This is a course for demonstration purposes only. No CE credit may be earned in any state if this course is completed.

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Course References I. Case History: A Dad through the Decades
1. Yochum, T., Rowe, L., Essentials of Skeletal Radiology, Vol.1, pg.895-904, Williams & Wilkins, 1996.
2. Kelempisioti, A. Et al. (2011). Genetic susceptibility of intervertebral disc degeneration among young Finnish adults. BMC Medical Genetics. 2011, 12:153.
3. Yang, X. Eet al. (2019). CHRNA5/CHRNA3 gene cluster is a risk factor for lumbar disc heriantion: a case-control study. Journal of Orthopedic Surgery and Research. 2019 14:243.
4. Ji, D. Et al. (2019). Correlation fo EYS polymorphisms with lumbar disc herniation risk among Han Chinese population. Molecular Genetics & Genomic Medicine. September 2-19., V7, Issue 9 e890.
5. Grotle, M. Et al. (2019). Lumbar spine surgery across 15 years: trends, complications and reoperations in a longitudinal observational study from Norway. BMJ Open 2019;9:e028743.
6. Jung, J. Et al. (September 2020). The long-term reoperation rate following surgery for lumbar stenosis. Spine: Sept 15, 2020; v45:i18:p1277.
7. R.K. FUCHS, S.J. WARDEN, C.H. TURNER, 2 – Bone anatomy, physiology and adaptation to mechanical loading, Editor(s): Josep A. Planell, Serena M. Best, Damien Lacroix, Antonio Merolli, In Woodhead Publishing Series in Biomaterials, Bone Repair Biomaterials, Woodhead Publishing,2009, Pages 25-68.
8. Chan, D. Et all. (2006 Aug). Genetics of disc degeneration. Eur Spine Journal. 15(Suppl 3);317-325.

II. Case History: Chainsaw Artist
1. Teichtahl, A.J., Wluka, A.E., Wijethilake, P. et al. Wolff’s law in action: a mechanism for early knee osteoarthritis. Arthritis Res Ther 17, 207 (2015). https://doi.org/10.1186/s13075-015-0738-7
2. Kelempisioti, A. Et al. (2011). Genetic susceptibility of intervertebral disc degeneration among young Finnish adults. BMC Medical Genetics. 2011, 12:153.
3. Yang, X. Eet al. (2019). CHRNA5/CHRNA3 gene cluster is a risk factor for lumbar disc heriantion: a case-control study. Journal of Orthopedic Surgery and Research. 2019 14:243.
4. Ji, D. Et al. (2019). Correlation fo EYS polymorphisms with lumbar disc herniation risk among Han Chinese population. Molecular Genetics & Genomic Medicine. September 2-19., V7, Issue 9 e890.
5. Grotle, M. Et al. (2019). Lumbar spine surgery across 15 years: trends, complications and reoperations in a longitudinal observational study from Norway. BMJ Open 2019;9:e028743.
6. Jung, J. Et al. (September 2020). The long-term reoperation rate following surgery for lumbar stenosis. Spine: Sept 15, 2020; v45:i18:p1277.
7. Chan, D. Et all. (2006 Aug). Genetics of disc degeneration. Eur Spine Journal. 15(Suppl 3);317-325. 8. Khurana VG. Adverse impact of smoking on the spine and spinal surgery. Surg Neurol Int. 2021 Mar 24;12:118. doi: 10.25259/SNI_6_2021. PMID: 33880223; PMCID: PMC8053459.

III. Case History: An Unlucky Bus Driver
1. Salter, R., Textbook of Disorders and Injuries of the Musculoskeletal System, 3rd ed., Williams &Wilkins, 1999. 2. Xin J, Wang Y, Zheng Z, Wang S, Na S, Zhang S. Treatment of Intervertebral Disc Degeneration. Orthop Surg. 2022 Jul;14(7):1271-1280. doi: 10.1111/os.13254. Epub 2022 Apr 29. PMID: 35486489; PMCID: PMC9251272. 3. Burton, Kim., Adams, Michael A.., Dolan, Patricia., Bogduk, Nikolai. The Biomechanics of Back Pain. United Kingdom: Elsevier Health Sciences, 2012. 4. Chan, D. Et all. (2006 Aug). Genetics of disc degeneration. Eur Spine Journal. 15(Suppl 3);317-325. 5. Hammer, W., Functional Soft Tissue Examination and Treatment By Manual Methods : The Extremities, Aspen Pub., Rockville, MD, 1991. 6. Dock, Daniel, “Whiplash Trauma”. Duluth, MN: Self Published, 1995. IV. Case History: Ehlers-Danlos and Marfan’s patients 1. Dean, J. (2007). Marfan syndrome: clinical diagnosis and management. European Journal of Human Genetics. 2007, 15, 724-733. 2. Gilliam, E. Et al. (January 2020). Urogenital and pelvic complications in the Ehlers-Danlos syndromes and associated. Hyper mobility spectrum disorders: A scoping review. Clin Genet. 2020 January; 97(1): 168-178:10.1111. 3. Fikree, A. Et al. (2017). Gastrointestinal involvement in the ehlers-danlos syndromes. Am J Med Genet Part C Semin Med Genet 175C:181-187. 4. Yochum, T., Rowe, L., Essentials of Skeletal Radiology, Vol.1, pgs. 607-608, 611-613, Williams & Wilkins, 1996. V. Case History: Thoracic Outlet Syndrome 1. Sanders, R. (2007). Diagnosis of thoracic outlet syndrome. The Society for Vascular Surgery. Doi:10,1016 2. Qaja, E. Et al. Arterial thoracic outlet syndrome secondary to hypertrophy of the anterior scalene muslce. Journal of Surgical Case Reports.2017;8, 1-4. 3. Sanders, R. Et al. (2017). Pectoralis minor syndrome: Subclavical brachial plexus compression. Diagnostics 2017, 7,46. 4. Connolly, M. (2021). Anatomy and embryology of the thoracic outlet. Thoracic Surg Clin 2021 February;31(1):1-10. 5. Yochum, T., Rowe, L., Essentials of Skeletal Radiology, Vol.1, pg.239, Williams & Wilkins, 1996. VI. Case History: Rib Cartilage Issues 1. Lou-Ren, C, et al. (21 Oct 2021). Anatomy, Cartilage. NCBI Bookshelf. 2021. 2. Grubbs, H. Et al. (21 May, 2022). Wound Physiology. NCBI Bookshelf. 2022. 3. Kollar, T. (17 March, 2020). Mechanosensitive aspects of cell biology in manual scar therapy for deep dermal defects. International Journal of Molecular Sciences. 2020, 21, 2055; dos:10.339/ijms21062055 4. Salter, R., Textbook of Disorders and Injuries of the Musculoskeletal System, 3rd ed., Williams &Wilkins, 1999. 5. Everts P, Onishi K, Jayaram P, Lana JF, Mautner K. Platelet-Rich Plasma: New Performance Understandings and Therapeutic Considerations in 2020. Int J Mol Sci. 2020 Oct 21;21(20):7794. doi: 10.3390/ijms21207794. PMID: 33096812; PMCID: PMC7589810. 6. Bradley S. Polkinghorn, Christopher J. Colloca, Chiropractic management of chronic chest pain using mechanical force, manually assisted short-lever adjusting procedures, Journal of Manipulative and Physiological Therapeutics, Volume 26, Issue 2, 2003, Pages 108-115. 7. Wang HJ, Zakhari S, Jung MK. Alcohol, inflammation, and gut-liver-brain interactions in tissue damage and disease development. World J Gastroenterol. 2010 Mar 21;16(11):1304-13. doi: 10.3748/wjg.v16.i11.1304. PMID: 20238396; PMCID: PMC2842521. VII. Case History: Wrist Injury 1. Murphy, B. Et al. (2020). The epidemiology of scapholunate advanced collapse. American Association for Hand Surgery. 2020, Vol 15(1) 23-26. 2. Stabler, A. Et al. (1990 Nov). Carpal instability and secondary degenerative changes in lesions of the radio-carpal ligaments with various etiology. Handchir Mikrochir Plast Chir. 1990 nov;22(6):289-95. 3. Lane, R. Et al. (27 June, 2022). Scapholunate Advanced Collapse. NCBI Bookshelf. 2022. 4. Terzis, A. Et al. (28 May, 2021). Inter-rater reliability of magnetic resonance imaging in comparison to computed tomography and wrist arthroscopy in SLAC and SNAC wrist. Journal of Clinical Medicine. 2021, 10, 3592. 5. Yochum, T., Rowe, L., Essentials of Skeletal Radiology, Vol.1, pg.755-765, Williams & Wilkins, 1996. VII. Case History: Patient Mystery #33 1. Tsokos, G., Systemic Lupus Erythematosus: Basic, Applied and Clinical Aspects, 2nd Ed., April 2021, Academic Press.

Kyle Hagel, DC

Dr. Hagel has over 20 years of practice experience with a diverse practice background that includes Evaluation and Management of Auto Injuries, Functional Muscle Evaluation, Sports Medicine, Postural Reeducation, Structural Correction, Disc Injury Management, Spine and Extremity Bracing, Neuropathy Pain Management, Weight Loss, Functional Medicine, and Acupuncture. He also has benefitted greatly from working cooperatively with Physicians, Physician Assistants, and Nurse Practitioners in an integrated clinic for the last 14 years and continues to do so.

Educating patients has always been very important to Dr. Hagel in his practice. Patients that understand their condition make better decisions about their care. He is excited to now be involved in chiropractic continuing education and helping other doctors to do the same for their patients.