Donald Nebel Jr., DC CCST, DAAMLP

An in-depth understanding of the protocols in triaging and reporting the clinical findings of the trauma patient. Maintaining ethical relationships with the medical-legal community

An extensive understanding of the 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 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 interpretation, physiology, history and clinical indications, bone scan interpretation, physiology and clinical indications, x-ray clinical indications for the trauma patient

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

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

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

Neurophysiology, neuro-anatomy, repair, remodeling, rehabilitation of the whiplash patient, review of the literature, and understanding the pathophysiology basis of soft tissue injury and repair

Integration of medical scientific literature on trauma and neurology of care for practical utilization

Contemporary imaging technologies and their role in documenting and managing injuries

Specific mechanisms of injury physics and musculoskeletal, neurogenic, discogenic, and joint pathologies with vehicular trauma

Protocols and utilization of neuroelectrodiagnostics for documentation and differential diagnosis of various effects of spinal trauma and soft tissue injury

The nature of musculoskeletal soft tissue injuries. The basis and procedures of chiropractic rehabilitation.

Diagnostic and rehabilitative protocols, testing for spinal evaluation and documenting “medical necessity” through electrodiagnostics, neurodiagnostics, MRI, and CT scan

Medico-legal preparation, practical use of documenting medical literature and procedures of implementation in the med-legal arena

Clinical outcomes through specific case management, practical application and utilization guidelines for the diagnosis, treatment and rehabilitation of whiplash, spinal trauma and soft tissue injuries. MRI, CT, EMG/NCV diagnostic protocols.

Comprehensive record keeping and reporting for whiplash, spinal trauma and soft tissue injury cases. Protocols of testing for spinal evaluations and documenting “medical necessity,” including the Mercy Conference Document

Necessary procedures for performing impairment ratings as outlined in the current edition of the AMA’s “Guide to the Evaluation of Permanent Impairment”

Collect and correlate evidence of soft tissue injury using a model based on Guyton’s “Textbook of Medical Physiology.” clinical signs of closed-head injury, treatment, and to whom you should refer

Neurologic mechanisms, muscular and joint dysfunction, neuroanatomy, somo-visceral and viscero-somatic reflexes of trigger points

Diagnostics for shoulder, arm, and hand subluxations, nerve entrapment and thoracic outlet syndromes. CTS diagnostics and treatment protocols

Managing disorders of the lumbar spine, intervertebral disc syndromes and facet instability syndromes. Compression vs. torsion injuries. Failed back surgery protocols and treatments

A unique clinical update. Review of the literature. MRI, x-ray, CT scan, and brain mapping.

Special emphasis on the traumatized patient. Differential diagnosis, Oswestry format, subjective and objective intake protocols, and anatomical and physiological diagnostic testing

Diagnostic protocols, dermatomes, deep tendon reflexes, upper motor neuron lesions, cranial nerve diagnostic protocols, EMG/NCV, and SSEP

MRI physics protocols and interpretation. Quantify patient status, progress and treatment protocols. Documenting complicated vs. uncomplicated cases. Diagnostic research peer-reviewed journals

Expert witness deposition workshop, court room trial testimony, and peer review case presentations

Plain film radiographs, MRI, CT scan, bone scan, myelography procedures, EMG, NCV, SSEP testing, and peer review report writing

For the treatment of sports injuries, metabolic specific training, and aerobic and anaerobic training

Muscle dysfunction, fibromyalgia literature review, myofascial therapy protocols, trigger point biochemistry, histology and dysfunction

Mechanisms and injury to the disc and facet capsules, chronic post-MVA spine pain, management protocols of chronic whiplash-syndrome patients, whiplash and visual disturbances, dizziness, visceral relationships, abnormal psychological profiles, accelerated degenerative joint disease post-trauma, neuroanatomy, neurophysiology, nutrition and exercise for post-trauma patients, medico-legal aspects of post-trauma soft-tissue injuries, causation relationship to trauma and subjective and objective findings, treatment protocols and permanent disabilities and functional loss using various diagnostic protocols including range of motion, MRI, and EMG protocols

Orthotic therapy and spinal/pelvic stabilization, rehabilitation protocols, biomechanical, postural analysis, and rehabilitation

Spine, diagnostic protocols and treatment protocols

Whiplash documentation, history and epidemiology, mechanisms of injury, specific radiologic views post-whiplash trauma, accident reconstruction, and biomechanics of low-speed impact collisions

The rules of CPT coding, ICD coding and documentation

Subclinical hypothyroidism, metabolic, herbal, and vitamin treatment protocol options, functional nutritional disorders, chronic fatigue syndrome, post-traumatic stress disorder and fibromyalgia syndrome protocols

Subclinical hypothyroidism and mitochondrial disorders

Arthritis treatment, resistance exercise, blood lipids, cardiovascular connection, exercise and water replacement, and weight loss via thermogenic properties

Probiotics, anti-septic activity, acute inflammation, the vegetarian athlete, and blood lipid profiles

Magnesium and hypertension, whole grains and disease, atherosclerosis and vitamin E, alcohol-damaged liver supplementation, and antioxidants and free radicals

Nutrition and the elderly. Minerals protein/fiber/water/antioxidants, weight maintenance, deficiencies and supplements

Obesity, body composition, calculations, diet and exercise

Fiber in childhood. Childhood obesity, development, mineral requirements, growth and weaning

Osteoporosis, pregnancy, and lactation

Migraine prevention, Parkinson's disease, functions and applications

Heart disease, high blood pressure and osteoporosis, diabetes and headaches, arthritis and depression, mechanism and effects

Mechanisms and effects of various herbs

Mechanisms and effects of various supplements, phytomedicine, and herbal therapy

Nutrient interactions and toxicity, drug interactions, and herbal interactions

Lumbar spinal stenosis, manipulation after fractures, anterior knee pain, ankle sprains, and pain control

Rheumatoid arthritis, diagnostic imaging and C.A.M. treatments

Upper extremity entrapment, neuropathy, and tunnel syndromes

TMD in the pediatric population

Evaluating case studies

Case presentation of cervical myelopathy

Vertebral artery dissection following an automobile accident

Irritation of the paraspinal sympathetic chain

Adult tethered cord syndrome

Low back pain, fracture and the cauda equina syndrome

Low back pain case management

Diagnostic testing, differential diagnosis of low back pain

Risk factors and causes for CTS

Shoulder syndrome causes

Patellofemoral syndrome causes

Pediatric meningitis signs and symptoms

Lab testing, data collection and processing

Diagnosis and treatment of the injured shoulder

Construct examination/radiographic criteria for osteochondritis dessecans

Establish risk factors and treatment for osteoporosis

Adrenal fatigue, insulin resistance, metabolic syndrome and menopause