Dr. Mark Lesko

Doctor of Chiropractic, Licensed in the State of Texas, License # 4597, 1987-Present

Doctorate of Chiropractic, Parker College of Chiropractic, Cum Laude, Dallas, Texas, 1986

Internship, Parker College Outpatient Clinic, Dallas, Texas, 1985 – 1986

National Board of Chiropractic Examiners, Part I, 1986

National Board of Chiropractic Examiners, Part II, 1986

National Board of Chiropractic Examiners, Physiotherapy, 1986

Undergraduate Studies in Pre-Chiropractic, Ramapo College of New Jersey, Mahwah, New Jersey, 1981 – 1983

Spinal Biomechanical Engineering: Lumbar Pathobiomechanics, Spinal biomechanics 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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 instability as sequelae to pathobiomechanics from trauma. The utilization of digital motion x-ray in diagnosing normal versus abnormal facet motion along with case studies to understand clinical application Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

Spinal Biomechanical Engineering: Cervical Pathobiomechanics, Spinal biomechanics 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

Impairment Ratings, Duties Under Duress and Loss of Enjoyment Factors, Topics included, but were not limited to: How to Properly Document MMI, How to Properly Document Impairment Rating and Proper Documentation of Duties Under Duress and Loss of Enjoyment Factors Mathis PI Institute, Austin, Texas, 2017

Minor Impact Soft Tissue, Topics included, but were not limited to: Carrier Segmentation of Claims Involving Low property Damage. Mathis PI Institute, Austin, Texas, 2017

Evidence Based Spine Care: Epidemiology of spine care, the opiod epidemic and spinal manipulation for pain management, Functional neuroanatomy and neurochemistry of pain perception, including descending modulation of pain in the central nervous system. Review of specific research outlining spinal manipulations influence on the central nervous system in the spine patient. Clinical assessment and inter professional communications relating to the diagnosis and management of the mechanical spine pain patient. Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Dallas, Texas, March, 2017

Evidence Based Spine Care: Spinal biomechanics and response to trauma. Detailed review of spinal instability, mechanical spine trauma and global spinal biomechanical balance, The influence of spinal sagittal curvature, pelvic incidence, sacral slope and pelvic tilt on conservative and surgical care outcomes. Clinical correlation with radiographic and advanced imaging findings specific to the spine pain patient. Academy of Chiropractic, Academy of Chiropractic, recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Dallas, Texas, March, 2017

Evidence Based Spine Care: Coordination of care and clinical documentation associated with interprofessional communication, Focus on the safety of chiropractic management of the spine patient and review of research related to specific phases of care, acute intervention, corrective care and health maintenance care were reviewed. Documentation and workflows related to an inter-professional team approach focusing on compliance and delivery in the modern practice environment. Academy of Chiropractic, Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Dallas, Texas, March, 2017

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. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017

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. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017

Crash Dynamics and It’s 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. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017

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. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017

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. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017

Documentation and Reporting for the Trauma Victim, Understanding the necessity for accurate documentation and diagnosis utilizing the ICD-10 and the CPT to accurately describe the injury through diagnosis. Understanding and utilizing state regulations on reimbursement issues pertaining to healthcare. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017

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, my-pathology, neuropathology and pathophysiology in both a functional and structural paradigm. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017

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. Texas Chiropractic College PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

MRI Spinal Anatomy and Protocols, Normal anatomy of axial and saggital 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

MRI Disc Pathology and Spinal Stenosis, MRI interpretation of bulged, herniated, protruded, sequestered and fragmented disc pathologies in etiology and neurological sequelae in relationship to the spinal cord and spinal nerve roots. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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.Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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 sequelae, including bulge, herniation, protrusion, extrusion and sequestration. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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 vertebrae, Schmorel’s nodes and herniations. Central canal and caudal equina compromise interpretation with management. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, STIR axial, stacking, FFE, FSE and sagittal images in the interpretation of stenosis, pseudo-protrusions, cantilevered vertebrae, Schmorel’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 and cauda-equina compromise interpretation with management. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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 vertebrae, Schmorel’s nodes and herniations. Spinal cord and canal compromise interpretation with management. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

MRI Interpretation of Cervical Herniations, MRI slices, views,T1, T2, STIR axial, FFE, FSE and sagittal images in the interpretation of cervical herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrae, Schmorel’s nodes and herniations. Morphology of cervical disc pathologies of central and lateral herniations, protrusions, extrusions, sequestration, focal and broad based herniations are defined and illustrated. Spina cord and canal compromise interpretation with management. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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 thecae sac involvement from an orthopedic, emergency room, chiropractic, neurological, neurosurgical, physical medicine perspective. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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 (AOMSI) 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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, ocular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithm in analyzing a spine. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

Spinal Biomechanical Engineering: Lumbar Digital Analysis, Digitizing and analyzing the lumbar spine imaged to diagnose pathobiomechanics. This includes anterior and posterior vertebral body elements in rotational analysis with neutral, left and right lateral bending in conjunction with gait 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

Spinal Biomechanical Engineering: Full Spine Digital Analysis, Digitizing and analyzing the full spine imaged to diagnose pathobiomechanics as sequelae to trauma in relation to ligamentous failure and disc and vertebral pathology as sequelae. 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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. texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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 of the spine. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

Spinal Trauma Pathology: Spinal Biomechanics, Central Nervous System and Spinal Disc Nomenclature, The application of spinal biomechanics engineering models in trauma and the negative sequelae it has on the central nervous system inclusive of the lateral horn, periaqueductal gray matter, thalamus and cortices involvement. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

Spinal Trauma Pathology: Biomechanics of Traumatic Disc Bulge and Age Dating Herniated Disc Pathology, The biomechanics of traumatic disc bulges as sequella from trauma and the comorbidity of ligamentous pathology. Age – dating spinal disc pathology in accordance with Wolff’s Law. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York., 2017

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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

Spinal Trauma Pathology: Research Perspectives, The current literature standards in spinal trauma pathology and documentation review of bio mechanical failure, ligamentous failure and age-dating disc pathology. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017

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. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017

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 critical documentation acquired from an accident site. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017

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. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017

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, dislocationa, and functional loss are also detailed in relation to impairment ratings. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

Head Trauma, Brain Injury and Concussion, brain and head physiology, brain mapping and pathology as a sequella to trauma. traumatic brain injury, mild traumatic brain injury, axonal shearing, diffuse axonal injury and concussion are detailed in etiology and clinically. Clinical presentation, advanced diagnostic imaging and electro diagnostics are detailed in analysis to create a differential diagnosis. Balance disorders that often occur as a result of trauma are also explored from clinical presentation to advanced imaging and differential diagnosis. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017

Patient Intake, History and Physical Examination, Determining the etiology of the patient’s complaints in a traumatic or non-traumatic scenario. Analyzing the patient’s past history and review of systems along with the performance of a complete orthopedic, neurological and clinical examination to correlate both past, current and causality issues to formulate an accurate diagnosis, prognosis and treatment plan. There is an emphasis on triaging both the trauma and non-trauma patients. Texas Chiropractic College or Pace Recognized by The Federation of Chiropractic Licensing Boards, Academy of Chiropractic Post Doctoral Division, Long Island, New York, 2017

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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

Orthopedic Testing: Clinical Grand Rounds, Integration of 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

Stroke Anatomy and Physiology: Stroke Types and Blood Flow, Various types of stroke identifying ischemia, hypo profusion, 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 in stroke inclusive of diabetes, coagulopathy, acquired and hereditary deficiencies. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

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 chord 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. Texas Chiropractic College or PACE Recognized by The Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, New York, 2017

Connective Tissue Spinal Disc Permanant Pathology, 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, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017

Connective Tissue Pathology and Research, Primary Spine Care, Utilization in spinal models considering the opiod 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, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017

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, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017

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, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017

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 issuesTexas Chiropractic College Graduate Doctoral Program, Academy of Chiropractic Post-Doctoral Division, Long Island, New York, 2017

Primary Spine Care – Spinal Biomechanical Engineering and MRI Spine Interpretation, Integrating Spinal Biomechanics Engineering and MRI Spine Interpretation into a primary spine care model, inclusive of necessity and acquisition protocols. A comprehensive review of the latest evidence in documenting mechanical issues Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017

Primary Spine Care – Hospital Administration, Triage, Clinical Requirements and Collaboritive Relationships with Medical Specialists, Understanding hospital and medical specialist’s care paths for mechanical spine pathology and integrating the doctor of chiropractic in the hospital and allopathic treatment protocols Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island , New York, 2017

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 neurological-endocrine implications that have the mechanisms to be a component of Schizophrenia, Dementia and Alzheimers with a linear relationship to the chiropractic spinal adjustment and chronic pain Academy of Chiropractic Post-Doctoral Division, Texas Chiropractic College Academy of Chiropractic, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards , Long Island, New York, 2017

PI Secrets: Understanding Colossus and Defending Minor Impact Soft Tissue Injuries, Subject matter includes, but is not limited to: relationship of vehicle crush and inertial injuries to include discussion of peer reviewed literature that demonstrates that there is no relationship between vehicle damage and occupant injury. Also covered were carrier segmentation and cost containment strategies including Minor Impact Soft Tissue. Lincoln College of Postprofessional,Graduate & Continuing Education, National University of Health Sciences , Austin , Texas, 2016

Healthy Aging, Topics discussed included, but were not limited to: treatment protocols to address inflammation utilizing 635nm Erchonia Lasers. Erchonia, New Orleans, Louisianna, 2015

Optimizing Musculoskelatal Health, Topics include research and protocols for cold laser treatment and nutritional protocols for treating musculoskeletal sports injuries Erchonia, Houston , Texas, 2015

Personal Injury: Coding, compliance & Documentation., Texas Chiropractic Association, San Antonio, Texas, 2015

Take Aim at Chronic Pain, Topics included, but were not limited to: clinical application of Low Level Laser in treatment of chronic pain. Also discussed was peer reviewed literature and FDA clearances for Erchonia lasers. Erchonia, Jackson, Mississippi, 2015

Spinal Ligament Injury Specialist, Course topics in this 4 week, 25 module course included, but were not limited to: radiology protocols to properly diagnose spinal ligament injury, Computerized Radiographic Mensuration Analysis, Alteration of Motion Segment integrity, AMA Guides to Permanent Impairment and Disability and How to perform Impairment Ratings utilizing DRE method in AMA Guides 5th & 6th edition. Certification in Spinal Ligament Injury Specialist, Diplomate, American Spinal Injury & Impairment Consultants, Austin, Texas, 2015

PI and Mastery of Colossus, Topics covered in this 19 module course include, but were not limited to: History of Colossus, Value Drivers, Clinical Instability and Spinal Ligament Injury, Traumatic Brain Injury, Imaging Protocols, Objective Documentation, Low Speed Impact & MIST Research, Documenting Causation, Compliance and Documenting Medical Necessity, Rehabilitation Protocols. Certification in Colossus & Personal Injury, Diplomate, Personal Injury Institute, Dallas, Texas, 2015

Clinical Mastery of the Low Level Laser, Topics included, but were not limited to: clinical protocols and research for use of Low Level Laser Therapy. Also discussed were FDA Clearances for Low Level Laser. Northwestern Heath Sciences University Departmentnt of Continuing Education, Dallas , Texas, 2014

Jurisprudence, Risk Management, Ethics & Medicare, Texas Chiropractic Association, Austin, Texas, 2014

Chiropractic Grand Rounds & Collabaritive Care, Texas Chiropractic Association, Austin, Texas, 2013

Jurisprudence, Risk Management, Ethics and Medicare, Texas Chiropractic Association, Austin, Texas, 2013

Chiropractic Biophysics – Cervical Structural Rehab, National University of Health Sciences, Kansas City, Missouri, 2013

Medicare, Topics include, but are not limited to: Proper Treatment and Documentation Protocols required for Medicare Compliance. Texas Chiropractic Association, Austin, Texas, 2012

Total Practice Integration – A Wholistic Approach to Patient Care., Texas Chiropractic Association, Austin, Texas, 2011

Basic Laserology, Topics included, but were not limited to: Introduction to Basic Science behind 635nm Low Level Laser Therapy, Basic Treatment Protocols, FDA Clearances for Low Level Laser Therapy. Northwestern Heath Sciences University Departmentnt of Continuing Education, Austin , Texas, 2010

Chiropractic Biophysics – Neurology, Life University, Phoenix, Arizona, 2009

Chiropractic Biophysics – Lumbar Rehab, Life University, Dallas , Texas, 2008

Chiropractic Law IV, Texas Chiropractic Association, Austin, Texas, 2008

Chiropractic Biophysics – Cervical Rehab, Cleveland Chiropractic College, Dallas, Texas, 2007

Chiropractic Biophysics – Cervical Rehab, Cleveland Chiropractic College, Phoenix, Arizona, 2006

Interventional Procedures, Texas Chiropractic Association, Austin, Texas, 2006

Chiropractic Biophysics – Drop Table Adjusting, Cleveland Chiropractic College, Marietta, Geogia, 2006

Chiropractic Biophysics – Instrument Adjusting, Cleveland Chiropractic College, Dallas, Texas, 2006

Chiropractic Biophysics – Lumbar Rehab, National University of Health Sciences, Charlotte, North Carolina, 2005

Insurance Coding and Documentation, Texas Chiropractic College, Austin, Texas, 2004

MRI Imaging of The Extremities, Texas Chiropractic Association, Austin, Texas, 2004

Chiropractic Biophysics – X-Ray and Posture, National University of Health Sciences, Costa Mesa, California, 2004

Diplomate, Diplomate, National Board of Chiropractic Examiners, 1986