John Sando DC
22 West Front Street, Butte, MT, 59701
Phone: 406-782-0429
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EDUCATION AND LICENSURE
Doctor of Chiropractic, Licensed in the State of Montana, License # CHI-CHI-LIC-540, 1986-Present
Doctorate of Chiropractic, Northwestern College of Chiropractic, Bloomington, Minnesota, 1986
Internship, Community Chiropractic Center, Lewistown, Montana, 1986 - 1986
National Board of Chiropractic Examiners, Part I, 1986
National Board of Chiropractic Examiners, Part II, 1986
Bachelors of Science in Sociology, Montana State University, Bozeman, Montana, 1977

SELECTED POST-GRADUATE EDUCATION, CERTIFICATIONS AND DIPLOMATES

Return to Work & Fitness For Duty Decisions, How to Use a Function Based Approach: A Workshop American College of Independent Medical Examiners & American Board of Independent Medical Examiners, Las Vegas, NV, 2017
Traumatic Brain Injuries & Concussion Claims, How to Manage Them: A Workshop American College of Independent Medical Examiners & American Board of Independent Medical Examiners, Las Vegas, NV, 2017
AMA Guides 6th Edition, AMA Guides to the Evaluation of Permanent Impairment, 6th Edition Training Course with Review of Principles of Disability Assessment American College of Independent Medical Examiners & American Board of Independent Medical Examiners, Las Vegas, NV, 2017
AMA Guides 5th Edition, A Doctor's Guide to Practical Use of the AMA Guides to the Evaluation of Permanent Impairment - An Overview American College of Independent Medical Examiners & American Board of Independent Medical Examiners, Las Vegas, NV, 2017
Impairment Rating, 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, dislocations and functional loss are also detailed in relation to impairment ratings. Academy Of Chiropractic Post-Doctoral Division, Long Island, New York, 2016
Impairment Rating, Provide a general comprehension of the methodology of impairment ratings with the Sixth Edition, ultimately to improve examiner reliability and rapport with Workers' Compensation carriers. Outline new format of Sixth versus Fifth Edition of the Guides, based on the International Classification of Functioning Disability and Health (ICF). Rationale for Sixth revision versus previous approaches discussed, including substantive changes which focus on Diagnosis-based Impairments. Montana Chiropractic Association, Helena, MT, 2016
Compliance, Documentation and Auditing in Today's Practice, Diagnostic synthesis: Key components to ensure accuracy in diagnosis, a deep dive into evaluation and management, coding and auditing, radiological evaluations and their role in the diagnostic process, documentation requirements of treatment planning and clinical assessment, therapy and active care: maximizing patient outcomes. KMC University, St. Louis, MO, 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 are applicable to human biomechanics. Texas Chiropractic College, ACCME Joint Providership with the State University of New York at Buffalo, School of Medicine in 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, 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, 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, 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 Beomechanical 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, occular and proprioceptive neurological integration in the righting reflex as evidenced in imaging. Digital and numerical algorithms in analyzing a spine. Texas Chiropractic College, 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, 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 gait analysis. Ligament instability/failure/pathology is identified all 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, 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 gait analysis. Ligament instability/failure/pathology is identified all 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, 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
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. Certification in Examination and Triaging the Trauma Patient, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards., Academy of Chiropractic, Long Island, NY, 2015
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 the "risk factors" in spinal injury. Certification in Trauma and Personal Injury Protocols, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Academy of Chiropractic , 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. Certification in Crash Dynamics and the Trauma Victim, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, 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 Certification in MRI, CAT Scan, Bone Scan Interpretation, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, 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 (V-ENG) interpretation, protocols and clinical indications for the trauma patient Certification in Neurodiagnostic Testing: EMG/NCV, SSEP, V-ENG, BAER, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, 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 Certification in Medical-Legal Protocols In Insurance, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, 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 Certification in MedicalpLegal Documentation and Credentials, Academy of Chiropractic Post Doctoral Division, Recognized by the PACE Program of the Federation of Chiropractic Licensing Boards, Academy of Chiropractic, Long Island, 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 and 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 and 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 and 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, schwanoma 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 and 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 and 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 and 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 sequelae, including bulge, herniations, 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, 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 vertebrae. 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 Divsion, Buffalo, NY, 2015
MRI Interpretation of Lumbar Herniations, MRI slices, views, T1, T2, axial, stacking, FFE, FSE and sagittal images in the interpretation of lumbar herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrae. 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, 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 vertebrae, 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, Buffalo, NY, 2015
MRI Interpretation of Cervical Herniations, MRI slices, views, T1, T2, STIR axial, FFE, FSE and sagittal images in the interpretation of cervical herniations. With the co-morbidities and complications of stenosis, pseudo-protrusions, cantilevered vertebrae. Schmorl's nodes and herniations, morphology of cervical 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, Buffalo, NY, 2015
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, Buffalo, NY, 2015
MRI Spine Interpretation and Spinal Biomechanical Engineering - Primary Spine Care, Correlating spinal biomechanics secondary to trauma and MRI findings inclusive of herniation, bulging, protruded and extruded discs. Correlating co-efficient of forces translated from the bullet vehicle to the target vehicle to the occupant in determining causality of bodily injury. Academy of Chiropractic, PACE approved for the Federation of Chiropractic Licensing Boards, Texas Chiropractic College, Las Vegas, NV, 2015
Evidenced Based Interprofessional Collaboration - Primary Spine Care, Chiropractic as Primary spine care based upon the literature conclusions and the documentation requirements to support those conclusions in an ethical collaborative environment inclusive of hospitals, emergency rooms, primary care medical doctors and medical specialists. Academy of Chiropractic, PACE approved for the Federation of Chiropractic Licensing Boards, Texas Chiropractic College, Las Vegas, NV, 2015
Contemporary Literature Review of the Chiropractic Adjusting Mechanisms - Primary Spine Care, The latest scientific evidence of the effects of the chiropractic spinal adjustment on the central nervous system, both upper and lower motor neurons. A comparative analysis of chiropractic vs. other modalities and therapies. Academy of Chiropractic, PACE approved for the Federation of Chiropractic Licensing Boards, Texas Chiropractic College, Las Vegas, NV, 2015
Medical-Legal Insurance Documentation, Accurate and compliant documentation of history and clinical findings inclusive of functional losses, loss of activities of daily living, duties under duress and permanent loss of enjoyment of life. Prognosing static vs. stable care, gaps in care both in the onset and in the middle of passive care with a focus on detailed diagnosing. The integration of chiropractic academia, the court system and the insurance reimburser's requirements for complete documentation. Texas Chiropractic College, Academy of Chiropractic Post-Doctoral Division, Long Island, NY, 2015
Physical Qualification For Commercial Motor Vehicle Drivers, Training and Testing for the Federal Physical Qualification and Standards for Truck and Bus Drivers. Certification in Registered Medical Examiner, Diplomate, National Registry of Certified Medical Examiners, Federal Motor Carrier Safety Administration, Federal Motor Carrier Safety Administration, Helena, Montana, 2014
Chiropractic Peer Review Essentials, Fundamentals of the Peer Review Process, Peer Review Report Writing Formats and Skill Development, State/Regional/National Chiropractic and Cross Discipline Treatment Guidelines Texas Chiropractic College, Division of Postgraduate Studies, Pasadena, Texas, 2014
Rehabilitative Exercise Protocols, Progressive Resistance Exercise Methodologies, Aerobic/Anaerobic Exercise Training Concepts, Rehabilitative Exercise Treatment Protocols, Sport Specific Exercise Strength Training Methods, Patient Exercise Program Designs Texas Chiropractic College, Division of Postgraduate Studies, Pasadena, Texas, 2010
Peer Review of Diagnostic Testing Procedures, Plain Film Radiographs, MRI, CT Scan, Bone Scan, Myelography, Electrodiagnostic Testing: EMG, NCV, SSEP Texas Chiropractic College, Division of Postgraduate Studies, Pasadena, Texas, 2009
Fundamentals of Physiotherapy, Comprehensive Analysis of Physical Therapy Modalities, Physiological Effects, Indications, Contraindications and Proper Dosage of Physical Therapy Modalities, Manipulation Under Anesthesia/Vax-D Protocols and Guidelines, Fundamentals of Clinical Nutrition, Alternative Treatment Methodologies Texas Chiropractic College, Division of Postgraduate Studies, Pasadena, Texas, 2009
Impairment Rating Evaluator, Proper Assessment and Determination for Rating of Permanent Impairment. Certification in Impairment Rating, Montana Chiropractic Association, Montana Board of Chiropractors, Helena, Montana, 2004

SELECTED MEMBERSHIPS

American Chiropractic Association, Past State Delegate, 1987 - Present
Montana Chiropractic Association, Past President, 1987 - Present
Academy of Chiropractic, General Member, 2014 - 2017
American Academy of Pain Management, General Member, 2015 - 2016
Montana State Board of Chiropractors, Member of the Board, President, 2006 - 2012

SELECTED HONORS AND AWARDS

President's Citation, Butte Chamber of Commerce, 2005
Best of the Best Readers Award for Chiropractors, Montana Standard, 2003, 2006, 2009
Chiropractor of the Year, Montana Chiropractic Association, 2003
President's Citation, Montana Chiropractic Association, 1998
President's Citation, Silver Bow Kiwanis, 1991