About Dr. Alex

Dr. Alex Greaux

OCCUPATIONAL HISTORY

Clinic Director an Founder: South Florida Scoliosis Center, Miami, FL

Clinic Director and Founder: Aventura Wellness & Rehabilitation Center, Miami, FL

 

EDUCATION and LICENSURE

  • Doctor of Chiropractic, Licensed in the State of Florida
  • Doctorate of Chiropractic, Life University, Marietta, GA
  • Internship, Life University Outpatient Facility, Marietta, GA
  • Bachelor of Science in Nutrition, Life University, Marietta, GA
  • National Board of Chiropractic Examiners, Part I
  • National Board of Chiropractic Examiners, Part II
  • National Board of Chiropractic Examiners, Part III
  • National Board of Chiropractic Examiners, Part IV
  • National Board of Chiropractic Examiners, Physiotherapy
  • Exercise Physiology/ Physical Therapy, University of Miami, Coral Gables, FL
  • Associate in Science, Exercise Physiology/Physical Therapy, Miami Dade College, Miami, FL

SELECTED POST-GRADUATE EDUCATION & CERTIFICATIONS

Spine Management Clinical Workflows – in-depth review and discussion of the Doctor of Chiropractic as a Spine Management Physician with a specific focus on the diagnosis and management of spine pain of mechanical origin. Details were outlined in relation to triage of anatomical causes of spine pain such as fracture, tumor, and infection.  National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Pain Management and the Chiropractic Adjustment – Current peer-reviewed indexed research demonstrating the chiropractic adjustment’s effect on the central nervous system and pain threshold was outlined and reviewed. Anatomical review and contemporary supportive research were discussed. Details of central nervous system response to the chiropractic adjustment were reviewed and demonstrated. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Corrective Spinal Care and Chiropractic Case Management – Current peer-reviewed indexed research demonstrating the chiropractic adjustment’s effect on the biomechanical structure of the human spine during the corrective/rehabilitative phase of care.  Basic outline of biomechanical parameters in symptomatic and asymptomatic patients was reviewed with particular focus on pathobiomechanics in chiropractic practice. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Health Maintenance Care and Chiropractic Case Management – Current peer-reviewed indexed research demonstrating the chiropractic adjustment’s effect on the maintenance of the human spine.  Details of indexed research reviewing Chiropractic’s role in the reduction of narcotic utilization and decreased absenteeism from work due to disability.  Communicating Health Maintenance Care to the medical profession and the public was emphasized. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Evidence-Based Clinical Reporting – An overview of current CPT and ICD-10 coding guidelines pertaining to the evaluation and management of spine pain patients was presented.  Timed codes, relevant diagnoses related to injured tissue were presented. Specific discussion of the proper format of the Assessment portion of clinical documentation was presented.  Review of the difference between daily progress notes and Evaluation and Management [E/M] reporting was provided.  National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Cervical Spine Clinical Workflows – A detailed review of workflows of thorough patient history and identification of clinical red flags related to relative and absolute contraindications to chiropractic care was presented. Outline of neurological examination including pathological reflexes present during spinal cord compression, cervical stenosis, and cervical myelomalacia was discussed.  Normal vs abnormal measurement of range of motion objectifying spinal dysfunction was presented. Specific orthopedic testing related to specific muscle, nerve, or intervertebral disc injury was discussed.  Review of interprofessional triage and imaging decision tree was outlined with specific focus on the pain management physician and spinal surgeon.  National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Lumbar Spine Clinical Workflows – A detailed review of workflows of thorough patient history and identification of clinical red flags related to relative and absolute contraindications to chiropractic care was presented. Outline of neurological examination including pathological reflexes present during cervical and lumbar stenosis was discussed.  Normal vs abnormal measurement of range of motion objectifying spinal dysfunction was presented. Specific orthopedic testing related to muscle, nerve or intervertebral disc injury was discussed.  Review of interprofessional triage and imaging decision tree was outlined with specific focus on the pain management physician and spinal surgeon. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Interprofessional Clinical Documentation for the Primary Care Physician – contemporary techniques to best communicate chiropractic care to the Primary Care Physician were discussed and presented.  Analysis of the depth and scope of communication was emphasized with direct focus on the proper documentation management system including demographic sheet, imaging reports, most recent evaluation and management reports.  Discussion of appropriate timing for phone consultation was presented. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Clinical Documentation for the Spine Surgeon – contemporary techniques to best communicate chiropractic care to the spine surgeon were discussed and presented.  Analysis of the depth and scope of communication was emphasized with direct focus on the proper documentation management system including demographic sheet, imaging reports, most recent evaluation and management reports.  Discussion of appropriate timing for phone consultation was presented. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Clinical Documentation for the Pain Management Physician – contemporary techniques to best communicate chiropractic care to the pain management physician were discussed and presented.  Analysis of the depth and scope of communication was emphasized with direct focus on the proper documentation management system including demographic sheets, imaging reports, most recent evaluations, and management reports.  Discussion of appropriate timing for phone consultation was presented. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Clinical Documentation for Attorney – contemporary techniques to best communicate chiropractic care and permanent injury to the personal injury attorney were discussed and presented.  Analysis of the depth and scope of communication was emphasized with direct focus on the proper documentation management system including diagnosis, response to treatment, causality, and persistent functional loss was outlined.  Discussion of appropriate timing for phone consultation was presented. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Spinal Biomechanical Engineering – A detailed presentation of the progression of laboratory-based biomechanics into the clinical realm was outlined.  Evidence-based review of Pelvic Incidence and other sagittal balance parameters was presented. Regional sagittal balance and communication with the spine surgeon in the spine management practice were reviewed. Specific discussions were related to spinal sagittal balance and the non-surgical spine pain patient and correlated to the Corrective Care Phase of Chiropractic Care.  Outline of the future of full spine biomechanical modeling was presented in relation to symptomatic and asymptomatic patients. National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Objectifying the Biomechanical Spine Lesion – review of ligament laxity and alternation of motion segment integrity was presented with specific correlation to the AMA Guides to the Evaluation of Permanent Impairment 5th and 6th Education.  Correlation to bodily injury, causality, and persistent functional losses in the personal injury patient and communication with the attorney was outlined. Attention was paid to the differences between vertebral body translation and angular motion deficits between adjacent motor units. Specific details on measurement tools and analysis of the injured cervical and lumbar spines were discussed.  National Spine Management Group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, NY, Lehi, UT 2021.

 

Computerized Mensuration of Spinal Biomechanical Pathology; Primary Spine Care 8, Understanding the algorithmic interpretation of spinal biomechanical pathology in a 3-D model and creating treatment plans, impairment ratings, and teaching models based upon the vertebral motor unit angles. Determining sagittal and axial alignments in creating a normative baseline for treatment goals and outcomes. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

 

Neurosurgical-Chiropractic Collaboration on Spinal Pathology; Primary Spine Care 8, Utilizing X-ray, MRI, and other modalities of advanced imaging in conjunction with spinal biomechanical failure and clinical evaluation to collaboratively create treatment protocols for patients in both the operative and nonoperative cases. Determining the boundaries of scope of care for both the chiropractor and neurosurgeon based upon a definitive diagnosis of the mechanical vs. an anatomical lesion. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

 

Documentation and Ethics in Medical-Legal Relationships; Primary Spine Care 8, Creating ethical relationships based upon accurate documentation reflective of the casually related condition of the injured. Ensuring accepted credentials of the doctor based upon Voir Dire standards reflected in an admissible curriculum vitae. How to present demonstrative documentation in the courts reflective of the patient’s pathology. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2019

 

Coding, Documentation, and Compliant Coding; Primary Spine Care 8, Ensuring the correct codes are utilized in an evaluation and management encounter. The correct elements are utilized to support the level of E&M coded along with a self-audit program to ensure ethical billing occurs. Guidelines for history of present illness, primary complaint, review of systems, family, social, and past histories are discussed, and how to document the same. Academy of Chiropractic, Long Island, NY, 2019

 

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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island, New York, 2018

 

Current Literature Standards of MRI Spine Interpretation; Primary Spine Care 5, MRI Spine Interpretation of the spine. How to triage 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 and bulges. Academy of Chiropractic Post-Doctoral Division, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island, New York, 2018

 

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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island, New York, 2018

 

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 lateral 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, PACE Approved for the Federation of Chiropractic Licensing Boards, Cleveland University- Kansas City, College of Chiropractic, Long Island, New York, 2018

Essentials of Effective Scoliosis Management: How do you manage scoliosis cases?  Dr. Jeb McAviney Associate Editorial Board European Spine Journal Scientific review for European Spine Journal, Scoliosis Journal, American Journal of Orthotics and Prosthetics, The Society of Scoliosis Orthopaedic and Rehabilitation Techniques. Scoliosis Bracing and Rehabilitation. Orlando, Fl 2017

 

Advanced Scoliosis Workshop: Advanced training in latest advancements in Scoliosis care and management. Case management guidelines and latest research findings on surgical treatment, conservative care and bracing.  Presented and Sponsored by Parker University, St. Augustine, Fl 2017

 

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) Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Texas Chiropractic College and PACE Recognized by the Federation of Chiropractic Licensure Boards and the Academy of Chiropractic, Long Island, New York 2016

 

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, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

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, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

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, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

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, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

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, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

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 apply to human biomechanics. Texas Chiropractic College or PACE Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

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. Texas Chiropractic College or PACE Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

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. Texas Chiropractic College or PACE Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

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. Texas Chiropractic College or PACE Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

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 Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

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. Texas Chiropractic College or PACE Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

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 rotational analysis with neutral, left, and right lateral bending in conjunction with gate analysis. Ligament instability/failure/pathology is identified 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 Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

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 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 Approved for the Federation of Chiropractic Licensing Boards, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Buffalo, NY, 2016

 

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. Florida, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2016

 

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. State of Florida, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2016

 

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. Florida, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2016

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. Florida, Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2016

 

Head Trauma, Brain Injury and Concussion, Brain and head physiology, brain mapping and pathology as a sequel 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 electrodiagnostic 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. CMCS Post Doctoral Division, Long Island, NY, 2016

 

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. [Insert the state licensure body sent to you], Academy of Chiropractic Post Doctoral Division, Long Island, NY, 2016

 

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. Texas Chiroprctic College Graduate Doctoral Program, Academy of Chiropractic Post-Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2016

 

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.  ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

 

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 vertebrates, 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.  ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

 

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 vertebrates, Schmorl’s nodes, and herniations. Spinal cord and canal compromise interpretation with management. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

 

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 vertebrates, 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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

 

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 vertebrates, Schmorl’s nodes, and herniations. Central canal and cauda equina compromise interpretation with management. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

 

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 sequellae, including bulge, herniation, protrusion, extrusion, and sequestration. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

 

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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

 

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. New York Chiropractic Council, ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

 

MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord, and neural sleeve lesions. Tuberculosis, drop lesions, metastasis, ependymoma, schwannoma, and numerous other spinal-related tumors and lesions. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

 

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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

 

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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

 

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. ACCME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Buffalo, NY, 2015

 

Primary Spine Care, Neurophysiological central and peripheral nervous systems mechanisms of pain with integrated higher cortical functions of the thalamus, cingulate, amygdala, pre-frontal, motor and sensory cortexes. Trauma and chronic pain care effecting mechanoreceptors, nociceptors, and proprioceptors through adjustive therapy based upon evidence-based care and current literature verification, Texas Chiropractic College, Federation of Chiropractic Licensing Boards, New York State Department of Education Board for Chiropractic, Academy of Chiropractic, Islandia NY 2015

 

Primary Spine Care with Interdisciplinary Collaborative Care, Triage of patients based upon MRI findings of disc herniation, disc bulge, protrusion, extrusion or sequestrations and spinal cord or nerve root negative sequella, clinical findings of neuro-compressive pathologies and neurodiagnostic findings of EMG-NCV, SSEP, VEP, BAER, VEP and V-ENG findings. Texas Chiropractic College, Federation of Chiropractic Licensing Boards, New York State Department of Education Board for Chiropractic, Academy of Chiropractic, Islandia NY 2015

 

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. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015

 

Diagnostics, Risk Factors, Clinical Presentation and Triaging the Trauma Patient, An extensive understanding of the injured with clinical coordinating the history, physical findings, and when to integrate neurodiagnostics. An understanding of how to utilize emergency room records in creating an accurate diagnosis and the significance of “risk factors” in spinal injury. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015

 

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. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015

 

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. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015

 

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 (VENG) interpretation, protocols and clinical indications for the trauma patient. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015

 

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. Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015

 

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 Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Long Island, NY, 2015

 

Certification in Protecting Human Research Participants, National Institute for Health Office of Extramural Research, Miami, FL, 2012

Certification in Rock Tape, Cross Country Education, Orlando, FL, 2012

Certification in Protecting Human Research Participants, National Institute for Health Office of Extramural Research, Miami, FL, 2012 

Certification in Intensive Care Scoliosis, Clear Institute, Parker University, Dallas, TX, 2010

Neurological Emergencies: Case Studies in Critical Diagnoses, Neurological differential diagnosis, physical examination and imaging strategies. Harvard Medical School, Boston, MA, 2008

Certification in CLEAR Scoliosis, CLEAR Institute, Parker University, Dallas, TX, 2007

Certification in Pettibon Spinal Biomechanics and Correction, Palmer College and Providers of Approved Continuing Education (ACE), Orlando, FL, 2006

Certification in Graston Technique, University of Western States, Orlando, FL, 2004

SELECTED TEACHING, INSTRUCTING, LECTURING

Patient Communication andScoliosis Case Management, Parker University, Celebration, Fl 2019

 

Goal setting for successful modern-day practice, Parker University, St. Cloud, MN 2018

 

Legal Ramifications and Expert Witness Testimony in relation to Scoliosis Case Management, Parker University, Lacrosse, WI, 2016

 

Spinal Curves and Implications, Soft Tissue Orthopedic Modalities (SOM) Therapy, National Certification Board For Therapeutic Massage & Bodywork, West Palm Beach, FL, 2015

Scoliosis Case Management, South Florida Scoliosis Center, Aventura, FL, 2013

Posture and How it Relates to Health, Aventura Chamber of Commerce, Aventura, FL, 2004-2006

Health Care in a Sick World, North Miami Rotary Club, North Miami Beach, FL, 2004 Presenter, Regaining Your Youth and Vitality, Aventura Wellness & Rehabilitation, Aventura, FL, 2002 Present

SELECTED PUBLICATIONS, HONORS, MEMBERSHIPS

Intervertebral Disc Detection in X-Ray Images Using Faster R-CNN:

Ruhan Sa, William Owens Jr, Raymond Wiegand, Mark Studin, Donald Capoferri, Kenneth Bahoora, Alexander Greaux, Robbrey Rattray, Adam Hutton, John Cintineo, Vipin Chaudhary. .  39th Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC’17) to be held at the International Convention Center, JeJu Island, S. Korea, from 11-15 July 2017

Appointed to the board of directors for CLEAR Institute. A non-profit organization based on Chiropractic Leadership Educational Advancement & Research 2016- Present.

Lifetime Member Award for Service and Commitment to the Chiropractic Profession, Elite Coaching, 2006

Academy of Chiropractic, Member, 2015-Present

American Academy of Medical Legal Professionals, Member, 2015-Present

American Academy of Pain Management, Member, 2015-Present

International Chiropractic Scoliosis Board, Member, 2013-Present

Association for the Advancement of Automotive Medicine, Member, 2010-Present

North American Spine Society, Member, 2007-Present

International Traffic Medicine Association, Member, 2007-Present

Florida Chiropractic Association, Member, 2001-Present

American Chiropractic Association, Member, 2001-Present

International Chiropractic Association, Member, 2001-2005

We would like to take a moment to let you know how appreciated you all are! It has been a blessing to be in your care the past two weeks. Despite the ache & pains. We truly feel we are on track to regaining our health. Thank you for the extraordinary care that you bestowed upon us in our healthe journey. You are all absolutely AMAZING!
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