Daniel Steffins, DC FPSC

Developed advanced proficiency in differentiating concussion, mild traumatic brain injury, moderate to severe traumatic brain injury, and post-traumatic stress disorder through evidence-based neurological, cognitive, and behavioral assessments. Trained in the identification of red-flag signs and symptoms necessitating urgent neuroimaging and/or specialist referral. Acquired expertise in correlating patient history, mechanism of injury, symptom evolution, and examination findings to ensure accurate classification and risk stratification. Emphasis placed on early identification, appropriate interdisciplinary referral, and coordinated care to optimize patient outcomes and mitigate long-term sequelae.

Documentation requirements for CPT® codes 99202–99205 are based on either the level of medical decision-making (MDM) or the total time spent by the provider on the date of the encounter. Progressively higher-level codes reflect increasing complexity of the patient’s condition, including the scope of history, examination, and MDM, or increased total provider time. For time-based coding, CPT® 99202 requires 15–29 minutes, 99203 requires 30–44 minutes, 99204 requires 45–59 minutes, and 99205 requires 60–74 minutes of total provider time. MDM is determined by the number and complexity of problems addressed, the amount and/or complexity of data reviewed and analyzed, and the level of risk of morbidity or mortality associated with patient management. Precise and comprehensive documentation is essential to support accurate code selection and to ensure compliance with CMS and third-party payer requirements.

This module explores chiropractic research with a strong emphasis on comparative clinical outcomes. It analyzes the effectiveness of chiropractic care in relation to physical therapy, medical doctors, and osteopathic physicians. The curriculum also assesses patient outcomes when contrasting chiropractic interventions with drug-based treatments. Special attention is given to evidence-based findings that demonstrate chiropractic efficacy across multiple healthcare delivery models. The course equips participants with a research-driven framework for understanding the role of chiropractic in integrative care.

This module provided instruction in the interpretation of MRI sequences, including sagittal, axial, T1, T2, STIR, and proton density. Trained students to accurately identify vertebrae, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Emphasized recognition of common pathologies such as bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and Schmorl’s nodes. Developed students’ practical skills in applying MRI findings to clinical decision-making.

This module covers the foundational principles of biomechanical lesions, starting with ligamentous pathology and extending to overall biomechanical dysfunction. Students will learn how ligament damage impacts spinal stability and joint function. The course explores the compensatory changes that develop into chronic biomechanical pathology. Emphasis is placed on the clinical relevance of these lesions for accurate diagnosis, effective treatment, and thorough documentation.

This module examines the neurological impact of connective tissue injuries and biomechanical pathology. It highlights how structural damage can create effector organ dysfunction, leading to abnormal neurological signaling. The course traces the progression from localized tissue pathology to widespread central sensitization. Focus is placed on understanding the mechanisms that connect tissue injury to long-term neurological consequences.

This module develops the essential skill of “Evidence-Based” age-dating for herniated discs and spinal trauma. Students will learn to combine imaging interpretation from X-ray, MRI, and other modalities with clinical insights into joint pathology. Emphasis is placed on applying this expertise in collaborative medical and medical-legal contexts. The course also underscores the importance of evidence-based reasoning in establishing accurate patient prognoses.

This module covers the diagnosis and management of ligament pathology in acute and chronic patients. It reviews the evidence-based physiology of ligament morphology, trauma mechanisms, and resulting compensatory spinal changes. A master-level analysis addresses ligament anatomy, vascularization, neurological innervation, and tissue repair, emphasizing clinical relevance. The course also explores how ligament pathology drives patho-neuro-biomechanical lesions and informs the mechanisms of chiropractic spinal adjustments.

This module focuses on the screening and diagnosis of brain injuries, from concussion and mild traumatic brain injury (mTBI) to severe TBI and stroke. It emphasizes recognizing key clinical signs to support timely and accurate assessment. Participants learn essential triage protocols to ensure patients receive appropriate care. The course also introduces evidence-based strategies for distinguishing between conditions and minimizing the risk of delayed or missed diagnoses.

This course module provides an evidence-based framework for spinal diagnosis, focusing on accurate identification of specific pathologies rather than generalized labels like “non-specific back pain.” Clinicians are trained to integrate clinical assessment and imaging findings to establish definitive diagnoses. The module emphasizes collaborative management with medical specialists to improve patient outcomes. Participants learn to apply evidence-based reasoning to guide treatment decisions and strengthen interdisciplinary care.

This course module outlines the documentation requirements essential for supporting long-term chiropractic care and fostering collaborative relationships. It provides an evidence-based framework for spinal diagnosis, emphasizing precise identification of specific pathologies over broad labels such as “non-specific back pain.” Clinicians are trained to synthesize clinical assessments with imaging findings to establish accurate and definitive diagnoses. The module highlights strategies for collaborative management with medical specialists to optimize patient outcomes. Participants learn to apply evidence-based reasoning to guide treatment decisions while enhancing interdisciplinary communication and care coordination.

The review documentation mandates imposed by carriers emphasize the requirements that may initiate or sustain investigations. Participants are trained to maintain compliance while steering clear of common documentation errors. The curriculum includes detailed instruction on the mandatory reporting elements for codes 99202 to 99205. Focus is placed on producing accurate, comprehensive, and defensible records to safeguard both providers and patients.

This module provided understanding future trends in chiropractic and clinical record-keeping is essential for maintaining professional excellence and delivering high-quality patient care. As healthcare evolves with new technologies and reimbursement models, clinical documentation must adapt to remain effective and compliant. This module provides a structured, step-by-step guide to creating accurate clinical notes, covering their purpose, context, key elements, practical tips, and relevant legal considerations. Mastery of these skills supports both regulatory compliance and the highest standards of patient care.

Concluding an accurate diagnosis, based on x-ray digitizing, and outcome studies in the literature to determine triage and the possible necessity for collaborative care with medical specialists. The documentation requirements for accurate communication between professions to ensure an accurate treatment plan is created and followed.

Clinical coordination of a diagnosis, prognosis, and treatment plan in patient management. Plain imaging and MRI studies are used to conclusively diagnose myelopathy, myelomalacia, or cord edema as sequella to spinal disc pathology. The inclusion of the evidence in the literature to meet usual and customary standards in case management.

The Utilization of discount medical plan organizations to ensure ethical and compliant doctor-patient relationships when considering a 2-fee system in clinical practice.

Diagnosing Active, Sequella, and Subsequent encounter codes for connective tissue pathology. The documentation elements required for 99202, 99203, 99204, and 99205. Developing ethical financial relationships for reimbursement in the medical-legal community and the documentation required. Using laws, regulations, and case law in contemporary practice to manage cases.

Documenting basics of diagnosing bodily injuries vs. pain, and the correct utilization of active vs. sequella coding. Diagnosing the radiation of pain and ensuring etiology is diagnosed and not solely the effect of the pathology. Documenting pathologies with the understanding of relative weights of the ICD.

Understanding spinal biomechanical engineering and biomechanical pathologies to correctly diagnose and document according to demonstrative validation of the specific connective tissue injuries. Considering outcomes studies in spinal analytics when concluding an accurate diagnosis, prognosis, and treatment plan. The safe use of X-rays when utilizing digitizing tools to conclude an accurate biomechanical diagnosis.

Utilization of Federal Daubert admissibility standards when documenting the utilization of tools, devices, and modalities in treatment. The applicability of research meeting Federal and state requirements for the necessity of treatment in clinical practice. How a doctor's credentials lead to better outcomes, and resolve many issues based on the knowledge attained while earning the credentials.

Diagnosing and demonstrative reporting of the spinal cord, nerve root, thecal sac, disc recurrent meningeal nerve, myelomalacia, myelopathy, fracture, chemical radiculitis, and connective tissue pathologies, and osseous compression of nociceptors. Collaborative care with medical specialists on spinal pathology and medical-legal reporting requirements.

Identifying and diagnosing spinal disc pathologies: bulged, herniated, protruded, extruded-comminuted, extruded-sequestered. MRI sequence protocols: T1, T1 fat saturation, T2, T2 fat saturation, STIR, proton density, fast spin echo, echo gradient, coronal, sagittal and axial. Triage of disc pathologies and collaborative care.

Identifying and diagnosing spinal segmental lesions in the facet, joint capsule involving ligamentous mechanoreceptors, and spinal proprioceptors. The central segmental motor control mechanism with upper motor neuron involvement with disparate efferent effects and demonstrative diagnostic tools to differentially diagnose the primary lesion.  The statistical outcome of treating biomechanical spinal lesions.

Identifying and diagnosing Osteoarthritis in hand, wrist, elbow, shoulder, foot, ankle, knees, hips on X-ray. Identifying and diagnosis erosive arthritis and Rheumatoid Arthritis on X-ray, MRI imaging, and ultrasound MRI in the hand, elbow, knee, and spine, Psoriatic and Lupus/Jaccoud Arthritis in the hand. Crystallin Arthropathy of the hand, Gout in the feet and spine, and Calcium Pyrophosphate Dihydrate Deposition Disease (CPPD) of the hand.Diagnosing of ankylosing spondylitis of the spine was also identified.

Identifying and diagnosing Schwannoma’s, Adenoma’s, Fibroid Leiomyomas and Uterine Sarcoma’s, Renel Cell Tumors, Renal Cysts, and Aortic Aneurysms. The physics of T1, T1 fat saturation, T2, T2 fat saturation, STIR, proton density, fast spin echo, echo gradient, coronal, sagittal, and axial. CT Hounsfield units and diagnosing tumors.

Determining and documenting the history of proximate cause, how to demonstratively document pain, weakness, and numbness using evidence-based protocols. The demonstrative documentation of MRI spine pathology and being able to differentially diagnose previous vs current pathology in prognosing permanencies. The clinical correlation of causality, demonstrative bodily injury, and persistent functional losses using emotional intelligence.

Spinal disc morphology of lamellar tracts and fiber orientation, the non-uniformity of discal zones with the chemical content of each. How Proteoglycans and Aggrecans are integral in disc hydration and age-dating pathology. Understanding the vascularization of the osseous endplate, cartilaginous end-plate, and disc from birth through puberty is essential to accurately diagnosing disc pathology. Being able to relate disc herniations to end-plate fractures with central herniation and clinically correlating it to chronic back pain.

Utilizing a complete history and evaluation, triaging the chronic and acute patient with consideration of collaboration with medical specialists as indicated. Correlation the patient intake forms, clinical history, evaluation, and testing, including X-rays, MRI, CAT Scan and EMGs in determining a treatment plan.

Understanding MRI ordering sequences, T1, T2, STIR, Proton Density, and other sequences to conclude and accurate diagnosis. Clinically correlating history, clinical findings to advanced imaging to determine appropriate triage and an accurate conclusive diagnosis.

ICD -10, and CPT cross-coding requirements form the acute stage through rehabilitation, including home care. The documentation of passive vs. active care in chronic and trauma case management.

The documentation of short and long-term care, including demonstrative validation or spinal pathology in the clinical setting. Connective tissue pathological mechanisms in chronic and traumatic etiology.

Utilizing the guidelines created by the American College of Radiology and the evidence in the scientific literature for case management involving x-ray. Understanding the standards for safe radiation exposure when creating a demonstrative spinal biomechanical diagnosis and ruling out anatomical pathology.

2-year program on spinal trauma, spinal management, advanced imaging, electrodiagnostics, accident engineering, spinal biomechanical engineering, triaging the injured, stroke diagnosis, demonstrative documentation, connective tissue pathology, ligament pathology diagnosis and management, and spinal treatment evidence-based outcome studies. The program requires collaboration in advanced imaging for spinal and MSK radiology and being published in case studies.

Evidence-based studies in Modic Changes, Disc and Referred Pain, MRI and Cervical Musculature, Kinetic MRI Images, Neurological Innervation, MRI and Injury Mechanisms, Discogenic Pain, Annular Tears and Fissures, Asymptomatic Herniations.

Identify and oral examination of 60 MRI sequences (over 2500 images) of disc bulges, circumferential, radial, and transverse fissures, varices, and herniations inclusive of the following types: protrusion, extrusions (sequestered and migrated/comminuted extrusions). MRI sequencing for accurate interpretation with contemporary nomenclature and reporting.

Identifying arthritis, advanced cartilage pathology, rotator cuff tears, labral tears, tendon injuries and degeneration, meniscal tears, ligamentous injuries, common fractures, sports related injury patterns, and plantar fasciitis in both upper and lower extremities.

Contemporary literature based evidence with rheumatoid, osteo, spondylar, gouty, and Psoriatic arthritides, advanced cartilage pathology, rotator cuff tears, labral tears, tendon injuries and degeneration, meniscal tears, ligamentous injuries, common fractures, sports related injury patterns, and plantar fasciitis in both upper and lower extremities.

The documentation of biomechanical and anatomical pathology with trauma patients. Clinically correlating diagnosis, demonstrative bodily injury-pathology and persistent functional losses.

Advanced documentation based on clinical and testing findings that correlate to Evaluation and Management Guidelines. Evidence-Based necessity parameters for considering spinal imaging and electrodiagnostic testing.

The long-term clinical outcomes of chronic LBP with hypermobility due to ligament laxity was reviewed with evidenced based literature. Potential interventions and their expected outcomes were presented.

The concept of whole person impairment was reviewed. The utilization of the AMA Guides to Permanent Impairment and how to accurately determine the appropriate percentage as also reviewed. A comparison of the 5th and 6th edition of the AMA guides was reviewed.

The diagnosis of acute spinal ligament injury and the resulting segmental hypermobility was discussed and reviewed. The chronic sequela of untreated biomechanical pathology was also reviewed.

Creating care paths using clinical examination and advanced diagnostics to formulate care paths including collaborative care. Documenting and diagnosing spinal biomechanical lesions, disc pathology from MRI including, but limited to herniations, bulges, extrusions, sequestrations and non-disc spinal lesions from varices and neoplastic space occupying lesions.

The diagnosis of acute and chronic spinal ligament laxity and spinal joint instability was discussed along with the application to spine surgical planning and pain management procedures.

Medical-legal reporting of diagnosis of acute versus chronic disc and ligament injury and the tools necessary for accurate diagnosis, prognosis, exacerbation, or aggravation. How to build a reputation for ethical and accurate medical legal reporting was also reviewed.

Clinically correlating history and clinical findings to biomechanical connective tissue pathology and advanced imaging with herniated, protruded, extruded, fragmented, and bulging discs.

Triage care paths for trauma and chronic patients based on clinical presentation and testing results. Determining the necessity for imaging, advanced imaging, and collaboration with medical specialists when clinically indicated.

Creating demonstrative documentation in chiropractic clinical practice illustrating spinal pain generators and creating documentation inclusive of all coding elements for evaluation and re-evaluations.

Utilizing X-ray digitizing to document connective tissue pathology demonstratively. Correlating spinal MRIs with X-ray digitizing to conclude an accurate diagnosis, prognosis, and treatment plans.

Interpreting and utilizing X-ray and MRI findings in creating demonstrative documentation. Advanced identification of spinal disc lesions, herniations, bulges, protrusion, extrusion, and fragmentations through computer graphics. Identification and demonstrative documentation of vertebral motor unit pathology and reporting demonstratively using computer graphics.

Utilization of thin slice acquisitions with T2 Fat suppressed, STIR, proton density, T1 and T2 sequencing for advanced identification of spinal disc lesions, herniations, bulges, protrusion, extrusion, and fragmentations. Better visualization of intradural and extradural lesions, neoplasms, and infections.

Ethical, collaborative relationships with medical PCPs and specialists using advanced documentation and accurate reporting of imaging and advanced imaging. Creating a collegial relationship when conflicts arise in concluding accurate diagnosis to allow consensus and the evidence to determine final diagnosis.

Understanding the utilization of CAT Scan slicing and the reformatting when using bone and soft tissue windows. Correlating MRI to CAT Scan when either creates an unclear conclusion to render a complete image of the morphology of the indeterminate pathology. Understanding the physics of CAT Scan and the radiation levels with different types of CAT Scan technology.

Understanding the morphology and physiology of connective tissue at the cellular and extra-cellular levels in building a foundation to understanding the function and interaction of ligaments, tendons, muscles, and bones, Identifying connective tissue pathology and the repair process with a foundation of r permanent aberrant sequella.

Understanding the concepts of normal vs. pathological movement of vertebral motor units in accurately concluding diagnosis on biomechanical pathology when considering excessive motion. An evidence-based approach to determining translation, angular deviation and rotations beyond pathobiomechanical limitations in the spine.

An evidence-based approach to concluding accurate diagnosis, prognosis, and treatment plan, Eradicating the non-specific back pain dogma utilizing X-ray digitizing based on literature standards, Creating treatment plans with identifying the primary spinal lesions using evidence-based tools.

Understanding and including all historical elements; current history, past history, family history, and social history when documenting a 99201, 99202, 99203, 99204, and 99205. The application of time as the prime element as per Medicode in coding examinations and re-examination with face to face, review of records and the time necessary to document in an electronic health record.

CPT Coding Guidelines for Initial and Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination, and Medical Decision making. Specific differences in coding levels and required elements for a 99202-99203-99204-99205.

The biological, neurological and mechanical mechanisms and pathways from the thrust to the dorsal 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.

MRI Spine The spine-brain connection in managing chronic pain patients. Understanding how chronic pain negatively effects brain morphology and potential pathology as sequella. 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.

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.

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.

Normal anatomy of axial and sagittal views utilizing T1, T2, gradient and STIR sequences of imaging. Degeneration and annular fissures of discs in both trauma and non-trauma patients and the biochemical properties of joints in age dating pathology. Disc bulges from degenerative and sequela to osseous issues, herniation pathology and protrusion, extrusion, migrated and sequestered variations. Clinical scenarios as sequela to disc and pre-existing pathologies.

Herniated, bulged, extruded, protruded, sequestered and degenerative discs. The morphology of a pathological disc vs. normal morphology and the sequences required including T1, T2 and STIR for all spinal regions. Modic 1-2-3 changes detailed and the traumatic relationship.

Herniated Discs and Connective Tissue Pathology, differentially diagnosing herniated discs vs. normal and bulging discs and protruded, extruded and fragmented discs. Normal vs. Pathological connective tissues and age-dating herniated discs.

Understanding flexion-extension cervical injures and diagnosing connective tissue pathology. Determining impairments and the literature-based standard for permanent injuries.

Spinal disc morphology, and innervation. Herniated, bulged, protruded, and sequestered disc characteristics and management. Literature-based documentation requirements for no-dis spinal injuries.

A case-study of a post-traumatic herniated disc and related brain malfunction supported by contemporary literature, MRI acquisition, and necessity protocols.

Understanding the documentation requirements to demonstratively show spinal disc lesions in reporting pathology. Understanding the physics of a nucleus resonating in T1 and T2 weighted imagery.

Relationship of headaches, and migraines to cervical spine disc herniation, clinical rationale for ordering MRI’s and the relationship of ligamentous pathology to spinal trauma.

Documentation requirements during the evaluation, and management encounter to understand the etiology of spinal injuries. Having a complete understanding the forces involved to conclude a differential diagnosis, while concurrent ruling malingerers, if applicable.

Correlating clinical findings with x-ray and advanced imaging to conclude and accurate diagnosis, prognosis and treatment plan. The utilization of demonstrative documentation in diagnostic testing to visualize pathology in the trauma and non-trauma case.

DOT training to become certified and registered by the National Registry of Commercial Medical Examiners (NRCME) and the Federal Motor Carrier Safety Administration (FMCSA) to perform DOT exams. Background, rationale, mission goals of FMCSA; role of medical examiner; responsibilities and work environment of commercial motor vehicle (CMV) operations.

DOT training to become certified and registered by the National Registry of Commercial Medical Examiners (NRCME) and the Federal Motor Carrier Safety Administration (FMCSA) to perform DOT exams. Obtain, document, review driver medical history, includes meds.

DOT training to become certified and registered by the National Registry of Commercial Medical Examiners (NRCME) and the Federal Motor Carrier Safety Administration (FMCSA) to perform DOT exams. Perform, review, document driver medical exam.

DOT training to become certified and registered by the National Registry of Commercial Medical Examiners (NRCME) and the Federal Motor Carrier Safety Administration (FMCSA) to perform DOT exams. Perform, obtain, document diagnostic tests; obtain other testing/ medical opinions.

DOT training to become certified and registered by the National Registry of Commercial Medical Examiners (NRCME) and the Federal Motor Carrier Safety Administration (FMCSA) to perform DOT exams. Determine driver certification outcome and period certification is valid; FMCSA reporting/documentation requirements.

Utilization in spinal models considering the opioid abuse and various spinal models in contemporary health care. Care paths for mechanical spine pain and the evidence for conservative chiropractic care.

Herniated, bulged, protruded and extruded discs, etiology and morphology. Age-dating disc pathology inclusive of Modic changes, piezoelectric effect, Wolff’s Law and radicular clinical presentation.

Mechanoreceptor, proprioceptor, nociceptor innervation and control of the spinal system with central nervous system action and interaction. The integration of the pain processing network and the HPA Axis (hypothalamus, adrenal and pituitary) with the chiropractic spinal adjustment.

Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement.

Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors.

Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors.

Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors.

Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors.

Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement.

Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors.

Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures. Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement.

Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors.

Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors.

Identifying normal anatomy on both MRI and x-ray, inclusive of osseous, connective tissue, and neurological structures, identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic etiologies of osseous derangement. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors.

Interpretation sequencing of STIR, T1, T2, Axial and Sagittal acquisitions. Landmarks, physics, and literature-based definitions of disc and osseous pathology, Visualizing, diagnosing, and documenting cervical and lumbar anatomy vs. pathology.

Visualizing, diagnosing, and documenting lumbar spine sequencing, disc herniations, neural canals, cauda equina, conus medullaris, nerve sleeves, canal stenosis grading, and vertebral width vs. height in determining segmental remodeling. Diagnosing thecal sac abutment, central canal root compression and ligamentum flava involvement.

Case study visualizing, diagnosing, and documenting cervical spine sequencing, disc herniations, neural canals, cauda equina, conus medullaris, and vertebral width vs. height in determining segmental remodeling. Identifying the Pons, Occipital junction, and spinal cord to identify Chiari 1 malformations.

Visualizing, diagnosing, and documenting lumbar spine sequencing, disc extrusion type herniations, neural canals, cauda equina, conus medullaris, spondylolisthesis, degenerative spondylolisthesis, disc degeneration, neural canal and central root compressions, central canal stenosis. Varices vs. herniations, and multiple level disc pathology with biomechanical failures.

Visualizing, diagnosing, and documenting cervical spine sequencing, disc extrusion type herniations, neural canals, disc degeneration, thecal sac compression, central canal stenosis, cord displacement, reversal of cervical curve, Chiari 1 malformation. Identifying spinal biomechanical failure in MRI sequencing, with visualizing ligamentous pathology as cause for failure. Differentially diagnosing recent vs. older trauma based upon edematous signal in T1, T2, and STIR images.

Visualizing, diagnosing, and documenting cervical spine sequencing, multiple disc extrusion type herniations, vertebral remodeling, intradural tumor displacing the spinal cord visualized in T1, T2, and STIR sequences, neural canal stenosis, disc degeneration, thecal sac compression, central canal stenosis, cord displacement, reversal of cervical curve, Chiari 1 malformation, and identifying of inferior brain structures.

Visualizing, diagnosing, and documenting 1) improper sequence acquisitions invalidating interpretation 2) incomplete study invalidating interpretation 3) visualizing, diagnosing, and documenting lumbar spine sequencing, multiple disc extrusion type herniations, vertebral remodeling, multiple thecal sac compressions, neural canal stenosis, disc osteophyte/ridging complex, central canal stenosis, spondylolisthesis. Identifying the spleen, liver, kidneys, inferior vena cava, and psoas musculature on imaging.

Visualizing, diagnosing, and documenting cervical spine sequencing, cervical spondylosis, pathological spinal biomechanics, reversal of lordotic curve, and vertebral width vs. height in determining segmental remodeling, central herniation, thecal sac compression of the cord, identifying tongue, epiglottis, hyoid cartilage, pharynx, thyroid. Reviewing fat saturation sequences for osseous metastatic tumors and advanced degeneration.

Visualizing, diagnosing, and documenting lumbar spine sequencing, degenerative disc disease, nerve root sleeve abutment, far lateral herniations vs. bulges, normal vs. dissected inferior vena cava aneurism, epidural fat as a space occupying lesion, facet arthropathy and edema, hypertrophy of ligamentum flava, and pseudo disc at the S1-S2 level.

Visualizing, diagnosing, and documenting cervical spine sequencing utilizing T1 weighted images for pathology, inclusive of advanced degeneration and tumor detection. STIR in a fat saturated image for ligamentous pathology inclusive of the posterior longitudinal, ligamentous flava and interspinal ligaments. Normal clivus and odontoid for cerebellar tonsil location. Cerebral spinal fluid (CSF) flow and the utilization of the spinal cord’s central canal for CSF transport.

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

An overview of the evaluation and management process inclusive of utilizing electronic medical records to conclude evidenced-based conclusions with the utilization of macros. The importance of adhering to an academic standard and considering co-morbidities.

This covers in dept the required elements for chief complain, history of present illness, review of systems, and past, family, and/or social history. This module also covers the following components of a physical examination: observation, palpation, percussion, and auscultation.

Detailing 99202-99205 and 99212-99215 inclusive of required elements for compliant billing. It reviews the elements for an extensive review of systems, cervical and lumbar anatomy and basic testing. The course also covers the basics of vertebra-basilar circulation orthopedic assessment.

Reviewing complete motor and sensory evaluation inclusive of reflex arcs with an explanation of Wexler Scales in both the upper and lower extremities. The course breaks down testing for upper and lower motor neuron lesions along with upper and lower extremity motor and sensory testing examinations.

Forensically detailing the S.O.A.P. note process for visit encounters and discussing the necessity for clinically correlating symptoms, clinical findings and diagnosis with the area(s) treated. It also details how to modify treatment plans, diagnosis, document collaborative care and introduce test findings between evaluations.

This module discusses how to document a clinically determined treatment plan inclusive of both manual and adjunctive therapies. It discusses how to document both short-term and long-term goals as well as referring out for collaborative care and/or diagnostic testing. It also includes how to prognose your patient and determine when MMI (Maximum Medical Improvement) has been attained.

Recognized by Cleveland University-Kansas City, Chiropractic and Health Sciences with courses recognized by the ACCGME in conjunction with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences.

Recognized by Cleveland University-Kansas City, Chiropractic and Health Sciences.

CPT Coding Guidelines for Initial and Established Patients with particular attention paid to Patient History, Review of Systems, Social and Family History, Physical Examination, and Medical Decision making. Specific differences in coding levels and required elements for a 99202-99203-99204-99205.

Pathways to improve coordination of care, and interprofessional communication with collaborating physicians. Maintaining ethical relationships in the medical-legal community through documentation and communication of demonstrable diagnosis, prognosis and treatment plans.

History of clinical biomechanics with an emphasis on the diagnosis and management of spine pain of mechanical/functional origin. Evidence-based symptomatic vs. asymptomatic parameters using peer-reviewed medical index literature. Computerized mensuration analysis of spinal biomechanical pathology. Comparison of demonstrable spinal biomechanical failure on imaging to clinical evaluation and physical examination.

Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods.

Review of the ligament injury thresholds, methods of diagnosis utilization of STIR pulse Sequence MRI as the gold standard for evaluating the age of and pathophysiology was discussed and presented. Biomechanical assessment of hypermobility associated with ligament laxity was presented along with the specific ligament involved in the clinical picture. When and how to triage to medical specialist was reviewed. Review of the four columns of vertebral architecture was detailed.

Maintaining ethical Interprofessional relationships based upon an evidenced based practice inclusive of triage, diagnostics and reporting. Creating thorough documentation that reflects your complete findings encompassing descriptive ICD-10 codes and concludes the presence or absence of pathology.

Successful completion of required training and testing concerning the Federal physical qualifications and standards for truck and bus drivers and possesses the necessary knowledge and professional credentials to perform physical qualification examinations for commercial motor vehicle drivers in accordance with the Federal Motor Carrier Safety Regulations (49 CFR 391.41 – 391.49).

Documentation, and coding for x-ray and MRI reports, and patient education. Connective tissue pathology as sequella to trauma and diagnosing of ligament laxity and strain-sprain in conjunction with biomechanical lesions of the human spine. The demonstrative reporting of spinal biomechanical lesions and the subsequent creation of treatment plans.

Chiropractic Diagnosis of ligament injury to the upper cervical region was presented. The methods and tools to determine injury to the Occipital-Atlanto and Atlanto-Axial ligaments were presented.Correlation to mechanism of injury and medical legal reports were reviewed. The AO standards for spinal instability was presented.

Chiropractic Diagnosis and Management of Acute Spinal Ligament Injury – Review of the ligament injury thresholds, methods of diagnosis utilization of SITR pulse Sequence MRI as the gold standard for evaluating the age of and pathophysiology was discussed and presented. Biomechanical assessment of hypermobility associated with ligament laxity was presented along with the specific ligament involved in the clinical picture. When and how to triage to medical specialist was reviewed. Review of the four columns of vertebral architecture was detailed.

Analyzing the requirements in anatomical diagnostic imagery to communicate spinal pathology. Integrating technology, clinical findings, and advanced graphic tools to communicate a diagnostic conclusion.

Clinical case review of MRI including intra and extra-dural findings inclusive of the disc and vascular anatomical lesions. Differentially diagnosing central cord lesions, and spinal cord vascular lesions in both acute trauma and degenerative presentations.

Analyzing neuro-biomechanical pathological lesions defines primary spinal lesions and removes the dogma of non-specific back pain. Creating evidence-based demonstrative documentation in the creation of treatment plans.

Diagnosing and documenting: Ependymoma, Astrocytoma, Hemangioblastoma, Lipoma, Meningioma, Neurofibroma, Schwannoma, Myxopapillary Ependymoma.

Clinical record-keeping, why write clinical notes, the importance of context, what to include in a clinical note, tips for better clinical documentation, basic legal considerations, open clinical notes, how to keep documentation efficient.

Utilizing pain patterns, the high signal in the annulus, high signal outside the annulus, Modic changes, disc height, vacuum disc, sclerosis, Phirrman rating, facet edema, and previous MRIs to determine the chronicity of pathology., Master-Class in ligaments; anatomy, physiology, vascularization, neurological innervation, tissue repair, and how they all relate to clinical practice. Ligament pathology correlating to the mechanisms of patho-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in the chiropractic spinal adjustment and in defining the chiropractic spinal adjustment mechanisms.

Case reviews concluding and accurate diagnosis, prognosis, and treatment plan utilizing evidence-based instrumentation and algorithms. Using demonstrative reporting of case findings to collaborate with co-treating physicians.

A documentation discussion on meeting the requirements of the courts, carriers, and licensure boards in complete and accurate reporting. Ensuring the diagnosis, prognosis, and treatment plan are demonstratively documented.

Chiropractic diagnosis and management of cervical spine disc herniation was presented. Differential diagnosis of acute disc injury vs chronic disc herniation was reviewed. Co-management with medical specialist was also reviewed. A discussion of available pain management procedures as also presented.

Chiropractic diagnosis and management of lumbar spine disc herniation was presented. Differential diagnosis of acute disc injury vs chronic disc herniation was reviewed. Co-management with medical specialist was also reviewed. A discussion of available pain management procedures as also presented.

Including co-management, triage, and referral to medical specialists along with record keeping and documentation sharing with pain management and surgical specialties was reviewed. Clinical indications for surgical consultations were presented.

The long-term clinical outcomes of chronic hypermobility due to ligament laxity was reviewed. Potential interventions and their expected outcomes were presented.

Chiropractic diagnosis of acute disc and ligament injury and the tools necessary for accurate diagnosis, prognosis, and treatment planning. Ethical and accurate medical legal reporting was also reviewed.

A review of the ligament, biomechanical and neurologic implications of a chronic cervical spine conditions, age dating cervical spine pathology and acute cervical spine injury including cervical spinal cord edema. The methods to determine stability and co-management with medical specialists was reviewed. Identification of the biomechanical ligament injury associated with the structural compromise, disc herniation with traumatic annular fissures and triage for neurosurgical consultation was reviewed.

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 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.

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.

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, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm.

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 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.

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 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.

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.

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 diagnosing normal versus abnormal facet motion along with case studies to understand the clinical application.

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 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.

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.

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.

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.

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.

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 sequella 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 homeostatis until tetanus ensues creating osseous changes under the effect of Wolff's Law.

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.” Triage protocols and the potential sequela of patients with traumatic brain injuries.

Gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. Numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes.

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. Concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging.

Concussion etiology and cognitive sequela where gross bleeding has not been identified on advanced imaging. The significance of electroencephalogram testing in determining brain function and pathology (if present). The understanding of waveforms in electroencephalogram testing in both normal and abnormal scenarios.

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. Electroencephalograms and event-related potentials which measures the brain response that is a direct result of specific sensory or motor events. Stereotype electrophysiological response to a stimulus and provides a noninvasive means of evaluating brain function. Module multiple case studies are discussed with ensuing triage protocols pending the results.

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.

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.

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.

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.

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.

Integration of 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.

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.

Trends in hospital and emergent care in the healthcare delivery system inclusive of policies, hospital staffing and current care paths for mechanical spine issues.

Practical evaluation and management of lumbopelvic pathology including range of motion assessment, physical & orthopedic evaluation, neurologic assessment, functional evaluation, imaging, treatment, rehabilitation and patient education for: Lumbar Sprain/Strain, Facet Syndrome, Lumbar Disc Lesions, Lumbar Degeneration/Stenosis, Lumbar Sponylolysis & Spondylolisthesis, and Differential Diagnosis of Low Back Pain approved for continuing education credit by Louisiana Board of Chiropractic Examiners.

Elements of Evaluation and Management codes 99202-99203-99204-99205, inclusive of complexity of management and time components. Demonstrative documentation of spinal-related pain generators; spinal cord, thecal sac, myelomalacia, spinal nerve root insult, connective tissue, recurrent meningeal nerves.

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.

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.

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.

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.

Analyzing evidenced-based spinal healthcare trends in both utilization and necessity and understanding the marketplace. The use of evidenced-based demonstrative documentation in reporting treatment pathways in triaging spinal pathobiomechanics.

Clinical case review of MRI’s including sagittal, axial, T1, T2, STIR, and proton density sequences. Identified will be the vertebrate, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Pathology will include bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and Schmorl’s nodes. Learn how to collaborate effectively with radiologists, neuroradiologists, and neurosurgeons on the clinical findings.

Analysing evidence-based outcomes in triaging non-anatomical lesions. The analysis of neuro-biomechanical pathological lesions defines primary spinal lesions and removes the dogma of non-specific back pain. Managing collaborative relationships with medical primary providers and specialists in clinical practice.

Utilizing both MRI and x-ray in identifying via x-ray and advanced imaging extremity instabilities from ligamentous, osseous or neoplastic derangement.

Effectively creating demonstrative medical-legal documentation and meeting the needs of the courts, and making your "4-Corner" (narrative) report to build your reputation as an evidence-based provider. The step-by-step minutiae of building a report, accomplishing report writing timely and effectively by understanding the regulatory and administrative rules. Learn how to educate the lawyer on bodily injury through evidence-based demonstrative reporting.

Master-Class in ligaments; anatomy, physiology, vascularization, neurological innervation, tissue repair and how they all relate to clinical practice. Ligament pathology correlating to the mechanisms of patho-neuro-biomechanical lesions (vertebral subluxation complex). Also, how ligaments play a critical role in the chiropractic spinal adjustment and in defining the chiropractic spinal adjustment mechanisms.

Diagnosing, triaging, and documenting headaches, migraines, and vascular incidents (stroke) in the primary provider's office. Imaging protocols based upon history and clinical presentation will be presented, along with analyzing imaging findings in determining the etiology. There will be an extensive question and answer session following the instructional presentation.

Age dating herniated discs and trauma is a critical skill for an expert in spine. It combines the clinical skills of interpreting X-ray, MRI, and other imaging modalities with a clinician's understanding of joint pathology. This level of expertise is critical when collaborated with other physicians or working in the medical-legal environment as an expert. Age dating pathology is also central to creating a prognosis on your patient's recovery and must be evidence-based in rationale.

Case reviews utilizing E/M, MRI, and x-ray mensuration report to conclude an accurate diagnosis, prognosis, and treatment plan. Common diagnosis requiring interprofessional collaboration with a discussion of diagnostic dilemmas and proper communication methods.

A clinical discussion of collaborating with neurosurgeons on spinal cord and spinal nerve root co-morbidities. Triaging cases with herniated, protruded, extruded, fragments discs and differentially diagnosing tethered cord, syringomyelia, traumatic Schmorl’s Nodes, Myelomalcia, spinal cord edema, vacuum disc and other intra, and extra-dural lesions.

Concluding an E&M report Documentation in Medical Collaborative in cases involving medical primary care providers of medical specialists that have complicated case histories, significant risk factors, and inconclusive findings. Triage and management of complicated cases requiring the clinical evaluation, advanced imaging and electrodiagnostics.

Contemporary acquisition protocols including slice thicknesses and sequences inclusive of the ordering process. Interpretation of axial, sagittal and coronal views in T1, T2 and stir views inclusive of the disc, spinal cord, extra-dural and intra-dural pathology.

Having referral relationships with emergency rooms, neurosurgeons, orthopedic surgeons, pain management specialists, neurologists, neuroradiologist and medical primary care providers based upon clinical dilemmas that processed after a thorough history, examination and imaging if clinically indicated to conclude diagnostic dilemmas. Utilizing evidence-based protocols and acquisition of images and treatment pathways, collaborating with medical specialists and primaries to conclude and accurate treatment plan.

Constructing and concluding an E&M (99202-99205) report that accurately reflects the history, clinical findings and management of trauma cases that concurrently meets the needs of both the carriers in the courts and ethical relationship that concurrently matches the standards of both contemporary academia requirements and a contemporary literature-based standard.

Risk Management, Billing and Coding Updates for Chiropractic in 2021, virtual classroom education with approval from Texas State Board of Chiropractic Examiners.

Analyzing spinal healthcare trends in both utilization and necessity and understanding the marketplace and how a level of clinical excellence is reflected in a doctors' documentation and credentials. Treatment pathways in triaging spinal pathobiomechanics.

An evidence-based understanding of time-related etiology of disc pathology considering the American Society of Neuroradiology's designation of protrusion, extrusion, and sequestration of spinal discs, Considering the signal intensity of discs in age-dating pathology and acquisition protocols for advanced spinal imaging.

An evidenced-based model for spinal biomechanical engineering and pathobiomechanics considering the pathophysiological limits in translations, angular deviation, and rotational planes. Utilizing the Cartesian system in plotting vertebral points to demonstratively conclude an accurate diagnosis, prognosis and biomechanical treatment plan with the consideration of long-term care in the non-specific mechanical spine pain patient when necessary.

Clinical Grand Rounds of herniated, protruded, extruded, sequestered, and bulging discs. Differentially diagnosing vascular vs. mechanical spinal lesions and the necessity for urgent vascular, neurological intervention, Collaborating in a team environment utilizing a neuroradiologist, electrophysiologist, and neurosurgeon with the chiropractor as the primary spine care provider.

Analyzing spinal healthcare trends in both utilization and necessity and understanding the marketplace and how a clinical excellence level is reflected in a doctors' documentation and credentials. Treatment pathways in triaging spinal pathobiomechanics.

An evidence-based understanding of time-related etiology of disc pathology considering the American Society of Neuroradiology's designation of protrusion, extrusion, and sequestration of spinal discs, T1, T2, STIR and Proton-Density weighted evaluation to diagnose spine form MRI accurately.

Utilizing spinal mensurating algorithms to conclude a pathobiomechanical vs. normal spine in the absence of anatomical pathology. Clinically correlating a history and physical examination findings to x-ray biomechanical results in creating an accurate diagnosis, prognosis, and treatment plan.

Utilizing both MRI and x-ray to diagnose 1) Arthritis - Inflammatory and Degenerative, 2) Advanced cartilage assessment, 3) Rotator Cuff Tears, 4) Labral tears (shoulder and hip), 5) Tendon injuries and degeneration, 6) Meniscal tears, 7) Ligamentous injuries, 8) Common fractures, 9) Sports-related injury patterns, 10) Plantar fasciitis.

The narrative report. How to effectively create medical-legal documentation and what the courts look for. Making your "4-Corner" (narrative) report demonstrable and build a reputation as an evidence-based provider. The step-by-step minutiae of building a report.

Treatment modalities centered upon "best-outcomes" in an evidence-based model considering chiropractic vs. physical therapy and chiropractic vs. medicine. Considerations of disability, pain reduction, functional improvement, drugs utilized, and side-effects are all considered.

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.

Credentialed in hospital protocols, emergency room protocols, acute and chronic patient triage inclusive of MRI spine interpretation, spinal biomechanical engineering, head trauma, concussion, mild traumatic and traumatic brain injuries.

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

The requirements for diagnosing imaging inclusive of static x-rays, biomechanical x-rays, and MRI. Documenting the clinical findings of disc bulge, herniation, protrusion, extrusion, and fragmentation. Coding, diagnosing, and documenting individual treatment encounters in the clinical setting.

Biomedical Differential Diagnostic Strategies: Examination, Psychosocial Assessments, Functional Outcome Assessments, Diagnosis, Prognosis, Treatment Plans and Case Management of Work-Related Low Back Pain Patient, approved by the Louisiana Board of Chiropractic Examiners for General Chiropractic Education, Risk Management and Ethics.

The System for Treating Musculoskeletal Disorders and Improving Physical Performance - Adjustive Techniques, Manual Therapy, approved by the Louisiana Board of Chiropractic Examiners for Case Management, Risk Management and Ethics.

Fundamental Principles, Evaluation, Technique Applications (class room and hands on practical application) of Superficial Dry Needling for Pain Management and Performance, approval by Alabama State Board of Chiropractic Examiners.

Documentation, MRI Necessity and Trends in Spinal Treatment Protocols, Correlating history and a thorough clinical evaluation in determining the necessity for x-ray and MRI evaluations in the trauma and non-trauma patient. Considering whole spine patho-biomechanics in formulating treatment plans and long-term supportive care. Documentation requirements in transitioning from telemedicine to in-office care.

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

The requirements for diagnosing imaging inclusive of static x-rays, biomechanical x-rays, and MRI. Documenting the clinical findings of disc bulge, herniation, protrusion, extrusion, and fragmentation. Coding, diagnosing, and documenting individual treatment encounters in the clinical setting.

Case Management Protocols for Acute Injury and Repetitive Microtrauma, Risk Management, Ethics, and General Chiropractic Education approved by the Louisiana Board of Chiropractic Examiners.

Risk Management, Ethics and General Chiropractic Education approved by the Louisiana Board of Chiropractic Examiners.

Pre-requisite completion of 200 Level 1 Dry Needling sessions. Advanced course of study in a lab-intensive atmosphere, including SFMA instruction, and 3-4 case presentations with assessment, treatment, and practical experience. Theoretical and laboratory sessions which incorporate instruction in safety, needling technique, treatment rationales for various diagnoses, and education in contraindications. 80% proficiency on comprehensive written exam after the course and practical examination on-site for competency and proficiency requisite for certification as a Functional Dry Needling® (FDN) Practitioner. Approved by the Louisiana Board of Chiropractic Examiners.

Functional Assessment, Stability Motor Control Strong Posture Protocols and PostureZone Framework for Exercise Specialists approved by the Louisiana Board of Chiropractic Examiners for 12 hours of continuing education/license renewal credit.

Risk Management and Ethics continuing education approved by the Louisiana Board of Chiropractic Examiners.

Virtual classroom instruction by Gray Cook, M.S.P.T., O.C.S., C.S.C.S., and Greg Rose, D.C., with certification examination on Top Tier Test and Functional Breakouts of Level 1 of the Selective Functional Movement Assessment (SFMA): An Evidence-Based Clinical Model to Address Regional Interdependence.

Virtual classroom instruction by Gray Cook, M.S.P.T., O.C.S., C.S.C.S., and Greg Rose, D.C., with certification examination on Functional Movement Screen, Identifying movement patterns that can be developed or loaded and those that need to be protected and corrected.

Risk Management Continuing Education approved by the Louisiana Board of Chiropractic Examiners.

Neuromecanical Assessment Impulse Adjusting System (technique and lab practical breakouts), Therapeutic Modalities & Injury/Movement Rehabilitation approved by the Louisiana Board of Chiropractic Examiners.

Applications for pain management & sports injuries, techniques for treatment of neuromuscular dysfunctions in the hip, lower extremity, thigh, upper extremity, shoulder, lumbar spine and cervical spine. Emphasis on safety, precaution, clinical application, research, history of dry needling, and relevant case study. Attendee required to demonstrate competency in dry needling, with understanding of indications, contraindications, precautions and complications associated with Functional Dry Needling, approved by the Louisiana Board of Chiropractic Examiners.

Neuromecanical Assessment Impulse Adjusting System (technique and lab practical breakouts), Modalities & Rehab approved by the Louisiana Board of Chiropractic Examiners

Risk management continuing education approved by the Louisiana Board of Chiropractic Examiners.

In-depth training on all aspects of management of trauma; Auto crash reconstruction in low speed crashes; Historical documentation in personal injury and forensic medicine applications; Comprehensive physical examination of whiplash and traumatic brain injury; Special laboratory methods; The latest radiographic examination methods and analysis techniques; CT examination of brain and soft tissue injuries; MRI examination of brain and soft tissue injuries; Special diagnostic imaging modalities (SPECT, PET, fMRI, MRA, VF, etc.); Electrodiagnostics (EMG, sEMG, SSEP, VEP, etc…); Rendering a diagnosis/impression in the personal injury or forensic setting; Soft tissue healing times and implications for successful case management; The state of the injury and implications for case management; Designing a treatment plan and living with guidelines; Important applications of activities of daily living; Chiropractic manipulation, deep tissue massage, and PT Modalities for best outcomes.

Critical documentation from day 1; What every personal injury and forensic expert needs to know. The fundamental of expository, scientific writing you were never taught; common dos and don'ts. The essential craft of narrative report preparation from A-Z; style, strategy, methods, organization, and common pitfalls. Incorporating outcomes assessment and disability instruments into your reports (SCL-90-R, Oswestry, Roland-Morris, Rivermead PCS, and more). The application of AMA guidelines in personal injury and forensic practice. Modern guidelines and best practices (Presley Reed, Mercy, QTF, ACOEM, Croft); How they are commonly abused and how and when to use them correctly. Critical rebuttal methods and strategies in today's modern forensic practice. Special software applications: managing data, information, graphics.

In-depth training on all aspects of management of trauma, from beginning to end; Auto crash reconstruction in low speed crashes; Historical documentation in personal injury and forensic medicine applications; Comprehensive physical examination of whiplash and traumatic brain injury; Special laboratory methods; The latest radiographic examination methods and analysis techniques; CT examination of brain and soft tissue injuries; Latest techniques of MRI examination of brain and soft tissue injuries; How and when to uses special diagnostic imaging modalities (SPECT, PET, fMRI, MRA, VF, etc.); how and when to use electrodiagnostics (EMG, sEMG, SSEP, VEP); Rendering a diagnosis/impression in the personal injury or forensic setting; Soft tissue healing times and implications for successful case management; The state of the injury and implications for case management; Designing a treatment plan and living with guidelines; Optimizing outcomes and important applications of activities of daily living; Chiropractic manipulation, deep tissue massage, and PT Modalities for best outcomes.

Essentials of documentation and records keeping; When and how to use Medical photography; Preparing for the classic cross-examination strategies; Critical differences between chiropractic and medical approaches; Daubert and Frye rules; Disabusing the MIST myth; Colossus; Learned treatises and reliable authorities; Other federal rules of evidence.

Neuromecanical Assessment Impulse Adjusting System (technique and lab practical breakouts), Therapeutic Modalities & Injury/Movement Rehabilitation approved by the Louisiana Board of Chiropractic Examiners.

Level I - Neuromuscular Reeducation Technique (NMR), Palpation and Functional Movement Analysis with Muscle Specific Technique Applications (instruction and hands-on practical breakouts) for Pain Management and Increased Functional Outcomes, approved by the Texas State Board of Chiropractic Examiners.

Advanced Patient Classification and Application of Non-Surgical Spinal Decompression Therapy, Therapeutic Modalities and Functional Movement Rehabilitation approved by the Louisiana Board of Chiropractic Examiners.

Case Management/Documentation, Billing and Coding, and Compliance approved by the Louisiana Board of Chiropractic Examiners.

Advanced Patient Classification and Application of Non-Surgical Spinal Decompression Therapy, Therapeutic Modalities and Functional Movement Rehabilitation approved by the Louisiana Board of Chiropractic Examiners.

Advanced Patient Classification and Application of Non-Surgical Spinal Decompression Therapy, Therapeutic Modalities and Functional Movement Rehabilitation approved by the Louisiana Board of Chiropractic Examiners.

Risk management continuing education approved by the Louisiana Board of Chiropractic Examiners.

Level 1 of the Selective Functional Movement Assessment: An Evidence-Based Clinical Model to Address Regional Interdependence, classroom instruction and hands-on practical breakouts. Approval for Physical Therapy continuing education

Advanced Patient Classification and Application of Non-Surgical Spinal Decompression Therapy, Therapeutic Modalities and Functional Movement Rehabilitation approved by the Louisiana Board of Chiropractic Examiners.

Clinical instruction and practical applications in biomechanics and orthotics in the use of Sole Supports Gait-Referenced Casting for the capture of MASS Position.

Conventional & Holistic Principles, Pediatric Immune Systems, Acute Pediatric Conditions, and Preventative Pediatric Medicine instructed by Lawrence B. Palevsky, M.D., F.A.A.P., A.B.H.M., approved by the Louisiana Board of Chiropractic Examiners.

Risk management approved by the Louisiana Board of Chiropractic Examiners

Neuromecanical Assessment Impulse Adjusting System (technique and lab practical breakouts), Therapeutic Modalities & Injury/Movement Rehabilitation approved by the Louisiana Board of Chiropractic Examiners.

Postgraduate education in the fundamentals and principles of chiropractic management and technique applications of the pediatric patient instructed by Armand M. Rossi, D.C., F.I.C.P.A, approved by the Louisiana Board of Chiropractic Examiners.

Fundamentals and principles of chiropractic management and technique applications for the pregnant, perinatal, neonatal and pediatric patient approved by the Louisiana Board of Chiropractic Examiners.

Neuroimmunology: Patterns of Immune Interference - Concepts and Controversies, Mechanisms and Classical Science and Assessment approved by the Louisiana State Board of Chiropractic Examiners.

Fundamentals and Principles of Chiropractic Case Management and Technique Applications of the Pediatric Patient with Emphasis on Attention Deficit Hyperactivity Disorder, Asthma, Colic, Otitis Media, Low Back Pain, Pediatric Biomechanics, and Scoliosis Management approved by the Louisiana State Board of Chiropractic Examiners.

Fundamentals and Principles of Chiropractic Case Management and Technique Applications for the Pediatric Patient approved by the Louisiana State Board of Chiropractic Examiners.

Fundamentals and Principles of Sacro-Occipital Technique and Clinical Applications for the Management of the Pediatric Patient approved by the Louisiana State Board of Chiropractic Examiners.

Fundamentals and Principles of Chiropractic Case Management and Technique Applications for the Challenged or Disabled Pediatric Patient approved by the Louisiana State Board of Chiropractic Examiners.

Fundamentals and Principles of Sensory Integration Dysfunction and Evaluation/Technique Applications for Integration into Practice for the Pediatric Patient approved by the Louisiana State Board of Chiropractic Examiners.

Fundamentals and Principles of Chiropractic Case Management and Technique Applications Using a Specific Biomechanical Approach Adapting the Gonstead System for the Pregnant and Pediatric Patient, approved by the Louisiana State Board of Chiropractic Examiners.

Advanced training for delivering instruction and training to Doctors of Chiropractic (D.C.) on the science, research, technology and practical applications of the Pro-Adjuster, a computer assisted percussive instrument used for the correction of biomechanical neuromusculoskeletal lesions.

Research, technology and practical applications of the computer assisted percussive instrument used for the correction of biomechanical neuromusculoskeletal lesions approved by the Louisiana Board of Chiropractic Examiners.

Risk Management Education approved by the Louisiana Board of Chiropractic Examiners

Research, technology and practical applications of the computer assisted percussive instrument used for the correction of biomechanical neuromusculoskeletal lesions approved by the Louisiana Board of Chiropractic Examiners.

Case Management, Billing and Coding Updates, Documentation and Compliance, Practice Management and Business Acumen, Chiropractic Technique, Therapeutic Modalities, Active Rehabilitation, and Personal/Professional Growth and Development approved by the Louisiana State Board of Chiropractic Examiners.

Billing and Coding Updates, Documentation and Compliance, Practice Management and Business Acumen, approved by the Louisiana State Board of Chiropractic Examiners.

Science, research, technology and applications of the Pro-Adjuster, a computer assisted percussive instrument used for the correction of biomechanical neuromusculoskeletal lesions.

Chiropractic Case Management, Compliance, Billing and Coding Issues approved by the Louisiana Board of Chiropractic Examiners.

Case management and applications of the computer assisted percussive instrument used for the correction of biomechanical neuromusculoskeletal lesions approved by the Louisiana Board of Chiropractic Examiners.

Continuing research, technology and applications of the computer assisted percussive instrument used for the correction of biomechanical neuromusculoskeletal lesions approved by the Louisiana Board of Chiropractic Examiners.

Research, technology updates and clinical applications of the computer assisted percussive instrument used for the correction of biomechanical neuromusculoskeletal lesions approved by the Louisiana Board of Chiropractic Examiners.

Case Management, Billing and Coding Updates, Documentation and Compliance, Practice Management and Business Acumen, Chiropractic Technique, Therapeutic Modalities, Active Rehabilitation, and Personal/Professional Growth and Development approved by the Louisiana State Board of Chiropractic Examiners.

Risk Management, Billing and Coding Updates approved by the Louisiana Board of Chiropractic Examiners.

The Structural Management Program (4 parts) approved by the Louisiana Board of Chiropractic Examiners.

Risk Management Education approved by the Louisiana Board of Chiropractic Examiners.

Case Management, Billing and Coding Updates, Documentation and Compliance, Practice Management and Business Acumen, Chiropractic Technique, Therapeutic Modalities, Active Rehabilitation, and Personal/Professional Growth and Development approved by the Louisiana State Board of Chiropractic Examiners.

Billing and Coding Updates, Documentation and Compliance, Practice Management and Business Acumen, approved by the Louisiana State Board of Chiropractic Examiners.

Case Management, Billing and Coding Updates, Documentation and Compliance, Practice Management and Business Acumen, Chiropractic Technique, Therapeutic Modalities, Active Rehabilitation, and Personal/Professional Growth and Development approved by the Louisiana State Board of Chiropractic Examiners.

Case Management, Billing and Coding Updates, Documentation and Compliance, approved by the Louisiana State Board of Chiropractic Examiners.

Classroom and Hands-on Instruction for Implementation and Integration of Insight Millennium, Surface Electromyography (sEMG) and Thermography Scanning, Practice and Case Management.

Case Management, Billing and Coding Updates, Documentation and Compliance, Practice Management and Business Acumen, Chiropractic Technique, Therapeutic Modalities, Active Rehabilitation, and Personal/Professional Growth and Development approved by the Louisiana State Board of Chiropractic Examiners.

The Activator Method® chiropractic adjusting technique; coursework and practical application workshops; proficiency rating examination in Basic and Advanced Activator Methods Chiropractic Techniques.

Case Management, Billing and Coding Updates, Documentation and Compliance, Practice Management and Business Acumen, Chiropractic Technique, Therapeutic Modalities and Active Rehabilitation, approved by the Louisiana State Board of Chiropractic Examiners.

Instruction and practical hands-on application in the study of mechanical engineering principles. Topics include Spinal Lateral Curves With Harmonics, Sacroiliac Joint Motion, Mechanics of Torque, Systematic Evaluation of Posture and Mirror Image Postural Adjusting on Drop Table for Head, Thorax, Pelvis, AP Full Spine and Lateral Full Spine.