Diplomate, American Academy of Medical Legal Professionals, 2009
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. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education Board for Chiropractic, Long Island, NY, 2009
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. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education Board for Chiropractic, Long Island, NY, 2009
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. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education Board for Chiropractic, Long Island, NY, 2009
MRI, Bone Scan & 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. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education Board for Chiropractic, Long Island, NY, 2009
Neurodiagnostic Testing Protocols, Physiology and Indications for the Trauma Patient, Electromyography (EMG), Nerve Conduction Velocity (NCV), Somatosensory Evoked Potential (SSEP), Visual Evoked Potential (VEP), Brain Stem Auditory Evoked Potential (BAER), and Visual-Electronystagmography (V-ENG) interpretation, protocols and clinical indications for the trauma patient. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education Board for Chiropractic, Long Island, NY, 2009
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. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education Board for Chiropractic, Long Island, NY, 2009
Documentation 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 kinesiopathology, myopathology, neuropathology, pathophysiology in both a functional and structural paradigm. CMCS Post Doctoral Division, New York Chiropractic Council, New York State Department of Education Board for Chiropractic, Long Island, NY- 2009
Impairment Rating Certification, 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, dislocation and functional loss are also detailed in relation to impairment ratings. CMCS Post Doctoral Education Division, New York Chiropractic Council, New York State Education Department, Long Island, NY, 2009
MRI Physics and History, 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. New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and CMCS Post Doctoral Division, Buffalo, NY, 2009
MRI Anatomy & History, 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. New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and CMCS Post Doctoral Division, Buffalo, NY, 2009
MRI Disc Pathology & 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. New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and CMCS Post Doctoral Division, Buffalo, NY, 2009
MRI Spinal Pathology, MRI interpretation of bone, intradural, extradural, cord and neural sleeve lesions. Tuberculosis, drop lesions, metasasis, ependymoma, schwannoma and numerous other spinal related tumors and lesions. New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and CMCS Post Doctoral Division, Buffalo, NY, 2009
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, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and CMCS Post Doctoral Division, Buffalo, NY, 2009
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. New York Chiropractic Council, New York State Department of Education, Board for Chiropractic, AACME Joint Sponsorship with the State University of New York at Buffalo, School of Medicine and Biomedical Sciences and CMCS Post Doctoral Division, Buffalo, NY, 2009
Rehabilitation and Functional Movement Strategies, Fetterman Events, 2018
Taping Techniques and AMP; Sports Medicine, Fetterman Events, 2018
Taping Techniques and AMP; Sports Medicine, Fetterman Events, 2018
Inflammation and Food Sensitivities, Fetterman Events, 2018
Imagining and AMP; Shoulder Treatments to Avoid Surgery, Dr. Jack Dolbin, Dr. Terry Yocum, Fetterman Events, 2018
Neurology and AMP; Vagus Nerve Stimulation, Fetterman Events, 2020
Acupuncture: Principles and AMP, Techniques, Fetterman Events, 2020
Taping and Rehabilitation of the Shoulder, Fetterman Events, 2022
Stress response effect on the VSC, Vertebral Subluxation Complex, Fetterman Events, 2022
Post Isometric Relaxation, Fetterman Events, 2022
Selected Memberships
American Chiropractic Association, Member, 2009-present
International Chiropractors Association, Member, 2009-present
American Academy of Medical Legal Professionals, Member, 2009-present
South Carolina Chiropractic Association, Member, 2004-present
Selected Honors & Awards
Delta Sigma Chi, Doctors of Straight Chiropractic, Member, 2000
Flexible, friendly, personable, welcoming, caring, efficient, respectful, and effective. I easily refer friends and family to them. Love Kirar Superior team!
Melanie P.
Everybody is so nice. Dr. Vance,Dr.Jill and Dr.Blake to me are the best chiropractor. It feel so good when I come every two weeks. One thing is if anything else bothers you,they tell you to let them know. I appreciate everything they do for me.
Sherry W.
After a reaction to a vaccine I called in on a Saturday morning and seen by Dr Blake. He assessed the problem, gave me an adjustment and some instructions. I woke up on Sunday morning feeling like new. Thank you!
Deborah H.
I am new to the practice. But so far I feel better. Also what a great group of people. So far I am so happy I meet them. Highly recommend.
Thomas L.
Wonderful doctor and staff they treat you like family would highly recommend
Charlene L.
All staff is pleasant and efficient. They saw me twice in one day because of back pain. Doctors are wonderful, knowledgeable, listen to concerns, and encouraging.
NAN H.
Always a great adjustment with friendly staff and excellent service.
Carol N.
Amazing service!
JR W.
I feel so much better just with that one visit 😌 I can move freely and had the best sleep I've had in a long long time.
Lolita T.
Kirar's Team always provides courteous and professional services. Walked out with instant relief. Thanks so much!
Terri H.
Awesome caring staff. Takes care of your problems. Explains what they are doing so that you will understand. Great group of people.
Beverly N.
Easy to work with. They really helped get me back in motion
Kurt L.
The best Chiropractic care in South Carolina, great staff,and physical therapist. They really care about the people wellness. 5 stars is not enough they deserve 20 stars
Janet T.
Wonderful relationships and finally an end to the constant stiffness and pain! Highly recommend.