Kevin Gallagher, DC

Evidence-Based demonstrative documentation for creating successful patient-centered collaborative care. Using "reputation building" through effective documentation to develop relationships with MD PCPs, MD Specialists, ERs, and Urgent Care Centers. Using demonstrative evidence will eradicate the Non-Specific Back Pain "Dogma,” allowing chiropractic utilization to increase based on the evidence. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2025

Spinal imaging techniques to assess spinal structures and detect abnormalities. The sequences also identify ancillary findings such as renal, ovarian, extradural, and intradural tumors. Careful evaluation of spinal MRIs can reveal critical pathologies beyond musculoskeletal issues. Analyzing the morphology of the abdominal aorta to determine potential stroke risks. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2025

Identifying and diagnosing spinal segmental lesions in the facet, joint capsules 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. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2025

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. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2025

creating a professional bio and CV, essential for establishing credibility in the medical-legal field. Incorporating outcome statistics from cases helps demonstrate your work's real-world impact, especially in the medical legal arena. Getting published in the National Institutes of Health (NIH) using research, peer review, and adherence to scientific standards and enhances your reputation by validating your work within the healthcare community and increasing your authority in the healthcare community field. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2025

Utilizing the evidence in the literature to age-dating spinal herniated discs and trauma. Including interpreting X-rays, MRIs in T1, T2, STIR and Fat Saturation sequences, and other imaging alongside understanding the evidence of joint pathology. Being able to collaborate with physicians or as a medical-legal expert. Accurate age-dating helps establish a prognosis for patient recovery. The process must be grounded in evidence-based rationale to ensure reliability. Mastering this skill enhances both clinical decision-making and legal credibility. ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2025

Clinical Grand Rounds for a case involve assessing disc, ligament, and spinal pathology. The process includes establishing a diagnosis, determining the prognosis, and developing a treatment plan. Special attention is given to conditions such as cord edema, myelomalacia, myelopathy, and tethered cords. Utilizing follow-up examinations as a step in crucial in refining the diagnosis and treatment approach. Adjustments to the treatment plan are made as new clinical findings emerge. This ensures that patient care remains dynamic and responsive to evolving spinal conditions.ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2025

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, Renal 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 end-plate, 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.

The Rating of Permanent Impairment For Disability Evaluation - AMA Guides To The Evaluation Of Permanent Impairment - 5th edition

The prevalence of chronic pain and high-impact chronic pain in the United States, as analyzed by the CDC in 2016 is estimated to affect 20.4% (50.0 million) of U.S. adults for chronic pain and 8.0% of U.S. adults (19.6 million) for high-impact chronic pain. It has been estimated that 1 in 6 American suffer from chronic headaches. There appears to be a significant need for better treatment and management strategies. In this module you will learn the foundational neurological structures and pathways responsible for producing pain and those brain areas/structures that are critical in reducing the pain experience. You will learn specific examination techniques that will allow you to assess the integrity of the brain’s pain modulatory centers. With that knowledge you will be shown specific treatment techniques to address the dysfunctional brain regions promoting one’s chronic pain.

The neurological examination and its understanding are foundational to the success of any applied patient treatment. Being able to correctly navigate a patient’s history and overlay that history with an examination specific to a patient needs years of clinical study and practice. This module is designed to provide you with the foundation necessary to build upon your skills to become an exceptional clinical interviewer and examiner. This module will further teach you the skills necessary to navigate and interpret some of the most common advanced testing techniques utilized by practitioners incorporating a functional neurology paradigm in their practices.

The neurological examination and its understanding are foundational to the success of any applied patient treatment. Being able to correctly navigate a patient’s history and overlay that history with an examination specific to a patient needs years of clinical study and practice. This module is designed to provide you with the foundation necessary to build upon your skills to become an exceptional clinical interviewer and examiner. This module will further teach you the skills necessary to navigate and interpret some of the most common advanced testing techniques utilized by practitioners incorporating a functional neurology paradigm in their practices.

Neurological rehabilitation is the term used to describe the treatment that patients receive after they have had a neurological injury, illness, or diagnosis of a long-term neurological condition. The World Health Organization’s definition of rehabilitation states “a set of measures that assist individuals, who experience or are likely to experience disability, to achieve and maintain optimum functioning in interaction with their environments” (WHO, 2011). The module teaches you the core foundational principles in establishing a successful rehabilitation program addressing your patient’s specific needs. You will learn specific techniques to address specific areas of the nervous system and learn how to develop frequency and intensity strategies based upon an individual’s own metabolic capacity. A combination of written case presentations and live case videos will be utilized to encompass the various neurological systems covered throughout the 800 series. This is an interactive module that encourages participation in the form of questioning and ongoing critical discussion of the cases present. The goal of this module is for each practitioner to feel comfortable and knowledgeable in the application of their own specific technique to the neurological condition/diagnosis presented.

The neurological examination and its understanding are foundational to the success of any applied patient treatment. Being able to correctly navigate a patient’s history and overlay that history with an examination specific to a patient needs years of clinical study and practice. This module is designed to provide you with the foundation necessary to build upon your skills to become an exceptional clinical interviewer and examiner. This module will further teach you the skills necessary to navigate and interpret some of the most common advanced testing techniques utilized by practitioners incorporating a functional neurology paradigm in their practices.

There are seven basic movements the human body can perform, and all other movements are merely variations of these seven: Pull, Push, Squat, Lunge, Hinge, Rotation and Gait. The creation of these seven basic movements is critical to human function and performance. This module discusses the neurological mechanisms involved in the creation and coordination of movement. You will learn about the main central structures involved in the creation of movement and how these seemingly independent nodes are significantly integrated together. This module provides the foundational framework necessary for you to understand the pathologies involving the motor system. Approximately 28% of the US population including both men and women aged 50-89 suffer from some type of movement disorder. Of that 15-20% are a result of the secondary effects of pharmaceutical management resulting in Tardive Dyskinesia. Thus, there is a substantial need for a better understanding of the pathophysiology involved in the development and maintenance of some of the most common movement disorders affecting humankind. In this module you will learn the anatomy and physiology of the main neurological structures involved in the pathogenesis inherent to all movement disorders. You will also learn examination history taking and examination techniques to allow you to correctly define the movement disorder.

Leonardo da Vinci while making wax castings of the human brain back in 1504 was the first to and coin the term “cerebellum” (Latin for “little brain”) after identifying two small brain hemispheres tucked neatly under the relatively humongous left-right hemispheres of the “cerebrum” (Latin for “brain”). This module explores the integrated structure and function of the cerebellum from its classical view in coordinating movement to its more progressive functional role in higher cognitive processing. Common clinical disorders will be discussed emphasizing diagnostic and treatment applications.

The autonomic nervous system (ANS), formerly known as the vegetative nervous system, is a division of the nervous system that supplies smooth muscle and glands, and as a result influences the function of internal organs. Called the ANS for its unconscious regulation bodily functions it is critical in delivering fuel and nutrients throughout the nervous system. This module discusses the central and peripheral components that make up the ANS and how breakdown in these systems lead to the development of various dysautonomia. Diagnostic, examination, and treatment applications will be explored when appropriate.

The spinal cord is the main conduit that connects the brain to the rest of the body. Being encased within the vertebral column can act as a double edge sword. On one hand it provides protection and on the other hand it can expose the spinal cord to damage through a myriad of degenerative and traumatic conditions. This module reviews the structure/function of the spinal cord and those degenerative, traumatic, inflammatory, and vascular conditions that impair its function.

The spinal cord is the main conduit that connects the brain to the rest of the body. Being encased within the vertebral column can act as a double edge sword. On one hand it provides protection and on the other hand it can expose the spinal cord to damage through a myriad of degenerative and traumatic conditions. This module reviews the structure/function of the spinal cord and those degenerative, traumatic, inflammatory, and vascular conditions that impair its function.

The brain being incased within the bony cranium as surrounded by various structures that protect and support its function. This module discusses those structures ranging from the skull’s sutures, meninges, vascular system, CSF, and supportive glial cells. Clinical disorders of these structures will be discussed with an emphasis on diagnostic and treatment applications.

12 pairs of cranial nerves act and the final common pathways that allow direct access of the brain to its environment while allowing the brain direct control of systems vital to its survival. This module reviews the structure and function of each of the cranial nerves focusing on diagnostic testing and interpretations. Common clinical entities will be discussed both from a diagnostic and management point of view.

Broca was first to describe the existence of a “great cerebral system” (Broca1) that encircled the limbus (or edge) of the hemisphere and thus, defined this area as the limbic lobe. From that time forward the lobular sequentialization of the brain has been commonly used to define its structure. In this module we explore the frontal and parietal lobes of the brain focusing on structure, function, and the common clinical condition seen with each lobe’s dysfunction.

The vestibular system is one of the leading contributors to one’s sense of balance and spatial orientation for the purpose of coordinating movement with balance. It is responsible for providing our brain with information about motion, head position, and spatial orientation. This module reviews in detail the structural components and central functional connectivity of the vestibular system. Assessment and management of the most common vestibular disorders will be discussed with emphasis focusing on non-pharmaceutical strategies.

The ocular motor system is that part of the CNS, which functions mainly in maintaining visual stability and controlling eye movements. It is made up of many brain areas that cooperate to stabilize images of interest on the high-acuity part of the retina. All these systems must be funneled through the same final common pathway through the brainstem. This module discusses the structures of the brain and brainstem that produce various eye movements with a focus on their central connectivity. Ocular examination techniques along with their diagnostic interpretations will be reviewed. The goal is to create individualized ocular rehabilitative strategies for each clinical entity observed.

According to the latest data from the CDC (2020) heart disease continues as the leading cause of death for men, women, and people of most racial and ethnic groups in the United States accounting for about 647,000 deaths each year—that’s 1 in every 4 deaths. Understanding the contributors to heart disease is critical to its prevention. In this module you will learn about the anatomy and physiology of both the respiratory and cardiovascular systems. Emphasis will be placed on the central neurological structure governing these systems and how pathophysiology in those systems act as a comorbidity to the presence of respiratory and cardiovascular disease. Examination and diagnostic techniques specific to these systems will be discussed and demonstrated as to develop better non pharmaceutical treatment and management strategies. The National Institute of Health (2020) estimates 60 to 70 million people are affected by chronic digestive disease per year in the United States. It is also estimated that 43% of individuals suffer from intermittent digestive disorders. Also, according to the NIH (2020) about 9% of men and about 11% of women of reproductive age in the United States have experienced fertility problems. In this module you will learn the clinically important anatomy and physiology that is foundational to the understanding of the most common gastric and reproductive disorders. Further the anatomy and physiology of the Brain-Gut Axis will be discussed from a gastric/reproductive disease centric point of view allowing clinicians a better understating of this very intimate relationship. Examination techniques specific to these areas will be discussed and demonstrated to allow for the development of improved non-pharmaceutical management of these conditions.

Clinical Disorders: 1. Hyperprolactinemia (Associated conditions) 2. Pituitary tumors 3. Hypothalamus 4. Sarcoidosis 5. Craniopharyngiomas 6. Cranial irradiation 7. Empty Sella syndrome 8. Other diseases 9. Pituitary or TSH induced hyperthyroidism 10. Causes of excess Cortisol 11. ACTH Deficiency 12. Deficiency of Vasopressin (Diabetes Insipidus) 13. Syndrome of Inappropriate AVP Secretion (SIADH) 14. Thyroid Disorders 15. Diseases of the Adrenal Cortex 16. Congenital adrenal hyperplasia 17. Pheochromocytoma 18. Diabetes Mellitus 19. Abnormalities of Testicular Function 20. Hypothalamic/Pituitary 21. Testicular 22. Abnormalities of the Ovaries 23. Disorders affecting Multiple Endocrine Systems

The rating of Permanent Impairment for Disability Evaluations - Based on the AMA's Guides To The Evaluation Of Permanent Impairment - 4th Edition

In the neuron you will learn the pertinent anatomy, physiology, and pathophysiology of the neuron as well as the embryological development of the nervous system. You will learn techniques to allow you to appropriately assess and diagnosis the common conditions related to embryological development and neuronal stability. Clinical applications will be discussed for patients with these conditions. This course provides the foundational framework for the use of manual and brain-based therapies in the treatment of neurological disease. This exciting module begins by focusing on the concepts in embryological development of the peripheral and central nervous systems. Emphasis will be placed on discussing the pros and cons of both the columnar and prosomeric models of cortical organization. Physiological function of nerves will be reviewed with an emphasis on the clinical scenarios seen with metabolic deregulation. The influence of early sensory input to the development of thalamocortical projections preserved throughout adulthood will be discussed in relationship to the effects of sensory deprivation on neurological integrity throughout life. This module provides learners with the foundation needed for ongoing studies in our Clinical Neuroscience series.

Human movement is critical for survival. In this module we discuss the building blocks of the neuromuscular system by reviewing in detail muscular development and structure. We further discuss how muscles communicate with the CNS to provide a steady state of feedback allowing for fluid movement control. The most common primary myopathies and will be reviewed along with the most common neuromuscular disorders. In this module you will learn pertinent anatomy, physiology, and pathophysiology as related to the neuromuscular system. You will learn the appropriate assessments as well as the information needed to make an appropriate diagnosis for the most common conditions related to the function of the neuromuscular system. A neurological and physical medicine approach to supporting patients with these conditions will be presented.

The proper function of the peripheral nervous system (PNS) is critical to optimum human expression. This module reviews the clinically important structural layout of the PNS and discusses the most common clinical scenarios affecting the peripheral nervous system. Topics range for simple compressive mono-neuropathies to more complex metabolic and inflammatory conditions. Diagnostic and treatment protocols with be emphasized throughout.