John Hamer, DC D.A.A.M.L.P.

Utilizing principles and algorithms of spinal biomechanical engineering to analyze chronic and trauma patients in creating diagnostic, prognostic and treatment protocols.

Interpreting MRI pathology as sequella to trauma to determine herniation, bulge, protrusion and extrusion in order to create diagnostic, prognostic and treatment protocols.

Understanding and applying scientific literature in trauma patients to create diagnostic, prognostic and treatment protocols.

Roentgenometrics and congenital variants, trauma, scoliosis, arthritides and imaging principles for MRI and CT.

MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images. Clinical indication for the utilization of MRI and pathologies of disc in both trauma and non-trauma sequellae, including bulge, herniation, protrusion, extrusion and sequestration.

MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar degeneration. With the co-morbities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Central canal and cauda equina compromise interpretation with management.

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

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

MRI slices, views, T1, T2, STIR Axial, FFE, FSE and sagittal images in the interpretation of cervical herniations. With the comorbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrate, Schmorl's nodes and herniations. Morphology of cervical disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad-based herniations are defined and illustrated. Spinal cord and canal compromise interpretation with management.

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

Documentation requirements of the courts in a medical-legal case including causality, bodily injury and persistent functional losses, ethically reporting of functional loss as it pertains to the integrity of the joint and activities of daily living and implications of chronicity, reporting of normal findings, maximum medical improvement and the release of the patient in the medical-legal arena.

Somato-sensory evoked potentials, brain stem auditory evoked potential and visual evoked potential utilization, physiology and interpretation, electrodiagnostic testing as a clinical component in part of the neurological work-up of the traumatically injured patient in both the peripheral and central nervous system. Inductions and contraindications to electrodiagnostic procedures . The utilization of electrodiagnostics in concluding radiculopathy, myelopathy and plexopathy and determining recent trauma or chronic pathology.

Spinal MRI findings related to degenerative changes vs. traumatic changes of the intervertebral disc by using definitions provided by the American Society of Neuroradiology. Anatomy of the intervertebral disc, spinal cord, nerve roots and spinal ligaments correlated to T1, T2, STIR sagittal, stacking and axial images. Anatomical MRI differentiation of normal, degenerative and traumatic changes.

Whiplash associated disorders and the biomechanics of side impact vs. rear impact with emphasis on traumatic forces and body position, the mechanism of whiplash injury phases with their relationships to physiologic tolerance to trauma, specific diagnosis of disc pathology and annular tear, disc herniation, fracture, ligamentous injury and instability. Details of spinal nerve root stretching injury and dimensions of the spinal canal during whiplash was outlined particular to significant spinal injury resulting from low level accelerations including pediatric spinal trauma and physiological normals. Spinal surgical intervention techniques including ordering diagnostic studies using MRI, CT and digital motion x-ray.

Prognosis and Treatment of the Traumatically Injured, Review of current research published in peer reviewed medically indexed journals focusing on traumatic injuries and how current literature affects the diagnostic conclusion and how to formulate treatment plans.

ICD-9 and CPT requirements in coding for the traumatically injured including integrating electronic health records including informed consent, evaluation and management, testing orders. The utilization of research in medical reports for both the trauma and non-trauma patients. Clinical coordination of care and reporting to healthcare and legal providers.

X-ray technology, quality control, and physiology. X-ray analysis of the normal anatomical structures of the cervical, thoracic, and lumbar spines. X-ray analysis of congenital anomalies of the cervical, thoracic, and lumbar spines. X-ray diagnosis.

Comprehensive analysis of the major nutrients. Health implications of dietary fat, cholesterol and vitamins. Overview of essential vitamins. Disease processes caused by improper nutrition. Body Morphology. Weight loss methodologies.

MRI utilization in clinical practice including slice thickness, T1, T2, FFE, FSE, STIR and Stacking protocols along with disc and vertebrate pathologies. Reviewing neurological and physical signs demonstrated in both trauma and chronic etiology for triage in the clinically setting in deterring the necessity for advanced diagnostic testing.

The significance of documentation and credentials in the personal injury field with a focus on clinically correlating causality, bodily injury and persistent functional loss as sequellae.

Biomechanics of cervical acceleration/deceleration. Injury diagnosis, pathology and physiology of auto related injuries. Evaluation and management of head trauma and spinal injuries. Auto injury diagnostic testing procedures.

Overview of the theories of pain, anatomy and physiology of the body’s pain pathways, analysis of the types of physiological pain to include cutaneous, somatic, visceral, phantom limb and neuropathic pain, common causes of pain by body region, clinical assessment of acute versus chronic pain, diagnosis of pain syndromes, and chiropractic pain management methodologies.

The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury.

Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident.

The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site.

Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints.

Understanding the forces involved in crashed and the transference of those forces from the bullet car to the target car. Quantifying those forces to determine bodily injury and calculating speed, distance, time and drag factors in determining causality and direction of forces.

MRI interpretation of spinal disc pathologies as a result of trauma and degenerative factors and resultant neurological compromise. Spinal Cord and Spinal canal pathologies and space occupying lesion interpretation.

Spinal anatomy of all MRI views utilizing T1, T2, 3D Gradient, stacking and STIR sequences of imaging. Advanced protocols of MRI examination with multiple sequences to create concurrent diagnostic findings.

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 sequellae.

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

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

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.

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.

Understanding the necessity for accurate documentation, diagnosis and clinical correlation to the injury when reporting injuries in the medical-legal community. Documenting the kinesiopatholy, myopatholgy, neuropathology, pathophysiology in both a functional and structural paradigm.

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.

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

MRI interpretation, physiology, history and clinical indications, Bone Scan interpretation, physiology and clincal indications, x-ray clinical indications for the trauma patient.

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

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

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

X-Ray positioning, development, and safety in the practice of chiropractic.

Discusses the chiropractor’s role on the athletic health care team, sport injury mechanisms, terminology and first aid, game plan evaluation and treatment of the injured athlete.

Utilizing plain film radiographs, MRI, CT scan, bone scan, myelography, electrodiagnostic testing: EMG, NCV, SSEP, in the practice of chiropractic.

Weight loss management fundamentals, including an overview and comparison of diet regimens, eating behavior modification techniques, exercise strength and conditioning protocols, and fundamentals of clinical nutrition.

Topics include recognition of signs and symptoms of disease, formulation of differential diagnostic impressions, history taking / examination essentials, and chiropractic and alternative treatment of disease.

Instruction on diversified and drop table adjusting.

Understanding the principles and practice of acupuncture.

Identifying and evaluating high risk CVA patients prior to providing chiropractic care.

How to effectively explain exam and imaging findings to the new patient.

How to establish a documentation and procedural system to handle the new patient.

Indications and contraindications in the utilization of the drop table in the treatment and management of patients.

Indications for and evaluations of MRI, CT, and X-ray in the practice of chiropractic.

Utilization of whole food supplements and herbal remedies in treatment of patients.

Identification and evaluation of the patient with nutritional deficiencies and use of whole food nutrition to treat deficient patients.

A comprehensive review of published medical research which relates to the practice of chiropractic.

Hands on instruction in the evaluation and treatment of musculature manifestations of the vertebral subluxation.

Biomechanics of cervical acceleration/deceleration. Injury diagnosis, pathology and physiology of auto related injuries. Evaluation and management of head trauma and spinal injuries. Auto injury diagnostic testing procedures.

Overview of the theories of pain, Anatomy and physiology of the body’s pain pathways, Analysis of the types of physiological pain to include cutaneous, somatic, visceral, phantom limb and neuropathic pain, Common causes of pain by body region, Clinical assessment of acute versus chronic pain, Diagnosis of pain syndromes, Chiropractic pain management methodologies.

The forces in physics that prevail in accidents to cause bodily injury. Quantifying the force coefficients of vehicle mass and force vectors that can be translated to the occupant and subsequently cause serious injury.

Factors that cause negative acceleration to zero and the subsequent forces created for the vehicle that get translated to the occupant. Understanding critical documentation of hospitals, ambulance reports, doctors and the legal profession in reconstructing an accident.

The mathematical calculations necessary utilizing time, distance, speed, coefficients of friction and acceleration in reconstructing an accident. The application of the critical documentation acquired from an accident site.

Delta V issues correlated to injury and mortality, side impact crashes and severity of injuries, event data recorder reports correlated to injury, frontal impact kinematics, crash injury metrics with many variables and inquiries related to head restraints.

MRI utilization in clinical practice including slice thickness, T1, T2, FFE, FSE, STIR and Stacking protocols along with disc and vertebrate pathologies. Reviewing neurological and physical signs demonstrated in both trauma and chronic etiology for triage in the clinically setting in deterring the necessity for advanced diagnostic testing.

The significance of documentation and credentials in the personal injury field with a focus on clinically correlating causality, bodily injury and persistent functional loss as sequellae.

Documentation requirements of the courts in a medical-legal case including causality, bodily injury and persistent functional losses, ethically reporting of functional loss as it pertains to the integrity of the joint and activities of daily living and implications of chronicity, reporting of normal findings, maximum medical improvement and the release of the patient in the medical-legal arena.

Somato-sensory evoked potentials, brain stem auditory evoked potential and visual evoked potential utilization, physiology and interpretation, electrodiagnostic testing as a clinical component in part of the neurological work-up of the traumatically injured patient in both the peripheral and central nervous system. Inductions and contraindications to electrodiagnostic procedures . The utilization of electrodiagnostics in concluding radiculopathy, myelopathy and plexopathy and determining recent trauma or chronic pathology.

Spinal MRI findings related to degenerative changes vs. traumatic changes of the intervertebral disc by using definitions provided by the American Society of Neuroradiology. Anatomy of the intervertebral disc, spinal cord, nerve roots and spinal ligaments correlated to T1, T2, STIR sagittal, stacking and axial images. Anatomical MRI differentiation of normal, degenerative and traumatic changes.

Whiplash associated disorders and the biomechanics of side impact vs. rear impact with emphasis on traumatic forces and body position, the mechanism of whiplash injury phases with their relationships to physiologic tolerance to trauma, specific diagnosis of disc pathology and annular tear, disc herniation, fracture, ligamentous injury and instability. Details of spinal nerve root stretching injury and dimensions of the spinal canal during whiplash was outlined particular to significant spinal injury resulting from low level accelerations including pediatric spinal trauma and physiological normals. Spinal surgical intervention techniques including ordering diagnostic studies using MRI, CT and digital motion x-ray.

Prognosis and Treatment of the Traumatically Injured, Review of current research published in peer reviewed medically indexed journals focusing on traumatic injuries and how current literature affects the diagnostic conclusion and how to formulate treatment plans.

ICD-9 and CPT requirements in coding for the traumatically injured including integrating electronic health records including informed consent, evaluation and management, testing orders. The utilization of research in medical reports for both the trauma and non-trauma patients. Clinical coordination of care and reporting to healthcare and legal providers.