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Click here or scroll down to respond to this candidateDavid E. Collins DC, CCST, FBSTPHONE NUMBER AVAILABLECurriculum VitaeSelected Occupational HistoryClinic Director, Chiropractor, HealthQuest Chiropractic Clinic PC, Naples, FL, Street Address -PresentClinic Director, Chiropractor, Collins Chiropractic Clinic, Naples, FL, Street Address 2003Chiropractor, Sparling Chiropractic Clinic, Atlanta, GA, 1996-1998Clinic Director, Chiropractor, Collins Chiropractic Clinic, Germantown, TN, 1980-1995Education and LicensureDoctor of Chiropractic, Licensed in the State of Florida, License #CH 007726, 1999-PresentDoctor of Chiropractic, Licensed in the State of Georgia, License #CHIR 0005666, 1996-2020Doctor of Chiropractic, Licensed in the State of Tennessee, License #249, 1980-1998 (Retired)Doctor of Chiropractic, Palmer College of Chiropractic, Davenport, IA, 1979National Board of Chiropractic Examiners, Part I, 1978National Board of Chiropractic Examiners, Part II, 1979National Board of Chiropractic Examiners Part III, 1996Bachelor of Science in Biology/Chemistry, University of Central Arkansas, Conway, AR 1972Selected Post-Graduate Education and CertificationsFellowship in Spinal Biomechanics and Trauma (FSBT)A two-year intensive program of study consisting of extensive didactic work and hands-on rotations in medical offices and in surgery with eight (8) medical specialist, including interventional pain management, MRI tech, neuroradiology, orthopedic extremity surgery, orthopedic spine surgery, neurosurgery, family medicine/internal medicine and hospital emergency department. Academy of Chiropractic Post-Doctoral Division, Long Island, NY, Cleveland University-Kansas City, Chiropractic and Health Sciences, ACCME Joint Providership with the State University of New York at Buffalo, Jacobs School of Medicine and Biomedical Sciences, July 2018Trauma Qualified, Active Trauma Team, Academy of Chiropractic Post-Doctoral Division, Cleveland University-Kansas City, Long Island, New York, 2017-PresentCertified Chiropractor in Spinal Trauma (CCST), International Chiropractic Association, A one year long program of study covering most aspects of whiplash trauma including accident reconstruction, x-ray analysis, orthopedic and neurological, history and general case management from intake to trial preparation Life West Chiropractic College, Dallas, TX, 1992Medical and dental professional communications-detailed overview medicolegal communications in relation to patient subjective and objective clinical findings. Outline direct and cross examination techniques were presented. Overview of Voir Dire and Daubert hearings were outlined. Discussion of examination of proof in relation to causality, bodily injury and functional losses was reviewed. Court testimony flow, professional expectations, and court room etiquette was presented and emphasized. National Spine Management Group, LLC, Cleveland University Kansas City, College og Chiropractic, Ft. Lauderdale, FL. 2022Spine Management - Discussion and outline of case management workflow related to the management of acute and chronic spine pain with a particular focus on pain of traumatic origin. Evidence-based communications and Electronic Health Records were emphasized and presented. Patient management and triage based on patient history, physical examination and imaging findings were outlined. Overview of interprofessional referral options including physical therapy, interventional pain management and spine surgery were as discussed in detail. Spine management as a concept was discussed by Dr. John Edwards, neurosurgeon, in relation to reducing escalation of nonurgent cases as well as creating space for patients with urgent need. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, College of Chiropractic-Fort Lauderdale, Florida 2022Documentation and Communications in Spine Management - presentation of compliant healthcare documentation including E/M initial and pre-evaluation, daily progress notes and medicolegal narrative reports was provided. Workflow detailing interprofessional referral language, advanced imaging requests and patient communications were detailed. Streamlined process for creating and maintaining compliance, evidence-based, patient centered clinical reporting was given. Emphasis was placed on the role of a Spine Management Physician in the process of interprofessional communications and case management. National spine management group, LLC, and Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, College of Chiropractic - Fort Lauderdale, Florida 2022Histology and Physical Tolerance of Spinal Ligaments - presentation of the histological structural organization of spinal ligaments including analysis of tropocollagen as the basis of anatomical structure. Review of structural hierarchy of the spinal ligament from microscopic to macroscopic was included. Anisotropic properties of spinal ligaments were defined, and examples presented. Detailed review of spinal entheses was presented with emphasis on advanced imaging and chronic enthesopathy. New insights into the pathogenesis, diagnostic modalities, and treatment of spinal enthesitis was outlined and presented. Specific focus was on traumatic injury to the spinal entheses and the difference in formation of spinal osteophytes and enthesophytes. Biomechanics of the degenerative spine was detailed and reviewed in terms of clinical spine management. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, College of Chiropractic-Fort Lauderdale, Florida, 2022Accident Reconstruction and Expert Reporting - crash dynamics and basic physics formula were presented and detailed. Review of biomechanical expert reports and included mathematics was discussed with context given to data collection and accuracy. Spinal injury thresholds were reviewed as well as the law of conservation of energy and its relationship to crash dynamics. Specific mathematical examples were presented including workflow to review the accuracy of biomechanical expert reporting and mathematical formulas. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, College of Chiropractic-Fort Lauderdale, Florida 2022Degenerative Versus Acute Ligament Laxity - and updated scientifically validated grading system for the identification of degeneration of the intervertebral disc and motion segment was presented. Details such as radiological signs of disc degeneration including loss of disc height, osteophyte formation and diffuse sclerosis were provided. Grading examples were provided in radiographic and gross specimen form starting with grade 0 (no degeneration) to grade 3 (severe degeneration). Outline of the validity and interobserver agreement of this grading system was shown for both the cervical and lumbar spine review and emphasis on the difference between osteophyte formation and instance osteophytes was enthesophytes was again outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, College of Chiropractic - Fort Lauderdale, Florida 2022Chiropractic Science Research - review and presentation of updated peer-reviewed medically indexed research supporting chiropractic management of spine pain was detailed. Timeline of publication was emphasized with three years being the maximum time frame for up-to-date data. Comprehensive review of evidence supporting chiropractic management of the spine pain patient in the Pain Management, Corrective and Health Maintenance Phases of care. Methods to communicate this evidence to the medical and legal communities was presented in the context of compliant patient centered clinical documentation. Efficiency of a Spine Management Physician versus conventional primary care was presented. Emphasis on the hierarchy of the published evidence starting with foundational evidence up to level I evidence was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, Cleveland University Kansas City, Cleveland College of Chiropractic - Fort Lauderdale, Florida 2022Diagnosis and Management of Lumbar Arachnoiditis- Outline of the causes of the arachnoid -itis in the human spine was presented. Pacific focus was on a case of lumbar arachnoiditis involving the cauda equina evaluated on T1 and T2 sagittal and axial MRI. Treatment options and lack of curative interventions was presented. Relevant anatomy of the lumbar spine including cauda equina, conus medullaris, filum terminale, dura mater, pia mater and arachnoid mater were reviewed in detail. Review of arachnoiditis and chiropractic adjustment were discussed as well as interprofessional coordination of care with interventional pain management and surgical consultation. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards - PACE. State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences - 2022.Diagnosis and Management of Post-Surgical Cervical Facet Syndrome-a case of persistent and worsening neck and left shoulder pain postsurgical fusion was presented. Pre-and post plane film and advanced imaging slides were reviewed and correlate clinically to left-sided mid scapular pain. Physical examination including orthopedic and neurological testing was discussed in correlation to presenting symptoms. Differential diagnosis of radiculopathy, radiculitis, discogenic pain, scapular myofascial center on and thoracic intersegmental dysfunction was presented. Cervical facet joint referral patterns were reviewed and outlined referral for diagnostic facet joint block was discussed. 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-2021Diagnosis and Management of Anterior Sacral Contusion-overview and discussion on contusion of the anterior sacral alar in an elite college cross country runner. Physical examination outlining range of motion, neurological and orthopedic examination was reviewed and correlated to the subjective complaint of right-sided lower back pain. Misdiagnosis was presented and long-standing symptoms and resulting in possible cessation of play for this athlete. Discussion of interprofessional communication with the neuroradiologist and subsequent MRI order with slices through the anterior sacrum was reviewed and presented. 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 - 2022Biomechanical Analysis Inpatient Crash Injuries-detailed review of the difference between biomechanical and biomedical analysis of injuries was presented. Outline of necessity of the use of properly credentialed biomechanical crash investigation professionals in the diagnosis, management and reporting of crash injuries. Review our specific research related to forces during Activities of Daily Living and those sustained in a crash were presented. Details of a proper biomechanical analysis were discussed and specific review of a biomechanical reports omitting the mathematical calculations needed to determine forces and injury potential was presented. Additional review of methods needed to determine expertise of the biomechanist or accident investigation was discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences, 2021Facet Joint Threshold and Alteration of Motion Segment Integrity, Discussion of the predominant mode of joint loading of the cervical facet joints during whiplash injury related to retraction tension on the facet joint capsule. Review of shear forces, translation of the inferior and superior facet joint as well as injury risk due to excessive stretching of spinal ligaments was presented. Overview and discussion of mechanical trauma to ligament tissue and subsequent micro-structural damage not visibly detected was outlined. Threshold for microstructural changes during retraction, reduced ligament stiffness and unrecovered strain was discussed in detail. Individual response to facet joint capsule response supported in the medical literature was presented. National Spine Management g\Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences 2021Chiropractic Diagnosis and Management of Non-Specific Spine Pain- outline and diagnosis of the mechanical origins of spine pain emphasizing common biomechanical parameters was presented. Review of chiropractic-based maintenance care in the management of patient centered spine pain was introduced. Introduction of a Spine Management Physician was presented outlining the natural history of spine pain in the human population, Interprofessional communication and case management was emphasized with focus on societal burden of mismanagement was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards- PACE. Stat University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences -2021.Biomechanical Compensation Intervertebral Disc Extrusion, detailed review of MRI documented lumbar disc extrusion measuring 12 mm including STIR, T1and T2 sagittal and axial images. Presentation of radiographic biomechanical analysis outlining sagittal alignment and vertebral body rotation. Discussion of co-management of spinal pathology while considering both the biomechanical and the anatomical components of the spine pain. Radiographic review included lateral neutral, lateral flexion, lateral extension and AP views. Clinical correlation and discussion of pre-and postsurgical care was outlined. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences 2021Differentiating Degenerative versus Traumatic Cervical Spondylolisthesis-outline of spondylolisthesis clinical work up in the presence of spine pain including plane film dynamic radiographs, regional MRI study and assessment of alteration of motion segment integrity of specific spinal segments. Review of the correlation present sentimental degenerative changes such as loss of disc height, osteophyte formation, ligament ossification and facet joint hypertrophy and its association to pre-existing spondylosis are presented. Detailed discussion of past and present medical history including posttraumatic events was emphasized. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo School of Medicine and Biomechanical Sciences 2021Chiropractic Diagnosis and Management of Cervical Ligaments and Laxity-Detailed outline injury thresholds of the anterior longitudinal, posterior longitudinal and ligamentous label was presented. Review of structural and physiological properties related to stress/strain curve of the above ligaments outline of the total region, linear region and failure region was demonstrated. Transversely isotopic material properties of the spinal ligaments was included and correlated to chiropractic care and impairment ratings using the AMA guides to the evaluation and management if and sixth additions. National spine management group, LLC, Federation of chiropractic licensing boards-pace. State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences - 2021.Chiropractic Diagnosis and Management of Lumbar Ligament Laxity - detailed injury thresholds of the anterior longitudinal, posterior longitudinal and ligamentous label was presented in the lumbar spine. Review of structural and physiological properties related to stress/strain curve of the above ligaments. Outline of the total region, linear region and failure region was demonstrated. Transversely isotopic material properties I've spinal ligaments was included and correlated to chiropractic care and impairment rating using the AMA guides to the evaluation of management fifth and sixth additions. 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 - 2021Chiropractic Diagnosis and Management of Whiplash Disorder-Outline and discussion of whiplash as a mechanism of injury with particular focus on damage to underlying tissue structure. Review of anatomy, with specific focus on surrounding musculature, supraspinous ligament, inter -spinous ligament, spinal nerve, spinal cord, a facet capsule and dorsal/ventral nerve roots was presented. Focused attention was paid to whiplash as a mechanism of injury and not a complete diagnosis. 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-2021The Diagnosis and Management of the Postsurgical Patient- Outline and analysis, spinal biomechanical parameters in a hole spine model in the postsurgical analysis of the spine pain patient. Review of the details of measuring pelvic incidents and discussion of history of its analysis in relation to sagittal balance and vertebral body rotation was discussed. Outline pop movement from a regional model of spine care to a full spine model was presented particularly in the context of pain management strategies post-surgery. Analysis of the components of the postsurgical patient including muscle movement patterns, segmental mobility, spinal curvature and rotation in the coronal, sagittal and axial planes were presented. Interprofessional communication and co-management 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 2021Chiropractic Diagnosis and Management of the Presurgical Patient- Outline and analysis spinal biomechanical parameters in a hole spine model of care. Review of the details of measuring pelvic incidents and discussion of history of his analysis. Outline of movement from a regional model of spine care to a full spine model was presented. Analysis of the components of the presurgical patient including muscle movement patterns, segmental mobility, spinal curvature and rotation and the coronal, sagittal and axial planes was presented. 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-2021Diagnosis lumbar facet syndrome - overview of the most common pain syndromes in the lumbar spine including societal burdens was presented. Discussion of facet joint arthrosis being the most frequent facet joint pathology and the human spine. Outline level correlation between clinical symptoms, physical examination findings and degenerative spinal conditions was discussed. Presentation of diagnostic facet blocks and medical necessity of such a referral, when indicated, was outlined. National Spine Management Group, LLC, Federation of ChiropracticLicensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences 2021Chiropractic professional liability litigation-Discussion of 30 years of jury verdict data was reviewed and presented. Focus was on the rationale for claims against doctors of chiropractic and overall decisions rendered by jury pools. Outlining the risk factors associated with overly aggressive treatment, failure to diagnose and lack of interprofessional referral when medically necessary was presented with statistics. Comparison between chiropractic management and surgical management was outlined and detailed analysis of causality versus correlation was presented and discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences 2021Patient triage- testing and physical examination workflow-Evidence-based evaluation of the spine pain patient was outlined and presented. Thorough review of criteria for ordering plane film and advanced imaging was discussed and demonstrated. Clinical rational for ordering electrodiagnostic testing and patient referral criteria overview was demonstrated. EMR and documentation workflow were discussed and efficiency protocols were outlined and applied to evidence-based physical examination procedures with and without medical scribe. Details of re-evaluation and clinical outcomes were reviewed and discussed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences 2021Spine management clinical workflows - in depth review of the Doctor of Chiropractic as a Spine Management Physician with specific focus on the diagnosis and management of spine pain of mechanical origin. Details were outlined in relation to triage of anatomical cause of spine pain such as fracture, tumor, infection. National Spine Management Group, LLC, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation Chiropractic Licensing Boards, Buffalo, NY, Lehi UT. 2021Importance of Interprofessional Healthcare Communications and Teamwork- discussion of history of interprofessional healthcare and the acknowledgment of the World Health Organization as presented. Specific details on chiropractic academia and student perception of its importance was outlined. The growth and importance of both interprofessional education and communications was stressed and reviewed. Need for a clear professional identity to facilitate interprofessional education and communication was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo, Jacobs School of Medicine and Biomechanical Sciences- 2021.Chiropractic Management of Cervical Disc Herniation - Differences between etiology and morphology were reviewed and present. Outline of patient history, physical examination including neurological and orthopedic evaluation as well as criteria for ordering and reading advanced imaging such as MRI and CT were present. Plane film static and dynamic radiographic studies were reviewed. Patient centered, consensus driven clinical diagnosis including interprofessional communication was presented. Specific anatomical location of cervical intervertebral disc herniation was presented and correlated to neurological findings on physical examination. National Spine Management Group, LLC, Federation of Chiropractic License Boards, State University of New York at Buffalo, Jacobs School of Medicine and Biomechanical Sciences-2021Cervical Spinal Alignment and Knee Replacement Revision Rates - Review of the most common cervical spinal sagittal alignment parameters and their relationship to interprofessional communication was presented. Discussion of rationale for knee replacement revision surgery including aseptic loosening, fractured and prosthetic joint infection was reviewed. Specific statistical review on revision surgery and effective treatment of end-stage knee osteoarthritis was presented. Details of evidence-based research outlining patient's with cervical degenerative diseases and disorders having a higher rate of total knee replacement revisions and those without degenerative changes. Analysis of benefit of radiographic studies looking at the mechanical relationship between the cervical spine and knee composition was outlined and reviewed. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo School of Medicine and Biomechanical Sciences-2021.Chiropractic Management of Cervical Radiculopathy-characterization of cervical radiculopathy in terms of neurological dysfunction including compromise and inflammation of the spinal nerves was reviewed. Cervical spondylosis and intervertebral disc herniation as positive factors were presented and discussed. Conservative care as well as surgical intervention were presented and correlated to response to care and clinical findings. Outline of patient history, physical examination including neurological and orthopedic evaluation as well as criteria for ordering and reading advanced imaging such as MRI and CT were presented. Plane film static and dynamic radiographic studies were reviewed. Patient centered, consensus driven clinical diagnosis including interprofessional communications was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences-2021.Chiropractic Management of Lumbar Disc Herniation - review of the pathogenesis and morphological presentation of lumbar intervertebral disc herniation. Outline of patient history, physical examination including neurological and orthopedic evaluation as well as criteria for ordering and reading advanced imaging such as MRI and CT were presented. Plane film static and dynamic radiographic studies were reviewed. Patient center, consensus driven clinical diagnosis including into professional communication was present. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences-2021.Pain Management and the Chiropractic Adjustment, Current peer reviewed indexed research demonstrating the chiropractic adjustments 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 was reviewed and demonstrated. National Spine Management Group, LLC, Cleveland University Kansas City, Chiropractic Health Sciences, Federation of Chiropractic boards, Buffalo, NY, Lehi UT. 2021Aberrant Spinal Motion and Degenerative Disc Disease - Research and analysis of mechanical factors as etiology of intervertebral disc degeneration. Review of spinal tissue mechanics and their relation to mechanical stress was discussed and correlated to abnormal changes in the structure and composition of the intervertebral disc. Detailed discussion of the ingrowth of pain transmitting nerve fibers into the degenerative intervertebral disc and their relationship to acute and chronic pain was presented. Clinical correlation between congenital malformations of the spine, including scoliosis, kyphosis, spina bifida, spondylolysis and Klippoel Feil Syndrome, accidental back injury or ligament injury, occupational exposure and causing aberrant mechanical loading of the lumbar spine, and intervertebral disc degeneration visible on T1, T2 and STIR MRI, sagittal and axial sequences was presented. National Spine Management Group, LLC, Federation of Chiropractic Licensing Boards, State University of New York at Buffalo Jacobs School of Medicine and Biomechanical Sciences-2021.Corrective Spinal Care and Chiropractic Case Management current peer-reviewed indexed research demonstrating the chiropractic adjustments effect on the biomechanical structures of the human spine during the corrective/rehabilitative phase of care. Basic outline of biomechanical parameters in symptomatic and asymptomatic patients were reviewed with particular focus on the pathobiomechanics in chiropractic practice. National spine management group, Cleveland University Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, New York, Lehi, Utah 2021Health Maintenance Care and Chiropractic Case Management- current peer-reviewed indexed research demonstrating that chiropractic adjustments 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 in the workplace 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, New York, Lehi, Utah 2021Evidence-Based Clinical Reporting-overview of current CBP and ICD-10 coding guidelines pertaining to the evolution and management spine pain patients was presented. Timed codes, relevant diagnosis related to injured tissue was presented. Specific discussion of proper format of the assessment portion of clinical documentation was presented. Review of differences between daily progress notes and Evaluation and Management (E/M) reporting was provided. National Spine Management Group, Cleveland University of Kansas City, Chiropractic and Health Sciences, Federation of Chiropractic Licensing Boards, Buffalo, New York, Lehi, Utah 2021Cervical Spine Clinical Workflows-detailed review of workflows of a 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 presented during spinal cord compression, central stenosis and cervical myelomalacia was discussed. Normal versus abnormal measurements of range |
