Brendan Malloy, DC

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

Comprehensive analysis of physical therapy modalities, including physiological effects, indications, contraindications, and proper dosage of physical therapy modalities. Manipulation under anesthesia / Vax-D protocols and guidelines. Ethical considerations in the performance of peer review. Adjunctive physiotherapy case presentations and alternative treatment methodologies

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

Develop competence related to the regular assessment of CKM risk factors in appropriate patients and the timely initiation of guideline-recommended treatment for CKM syndrome. Demonstrate greater confidence in their ability to implement best-practice treatment approaches for CKM syndrome

nderstanding 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.

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

his 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

Imaging: This advanced qualification integrates graduate-level medical and chiropractic education to provide comprehensive expertise in triaging injured patients. Training begins with a strong foundation in patient history-taking, clinical examination, and basic imaging, equipping practitioners with the essential tools to effectively assess and diagnose trauma cases. Advanced imaging modules focus on mastering MRI spine interpretation, enabling practitioners to identify and differentiate conditions such as herniated, bulged, protruded, and extruded discs with precision.

Comorbidity Triaging: Specialized topics such as electrodiagnostics, connective tissue pathology, and stroke diagnosis in a primary care setting are covered comprehensively. These advanced diagnostic skills prepare practitioners to manage a wide range of trauma-related conditions. This advanced qualification underscores a detailed understanding of trauma and its complex presentation in clinical practice.

Spinal Biomechanics: A significant emphasis is placed on spinal biomechanics and the management of non-anatomical pathology, offering an in-depth understanding of complex spinal conditions. This qualification also includes accident engineering principles, which assist in analyzing the mechanisms of injury to improve clinical outcomes. Advanced case management protocols are a central theme, ensuring practitioners can design and implement effective, evidence-based treatment plans.

Current and Future Trends in Documentation, 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.

MRI SpineAncillary Tumor Detection and Advanced Imaging Stroke Detection, 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.

Analyzing Spinal Pathobiomechanics, 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.

Spinal Biomechanical Pathology, 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.

Advanced Credential Reporting, 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.

Age-Dating Herniated Disc via MRI and X-Ray, 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.

Clinical Grand Rounds in Primary Spine Care, 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.

he training deepened clinical proficiency in customizing pain management strategies—including nonpharmacologic, nonopioid, and opioid therapies—and enhanced confidence in tailoring analgesic treatment goals to individual patient presentations.

The training enhanced proficiency in CKD screening protocols and evidence-based interventions to improve renal and cardiovascular outcomes in patients with type 2 diabetes. It covered guideline-based recommendations, safety and efficacy of nonsteroidal mineralocorticoid receptor antagonists (ns-MRAs), and strengthened clinical competence in applying novel therapies to complex patient presentations.

Developed proficiency in differentiating mTBI from more severe presentations through evidence-based neurological and cognitive assessments. Trained in identifying red-flag symptoms requiring urgent imaging or specialist referral. Acquired expertise in correlating patient history, mechanism of injury, and exam findings for accurate classification. Focused on optimizing patient outcomes through early identification and appropriate interdisciplinary care coordination.

The documentation requirements for CPT codes 99202 through 99205 are determined by either medical decision-making (MDM) or total time spent on the date of the encounter. Each higher-level code reflects increasing complexity of history, examination, and MDM, or greater total time. For time-based coding, 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 criteria include the number and complexity of problems addressed, the amount and/or complexity of data reviewed, and the risk of morbidity or mortality from patient management. Accurate documentation is essential to support code selection and to ensure compliance with CMS and payer requirements

Ongoing study of emerging spinal research with emphasis on disc pathology, biomechanical engineering, anomalies, tumors, and infections. Actively engaged in reviewing clinical applications of cutting-edge findings to improve patient outcomes. Focus includes interpreting complex imaging and integrating advancements in diagnostics and treatment protocols. Collaboration with neurosurgeons, orthopedic specialists, oncologists, and infectious disease experts is integral to case management based on pathology. Emphasis is placed on interdisciplinary coordination to ensure comprehensive and evidence-based spine care

Creating comprehensive evaluation, management, and medical-legal reports tailored to the complexity of each case. Integrating clinical findings with imaging and laboratory data to support evidence-based care. Demonstrated ability to manage cases independently or in collaboration with medical specialists when appropriate. Translating complex diagnostic and functional findings into clear, actionable documentation for clinical and legal use.

Finding the elements of an appropriate file, obtaining informed consent, the injury history, patient history, past medical & family history, review of systems, and ruling out "Red Flags." The clinician will learn to summarize the components of an appropriate file, demonstrate an injury history, illustrate the relationship of the past medical history to the injury, and document "Red Flags."

Learn to utilize pain diagrams, usage of SF12 and other tools, patient intake, discharge forms, special applications for insurance, Medicare, personal injury, and workers' compensation to integrate condition-specific outcome tools to improve documentation.

Incorporate outcome assessment tools into clinical practice, integrate tools specifically for Medicare patients, illustrate proper usage in the management of personal injury patients, and discuss applications in the management of injured workers.

Apply practical physical performance procedures using the QFCE, integrate and quantify evaluation findings, and discuss proper recording of provocation maneuvers, including observation, palpation, ROM, provocative testing, physical performance tests, neurological tests, and special testing.

Design condition-specific treatment plans, differentiate appropriate physical therapy, develop home-based treatment instructions, and apply documentation and coding pearls.

Comprehensive patient documentation, strategies for reflecting treatment accurately, pain diagrams and outcome assessments, examination data to establish medical necessity, specifics for insurance, Medicare, and personal injury cases, and in-depth "P" Elements such as Treatment, Physical therapy logs, Home instructions, Test orders, Discharge criteria.

Enhance the chiropractic practitioner's knowledge and skills in documenting the daily treatment note. Key concepts in creating comprehensive and compliant treatment notes, understanding the importance of accurate documentation in patient care and legal compliance, and practical techniques and tools to streamline the documentation process.

Understanding the legal implications of patient intake and consent forms. Execute a thorough and appropriate history interview. Apply evidence-based examination techniques. Integrate advanced documentation and coding methods into your chiropractic practice.

Integrate ethical principles in setting appropriate boundaries in clinical practice. Comprehend and apply ethical guidelines to office administration. Scrutinize and understand the ACA code of ethics as it applies to chiropractic practice. Evaluate and improve the practice through ethical conduct.

Assess the various components of a comprehensive chiropractic history and discuss the elements of a complete chiropractic evaluation. Understand the strength of evidence behind each examination component and improve clinical outcomes through evidence-based evaluations.

Understand the importance of record-keeping and patient consents. Employ quantitative subjective data and objective measures in the initial evaluation, and incorporate quantitative goals into the treatment plan. Conduct formal reassessments to reflect subjective and objective clinical outcomes, and prove medical necessity using measurable clinical data.

Discuss imaging modalities and their appropriate use in clinical practice. Demonstrate patient selection procedures, interpretation, and reporting. Explain the legal issues related to radiology in chiropractic practice. Understand radiation technology and protection in chiropractic care. Critique current and upcoming imaging modalities as they relate to chiropractic practice.

Discuss the appropriate use of imaging modalities in clinical practice. Demonstrate proficiency in patient selection procedures, interpretation, and reporting. Explain the legal concerns surrounding radiology in chiropractic practice. Understand radiation technology and protection within chiropractic care. Critically evaluate current and upcoming imaging modalities in the field.

Comprehensive review of normal radiographic anatomy with detailed examination of imaging techniques for trauma. Exploration of search patterns and lines of mensuration. In-depth analysis of cervical fractures and whiplash injuries.

In-depth review of thoracic/lumbar spine trauma and normal radiographic anatomy. Comprehensive guide to imaging for trauma, including important search patterns and lines of mensuration. Detailed examination of traumatic injuries to the thoracic cage, spine, and pelvic region. Integration of fracture assessment into radiographic interpretation, from rib fractures to pelvic ring fractures.

Understand common definitions relating to WAD. Develop strategies to successfully navigate the peer review process. Understand the factors that affect injuries, and Learn how to diagram the phases of rear-end collisions

Understand treatment guidelines related to WAD and apply the “Clinical Prediction Rule” to improve outcomes. Develop an improved history format relevant to WAD and implement outcome assessments in the management of WAD.

Develop examination forms and procedures for WAD. • Implement appropriate imaging criteria. Integrate effective treatment strategies and apply appropriate treatment options.

Examination of all phases of management from intake forms through discharge. Identify factors influencing injury, how to manage the peer review, and how to bulletproof the documentation. Deposition preparation, trial preparation, presenting clinical data, and special considerations in preparation for examination.

Assess the effect of motorcycle accidents and discuss upper cervical ligament injury and instability. Illustrate the mechanism of injury, critique models of patient care, and incorporate assessment and management protocol

Assess whiplash literature and distinguish between peripheral and central correlates for whiplash. Analyze new insights into clinical management and revise patient outcomes.

Whiplash 207, Personal Injury Case Management: Demonstrate the key components of injuries sustained from a motor vehicle accident (MVA). Explain the application of appropriate diagnostic imaging in the management of these injuries and management options for patients with sustained injuries from MVA.

Review WAD, its burden, its mechanisms of injury and persistence. Apply clinical knowledge to properly diagnose WAD, and discuss chiropractic management of WAD. Apply an algorithm of multi-modal management that is individually based.

Emphasize the unique anatomy of the cervical spine as related to spinal trauma. Summarize the history of whiplash injuries, including mechanical mechanisms, biological mechanisms, pathology, diagnostics and management. Emphasize the concept of motion in the healing of injured soft tissues, especially spinal adjusting (specific manipulation) motion. Summarize the biology and published data on treatment frequency and duration for whiplash spinal trauma.

An introduction to regenerative medicine and the study of cellular health. The use of nutritional support, peptides, and GLP-1s in today’s changing medical landscape.

The criteria and patient selection for spinal surgery in physical examination and diagnostic imaging. Procedures relevant to scoliosis, cervical spine, and lumbar spine.

Cervical, thoracic, and lumbar spine studies. Common and uncommon findings. Hip studies and relevant findings.

MRI basics, including weights, windowing, and opposing views. Cervical, thoracic, and lumbar case studies.

Understanding the legal ramifications of malpractice. Ga’s updated tort reform. Doctor-patient relationship, standard of care, and Ga Board rules.

Fundamentals of the Peer Review Process and Peer Review Report Writing Format and Skill Development. State / Regional / National, Chiropractic and Cross-Discipline Treatment Guidelines. Expert Witness components such as, Arbitration / Deposition / Courtroom Trial Skill Development. Insurance Industries “Red Flags” Initiating the Peer Review Process. Peer Review Case Presentations.

Increased knowledge regarding the definition of CKM syndrome and the best practices for screening for CKM syndrome. Develop greater competence related to implementing guideline-recommended care for CKM syndrome and work as part of a multidisciplinary team to manage CKM syndrome.

Proper coding of musculoskeletal pathology, proper and complete documentation of trauma cases, establishing ethical billing relationships, and being able to accurately use ICD and CPT Codes based on time and elements included to ensure ethical billing relationships

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.

Patient Triage and Documentation, 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.

Triage Based on MRI Findings, 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.

Documenting Biomechanical Pathology and Triage, 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.

Trends in Triage and Diagnosing Spinal Pathology, 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.

MRI Spine Interpretation, 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.

Spinal Biomechanical Pathology, 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.

Differentially Diagnosing Arthridities on X-ray and MRI, 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.

ncidental Tumors and Pathology Visualized on MRI Spine Images, 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.

Documentation, Diagnosis and Reporting on Medical-Legal Trauma Cases, 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, and Chronicity of Disc Pathology, 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.

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.

The basic principles of documentation in order to establish medical necessity for treatment. In today’s healthcare environment, medical necessity for treatment must be supported in the medical notes. This course gives the necessary forms and concepts to support medical necessity in the documentation.

The basic fundamental principles shared by all MRI scanners involved in producing MRI images.

The second part of this series will discuss the multiplanar images of MRI, the shades of gray, the differences between T1 and T2 weighted images, special MRI studies that identify different pathologies, and discussions on Fat Suppression, Contrast Enhanced, and Functional MRI studies.

The third part of this series discusses contraindications to MRI, how to read an MRI report, the MRI appearance of degenerative disc disease, Ligamentum Flavum Hypertrophy, Disc Herniations, Annular Tears, and Post-disc Surgical cases.

The biomechanics of low-speed rear impact collisions, including the S shaped curve of the spine, general magnitudes of force, factors associated with increased risk of injury, and the types of injuries that result from these collisions.

Specific conditions and symptoms related to acceleration-deceleration type injuries, such as the etiology of neck pain and headache, radiculopathy, TOS, myofascial pain syndrome, fibromyalgia, post-concussive syndrome, and TMJ

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.

Spinal Biomechanics in Clinical Practice, The utilization of X-Ray digitization to diagnose spinal biomechanical pathology and analyzing trends in healthcare when triaging mechanical spine pain. The role of credentials in interprofessional collaboration.

MRI Spine Sequence Acquisition and Interpretation, The understanding and utilization of T1, T2, STIR, Proton Density, FSE, GRE imagine sequencing for conclusive diagnosing of fracture, tumor, infection, and disc pathology. Identifying herniation, protrusion, bulge, extrusion-migrated, and extrusion-fragments on MRI images.

Spinal Disc Microanatomy, The understanding of the human spinal discal elements; annulus, nucleus pulposis, cartilaginous end plates inclusive of the neurology, visualization, differentiation from the neonate to adults. The understanding of the etiology of Modic changes on MRI and how spinal biomechanics are altered.

Interprofessional Collaboration on Mechanical Back Pain in Clinical Practice, Triaging neurologically compromised cases in conjunction with positive MRI images, and collaboratively managing cases with neurosurgeons in clinical practice. Post-operative management of spinal cases through full recovery.

Spinal Biomechanical Engineering Analytic, The analytics of spinal biomechanical engineering utilizing X-Ray digitizing for Alteration of Motion Segment Integrity and biomechanical pathology. Determining laxity of ligaments in connective tissue pathology and the long-term negative sequels of the pathology.

Demonstrative Reporting of MRI Spinal Disc Pathology, The diagnosis, and reporting of spinal disc bulges, herniations, protrusions, extrusions, and fragments. Reporting varices, Modic 1, 2, and 3, posterior longitudinal, interspinous, and intertransverse ligament. Reporting the ligamentum Flavum and epidural fat as a space-occupying lesion.

Clinically correlating history and clinical findings to biomechanical connective tissue pathology and advanced imaging with herniated, protrude, extruded, and bulging discs. Triaging trauma and chronic patients based upon clinical presentation and testing results.

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.

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.

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.

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

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. Qualification language approved by the American Chiropractic College of Radiology (ACCR) and the American Chiropractic Board of Radiology (ACBR)

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

Documenting Herniated Discs, Age-Dating Disc Pathology, and Connective Tissue Pathology as Sequella to Trauma, 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

Case Management of Traumatic Spinal Injuries, Understanding flexion-extension cervical injures, and diagnosing connective tissue pathology. Determining impairments and the literature-based standard for permanent injuries

Managing Herniated and Bulging Discs, Serious Injury in Non-Herniated Cases from Trauma, Spinal disc morphology, and innervation. Herniated, bulged, protruded, and sequestered disc characteristics and management. Literature-based documentation requirements for no-dis spinal injuries

Herniated Discs and Permanent Brain Malfunction & Biomechanical Failure, A case-study of a post-traumatic herniated disc and related brain malfunction supported by contemporary literature, MRI acquisition, and necessity protocols.

Demonstrative Documentation of Disc Herniationand MRI Physics, 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.

Post-Traumatic Herniated Discs, Related Migraines-Headaches & Strain/Sprain Permanences, 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 of Low-Speed Crashes in Determining Etiology of Serious Bodily Injuries, 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

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

Assuring the most appropriate care by referring to specialists in the best interest of the patient. How to build a healthcare team and who should be on it. When and how to utilize different specialists to address the specific needs of the patient. When to refer for a second opinion.

X-ray, CT, and MRI physics. Strengths and weaknesses of each type of imaging and when to order. Ordering CT vs MRI in the healthcare setting. Traditional MRI vs Wide Bore MRI. Cervical and Lumbar case studies.

Classifying, diagnosing, treatment of first rib syndrome, shoulder articulations, and talus. Patient presentation, joint motion, palpation, and muscle testing for each joint then performing the manipulation. Utilizing rehabilitation and modalities to address lasting results.

Facet-related symptomatology and patient presentation. Mechanism of injury. The use of conservative treatments first, then to medial branch block as the gold standard to diagnose facet-related pain. Patient selection, and when to utilize. Rehabilitation strategies. Vertebrogenic pain symptomatology and patient presentation. The morphology of endplate degeneration and modic findings on MRI. Epidural injections vs Intracept procedure to desensitize basivertebral nerve; why the Intracept procedure an emerging treatment for vertebrogenic pain.

Pain patterns begin with embryological tissue leading to dermatome, sclerotome, myotome, and visceral pain referral patterns. Cancer types, patient presentation, and case studies. Understanding neuropathic pain vs neuroceptive pain. New protocols for a multimodal approach to cancer treatment. Opioid use in the treatment setting, benefits, and risks.

Spinal X-ray review, upper extremity shoulder, and lower extremity hip. Hip dysplasia in lumbar radiculopathy, sacroiliac dysfunction, bursitis, and piriformis syndrome. Avascular necrosis risk factors and X-ray presentation. Chronic steroid use and bone loss. X-ray findings for detecting Aneurysms.

Morphology of herniated discs, hypertrophy of ligamentum flavum, stenosis, and adult spinal deformity. 2 approaches to Lumbar spine surgery, minimally invasive surgery (MIS), and spinal fusion. Patient history and evaluation for selection of MIS and/or spinal fusion. Surgical procedures and types of hardware for spinal fusion.

Defining injury and causation in a medicolegal environment. Proper documentation to clearly convey the necessity of care. The biomechanics of spinal injury. Whiplash-associated disorder prevalence and presentation. Causation vs correlation. Usual, reasonable, customary, and necessary demonstrated in documentation.

The duty of accurate and complete documentation. Initial visit, subsequent visits, SOAP notes, and PART. Acute, chronic, exacerbated, and recurrent conditions in a medicare setting. Active vs maintenance care. Medicare parts A, B, C, D, and when to use an ABN form. CPT codes in chiropractic practice. Coding for time. Defining Standard of Care, failure to meet standard, Doctor/Patient relationships, insurance relationships, and breach of contract.

Recent changes or updates to GA board rules. GA Standard of Care; the responsibility of the Chiropractor with non-spine patients. When to refer a patient. Prevalence of spine pain; the county with the most spinal fusions in the USA is Macon, GA.

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.

Overview of disc pathology including herniation, bulge, protrusion, and extrusion. Identifying connective tissue pathology and diagnosis. Case presentations with, and without, multiple herniations, connective tissue pathology documentation, triage, and diagnosis.

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

Improve the clarity of your writing style, report formatting, use of "Topic Headlines", and the adherence to substantial medical evidence in your conclusions and opinions. Topics include: Topic Headline Formatting, Actual Topic Headlines, Substantial Medical Evidence, Required Elements of the Excellent Report, and QME Report Writing Mastery.

This course demonstrates the procedure for assessing for loss of spinal motion segment integrity and explains how to estimate Permanent Impairment for AOMSI. discussed in Chapter 15 of the AMA Guides to the Evaluation of Permanent Impairment. Topics include: The Philosophy of "Motion Segment Integrity"; How to Do Measurements to Analyze for Loss of Motion Segment Integrity; Loss of Motion Segment Integrity Simplified; Spinal Impairments; Loss of Motion Segment Integrity - Cervical Spine; Permanent Impairment and Apportionment for a Cervical Spine Case; Loss of Motion Segment Integrity - Lumbar Spine; Permanent Impairment and Apportionment for a Lumbar Spine Case; Loss of Motion Segment Integrity in Cases of Spinal Anomalies

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.

Identify the principal components of chiropractic compliance as it relates to recordkeeping, risk management, Medicare, and HIPAA. Correlate the importance of medical necessity and how to identify potential errors in chiropractic patient records. Understand the ICD-10 documentation requirements as it relates to chiropractic recordkeeping and risk management.

The principles of patient active care in acute, sub-acute and rehabilitative phases of care. Topics: Anterior Head Carriage, Tech Neck and Janda’s Upper Crossed Postural Distortion, Lumbar hyperlordosis, Lower Extremity Distortions, and Janda’s Lower Crossed Postural Distortion of the lumbo-pelvic hip complex.

The effectiveness of OTC (over-the-counter) analgesic/antipyretics in everyday clinical practice, as well as counseling patients as to the safe use of OTC analgesic/antipyretic drugs. Demonstrate improved performance associated with applying the safe and effective use of OTC analgesics within the interprofessional team

This course is designed to provide chiropractors with vital information regarding the documentation of medical necessity

This course meets the yearly CE requirement of Jurisprudence for Georgia

This course presents the clinical aspects of pain. Learning objectives include the differences between Sclerotogenous, Myofascial, Visceral, and Neuropathic pain syndromes. This includes a review of the literature of Bogduk, Lord, and Kuslich.

This course navigates and clarifies the complex arena of spinal decompression. The objectives examined are spinal decompression therapy through an objective review of the medical and chiropractic literature regarding its efficacy.

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

Report Writing, Clinicalrecordd-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

Medical-Legal-Insurance Documentation, 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.

Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Overview of EMG and NCV Procedures, Results, Diagnoses and Documentation. 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

Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Needle Electromyogram (EMG) Studies: 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.

Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Nerve Conduction Velocity (NCV) Part 2: 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.

Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Nerve Conduction Velocity (NCV) Part 1: 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.

Electrodiagnostics: Electromyogram/Nerve Conduction Velocity (EMG/NCV), Diagnosis & Interpretation: Anatomy and Physiology of Electrodiagnostics: 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.

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

Head Trauma and Traumatic Brain Injury Part 1: This section discusses gross traumatic brain injuries from trauma and significant bleeding with both epidural and subdural hematomas. There are numerous case studies reviewed inclusive of neurosurgical intervention and postsurgical outcomes.

Head Trauma and Traumatic Brain Injury Part 2: This section continues with multiple case studies of gross traumatic brain injuries from trauma requiring neurosurgical intervention and also discusses recovery sequela based upon the significance of brain trauma. This module also concludes with concussion protocols in traumatic brain injury short of demonstrable bleeding on advanced imaging.

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

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

Demonstrative Diagnosis and Documenting Spinal Pathology, Analyzing patient records, x-rays and MRI’s in determining etiology of traumatically-induced pathological lesions. Clinically correlating the history, clinical findings, imaging findings and diagnosed bodily injuries to conclude and accurate diagnosis, prognosis, and treatment plan.

Demonstrative Diagnosis and Documenting Spinal Disc Injuries, Differentially diagnosing disc vs. posterior longitudinal ligaments vs. Thecal Sac vs. spinal cord vs. Ligamentum Flava pathology and insult. Identifying the borders of lesions and discerning between anatomic structures pathologically effected demonstrably.

2021 Trends in Spinal Healthcare, 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

MRI Spine Interpretation Advanced Diagnosis, 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.

Spinal Biomechanical Engineering Analytics and Case Management, 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.

MSK Extremity Radiological Interpretation, 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

Demonstrative Medical-Legal Documentation, 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

Managing Non-Anatomical Spine Pain, 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 is supported by 113 hours of continuing education for the 11 courses

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

This mini course offers clinically focused lectures and case presentations on the assessment, diagnosis, and treatment of patients with various pain syndromes, providing practical information. The lectures are: The Difficult Patient: Barriers to Success ;Marijuana as an Analgesic: What's the Evidence?; Medically Unexplained Physical Symptoms ; Physical Examination of the Spine, Shoulder, Hip & Knee; AMPS: A Quick, Effective Approach to the Primary Care Psychiatric Interview ; When is Spine Surgery Appropriate?; Understanding and Treating Neuropathic Pain.

This, enduring material, webinar discusses the impact, assessment and management of low back pain and includes discussion on treatment applications to low back pain, emergent low back pain, acute low back pain, and chronic low back pain.

Review of Georgia Chiropractic Statutes 43-9-1 through 43-9-20. Integrate Georgia Chiropractic Statutes 43-9-1 through 43-9-20. Into your clinical practice. Brief overview of Rules and regulations of the Georgia Board of Chiropractic Examiners Chapter 100-1 to 100-17. Discussion of potential risk exposures that may lead to complaints by patients or the public and/or actions being taken against you by the Chiropractic Board of Examiners.Discussion of common mistakes that lead to malpractice claims.

The science and physics behind MR imaging and the various pulse sequences that are available for obtaining the scans; given by spine surgeons and radiologists specifically for spine specialists. Define and recognize the normal MRI anatomy of the cervical, thoracic and lumbar spine. Utilize a systematic approach to evaluate MR imaging studies. Describe the most commonly seen pathologic findings in the cervical, thoracic and lumbar spine. Cite and apply the rationale for use of the most common MRI pulse sequences used in the spine. Correlate the imaging findings on spine MRI with those on other imaging modalities

Educates spine specialists how to systematically evaluate and interpret MR imaging studies of the spine and taught by spine surgeons and radiologists to be clinically oriented for spine specialists. Define and recognize the normal MRI anatomy of the cervical, thoracic and lumbar spine. Recognize and understand the rationale for use of the most common MRI pulse sequences used in the spine. Describe the most commonly seen pathologic findings in the cervical, thoracic and lumbar spine. Utilize a systematic approach to evaluate MR imaging studies of the spine. Correlate the imaging findings on spine MRI with those on other imaging modalities.

A Literature-Based Standard, Utilizing clinical findings in conjunction with advanced imaging and electrodiagnostic findings in managing collaborative relationships with medical specialists. Applying a literature standard to care to ensure conservative care as the first option.

A Literature-Based Standard, Managing spinal related cases based upon MRI findings of herniations, bulges, protrusion, extrusions (comminuted and fragmented) utilizing thin-sliced acquisition protocols. When to consider ordering T1, T2, Short Tau Inversion Radiant, proton density and Dixon sequencing for spinal related pathology.

A Literature-Based Standard, Creating literature-based documentation inclusive of history and a clinical examination that encompasses causality, diagnosis, prognosis and treatment plans. Ensuring the whole person impairment ratings are consistent with contemporary literature.

A Literature-Based Standard, Spinal biomechanical engineering models related to pathobiomechanics and literature-based standards in creating an accurate diagnosis, prognosis, and treatment plan. Determining impairment ratings based upon alteration of motion segment integrity utilizing motion-imaging, and creating demonstrable evidence for continued treatment plans.

Normal Morphology and Tissue Damage, 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.

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

Neurological Innervation, 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.

Chiropractic offices are obligated to protect patient health information as a covered entity. This course introduces compliance with HIPAA’s safeguards (administrative, physical and technical) as well as how the Notice of Privacy Practice works in your practice. It is intended to raise awareness of how to protect PHI and focus on the rights of the patient in regard to access of their PHI. Understand the importance of compliance in Chiropractic healthcare. Understand Federal Regulations regarding HIPAA. Understand the Notice of Privacy

Chiropractic offices have requirements to meet to be compliant with OSHA regulations under the General Duty Clause. General safety, hazard communication, and exposure management or blood borne pathogens are key areas of concern for workplace safety for chiropractors and their staff. This course sets the stage for understanding OSHA and workplace safety – how to think about the safety and health of your staff and the general fundamentals of protection. A Hazard Assessment Checklist is provided along with a link to all required federal posters.

Deploy an action plan for the COVID-19 response. Create a safe clinical environment during COVID-19. Use tele-health to maintain continuity care with established patients & learn how to code/bill for this service. COVID-19 Public Health effort - Outreach to your patient base to inform and check in on them.

Educational Objectives: Understanding the structure that makes up your practice fee system, Determine the steps for establishing your clinic fee schedule, Establishing and implementing a compliant financial policy. Know Your Numbers, Fee Systems, Develop Your Fee System, Build Your Financial Policy, Keep It Current, Train Your Staff, and Things to Avoid

A fundamentals course to this low force, tonal technique, and a review of Chiropractic and T.I.C. history, the neurology behind the technique, the T.I.C. assessment and adjusting protocols and demonstrate several patient visits.

ocumentation, 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.

Diagnosing and Case Management, 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.

Diagnosing and Case Management, 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

Pathobiomechanics and Documentation, 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

Using Documentation and Ethical Relationships, 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

Spinal Biomechanical Engineering Clinical Application, 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

Spinal Biomechanical Engineering Clinical Grand Rounds, 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

Trends in Spinal Healthcare, 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

MRI Spine Interpretation, 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

Spinal Biomechanics; A Literature Perspective, 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

Case Management of Mechanical Spine Pathology, 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

MRI History and Physics MRI History and Physics, Magnetic fields, T1 and T2 relaxations, nuclear spins, phase encoding, spin echo, T1 and T2 contrast, magnetic properties of metals and the historical perspective of the creation of NMR and MRI

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

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

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

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

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

MRI Disc Overview & Imaging Protocols 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 Interpretation of Lumbar Bulges/Degenerative Disc Disease MRI Interpretation of Lumbar Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl/'s nodes and herniations. Central canal and cauda equina compromise interpretation with management

MRI Interpretation of Lumbar Herniated Discs MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl/'s nodes and herniations. Morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Central canal and cauda equina compromise interpretation with management

MRI Interpretation of Cervical Bulges/Degenerative Disc Disease MRI Interpretation of Cervical Degeneration/Bulges, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of cervical degeneration. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl/'s nodes and herniations. Spinal cord and canal compromise interpretation with management

MRI Interpretation of Cervical Herniated Discs MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl/'s nodes and herniations. morphology of lumbar disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management

Virtual Grand Rounds MRI Interpretation of Degenerative Spine and Disc Disease with Overlapping Traumatic Insult to Both Spine and Disc, MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of degenerative spondylolesthesis, spinal canal stenosis, Modic type 3 changes, central herniations, extrusions, compressions, nerve root compressions, advanced spurring and thecal sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective

Evaluation and Management, 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.

Evaluation and Management, Concluding a chief complaint, history and what needs to be considered in a physical examination. 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.

Evaluation and Management, Coding and Spinal Examination: 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.

Evaluation and Management, Neurological Evaluation: 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.

Evaluation and Management, Documenting Visit Encounters: 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.

Evaluation and Management, Case Management and Treatment Orders: 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.

Neurodiagnostics, Imaging Protocols and Pathology of the Trauma Patient, An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community.

Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinically coordinating the history, physical findings and when to integrate neurodiagnostics. An understanding on how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury.

Documenting Clinically Correlated Bodily Injury to Causality, Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopathology, myopathology, neuropathology, and pathophysiology in both a functional and structural paradigm.

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

MRI, Bone Scan and X-Ray Protocols, Physiology and Indications for the Trauma Patient,MRI interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient.

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

Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-9 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare.

How nociceptors, mechanoreceptors and proprioceptors respond in the role of the central neurological modulation. How the chiropractic adjustment can modulate pain locally as well as systemically.

How to triage a trauma and non-trauma patients with advanced imaging and how to document medical necessity with evidence based verbiage. Detailed disc pathology will be reviewed inclusive of herniation, bulge, protrusion, extrusion comminuted and fragmented. Detailed outlines of MRI image sequencing including slice thickness for all regions of the spine to Dixon Protocols.

Reviewing the documentation requirements to effectively communicate the diagnosis, prognosis and treatment plan with medical entities and having the evidence as a basis for those recommendations.

Understanding how chronic pain negatively effects brain morphology and pathology as short and long term sequella. The role of chiropractic in preventing the loss of gray matter and the decades long evidence as published in indexed peer reviewed literature verifying chiropractic’s role.

learn how to understand the pathobiomechanical basis for care and then how to communicate that to the public and collaborative medical physicians.

Discuss the neurological pathways from the thrust, to the lateral horn to the brain connection along with how the brain actually processes the chiropractic spinal adjustment based upon the indexed literature. Dissecting neuro-bio-mechanical lesions form diagnosis through treatment utilizing biomechanics in a literature-based model.

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,

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.

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, Academy of Chiropractic Post-Doctoral Division.

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.

Orthopedic Testing: Principles, Clinical Application and Triage, Integration of orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.

Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.

Orthopedic Testing: Cervical Spine, Integration of cervical orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.

Orthopedic Testing: Lumbar Spine, Integration of lumbar orthopedic testing in the clinical setting to develop a differential diagnosis. Utilizing radiographic and advanced imaging inclusive of MRI and CAT scan findings to verify tissue pathology suspected by orthopedic testing conclusions and developing a treatment plan as sequelae.

Orthopedic Testing: Clinical Grand Rounds, how to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process. How to integrate orthopedic testing in the clinical setting utilizing both simple and complex patient scenarios. It includes potential stroke, or vertebrobasilar insufficient patients and understanding the nuances in a clinical evaluation with orthopedic testing as a critical part of the evaluation and screening process.

Stroke Anatomy and Physiology: Brain Vascular Anatomy, The anatomy and physiology of the brain and how blood perfusion effects brain function. A detailed analysis of the blood supply to the brain and the physiology of ischemia.

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

Stroke Principles of Treatment an Overview for the Primary Care Provider, Stroke type and treatments performed by vascular specialists. The goals of treatment with the physiology of the infarct and penumbra zones and the role of immediate triage in the primary care setting. Detailing the complications of stroke and future care in the chiropractic, primary care or manual medicine clinical setting.

Clinical Evaluation and Protocols for Identifying Stroke Risk, The neurological history and examination for identifying stroke risks with a focus on supra and infratentorial regions, upper and lower motor lesions, cranial nerve signs, spinal cord pathology, motor and sensory pathology and gait abnormalities. Examining genetic and family histories along with dissection risk factors. Stroke orthopedic testing and clinical guidelines pertaining to triage for the primary care provider.

Impairment Rating, The understanding and utilization of the protocols and parameters of the AMA Guide to the Evaluation of Permanent Impairment 6th Edition. Spine, neurological sequelae, migraine, sexual dysfunction, sleep and arousal disorders, station and gait disorders and consciousness are detailed for impairment rating. Herniated discs, radiculopathy, fracture, dislocation and functional loss are also detailed in relation to impairment ratings.

Utilizing detailed history and examination findings to determine the best care path for the patient. Clinical factors in determining the timelines for advanced imaging in both the trauma and non-trauma patients

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

Utilizing peer reviewed scientific literature in creating a diagnosis, prognosis and treatment plan for the chronic and acute patient. How to implement and stay current on techniques and technology in healthcare

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 diagnoising 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.

Dr. Erik Thor Bendiks, MD.: The role of MRI in the analysis and evaluation of spinal injury cases. Discussion of the orthopedic model for these spine injury cases and how chiropractors and orthopedic surgeons can co-manage treatment. When it is appropriate to refer to an orthopedic surgeon

Incorporating the latest clinical strategies to enhance healing and recovery after an injury. Includes proper evaluation, available treatments and proper case management. Doctors will learn the role of the chiropractic adjustment as well as ancillary procedures that will improve patient outcomes after an injury

Understanding the Impact of Stress on the Body. Heart Rate Variability Defined. The Role of the ANS. Clinical Tracking and Measuring with Wearable Technology. Protocols for Stress Optimization for Enhanced Clinical Outcomes

Treating symptoms versus correction. Getting to the Root Cause of the patient’s problem. The Epigenetic Link Explored. How the Environment Drives Dysfunction, Sickness and Disease, Stress Nutrition, Mindset Movement, and Toxins. The role of Heart Rate Variability. How to perform a detailed Health Assessment, Functional Movement Screen, Labs & Advanced Diagnostics. The role of the chiropractic adjustment in optimizing genetic expression, as well as identifying underlying dysfunction with precision wellness. How the CNS epigenetically Impacts the System. Restoring homeostasis and engaging the patient for optimized health.

Primary Spine Care, 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.

Primary Spine Care, 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.

Primary Spine Care, 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.

Determining the etiology of the patient's complaints in a traumatic or non-traumatic scenario. Analyzing the patient's past history and review of systems along with the performance of a complete　orthopedic, neurological and clinical examination to correlate both past, current and causality issues to formulate an accurate diagnosis, prognosis and treatment plan. There is an emphasis on triaging both the trauma and non-trauma patients,

The credentials and knowledge based from an academia perspective when cooperatively treating in a collaborative environment inclusive of understanding pathology and mechanical spine issues,

Integrating Spinal Biomechanical Engineering and MRI Spine Interpretation into a primary spine care model, inclusive of necessity and acquisition protocols. A comprehensive review the latest evidence in documenting mechanical issues,

Understanding hospital and medical specialist's care paths for mechanical spine pathology and integrating the doctor of chiropractic in the hospital and allopathic treatment protocols,

Central nervous system connection and the thalamus, hypothalamus connection in both ascending and descending central pathways with neuro-endocrine implications that have the mechanisms to be a component of Schizophrenia, Dementia and Alzheimer’s with a linear relationship to the chiropractic spinal adjustment and chronic pain,

Morphology of healthy and traumatized connective tissue and the permanency implication of adhesions, spinal disc morphology in the healthy and pathological patient as sequella to trauma in relationship to bulges, herniations, protrusions, extrusions and sequestrations. Aberrant spinal biomechanics and negative sequella to trauma.

The ability of your electronic health records to convey tissue pathology while documenting case studies, field experiments, randomized trials and systematic literature reviews, Introducing evidence based macros in documentation to support the literature and necessity of care.

Analyzing segmental pathology, adjusting vs. mobilization with cervicogenic headaches, Opioid alternatives and case management of mechanical spine pain based upon outcome studies.

Literature reviews of mechanoreceptor, proprioceptor and nociceptor stimulation of later horn gray matter with periaqueductal stimulation affecting the thalamus and cortical regions with efferent distribution in disparate regions of the body in both pain and systemic stimulation.

Primary Spine 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.

Overview of current published research: understanding the various types of research and essentials of the case history. Application of current research and its relevance to case management in the family practice. Critically appraise and integrate/reconcile the research findings with the chiropractic empirical/clinical experience for the purpose of teaching, research and practice. Introduction to the methodology of preparing a case study for publication.

Practical understanding of the potential causes of all five components of the Vertebral Subluxation Complex (VSC) and it's neurological implications on the human body. The neurological model of the VSC's proposed aberrant effect on proprioception, nociception, immunity and the ANS. The neurological effects will be detailed at the site of VSC, as well as the potential global effects on the human body. In addition, Advanced Thompson Technique Analysis for children.

Evaluation, location and correction of pediatric primary cranial and spinal subluxation patterns. Focuses on ages 0-18 months using neurological indicators and objective evaluation protocols to determine these primary patterns and their corrections. Examination, assessment and spinal and cranial adjusting for the child are taught using specialized meningeal and structural techniques founded on Sacro Occipital Technique principles.

Develop practical communication and implement clinical knowledge into practice. Implementation into practice, personal life and moving patients forward in the course of care. Managing diverse family cases.

Evaluating the functional and working understanding of the pediatric nervous system in order to better apply, interpret and organize the clinical procedures and applications to the patients. Physiological intersections that impact spinal health, quality of life, and the attainment of milestones. Current and contemporary neurological principles addressing the sensory, motor and cognitive systems as well as tone of the autonomic nervous system.

Specific history taking, examination procedures, special types of chiropractic adjusting, functional neurological exercises and dietary changes for children with neurodevelopmental issues ranging from infant challenges such as nursing/latching issues, colic/reflux and difficulties in crawling/walking to many of the “Alphabet Soup” disorders like ADHD, ASD, LD, and SPD. Emphasis on instrument adjusting and infant toggle headpiece, combined with low-force techniques that are very effective with special needs kids.

Create a practice paradigm and develop a practice congruent with chiropractic philosophy, science and art in the multifaceted dynamics of a chiropractic family wellness practice. Develop mastery in every aspect of practice with emphasis on the care of infants and children. Review concepts and techniques presented in previous seminars and allow refinement and mastery of those skills.

In-depth understanding of the importance of chiropractic care in pregnancy for safer, easier births. Certification in the Webster Technique along with advanced, complimentary protocols developed by Dr. Ohm.

Overview of the techniques, adaptations and considerations for the care of children. Addressing parental concerns and how to deliver a positive experience for both the parent and child. Technique overview for children: full-spine and upper cervical. Analysis: motion and postural. Demonstration of various chiropractic exam techniques and the application. Adjustment: diversified, low force adaptations for children. Webster coronal suture and infant toggle piece.

Updated neuroimmunology information: normal and abnormal immunology, the current immunological research pertaining to the children and pregnant women and immunology concepts and controversies. Understanding of the neuroimmune system and the ability to integrate working knowledge of the neuroimmune system into clinical practice and patient education.

Paradigm shift from symptom care to functional healthcare. Evaluation and management of common symptoms in a family practice, an understanding of co-management with medical providers and considerations for family lifestyle changes and nutrition.

Hands-on experience in the application of techniques with an in-depth consultation and demonstration of the chiropractic pediatric full spine exam and evaluation procedures. Demonstration and hands-on training specifically focused on the areas of initial examination and also on the chiropractic adjustment (Thompson Terminal Point and Logan Basic approaches). Neurological assessment and examination of the infant. Contraindications and safety.

An in-depth and up-to-date ancestral health education based on evolutionary health science that teaches how to reprogram genes to influence optimal cellular function. The program emphasizes on an Integrative Health Coaching model and rooted in developmental and humanistic psychology,

Comprehensive review of spinal anatomy and physiology with extensive hands on application. Full-spine muscle and motion palpation for the infant and child with the application of short lever adjusting adapted from the Gonstead and diversified models.

A more holistic approach to nutrition in chiropractic practice. How to develop growth, learning and effective patient care through self -development and nourishment for the chiropractor and the chiropractic patient.

Competency in chiropractic X-Ray theory and practice as required by Life University.

Demonstrating clinical competency as a clinician in Life University.