Samuel Charles, DC FACFN, DACNB

Advanced Topics, Basic and special concepts of biomechanics, grading systems, injury and impairment scales in motor vehicle collisions, epidemiology of whiplash, brain, neck, TMJ and cervical spine trauma mechanisms, soft tissue injuries, common syndromes and conditions resulting from whiplash, outcome of CAD injury, evaluating and reporting scientific literature.

Clinical Orthopedics of the knee including, Lesions of the Extensor Mechanism and External Knee, Lesions of the Menisci and Ligaments, Complex Clinical Conditions, Functional Mechanics and Rehabilitation

Clinical Orthopedics of the hip and pelvis including, Disorders of the Hip and Pelvis.

Clinical Orthopedics of the foot and ankle including, Gait Mechanics, Mechanical Disorders, Supports and Devices Common Clinical Conditions, Trauma and Imaging

Clinical Orthopedics of the lumbar spine including, The Intervertebral Disc, Stenosis, Post Element Disease, I VD, Stenosis, Posterior Element Disease and Clinical Evaluation, The Post-Surgical Spine and its Clinical Considerations, Lumbar Pelvic Rehab and Active Care Integration. Trauma, Osteoporosis, Tumors, Entrapment Neuropathies, EDX, PVD, and miscellaneous conditions of the lumbar spine.

Permanent Impairment Rating, Appropriate methodologies for accurately assessing and calculating permanent impairment rating utilizing the AMA Guides to the Evaluation of Permanent Impairment, 4th edition.

Clinical Anatomy of the Cervical Spine Cervical Spine Trauma (CAD)DDD, Facet Disease, Stenosis, Myelopathy

Temporal Mandibular Joint Thoracic Outlet Syndrome, Peripheral Entrapments Headaches, Head Trauma, Vertebral Artery Screen, Vertigo, Development, Rheumatoid Arthritis, Ankylosing Spondylitis, Tumors, Miscellaneous

Clinical Conditions including Tendon and Rotator Cuff Lesions,Trauma,Fractures, Dislocations,Miscellaneous

Common Conditions, Supports & Braces,Trauma – Imaging, Tendon Disease, Ganglia, Avascular Necrosis, Instability, Rheumatology, Miscellaneous

Current models of mechanical problems, joint dysfunction, nerve interference, disturbed neuromotor control and the natural history of back pain.How to use patient outcomes and objective physical performance tests to evaluate and improve long–term patient outcomes. The scientific evidence on chiropractic effectiveness, restoration of function, pain relief, and patient satisfaction. Understand the role of Chiropractic care on tissue injury and repair.

Advanced components of neuronal structure and activity, relationship between environmental potentials and their effects on the central nervous system, including clinical applications.

Advanced components of receptor structure and activity, relationship between environmental potentials and their effects on the central nervous system, including clinical applications.

Structure and function of the peripheral nervous system reviewed, clinical syndromes associated with lesions, central consequences of lesions, relationship to neuronal function, methodologies of diagnosis and treatment.

Structure, function, relationship to respiratory, cardiovascular, gastrointestinal, genitourinary function, pathology, autonomic concomitants associated with central and peripheral lesions, clinical methodology for diagnosis, treatment of neurological dysfunction of the ANS. Carrick Institute for Graduate Studies,

Structure and function of the spinal cord, clinical syndromes, structured methodology to differentiate various syndromes directly and/or indirectly involving the spinal cord, including applications in treatment. Carrick Institute for Graduate Studies,

Reflexogenic Systems and function of spinal cord reflexes, clinical applications, use of modalities in the treatment of central and peripheral based disorders of muscle tone.

Structures of the brain, projections associated with brain activity, lesions of the structures of brain, clinical methodology in determining brain vascular integrity, applications specific to brain based treatments. Carrick Institute for Graduate Studies

Projections of the cerebellum, central and peripheral consequences of cerebellar pathology, relationship of labyrinthine integration to ocular movement, clinical applications.

Complete review of the structure and function of the cranial nerves with emphasis on their clinical syndromes, applications and procedures specific to this area of the nervous system.

Functions and structures associated with the frontal, parietal, temporal and occipital lobes. Methodology involving the use of optokinetic stimulations and other brain based diagnostics and therapeutics.

Sensory pathways specific to structure, function, central processing of sensory information, relationship to thalamic and cortical integration, disorders of the sensorium, methodology to differentiate these disorders from central and peripheral origins, applications to treatment.

Structure and function of volitional and non volitional motor pathways, basal ganglia, cerebral cortex, cerebellum, brainstem and spinal cord, applications for diagnosis and treatment of central and peripheral pathology.

Applications specific to disorders of the human nervous system, advanced applications specific to all areas of the nervous system, practicums and patient based paradigms utilized.

Structured format in approaching the neurological examination, emphasis placed on reviewing syndromes encountered during exam as well as methodology to understand and apply non-Cartesian logic.

Pain generating mechanisms from receptor to central processing, central mechanisms for pain inhibition, facilitation, clinical syndromes associated with pain integration, methodology specific to chiropractic modalities.

diagnostic imaging utilization and interpretation, including MRI, MRA,CT, SPECT, PET, bone scan.Case management and clinical applications.

Head and face pain generating mechanisms from receptor to central processing, central mechanisms for pain inhibition, facilitation, clinical syndromes associated with pain integration, methodology specific to application of chiropractic modalities.

Auto Crash Reconstruction and Advanced Diagnostics and Treatment, Accident reconstruction principles, history taking, examination, radiographic and advanced imaging utilization and interpretation, including CT, MRI, scintigraphy, PET, SPECT, and others, electrodiagnostic testing and their applications in whiplash, appropriate diagnosis/impression determination, healing of soft tissue injuries and designing a rational treatment program, including activities of daily living advice, modification and ancillary procedures, injury staging, reporting findings, specific chiropractic manipulative techniques and deep tissue massage protocols, treatment of TMD, determining maximum medical improvement.

Narrative Report Writing and Practice Development, Disability and impairment issues, intake forms, SOAP notes, reexaminations, effective writing, common mistakes and pitfalls, narrative report writing, disability questionnaires, rebuttals, practice development.

Medlegal Issues, Reporting, record keeping, medical photography, depositions, arbitrations, testifying in court, use of demonstrative evidence, medicolegal rebuttal, daubert and frye, motions in limine, no crash-no cash myth, learned treatises and reliable authorities, being a cervical spine trauma specialist, common pitfalls, use of literature searches and bibliographic services.

Methodology and rationale for functional medicine approach to healthcare, patient-centered approach, history and evaluation procedures, fundamentals of treatment, and clinical applications.

Biochemical individuality, patient-centered versus disease-oriented approach, filtering matrix (antecedents, triggers, mediators), functional diagnostic medicine categorization matrix, case studies and clinical applications.

Functional Blood Chemistry Analysis, Standard and functional approaches to laboratory testing and interpretation, normal versus laboratory reference ranges, determination of laboratory reference ranges, physiologic optimal laboratory ranges, case studies, clinical application and case management.

Functional Physical Examination, Physical examination techniques and procedures, equipment review, anatomy, terminology, traditional examination techniques, total load calculation, in-office laboratory set-up and testing, case management and clinical applications.

Functional Signs and Symptoms Analysis, 4 quadrants of functional diagnostic medicine, use, interpretation and clinical application of the nutritional assessment questionnaire, evaluating symptom and total body burden, case studies and clinical applications.

Dysfunctions of digestion and absorption, including hypochlorhydria, helicobacter pylori, gastritis, dysbiosis, bowel toxemia, pancreatic insufficiency, malabsorption, intestinal hyperpermeability, biliary insufficiency, biliary stasis, biliary obstruction, antibiotics, case studies and clinical applications.

In-depth physiologic review of the gastrointestinal system, normal and abnormal functions, clinical applications to treatment

Physiology of digestion and absorption, including mastication, saliva, chemical breakdown of food, swallowing, HCl production, protein digestion, enteric nervous system, hormonal influences on digestion and absorption, digestive enzymes, motility, gut flora, clinical evaluation and applications for treatment.

Standard and Functional, Standard abdominal physical examination techniques and procedures, functional medicine physical examination techniques and procedures, equipment review for procedures, determination of appropriate examination techniques and procedures, case studies and clinical applications.

Interpretation and Treatment, Harmful gut environment, disease processes and their effects on the gut, immune responses in gut pathology, candida/fungal pathogens, testing for pathogens, functional treatment, case studies and clinical applications.

Predominant bacteria, opportunistic bacteria, beneficial short-chain fatty acids, gut inflammation markers, gut immunology, metabolic markers, digestion markers, pancreatic markers, absorption, adiposity index, case studies and clinical applications.

Leading your patient through a diagnostic funnel, primary and advanced functional diagnostic medicine testing and procedures, application of functional diagnostic medicine testing to identify and assess for dysfunctions in the GI system, case studies and clinical applications.

Intestinal epithelial hyperpermeability (leaky gut), functional testing for leaky gut, repairing the GI tract, case studies and clinical applications.

Overview of the immune system, composition of the immune system, immune cells, immune processes and responses in health and disease, case studies and clinical applications.

Signs/symptoms, evaluation, testing, and functional treatment methodologies for GI dysfunction, including low gastric output, gastric inflammation, digestive enzyme deficiencies, dysbiosis, malabsorption, biliary disease, diverticulosis, diverticulitis, irritable bowel syndrome, inflammatory bowel disease, with case study analysis.

Organic acids review, value of organic acids versus stool analysis in dysbiosis, clinical utilization and interpretation of testing, case studies and clinical applications.

Causes of immune dysfunction and dysregulation, immune dysfunctions and disorders, including liver toxicity, dental infections, emotional and social factors, immune deficiencies, case studies and clinical applications.

Immune System and Allergies, Assessing the immune system and allergies, including history, examination,laboratory testing, interpretation, case studies and clinical applications for treatment and case management.

Review of celiac disease, gluten and gliadin, pathophysiology, diagnosis, treatment, repairing the GI tract, case studies, clinical applications and management.

Role and significance of secretory IgA, laboratory testing procedures and interpretation, case studies, clinical applications and case management/treatment.

Review of the prevalence of allergies and food intolerance, immediate versus delayed reactions, interpretation of studies, clinical applications and management of allergic responses, with case studies.

Including review of the biology of energy production, mitochondrion, oxidative stress and disease, antioxidants, clinical significance of the disease processes involved.

Metabolic dysglycemia, blood sugar dysregulation, physiology and biochemistry of blood sugar regulation and dysregulation, type II diabetes, metabolic syndrome, insulin resistance, glucose, glycemic control, syndrome X, case studies, clinical applications and case management.

Immune support, enhancement and treatment protocols, including resolving nutritional deficiencies, nutritional immunology, minerals and trace elements, probiotics, botanicals, hormones. Including comprehensive evaluation and treatment of chronic fatigue syndrome, case studies, clinical applications and case management.

Including methodology and approach to evaluation and interpretation of findings associated with blood sugar Dysregulation and oxidative stress processes.

Interpretation and treatment, assessing for oxidative stress, free radicals, advanced testing procedures, clinical treatment protocols, case studies and clinical applications.

Organic Acids and Energy Production, Utilization and interpretation of testing, case studies, clinical applications and treatment methods

Inflammatory disorders, molecules of inflammation, etiology and causative factors of inflammation, prostaglandins, essential fatty acids, phospholipase A2, lifestyle factors, abnormal mucosal barrier and disease processes.

Documented treatments for metabolic dysglycemia, functional diagnostic approach to treatment, nutritional/nutraceutical agents, diet, glycemic index, hormone influences, case studies, clinical applications and case management.

Essential Fatty Acid Testing, The role of essential fatty acids in health and disease, fatty acid analysis, interpretation of testing results, clinical applications and case management.

Functional diagnostic medicine approach to inflammation, evaluation and testing procedures, case studies, treatment, and clinical applications.

Assessing toxic load and detoxification capacity, signs and symptoms testing, history, examination, laboratory testing, analysis and interpretation, advanced functional diagnostic medicine testing, case studies, clinical applications and treatment protocols.

Detoxification, endogenous and exogenous toxicity, effects of toxicity on the body, major organs of detoxification, phases of detoxification, case studies, clinical applications and treatment protocols.

Physiologic triggers, reducing toxic burden, optimizing GI health, essential fatty acids, vitamin D, structural integrity, natural analgesics, proteolytic enzymes, optimal physiologic restoration of function, evaluation, assessment, laboratory interpretation, case studies, clinical applications and treatment protocols.

Autoimmunity, functional approach to evaluation and treatment of autoimmune disorders, cortisol connection, allopathic approach to rheumatoid arthritis, gut connection to autoimmune diseases, mycoplasma, amino acid and fatty acid links to autoimmune disorders, clinical applications, laboratory interpretation, case studies and treatment protocols.

Statin drugs, cholesterol and heart disease, myth versus reality, risk factors for cardiovascular disease, cardiovascular disease and inflammation, cardiovascular risk assessment, lipoproteins, inflammatory markers, clinical risk factors, testing, interpretation, case studies, clinical applications and treatment.

Laboratory testing, interpretation, clinical applications and treatment protocols.

Organic acids of detoxification, laboratory testing, interpretation, clinical applications, case studies and treatment protocols.

Detoxification capacity profile test, interpretation of findings, clinical significance of results, clinical applications and treatment protocols for abnormalities.

Detoxification support for heavy metals, xenobiotics, and toxic chemicals, medical and functional testing, nutrient/nutraceutical use, chelation, heavy metal toxicity, including aluminum, arsenic, cadmium, lead, mercury, nickel, copper, trace metals and other toxic elements, far infrared therapy, case studies, clinical applications and treatment protocols.

Biomarkers of toxic effect, laboratory testing, interpretation, evaluation, testing, case studies, clinical applications, and treatment protocols.

Estrogen benefits, metabolism, effects, interactions, hormonal control and regulation, environmental estrogens, disorders associated with estrogen metabolism.

Components of the endocrine system, the neuroendocrine system, surface receptors, second messenger systems, neurohypophysis function, clinical applications and evaluation procedures.

Anatomy and function of the adrenal glands and hormones, regulation and control mechanisms, stress response, adrenal exhaustion, case studies and clinical applications.

Adrenal dysfunction signs and symptoms, physical examination techniques, laboratory testing and interpretation, adrenal hypo and hyperfunction, adrenal stress and exhaustion, case studies and clinical applications.

Adrenal stress index interpretation, Cortisol/DHEA review, pregnenolone steal, salivary hormone testing, functional adrenal stress profile, phases of adaptation, adrenal exhaustion, case studies, clinical applications, and treatment protocols.

In depth analysis, review, and interpretation of adrenal stress index testing, clinical nuances, case studies, and treatment protocols.

Anatomy and function of the thyroid glands and hormones, regulation and control mechanisms, thyroid binding proteins, laboratory evaluation, case studies and clinical applications.

Signs and symptoms of thyroid dysfunction, history, physical examination, laboratory and special diagnostic testing usage, interpretation, auto-immune thyroid conditions including Hashimoto’s and Grave’s diseases, case studies, clinical applications and treatment protocols

Metabolic symptom survey, functional thyroid scale, laboratory testing, interpretation, case studies and clinical applications.

Conventional and functional diagnostic medicine approaches to thyroid disorders treatment, including hyper and hypofunction, autoimmune and hormonal regulation/control issues, case studies, clinical applications and treatment protocols.

Anatomy and physiology of the parathyroids, nervous system control, calcium regulation, assessing dysfunction, neuro-lingual testing, tissue mineral assessment, advanced functional diagnostic medicine testing, interpretation, case studies, clinical applications and treatment protocols.

Physiology and biology of female and male endocrine system, steroidal hormone pathways, effects of hormones on physiology, imbalances in hormone levels, menopause and andropause, menstrual cycle, pregnancy, case studies, clinical applications and treatment protocols.

Assessing male and female hormonal systems, history, examination, laboratory and advanced diagnostic testing and interpretation, case studies, clinical applications and treatment protocols.

Review of the male sex hormones, hormonal control/regulation, and disorders associated with dysfunction, case studies, clinical applications and treatment protocols.

Review of the female menstrual cycle, hormonal control/regulation, and disorders associated with dysfunction, case studies, clinical applications and treatment protocols.

The stress response, catecholamines, cortisol, hypothalamic-pituitary-adrenal axis, homeostasis, common sources of stress, clinical laboratory assessments, thinking process, case studies, clinical applications and treatment protocols.

Types of change, understanding change, how change occurs, the 5 stages of change, tools for change, assessing a patient’s stage, importance of change, case studies, clinical applications and treatment protocols.

Symptoms, disease and toxic emotions, detrimental effects of cortisol, stress entrapment, how to uncover toxic emotions, review of medical abstracts, memory, loss, positive coping skills, anxiety/worry/fear, hostility and anger, endogenous and exogenous sources, case studies, clinical applications and treatment protocols.

Etiology, pathophysiology, history, examination techniques and procedures, laboratory assessment and interpretation, case studies, clinical applications and treatment protocols.

Etiology, pathophysiology, history, examination techniques and procedures, laboratory assessment and interpretation, case studies, clinical applications and treatment protocols.

Etiology, pathophysiology, history, examination techniques and procedures, laboratory assessment and interpretation, case studies, clinical applications and treatment protocols.

Etiology, pathophysiology, history, examination techniques and procedures, laboratory assessment and interpretation, case studies, clinical applications and treatment protocols.

Epidemic of NMS disorders, etiology, pathophysiology, history, examination techniques and procedures, laboratory assessment and interpretation, case studies, clinical applications and treatment protocols

Advanced neurological evaluation and treatment of the patient with traumatic and mild traumatic brain injury, post-traumatic headaches, facial and body pain and post-traumatic concussive syndromes, mechanisms of injury, clinical evaluation, assessment and treatment.

Advanced neurological evaluation and treatment of the patient with traumatic and mild traumatic brain injury, post-traumatic headaches, facial and body pain and post-traumatic concussive syndromes, mechanisms of injury, clinical evaluation, diagnostic imaging utilization and interpretation, including MRI, CT, SPECT, PET, bone scan and others, case management and clinical applications.

Applications specific to disorders of the human nervous system, advanced applications specific to all areas of the nervous system, practicums and patient based paradigms utilized.

Review of the increasing prevalence of Autism Spectrum Disorders, including Autism,Aspergers, and PDD,Review the use of the DSMIV of the diagnostic criteria including behavioral checklists, discussion of the concepts of epigenetics and its role in ASD, discuss functional disconnection syndrome and its relationship to the symptoms of Autistic Spectrum Disorder, Discuss the use of sensory, motor and cognitive based stimulation to remediate ASD, Discuss the role of the insula cortex and its effect of smell, taste and interoception, Conducted a practicum with demonstration and review of all primitive and postural reflex testing and remediation exercises as they specifically relate to Autistic Spectrum disorders, Discussed other treatments and theories of autism and an extensive review of the literature, Presented various live and video taped cases of autistic children and discussed as a group the various treatment options.

Discuss the epidemiology, prevalence and neurophysiology of Dyslexia, reading disorders, processing disorders and Learning Disabilities, Focus on the evolution, development, neurophysiology and function of the cerebellum and brain stem, Review the various theories of Dyslexia and treatment approaches, Review the relationship of Dyslexia to left hemisphere function and dysfunction, Discuss the relationship between the dorsal and ventral cortical systems for vision and hearing, Discuss the use of light and sound therapeutically and the relationship of the right and left hemisphere in word reading vs reading compensation, Conducted a practicum where we review specific primitive and postural reflexes that are believed to be associated with Dyslexia and learning disabilities. Presented various live and videotaped cases of Dyslexic and learning disabled children and discuss as a group the various treatment options.

The Diagnosis and Treatment of Vertigo utilizing non pharmaceutical and non surgical approaches. The Vertigo symposium is a program of study which includes advanced practicums and applications.

Attention Deficit Hyperactive Disorder, Reviewed epidemiology and prevalence, Reviewed the physical examination of a child and adolescent, Reviewed the motor and sensory milestones in normal child development, Reviewed primitive and postural reflex evaluations and remediation exercises, Reviewed the neurology of the basal Ganglia and its relationship to hyper and hypokinetic movement and behavior, Reviewed the relationship between direct and indirect pathways, dopaminergic pathways and the interaction with the frontal lobe. There will be a practicum where all learners will demonstrate the primitive and postural reflex tests and the remediation exercises, Presented various live and videotaped cases of children with ADHD,OCD,Tourettes and discussed various treatment options.

review of the development and anatomy of the cerebral cortex, Review of the history of brain asymmetry, as well as the phylogenetic development of the brain and the evolution of the human brain Reviewed the anatomy and function of the lobes of the brain, Discussed the executive functions of the prefrontal cortex, Reviewed the emotional regulation of the brain and the role of the right and left hemispheres in emotional regulation, Reviewed cognitive and academic testing and remediation, Discussed the relationship between ADHD and other hyperkinetic disorders OCD, Tourettes syndrome, Discussed the use of various cortical based stimuli and cognitive skill exercises, Practicum of various cognitive skill exercises, Present various live and videotaped cases of children with ADHD, OCD, Tourettes and discussed various treatment options.

Patients with the most difficult neurological syndromes are examined and treated by Professor Carrick in Grand Rounds. Carrick Institute for Graduate Studies, Oslo, Norway,

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. New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo,

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. New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo,

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. New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo

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. New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo

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. New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and CMCS Post Doctoral Division, Buffalo, NY, 2010

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. New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo

Vestibular Rehabilitation Part I: The program is a combination of on site and online learning which prepares the clinician to be able to serve the needs of individuals suffering from vertigo and related disorders. The diagnostics and applications specific to the treatment of vestibulo-ocular and brain based consequences of vertigo are central to this program.

Emphasis will be placed on the structure and function of the motor system in relationship to receptor activation. The relationship between brain/muscle spindle sensitivity/gain and muscle tone will be explored. Methodology concerning brain based activation of the neuromuscular system will be presented.

The program is a combination of on site and online learning which prepares the clinician to be able to serve the needs of individuals suffering from vertigo and related disorders. The diagnostics and applications specific to the treatment of vestibulo-ocular and brain based consequences of vertigo are central to this program.

The program is a combination of on site and online learning which prepares the clinician to be able to serve the needs of individuals suffering from vertigo and related disorders. The diagnostics and applications specific to the treatment of vestibulo-ocular and brain based consequences of vertigo are central to this program.