Chiropractic Technique.

Selective Functional Movement Assessment: An Evidence-Based Clinical Model to Address Regional Interdependence.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Chiropractic Technique, Radiology and Clinical Procedures.

Postgraduate and Continuing Education in Personal Injury.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Technique.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Radiology.

Instrument Adjusting Technique and Patient Care and Protocols Utilizing the ProAdjuster Instrument.

Postgraduate and Continuing Education in Radiology.

Postgraduate and Continuing Education in Chiropractic Technique.

Review of Relevant Issues in SB228, Introduction to Outcome Assessments, ACOEM Guidelines: their Use and Abuse, Apportionment: Legal and Medical Issues on the Apportionment of Causation.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Radiology.

Instrument Adjusting Technique and Patient Care and Protocols Utilizing the ProAdjuster Instrument.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Chiropractic Extremity Adjusting Technique and Radiology.

Instrument Adjusting Technique and Patient Care and Protocols Utilizing the ProAdjuster Instrument.

Patient Care Techniques Utilizing the Cox Flexion/Distraction Table, James M. Cox, DC, DACBR.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Chiropractic Technique.

Postgraduate and Continuing Education in Extremity Adjusting Protocols and Rehabilitation of Upper Extremity Injuries.

Basic Workers’ Compensation, QME Preparation Course with Technique.