Primary Spine Care 18: Evidence-Based Findings for Long-Term Chiropractic Care Live Webinar

Syllabus

November 15-16, 2025

Course Description:

This course outlines the clinical findings necessary to justify long-term chiropractic care. It explains the evidence required to support ongoing treatment. The program also defines the documentation standards that must be met. Together, these elements provide a clear framework for compliance and clinical excellence.

Key Learning Objectives:

1.  Identify and apply the clinical findings that establish the need for long-term chiropractic care.

2.  Evaluate and utilize evidence to support ongoing treatment recommendations.

3.  Implement proper documentation standards to ensure compliance and uphold clinical excellence.

Goals:

1.  Identify and apply the clinical findings that justify the necessity of long-term chiropractic care.

2.  Evaluate and integrate evidence to support appropriate ongoing treatment recommendations.

3.  Implement and maintain documentation standards that ensure compliance and promote clinical excellence.

Saturday November 15, 2025  9AM – 530PM

Module 1 – 9AM – 11AM 2 Hours - Current and Future Trends in Documentation & Practice Growth - History Taking & Examination

Mark Studin DC,

Don Capoferri DC

This module emphasizes the role of evidence-based demonstrative documentation as the foundation for building successful, patient-centered collaborative care. Participants will learn how to establish credibility with medical primary care providers, specialists, emergency departments, and urgent care centers through precise reporting and objective findings. By applying these strategies, chiropractors can effectively challenge the outdated "non-specific back pain" model, which has long persisted due to a lack of supporting technology and evidence. With modern diagnostic tools and validated methods, chiropractors now can clearly demonstrate pathology, leading to significant increases in utilization and recognition of chiropractic care.

Module 2 – 11AM – 1PM  2 Hours -  MRI Spine Interpretation -Diagnostic Testing & Differential Diagnosis

Patricia Roche DO, Radiology, Neuroradiology

Mark Studin DC

This module provides a clinical case review of MRIs, covering sagittal, axial, T1, T2, STIR, and proton density sequences. Students will learn to identify the vertebrae, spinal cord, discs, nerve roots, thecal sac, posterior longitudinal ligament, epidural veins, and fat saturation pulses. Instruction emphasizes accurate recognition of common pathologies, including bulges, herniations, protrusions, extrusions, myelomalacia, cord edema, and Schmorl’s nodes. The course builds practical skills in interpreting MRI findings for clinical application.

Lunch – 30 Minutes 1 PM -130PM

Module 3 – 130PM – 230PM 1 Hour – Connective Tissue and Biomechanical Pathology; Part 1

Diagnostic Testing & Differential Diagnosis

Mark Studin  DC

Don Capoferri DC

This module introduces the foundational concepts of biomechanical lesions, beginning with ligamentous pathology and progressing to broader biomechanical dysfunction. Students will examine how ligament damage alters spinal stability and joint integrity. The course examines the sequence of compensatory changes that culminate in long-term biomechanical pathology. Emphasis is placed on understanding the clinical significance of these lesions for diagnosis, treatment, and documentation.

Module 4 – 230PM – 330PM 1 Hour – Connective Tissue and Biomechanical Pathology; Part 2

Diagnostic Testing & Differential Diagnosis

Mark Studin  DC

Don Capoferri DC

This module explores the neurological consequences of connective tissue injury and biomechanical pathology. It examines how these structural changes act as effector organ dysfunctions, driving abnormal neurological signaling. The progression from localized pathology to widespread central sensitization is outlined. Emphasis is placed on understanding the mechanisms linking tissue damage to long-term neurological sequelae.

Module 5 – 330PM – 530PM  2 Hours Evidence-Based Age-Dating Herniated Disc,  Diagnostic Testing & Differential Diagnosis

Mark Studin  DC

Don Capoferri DC

This module teaches the critical skill of “Evidence-Based” age-dating herniated discs and trauma for spine experts. Students will learn to integrate imaging interpretation from X-ray, MRI, and other modalities with a clinical understanding of joint pathology. Emphasis is placed on applying this expertise in both collaborative medical settings and medical-legal environments. The course also highlights the importance of evidence-based rationale when forming prognoses for patient recovery.

Sunday November 16, 2025 9AM – 430 PM

Module 6 – 9AM – 10 AM  1 Hour - Spinal Biomechanics, Ligamentous Pathology and Treatment Planning - History Taking & Examination

Mark Studin DC

Don Capoferri DC

This module focuses on the diagnosis and management of ligament pathology in both acute and chronic patients. It explores the evidence-based physiology of ligament morphology, trauma mechanisms, and their sequelae, including compensatory spinal responses. A master-level review covers ligament anatomy, physiology, vascularization, neurological innervation, and tissue repair, with direct application to clinical practice. The course also examines how ligament pathology underpins pathoneurobiomechanical lesions and highlights the critical role of ligaments in chiropractic spinal adjustments and their mechanisms.

Module 7 – 10 AM – 11AM  1 Hour – Concussion mTBI-TBI and Stroke Triage- History Taking & Examination

Mark Studin DC

Don Capoferri DC

This module covers the screening and diagnosis of brain injuries ranging from concussion and mild traumatic brain injury (mTBI) to more severe traumatic brain injury (TBI) and stroke. Emphasis is placed on identifying key clinical findings that guide timely and accurate assessment. Participants will learn critical triage protocols to ensure patients receive the appropriate level of care. The course also highlights evidence-based tools and strategies for differentiating between conditions and preventing delayed or missed diagnoses.

Module 8 – 11AM – 1 PM  2 hours – Evidence on Making Non-Specific Back Pain Specific - Diagnostic Testing & Differential Diagnosis

Mark Studin DC

Don Capoferri DC

This course module presents an evidence-based approach to spinal diagnosis, emphasizing precise identification of pathology rather than relying on the vague label of “non-specific back pain.” It guides clinicians in interpreting clinical and imaging findings to reach conclusive diagnoses. The module also explores collaborative management strategies with medical specialists to optimize patient outcomes. Participants will learn how to apply evidence to support treatment decisions and enhance interdisciplinary care.

Lunch 30 Minutes 1-130PM

Module 9 – 130 PM -430 PM  3 Hours - Documentation Requirements that Support Necessary Long-Term Chiropractic Care and Fosters Collaborative Relationships -Ethical Billing & Coding

Mark Studin DC

Don Capoferri DC

Understanding future trends in chiropractic and clinical record-keeping is essential for maintaining professional excellence and delivering high-quality care. As healthcare evolves with new technologies and reimbursement models, clinical documentation must adapt accordingly. This module provides a step-by-step guide to creating accurate and effective clinical notes, covering the purpose of documentation, the importance of context, key elements to include, practical tips for improvement, and fundamental legal considerations. Mastering these skills ensures both compliance and optimal patient care in a changing healthcare landscape.

Total Academic Time: 15 Hours

Price 299.00