| David Lincoln DC, DACNB, CCEP, IDE, FACFN, FPSC |
| 1408 Townview Lane, Santa Rosa, CA, 95405 |
| Phone: 707-526-2225 |
| Cell: 707-953-5122 |
| Fax: 707-526-5267 |
| drlincolnhfc@gmail.com |
| http://primaryspineandinjurycenter.com |
SELECTED OCCUPATIONAL HISTORY
Clinical Director, Treating Doctor, Primary Spine and Injury Center, Santa Rosa, California, 2022 - Present
Clinical Director, Treating Doctor, Healthy Families Chiropractic, Santa Rosa, California, 2018 - 2022
Clinical Director, Treating Doctor, Advanced Chiropractic Neurology Center, Santa Rosa, California, 2007 - 2018
Doctor of Chiropractic, Independent Contractor, Santa Rosa Chiropractic Neurology Center, Santa Rosa, California, 2000 - 2007
EDUCATION AND LICENSUREDoctor of Chiropractic, Licensed in the State of CA, #26765, 2000-Present
Doctorate of Chiropractic, Life Chiropractic College West, Hayward, CA 1999
Internship, Life Chiropractic College West, Hayward, California, 1999
National Board of Chiropractic Examiners, Physiotherapy 1999
National Board of Chiropractic Examiners, Part IV1999
National Board of Chiropractic Examiners, Part III 1999
National Board of Chiropractic Examiners, Part II 1999
National Board of Chiropractic Examiners, Part I 1998
Prerequisites in Chiropractic, Santa Rosa Junior College, Santa Rosa, CA, 1995-1996
Undergraduate Studies in Pre-Med, University of California, Davis, 1993-1995
SELECTED CERTIFICATIONS, QUALIFICATIONS, FELLOWSHIPS, MINI-FELLOWSHIPS, AND DIPLOMATES
Advanced Imaging Certified, Cleveland University, Kansas City, 2024
Fellowship (Candidate), Spinal Biomechanics and Trauma, State University of New York at Buffalo, Jacobs School of Medicine, Office of Continuing Education, and Cleveland University-Kansas City, College of Chiropractic, 2023
Fellowship, Primary Spine Care, State University of New York at Buffalo, Jacobs School of Medicine, Office of Continuing Education, and Cleveland University-Kansas City, College of Chiropractic, 2023
Mini-Fellowship in Neuroradiology – MRI Spine, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2023
Mini-Fellowship in Musculoskeletal Radiology – MSK Extremities, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2023
Primary Spine Care Qualified, 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, Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island NY, 2022
Trauma Qualified, Cleveland University, Kansas City, 2022
Hospital Based Spine Care Qualified, 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. Co-credentialed through the ACCME (Accreditation Council for Continuing Medical Education), Cleveland University – Kansas City and the Academy of Chiropractic, Long Island, New York, 2022
MRI Interpretation Review Qualified, Cleveland University, Kansas City, 2022
Evaluation & Management Qualified – Cleveland University, Kansas City, 2022
Fellowship of the American College of Functional Neurology, Cocoa, Florida, 2009
Advanced Certification of Competency: Whiplash and Brain Injury Traumatology. Spine Research Institute of San Diego 2008
Board Certified Chiropractic Neurologist (Diplomate American Chiropractic Neurology Board): >300 hours 2000-2004: Embryology & Physiology of the Nervous System, The Proprioceptive & Neuromuscular System, Peripheral Nervous System, Spinal Cord, Cranial Nerves, Autonomic Nervous System, Intracranial and Vascular Disorders, Cerebellum, The Ocular Motor System, The Vestibular System, Lobes of the Brain, The Limbic System, Neurophysiology of the Respiratory/Digestive & Reproductive Systems, Motor System, Sensory System, Neurology of Pain, Headaches & Face Pain, Neurological Examination, Neurorehabilitation. Carrick Institute of Graduate Studies, Cape Canaveral, Florida 2005
Certification Program for Interactive Metronome. Qualified to plan and conduct Interactive Metronome training 2003
Graduate Certificate of Qualification in the Treatment of ADHD, Learning Disabilities and Behavioral Disorders. Carrick Institute of Graduate Studies, San Francisco, CA 2002
X-ray Supervisor and Operator Certification, California Department of Public Health 2001
Industrial Disability Evaluator, Life West Chiropractic College 2001
Webster’s Technique-Certificate of Proficiency, Chiropractic and Pregnancy. Life West Chiropractic College, San Leandro, CA 2001
Certified Chiropractic Extremities Practitioner-Extremity anatomy and biomechanics. Diagnosis and treatment of conditions affecting TMJ, ribs, upper extremities, lower extremities, and gait. Foot orthoses.Counsel on Extremity Adjusting (CEA), Life West Chiropractic College 1999
SELECTED POST-GRADUATE EDUCATION
Advanced Diagnostic Interpretation: Thyroid Pathology and Empty Sella in MRI Spinal Imaging - This course provided an in-depth review of incidental thyroid pathology identified on MRI, focusing on the appropriate follow-up for an enlarged thyroid. Participant analuyzed the pathophysiology of thyroid enlargment, including benign and malignant differentials, and reviewed best practices for interdisciplinary communication. The course emphasized the role of ultrasound as the primary diagnostic modality, the indications for fine needle aspiration biopsy, and the interpretation of thyroid function tests. Through case-based discussions, attendees enhanced their ability to integrate incidental findings into comprehensive patient management, improving their diagnostic acumen and referral strategies in clinical practice. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program 2025
Interventional Techniques for Spine Pain - This program provided an in-depth review of interventional procedures for managing spine-related pain, including transforaminal, interlaminar, and caudal epidural steroid injections, as well as facet joint injections, medial branch blocks, and sacroiliac joint injections. Each procedure was analyzed in terms of its indications, mechanisms of action, and procedural execution, ensuring a thorough understanding of their role in pain management. Comparisons were drawn between different injection techniques, highlighting their relative effectiveness in addressing radiculopathy, facet-mediated pain, and sacroiliac joint dysfunction. The program described the importance of image-guided precision in these interventions, emphasizing the use of fluoroscopy and ultrasound for enhanced accuracy and safety. Detailed case discussions were included to illustrate patient selection criteria, contraindications, and post-procedural expectations. Additionally, the impact of adjunctive therapies such as physical rehabilitation and pharmacologic co-management was reviewed to underscore the importance of a multidisciplinary approach in optimizing patient outcomes. The application of radiofrequency ablation (RFA) for chronic pain syndromes was outlined, with a focus on patient selection, procedural methodologies, and clinical efficacy based on current research and long-term outcome data. Technical considerations such as optimal electrode placement, lesioning parameters, and post-procedural care were discussed to maximize procedural success and durability of pain relief. Emerging advancements in pulsed and cooled RFA techniques were also reviewed, demonstrating their potential in expanding the scope of interventional pain management.National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025.
Neuromodulation in Spine Care - This course provided a detailed overview of the principles and clinical applications of spinal cord stimulation (SCS), emphasizing its role in modulating pain perception through neuromodulation techniques. Itoutlined the mechanisms of SCS in disrupting nociceptive pathways, including its effects on dorsal column activation, inhibition of pain transmission, and neuromodulatory plasticity. The program examined patient selection criteria, discussing the importance of identifying appropriate candidates based on neuropathic pain profiles, previous treatment failures, and psychological suitability. The structured trial procedures were reviewed, focusing on temporary lead placement, pain relief assessment, and outcome evaluation prior to permanent implantation. The course reviewed long-term efficacy considerations, including the impact of SCS on functional improvement, opioid reduction, and overall quality of life. It compared traditional SCS modalities, such as tonic stimulation, high-frequency (10 kHz), and burst stimulation, highlighting their distinct mechanisms of action, clinical efficacy, and patient-reported outcomes. The curriculum also analyzed closed-loop feedback systems, detailing how real-time neurophysiologic adjustments optimize stimulation parameters to enhance patient comfort and maximize analgesic effects.National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025.
Interprofessional Spine Management Grand Rounds –Acute and Chronic Spinal Injury Superimposed on One Another -This course provided healthcare providers with advanced imaging interpretation skills to differentiate traumatic from degenerative spinal injuries, particularly in motor vehicle collision cases. Participants developed expertise in utilizing imaging biomarkers, such as Modic changes and STIR sequences, to assess acute and chronic spinal pathology. The curriculum covered key distinctions between traumatic disc herniations and degenerative disc bulges, emphasizing the role of inflammation and tissue morphology in diagnostic accuracy. Clinicians gained proficiency in causation analysis by integrating imaging findings with clinical presentations, enhancing their ability to support injury claims with objective evidence. The course also included case-based learning to apply these principles in real-world scenarios. Completion of this program demonstrated a provider’s commitment to evidence-based spinal injury assessment and improved patient outcomes through precise diagnostic differentiation. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025.
Understanding Pain Referral Patterns in Cervical and Cranial Vascular Disease -Development of a comprehensive understanding of pain referral patterns associated with cervical and cranial vascular diseases, with a particular emphasis on di8erentiating vascular-origin pain from musculoskeletal conditions. They examined the neuroanatomical basis of vascular pain, including the role of the trigeminocervical complex and the autonomic nervous system in mediating referred pain from the internal carotid and vertebral arteries. The course covered specific diagnostic criteria for identifying vascular pain syndromes, including internal carotid artery dissection, vertebral artery dissection, and basilar artery insu8iciency. Participants learned to recognize critical clinical presentations such as Horner’s syndrome, cranial nerve deficits, and pain patterns mimicking cervicogenic headache or radiculopathy. Advanced case-based discussions reinforced the ability to integrate patient history, symptom patterns, and risk factors into di8erential diagnoses. Emphasis was placed on the necessity of early vascular screening to prevent misdiagnosis and inappropriate manual therapy interventions. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Vertebrobasilar Assessment & Red Flags in Clinical Practice - Attendees received specialized training in vertebrobasilar assessment, focusing on the identification of neurological red flags suggestive of vertebrobasilar insu8iciency (VBI) and arterial dissection. They practiced the implementation of standardized screening protocols, including the vertebral artery test, cranial nerve examination, and positional assessment of dizziness and drop attacks. The course provided in-depth instruction on recognizing high-risk populations, including patients with hypertension, connective tissue disorders, and recent infections predisposing them to vascular injury. Through clinical simulations, participants refined their ability to distinguish vascular from vestibular and musculoskeletal dizziness, ensuring appropriate triage and referral decisions. Discussion of imaging modalities such as CT angiography (CTA) and magnetic resonance angiography (MRA) guided clinical decision-making for emergent vs. routine vascular assessments. This module reinforced the importance of interprofessional collaboration with neurologists, radiologists, and vascular specialists. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Pathological Reflexes & Neurological Screening - A critical component of the course involved the identification and interpretation of pathological reflexes as indicators of upper motor neuron dysfunction and central nervous system pathology. Participants performed hands-on assessments of Hoffman’s sign, Tromner’s sign, and the Babinski reflex to detect corticospinal tract involvement in conditions such as cervical myelopathy, stroke, and demyelinating diseases. They explored the physiological mechanisms behind these reflexes, including the loss of descending cortical inhibition and subsequent hyperexcitability of spinal interneurons. The course emphasized the integration of these neurological findings into broader clinical evaluations, correlating them with patient symptoms and risk factors for vascular and spinal cord pathology. Participants gained expertise in determining when advanced imaging, such as MRI or electromyography (EMG), was warranted for further neurological assessment. Discussions covered di8erential diagnoses of upper versus lower motor neuron lesions, ensuring a systematic approach to complex neurological presentations. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Clinical Decision-Making & Safe Chiropractic Management – description of an evidence-based CeAD detection tool to stratify patient risk and determine when immediate referral or conservative management was indicated. Discussed approaches to provide safe chiropractic management, modifying techniques to accommodate patients at risk for vascular events. They reviewed contraindications for high-velocity, low-amplitude cervical manipulations and explored alternative therapeutic interventions, such as mobilization, soft tissue therapy, and graded isometric exercises. Clinical discussions reinforced the necessity of continuous reassessment, ensuring that patients with evolving neurological symptoms were promptly directed to appropriate medical care. By the conclusion of the course, participants demonstrated proficiency in integrating vascular, neurological, and musculoskeletal assessments to enhance patient safety and optimize clinical outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Interprofessional Spine Management Grand Rounds –Thoracic Adjustment and Cervical Radiculopathy – receivedadvanced educational materials on cervical spine anatomy, neuroanatomy, and radiculopathy to practicing healthcare providers, focusing on the motor and sensory functions of cervical spinal nerves. Was presented with comprehensive white papers, quizzes, and instructional content that emphasized the clinical relevance of cervical nerve exit patterns, muscular innervation, and dermatomal sensory distributions in the upper extremities. Provided evidence-based insights on cervical radiculopathy, integrating pathophysiology, diagnostic strategies, and management approaches to enhance interprofessional understanding and patient outcomes. Discussed collaboration with multidisciplinary teams to ensure alignment of educational content with current best practices and emerging trends in spinal biomechanics and trauma management. Demonstrated expertise in translating complex anatomical and neurological concepts into actionable knowledge for improving patient care in the clinical setting. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025.
Medical Records and Litigation - Completed a specialized training program focused on the critical role of medical records in legal proceedings, emphasizing their impact on court testimony and litigation outcomes. Gained expertise in creating comprehensive and defensible documentation that aligns with healthcare standards and legal requirements. Developed skills in recording objective findings, patient history, causation, and treatment rationales to support testimony. Enhanced proficiency in preparing for depositions and trial testimony by ensuring consistency and clarity in records. This training underscored best practices for addressing challenges posed by opposing counsel and highlighted strategies for maintaining credibility under cross-examination. Graduates of this program are equipped to provide medical-legal documentation that strengthens both litigation success and patient advocacy. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025.
Complex Medical Testimony and Jury Communication - Completed an advanced workshop on effective jury communication through medical testimony, focusing on the simplification of complex medical concepts. Acquired practical skills in using layperson-friendly language to explain technical terms and presenting compelling visual aids like MRIs and anatomical models. Developed expertise in structuring testimony to engage jurors and maintain their attention while addressing the legal and medical aspects of a case. Learned techniques for managing cross-examination with professionalism, emphasizing objectivity and neutrality. The program also covered strategies to frame the long-term impacts of injuries in relatable ways for jurors. This training equips practitioners to clearly and effectively convey medical findings, ensuring they resonate with lay audiences and legal professionals alike. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025.
Expert Witness Training and Litigation Preparedness - Completed a comprehensive course on the roles and responsibilities of expert witnesses in personal injury litigation. This program focused on the admissibility of expert opinions, preparation for depositions, and courtroom testimony. Gained critical knowledge in delivering impartial, evidence-based opinions to assist courts in understanding complex medical issues. Developed the ability to align testimony with established legal precedents and effectively handle cross-examination. The course emphasized the importance of independence, integrity, and clarity in presenting evidence, ensuring practitioners are prepared to navigate the legal system as trusted experts. This training provided the tools necessary to support litigation outcomes while maintaining professional credibility. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025.
Understanding Legal Precedent and Its Role in Personal Injury Litigation - Completed a detailed educational series on legal precedent in personal injury litigation, focusing on its application in evaluating negligence, causation, and damages. Explored the significance of established diagnostic and treatment standards in ensuring predictability and fairness in court rulings. Gained insights into the challenges of introducing innovative medical techniques within the framework of legal precedent. Learned how precedent influencesadmissibility of evidence, calculation of damages, and settlement negotiations. This program emphasized the importance of aligning medical practices with recognized legal standards to mitigate risk and improve case outcomes. Graduates are well-equipped to navigate the intersection of healthcare and law, ensuring their practices meet both clinical and legal benchmarks. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025.
Advanced Strategies for Personal Injury Case Management - This course explored critical aspects of personal injury (PI) cases, including liability and personal injury protection (PIP) insurance, strategies for documenting causality, bodily injury, and persistent functional loss, and the effective use of ICD-10 S and M codes. The program integrated personalized treatment plans, standard operating protocols (SOPs), and macros for streamlined documentation while addressing primary care challenges in managing PI cases. Practical case studies emphasized collaboration and precision to optimize patient outcomes and ensure compliance with insurance and legal standards. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Optimizing Documentation and Management in Personal Injury Cases for Chiropractors - This session emphasized the importance of accurate documentation in PI claims, exploring the nuances of liability insurance, medical expenses coverage, and the role of causality in linking injuries to incidents. The lecture included strategies for managing acute and chronic conditions using ICD-10 coding, employing macros in documentation to enhance efficiency, and collaborating with attorneys and other providers. Participants gained actionable insights for integrating ethical and detailed recordkeeping into their practices. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Best Practices for Chiropractors in Personal Injury Clinics - This session provided an in-depth analysis of exceeding policy limits in PI cases, leveraging umbrella insurance policies, and documenting persistent functional loss for fair compensation. It highlighted the role of chiropractors in supporting legal efforts through comprehensive records, causation evidence, and expert testimony. The workshop emphasized integrating technology, adhering to ethical standards, and maintaining objective measures to ensure credibility and optimize patient outcomes. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Documentation, Strategy, and Management in Personal Injury Cases - This session was designed to equip healthcare providers with tools for effective PI case handling. Topics included understanding pre-determined treatment plans versus SOPs, overcoming administrative and financial challenges in PI cases, and accurately coding acute and chronic conditions using ICD-10 standards. Emphasis was placed on creating tailored documentation strategies, utilizing macros for efficiency, and balancing automation withpersonalization. Attendees were trained to strengthen collaborations with legal teams and improve multidisciplinary patient care. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Biomechanical Analysis and Management of a Post-Motor Vehicle Collision Patient - Participated in a case study focused on the evaluation and management of a patient involved in a motor vehicle collision on September 1, 2024. The patient, a belted driver, was rear-ended on the I-290 West, experiencing a rapid acceleration-deceleration mechanism that caused hyperextension and flexion of the cervical spine. Immediately following the impact, the patient reported neck, mid-back, and lower back pain. Initial management included over-the-counter medications, rest, and ice, with a follow-up appointment with their primary care physician on September 5, 2024. The patient presented with a prior posterior laminectomy and fusion C4-C7. The case incorporated advanced biomechanical principles and finite element modeling (FEM) to assess the cervical spine's response to whiplash forces, as described in the provided research. FEM simulations quantified spinal stress distribution and highlighted potential areas of adjacent segment degeneration (ASD) due to the sudden impact. Emphasis was placed on restoring proper biomechanics through a combination of spinal adjustments, postural correction, and rehabilitative exercises, leveraging insights from finite element analysis to guide care. Management strategies focused on addressing persistent symptoms through targeted interventions, including neuromuscular re-education, to reduce biomechanical stress on the cervical spine and adjacent structures. The integration of patient-specific modeling, derived from imaging data, supported personalized care planning and highlighted the value of finite element analysis in predicting long-term outcomes for whiplash-associated disorders. National Spine Management Group 2025, Federation of Chiropractic Licensing Boards, PACE Program 2025.
Expert Testimony Training: Key Legal Concepts for Physicians in Personal Injury Cases - Completed a comprehensive course focusing on the roles and qualifications of medical professionals in personal injury litigation. This course emphasized the distinctions between treating physicians and medical experts, strategies for establishing expertise, and overcoming legal objections to credibility. Detailed exploration of courtroom dynamics, jury evaluation, and the effective use of CVs to demonstrate professional qualifications was included. Practical applications for managing objections and leveraging transcripts to maintain consistency in testimony were also discussed. This training provided advanced strategies to enhance credibility and professionalism in medical-legal contexts. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Advanced Training in Legal Testimony and Expert Qualifications - Completed specialized training on integrating advanced spinal diagnostics with legal testimony requirements. Emphasis was placed on bridging the gap between clinical care and expert analysis, including causation, prognosis, and future medical needs. Participants were instructed on meeting Rule 702 standards and ensuring credibility through clear communication and comprehensive documentation. This training has been instrumental in providing expert testimony with confidence and precision in complex legal settings.National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Presentation Development: Effective CV Strategies in Legal Testimony - Participated in an intensive training on creating impactful CVs for medical-legal applications. The session highlighted essential elements of a strong CV, such as education, certifications, and prior testimony, ensuring alignment with legal standards like Rule 702 of the Federal Rules of Evidence. Instruction covered practical methods for streamlining direct examinations and addressing objections through pre-prepared documentation. The training underscored the importance of maintaining updated, organized CVs to showcase qualifications and strengthen courtroom credibility. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Courtroom Preparation: Communication and Professionalism in Testimony - Attended a targeted lecture on the importance of effective communication and professionalism during legal proceedings. The program focused on presenting complexmedical information clearly, handling objections with composure, and aligning testimony with legal standards. Practical examples included cross-examination preparation, transcript review for consistency, and collaboration with attorneys to frame evidence effectively. This training emphasized the integration of medical knowledge with legal processes to enhance the impact and reliability of expert testimony. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Understanding No-Fault vs. Tort Systems in Personal Injury Law - This course provided an overview of the foundational differences between no-fault and tort systems in personal injury law. Learners reviewed the roles of Personal Injury Protection (PIP) and liability insurance in each system and discussed the impact of legal frameworks on claim resolution. The program presented scenarios illustrating the serious injury threshold and limitations on non-economic damage claims. Participants explored comparative examples from states like New York, Florida, and Texas. Key legal principles and practical implications were analyzed to foster deeper comprehension of legal processes and their effects on injured parties. The course concluded with a discussion of litigation risks and strategic considerations for attorneys and insurance adjusters. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Advanced Documentation Techniques for Traffic-Related Injuries - This program reviewed medicolegal documentation requirements for injuries caused by traffic accidents. Participants were introduced to the importance of recording both external and internal injuries with precision to support accident reconstruction and legal proceedings. The course discussed methodologies for documenting typical injuries based on their mechanisms and severity, including the use of the Abbreviated Injury Scale (AIS) and AO fracture classifications. Participants analyzed case studies to evaluate documentation practices and their role in litigation outcomes. Additional topics included forensic photography, injury diagrams, and the ethical responsibilities of medical practitioners. The session emphasized the intersection of clinical expertise and legal evidence requirements. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Exploring Deposition Strategies in Personal Injury Cases - This course provided a comprehensive overview of depositions as a pivotal element of the discovery process in personal injury litigation. Participants discussed the structure and function of depositions, including their role in fact-finding, preserving testimony, and shaping litigation boundaries. The curriculum reviewed techniques for questioning witnesses, assessing credibility, and uncovering new evidence. Real-world examples illustrated how depositions influence settlement strategies and trial preparation. The session highlighted the interplay between deposition records and courtroom testimony, emphasizing the importance of consistency and strategic communication. Practical exercises included drafting deposition questions and analyzing transcripts. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Personal Injury Protection (PIP): State-Specific Requirements and Legal Implications - This course offered an in-depth review of PIP insurance regulations across various states, focusing on the financial and legal nuances of no-fault systems. Participants explored mandatory and optional coverage levels, subrogation rights, and the interaction between PIP and health insurance. The curriculum highlighted significant differences in coverage requirements between states like Michigan, New York, and Florida. Case studies presented challenges in coordinating benefits and navigating waiver options. Learners reviewed the legal mechanisms of subrogation and discussed how PIP impacts settlement negotiations and claimant recovery strategies. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2025.
Gaining Insights into Spinal Ligament Pathology - in-depth seminar exploring the pathology of acute and chronic spinal ligament injuries. The session provided a comprehensive understanding of injury mechanisms, from trauma to degeneration, and their impact on spinal stability and function. Real-world case studies enhanced my ability to identify clinical implications and develop effective management strategies. I gained a clearer perspective on the biological and mechanical changes in ligaments and their relevance to personal injury cases. This learning experience improved my diagnostic approach and broadened my clinical toolkit for managing spinal injuries. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024.
Enhancing Clinical and Imaging Correlation Skills - Attended a session focusing on the integration of physical examination findings with imaging techniques for spinal ligament injuries. Specific focused demonstrations helped refine my skills in stress testing, motion analysis, and neurological assessments. The discussion emphasized the role of imaging modalities, including dynamic X-rays and MRI, in confirming diagnoses and guiding treatment. Through case studies, I learned how to correlate clinical and imaging data to enhance diagnostic accuracy. This session strengthened my ability to deliver evidence-based care and document findings effectively. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024.
Mastering Advanced Imaging Techniques in Spinal Care – detailed presentation on advanced imaging applications, including the use of MRI and dynamic X-rays, for diagnosing spinal ligament pathologies. I learned to interpret imaging results and correlate them with clinical presentations, improving my ability to diagnose ligament injuries accurately. Case discussions provided valuable insights into identifying instability and ligament damage using motion-based studies. This experience helped me understand the importance of imaging in both clinical and legal contexts. I gained practical knowledge to better integrate imaging into patient care plans. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024.
Understanding Chronic Spinal Instability and Its Management – detailed session that examined the progression of spinal ligament injuries from acute trauma to chronic instability. I learned about the structural changes ligaments undergo over time and their biomechanical implications for spinal stability and pain. Case studies illustrated the challenges of managing chronic instability and the importance of early diagnosis. The session provided actionable insights into tailoring treatments based on ligament integrity and patient-specific needs. This experience deepened my understanding of chronic spinal conditions and their management.National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024
Improving Documentation and Case Management Skills -focused session on clinical documentation and its role in managing personal injury cases. I gained practical skills in documenting physical findings and imaging results to build defensible patient records. The session emphasized the importance of correlating clinical and imaging data to develop comprehensive care plans. Real-world examples demonstrated how proper documentation impacts patient outcomes and legal processes. This learning experience improved my confidence in managing complex cases and communicating findings clearly in both clinical and legal settings. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024.
Understanding Intervertebral Disc Pathology: Advanced Insights into Acute and Chronic Conditions - Presented a comprehensive session on the pathology of acute and chronic intervertebral disc injuries, emphasizing their mechanisms, pathophysiology, and long-term implications. Explored the biological and mechanical changes in disc injuries through case studies highlighting differences between acute trauma and chronic degeneration. Delivered an in-depth analysis of degenerative processes, including spondylosis and chronic herniation, focusing on their impact on patient function and quality of life. Discussed practical clinical approaches for managing these conditions in personal injury cases. The session concluded with interactive discussions, promoting a deeper understanding among chiropractic practitioners. National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024.
Physical Examination for Disc Injuries: Clinical Assessment Techniques and Applications - Conducted an interactive seminar focused on advanced physical examination methods for diagnosing disc injuries in personal injury cases. Covered neurological and orthopedic testing, palpation techniques, and the identification of red flags for serious conditions. Participants engaged in a hands-on demonstration of clinical techniques, enhancing their ability to perform precise and effective evaluations. Emphasized the integration of examination findings into broader clinical decision-making frameworks. The session highlighted the critical role of thorough examination in correlating physical findings with imaging results for accurate diagnosis.National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024.
Advanced Imaging in Disc Injury Diagnosis: Bridging Technology with Clinical Practice - Led a detailed workshop on the role of advanced imaging in diagnosing intervertebral disc injuries, tailored for chiropractic professionals. Compared MRI and CT modalities, emphasizing their applications in identifying disc herniation, degeneration, and associated pathologies. Utilized real-world imaging case studies to demonstrate the interpretation of findings in acute and chronic conditions. Discussed when and how to incorporate imaging into clinical practice to optimize patient outcomes. The session underscored the importance of imaging in validating physical examination findings and supporting documentation for legal purposes in personal injury cases.National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024.
Integration of Examination and Imaging in Clinical Practice: A Holistic Approach
Facilitated discussions which merged physical examination techniques with advanced imaging to refine diagnostic accuracy in spine injury management. Covered strategies for correlating examination findings with imaging data to develop comprehensive treatment plans. Addressed the documentation requirements crucial for personal injury cases, ensuring compliance with legal standards. Engaged participants in thought provoking pathways on integrating these tools effectively in practice. This approach highlighted the value of a multidisciplinary framework in enhancing patient care and optimizing clinical outcomes.National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024.
Pathology of Disc Injuries: Education and Implications for Case Management -
Delivered a targeted continuing education seminar on the pathology of acute and chronic disc injuries with a focus on personal injury scenarios. The program included discussions on mechanisms of injury, degenerative processes, and the implications for clinical practice. Highlighted the significance of detailed patient history, physical examination, and imaging in understanding and managing these conditions. Provided insights into developing narratives for case documentation and optimizing outcomes for injured patients. The event fostered interprofessional collaboration, emphasizing the chiropractor's role in a multidisciplinary care model.National Spine Management Group, Federation of Chiropractic Licensing Boards, PACE Program, 2024.
Interprofessional Spine Care Review: MVA, Lumbar Spine Fracture and PCP Referral - Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Acute Lumbar Spine Pathology Post Trauma - This comprehensive one-hour course delves into the case of a motor vehicle accident (MVA) patient presenting with lower back pain, offering a thorough exploration of the diagnostic process through advanced imaging and clinical correlation. Participants engaged in a detailed examination of MRI sequences, including T1, T2, and STIR, to understand the nuances of spinal pathology and how these findings correlate with plain film radiographs and the patient’s physical examination. Detailed review of spinal nerves, vertebral body structure and ligament function was presented. The course underscores the pivotal role of advanced imaging in the clinical decision-making process, illustrating the necessity of precise interpretation and the ability to communicate these findings effectively to both radiologists and primary care physicians. Additionally, the significance of interdisciplinary collaboration, particularly in the context of spine care, to enhance diagnostic accuracy and optimize patient outcomes was emphasized. This course provided support for those healthcare professionals aiming to refine their expertise in spinal imaging and foster stronger interdisciplinary partnerships for better patient care. Federation of Chiropractic Licensing Boards, PACE; National Spine Management Group, 2024.
QME AMA Impairment Ratings- Application of mandated impairment rating to obtain Whole Person Impairment (WPI) using the AMA Guides 5th Edition. “Combining” versus “adding” impairments. Differences between spinal related DRE (Diagnosis Related Estimate) categories and ROM (Range of Motion) impairments. Determining appropriate method for impairment rating assessment. Obtaining valid and admissible ROM measurements using the three components to ROM method: diagnosis, loss of motion, and neurological deficit. Addressing multiple diagnosis to the same spinal region. Assessing sensory and motor deficits for impairment. Combining total whole person impairment using the combined value chart. Use of the Combined Values Chart relative to different body regions/impairments. Back to Chiropractic CE Seminars, Board of Chiropractic Examiners, Santa Rosa, CA, 2024.
Electromagnetic Fields Course- Understanding what EMF’s are and how they affect our bodies. Differentiating between symptoms of electromagnetic hypersensitivity (EHS) and normal symptoms. Proper history taking procedures for electrical sensitivity discovery. Techniques for reducing radiation exposure and lifestyle shifts to reduce the harmful effects of EMFs. Back to Chiropractic CE Seminars, Board of Chiropractic Examiners, Santa Rosa, CA, 2024.
Advanced Imaging Certification – MRI Mastery Series – General Spine Disorders – Case and evidence-based detail review of neuromyelitis optica, pseudo-herniation, arthritis, and osteogenesis imperfecta tarda was presented. Focus was on the progression of reading MRI images pertaining to disorders of the human spine and their relationship to clinical findings. Focus was on the cervicocranial region was presented with detailed analysis of over vigorous decompression effects on regional anatomy. Analysis of the etiology, pathogenesis and treatments associated with ankylosing spondylitis, a common seronegative spondyloarthropathy and chronic inflammatory autoimmune disease was presented. Details of immune cells, innate cytokines, and human leukocyte antigen (HLA-B27) was outlined. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024.
Advanced Imaging Certification – MRI Mastery Series – General Spine Disorders – overview and discussion of spinal tuberculosis pathology, post-surgical abscess and dural leak was presented. Relevant anatomy and clinical correlation were emphasized and reviewed. Details related to T1, T2 and STIR images was presented and compared. Attention was paid to the diagnosis of spinal arteriovenous fistula and post-surgical complications visible on MRI studies. Details related to the long-term outcomes and prognostic factors in patients with arteriovenous fistulas was outlined. Post-surgical extradural seroma/hematoma was reviewed and presented in detail. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024.
Advanced Imaging Certification – MRI Mastery Series – General Spine Disorders – detailed analysis of failed back surgery syndrome, post-operative dural tear/leak and cervical radiculopathy with neck pain was presented and outlined. Review of post and pre-operative arachnoiditis, loculated arachnoid arthritis and synovial cysts and the subsequent influence on spinal anatomy was presented. MRI as the gold standard in the diagnosis of arachnoiditis with attention to its specificity and sensitivity was discussed. Overview of symptoms such as paraparesis and other risk factors were outlined. Specific attention was paid to spin echo sequences and transverse relaxation times with focus on contrast of different tissue types. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024.
Advanced Imaging Certification – MRI Mastery Series – General Spine Disorders – analysis of anatomical landmarks in the spine on MRI was presented and reviewed. Counting of vertebral levels was demonstrated and explained with particular attention on wrong level surgery. Cadence of orientation during review of MRI films was emphasized. Anatomical review of spinal transition zones with detailed discussion on the morphological nuances of vertebral and other anatomical landmarks was discussed and presented. Overview of the historical progression of MRI science related. to MRI physics, instrumentation, basic sequences, artifacts, safety and contrast agents was presented. Additional overview of post-operative complications such as post-operative osteomyelitis, post-operative cervicalgia, and post-operative mycobacterium abscesses was demonstrated and correlated to post-operative pain. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – General Spine Disorders – presentation of the vascular anatomy of the spinal column as visualized on MRI studies was detailed. Specific focus was on the normal description of the arterial and venous drainage of the spinal cord. Review of the utilization of MR angiography and its ability to depict the vascular anatomy of the spinal cord was presented. The arterial vascular tree was presented including basilar artery, vertebral artery, subclavian, aorta and surrounding anterior and posterior spinal arteries. Venous vascular tree presentation included anterior and posterior spinal veins, vertebral vein, subclavian vein and other venous plexi associated with the spinal cord. Analysis and comparison of anatomical models and MR angiography with detailed imaging studies was presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Degenerative Diseases of the Spine – overview and introduction to degenerative spinal diseases as determined by magnetic resonance imaging. Details related to MRI physics and pulse sequences related to degenerative spinal disease were presented and explained for the cervical, thoracic, and lumbar spines. Grading parameters of spondylolisthesis was discussed and detailed with specific focus on etiology and its influence on spinal stenosis. Common causes of acquired spinal stenosis were presented in the context of both acute and degenerative conditions. Changes to anatomical landmarks were outlined and its correlation to claudication. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Degenerative Diseases of the Spine – specific details related to the anatomy of the intervertebral disc was presented. Specific discussion related to intervertebral disc nomenclature and morphological presentation on MRI was presented. Detailed analysis of intervertebral disc protrusion versus intervertebral disc extrusion was outlined and compared. Parameters relating to the diagnosis of intervertebral disc sequestration along with clinical sequala were detailed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Degenerative Diseases of the Spine – analysis of appropriate reporting parameters in degenerative spinal disease was presented with specific examples provided. Anatomical features and location related to morphological changes in the intervertebral disc and surrounding joints were discussed and presented. Review of anatomical zones relating to intervertebral disc morphology including central and foraminal locations with their anatomical landmarks was detailed. Detailed analysis of uncovertebral degenerative disease, foraminal narrowing and ossification of the posterior longitudinal ligament was provided. Diffuse Idiopathic Skeletal Hyperostosis (DISH) was presented and outlined and discussed in terms of association between ossification of the posterior longitudinal ligament and ossification of the ligamentum flavum. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Degenerative Diseases of the Spine – Anatomy of the intervertebral disc was reviewed and correlated to annular fissures. Analysis between degenerative pre-existing fissures and acute injury were presented and outlined. Terminology related to transverse, circumferential and radial tears was presented and discussed. Clinical importance of posteriorly projecting synovial cysts was explained and demonstrated. Additional comparison to degenerative joint disease related to intervertebral disc changes was discussed. Particular focus on the three-dimensional measurement of the facet joint in normal individuals and those with intervertebral disc herniations was presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Degenerative Diseases of the Spine – degenerative changes related to the vertebral endplates were presented and detailed. Modic classification of degenerative bone marrow changes were outlined with specific attention paid to Modic I and Modic II endplate changes. Comparison between T1, T2 and STIR images were compared and contrasted. Correlation between gene expression and MRI STIR signals in patients with chronic low back pain and modic changes was discussed in detail. Symptomatic versus asymptomatic spinal disease was presented with clinical correlation to advanced imaging images. Recurrence of lumbar intervertebral disc herniation after open spine surgery was reviewed and presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Intradural Intramedullary Spinal Lesions – review of spinal cord anatomy and localization of spinal cord lesions on MRI with a particular focus on intradural intramedullary spinal cord lesions. Overview and general outline of spondylomyelopathy with correlation to specific findings on MRI studies was presented. Discussion on the etiology of the disease process from ossification of the posterior longitudinal ligament. Presentation on disease progression to include spinal cord atrophy and downstream sequalae was outlined. Details of MRI pulse sequences for spine imaging relating to visualization of the spinal cord were outlined and presented including sagittal T1, sagittal T2, sagittal STIR, axial GRE in the cervical spine, axial T2W. Additional special sequences including diffusion weighted imaging (DWI), diffusion tensor imaging (DTI) and apparent diffusion coefficient (ADC) were presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Intradural Intramedullary Spinal Lesions – analysis of neoplasms of the spinal in the intradural intramedullary space of the spine. Detailed review of ependymoma associated/ non-associated with neurofibromatosis 2 myxopapillary ependymoma was presented and discussed. Presentation on the evaluation of cervical spinal cord astrocytoma and glioblastoma was outlined with correlation to case discussions. Hemangioblastoma of the spinal cord and conus medullaris was explained in detail with specific review of imaging acquisition and analysis. Overview and presentation of the neurological and spinal cord manifestations of Von Hippel Lindau Disease was provided along with outline of imaging presentations of cervical spinal cord ganglioglioma and a rare case of spinal cord lipoma. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Intradural Intramedullary Spinal Lesions – detailed presentation and review of the demyelinating diseases of the spine including multiple sclerosis of the spinal cord, idiopathic acquired transverse myelitis and vacuolar myelopathy. Review and discussion of acquired metabolic disorders of the spinal cord including subacute combined degeneration from copper deficiency and spinocerebellar ataxia. Additional discussion and outline of machine learning applications in spinal MRI. Contextual presentation relating to the study of the demography, incidence, symptoms, histopathology, postoperative complications, and recovery in spinal cord tumor patients. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Intradural Intramedullary Spinal Lesions – details of infection and inflammation disorders of the spine. Review of imaging presentation of acute disseminated encephalomyelitis of the spinal cord with emphasis being placed on case presentations. Presentation on Chiari 1 with syringohydromyelia was detailed and reviewed. Congenital lesions of the spinal cord with specific focus on the intradural intramedullary space was given. Both cysticercosis and sarcoidosis of the spinal cord were outlined and discussed with specific case study presentations. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Intradural Intramedullary Spinal Lesions – overview of traumatic and vascular disorders of the spinal cord including hemorrhage of the spinal cord, cavernoma and dural arteriovenous fistula was presented. Focused detail on Type II dural arteriovenous fistula and potential clinical consequences was given. Intramedullary arteriovenous malformations in the setting of type II dural arteriovenous fistula and its clinical correlation on magnetic resonance angiography was presented along with common causes and imaging sequences of spinal cord ischemia/infarction. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Intradural Extramedullary Spinal Tumors - Detailed exploration of Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP), concentrating on diagnostic complexities and treatment methodologies. Underscoring the importance of accurate clinical and electrodiagnostic interpretations to prevent misdiagnosis. An extensive review of current treatments like intravenous immunoglobulin, corticosteroids, and plasma exchange, with discussion of management strategies for treatment- resistant cases. Emphasis was placed on the importance of using objective outcome measures for treatment efficacy evaluation. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Intradural Extramedullary Spinal Tumors - A comprehensive examination of various spinal tumors located within the dura but outside the spinal cord. Emphasis is placed on the radiologic and pathologic features of these tumors, with a specific focus on diagnostic imaging appearances. Key tumors discussed include meningiomas, schwannomas, neurofibromas, and malignant peripheral nerve sheath tumors. Details of common and uncommon manifestations, insights into their clinical presentations, imaging characteristics, and treatment implications. Highlights of the crucial role of imaging in diagnosis and management, underscoring the importance of correlating radiologic findings with pathologic features for accurate interpretation and treatment planning was presented.National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Intradural Extramedullary Spinal Tumors - A critical analysis of using 3D MRI in diagnosing disc sequestration cases that resemble tumors was presented. Highlights of two specific instances where conventional MRI techniques led to a neurinoma suspicion, but 3D MRI revealed clear boundaries between the mass and nerve root, ruling out neurinoma. The effectiveness of 3D MRI in distinguishing between disc- related issues and tumors, potentially reducing the need for invasive surgery was reviewed and discussed. Emphasis was placed on the importance of accurate diagnostic tools in spinal health, showcasing 3D MRI's potential in enhancing patient outcomes. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2023.
Advanced Imaging Certification – MRI Mastery Series – Intradural Extramedullary Spinal Tumors - Focus was on MRI as the primary diagnostic tool for spinal tumors, categorizing them into extradural, intradural extramedullary, and intramedullary. Highlights of MRI's effectiveness in identifying tumor location, shape, extent, and enhancement patterns, aiding in differential diagnosis was outlined and presented. Demonstration that spinal tumors are more prevalent in men and adults, with a significant occurrence in the 41-50 age group was discussed. Emphasis was placed on MRI's role in improving anatomic delineation, early diagnosis, and monitoring treatment responses in spinal tumor cases. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Intradural Extramedullary Spinal Tumors - Investigation of spinal hemangioblastomas, focus was on surgical outcomes and factors influencing prognosis. Cases treated over 35 years were reviewed, with analysis of the impact of surgery type, intraoperative neuromonitoring (IONM), and preoperative conditions on patient outcomes. Key findings included a better outcome with laminotomy compared to laminectomy, with a trend towards improved outcomes with IONM use. The study emphasized the importance of surgical approach and preoperative neurological condition in predicting patient recovery and managing spinal hemangioblastomas effectively. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Intradural Extramedullary Spinal Tumors - A retrospective analysis of MRI features of 199 patients distinguishing between two specific tumor types, schwannoma and meningioma. Discussions related to schwannomas significantly exhibiting cystic changes and lumbar location, while meningiomas commonly showing dural tail signs, thoracic location, and were smaller in size were presented. Review that cystic changes and dural tail signs are key differentiators, and that MRI is an effective tool for accurately diagnosing these spinal tumors was outlined and presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Intradural Extramedullary Spinal Tumors - Examination of the diagnostic use of signal intensity (SI) ratios in differentiating schwannomas from meningiomas was outlined. Demonstration that schwannomas typically have higher SI ratios compared to meningiomas on T2-weighted MRI images was outlined. Improved accuracy in preoperative diagnoses, crucial for determining appropriate surgical approaches was presented. Findings contributing significantly to the understanding and management of these spinal tumors, highlighting the utility of SI ratios in MRI as a diagnostic tool was reviewed and discussed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Intradural Extramedullary Spinal Tumors - Extensive review of MRI protocols for spinal imaging was presented. Coverage of various MRI sequences and their applications in assessing different spinal structures, including white matter, gray matter, vessels, and bone was detailed. Emphasis was placed on the importance of sequence selection based on clinical scenarios and pathology. Practical tips for overcoming imaging challenges was reviewed and discussed. The study is significant for its detailed guidance on optimizing MRI techniques for accurate diagnosis and management of spinal conditions. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions - An extensive review of spinal tumors based on the WHO's 5th Edition classification. Identification of 92 out of 163 bone and soft-tissue tumor entities with spinal manifestations. Emphasis placed on the importance of precise preoperative tissue diagnosis and interdisciplinary discussions for effective surgical planning. Discussion of tailoring surgical approaches to the unique biological behavior of each tumor, highlighting the significance of understanding tumor growth patterns, metastatic potential, and age incidence for optimal treatment strategies was presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions - A report and review of the literature examining a rare case of spontaneous spinal subdural hematoma (SSDH) concurrent with idiopathic intracranial subarachnoid hemorrhage. Exploration of the diagnostic challenges, emphasis on the necessity of prompt surgical intervention for SSDH, and discussion of the potential etiologies and clinical presentations of this unusual condition. Contribution to the understanding of SSDH's pathogenesis and highlighting of the importance of considering it in differential diagnoses of acute spinal emergencies was detailed and presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions– Review and discussion of a sequestered disc herniation mimicking psoas abscess was presented. Details of a unique case of sequestered disc herniation initially misdiagnosed as a psoas abscess was outlined. Underscoring the diagnostic complexity of such cases, emphasis was placed the importance of differential diagnosis in spinal pathology. Highlights of the necessity of considering sequestered disc herniation in the differential diagnosis of psoas abscess, particularly when clinical and imaging findings are atypical. Overview of the understanding of spinal pathologies and the need for careful evaluation to avoid misdiagnosis and inappropriate treatment was reviewed along with appropriate images. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions- Detailed examination of primary osseous chondrosarcoma in the lumbar spine. Discussion of the complexities and challenges in diagnosis and treatment, emphasis was placed on the effectiveness of two-stage surgery for total tumor removal and spinal stabilization. Comparison of one-stage and two-stage surgical approaches, highlights of the importance of en bloc resection in the management of such cases to reduce recurrence and ensure better outcomes was correlated to patient symptoms and imaging findings in the sagittal and coronal planes. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions – Outline of the differentiation between benign and malignant vertebral compression fractures using qualitative and quantitative analysis of a single fast spin echo T2-weighted Dixon sequence was presented. Emphasis was aimed to enhance diagnostic proficiency in distinguishing between benign and malignant vertebral compression fractures. Focus was on improving the accuracy and reliability of MRI assessments using a novel imaging technique. Learning objectives centered on the evaluation of the diagnostic performance of this imaging method, both qualitatively and quantitatively, facilitating a more precise and efficient approach to spinal fracture assessment in clinical practice. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions – Outline provided comprehensive learning objectives on the diagnosis and management of primary and secondary spinal cord tumors. Focus was on interpreting advanced MRI sequences, specifically T2- weighted, diffusion-weighted, and fluid-attenuated inversion recovery (FLAIR) imaging. Learning objectives included understanding neuroanatomical compartmentalization of these tumors and their genetic and histological profiles. Emphasis was placed on the application of targeted therapies, the role of surgical interventions, and the significance of genetic markers in prognosis and treatment strategies. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions – Outline of the computational analysis of vertebral body for compression fracture using texture and shape features was presented and enhanced the diagnostic accuracy of vertebral body (VB) compression fractures using MRI. Emphasis was placed on the utilization of T1-weighted median sagittal MRI slices for computational analysis. Learning objectives revolved around developing proficiency in analyzing VBs through automated machine learning techniques, focusing on texture and shape feature extraction. The approach improved differentiation between normal, benign, and malignant vertebral bodies, highlighting the potential of advanced computational methods in spinal imaging diagnostics. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions – Presentation aimed to refine the diagnostic approach to spinal tuberculosis (TB) using MRI. The learning objectives included mastering the interpretation of T1-weighted, T2-weighted, and STIR (Short Tau Inversion Recovery) sequences, as well as understanding the utility of gadolinium-enhanced imaging. Emphasis was placed on identifying characteristic MRI features of spinal TB, such as vertebral body involvement, disc changes, and paraspinal abscess formation, to differentiate it from other spinal pathologies and enhance clinical decision-making in TB management. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions - Focus was on diastematomyelia, presenting minimal neurologic deficits. The learning objectives included understanding the imaging features of diastematomyelia using specific MRI sequences. These comprised T2-weighted images for spinal cord and nerve root visualization, T1-weighted images for vertebral body assessment, and STIR sequences for evaluating associated soft tissue changes. The emphasis was on recognizing these MRI patterns in atypical presentations, particularly in adults, and integrating them into clinical assessments to improve diagnostic accuracy and inform treatment strategies for this rare spinal anomaly. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions - Outline on evaluating the diagnostic yield of culture in native vertebral osteomyelitis, emphasizing the importance of image-guided vertebral biopsy. The learning objectives included analyzing the sensitivity and specificity of bone and disc cultures, using MRI and CT imaging techniques for targeted biopsies. The study reinforced the necessity of histopathologic examinations in culture- negative cases and the potential benefits of repeat biopsies. This comprehensive approach aimed to enhance diagnostic accuracy in vertebral osteomyelitis, improving patient management through more targeted and effective treatment strategies. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions – Emphasis was on distinguishing spinal infections from other spinal disorders using MRI imaging techniques. The learning objectives included interpreting various MRI sequences, such as T1-weighted, T2-weighted, STIR (Short Tau Inversion Recovery), and DWI (Diffusion Weighted Imaging), to identify specific characteristics of spinal disorders. The importance of recognizing the signal intensity changes in different spinal conditions, highlighting the role of advanced imaging techniques in accurate diagnosis and effective treatment planning for spinal disorders was detailed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions – The analysis of solitary osteochondroma affecting both the rib and the adjacent vertebral body was presented. The learning objectives included interpreting MRI sequences for accurate diagnosis, specifically employing axial T1-weighted, axial contrast-enhanced fat-saturated T1-weighted, and coronal fat-saturated T2-weighted magnetic resonance images. These sequences were crucial in identifying the characteristic features of the osteochondroma, such as the cartilage cap and the involvement of the rib and vertebral body, guiding towards a precise preoperative assessment and effective treatment planning. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions – Details of the diagnosis and management of thoracic spinal extradural arachnoid cysts was presented. The learning objectives included mastering the interpretation of specific MRI sequences, particularly T2-weighted imaging (WI) in sagittal and axial planes, sagittal STIR, and gadolinium-enhanced T1-WI. These sequences were essential in identifying CSF-like signal abnormalities and assessing spinal cord compression. Emphasis was placed on the surgical treatment and postoperative MRI evaluation to ensure successful resolution of the cyst and spinal decompression. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Extradural Lesions – An in-depth analysis of thoracic spinal extradural arachnoid cysts. The learning objectives included mastering the interpretation of key MRI sequences: T2-weighted imaging for detailed visualization of cysts and surrounding structures, STIR sequences to evaluate associated edema, and gadolinium-enhanced T1-weighted imaging for enhanced contrast and detail. The emphasis was on accurate diagnosis, understanding the cyst's impact on surrounding structures, and evaluating surgical outcomes through postoperative MRI assessments. These objectives aimed at improving the management and treatment of spinal extradural arachnoid cysts. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – The Carotid Space - Presentation of on the comprehensive evaluation of carotid space pathology using various MRI sequences. The learning objectives included detailed interpretation of T1-weighted, T2-weighted, and post-contrast fat-saturated T1-weighted MRI images. These sequences were crucial in differentiating between various pathologies within the carotid space, such as paragangliomas, nerve sheath tumors, and carotid artery pathology. Emphasis was placed on understanding the unique signal characteristics and enhancement patterns of these lesions to aid in accurate diagnosis and effective treatment planning. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – The Carotid Space - Detailed analysis of Lemierre syndrome’s high risk of thromboembolic complications and mortality was presented. The learning objectives centered on understanding the pathophysiology of Lemierre syndrome, its clinical presentation, and the risks associated with it. Emphasis was placed on the use of imaging techniques, specifically MRI, to detect thrombosis and abscesses in these patients, aiding in the diagnosis and management of this serious condition. The importance of early recognition and appropriate treatment to improve patient outcomes was emphasized. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – The Carotid Space - Review of common carotid artery trifurcation was presented; it detailed the significance of recognizing the common carotid artery trifurcation as a potentially dangerous anatomical variant. The learning objectives included understanding the implications of this variant on surgical and interventional procedures. The study emphasized the importance of preoperative imaging, particularly using MRI, to identify these anatomical variations, which are crucial for avoiding complications during head and neck surgeries and endovascular interventions. The focus was on enhancing patient safety by integrating advanced imaging into surgical planning. Detailed review of MRI sequences was presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – The Carotid Space - Review of aberrant common and internal carotid arteries aimed to enhance understanding of their surgical implications was presented. The learning objectives included mastering the interpretation of specific MRI sequences, such as T1-weighted, T2-weighted, and MR angiography, to identify anatomical variations and potential complications in carotid artery pathologies. This focus was crucial in preoperative planning and in reducing surgical risks associated with these anomalies. Emphasis was placed on the need for comprehensive vascular imaging in patients undergoing head and neck surgeries to ensure accurate diagnosis and effective intervention strategies. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – The Carotid Space - Outline of nonatheromatous carotid artery disease aimed to enhance understanding of various nonatheromatous pathologies affecting the carotid arteries was discussed. The learning objectives centered around the effective use of different imaging modalities, including ultrasound, computed tomography angiography (CTA), magnetic resonance angiography (MRA), and digital subtraction angiography, for accurate diagnosis. Special emphasis was placed on recognizing the unique imaging characteristics of nonatheromatous diseases, such as carotid dissection and congenital anomalies, to differentiate them from more common atheromatous conditions. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – The Carotid Space - An academic synopsis focusing on the pathology and cardiovascular management of Loeys–Dietz syndrome (LDS), an autosomal dominant genetic disorder was presented. Current evidence regarding the pathophysiology, diagnosis, and management strategies for LDS, emphasizing the syndrome's vascular manifestations, particularly aortic aneurysms was outlined. Discussion of the genetic underpinnings of LDS, including mutations in TGFBR1 and TGFBR2 genes and their clinical implications was provided. Emphasis was on the importance of regular surveillance and prophylactic interventions for life-threatening aortic emergencies in LDS patients. The challenges in managing LDS, advocating for a multidisciplinary approach involving cardiovascular surgeons, radiologists, and genetic counselors was presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – The Carotid Space - An evidence-based review of the diagnosis and management of Ludwig's Angina, with a focus on emergency medicine was presented. It discusses the pathophysiology, clinical presentation, and diagnostic approach, including the utilization of imaging modalities like Computed Tomography (CT) of the neck with intravenous contrast. Detailed imaging sequences were reviewed. The review emphasizes the importance of rapid airway management, the use of point-of-care ultrasound, and the application of broad-spectrum antibiotics for treatment. The objective is to equip clinicians with the necessary knowledge for rapid recognition and effective management of this potentially life-threatening condition. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – The Carotid Space - Focus on Carotidynia, presenting its etiology, evaluation, and management options. Identification of Carotidynia as a rare vascular disorder characterized by atypical neck and facial pain, often associated with tenderness over the carotid artery bifurcation. Review of the importance of imaging in diagnosis, particularly neck ultrasound showing hypoechoic thickening and mild luminal narrowing at the site of tenderness. MRI sequences, specifically T1-weighted images enhanced with gadolinium, are noted for their ability to suggest Carotidynia through increased uptake or enhancement involving the distal common carotid artery and carotid bulb. Emphasis was placed the role of an interprofessional team in managing Carotidynia and improving patient outcomes. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neuroimaging of the Head, Neck and Spine - A comprehensive analysis of traumatic injuries to the spinal cord and peripheral nervous system was presented. The pathophysiology, clinical manifestations, and diagnostic approaches, emphasizing the use of MRI for detailed visualization of spinal cord and nerve root injuries was detailed. Specific MRI sequences, such as T2-weighted and STIR images, are highlighted for their effectiveness in identifying edema and nerve root avulsion. Discussion of management strategies, including surgical and non-surgical options was presented, underscoring the importance of interdisciplinary collaboration in the treatment and rehabilitation of these injuries. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neuroimaging of the Head, Neck and Spine - Presentation of traumatic injuries to the petrous part of the temporal bone was discussed. It covers the anatomy, mechanisms of injury, and classification systems of fractures, focusing on radiological findings. The use of computed tomography (CT) in identifying fracture lines and associated complications is emphasized. Discussion of various fracture types, such as longitudinal, transverse, and otic capsule-violating, their clinical implications, and the importance of accurate radiographic reporting to guide treatment. MRI sequences, particularly high-resolution CT and MR angiography are mentioned for evaluating complex cases and vascular injuries. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neuroimaging of the Head, Neck and Spine - Review of identifying older emergency patients at risk of intracranial bleeding post-fall was presented. Outline of a protocol to derive a clinical decision rule, emphasizing the evaluation of patients aged 65 and above after a fall. Key elements include assessing risk factors, utilizing CT imaging of the head, and identifying indicators predictive of intracranial bleeding. The aim is to improve decision-making in emergency departments, reducing unnecessary imaging while ensuring prompt diagnosis and treatment for those at risk. Specific examples of advanced imaging protocols were presented and reviewed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neuroimaging of the Head, Neck and] Spine - Review of the effectiveness of neuroimaging in patients with isolated neuro-ophthalmological complaints in the emergency department. The predictive value of presenting symptoms and physical examination findings for positive neuroimaging outcomes was presented. Emphasis was on the use of CT and MRI, noting their diagnostic yields in various neuro-ophthalmological scenarios. Specific symptoms and exam results that could guide emergency physicians in deciding when to utilize neuroimaging, aiming to optimize patient care and resource utilization. Focus was on detailed neuroimaging sequences in the diagnosis and management of this pathological condition. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neuroimaging of the Head, Neck and Spine - Evaluation of the prognostic role of MRI biomarkers in mild traumatic brain injury (TBI) was presented. Highlights of the use of diffusion tensor imaging (DTI) for detecting white matter changes and their correlation with symptom persistence was as detailed. Demonstration of changes in cerebral white matter and cerebrospinal fluid volumes, detectable via advanced MRI methods post-injury, where shown to be linked with the evolution of symptoms. Review underscored the potential of early imaging, particularly DTI, in predicting outcomes in mild TBI, providing valuable insights for clinical management and prognosis. Specific DTI metrics mentioned include mean diffusivity (MD) and fractional anisotropy (FA) were discussed to detect changes in white matter tracts, correlating with the evolution of symptoms post-injury. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neuroimaging of the Head, Neck and Spine - Outline of a pediatric fast magnetic resonance imaging (fbMRI) protocol for traumatic brain injury surveillance was presented. The imaging protocol includes T2-weighted half-Fourier acquisition single-shot turbo spin echo (HASTE) in axial, sagittal, and coronal planes; diffusion- weighted imaging (DWI); apparent diffusion coefficient (ADC) in the axial plane; T2-weighted FLAIR in the axial plane; and gradient echo (GRE) in the axial plane. This protocol serves as an alternative to computed tomography (CT), offering rapid, non-ionizing surveillance imaging for pediatric traumatic brain injuries.National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neuroimaging of the Head, Neck and Spine - Review of orbital myositis mimicking status migrainosus was presented. Discussion of the importance of neuroimaging in differentiating between the two conditions was detailed. Brain magnetic resonance imaging (MRI) with a focus on high signal intensity in the left medial rectus muscle on T2-weighted images was presented. Further investigation with orbital MRI showed high signal intensity and thickening in the left medial rectus muscle, including the tendon, on fat-saturated T2-weighted images, and gadolinium enhancement on T1-weighted15 images. These findings were indicative of myositis, leading to a diagnosis of idiopathic orbital myositis. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neuroimaging of the Head, Neck and Spine - Presentation of multi-modal analysis of resting-state fMRI data in mild traumatic brain injury (mTBI) patients, focusing on the association with neuropsychological outcomes was detailed. It employs resting-state fMRI techniques, specifically Amplitude of Low-Frequency Fluctuations (ALFF) and Regional Homogeneity (ReHo), integrated with graph theory methods. Focus is to explore and identify dysfunctional brain regions in acute mTBI, correlating these findings with neuropsychological assessments. The approach offers insights into the brain's compensatory mechanisms following mTBI, highlighting the potential of rs-fMRI in evaluating brain function post-injury. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neuroimaging of the Head, Neck and Spine - An extensive review of neuroimaging techniques in the assessment of acute and chronic neurotrauma was presented. Discussing various imaging modalities, including CT and MRI, focusing on their application in traumatic brain injury (TBI) and spinal cord injury (SCI). Key imaging sequences highlighted include T2-weighted FLAIR, diffusion-weighted imaging (DWI), gradient-recalled echo (GRE), and susceptibility-weighted imaging (SWI) for identifying traumatic injuries and their sequelae. Emphasis was placed on the role of neuroimaging in diagnosing, managing, and understanding the pathophysiology of neurotrauma, highlighting the advancement of imaging technologies in this field. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neuroimaging of the Head, Neck and Spine - Discussion and presentation of acute myelopathy in children, focusing on differential diagnosis and management. Emphasizing the importance of neuroimaging, particularly MRI, in diagnosing conditions like transverse myelitis, spinal cord ischemia, and spinal cord injury without radiographic abnormality (SCIWORA). MRI sequences used include T2-weighted images to identify spinal cord hyperintensities and diffusion-weighted imaging for ischemic conditions was reviewed in detail. The role of a comprehensive clinical evaluation, aided by advanced imaging techniques, in accurately diagnosing and managing pediatric acute myelopathy was emphasized. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neuroimaging of the Head, Neck and Spine - The presentation focused on imaging signs of spontaneous and traumatic cervical artery dissection (CAD), comparing the efficacy of CT angiography (CTA) in detecting these conditions. It highlights the use of 128-slice dual-source CT scanners and specific imaging signs like intimal flaps, intramural hematoma, and vessel stenosis or occlusion. Emphasis was to guide neuroradiologists in differentiating between spontaneous and traumatic CAD using CTA, emphasizing the importance of imaging in the diagnosis and management of these conditions. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neuroimaging of the Head, Neck and Spine - Exploration of the use of functional magnetic resonance imaging (fMRI) in predicting post-traumatic stress disorder (PTSD) symptom trajectories in trauma survivors. Review of resting-state and task-based fMRI data, analyzing them with a novel deep learning model was detailed. Modeling using per-region encoding and pairwise attention to create a co-activation map for multi-label classification was reviewed. Enhancing understanding of the neurobiological underpinnings of PTSD, aiding in early intervention and treatment strategies was outlined and emphasized. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Demyelinating Disease - Focus on the advances and challenges of using ultra-high field (UHF) MRI for spinal cord imaging in multiple sclerosis (MS). The potential benefits of UHF MRI, such as improved lesion detection and characterization, and advanced imaging techniques like functional MRI and MR spectroscopy was outlined and described. Discussion of technical challenges including field inhomogeneities, physiological motion, and sequence optimization was provided. Emphasis was placed on the need for further research to maximize the clinical utility of UHF MRI in MS. Specific MRI sequences and their applications in spinal cord imaging are detailed, providing a comprehensive overview of current capabilities and future directions in this field. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Demyelinating Disease – Investigation of the differentiation of multiple sclerosis (MS) plaques using diffusion-weighted MRI was presented. Specific examination of whether the orientationally averaged water diffusion coefficient (⟨D⟩) can distinguish between plaques of varying severity in MS patients, and explores correlations between ⟨D⟩ values, disease duration, Expanded Disability Status Scale (EDSS) scores, and signal intensity on T1-weighted MR images was detailed and explained. Focus on patients with relapsing-remitting and secondary-progressive MS, using diffusion- weighted echo-planar imaging sequences to obtain ⟨D⟩measurements, providing insights into the pathological differences between MS subtypes was provided. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Demyelinating Disease - Analysis of the assessment of myelin imaging in the spinal cord using quantitative MRI techniques was presented. Utilization of a 7T MRI scanner with a multicomponent-driven equilibrium single-pulse observation of T1 and T2 protocol, generating detailed maps of apparent proton density, T1, T2, myelin water, intracellular water, and free-water fraction was outlined and discussed. Correlation of these MRI findings with histological markers, providing valuable insights into the microstructural changes in MS lesions was detailed. Research demonstrating the potential of high-resolution quantitative MRI in understanding and diagnosing multiple sclerosis was reviewed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Demyelinating Disease - Focus on utilizing magnetic resonance imaging (MRI) features to cluster multiple sclerosis (MS) patients was detailed. Analysis of 103 MS patients using a 3T GE scanner with various sequences, including 3D T1W BRAVO, 2D T2W Fast Spin Echo (FSE), 3D T2W FLAIR CUBE, and 3D FAST-T2 for Myelin Water Fraction (MWF) mapping. Classification of patients based on lesion-level MRI features evaluating the clinical significance of these clusters was presented. Demonstration of the potential of MRI features, especially lesion MWF and volume, in distinguishing patient groups with different levels of disability was outlined and presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Demyelinating Disease – Examination of the role of artificial intelligence (AI) in optimizing MRI protocols to minimize gadolinium use in multiple sclerosis (MS) patients was outlined. Exploration of the development and implementation of AI and machine learning techniques, particularly focusing on enhancing image quality and diagnostic accuracy while reducing gadolinium dosage was detailed and explained. Review of various AI-driven methods, including deep learning algorithms, for efficient and safer MRI imaging, suggesting a potential shift in radiological practices for MS diagnosis and monitoring was discussed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Demyelinating Disease - An in-depth analysis of the neuropsychiatric symptoms associated with Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL). Discussion into the cognitive and psychiatric symptoms observed in patients, discussing the patterns of MRI lesions, particularly in T2-weighted images, and their correlation with clinical manifestations was provided. Emphasis on the role of MRI in diagnosing CADASIL and explores the relationship between cerebral tissue lesions and cognitive as well as psychiatric symptoms, highlighting the need for further research in this area with detailed review of case images was provided. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Imaging - Investigation of the impact of routine preoperative carotid Doppler ultrasound screening for asymptomatic carotid stenosis in patients undergoing coronary artery bypass grafting (CABG) was presented. Assessment of the prevalence of carotid stenosis, the relationship between carotid stenosis and postoperative stroke, and the value of routine screening in this patient population was presented. Overview of the use of Doppler ultrasound to evaluate carotid stenosis and employs statistical analysis to understand its correlation with postoperative stroke risk, providing insights into the efficacy of routine carotid screening before CABG was discussed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Imaging - Exploration of the application of various deep learning models for forecasting patient flows in emergency departments (EDs) was presented. Evaluation of seven deep learning models, including Deep Belief Networks (DBN), Restricted Boltzmann Machines (RBM), and hybrid models like GRU-CNN and LSTM-CNN, using patient flow data from Lille Hospital, France was outlined. Overview of the model’s effectiveness in predicting daily patient visits, providing insights for better resource allocation and management in emergency departments was presented. Detailed review of brain MRI images was presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Imaging - Outline of guidelines for evaluating vascular function and structure in isolated arteries and veins was presented. Detailed methodologies for assessing contraction, relaxation, and endothelial function in both large and small vessels were discussed. Emphasis was placed on the importance of consistent methodological approaches to ensure reproducible results in brain imaging. Review and discussion of the challenges and best practices in measuring vascular function, including considerations for the type of vessel, vascular bed, and the presence of endothelium were given. Specifics into standardize practices in vascular physiology research, enhancing the reliability and scientific validity of experimental findings were studied and presented including specific MRI images. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Imaging - Evaluation of the effectiveness of various diagnostic strategies for assessing non-traumatic sudden onset severe headaches in the emergency department was presented. A review and analysis of multiple diagnostic methods, including clinical decision rules, computed tomography (CT) scans performed within different time intervals after headache onset, lumbar puncture procedures, and CT angiography. Comprehensive insights into the accuracy, benefits, and limitations of these techniques in diagnosing conditions like subarachnoid hemorrhage were presented with specific case examples provided. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Imaging - Focus on the prognostic value of non-contrast computed tomography (NCCT) and CT perfusion (CTP) imaging in patients with acute ischemic stroke treated with thrombolysis was presented. Detailed review comparing automated and manual interpretations of the Alberta Stroke Program Early CT Score (ASPECTS) and the hyperdense vessel sign (HDVS) on baseline NCCT. Examination of the roles of NCCT and CTP in prognosis, emphasizing their utility in improving the accuracy of stroke assessments and treatment decisions was outlined and presented with a focus on specific imaging case evaluations. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Imaging - Details of diagnostic strategies for ruling out subarachnoid hemorrhage with a critical evaluation of the diagnostic approaches for patients with sudden severe headaches in emergency settings, focusing on ruling out subarachnoid hemorrhage was given. Various diagnostic strategies, including the Ottawa SAH Clinical Decision Rule and the efficacy of CT scans and lumbar puncture procedures were presented. Emphasis on the importance of timely and accurate diagnosis to mitigate the risks associated with subarachnoid hemorrhage, providing valuable insights for clinical decision-making in emergency medicine was stressed and outlined. Specific case images were reviewed and integrated into the decision-making process. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Imaging - An extensive overview of the anatomical variations and clinical significance of the middle cerebral artery (MCA) in the context of ischemic stroke was provided. Details of MCA's phylogenetic development, branching patterns, and implications for thrombectomy procedures were correlated with advanced imaging films. Emphasis on the variability in MCA anatomy and its impact on stroke treatment, underscoring the importance of understanding these variations for effective stroke management and intervention strategies was detailed and discussed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Imaging - Investigation into the efficacy of AI-driven software for detecting the Hyperdense Artery Sign (HAS) in non-contrast CT (NCCT) scans of acute ischemic stroke patients was presented. Comparison of the performance of the software against trained physicians in identifying HAS, using NCCT scans from 154 patients, with and without large vessel occlusion (LVO) proven by CT angiography was provided with specific correlation to MRI scans. Evaluation of the sensitivity and specificity of both the software and human readers, demonstrating the potential of AI in assisting rapid stroke diagnosis in the context of MRI image interpretation. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Imaging - Review of the efficacy of thin slice non-enhanced CT (NECT) scans for detecting intracranial aneurysms was given. Utilization of reconstructed thin slice maximum intensity projections (MIP) of NECT scans from patients with and without aneurysms was detailed and discussed. Evaluation of the sensitivity of detecting aneurysms based on their size, discussing that NECT can effectively identify a significant proportion of intracranial aneurysms larger than 7 mm was outlined. Review of research suggesting that patients with detected aneurysms should receive further vascular imaging for accurate diagnosis and treatment planning was given. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Imaging - Assessment of the impact of preoperative noncontrast CT (NCCT) screening for aortic calcifications on stroke rates in cardiac surgery patients was given. Comparison of the effectiveness of standard care with and without the addition of preoperative NCCT in reducing perioperative stroke was discussed. The utilization of noncontrast CT scans to identify aortic calcifications, aiming to evaluate whether this method can influence surgical approach and reduce stroke incidence in cardiac surgery was given and correlated to specific imaging examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Imaging - Examination of patient selection methods for mechanical thrombectomy in stroke cases was presented. Comparison of clinical outcomes in patients chosen through noncontrast computed tomography (CT) against those selected by computed tomography perfusion (CTP) or magneticresonance imaging (MRI) in an extended time window was reviewed and discussed. The evaluation of the effectiveness of each imaging modality in predicting patient outcomes post- thrombectomy, highlighting the potential of simpler and more accessible imaging methods in stroke treatment was outlined. Specific imaging films were presented and reviewed.National Spine Management Group, Cleveland University Kansas City, College of Chiropractic Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Imaging - Detailed review of the anatomical variants of the anterior cerebral artery (ACA) and their clinical implications was given. Examination of the embryological development and different anatomical variations, including aberrant origins and associations with the ophthalmic artery, azygous ACA, and triplicated ACA was detailed and presented. Exploration of the formation of aneurysms in relation to these variants, emphasizing their importance in clinical practice for preventing patient injury during surgical interventions and aneurysm treatment was expressed. MRI and angiographic techniques used to identify these variants are discussed, showcasing their significance in neurovascular diagnostics. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Imaging - Investigation of the role of computed tomography angiography (CTA) in the rapid diagnosis and management of acute ischemic stroke (AIS) in children was discussed. Highlights of the clinical presentations of AIS, such as acute sustained hemiparesis and atypical symptoms like seizures and headaches were presented. Emphasis on the diagnostic utility of CTA in identifying arterial abnormalities and guiding thrombectomy and thrombolysis treatments was presented. Comparison of the effectiveness of CTA with magnetic resonance imaging/angiography (MRI/MRA) with emphasis the impact of initial imaging choice on the speed of diagnosis and treatment in pediatric stroke cases was detailed. Overview of readily available CTA can expedite the diagnosis and treatment of AIS, especially in patients with large vessel occlusion was given. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Entrapment Neuropathies - Overview and examination of various compressive neuropathies affecting the median, ulnar, and radial nerves in the upper extremity was presented. Discussion into the etiologies, diagnosis, and treatment options for Carpal Tunnel Syndrome, Pronator Syndrome, Cubital Tunnel Syndrome, Guyon’s Canal Syndrome, and Radial Tunnel Syndrome was detailed. Presentation into diagnostic techniques like EMG and MRI, emphasizing their relevance in differentiating these conditions was emphasized. Treatment strategies, ranging from conservative to surgical approaches, are discussed, highlighting the importance of early diagnosis and individualized management plans for each neuropathy. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Entrapment Neuropathies - Review of the diagnosis and management of suprascapular nerve entrapment, a condition causing shoulder pain and weakness was presented. Discussion of the importance of a comprehensive diagnosis involving physical exams, imaging, and nerve conduction studies was emphasized. Imaging techniques highlighting MRI for visualizing nerve pathologies and ultrasound for evaluating peripheral neuropathies and ganglion cysts were outlined. Discussion of various treatment options, ranging from conservative management to surgical interventions like arthroscopic and open decompression, and evaluates their effectiveness in relieving symptoms and improving shoulder function were detailed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Entrapment Neuropathies - Focus on enhancing nerve visibility in MRI scans was presented. Employment of T2-weighted two-point Dixon fast-spin-echo sequences, supplemented by principal component analysis (PCA) denoising and water-weighting (WW) techniques was reviewed. Methods aimed to reduce fat fraction error and improve fat suppression, thereby enhancing nerve conspicuity was detailed. Demonstration of techniques which significantly improved overall image quality, with particular effectiveness in enhancing nerve visibility in MR neurography was correlated with specific imaging examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Entrapment Neuropathies - Analysis of the effectiveness of 3-Tesla MRI in identifying denervation edema in the multifidus muscles for diagnosing cervical radiculopathy was presented. Employment of Short-Tau Inversion Recovery (STIR) MRI sequences to detect signal abnormalities indicative of denervation was given. Assessment of the correlation between MRI findings and clinical and electrophysiological data, emphasized the MRI's diagnostic value in differentiating cervical radiculopathy from other neuropathies, and evaluating the severity of muscle denervation. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Entrapment Neuropathies - A comprehensive overview of peripheral nerve sheath tumors (PNSTs), discussing their diagnostic and pathologic features was given. A range of PNSTs, including schwannomas, neurofibromas, perineuriomas, and malignant peripheral nerve sheath tumors (MPNSTs), and their genetic and molecular aspects was detailed. Review of the association of these tumors with genetic syndromes like neurofibromatosis and schwannomatosis was presented. Emphasis was placed on morphological criteria, immunohistochemical profiles, and genetic alterations that are key to the diagnosis and understanding of these tumors. These details were correlated with review of MRI films and images with specific case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Entrapment Neuropathies - Highlights of the diagnostic capability of MRI in cases of Parsonage-Turner Syndrome, a form of immune-mediated brachial plexopathy was presented. Emphasis was on the use of Short Tau Inversion Recovery (STIR) MRI sequences in detecting pathological changes in the brachial plexus with detailed anatomy review. The importance of MRN in conjunction with clinical and electrophysiological assessments for a comprehensive diagnosis, showcasing its effectiveness in identifying nerve root inflammation, aiding in timely and accurate diagnosis, and guiding appropriate therapeutic interventions was detailed and correlated to specific MRI films. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Tumors - Analysis of the interaction between meningiomas and the brain parenchyma was reviewed with imaging correlation to anatomical mapping. The role of microglia/macrophages and astrocytes in meningioma development and the potential for tumor-brain crosstalk through cytokines and chemokines was detailed. The impact of the interaction on meningioma growth and behavior, identifying gaps in current research and suggesting directions for future studies was discussed. The importance of understanding the tumor microenvironment (TME) in meningiomas for developing targeted therapies was underscored with specific MRI case examples provided. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Tumors - Review of primary extracranial meningiomas (PEMs), focusing on their rare occurrence and clinical presentation was presented. Discussion of histopathological features, with emphasis on their benign nature despite occasional aggressive behavior, and the importance of immunohistochemical analysis for accurate diagnosis was given. Advocation for surgical removal as the primary treatment, highlighting the role of neuroimaging and histological investigation in diagnosing these rare tumors was emphasized. Comparison into the differentiation of PEMs from other neoplasms underscoring the generally favorable prognosis of these tumors was detailed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Tumors - Presentation of the application of radiomics and machine learning (ML) in diagnosing and grading meningiomas using MRI was given. Evaluation of methodological quality and performance of a meta-analysis of relevant studies was discussed. Focus on assessment of the accuracy of ML models in predicting meningioma grading from pre-operative brain MRI images,24 highlighting the integration of ML with conventional and contrast-enhanced T1-weighted MRI sequences for improved diagnostic performance was outlined. Emphasis was placed on the need for standardization and rigorous methodological quality in future studies for clinical implementation with specific MRI case studies reviewed and correlated. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Tumors - Review of cervical spine hemangiopericytoma/solitary fibrous tumor was presented. The use of magnetic resonance imaging (MRI) for diagnosis, focusing on T2-weighted imaging (T2WI) and T1-weighted imaging (T1WI) to identify the lesion's characteristics was highlighted. Exhibition of a slightly hyperintense signal on T2WI and a low signal on T1WI without enhancement was showcased. The importance of MRI in diagnosing spinal tumors, emphasizing the role of specific imaging sequences in clinical assessment and treatment planning was presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Tumors - A comprehensive overview of meningiomas, including their epidemiology, etiology, pathology, and treatment options was presented. Discussion of the latest updates in grading, diagnostic imaging techniques, and molecular characteristics of meningiomas was given and detailed. Clinical features, various treatment strategies, and future research directions in the field of meningioma, highlighting the importance of personalized medicine and the potential role of molecular diagnostics and therapies was reviewed in detail with specific MRI cases studies correlated. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Tumors - Exploration of the genetic characteristics and clinical outcomes of rhabdomyosarcoma (RMS), a common childhood soft tissue sarcoma was presented. Identification of genomic markers for risk stratification beyond PAX-FOXO1 fusion status was discussed. Analysis of tumor samples from international cohorts, significant genetic alterations, including mutations in TP53 and MYOD1, which were associated with worse outcomes were identified. Review of findings contributing to the refinement of risk stratification and suggest potential targets for personalized therapies was detailed and correlated to specific MRI imaging sequences with case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Tumors - Focus on distinguishing between intracranial hemangiopericytoma and angiomatous meningioma using a CLIN radiomic model based on multiparametric MRI was presented. Review of research involving the selection and analysis of significant radiomic features extracted from T2-weighted imaging (T2WI) and contrast-enhanced T1-weighted imaging (CE-T1WI). Presentation of modeling showcasing high accuracy and utility in the preoperative differential diagnosis, contributing to better clinical decision-making and treatment planning was detailed. Key MRI sequences highlighted include T2WI and CE-T1WI were discussed and correlated with real world MRI case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Tumors - A comprehensive overview of meningiomas, emphasizing their diverse histopathological grades and variable prognosis was given. Highlights of the pivotal role of MRI in diagnosis, particularly T2-weighted (T2W), T2 Fluid-Attenuated Inversion Recovery (FLAIR), and T1-weighted post- contrast (T1W+C) imaging for identifying characteristic features like a dural tail and homogeneous enhancement was detailed and emphasized. Review and discussion of advances in surgical techniques, radiotherapy, and emerging systemic treatments, along with the potential of molecular and genetic profiling in guiding therapy was presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Tumors - Outline of the screening and diagnostic protocols for Endolymphatic Sac Tumors (ELSTs) in von Hippel-Lindau (VHL) disease was presented. Emphasis was placed on the use of MRI, particularly high-resolution (1mm slice thickness) MRI of the internal auditory canal, for baseline screening and diagnosis. Presentation supporting this MRI as crucial in identifying ELSTs, with particular attention to post-contrast T1-weighted imaging for contrast-enhancing lesions in the temporal bone was given. The significance of CT imaging, especially thin-slice imaging of the temporal bone, as a complementary diagnostic tool in equivocal MRI cases was underscored. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Tumors - Presentation into the impact of meningioma treatment on cognitive functions was given. Highlights of the diversity in cognitive assessment tools and the lack of standardized methods, making the comparison of outcomes challenging was emphasized. The identification of memory, attention, executive functioning, language, and cognitive flexibility as key affected domains was outlined. Emphasis on the need for standardized cognitive assessment tools and longer follow-up periods to better understand and manage cognitive impairment in meningioma patients post-treatment. This information was presented alongside specific examples of MRI case studies showcasing the importance of interprofessional assessment. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Anatomy - An academic exploration into the complexities and methodologies of segmenting MRI images of the human brain. Focus was on the identification and delineation of brain structures using various MRI sequences and techniques. Key topics include the basic concepts of MRI segmentation, the challenges posed by the brain's intricate anatomy, and the application of advanced computational methods. Elaboration on the importance of preprocessing steps like image registration, bias field correction, and the removal of non-brain tissue. Discussion of the nuances of different MRI sequences such as T1-weighted and T2-weighted images, and how these impact segmentation quality. Emphasis was placed on understanding tissue-specific intensity distributions and the integration of spatial context modeling, highlighting the use of Markov Random Fields and other statistical approaches for enhanced accuracy. Analysis of various MRI segmentation methods and their applications in clinical and research settings was provided with specific examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Anatomy - A comprehensive historical overview of the development and understanding of cranial nerves. Review of the evolution of knowledge from the early works of Galen, through significant contributions in the Renaissance, to contemporary understanding. Various classification systems and the identification of cranial nerve nuclei was described. Highlights of the significant milestones in the anatomical and physiological understanding of the cranial nerves, reflecting on the influences of technology, such as microscopy, on these advancements was detailed and presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Anatomy - Presentation of the dynamic network organization of the brain. Challenges to the traditional view of localized brain function, proposing a meta-networking model where complex cognitions and behaviors emerge from distributed, specialized networks was presented. Discussion of various neuroimaging techniques, particularly focusing on the use of functional magnetic resonance imaging (fMRI), both task-based and resting-state, to explore these networks. Key techniques include diffusion tensor imaging (DTI) for structural connectivity analysis and voxel- based lesion-symptom mapping, enhancing understanding of brain connectome and its implications in cognitive neuroscience and clinical applications. Specific case examples of alteration of brain function and anatomy were presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Anatomy - Review of MRI techniques to measure natural brain tissue pulsations. Detailed review of five main MRI methods: Phase-contrast MRI, Complementary Spatial Modulation of Magnetization (CSPAMM), Displacement Encoding with Stimulated Echoes (DENSE), anatomical landmark motion tracking, and amplified MRI (aMRI) was presented. Emphasis on variations in brain tissue displacement across different regions, discussing studies on healthy brains and pathological conditions like tumors, idiopathic intracranial hypertension, and Chiari malformation. Highlights of the potential of MRI to provide insights into brain mechanics and pathophysiology was presented along with specific case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Anatomy - Examination of the influence of T1-weighted MRI quality on morphometric brain measures. Utilization of the Computational Anatomy Toolbox (CAT12) for assessing MRI quality and employs the Freesurfer software for brain morphology analysis was outlined. Discussion of the significant correlations between MRI quality and various metrics, including cortical thickness, surface area, and subcortical volumes was presented. The necessity of considering image quality in MRI studies to ensure accurate interpretations, particularly in research involving neurodevelopment and clinical applications was discussed citing specific case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Anatomy - A comprehensive examination of educational systems for virtual human anatomy, emphasizing the integration of visualization and interaction techniques was presented. Various aspects of anatomy education, including the educational background, datasets like cadaver and clinical image data, visualization techniques such as surface and volume visualization, and knowledge representation and labeling in anatomy education systems was presented. Discussion of the use of stereoscopic and virtual reality systems in anatomy education, evaluating the effectiveness of various virtual anatomy systems with the support of MRI imaging was detailed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Anatomy - Focus on the advanced MRI techniques for cranial nerve imaging. Emphasis was placed on the use of heavily T2-weighted three-dimensional steady-state free precession (SSFP) sequences for high spatial resolution and contrast-enhanced T1-weighted sequences for detailed nerve visualization. Review of congenital, traumatic, and vascular diseases affecting cranial nerves, demonstrating the value of MRI in diagnosing these conditions was detailed. Discussion on the use of computed tomography (CT) scans, particularly with bone window settings, for detecting related pathologies was presented and demonstrated using real world MRI studies and cases. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Anatomy - Detailed discussion on enhancing deep brain stimulation (DBS) surgical planning through ultra- high field 7T MRI was provided. Comparison of different 7T MRI sequences, such as FGATIR and T2-weighted sequences, assessing their effectiveness in visualizing small subcortical areas, crucial for accurate DBS targeting was provided. Demonstration that FGATIR offers high contrast- to-noise ratio and better fiducial marker detection with fewer artifacts, while T2-weighted sequences provide high image quality with minimal errors in local distortion was given. Overview of research representing a significant advancement in neuronavigation, potentially improving surgical outcomes in functional neurosurgery was given with specific MRI brain study case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Brain Anatomy - An in-depth analysis of deep learning techniques for MRI segmentation was presented. Discussion of the use of convolutional neural networks (CNNs) in the segmentation of both normal brain structures and brain lesions was detailed. Emphasis is placed on the importance of image preprocessing, network architecture styles, and training-validation strategies for effective segmentation. Review of the challenges and future directions in deep learning applications for brain MRI segmentation, addressing the need for improved accuracy and efficiency in diagnostic imaging was provided. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neurovascular Imaging - A comprehensive overview of diffusion MRI techniques used to image brain microstructure was presented. Review of various diffusion-weighted MRI measurements and the evolution of computational models that link MRI signals to brain tissue microstructure was outlined. Focus on the practical aspects of implementing and using these techniques in biomedical studies, highlighting their growing transition from research to widespread application was given. Discussion of the design and validation of microstructure imaging techniques and concludes with future perspectives and potential advancements in this field was detailed using MRI case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neurovascular Imaging - Focus on a novel anomaly detection method using neural network architecture to identify chronic brain infarcts in MRI images was provided. Highlights of the use of T1-weighted gradient-echo and T2-weighted fluid-attenuated inversion recovery (FLAIR) sequences for brain29 imaging were provided. Demonstration that this method can detect a significant portion of chronic brain infarcts, including those previously overlooked, thereby enhancing diagnostic accuracy, and potentially improving radiological workflow efficiency was reviewed and emphasized using real world case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neurovascular Imaging - An in-depth examination of phase-contrast MRI, a technique that utilizes the phase data inherent in all MRI signals for velocity measurement was presented. Discussion of the basic physics underlying this method, the technical factors involved, and the various clinical applications such as cardiac valvular flow imaging, CSF flow analysis, MR angiography, MR venography, and elastography was given. Overview of the importance of understanding the principles of phase-contrast imaging for accurate image acquisition and interpretation in diagnostic imaging was provided and supported by case examples.National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neurovascular Imaging - Discussion of Magnetic Particle Imaging (MPI), an emerging biomedical imaging technique was presented. Focus was on the use of superparamagnetic iron oxide nanoparticles (SPIOs) for imaging, offering clear contrasts due to zero signal from background tissues. Exploration of MPI's potential in vascular imaging and cell tracking, highlighting its advantages over traditional methods in terms of sensitivity, contrast, and depth of imaging was provided. Discussion underscored MPI's impact on the medical field, particularly in diagnosing and tracking various diseases was provided. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neurovascular Imaging - Presentation of a comprehensive analysis of various MRI methods for diagnosing neurovascular compression (NVC) in patients with trigeminal neuralgia (TN) and hemifacial spasm (HFS) was given. Details included a network meta-analysis comparing the diagnostic efficacy of different MRI techniques: 3D Time-of-Flight Magnetic Resonance Angiography (3D TOF MRA), High Resolution T2-Weighted Imaging (HR T2WI), a combination of 3D TOF MRA and HR T2WI, and 3D Multimodal Image Fusion (MIF) based on 3D TOF MRA and HR T2WI. Analysis that 3D MIF, based on the combination of 3D TOF MRA and HR T2WI, shows superior diagnostic performance in detecting NVC. Real case examples of neurovascular imaging were provided and discussed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neurovascular Imaging - Presentation on the impact of four MRI markers of covert vascular brain injury (VBI) – white matter hyperintensities (WMHs), MRI-defined brain infarcts (BIs), cerebral microbleeds (CMBs), and perivascular spaces (PVSs) - on the risk of stroke, dementia, and death was provided. A comprehensive analysis of these markers through a meta-analysis of 94 prospective studies was given. Emphasis on extensive WMHs, BIs, and CMBs are significant predictors of stroke and death, while extensive WMHs are also linked to an increased risk of dementia. Review of findings underscore the clinical importance of these MRI markers in predicting and managing vascular brain injuries. Details were provided with case study examples and imaging review. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neurovascular Imaging - Investigation of the anatomical characteristics of the petrous ridge and trigeminal nerve in trigeminal neuralgia (TN) patients without neurovascular compression (NVC) was outlined. Utilization of high-resolution three-dimensional T2 MRI sequences, demonstrated the angles of the petrous ridge (APR) and trigeminal nerve (ATN) in 66 TN patients and 57 controls. Details showing that APR and ATN were significantly smaller in TN patients, suggesting these anatomical differences could contribute to the etiology of TN without NVC. Discussion provided insight into potential diagnostic markers for TN in the absence of NVC using specific case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Neurovascular Imaging - Discussion of the role of brain perivascular spaces (PVS) as biomarkers of vascular risk in a diverse, stroke-free population was outlined. Demonstration of specific brain MRI imaging, particularly FLAIR (Fluid Attenuated Inversion Recovery) and T1-weighted sequences, assessment of the association of small and large PVS with vascular events, including stroke and myocardial infarction was shown. Demonstration that a higher burden of small PVS, especially in conjunction with elevated pulse pressure or systolic blood pressure, increased the risk of vascular events in patients was presented. Emphasis placed on the understanding of PVS as potential indicators of vascular risk with specific case examples was given. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Hip - Evaluation of the diagnostic accuracy of 3.0 T MRI and MR Arthrography (MRA) for detecting acetabular labral tears (ALT) was presented. Demonstration that 3.0 T MRI exhibited comparable sensitivity and superior specificity to MRA, indicating its efficacy in diagnosing ALT. Highlight of 3.0 T MRI as a non-invasive, fast, and convenient option, preferable over MRA for detecting suspicious ALT cases in clinical settings was given. Overview emphasized optimizing imaging strategies in diagnosing hip joint pathologies. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Hip - An extensive review of MRI techniques for assessing hip anatomy and pathologies was presented. Discussion of various MRI sequences, such as T1-weighted, T2-weighted, Proton Density (PD), and Short Tau Inversion Recovery (STIR), highlighting their roles in evaluating different aspects of hip anatomy, including bone, cartilage, labrum, ligaments, and surrounding soft tissues was given. Valuable insight into the application of MRI in diagnosing and managing hip disorders, as a significant resource for professionals in musculoskeletal radiology and orthopedics was offered. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Hip - Detailed outline of optimal imaging approaches for assessing femoroacetabular impingement (FAI) was provided. Specific use of radiography for initial assessment, emphasizing the need for pelvic and hip radiographs was discussed. MRI protocols were reviewed for detailed evaluation of intraarticular hip pathology, including the use of small field-of-view (FOV) imaging with oblique axial and radial sequences. The importance of CT imaging for complex surgical planning and femoral torsion assessment, highlighting the role of multiplanar radiography and MRI in comprehensive FAI diagnosis and management was detailed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2023. Advanced Imaging Certification – MRI Mastery Series – Hip - Evaluation of the role of MRI in diagnosing avascular necrosis (AVN) of the hip was discussed and detailed. Utilizing a 1.5 tesla MRI machine, MRI sequences included T1 and T2 weighted axial, coronal, sagittal, and short-tau inversion recovery (STIR) sequences. Identification of common MRI findings in AVN, such as subchondral signal abnormalities and hip joint effusion, and focused on the staging of AVN using Mitchelles and Ficat and Arlet classifications was presented and discussed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Hip - Focus was on diagnosing and treating sports hernia and athletic pubalgia. Emphasis was placed on the complexity of these conditions, often associated with femoroacetabular impingement (FAI), and details the various imaging modalities used in evaluation. MRI sequences discussed include coronal, oblique, and axial sequences through the rectus insertion and pubic symphysis, in addition to standard sagittal, coronal, and axial sequences. Overview of how these MRI techniques are crucial in identifying the specific pathologies associated with sports hernias and athletic pubalgia, aiding in effective management and treatment planning was presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Hip - Extensive examination of hip labral tears, emphasizing their etiology, clinical presentation, and treatment options was presented. Use of Magnetic Resonance Arthrography (MRA) as the preferred diagnostic tool due to its superior imaging capabilities in identifying labral tears was detailed. Discussion of the use of MRI, though noting its limitations compared to MRA was outlined. Treatment approaches for labral tears, including conservative management and arthroscopic intervention, were detailed, underscoring the importance of tailored treatment strategies based on the severity and nature of the tear. Clinical correlation to symptoms, mechanism of injury and MRI studies was emphasized using real world case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Shoulder - Analysis of shoulder MR arthrography (MRA) for SLAP lesion detection was presented. Focus was on comparing the diagnostic performance of MRA in neutral, internal rotation (IR), and external rotation (ER) positions. Discussion of higher sensitivity and diagnostic accuracy in the ER position, with ER also showing a significant increase in labral diastasis length. Emphasis wasplaced on MRA in the ER position enhances SLAP lesion diagnosis, recommending ER and IR scans in standard shoulder MRA protocols. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Shoulder - A comprehensive overview of SLAP lesions, covering their etiology, classification, and management was presented. Discussion of the pathophysiology of SLAP lesions, highlighting their occurrence in different populations, including athletes and laborers was provided. Review of diagnostic methods, primarily focusing on MRI and MR arthrography techniques was outlined. Emphasis was placed on the importance of recognizing labral variations and other shoulder pathologies in MRI assessments. Treatment approaches, both non-operative and surgical, were explored in detail, with focus on tailoring management to individual patient needs and lesion types. Presentation emphasized the need for an interprofessional team approach for optimal outcomes.National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Shoulder - Presentation on using T2 mapping at 3-Tesla MRI to assess the glenoid labrum and differentiate between healthy labral substances and SLAP lesions was provided. Review of specific MRI sequences such as Proton Density-weighted fat-saturated sequences (PD fs TSE) and T2- weighted sequences (T2 TSE), with T2 MapIt as the primary study sequence was outlined. Demonstration that T2 mapping could effectively distinguish between normal and damaged labral substances, demonstrating potential for non-invasive diagnosis of SLAP lesions. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Shoulder - Review focused on the use of magnetic resonance (MR) arthrography to investigate the relationship between anatomical variants of the long head of the biceps tendon and the occurrence of SLAP lesions. A 1.5-Tesla MR imaging system with a dedicated shoulder array coil, utilizing T1-weighted spin-echo and fat-saturated PD/T2-weighted sequences was discussed. Correlation between certain anatomical variants and the presence of specific types of SLAP lesions, suggesting the influence of biceps tendon variants on shoulder pathology was discussed and correlated to real world case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Shoulder - Characterization of the intraarticular anatomy of the long head of the biceps tendon using magnetic resonance (MR) arthrography was presented. Investigation into the correlation between anatomical variants of the intraarticular long head biceps tendon and Superior Labral Anterior to Posterior (SLAP) lesions was presented. Utilization of Fisher's exact test and logistic regression for statistical analysis, the association of specific anatomical variants with the increased risk of developing SLAP lesions was highlighted. Emphasis was placed the importance of MR arthrography in identifying these anatomical variants and their relation to SLAP lesions. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Shoulder - A comprehensive analysis of the cost-effectiveness of various MRI strategies for diagnosing Superior Labrum Anterior and Posterior (SLAP) tears was provided. Utilization of decision analytic models to compare the cost-effectiveness of different MRI protocols, including 1.5-T and 3-T MR arthrography (MRA) and unenhanced MRI, for a hypothetical population of 25-year- olds with a previous diagnosis of SLAP tear was provided. Focus was that unenhanced 3-T MRI is the most cost-effective strategy for suspected SLAP tear patients, and when 3-T imaging is not available, 1.5-T MRA is more cost-effective than 1.5-T MRI. Outline of the higher specificity of these tests, leading to fewer false positives and unnecessary surgeries was given. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Shoulder - An in-depth analysis of the characteristics, diagnosis, and treatment outcomes of delaminated rotator cuff tears were provided. Emphasis on the use of magnetic resonance (MR) arthrography, particularly indirect MR arthrography, for accurate identification and classification of these tears was presented. Categorization of delaminated tears based on their appearance in MR images, including features like horizontal splitting and the degree of retraction in the bursal and articular layers was discussed in detail. The importance of recognizing these tears preoperatively for tailored surgical repair, highlighting various MRI sequences such as fat- suppressed T2-weighted images for effective diagnosis was highlighted. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Shoulder - Exploration of the advancements and applications of three-dimensional (3D) magnetic resonance imaging (MRI) in evaluating shoulder pathologies was presented. Details of the superiority of 3D MRI over traditional two-dimensional (2D) imaging in terms of detail and diagnostic accuracy, particularly in assessing glenoid bone loss and rotator cuff tears was provided. Focus on specific MRI sequences such as the 3D Gradient Echo (GRE) sequence with two-point Dixon water-fat separation and Volumetric Interpolated Breath-hold Examination (VIBE) was provided. Review of sequences enhancing the visualization of osseous and soft tissue structures, proving crucial in preoperative planning and clinical decision-making was presented and correlated to case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Shoulder - Presentation of a detailed exploration of the anatomical distribution and function of sensory nerve branches in the human shoulder joint was given. Emphasis was placed on the critical role of these nerve branches in the perception of shoulder pain, identifying key sensory nerves like the suprascapular, axillary, and lateral pectoral nerves. The complex patterns of innervation and the concentration of nociceptors in specific areas, providing valuable insights for clinical approaches in managing shoulder pain was highlighted. The findings have significant implications for surgical interventions and pain management strategies. Correlation with MRI images and specific case studies was given. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Shoulder - Discussion of the efficacy of Magnetic Resonance Arthrography (MRA) in identifying and classifying chronic anteroinferior labrum lesions was provided. Analysis of 80 patients using MRA with 1.5T magnet, using standard spin echo T1-weighted sequences with fat-suppressed images in neutral and abduction external rotation (ABER) positions was outlined. Findings were compared against arthroscopic results to assess the accuracy and reliability of MRA in diagnosing specific labral lesions like Bankart, Perthes, and anterior labrum periosteal sleeve avulsion (ALPSA) lesions. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Shoulder - Examination of the identification of ligaments attached to the coracoid process using 3T MRI without contrast was presented. Focused on coracohumeral (CHL), coracoclavicular (CCL), coracoacromial (CAL), and coracoglenoid (CGL) ligaments, the employment of Proton Density Fat Saturated (PDFS) and non-fat saturated T1 and T2 sequences was reviewed. Key findings include the identification of these ligaments in various MRI sequences, with a particular emphasis on the sagittal T1 and PDFS sequences for substantial interobserver agreement and better visualization of the CGL ligament. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Shoulder - A detailed and comprehensive review of the shoulder's structural and functional anatomy, focusing on the scapulothoracic mechanism, sternoclavicular, and acromioclavicular joints was provided. Insights into the resting position of the scapula, effects of aging and spinal posture on its position, and detailed analysis of the glenohumeral joint were presented. Emphasis was placed on the interplay of articular, periarticular, and muscular mechanisms in maintaining shoulder stability and concludes with a discussion on the integrated function of the scapulothoracic and glenohumeral articulations in upper extremity elevation. Anatomical structures were reviewed and compared to MRI images and specific clinical case studies. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Shoulder - Discussion of the diagnostic efficacy of MRI and ultrasonography for adhesive capsulitis (frozen shoulder) was presented. Review of the use of fat-suppressed T2-weighted MRI and ultrasonography for detecting capsular thickening, particularly in the rotator cuff interval and axillary recess was detailed. The importance of these imaging techniques in the accurate diagnosis and effective management of adhesive capsulitis, contributing to better patient outcomes was emphasized. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Knee - Details on the management of a patellar sleeve avulsion fracture in a 12-year-old male athlete previously diagnosed with Sinding-Larsen-Johansson syndrome was presented with a detailed review of imaging sequences. Emphasis on the rarity of such injuries and the challenges in diagnosis, often overlooked in plain radiographs was given. Key imaging techniques included MRI sequences like T2-weighted MRI, helping in diagnosing and differentiating between Sinding-Larsen-Johansson syndrome and patellar sleeve avulsion. Analysis of surgical intervention involved the use of double transosseous ultra-high strength tapes, with postoperative MRI confirming healing with specific images being reviewed. The importance of early clinical suspicion and the use of specific MRI sequences in managing complex knee injuries in young athletes was discussed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Knee - Comprehensive examination of the popliteal hiatus, focusing on its anatomy, magnetic resonance imaging (MRI), and arthroscopic views was presented. Emphasis was placed the complexity of the popliteal hiatus and its significance in knee stability and pathology. Key MRI sequences discussed included sagittal and coronal views, which are crucial for evaluating the popliteal hiatus and associated structures like the popliteomeniscal fascicles and the meniscofibular fascicle. Challenges in diagnosing popliteal hiatus-related pathologies due to the intricate anatomy and the limitations of standard MRI techniques was highlighted using real world case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Knee - Exploration of the anatomic characteristics of the anterolateral ligament (ALL) in the knee was provided. Detailed review of 53 studies, highlighting the ligament's presence in various populations and detailing its morphological features was given. Emphasis was placed on the effectiveness of MRI, particularly in the coronal plane and using T2-weighted images, in visualizing the ALL anatomy. Demonstration of the ligament’s trajectory, insertions, and dimensions offered valuable insights for clinical applications in orthopedics and sports medicine. Detailed case examples were provided. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Knee - Focus was on validating an MRI-based automated method for quantifying knee-extensor muscle volume and hypertrophy. Utilization of a two-point Dixon sequence for fat-water separation, compared automated and manual segmentation of the quadriceps muscle, examining their sensitivity in detecting volume changes due to resistance training. Confirmation of the automated method's strong correlation with manual segmentation and its ability to detect exercise-induced muscle hypertrophy, highlighting its potential application in sports science and clinical settings for accurate muscle mass measurement. MRI sequences included T2-weighted Turbo Spin Echo and T1-weighted gradient echo with a 2-point Dixon reconstruction. Application of this information to real world MRI cases was detailed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Knee - An in-depth analysis of MRI techniques used for evaluating knee cartilage repair was presented. Comparison of the effectiveness of various MRI sequences, including 2D and 3D Fast Spin Echo (FSE) and Gradient Recalled Echo (GRE) sequences, in assessing the morphology and composition of cartilage repair tissues was detailed. Discussion on the use of advanced MRI sequences like Dual-Echo Steady-State (DESS) and Balanced Steady-State Free Precession (bSSFP) for more detailed cartilage evaluation was outlined and reviewed in detail. Information was correlated to real world case examples providing crucial insights for clinical applications in orthopedics and sports medicine. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Knee - Discussion and review of how coronal alignment impacts distal femoral anatomy, focusing on varus and valgus knees was presented. Assessment of the relationship between the epicondylar axis (EA) and the posterior condylar axis (PCA) in relation to coronal deformity was provided. Demonstration of a heterogeneous relationship between PCA and EA, not significantly altered by valgus deformity was presented. Emphasis was placed on the need for careful rotational alignment in total knee arthroplasty to avoid malrotation of the femoral component, particularly in valgus knees. MRI sequences used included T2-weighted imaging, crucial for detailed knee evaluations with correlation to MRI case studies. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Knee - Examination of Morel-Lavallee lesions, focusing on their pathophysiology, clinical and imaging findings, and management strategies. Emphasis of MRI as the ideal modality for diagnosing and characterizing these lesions, highlighting its superiority in revealing the detailed anatomy and composition of these injuries was detailed. Discussion of MRI sequences such as T1-weighted, T2-weighted, and Short Tau Inversion Recovery (STIR) images was provided, noting their effectiveness in differentiating acute from chronic lesions and in identifying key features like hematomas, fluid collections, and fibrous capsules, crucial for accurate diagnosis and treatment planning. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Knee - A comprehensive overview of MRI techniques for knee imaging, covering both conventional and advanced methods was provided. Emphasis was placed on the role of MRI in diagnosing knee pathology, focusing on meniscal and cruciate ligament tears. Review of various MRI protocols and sequences, including T2-weighted, Proton Density (PD), and Short Tau Inversion Recovery (STIR), highlighting their specific applications in detecting soft tissue and bone injuries was given. Exploration of advances in MRI technology, such as 3D isotropic and ultrashort echo time sequences, offered insights into their clinical implications in knee imaging.National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Pediatric Imaging - Presentation on developing a fully automated, computer-based method for age estimation using 3D knee MRI was presented. Machine learning, specifically convolutional neural networks (CNNs) and tree-based algorithms, applied to a dataset of coronal and sagittal MR volumes was reviewed. Discussion of the high level of accuracy in age estimation, highlighting the potential of deep learning in medical imaging was provided. Details of the methods, including image pre- processing, bone segmentation, and the machine learning framework used for accurate age assessment were provided. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Pediatric Imaging - Investigation of a near-silent, distortion-free diffusion-weighted imaging (DW-SD) sequence in pediatric musculoskeletal MRI was presented. This technique was comparted with standard echo-planar diffusion-weighted imaging (DW-EPI), focusing on image quality and apparent diffusion coefficient (ADC) values. Review of the utilization of DW-SD based on a rotating ultrafast sequence modified with sinusoidal diffusion preparation gradients at 3T was outlined and detailed. DW-SD offers similar ADC values, but improved image quality compared to DW- EPI, highlighting its potential for pediatric musculoskeletal imaging. Review and discussion of real-world cases was provided. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Pediatric Imaging - Focus on the increasing incidence of meniscal tears in children, emphasizing the importance of accurate diagnosis and treatment was provided. Extensive discussion of MRI's role in detecting meniscal tears, highlighting specific MRI sequences such as sagittal and coronal projections. The uniqueness of pediatric meniscal anatomy and the implications for treatment, underscoring the preference for meniscal repair over partial meniscectomy due to better healing outcomes in children was emphasized. Various tear patterns identifiable through MRI, including longitudinal, horizontal, radial, root, and complex tears, and their respective treatment approaches were outlined and presented. Challenges and intricacies in interpreting pediatric knee MRIs due to the higher vascularity in children's menisci was discussed. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Pediatric Imaging - Discussion on real-time imaging techniques discussing the development and application of highly under sampled radial gradient echo sequences combined with nonlinear inverse image reconstruction. The advancement allows for rapid image acquisition (20 ms) and high frame rates (up to 50 fps), enabling real-time MRI videos with spin density T1 and T2-type contrast. The use of a 180° inversion pulse for accurate T1 mapping within 4 seconds, offering significant benefits in pediatric radiology by reducing the need for sedation or anesthesia was highlighted. Practical applications include dynamic studies of speech, swallowing, and body movements, as well as rapid volumetric assessments and real-time cardiac MRI without ECG gating, all contributing to enhanced diagnostic capabilities in early childhood. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Pediatric Imaging - A comprehensive overview of imaging techniques used in the diagnosis of pediatric musculoskeletal injuries. The critical role of ultrasound (US) and Magnetic Resonance Imaging (MRI) in identifying and characterizing a wide range of injuries was highlighted. Discussion into specific injury types across various body parts, including upper and lower limbs, detailing the utility of different MRI sequences, such as T1-weighted, T2-weighted, and STIR (Short Tau Inversion Recovery), in revealing pertinent details like bone marrow edema and ligament tears. Emphasis was placed on the advantages of MRI, notably its high spatial and contrast resolution, which is crucial in the diagnosis of soft tissue, cartilaginous, and osteochondral injuries. Continued discussion of the importance of MRI in post-traumatic follow-ups, particularly in young athletes, due to its non-ionizing nature was outlined. Overview underscores the indispensable role of advanced imaging in the accurate diagnosis and management of pediatric musculoskeletal injuries. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Pediatric Imaging - Discussion of the application of MRI in diagnosing musculoskeletal conditions in children. The analysis of MRI utilization, focusing on the distribution of MRI examinations by sex, age, and body segment was covered. Emphasis is placed on creating an atlas and database for normal pediatric MRI exams across different age groups, as well as imaging findings of various musculoskeletal diseases. The development of specific MRI protocols for different body segments and frequently encountered conditions was encouraged. Details and insights into MRI's role in pediatric musculoskeletal evaluation and serves as a benchmark for future research and resource allocation was provided using real work MRI case examples. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Pediatric Imaging - Analysis of growth plate changes in children over a six-month period was discussed. 3D MRI was used to measure the diameter, thickness, and volume of femoral and tibial growth plates in children with growth retardation concerns. The MRI sequences used included sagittal and coronal T1-weighted volume-interpolated breath-hold examination (VIBE) images. Significant increases in the mean diameter and volume of the femoral and tibial growth plates after six months was found, but no significant change in their thickness. This work contributes to understanding growth plate dynamics in pediatric populations. Clinical correlation to real world pediatric MRI cases was presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Advanced Imaging Certification – MRI Mastery Series – Pediatric Imaging - Discussion of advanced MRI techniques for pediatric patients was presented. Focus on optimizing MRI protocols and sequence selection to reduce scan times and improve patient cooperation was detailed. Key sequences include turbo spin-echo (TSE) with proton density (PD) and T2-weighted imaging, and advanced methods like simultaneous multi-slice (SMS) TSE and 3D TSE volumetric SPACE (Sampling Perfection with Application optimized Contrasts using different flip angle Evolution). Emphasis was placed on efficient imaging in children while maintaining diagnostic quality, crucial in musculoskeletal and body imaging. Showcase of techniques like CAIPIRINHA (Controlled Aliasing in Parallel Imaging Results in Higher Acceleration) for faster, high-quality imaging was presented. National Spine Management Group, Cleveland University Kansas City, College of Chiropractic, Federation of Chiropractic Licensing Boards, Accreditation Council on Continuing Medical Education (ACCME) 2024
Interprofessional Spine Care Review: Chiropractic Management of Ankylosing Spondylitis –This comprehensive course provided an in-depth examination of the interprofessional management of Ankylosing Spondylitis (AS), focusing on both diagnostic and therapeutic strategies. The course was structured around a detailed case study of a patient presenting with low back pain (LBP) flare-ups, with radiation, offering practical insights into the complexities of managing AS in a clinical setting. Key components of the course included the interpretation of clinical presentations, such as LBP associated with radiating pain, and the use of specific lab tests to confirm the diagnosis of AS, notably the HLA-B27 test. Participants reviewed the initial treatment plans, which included pharmacological interventions and the timing of advanced imaging modalities like MRI to assess disease progression. The course also covered the importance of early referral to rheumatology for comprehensive management, particularly in cases where standard chiropractic care may need to be supplemented with specialized medical intervention. The course also provided an in-depth review of radiographic findings, specifically the identification of mild bone spurring and narrowed sacroiliac joints on lumbar spine X-rays, which are indicative of AS. Orthopedic evaluations, including the interpretation of positive Straight Leg Raise and FABER tests, were emphasized to correlate clinical findings with radiographic evidence. Emphasis was placed on the ability to work within an interprofessional team to develop and implement evidence-based treatment strategies for patients with AS. This included understanding the nuances of when to transition from conservative care to specialized medical treatment, thereby improving patient outcomes. Federation of Chiropractic Licensing Boards, PACE; National Spine Management Group, 2024.
Interprofessional Spine Care Review: Acute vs Chronic Nerve Injury - a detailed case study focusing on the differential diagnosis and management of acute versus chronic nerve injuries in the lumbar spine was presented. The course provided an in-depth review of diagnostic tools, including the interpretation of motor strength assessments, MRI findings, and advanced electrophysiological testing such as electromyography (EMG) and nerve conduction velocity (NCV) studies. The course placed specific emphasis on the use of EMG to assess muscle denervation, reinnervation patterns, and the chronicity of nerve injuries. Participants learned to analyze key EMG parameters such as insertional activity, spontaneous potentials like fibrillations and positive sharp waves, and motor unit action potentials (MUAPs). These parameters are crucial for determining the extent of nerve damage, the age of the injury, and whether the nerve is undergoing reinnervation. The presence of fibrillations and positive sharp waves, for instance, indicates ongoing denervation, while changes in MUAPs can reveal the degree of reinnervation and the chronicity of the lesion. The H-Reflex study, a critical component in evaluating S1 radiculopathy, was also covered extensively. This technique involves stimulating the tibial nerve at the popliteal fossa and recording the reflex response from the soleus muscle. The course detailed how specific parameters such as latency (the time it takes for the reflex to occur), amplitude (the strength of the reflex), and side-to-side comparison of the H-Reflex are utilized to assess the integrity of the S1 nerve root. These measurements are instrumental in differentiating between acute and chronic lesions, as delays in latency and reductions in amplitude can indicate the presence of a chronic radiculopathy. Moreover, the course emphasized the importance of correlating these electrophysiological findings with clinical assessments and MRI results. MRI imaging was particularly valuable in visualizing the anatomical causes of nerve compression, such as disc herniation, spinal stenosis, or foraminal narrowing. Participants were trained to integrate these findings into a comprehensive diagnostic framework that informs targeted, evidence-based treatment plans. Federation of Chiropractic Licensing Boards, PACE; National Spine Management Group, 2024.
Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Interprofessional Care with the Primary Care Physician – detailed overview of the needs of the primary care physician and the diagnosis and management of mechanical spine pain. Discussion of peer-reviewed medically indexed research studies supporting chiropractic in the pain management phase of care is presented. Specific statistics in the reduction of opioid prescription refills particularly in older and injured patients were presented. Complaint reporting and consistent communication was outlined and reviewed with particularly emphasis on clinical workflows within the practice environment. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences – 2023
National Spine Management East Conference 2023 – Objectifying Tissue Injury in the Spine - Detailed discussion of the “gold standard” tests that objectify injury in the human spine. Assessment of muscle, tendon/ligament, intervertebral disc, spinal nerve, and boney injuries was presented and correlated to imaging findings. Physical examination findings examples were correlated for the compliant need for testing orders including but not limited to plain film radiographs, MRI, CT, EMG/NCV and Bone Scan. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards 2023.
National Spine Management East Conference 2023 – The Science of Chiropractic – what does the research say? – Detailed analysis of the 2022-2023 scientific literature supporting chiropractic management of the spine pain patient. Outline of supporting evidence in the pain management, corrective care and health maintenance phases of care was presented. Peer reviewed medically indexed papers were discussed and correlated to trends in research with emphasis on the RAND Corporation’s Center for Collaborative Research in Complementary and Integrative Health was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards 2023.
National Spine Management East Conference 2023 – Anatomy and Histological Composition of the Healthy Intervertebral Disc – Anatomy of the healthy intervertebral disc and its nerve supply was reviewed. An overview of the histological structure of the intervertebral disc was presented. Discussion of the chemical and histological make-up of the intervertebral disc including vascular, proteoglycan and extracellular matrix composition was outlined and presented. Specific innervation and vascularization patterns and their relation to pain generating injuries was explained. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards 2023.
National Spine Management East Conference 2023 – Anatomy and Histological Composition of the Degenerative Intervertebral Disc – Anatomy of the degenerative intervertebral disc and its nerve supply will be reviewed. An overview of the histological structure of the degenerating intervertebral disc was presented. Discussion of the chemical and histological make-up of the degenerative intervertebral disc including vascular, proteoglycan and extracellular matrix composition will be presented. Key differences between the healthy and degenerative disc will be outlined including neovascularization and the ingrowth of free nerve endings. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards 2023.
National Spine Management East Conference 2023 – Nomenclature of the Intervertebral Disc - Detailed presentation of intervertebral disc nomenclature as outlined by the combined task forces of the North American Spine Society, the American Society of Spine Radiology, and the American Society of Neuroradiology. Specific classification parameters and descriptions of intervertebral disc bulge, protrusion, herniation, extrusion, sequestration, and traumatic disc bulge will be presented and reviewed. Differences in morphological description were presented with sagittal and axial MRI examples. Review of clinical correlation to etiology was discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards 2023.
National Spine Management East Conference 2023 – Anatomy and Histology of Spinal Ligaments –Presentation of the ligamentous structures of the human spine including but not limited to the anterior longitudinal, posterior longitudinal, intertransverse, facet capsular, ligamentum flavum, interspinous and supraspinous ligaments was outlined. Histological presentation will be provided with focus on regional adaptation to ligamentous microscopic structure with details presented on intracellular matrix and cytokine activity following traumatic events. Emphasis was placed on injury thresholds using the stress/strain curve as a guide. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards 2023.
National Spine Management East Conference 2023 – Functional Physiology of the Spinal Ligament and the Chiropractic Subluxation – Biomechanical alterations and their effect on spinal ligaments will be presented including isotropic and anisotropic changes in ligament function. Clinical correlation will be provided based on radiographic findings, traumatic events, and chronic compensatory pain patterns. Emphasis was placed on recent peer-reviewed evidence showing transection of one ligament in the spine has an influence on all others. Correlation to chiropractic care was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards 2023.
National Spine Management East Conference 2023 – Spinal Biomechanics –Sagittal Alignment Parameters – Detailed overview of sagittal balance in both a whole spine and regional perspective will be presented. Correlation to segmental changes will be reviewed. Interprofessional communication with primary care and medical specialists will be outlined with focus on kyphotic, lordotic and pelvic parameters. Emphasis was placed on pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis, thoracic kyphosis, T1 angle and cervical lordosis. Discussion of these biomechanical parameters within the corrective phase of chiropractic and communication with the spine surgeon was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards 2023.
National Spine Management East Conference 2023 - Communicating Chiropractic to the Medical Community - Overview and specific examples of interprofessional communication with the medical community were discussed. Common mistakes relating to speaking with primary care, interventional pain management and spine surgeons will be presented and reviewed. Emphasis will be placed on diagnosis and management of the spine pain patients within the pain management, corrective, and health maintenance phases of chiropractic care. Presentation was supported by examples published in the peer reviewed medically indexed scientific literature. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards 2023.
National Spine Management East Conference 2023 – Communicating Chiropractic to the Legal Community - Presentation on the anatomy of medical-legal reporting and connective tissue diagnosis was provided. Overview of the care paradigm was presented including causal relationship, bodily injury, and persistent functional loss. Objectification of spinal injury and delineation between new and pre-existing conditions was outlined. Specific case reporting and timelines for accurate explanation of bodily injury was detailed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards 2023.
National Spine Management East Conference 2023 - Documentation and Diagnostic Workflows - Modernization of documentation workflows were presented with focus on E/M evaluations and care schedules. Medical necessity and clinical timing were outlined and addressed relating to diagnostic testing and specialist referral. The benefits of a using case findings to reach out to the medical community was addressed and compared to outreach processes. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards 2023.
National Spine Management East Conference 2023 - Professional Liability –how to protect yourself - Common pitfalls and risk factors related to professional liability will be reviewed including physical examination and diagnostic duties. Review of professional boundaries will be presented. Proper patient intake, examination and clinical behavior will be presented. Emphasis will be placed on adverse events risk factors such as hypertension and genetic connective tissue disorders including Marfans and Ehlers-Danlos Syndrome were outlined.National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards 2023.
National Spine Management East Conference 2023 – Interprofessional Communication System – make it easy and effective - Overview of professional reporting systems in the modern area including completion of clinical reporting timely, outline of clinical information to include in specialist referral and imaging orders will be presented. Details of interprofessional communication to the primary care physician, spine surgeon and interventional pain management provider was detailed and explained. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards 2023.
Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Interprofessional Care with the Primary Care Physician – detailed overview of the needs of the primary care physician and the diagnosis and management of mechanical spine pain. Discussion of peer-reviewed medically indexed research studies supporting chiropractic in the pain management phase of care is presented. Specific statistics in the reduction of opioid prescription refills particularly in older and injured patients were presented. Complaint reporting and consistent communication was outlined and reviewed with particularly emphasis on clinical workflows within the practice environment. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences – 2023
Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series –Diagnosis and Management of Seronegative Spondyloarthropathies – review of the clinical diagnosis of seronegative spondyloarthropathy was presented with attention paid to the two most common types, ankylosis spondylitis and psoriatic arthritis. Details regarding a complete physical examination assessing for swelling, redness and reduced range of motion were presented along with focus on enthesitis and spinal mobility. Overview of the HBLA-27 allele and generic risk association was presented. Details associated with radiographic evidence of seronegative spondyloarthropathies were discussed including sacroiliac joint sclerosis and vertebral hyperostosis. Interprofessional management with rheumatology was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences – 2023
Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Pathophysiology of Craniocervical Arterial Dissection -detailed review of the anatomical structure and layers of the arterial wall was presented including the tunica externa, intima, and adventitia. Discussion of intimal tearing and thrombus formation was provided focused on hypoxic clinical patient presentations. Diagnostic angiography as the gold standard was presented. Clinical presentation of craniocervical arterial dissection was reviewed with past medical history such as genitive connective tissue disorders such as fibromuscular dysplasia, Ehlers-Danlos, Marfan, and Loeys-Dietz syndromes. Delineation between musculoskeletal and vascular manifestations of head/neck pain was presented and outlined with particular attention being given to hypoxic clinical presentations. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences – 2023
Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – anatomy & biomechanics of the sacroiliac joint – review of the anatomical structure of the sacroiliac joint was presented including ligamentous and cartilaginous components. Mechanical movement and restrictions were discussed and correlated to the surrounding anatomy. Review of causes of the sacroiliac joint as a source of pain was outlined. Differences in boney structure including cortical bone thickness and muscular overlay were detailed. Differentiation of different ligaments supporting the sacroiliac joint and the primary restraint of anatomical movement was presented including the posterior, sacrotuberous, sacrospinous, anterior, interosseus and iliolumbar ligaments. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences – 2023
Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Chiropractic Utilization of X-ray in Clinical Practice - review of field doctor response statistics regarding utilization of x-ray in clinical practice was presented. Guest author was interviewed outlining the basis and rationale for the academic paper reviewed. Discussion surrounding the use of x-ray for both anatomical contraindications to care (red flags) and assessment of biomechanical parameters was presented. Literature supporting the conservative co-management of spinal biomechanical abnormalities within the greater healthcare system was emphasized. Evidence based practice was outlined with particular focus on the utilization of x-ray in the management of the chiropractic patient. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences – 2023
Spine Management Grand Rounds Internet Live and recorded Regularly Scheduled Series – Chiropractic Management – Prostate Cancer Mimicking Hip Pain – outline of a patient presenting with hip pain to a chiropractic clinic was presented. A complete history of non-response to conservative interventions was detailed. Failure of non-steroidal anti-inflammatory medication, physiotherapy and acupuncture was discussed. Further workup including the ordering of plain film radiography and advanced imaging was presented with detailed clinic and scientific rationale. Emphasis was placed on nine other similar cases published in the literature with the patient having no prior history of cancer or boney metastasis prior to evaluation in the chiropractic office. Review of processes pertaining to patient history taking, physical examination, response to past care and utilization of imaging modalities to arrive at an accurate diagnosis was underscored. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards – PACE, State University of New York at Buffalo Jacobs School of Medicine, and Biomedical Sciences – 2023
Clinical Grand Rounds – Diagnosing Mechanical Spine Pain – review of specific cervical anatomy in the spine pain patient. Clinical correlation between plain film radiographs and MRI studies was reviewed including radiographic motion studies. Computerized Mensuration Analysis was outlined and discussed with findings correlating with normative translation and angular motion data. Review of the AMA Guides to the Evaluation of Permanent Impairment 5th and 6th Editions was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences – 2023.
Clinical Grand Rounds – Pathophysiology of Osteophyte Formation – discussion and presentation of extraspinal and vertebral osteophyte classification. Review of traction osteophyte formation and its relationship to the vertebral body and degenerative changes was discussed. Factors influencing osteophyte formation such as Transforming Growth Factor Beta and the relationship to the initiation of osteochondrosis was outlined. Details of segmental osteophyte formation on regional biomechanics were reviewed. Peer reviewed evidence of the effects of spinal arthrodesis on adjacent segment degeneration, anterior and posterior osteophyte formation was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences – 2023.
Clinical Grand Rounds – Nomenclature and Morphology of Intervertebral Disc Pathology – updated review and demonstration of intervertebral disc nomenclature related to intervertebral disc degeneration, trauma and other pathology. Specific attention paid to the agreed upon nomenclature between the Combined Task Forces of the North American Spine Society, American Spine Society, American Society of Spine Radiology and American Society of Neuroradiology. Details were provided in comparison to intervertebral disc herniation and intervertebral disc degeneration. Radial fissures were reviewed and outlined including circumferential, transverse and radial pathology and its anatomical relation to the intervertebral disc. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences – 2023.
Fellow, Primary Spine Care, 2-year program on spinal trauma, spinal management, advanced imaging, electrodiagnostics, accident engineering, spinal biomechanical engineering, triaging the injured, stroke diagnosis, demonstrative documentation, connective tissue pathology, ligament pathology diagnosis and management, and spinal treatment evidence-based outcome studies. The program requires collaboration in advanced imaging for spinal and MSK radiology and being published in case studies. Certified in Joint Providership from the State University of New York at Buffalo, Jacobs School of Medicine, Office of Continuing Medical Education, Cleveland University Kansas City, College of Chiropractic, and the Academy of Chiropractic, Long Island, New York 2023
Mini-Fellowship in Neuroradiology – MRI Spine, Evidence-based studies in Modic Changes, Disc and Referred Pain, MRI and Cervical Musculature, Kinetic MRI Images, Neurological Innervation, MRI and Injury Mechanisms, Discogenic Pain, Annular Tears and Fissures, Asymptomatic Herniations.ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2023
Mini-Fellowship in Neuroradiology – MRI Spine, Identify and oral examination of 60 MRI sequences (over 2500 images) of disc bulges, circumferential, radial, and transverse fissures, varices, and herniations inclusive of the following types: protrusion, extrusions (sequestered and migrated/comminuted extrusions). MRI sequencing for accurate interpretation with contemporary nomenclature and reporting.ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2023
Mini-Fellowship in Musculoskeletal Radiology – MSK Extremities,Identifying arthritis, advanced cartilage pathology, rotator cuff tears, labral tears, tendon injuries and degeneration, meniscal tears, ligamentous injuries, common fractures, sports related injury patterns, and plantar fasciitis in both upper and lower extremities.Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, 2023
Mini-Fellowship in Musculoskeletal Radiology – MSK Extremities – Clinical Research,Contemporary literature based evidencewith rheumatoid, osteo, spondylar, gouty, and Psoriatic arthritides, advanced cartilage pathology, rotator cuff tears, labral tears, tendon injuries and degeneration, meniscal tears, ligamentous injuries, common fractures, sports related injury patterns, and plantar fasciitis in both upper and lower extremities. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University, Kansas City, 2023
Shallow Breathing – In the Office – Common respiratory diseases, different causes for shallow breathing, relationship between posture and breathing pattern, common spinal complaints, anatomy and physiology of the respiratory muscles, re-educating patient's breathing pattern and improve overall wellness, breathing exercises. Back to Chiropractic CE Seminars, Board of Chiropractic Examiners, Santa Rosa, CA, 2023
MRI Interpretation Review Qualified, 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), 2022
2023 Demonstrative Documentation Requirements,Analyzing the requirements in anatomical diagnostic imagery to communicate spinal pathology. Integrating technology, clinical findings, and advanced graphic tools to communicate a diagnostic conclusion.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
MRI Spine Advanced Clinical Case Grand Rounds,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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Non-Specific Spine Pain, Chiropractic and Outcomes,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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Spinal Tumor MRI Interpretation, Diagnosing and documenting:Ependymoma, Astrocytoma, Hemangioblastoma, Lipoma, Meningioma, Neurofibroma, Schwannoma, Myxopapillary Ependymoma. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Demonstrative Narrative and Evaluation and Management Report Writing, Clinical record-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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Age-Dating Ligament/Connective Tissue Physiology and Pathology, 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Clinical Grand Rounds in Biomechanics, Digitizing, and Advanced Imaging: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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Medical-Legal Documentation: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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Clinical Approaches to TMD, Prevalence and etiology of temporomandibular joint dysfunction (TMD), Anatomy of the TMJ and surrounding facial structures, Common causes of temporomandibular joint dysfunction (TMD) seen within the chiropractic practice, Various types of pain referral sources to the temporomandibular joint (TMJ), TMJ synovitis and capsulitis, Anterior disc displacements with and without reduction, Atandard imaging processes ordered for specific TMJ conditions, Common pathologies associated with TMD and their common care management strategies, Physical Examination – Evaluate the TMJ using physical examination procedures such as inspection, AROM, PROM, palpation, etc., Specific myofascial techniques for the muscles of mastication, Conservative management options for temporomandibular disorders, Treatment plans for temporomandibular dysfunction, Co-management care of a dental professional with patients presenting temporomandibular joint dysfunction, Conditions that require immediate referral of care services with regards to TMD, Gait and its relationship to TMD – Explain how ambulation difficulties can potentially create issues throughout the kinetic chain. Carrick Institute of Graduate Studies, Cape Canaveral, FL 2022
Mastery of Peripheral Neuropathy, Common Mechanism in all forms of PN, Analysis of the patient symptoms, Patterns of PN, Common causes of a Peripheral Neuropathy and how to treat them, Nerve Fiber types and why they matter, Positive and Negative Signs of PN, Patterns of Sensory and Motor Loss, Microglia in the Spinal Cord, Mechanisms of Neuropathic pain, The Neuropathic Pain Triad, Type 2 Diabetic Neuropathy, Autonomic Neuropathy, Nutritional deficiencies, Neuropathies in Systemic disease, Hereditary Neuropathy, Chemotherapy Induced Neuropathy, Autoimmunity in Peripheral Neuropathy, The role of gluten and Celiac Disease, Compression syndromes, Statins and neuropathy, Mitochondria and Oxidation, Lab Assessment of PN, Blood chemistry relevant to PN, Physical and Neurological Examination for Peripheral Neuropathy, Treatment Principles, Diet, Stress Reduction, Exercise, Specific Therapies to Use for PN, Effective clinically proven protocols for each category of Peripheral Neuropathy, How to Assess for Longitudinal Level of the Lesion, Examination Diagnosis and Management of Dysautonomia, Assessment of Lobes of the Brain- Parietal, Frontal, Temporal, Occipital, Neuro-sensory examination techniques, Cerebellar and Vestibular testing and rehabilitation, Eye movement analysis and rehabilitation strategies. Carrick Institute of Graduate Studies, Cape Canaveral, FL 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Forensic Documentation-Report Writing, Report writing in a medical-legal case inclusive of causality, bodily injury, persistent functional loss and restrictive sequela from trauma. Demonstratively documenting bodily injury utilizing models, graphs and patient image of x-ray and advanced imaging. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Forensic Documentation- Demonstrative Documentation, Demonstratively reporting spinal biomechanical failure and spinal compensation. How in a medical-legal environment to ethically report pre-existing injuries vs causally related current injuries and what is permissible in a legal proceeding. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Forensic Documentation- Reporting Direct Opinions, Causality, bodily injury and persistent functional losses documented and reported in a medical-legal environment as your direct opinion. Avoiding hearsay issues to ensure ethical relationships. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Forensic Documentation- Initial, Final and Collaborative Reporting, Preparing demonstrative documentation in a medical-legal case ensuring that you are familiar with all other treating doctor’s reports. Correlating your initial and evaluation and management (E&M) report and your follow-up E&M reports with the narrative upon maximum medical improvement documenting continuum of care. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Forensic Documentation- Qualifications and Preparation of Documentation, How to prepare your documentation for courtroom testimony and ensuring your qualifications are documented properly on an admissible, professional curriculum vitae. How to include indexed peer-reviewed literature in medical-legal documentation, Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Forensic Documentation- Reporting Patient History and Credentials, Preparing patient history in a medical-legal case based upon your initial intake forms and understanding the work, social, academic, household and social activities of your patient. Understanding and explaining your doctoral and post-doctoral credentials in the courtroom. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Forensic Documentation- Reporting Chiropractic Care and Injured Anatomy, Preparing demonstrative documentation in a medical-legal case to report the bodily injuries of your patients, inclusive of loss of function and permanent tissue pathology. Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Forensic Documentation- Reporting Temporary vs. Permanent Issues, Preparing documentation in a medical-legal case ensuring that you can communicate permanent vs. temporary functional losses and permanent vs. temporary tissue pathology. How to maintain and explain ethical relationships in medical-legal cases, Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Forensic Documentation- Reporting Bodily Injury, How to report bodily injury and functional losses as supported by your credentials in a medical-legal case. Clinically correlating causality and permanent tissue pathology as sequela to trauma, Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Forensic Documentation- Record Review and Documentation Reporting, How to report records of collaborative treating doctors and communicating your scope of practice in the management of your case. How to ethically report your role as a doctor in medical-legal cases, Cleveland University, Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Documentation, Demonstrative and Compliance,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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Chiropractic-Legal Ethics,The academic and court standards for documenting an Evaluation and Management encounter with the utilization of accurate CPT Coding. Accurately documenting your credentials based upon earned credentials. Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Chiropractic-Legal Ethics,The clinical standard for ordering diagnostic tests as indicated. This includes advanced testing as MRI, CAT Scans and electrodiagnostics as electromyogram, nerve conduction studies, vestibulo-electronystagmography and somatosensory evoked potentials. The failure to order indicated testing and how it creates a public health risk and will negatively reflect on your license and reputation.Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Chiropractic-Legal Ethics,Documenting and communicating your credentials in a manner consistent with licensure boards and the courts. Communicating sub-specialties as awarded through formal academic accomplishments and utilizing that level of education to better understand and explain pathology.Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Chiropractic-Legal Ethics,Understanding ethical relationships about anti-kickback laws, fee-splitting andappropriate hiring practices in the clinical arena. How to use your initial patient documentation to conclude a case and ensure you are within the ethical boundaries.Cleveland University Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
2022 Trends in Spinal Healthcare,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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
MRI Spine Clinical Case Grand Rounds,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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Chiropractic vs. Physical Therapy vs. Medical Case Management and Outcomes,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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
MSK Extremity Radiological Interpretation, Utilizing both MRI and x-ray in identifying via x-ray and advanced imaging extremity instabilities from ligamentous, osseous or neoplastic derangement. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Demonstrative Narrative and Evaluation and Management Report Writing,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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Ligament/Connective Tissue Physiology and 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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Stroke Evaluation and Risk Factors in the Chiropractic Practice,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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Age-Dating Herniated Discs and Trauma,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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Clinical Grand Rounds in Spinal Biomechanics,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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Neurosurgical Grand Rounds, 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Report writing for legal cases, the 4 corners of a narrative and documenting damages with understanding defense medical documentation and consistent reporting of bodily injuries. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Legal Testimony, Part 2, Understanding report writing and the types of medical reports required for court inclusive of diagnosis, prognosis and treatment plans with requirements of reporting causality and permanency. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Direct Testimony, Organizing your documentation and understanindg all collaborative documentation and how it fits into your diagnosis, prognosis and treatment plan, Understanding the nuances of the functional losses of your patients related to their bodily injuries. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 2, Utilizing demonstrative documentation in direct examination and communicating the results of your care concurrently with the written documentation and reporting an accurate diagnosis for all images. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 3, The evaluation, interpretation and reporting of collaborative medical specialists results and concluding an accurate diagnosis inclusive of all findings and reviewing all images to ensure an accurate diagnosis. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Direct Testimony Part 4, Determining and documenting disabilities and impairments inclusive of loss of enjoyment of life and duties under duress and the evaluation and validation of pain and suffering. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Documentation and Cross Examination Testimony, Reporting your documentation factually and staying within the 4 corners of your medical report and scope of practice inclusive of understanding how your credentials allow you to report your documentation. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, A Documentation Relationship Between the Doctor and Lawyer, The level of organization required in a medical-legal case that accurately reflects the bodily injuries of your patients and the time constraints in rendering an accurate report. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Reviewing the facts of the case inclusive of your documentation, the defense medical examiner, medical specialists and the attorney to ensure accurate and consistent reporting. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022
Medical-Legal Ethical Relationships, Report Writing and Preparing for a Legal Case, Creating demonstrative evidence, visuals of your patient's bodily injuries inclusive of x-rays, MRI's, CAT Scans and electrodiagnostic findings, the spinal biomechanics of herniated disc with ipsilateral findings and contralateral symptomatology. Academy of Chiropractic, Post-Doctoral Division, Cleveland University-Kansas City, College of Chiropractic, Long Island, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Utilization of Research in the Clinical setting, 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. Cleveland University – Kansas City,Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Chiropractic as the First Option for Spine, 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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Chiropractic as the First Option for Spine, 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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Chiropractic as the First Option for Spine, 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Chiropractic as the First Option for Spine, 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Documentation in Medical Collaborative Cases, Concluding an E&M report in cases involving medical primary care providers of medical specialists that have complicated case histories, significant risk factors, and inconclusive findings. Triage and management of complicated cases requiring the clinical evaluation, advanced imaging and electrodiagnostics. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
MRI Spine Interpretation and Protocols, Contemporary acquisition protocols including slice thicknesses and sequences inclusive of the ordering process. Interpretation of axial, sagittal and coronal views in T1, T2 and stir views inclusive of the disc, spinal cord, extra-dural and intra-dural pathology. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Ethics and Medical Collaboration, Having referral relationships with emergency rooms, neurosurgeons, orthopedic surgeons, pain management specialists, neurologists, neuroradiologist and medical primary care providers based upon clinical dilemmas that processed after a thorough history, examination and imaging if clinically indicated to conclude diagnostic dilemmas. Utilizing evidence-based protocols and acquisition of images and treatment pathways, collaborating with medical specialists and primaries to conclude and accurate treatment plan. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Documentation in a Medical – Legal and Insurances, Constructing and concluding an E&M (99202-99205) report that accurately reflects the history, clinical findings and management of trauma cases that concurrently meets the needs of both the carriers in the courts and ethical relationship that concurrently matches the standards of both contemporary academia requirements and a contemporary literature-based standard. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Evidenced Based Care in a Collaborative Setting; Primary Spine Care 5, 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. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2022
Current Literature Standards of MRI Spine Interpretation; Primary Spine Care 5, 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, Academy of Chiropractic Post-Doctoral Division. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2022
Spine Brain Connection in Pain Pathways; Primary Spine Care 5, 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. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2022
Bio-Neuro-Mechanical Mechanism of the Chiropractic Spinal Adjustment; Primary Spine Care 5, 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. Academy of Chiropractic Post-Doctoral Division, Cleveland University- Kansas City, Long Island, NY, 2022
Connective Tissue Spinal Disc Permanent Pathology, 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.Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2022
Connective Tissue Pathology and Research, 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.Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2022
Bio-Neuro-Mechanical Lesions and Spine 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.Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2022
Ethics, Documentation and Research, 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.Academy of Chiropractic Post-Doctoral Division, Cleveland University – Kansas City, Long Island, NY 2022
Primary Spine Care 2: Spinal Trauma Pathology,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.Cleveland University – Kansas City, Academy of Chiropractic, Setauket, NY, 2022
Primary Spine Care 2: Utilizing Research in 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.Cleveland University – Kansas City, Academy of Chiropractic, Setauket, NY, 2022
Primary Spine Care 2: Chiropractic Evidence,Analyzing segmental pathology, adjusting vs. mobilization with cervicogenic headaches, Opioid alternatives and case management of mechanical spine pain based upon outcome studies.Cleveland University – Kansas City, Academy of Chiropractic, Setauket, NY, 2022
Primary Spine Care 2: Chiropractic Spinal Adjustment Central Nervous System Processing,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.Cleveland University – Kansas City, Academy of Chiropractic, Setauket, NY, 2022
Primary Spine Care - Credentials and Knowledge Base, The credentials and knowledge based from an academia perspective when cooperatively treating in a collaborative environment inclusive of understanding pathology and mechanical spine issues.Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Primary Spine Care - Spinal Biomechanical Engineering and MRI Spine Interpretation, 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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Primary Spine Care - Hospital Administration, Triage, Clinical Requirements and Collaborative Relationships with Medical Specialists, Understanding hospital and medical specialis's care paths for mechanical spine pathology and integrating the doctor of chiropractic in the hospital and allopathic treatment protocols. Cleveland University - Kansas City, Long Island, NY, 2022
Primary Spine Care - Contemporary Spine Research and Documentation,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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Case Management, Spinal MRI and Documentation 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.Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Case Management, Spinal MRI and Documentation, 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. Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Case Management, Spinal MRI and Documentation, 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 non-disc spinal injuries.Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Case Management, Spinal MRI and Documentation, 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.Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Case Management, Spinal MRI and Documentation, Demonstrative Documentation of Disc Herniation and 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.Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Case Management, Spinal MRI and Documentation, Post-Traumatic Herniated Discs, Related Migraines-Headaches & Strain/Sprain Permanencies,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.Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Case Management, Spinal MRI and Documentation, 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.Cleveland University Kansas City, Academy of Chiropractic, Post-Doctoral Division, Long Island, NY, 2022
Extremity MRI & Xray Interpretation of the Shoulder,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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Extremity MRI & Xray Interpretation of the Shoulder,Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Extremity MRI & Xray Interpretation of the Elbow,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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Extremity MRI & Xray Interpretation of the Wrist,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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Extremity MRI & Xray Interpretation of the Hand,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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Extremity MRI & Xray Interpretation of the Hip,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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Extremity MRI & Xray Interpretation of the Hip, Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Extremity MRI & Xray Interpretation of the Knee, 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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Extremity MRI & Xray Interpretation of the Knee,Identifying fractures in the adult and pediatric cases. Differentially diagnosing various arthritic changes vs. benign and metastatic Tumors.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Extremity MRI & Xray Interpretation of the Foot,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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
MRI Spine Clinical Grand Rounds,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.Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY,2022
MRI Spine Clinical Grand Rounds,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.Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2022
MRI Spine Clinical Grand Rounds,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.Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2022
MRI Spine Clinical Grand Rounds,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.Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2022
MRI Spine Clinical Grand Rounds,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.Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2022
MRI Spine Clinical Grand Rounds,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. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2022
MRI Spine Clinical Grand Rounds,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.Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2022
MRI Spine Clinical Grand Rounds,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.Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2022
MRI Spine Clinical Grand Rounds,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.Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY, 2022
MRI Spine Clinical Grand Rounds,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. Academy of Chiropractic Post-Doctoral Division, Accreditation Council for Continued Medical Education in conjunction with The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Cleveland University - Kansas City, Long Island, NY,2022
Interprofessional Hospital Based Spine Care, Trends in hospital and emergent care in the healthcare delivery system inclusive of policies, hospital staffing and current care paths for mechanical spine issues. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Accident Reconstruction: Terms, Concepts and Definitions, 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. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Accident Reconstruction: Causality, Bodily Injury, Negative Acceleration Forces, Crumple Zones and Critical Documentation, 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.Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Accident Reconstruction: Skid Marks, Time, Distance, Velocity, Speed Formulas and Road Surfaces, 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.Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
Accident Reconstruction: Research, Causality and Bodily Injury, 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, Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2022
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. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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.Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Concussion And Electroencephalogram Testing: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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Mild Traumatic Brain Injury/Traumatic Brain Injury/Concussion, 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. Cleveland University - Kansas City, Academy of Chiropractic Post-Doctorial Division, Long Island, NY, 2022
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Orthopedic Testing: Cervical Spine Part 2,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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Spinal Biomechanical Engineering: Cartesian System, 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Spinal Biomechanical Engineering: Cervical Pathobiomechanics, 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Spinal Biomechanics in Trauma: 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 diagnosing normal versus abnormal facet motion along with case studies to understand the clinical application. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Spinal Biomechanical Engineering & Organizational Analysis, 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Spinal Biomechanical Engineering: Cervical Digital Analysis, 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Spinal Biomechanical Engineering: Lumbar Digital Analysis, 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Spinal Biomechanical Engineering: Full Spine Digital Analysis, 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 rotational 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Spinal Trauma Pathology- Triage and Connective Tissue Injuries and Wound Repair,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.Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2022
Spinal Trauma Pathology- Ligament Anatomy and Injury Research and Spinal Kinematics,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.Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2022
Spinal Trauma Pathology- Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature,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.Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2022
Spinal Trauma Pathology- Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology,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.Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2022
Spinal Trauma Pathology- Clinical Grand Rounds,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. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2022
Spinal Trauma Pathology- Research Perspectives,The review of current literature standards in spinal trauma pathology and documentation review of biomechanical failure, ligamentous failure and age-dating disc pathology. Cleveland University – Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, New York, 2022
MRI Spinal Anatomy- Protocols and Disc Pathology,Normal anatomy of axial and sagittal views utilizing T1, T2, gradient and STIR sequences of imaging. Degeneration and annular fissures of discs in both trauma and non-trauma patients and the biochemical properties of joints in age dating pathology. Disc bulges from degenerative and sequela to osseous issues, herniation pathology and protrusion, extrusion, migrated and sequestered variations. Clinical scenarios as sequela to disc and pre-existing pathologies.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
MRI Spine Interpretation- Herniated, bulged, extruded, protruded, sequestered and degenerative discs. The morphology of a pathological disc vs. normal morphology and the sequences required including T1, T2 and STIR for all spinal regions. Modic 1-2-3 changes detailed and the traumatic relationship.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Neurology of Ligament Pathology- 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Neurology of Ligament Pathology- 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
Neurology of Ligament 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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2022
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. Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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.Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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 sequalae, including bulge, herniation, protrusion, extrusion and sequestration.Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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-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. Central canal and cauda equina compromise interpretation with management.Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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.Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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 spondylolisthesis, 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. Cleveland University - Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Triaging the Trauma and Non-Trauma Patients, Correlating clinical findings and the patient history in determining the correct course of care in triaging the patient utilizing orthopedic and neurological evaluations in the clinical setting. Understanding the parameters for immediate referrals vs. following the continuum of care to determine the necessity for referrals. Cleveland University – Kansas City, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2021
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
MSK Extremity Radiological Interpretation- Utilizing both MRI and x-ray to diagnose1) 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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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. Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
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.Cleveland University Kansas City, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomedical Sciences, Academy of Chiropractic Post-Doctoral Division, Buffalo, NY, 2021
Documentation and Coding- 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, and a 99212-99213-99214-99215.Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, Long Island, NY, 2021
Demonstrative 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.Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, Long Island, NY, 2021
MRI Spine Interpretation- 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. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, Long Island, NY, 2021
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. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, Long Island, NY, 2021
Sleep in Healthcare- Introduction to sleep studies, normal sleep from infancy to old age, purpose and function of sleep, sleep physiology, basic neurology of sleep, factors determining sleep distribution, chronophysiology, determining sleep EEG, sleep deprivation and its relationship to: neurodegenerative disease, cardiovascular system, endocrine system, motor system, pain control systems, gastrointestinal system. Sleep disorder examination, diagnosis, and treatments. Carrick Institute of Graduate Studies, Cape Canaveral, FL 2021
Visual Fixation and Saccadic Intrusions- The most current anatomy and physiology behind visual fixation and saccadic intrusions. Normal and pathological eye movements: Pulse and Step, Horizontal vs Vertical Eccentric Gaze Holding, Microsaccades, Macrosaccadic Oscillations, Square Wave Jerks, Ocular Drifts, Ocular Tremors, Nystagmus, Saccadic Pulses, Ocular Flutter, and Opsoclonus. Using Eye Movements and Visual Fixation to help diagnose neurological conditions. Using Eye Movements to help rehabilitate and manage neurological conditions. Current evidence-based treatments for disorders of Visual Fixation. Clinical Neuroscience approach for disorders of Visual Fixation. Carrick Institute of Graduate Studies, Cape Canaveral, FL 2021
TBI: Advancements in Diagnosis & Treatment- Realize: increased awareness of head injury and patient education, while developing the practitioner skills of recognition and real-time diagnosis of a concussion that is crucial in treatment, clinical skills necessary to be proficient in an objective and standardized assessment of concussion, a clinical fluency in the systematic review of the evidence supporting diagnostic and treatment paradigms of concussion. The neurological signs and symptoms of concussion that can be subtle and transient, as well as those that represent persistent sequelae, such as impaired attention and balance that make affected patients particularly vulnerable to further injury. Skills necessary to utilize the available screening tools for concussion, with particular emphasis on the role of visual function testing, the disconnect between clinical and biomechanical research efforts and develop a treatment paradigm using a biomechanical perspective in concert with a brain-based paradigm, an understanding of the biomechanics of the brain during head impact, as well as the potential population-based and gender differences in concussion tolerance, the current and novel potential intervention strategies to reduce the incidence of injury, and common biomechanical misconceptions, the effects of concussion on the autonomic nervous system and its control of cerebral blood flow, the skills necessary to engage in treatments of concussion using physical and cognitive activity paced until all symptoms resolve, the skills necessary to measure and quantify exercise and rehabilitation strategies necessary in the treatment of concussion, the skills necessary to establish physiological recovery from concussion. Carrick Institute of Graduate Studies, Cape Canaveral, FL 2021
Advanced Clinical Applications of Eye Movements- Examination of brain function, voluntary and reflexogenic eye movements, the visual striate cortex, the medial superior temporal and middle temporal areas, frontal cortex, the dorsolateral prefrontal cortex, frontal eye fields, supplementary high fields, superior colliculus, and Pontine para-medial reticular formation. Mastery of clinical procedures involving eye movements. Mastery of the understanding of the descending pathways involved in eye movements and their clinical applications: Brain function and the smooth pursuit system. Clinical skills associated with vergence eye movements. Understanding the extraocular motor system. The development of therapeutic treatment intervention. Carrick Institute of Graduate Studies, Cape Canaveral, FL 2021
Ethics & Law: HIPAA Compliance, 5 most important HIPAA Rules: (1) Privacy Rule; (2) Security Rule; (3) Transactions Rule; (4) Identifiers Rule; and (5) Enforcement Rule. Business Associate Agreements (BAA’s) for outside vendors who must necessarily come into possession of Patient Health Information (PHI) as well as how to train employees how to handle PHI. Back To Chiropractic CE Seminars, Board of Chiropractic Examiners, Santa Rosa, CA, 2021
Neuro Made Easy, Clinical neurology: neurological tests utilized, when to use them, and what they mean. Back To Chiropractic CE Seminars, Board of Chiropractic Examiners, Santa Rosa, CA, 2020
MRI: Lumbar Spine, Normal Lumbar MRI and Common Lumbar MRI findings. Back To Chiropractic CE Seminars, Board of Chiropractic Examiners, Santa Rosa, CA, 2020
Ethics and Law, Technique, & Wellness, Chiropractic as a non-pain, non-symptoms based model, re-evaluations, intake paperwork, ethical practice. Back To Chiropractic CE Seminars, Board of Chiropractic Examiners, Santa Rosa, CA, 2020
Ethics and Law, Technique, & Radiology, Insurance Fraud, unlicensed practice, sexual misconduct, excessive treatment, advertising, scope of practice, chiropractic technique, and radiology. Back To Chiropractic CE Seminars, Board of Chiropractic Examiners, Santa Rosa, CA, 2019
Ahead of the PI Curve—PI Coding for Trauma Cases, Essential ICD-10 codes; Codes That Influence Case Evaluations, Codes That Hurt Cases. Documentation errors, safety checklist, diagnostic assessment proving emotional trauma; pre-accident history. CCA-North Bay District, Board of Chiropractic Examiners, Santa Rosa, CA 2019
Spinal Cord, Detailed review of the structure and function of the spinal cord with emphasis on clinical syndromes, structured methodology to differentiate between various clinical syndromes directly and or indirectly involving the spinal cord. Applications in the treatment of the spinal cord injured patient. Carrick Institute of Graduate Studies, San Francisco, CA 2019
Neuromuscular Applications, Structure and function of the motor system in relationship to receptor activation, The relationship between brain/muscle spindle sensitivity/gain and muscle tone, Methodology concerning brain-based activation of the neuromuscular system. Carrick Institute of Graduate Studies, San Francisco, CA, 2019
Ethics and Law, Technique, Radiology, State laws, ethical practices, advanced imaging referrals, and conditions commonly seen on radiographs. Back To Chiropractic CE Seminars, Board of Chiropractic Examiners, Santa Rosa, 2018
Acupuncture & Neurology-- The Integration of Chinese Medicine & Clinical Neuroscience- Clinical neurology as an integral aspect of Chinese medicine, Introduction of the concept of longitudinal levels of lesion, Functions of the lobes of the brain, Clinical assessments for the frontal lobes, cerebellum, and brainstem, Practice sessions for bedside examination techniques, Clinical applications of a cranial nerve exam, Case studies, Clinical gems, Modern brain imaging research in acupuncture. Carrick Institute of Graduate Studies, Cape Canaveral, FL 2018
Ethics and Law, Technique, & Neurology, Negligence/Incompetence, failure to release patient records within 15 days, payment for referrals, scope of practice, advertising, chiropractic adjusting techniques, basic clinical neurology. Back To Chiropractic CE Seminars, Board of Chiropractic Examiners, Santa Rosa, CA, 2017
Lobes of the Brain, Review of the basic 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. Carrick Institute of Graduate Studies, San Francisco, CA, 2017
Pain, Pain generating mechanisms reviewed from the receptor to central processing, Central mechanisms for pain inhibition and facilitation reviewed with emphasis placed on the clinical syndromes associated with pain integration, Methodology specific to chiropractic modalities. Carrick Institute of Graduate Studies, San Francisco, CA, 2017
Clinical Applications of Joint Manipulation, Indications and contra-indications of spinal and extremity manipulation/adjustment of joints, Techniques that are specific to the patient’s individual body type and neurological status Neurological diagnostic skills in the choice of manipulative/adjustive therapy applications, Neurological signs that would dictate the areas of manipulation/adjustment and be able to measure the consequences of these therapies, Integration of head and eye movements and their role in manipulation/adjustment of the spine, Coupled manipulations/adjustments to the cervical spine, thoracic spine, lumbar spine and sacro-iliac joints, Manipulations/adjustments to the temporomandibular joint, sternocostal, costovertebral and costotransverse rib joints, shoulder joints, clavicles, elbow, wrist, hand, hip, knee, and foot, Maximum skill acquisition in high-velocity low-amplitude (HVLA) manipulation/adjusting techniques by the practicing clinician, Practical application learning scenarios based upon a neurological model of health care. Carrick Institute of Graduate Studies, San Francisco, CA, 2017
Advanced Billing & Coding Seminar- Proper Diagnosis Coding, Cash Practice, CPT, Personal Injury, Medicare, Veterans Administration, Workers’ Compensation. HJ Ross, Board of Chiropractic Examiners, San Francisco, CA 2017
Imaging & Back Pain-Part 2- Disc Nomenclature-Standardized Language, MRI review, Disc Classification, Modic Changes, Steroid Injections, Herniations. Low Back Pain & MRI, Physics Overview, Disc Nomenclature. Imaging & Back Pain Correlation-Stress Injuries to the Pars, Modic Degenerative Endplate Changes, Annular Tears, Multifidus Fatty Muscle. CCA-North Bay District, Board of Chiropractic Examiners 2017
Imaging & Back Pain-Part 1- Cervical Spine Trauma-Basic Anatomy, History, Red Flags, Decisions, Anomalies, Arthritides, Degenerative, Inflammatory, Neoplasm. MRI Contrast-Definition & History, MRI Review, Post Surgical Spine, Neoplasm & Malignancy, Infection, MS, Intra-articular Contrast. When to Order Tests. CCA-North Bay District, Board of Chiropractic Examiners 2017
Head & Face Pain, Clinical anatomy and neurophysiology of the peripheral and central pain pathways responsible for cranial pain perception. Neurological influences of multiple organ system functions as it pertains primarily to the production of the most commoncraniofacial pain syndromes. The most common syndromes involving head pain frommigraines to trigeminal neuralgia. Afferent pain pathways from the face in regard to their structure and function. Chiropractic applicationsspecific to cranial pain. Carrick Institute of Graduate Studies, San Francisco, CA, 2016
Patient Education, Examination, Technique, X-ray, Ethics and Law, Radiology, and Philosophy- Technique; History/Exam; Radiology. Mark S. Kimes, D.C. Salinas, CA 2016
Ethical Considerations in Personal Injury- Ethical Issues with Red Flags and Common Mistakes. Ethics & Challenges of Properly Closing PI Cases. CCA-North Bay District, Board of Chiropractic Examiners 2016
Neuron Theory & Receptor Activation, Advanced components of neuronal structure and activity with emphasis on the relationship between environmental potentials and their effects on the central nervous system, Clinical applications of the breadth and depth of information. Carrick Institute of Graduate Studies, San Francisco, CA, 2016
Ethics & Law Seminar- Ethical Behavior in Practice-Scope, Complying with State Board Unethical Behavior in Practice—Conduct; Negligence; Board Issues. The Ethical Practice Owner—Avoid Illegal DC Practice; Proper Classifying & Paying Employees; Avoiding Fraud; Legal Referrals. CCA-North Bay District, Board of Chiropractic Examiners 2015
Head & Face Pain, Clinical anatomy and neurophysiology of the peripheral and central pain pathways responsible for cranial pain perception. Neurological influences of multiple organ system functions as it pertains primarily to the production of the most commoncraniofacial pain syndromes. The most common syndromes involving head pain frommigraines to trigeminal neuralgia. Afferent pain pathways from the face in regard to their structure and function. Chiropractic applicationsspecific to cranial pain. Carrick Institute of Graduate Studies, San Francisco, CA, 2015
Pain, Pain generating mechanisms reviewed from the receptor to central processing, Central mechanisms for pain inhibition and facilitation reviewed with emphasis placed on the clinical syndromes associated with pain integration, Methodology specific to chiropractic modalities. Carrick Institute of Graduate Studies, San Francisco, CA, 2015
The Spectrum of Bone Disorders-Part 2- Osteochondroma & Hemangioma—What do Look For & Understand. Overview of Primary Bone Tumors and the Axial & Appendicular Skeleton. Overview of the Osteochondrosis, Osteogenesis Imperfecta, Osteopetrosis and Other Conditions. CCA-North Bay District, Board of Chiropractic Examiners 2015
The Spectrum of Arthritic Disorders-Part 1- Osteoarthritis in the Spine. Diffuse Idiopathic Skeletal Hyperostosis and Ossified Posterior Longitudinal Ligament. CCA-North Bay District, Board of Chiropractic Examiners 2015
The Spectrum of Arthritis Disorders-Part2- Neuropathic Arthropathy; Synoviochondrometaplasia. Rheumatoid Arthritis; Seronegative Arthropathies; Reactive/Reiter’s Syndrome; Scleroderma, Progressive Systemic Sclerosis, Gout. CCA-North Bay District, Board of Chiropractic Examiners 2014
Neuromuscular Applications, Structure and function of the motor system in relationship to receptor activation, The relationship between brain/muscle spindle sensitivity/gain and muscle tone, Methodology concerning brain-based activation of the neuromuscular system. Carrick Institute of Graduate Studies, San Francisco, CA, 2014
The Spectrum of Arthritic Disorders-Part 1- Osteoarthritis in the Spine. Diffuse Idiopathic Skeletal Hyperostosis and Ossified Posterior Longitudinal Ligament. CCA-North Bay District, Board of Chiropractic Examiners 2014
Ethics & Law- Responsibility for Conduct on Premises; Confidentiality-State &Federal. Personal Injury Competence & Avoiding Negligence. Unprofessional Conduct, Gross Negligence. Any Fraud or Misrepresentation, Unauthorized Disclosure. CCA-North Bay District, Board of Chiropractic Examiners 2013
Cardiac Functions, Neurophysiology of cardiac function, EKG, Neurophysiological approaches to influencing cardiac function. Carrick Institute of Graduate Studies, San Francisco, CA, 2013
Radiology-Part I- Cervical Spine: Cervical Ribs, Block Vertebrae, Spina Bifida Occulta. Thoracic Spine and Rib Cage: Common Rib Anomalies, Schmorl’s Nodes with or without Scheuermann’s Disease. Lumbar Spine: Transitional Segments, Block Vertebrae. Pelvis, Lower Extremity: Pitt’s Herniation Pits, Paget’s Disease. Upper Extremity: Supracondylar Process, Polydactyly. Negative/Positive Ulnar Variance. CCA-North Bay District, Board of Chiropractic Examiners 2013
Autonomic Nervous System, Structure and function of the ANS in relationship to respiratory, cardiovascular, gastrointestinal, and genitourinary function and pathology, Autonomic concomitants associated with central and peripheral lesions, Clinical methodology involving diagnosis and treatment of neurological dysfunction of the ANS.Carrick Institute of Graduate Studies, San Francisco, CA, 2012
X-ray Update 2012-Part II- Overview of physics and position principles (cathode, anode and patient placement, film and cassette speed, recumbent radiography of the spine, etc). Overview of common arthropathies, trauma and tumors of the axial and appendicular skeleton and implications on patient care. Disc lesions and nomenclature. CCA-North Bay District, Board of Chiropractic Examiners 2012
X-ray Update 2012-Part I- Cervical Spine: Cervical Ribs, Block Vertebrae, Spina Bifida Occulta. Thoracic Spine and Rib Cade: Common Rib Anomalies, Schmorl’s Nodes with or without Scheuermann’s Disease. Lumbar Spine: Transitional Segments, Block Vertebrae. Pelvis, Lower Extremity: Pitt’s Herniation Pits, Paget’s Disease. Upper Extremity: Supracondylar Process, Polydactyly. Negative/Positive Ulnar Variance. CCA-North Bay District, Board of Chiropractic Examiners 2012
Cerebellar Cortices, Review of the major afferent and efferent projections of the cerebellum as well as the central/peripheral consequences of cerebellar pathology, The relationship of labyrinthine integration to occular movement with emphasis on its clinical application. Carrick Institute of Graduate Studies, San Francisco, CA, 2012
Reflexogenic Systems, Review of the structure and function of spinal cord reflexes from monosynaptic to cross cord reflexes, Clinical applications emphasized in relationship to the use of modalities in the treatment of central and peripheral based disorders of muscle tone. Carrick Institute of Graduate Studies, San Francisco, CA, 2012
Ethics & Personal Injury- Complying with Chiropractic Law; Unprofessional Conduct; History; Competence, Avoiding Negligence & Not Committing Fraud. Personal Injury: Insurance Company Perspective; Insurance Fraud Case Example; How to Avoid Problems; Court Perspective; Colossus. CCA-North Bay District, Board of Chiropractic Examiners 2012
3rd Annual Conference for the International Association of Functional Neurology and Rehabilitation, Functional Neurology assessments, diagnosis, and therapeutic approaches. IAFNR, Phoenix, AZ, 2012
16th Annual Spine Research Institute Scientific Conference – Spine Research Institute of San Diego- The purpose of the Annual SRISD Scientific Conference is to review the entire year of scientific research and publication from the diverse fields of clinical medicine and automotive safety engineering, as well as research coming directly from SRISD and its research affiliate, the Center for Research into Automotive Safety and Health. In addition to the literature indexed by the National Library of Medicine, the conference reviews literature published in the Annual Association for the Advancement of Automotive Medicine (AAAM) Scientific Program, the Annual Conference of the International Research Council on the Biomechanics of Impact (IRCOBI), the Annual SAE Stapp Car Crash Conference (and SAE general publications), the Annual International Traffic Medicine Association (ITMA) Conference, and the Annual International Technical Conference on the Enhanced Safety of Vehicles (ESV). Dr. Croft also reviews the happenings and proceedings at the various world conferences on whiplash and other related fields. Southern California University of Health Sciences 2011
Movement Disorders Part II San Francisco 3-day Conference – Dr. Fred Carrick. The clinical movement disorder phenotypes. Understanding the relationships of different presenting movements disorder classifications. Tremor, Chorea, myoclonus, hemiballismus, gait disturbances, Parkinson’s disease, and more. An up to date understanding of the etiology of the disease and how it presents in various formats throughout the lifespan. Targeted intervention and clinical possibilities in an evidence-based paradigm of patient care.The diagnosis, etiology, epidemiology, and treatment of tic syndromes. Diagnosis and treatment using a functional approach to clinical neuroscience. Carrick Institute of Graduate Studies, San Francisco, CA 2011
Movement Disorders Part I San Francisco – Dr. Fred Carrick. The basal ganglia in health and disease, anatomy and physiology of the basal ganglia from a functional point of view. The role of the basal ganglia in health and disease with focus on examinations at the bedside.A functional approach to the diagnosis and treatment of movement disorders.Examination techniques and supporting investigations will be explored in a patient-based paradigm of healthcare. Integration of a multi-sensorial system provides a unique opportunity for clinical applications.Syndromes of hypomobility and akinesia. This module addresses much more than rigid symptomatology in many movement disorders. It is central for the understanding of joint position error and fixation in the axial skeleton and extremities. Many disease forms present with combinations of akinetic phenomenology. A differential diagnostic approach to the understanding of different lesions of the nervous system with similar presentations will be embraced. Carrick Institute of Graduate Studies, San Francisco, CA 2011
X-ray Overview of Digital Software Part II- Summary of Wiltze’s Classification of the Six Types of Spondylolistheses – Supported by Clinical Examples. Imaging and /radiographic Positioning of Patients. Isthmic, and Degenerative Spondylolisthesis Overview. Case Review of an Iatrogenic Spondylolisthesis. CCA-North Bay District, Board of Chiropractic Examiners 2011
X-ray Overview of Digital Software Part I- Demonstration of change of contrast, density, image magnification, image reversion, etc.; Cervical Spine anatomy overview; Roentgenometrics demonstrated; Thoracic and Lumbar Spine anatomy overview. Thoracic and Lumbar Spine Roentgenometrics demonstrated. Extremity overview; basic angles & Roentgenometrics of Shoulder, Elbow, Wrist, Hand, Hip, Knee, Ankle and Foot Joints. CCA-North Bay District, Board of Chiropractic Examiners 2011
Advanced Comprehensive Insurance Seminar- Proper Diagnosis Coding, Cash Practice, CPT, Personal Injury, Medicare, Veterans Administration, Workers’ Compensation. HJ Ross, Board of Chiropractic Examiners 2011
Advanced Comprehensive Insurance Seminar- Proper Diagnosis Coding, Cash Practice, CPT, Personal Injury, Medicare, Veterans Administration, Workers’ Compensation. HJ Ross, Board of Chiropractic Examiners 2010
Nutritional Neurology- The neurophysiological difference between cell membrane fluidity vs. stiffness, the relationship between omega-3 v. omega 6 fatty acids, trans-fatty acids, nutritional influences on immune system function, excitotoxins and neurodegenerative diseases. Life Chiropractic College West, Daniel Murphy, DC, DABCO 2010
Movement Disorders Conference in Dominican Republic, The basal ganglia, eye movements, types of movement disorders, assessment of movement disorders, diagnosing movement disorders, and therapeutic approaches to movement disorders. Carrick Institute for Graduate Studies, Punta Cana, Dominican Republic, 2010
Peripheral Nervous System and Electrodiagnostic Studies, Review of the general principles of electrodiagnostic testing involving EMG, NCV, BAERS and VEPs, the most common findings associated with these tests reviewed in light of various clinical syndromes, The utilization of these modalities in the clinical practice. Carrick Institute of Graduate Studies, San Francisco 2010
Cutting-Edge Research to Improve Patient Outcomes –Dr. Malik Slosberg, DC, MS. Applying cutting-edge research to everyday practice in order to improve patient well- being, physical function and brain function by integrating chiropractic and exercise training. Review of the newest chiropractic research in practical and inspiring ways and includes the latest evidence available. Changing the natural history of chronic problems, improve patient function, performance, self-efficacy, brain function and neuromotor control. Effectively document patient progress with self-reports and objective physical performance tests. Life Chiropractic College West, Las Vegas, NV 2010
15th Annual Spine Research Institute Scientific Conference –Keynote Speaker Frank A. Pintar, Ph.D. Dr. Pintar is Professor of Neurosurgery and Biomedical Engineering; author of 2 textbooks on head and neck trauma, and over 140 peer-reviewed journal papers. Dr. Pintar conducts collaborative projects with the CDC-sponsored Injury Research Center. He directs the only NHTSA-certified full-scale crashworthiness laboratory in an academic setting in the world, as well as a sled lab, biomechanics lab, stem cell lab, neurobiology lab, tissue/culture lab, and neurohistology lab. The purpose of the Annual SRISD Scientific Conference is to review the entire year of scientific research and publication from the diverse fields of clinical medicine and automotive safety engineering, as well as research coming directly from SRISD and its research affiliate, the Center for Research into Automotive Safety and Health. In addition to the literature indexed by the National Library of Medicine, the conference reviews literature published in the Annual Association for the Advancement of Automotive Medicine (AAAM) Scientific Program, the Annual Conference of the International Research Council on the Biomechanics of Impact (IRCOBI), the Annual SAE Stapp Car Crash Conference (and SAE general publications), the Annual International Traffic Medicine Association (ITMA) Conference, and the Annual International Technical Conference on the Enhanced Safety of Vehicles (ESV). Dr. Croft also reviews the happenings and proceedings at the various world conferences on whiplash and other related fields. Spine Research Institute of San Diego, Southern California University of Health Sciences 2010
Whiplash and Spinal Trauma- The unique anatomy of the cervical spine as related to spinal trauma. The uncinate process joints as related to disc herniation, the nerve root, the vertebral artery, and the spinal cord. Influence of sleep on brain neurochemistry. Awareness and Soft Tissue Injury. The history of whiplash injuries, including mechanical mechanisms, biological mechanisms, pathology, diagnostics and management. Recent advances in the understanding of whiplash injuries, emphasizing anatomy, diagnostics, pain production and pain suppression. Integrate whiplash trauma, chronic pain, and chiropractic care. Low Speed Collisions and Minor Vehicle Damage. Integrate the concepts of awareness, rotation, and pre-accident spondylosis in injury magnitude and prognosis. Soft Tissue Injury and Repair. Treatment Duration, Frequency, and Prognosis. The incidence of acceleration of spondylosis in long-term studies following a whiplash injury. Life Chiropractic College West, Daniel Murphy, DC, DABCO, International Chiropractic Association 2010
Radiology- Spectrum of imaging findings in everyday practice with an emphasis on normal findings and variants. Tumors and infections of the Thoracic Spine; Spectrum of imaging findings in everyday practice with an emphasis on normal findings and variants relative to the Lumbar Spine; Review of basic routine utilized when taking an X-ray; Positioning for standard spinal and extremity films. CCA-North Bay District, Board of Chiropractic Examiners 2009
Radiology- Basic X-ray Physics Principles; Valuable Lines of Mensuration & their application to the structural evaluation of patient; spectrum of imaging findings in everyday practice with an emphasis on normal findings and variants relative to the cervical spine; arthritis, trauma, congenital anomalies of the Thoracic Spine. CCA-North Bay District, Board of Chiropractic Examiners 2009
Autonomic Nervous System, Structure and function of the ANS in relationship to respiratory, cardiovascular, gastrointestinal, and genitourinary function and pathology, Autonomic concomitants associated with central and peripheral lesions, Clinical methodology involving diagnosis and treatment of neurological dysfunction of the ANS.Carrick Institute of Graduate Studies, San Francisco, CA, 2009
Reflexogenic Systems, Review of the structure and function of spinal cord reflexes from monosynaptic to cross cord reflexes, Clinical applications emphasized in relationship to the use of modalities in the treatment of central and peripheral based disorders of muscle tone. Carrick Institute of Graduate Studies, San Francisco, CA, 2009
Graston Soft Tissue Technique M1- Graston Technique® effects, and benefits, indications and contraindications (relative and absolute) of GT, Understanding of soft tissue injury, healing and potential reactivity to instrument-assisted soft tissue mobilization (therapeutic and adverse), Competence in the GT application of IASTM to the major regions of soft tissue. 2009
13th Annual Spine Research Institute Scientific Conference – Spine Research Institute of San Diego. Keynote Speaker Larry Nordhoff DC, QME, ACTAR. Review the entire year of scientific research and publication from the diverse fields of clinical medicine and automotive safety engineering, as well as research coming directly from SRISD and its research affiliate, the Center for Research into Automotive Safety and Health. In addition to the literature indexed by the National Library of Medicine, the conference reviews literature published in the Annual Association for the Advancement of Automotive Medicine (AAAM) Scientific Program, the Annual Conference of the International Research Council on the Biomechanics of Impact (IRCOBI), the Annual SAE Stapp Car Crash Conference (and SAE general publications), the Annual International Traffic Medicine Association (ITMA) Conference, and the Annual International Technical Conference on the Enhanced Safety of Vehicles (ESV). Dr. Croft also reviews the happenings and proceedings at the various world conferences on whiplash and other related fields. Southern California University of Health Sciences 2008
The Colossal Personal Injury Seminar, Colossus, Clinical Documentation, Case management, and research regarding motor vehicle collisions. Bay Area, CA, 2008
Medicolegal Fundamentals for Practitioners and Forensic Experts – Spine Research Institute of San Diego- Should you accept the case?; Reporting; Records keeping; Medical photography; Depositions; Arbitrations; Testifying in court; Using evidence; Medicolegal rebuttal; Daubert and Frye; Motions in limine. Southern California University of Health Sciences 2008
Principles of Impairment Rating and Forensic Reporting, Intake forms; SOAP notes; Re-examinations and supplemental reports; The narrative report; Special procedures; Disability questionnaires; Independent medical examinations; Practice development. Southern California University of Health Sciences 2008
Management Principles in Personal Injury and Forensic Documentation – Spine Research Institute of San Diego- An accident reconstruction primer; History taking; Physical examination; Radiographic examination; CT examination; MRI examination; Special diagnostic imaging; Electrodiagnostics; Summary of diagnostic testing; Diagnosis/impression; Soft tissue healing; Staging the injury; Report of findings; Designing a treatment plan; Activities of daily living;Chiropractic manipulative therapy and deep tissue massage; Physical therapy modalities; Treatment of TMD; Maximum medical improvement (MMI). Southern California University of Health Sciences 2008
Whiplash Advanced Topics: The Fundamental Science – Spine Research Institute of San Diego- Basic and special concepts of biomechanics, Injury impairment, Epidemiology of whiplash, Brain, neck, and cervical spine trauma mechanisms from motor vehicle crashes (MVC), Soft tissue injuries, Common syndromes, Conditions affecting muscles, Pain syndromes, Outcome of Cervical Acceleration/Deceleration (CAD) injury. Southern California University of Health Sciences 2008
Movement Disorders, The breadth and depth of information pertaining to the pathophysiological mechanisms associated with movement disorders in such a way as to facilitate the diagnosis and treatment of various movement disorders by the practicing chiropractic neurologist, Emphasis placed on the application of chiropractic modalities in the treatment of various movement disorders ranging from Parkinson’s to focal dystonia. Carrick Institute of Graduate Studies, San Francisco, CA, 2008
Pain, Pain generating mechanisms reviewed from the receptor to central processing, Central mechanisms for pain inhibition and facilitation reviewed with emphasis placed on the clinical syndromes associated with pain integration, Methodology specific to chiropractic modalities. Carrick Institute of Graduate Studies, San Francisco, CA, 2008
Cranial Nerves, 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 will be covered in detail both didactically and practically.Carrick Institute of Graduate Studies, San Francisco, CA, 2007
The Brain and Its Environment, Review of the internal and supportive structures of the brain with emphasis placed on the major afferent and efferent projections associated with brain activity, Lesions of the supportive structures of brain and the clinical methodology used in determining brain vascular integrity, Applications specific to brain based treatments. Carrick Institute of Graduate Studies, San Francisco, CA, 2007
Functional Endocrinology. Review of the physiology and the key concepts in functional endocrinology; Review the scientific literature regarding how various diets, botanicals, nutrients, and lifestyle and environmental factors can impact the endocrine system directly and indirectly; Support healthy endocrine balance with or without the use of aggressive hormone replacement strategies; Review of human physiology will be followed by clinical applications, general review of relevant laboratory tests, differential diagnoses, and how to identify cases that may need to be referred for further consultation and/or evaluation; Key concepts and principles in endocrinology; Clinical pearls and insights to improve patient care and enhance personal practice; Latest published research; The strengths and weaknesses of hormone laboratory testing methods; How to use diet, nutrition, and lifestyle strategies to support healthy endocrine function. Apex Seminars, University of Bridgeport, Health Sciences Postgraduate Education Department 2006
Functional Blood Chemistry Analysis. Differences between functional and pathological laboratory evaluations, Understand how to identify pathology and when to refer for further testing or more comprehensive management, Understand the basic principles of laboratory biochemistry, Identify patterns associated with disease and functional imbalances, Understand how to differentially diagnose blood chemistry patterns, Review the literature in regards to nutritional and herbal compounds that can be used to support abnormal patterns, Appropriately manage and follow up patient care with repeat testing. Apex Seminars, University of Bridgeport, Health Sciences Postgraduate Education Department 2006
Cutting-Edge Research to Improve Patient Outcomes, Applying cutting-edge research to everyday practice to improve patient well- being, physical function and brain function by integrating chiropractic and exercise training. Review of the newest chiropractic research in practical and inspiring ways and includes the latest evidence available. Changing the natural history of chronic problems, improve patient function, performance, self-efficacy, brain function and neuromotor control. Effectively document patient progress with self-reports and objective physical performance tests. Life West Chiropractic College, Las Vegas, NV 2006
Pain, Headache and Face Pain, Clinical anatomy and neurophysiology of the peripheral and central pain pathways responsible for cranial pain perception. Neurological influences of multiple organ system functions as it pertains primarily to the production of the most commoncraniofacial pain syndromes. The most common syndromes involving head pain frommigraines to trigeminal neuralgia. Afferent pain pathways from the face in regard to their structure and function. Chiropractic applicationsspecific to cranial pain. Carrick Institute of Graduate Studies, San Francisco, CA, 2006
Cerebellar Cortices, Review of the major afferent and efferent projections of the cerebellum as well as the central/peripheral consequences of cerebellar pathology, The relationship of labyrinthine integration to ocular movement with emphasis on its clinical application. Carrick Institute of Graduate Studies, San Francisco, CA, 2005
The New Era in Whiplash and Spinal Trauma, Part 2, Motor vehicle collision research, mechanisms and biomechanics of motor vehicle collisions, clinical management of motor vehicle injuries, therapeutic approaches to injuries. Life Chiropractic College West, San Leandro, CA, 2004
The New Era in Whiplash and Spinal Trauma, Part 1, Motor vehicle collision research, mechanisms and biomechanics of motor vehicle collisions, clinical management of motor vehicle injuries, therapeutic approaches to injuries. Life Chiropractic College West, San Leandro, CA, 2004
Electrodiagnostics, EMG: Function, proper utilization, and interpretation. Carrick Institute of Graduate Studies, San Francisco, CA, 2004
Cardiac Functions, Neurophysiology of cardiac function, EKG, Neurophysiological approaches to influencing cardiac function. Carrick Institute of Graduate Studies, San Francisco, CA, 2004
Peripheral Nervous System, Proper function of the peripheral nervous system (PNS) is critical to optimum human expression, Review of the clinically important structural layout of the PNS and discusses the most common clinical scenarios affecting the peripheral nervous system, Topics range for simple compressive mono-neuropathies to more complex metabolic and inflammatory conditions, Diagnostic and treatment protocols emphasized. Carrick Institute of Graduate Studies, San Francisco, CA, 2003
Certification Program for Interactive Metronome. Qualified to plan and conduct Interactive Metronome training. 2003
Clinical Applications of Joint Manipulation, Indications and contra-indications of spinal and extremity manipulation/adjustment of joints, Techniques that are specific to the patient’s individual body type and neurological status Neurological diagnostic skills in the choice of manipulative/adjustive therapy applications, Neurological signs that would dictate the areas of manipulation/adjustment and be able to measure the consequences of these therapies, Integration of head and eye movements and their role in manipulation/adjustment of the spine, Coupled manipulations/adjustments to the cervical spine, thoracic spine, lumbar spine and sacro-iliac joints, Manipulations/adjustments to the temporomandibular joint, sternocostal, costovertebral and costotransverse rib joints, shoulder joints, clavicles, elbow, wrist, hand, hip, knee, and foot, Maximum skill acquisition in high-velocity low-amplitude (HVLA) manipulation/adjusting techniques by the practicing clinician, Practical application learning scenarios based upon a neurological model of health care. Carrick Institute of Graduate Studies, San Francisco, CA, 2002
Neurological Review, Carrick Institute of Graduate Studies, San Francisco, CA, 2002
Cardiac Functions, Neurophysiology of cardiac function, EKG, Neurophysiological approaches to influencing cardiac function. Carrick Institute of Graduate Studies, San Francisco, CA, 2002
Movement Disorders, The breadth and depth of information pertaining to the pathophysiological mechanisms associated with movement disorders in such a way as to facilitate the diagnosis and treatment of various movement disorders by the practicing chiropractic neurologist, Emphasis placed on the application of chiropractic modalities in the treatment of various movement disorders ranging from Parkinson’s to focal dystonia. Carrick Institute of Graduate Studies, San Francisco, CA, 2002
Motor Systems, Structure and function of the major volitional and non-volitional motor pathways, Function of the basal ganglia, cerebral cortex, cerebellum, brainstem and spinal cord in relationship to the human motor system, Applications specific to the diagnosis and treatment of both central and peripheral pathology. Carrick Institute of Graduate Studies, San Francisco, CA, 2002
Pain, Headache and Face Pain, Clinical anatomy and neurophysiology of the peripheral and central pain pathways responsible for cranial pain perception. Neurological influences of multiple organ system functions as it pertains primarily to the production of the most commoncraniofacial pain syndromes. The most common syndromes involving head pain frommigraines to trigeminal neuralgia. Afferent pain pathways from the face in regard to their structure and function. Chiropractic applicationsspecific to cranial pain. Carrick Institute of Graduate Studies, San Francisco, CA, 2002
Sensory Systems, The major sensory pathways specific to their structure and function, Central processing of sensory information in relationship to thalamic and cortical integration, Disorders of the sensorium and methodology aid in differentiating these disorders from central and peripheral origins, Applications specific to the treatment of the sensorium.Carrick Institute of Graduate Studies, San Francisco, CA, 2002
Consciousness, Review of the basic neurological functional aspects that govern consciousness in humankind at a breadth and depth specific to chiropractic practice, Emphasis on the dynamic functional interaction of those systems governing consciousness in humankind, The interrelationship between ocular motor and vertebral motion segment functionality at a breadth and depth specific to chiropractic practice, The cortical and cerebellar influences on consciousness in humankind, Various alterations in human consciousness at a breadth and depth applicable to chiropractic practice.Clinical evaluation and management of consciousness and cognitive function. Carrick Institute of Graduate Studies, San Francisco, CA, 2002
Neurological Diagnosis, Presentation of a structured format in approaching the neurological examination, Emphasis placed on reviewing the most common syndromes one may encounter during the practical portion of the exam as well as methodology to understand and apply non Cartesian logic. Carrick Institute of Graduate Studies, San Francisco, CA, 2001
Cranial Nerves, 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 will be covered in detail both didactically and practically.Carrick Institute of Graduate Studies, San Francisco, CA, 2001
Cerebellar Cortices, Review of the major afferent and efferent projections of the cerebellum as well as the central/peripheral consequences of cerebellar pathology, The relationship of labyrinthine integration to occular movement with emphasis on its clinical application. Carrick Institute of Graduate Studies, San Francisco, CA, 2001
The Brain and Its Environment, Review of the internal and supportive structures of the brain with emphasis placed on the major afferent and efferent projections associated with brain activity, Lesions of the supportive structures of brain and the clinical methodology used in determining brain vascular integrity, Applications specific to brain based treatments. Carrick Institute of Graduate Studies, San Francisco, CA, 2001
Autonomic Nervous System, Structure and function of the ANS in relationship to respiratory, cardiovascular, gastrointestinal, and genitourinary function and pathology, Autonomic concomitants associated with central and peripheral lesions, Clinical methodology involving diagnosis and treatment of neurological dysfunction of the ANS.Carrick Institute of Graduate Studies, San Francisco, CA, 2001
Reflexogenic Systems, Review of the structure and function of spinal cord reflexes from monosynaptic to cross cord reflexes, Clinical applications emphasized in relationship to the use of modalities in the treatment of central and peripheral based disorders of muscle tone. Carrick Institute of Graduate Studies, San Francisco, CA, 2001
Spinal Cord, Detailed review of the structure and function of the spinal cord with emphasis on clinical syndromes, structured methodology to differentiate between various clinical syndromes directly and or indirectly involving the spinal cord. Applications in the treatment of the spinal cord injured patient. Carrick Institute of Graduate Studies, San Francisco, CA 2001
Industrial Disability Evaluator, Workers’ compensation terminology, rating disability in California, AMA Guides to spinal examinations and impairment; apportionment. Life West Chiropractic College, San Leandro, CA, 2001
Webster’s Technique- Certificate of Proficiency, Chiropractic and Pregnancy. Life West Chiropractic College, San Leandro, CA 2001
PUBLICATIONS
Lincoln, David (2022), CASE STUDY: Diagnosis of a chronic low back pain patient experiencing radiating symptoms in the leg utilizing appropriate examination procedures and radiographs, retrievedfrom https://www.uschirodirectory.com/index.php?option=com_k2&view=item&id=868:case-study-diagnosis-of-a-chronic-low-back-pain-patient-experiencing-radiating-symptoms-in-the-leg-utilizing-appropriate-examination-procedures-and-radiographs&Itemid=376
Lincoln, David (2022), CASE STUDY: Safe and Effective Chiropractic Treatment of a Large Intervertebral Disc Extrusion causing Moderate Spinal Canal Stenosis and Displacement of Nerve Roots, retrieved from https://www.uschirodirectory.com/index.php?option=com_k2&view=item&id=866:case-study-safe-and-effective-chiropractic-treatment-of-a-large-intervertebral-disc-extrusion-causing-moderate-spinal-canal-stenosis-and-displacement-of-nerve-roots&Itemid=376
SELECTED TEACHING/INSTRUCTING/LECTURING/CONSULTING
Associate Faculty, Southern California University of Health Sciences, Whittier, CA 2023-Present
Extension Faculty, Parker University and Community Based Internships (CBI), Dallas, Texas 2023-Present
INSTRUCTOR - Interprofessional Spine Care Review: Enhancing Communication and Patient Navigation - Extensive reviewed and presented on the physical examination, diagnosis, and imaging findings, including detailed analysis of MRI sequences. Sequences included sagittal and axial T1, T2 and STIR. The case involved a 66-year-old female patient with numbness and tingling in her extremities, progressing to severe weakness and significant spinal pathology. Focus was on interpreting MRI and CT findings to correlate with clinical symptoms, providing a comprehensive evaluation to guide patient management and potential surgical interventions. Anatomical and clinical presentation surrounded central canal stenosis in the cervical spine with degenerative myelopathic findings which included a differential diagnosis of spinal cord edema versus myelomalacia. Additional overlying findings included acute to subacute compression deformity versus degenerative changes. Federation of Chiropractic Licensing Boards, PACE; National Spine Management Group, 2024.
Associate Doctor Trainer, Primary Spine and Injury Center, Santa Rosa, CA 2023-Present
Associate Doctor Trainer, Healthy Families Chiropractic, Santa Rosa, CA 2018-2022
Associate Doctor Trainer, Advanced Chiropractic Neurology Center, Santa Rosa, CA 2015-2018
LECTURE: Understanding How Chiropractic Neurology Affects the Brain– History of Chiropractic Neurology, Brain Development, Neuroanatomy, Neurophysiology, Posture, Assessment of Brain Function, Affecting Brain Functionality. Kaiser Permanente Psychiatry Department, Santa Rosa, CA 2005
SELECTED MEMBERSHIPS
National Spine Management Group, 2022-Present
Academy of Chiropractic, 2021-2023
California Chiropractic Association, 2021-Present
AWARDS
Clinical Excellence Award, Century Award, Academy of Chiropractic 2024
Clinical Excellence Award, Platinum Award, Academy of Chiropractic 2023
Clinical Excellence Award, Gold Award, Academy of Chiropractic 2023
Clinical Excellence Award, Silver Award, Academy of Chiropractic 2022
Clinical Excellence Award, Bronze Award, Academy of Chiropractic 2022
Clinical Excellence Award, Copper Award, Academy of Chiropractic 2022
Magna Cum Laude Doctorate of Chiropractic, Life Chiropractic College West, Hayward, CA 1999
Advanced Diagnostic Interpretation: Thyroid Pathology and Empty Sella in MRI Spinal Imaging -This course provided an in-depth review of incidental thyroid pathology identified on MRI, focusing on the appropriate follow-up for an enlarged thyroid. Participants analyzed the pathophysiology of thyroid enlargement, including benign and malignant differentials, and reviewed best practices for interdisciplinary communication. The course emphasized the role of ultrasound as the primary diagnostic modality, the indications for fine needle aspiration biopsy, and the interpretation of thyroid function tests. Through case-based discussions, attendees enhanced their ability to integrate incidental findings into comprehensive patient management, improving their diagnostic acumen and referral strategies in clinical practice.National Spine Management Group, Federation of Chiropractic Licensing Boards–2025.
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