Meet the Doctor

Dr. Ryan D. Hess

Dr. Ryan D. Hess graduated from Logan University College of Chiropractic in 2005.  After an extensive postgraduate study program, Dr. Hess practiced in Illinois prior to moving to Florida in 2012.  In 2014, Dr. Hess purchased Indian River Chiropractic and has made strides to provide comprehensive health care to Vero Beach.

Indian River Chiropractic focuses on family wellness and treatments for work injuries, auto accident injuries and injuries that may have resulted from falls or trauma.  Dr. Hess utilizes a hands-on approach to spinal manipulation.  Most notable are the flexion – distraction adjusting procedures coupled with Active Release Therapies.  Additional practice areas are holistic in nature.

Dr. Hess has completed extensive training at the Spine Research Institute of San Diego for spinal correction following whiplash trauma.  His widespread training also includes treatment for sports-related injuries, weight loss counseling and management, and hormone balancing therapies.  Second opinions, MRI reviews, failed back surgery, and non-responsive hormone replacement therapy is given detailed attention by Dr. Hess.

Loving the great outdoors is one of Dr. Hess’ favorite things to do when not in the office.  He enjoys time with his family and friends hiking, fishing and touring beautiful scenery on his motorcycle.  Dr. Hess is a regular at supporting local charities and can be found volunteering at youth sporting events.

Professional Experience

Physician, Owner
12/2014-current
Indian River Chiropractic
Vero Beach, FL
Physician
03/2012-03/2014
Elite Health Centers
Palm Bay, FL
Physician
04/2010-01/2012
Align Health Center
Carbondale, IL
Physician
08/2006-04/2010
Hess Alternative Health Center
Carbondale, IL
Assistant Professor
08/2005 – 12/2005
Department of Biology
Logan College – 205/206
Carterville, IL
Consultant Physician
Miller Spinal Health Center
07/2005 – 07/2006
Marion, IL
Assistant Professor
08/2003 – 04/2005
Department of Spinal Technique
Logan University – College of Chiropractic
Chesterfield, MO
Assistant Professor
08/2003 – 04/2005
Department of Radiology
Logan University – College of Chiropractic
Chesterfield, MO

EDUCATION

Logan University – College of Chiropractic
DC – Doctor of Chiropractic (04/2005)
Chesterfield, MO
Logan University – College of Life Science
BS – Human Biology (08/2003)
Chesterfield, MO
Logan College
AS – Civil Engineering, Mathematics, Physics, Biology
Carterville, IL (08/2000)

BOARD CERTIFICATION

  • National Board of Chiropractic Medicine
  • Parts I, II, III, IV, and Physiotherapy

MEDICAL LICENSURE
Illinois State License (07/2005), Inactive 2014
038010453
Florida State License (05/2012), Active 2011
CH 10678
MALPRACTICE PROFESSIONAL LIABILITY

National Chiropractic Council
Policy No: APIC-280074
Claims Made Policy
$1,000,000 Each Claim / $3,000,000 aggregate
GRADUATE TRAINING
Internship
Chiropractic (01/2002-07/2003)
Logan University Outpatient Clinic, Chesterfield, MO
Residency
Chiropractic (08/2003-04/2005)
Salvation Army – Harbor Light Clinic, St. Louis, MO
Residency
Chiropractic (08/2003-04/2005)
St. Patrick Center, St. Louis, MO
Residency
Chiropractic (08/2003-2005)
Logan University – St. Peter’s, Chesterfield, MO

POST GRADUATE TRAINING

FLORIDA CHIROPRACTIC PHYSICIAN ASSOCIATION (03/2018 – 10 HOURS, Orlando FL)
• Deconstructing a Malpractice Suit – B Heyser DC MD DABCN DACBN
• Tendinopathy as Adverse Effect to Medication – B Heyser DC MD DABCN DACBN
• OTC Drug and Herb Interactions – B Heyser DC MD DABCN DACBN
• Ethical Boundaries – A Ovadia JD
• FL Law on Personal Injury Claims – A Ovadia JD

Sherman College of Chiropractic (04/2018 – 14 HOURS, Jacksonville FL)
• Ethical Boundaries – K Ross DC JD PA
• FL Laws on Personal Injury Claims – M Champion JD
• Recordkeeping, Documentation, Coding for PI – K Ross DC JD PA
• Risk Management – K Ross DC JD PA
• Medical Errors and Malpractice – K Ross DC JD PA

FLORIDA CHIROPRACTIC PHYSICIAN ASSOCIATION (03/2018 – 10 HOURS, Orlando FL)
• Deconstructing a Malpractice Suit – B Heyser DC MD DABCN DACBN
• Tendinopathy as Adverse Effect to Medication – B Heyser DC MD DABCN DACBN
• OTC Drug and Herb Interactions – B Heyser DC MD DABCN DACBN
• Ethical Boundaries – A Ovadia JD
• FL Law on Personal Injury Claims – A Ovadia JD

Active Release Technique (08/2005) – 50 hours
Logan University, Chesterfield, MO
Acupuncture Traditional Chinese Medicine (07/2005) – 100 hours
Logan University, Chesterfield, MO
DOT physical and Drug Testing (09/2007) – 20 hours
National University, Lombard, IL

DEGENERATIVE DISC DISEASE: NEUROSURGICAL DIAGNOSIS & TREATMENT (11/2208 – 4 HOURS)
St. Francis Hospital Department of Neurosurgery, Cape Girardo, MOHow degenerative disc disease develops, how doctors diagnose the condition, treatment options available. Physical therapy, decompression, manipulative therapy parameters and outcome assessment. Risk assessment vs benefits of posterior lumbar fusion, disc replacement, microdiscectomy, combined fusion, laminectomy. Post surgery options for the patient: prescriptions, physical therapy, and pain management.

WHIPLASH ADVANCED TOPICS: THE FUNDAMENTAL SCIENCE (12/2008 – 20 HOURS)
San Diego Institute of Spine Research, CA

  • Requisite and comprehensive biomechanics knowledge for forensic experts
  • Whiplash and brain injuries: the real reasons they are on the rise
  • The minimal property damage = minimal injury risk myth exposed
  • In-depth analysis of brain, neck, and cervical spine trauma mechanisms
  • Soft tissue injuries: a comprehensive and cutting-edge analysis
  • All clinical syndromes and conditions resulting from whiplash (WAD/CAD)
  • What forensic experts need to know about the various pain syndromes
  • Risk assessment: the fundamental key to modern forensic practice

MANAGEMENT PRINCIPLES IN PERSONAL INJURY AND FORENSIC DOCUMENTATION (02/2009 – 20 HOURS)
San Diego Institute of Spine Research, CA

  • In-depth training on all aspects of management of trauma, from beginning to end; a comprehensive primer on crash reconstruction.
  • Auto crash reconstruction in low speed crashes: critical knowledge for today’s forensic practitioners
  • Historical documentation in personal injury and forensic medicine applications
  • Comprehensive physical examination of whiplash and traumatic brain injury
  • Special laboratory methods, such as the S-100 protein
  • The latest radiographic examination methods and analysis techniques
  • CT examination of brain and soft tissue injuries
  • MRI examination of brain and soft tissue injuries; latest techniques
  • Special diagnostic imaging modalities (SPECT, PET, fMRI, MRA, VF, etc.); how and when to use
  • Electrodiagnostics (EMG, sEMG, SSEP, VEP, etc…); how and when to use

PRINCIPLES OF IMPAIRMENT RATING AND FORENSIC REPORTING (04/2009 – 20 HOURS)
San Diego Institute of Spine Research, CA

  • Critical documentation from day 1; What every personal injury and forensic expert needs to know
  • The fundamental of expository, scientific writing you were never taught; common dos and don’ts
  • The essential craft of narrative report preparation from A-Z; style, strategy, methods, organization, and common pitfalls
  • Incorporating outcomes assessment and disability instruments into your reports (SCL-90-R, Oswestry, Roland-Morris,
  • Rivermead PCS, and more)
  • The application of AMA guidelines in personal injury and forensic practice
  • Modern guidelines and best practices (Presley Reed, Mercy, QTF, ACOEM, Croft); How they are commonly abused and how and when to use them correctly
  • Critical rebuttal methods and strategies in today’s modern forensic practice
  • Special software applications: managing data, information, graphics; saving time

MEDICOLEGAL FUNDAMENTALS FOR PRACTITIONERS AND FORENSIC EXPERTS (06/2009 – 20 HOURS)
San Diego Institute of Spine Research, CA

  • Essentials of documentation and records keeping; what you need vs. what you don’t
  • Medical photography; when and how to use it and incorporate it
  • Taking the pain out of depositions, arbitrations, and testifying in court
  • Preparing for the classic cross-examination strategies
  • Critical differences between chiropractic and medical approaches that literally make or break a case
  • Using evidence effectively; models, charts, diagrams, photos, movies, and more
  • Daubert and Frye rules; how they affect your testimony and how they can exclude opposing experts
  • Disabusing the MIST myth; Colossus
  • Learned treatises and reliable authorities; other federal rules of evidence experts should know

PHYSICAL DIAGNOSIS, RADIOGRAPH INTERPRETATION, PEDIATRIC DISEASE, BOUNDARY TRAINING
(02/2009 – 18 HOURS)
Missouri State Chiropractic Association, St. Louis, MO

  • Review of Systems
  • Exam requirements and red flags
  • Differential diagnosis and referral protocol
  • Review of Abnormal radiographs
  • Cancers: Benign and malignant
  • Illnesses that are of unclear cause, have prolonged fever, or are recurrent
  • Respiratory infections
  • Bone and joint infections
  • Tuberculosis (TB)
  • Acquired Immunodeficiency Syndrome (AIDS)
  • Hepatitis
  • Meningitis

MEDICARE: DOCUMENTATION, DIAGNOSIS, TREATMENT
(03/2011 – 10 HOURS)
Illinois Chiropractic Society, IL

  • Explain the purpose of documentation
  • Define assessment, clinician, episode, evaluation, and interval based on CMS definitions
  • Identify the required components of documentation
  • List the requirements for a Clinician and Assistant’s Progress Reports and Treatment Encounter Notes
  • Identify the criteria for performing and documenting an evaluation and re-evaluation and the components of Medicare discharge documentation
  • HIPAA standards, implementation guidelines, and rules
  • Discuss the top reasons Medicare claims are denied
  • Describe the new Medicare claims appeal process.

SELLING A HEALTHCARE PRACTICE: ETHICAL, LEGAL, FINANCIAL and TAX CONSIDERATIONS (06/2013 – 3 HOURS)

  • Evaluate a sample sale agreement and sample letter issued to patients upon dissolution of practice
  • Explain components of any well drafted buy-sell agreement including noncompetes
  • Identify how to handle patient records vis-à-vis the sale
  • Understanding forms and laws relating to the transfer of logos, trademarks and Internet Domain Names
  • HIPAA Considerations
  • Acquaint oneself with the tax consequences of particular types of practice sales
  • Discuss valuation methods used for determining an appropriate practice sales price
  • Identify legal concerns associated with the dissolution of a healthcare practice
  • Recognize how sales can trigger violations: fee splitting, patient abandonment, kickback, and anti-trust

IMAGING OF THE PEDIATRIC ATHLETE (12/2009 – 4 HOURS)
Logan University – College of Radiology

  • The unique patterns of sports-related injury of the upper extremity that radiologists are likely to encounter in children and adolescents. The injuries are classified as acute “use” injuries or chronic “overuse” injuries and reviewed separately for the shoulder, elbow, and wrist. Recommendations for imaging strategies are provided and characteristic imaging findings are discussed and illustrated.
  • Pediatric sports and exercise medicine for diagnosis and treatment of lower back pain. Differential diagnosis of spondylosis, posterior element overuse syndrome, vertebral body apophyseal avulsion fracture, disc herniation, inflammation, infection, tumors, prevention. MRI vs Bone scan for evaluation and management of spondylosis in the acute vs chronic stages.

FLORIDA CHIROPRACTIC PHYSICIAN ASSOCIATION (07/2015 – 18 HOURS)
University of Bridgeport – College of Chiropractic

  • ICD 10 Conversion of diagnosis from ICD9 to ICD10
  • Rehabilitation of Musculoskeletal Conditions for Clinical Outcomes
  • Neuromusculoskeletal Medicine
  • Florida Law Updates on the PIP laws – Abraham Ovadia, JD
  • Risk Management for the Chiropractic Office – Kenneth Ross, JD, DC
  • Ultimate Brain – Focus on Neurotransmitters
  • Medical Errors in the Chiropractic Office and the Practice of Chiropractic – Kenneth Ross, JD, DC
  • Risk Management Independent Medical Exams – Abraham Ovadia JD

FLORIDA BAR CONTINUING LEGAL EDUCATION (11/2015 – 7 HOURS)
Basic Personal Injury 2015 Tampa Regional Conference

  • General Personal Injury Causes of Action – Teresa Jones JD
  • Case Evaluation & Initial Investigation – David Prather JD
  • Discovery – Kurt Alexander JD
  • Trial Preparation – Dale Swope JD
  • Trial of Personal Injury Case – William Hahn JD
  • Post-trial Motions and Appeals – Raymond Elligett JD
  • Judicial Perspective of Personal Injury Litigation – Manuel Menendex, Jr JD (Former Chief Judge), Judge Michelle Sisco JD, Judge Amy Williams JD

PHYSICAL MEDICINE INTEGRATION (01/2016 – 7 HOURS)
Tampa Regional Conference

  • Medical Necessity and Standard of Care
  • Treatment Protocols for Muscular and Joint Injections
  • Cervical and Lumbar Decompression Protocols
  • DME Usage and Compliance
  • Dispensing Pharmacy Guidelines

MEDICARE DMEPOS ACCREDITATION (01/2016 – 40 HOURS)
Certification of Certified Orthotic Fitter (COF) via Board of Certification/Accreditation International (BOC) Frederick, MDFull spectrum study in Orthotics

  • OFC – Anatomy and Physiology
  • OFC – Biomechanics
  • OFC – Cervical Anatomy
  • OFC – Compliance
  • OFC – Diabetic Foot – Therapeutic Shoe Fitting
  • OFC – Ethics – Risk Management
  • OFC – Gait Analysis
  • OFC – Hazard Communication
  • OFC – HIPA
  • OFC – Kinesiology Lower Quarter
  • OFC – Kinesiology Upper Quarter
  • OFC – Lower Extremity Anatomy
  • OFC – Lymphedema
  • OFC – Medical Terminology
  • OFC – Practice Management
  • OFC – SOAP Notes
  • OFC – Spinal Anatomy
  • OFC – Tools and Techniques
  • OFC – Upper Extremity Anatomy
  • OFC – Venous Insufficiencies
  • OFC – Hip Anatomy and Orthotic Applications
  • OFC – Hands-on Application and Trouble Shooting

FLORIDA CHIROPRACTIC PHYSICIAN ASSOCIATION (08/2016 – 12 HOURS, Orlando FL)

  • Insomnia: The neurotransmitter and hormone connections – S. Theirl DC
  • Human Integument – S. Nottingham DC
  • Prevention of Medical Errors – G. DiMartino JD
  • FL Advertising Laws – JD Underwood JD

FLORIDA CHIROPRACTIC PHYSICIAN ASSOCIATION (08/2017 – 20 HOURS, Orlando FL)

  • Critical Steps to Protect Against Audits – D. Klein CPC CHC
  • Recognizing Threatening Conditions – B Steele BS BA DC
  • No-Fault PIP FL Law – JD Underwood JD
  • Vitamin K2-7 Anti Aging – T Bayne DC
  • Functional Medicine – J Cima DC
  • OTC Drug and Herb Interactions – B Heyser DC MD DABCN DACBN
  • Ethical Boundaries – A Ovada JD
  • FL PIP Law Updates – A Ovadia JD
  • Medical Errors – A Ovadia JD
  • Occipital Neuralgia Presentations/Reactions – B Heyser DC MD DABCN DACBN
  • Fl Laws and Rules – B Perkins JD DC

Continuing Education (07/2005-current) – 500 hours

  • Multiple Practice Parameters

MEMBERSHIPS AND ASSOCIATIONS

  • American Chiropractic Association (2010-2011)
  • Florida Chiropractic Society (2012-2013)
  • Florida Chiropractic Physician Association (2014-2018)

FUNCTIONAL MEDICINE UNIVERSITY  (07/2018 – 30 HOURS)

  • Introduction to Functional Diagnostic Medicine –  Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N, MS
  •  Blood Chemistry and CBC Analysis: Balancing Body Chemistry   with Nutrition – Harry Eidenier, PhD
  • Introduction to Advanced FDM Testing – Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N, MS
  • The Triad of Gut Destruction – Cheryl Burdette, N.D.
  • The Gut-Brain Connection: Exploring the Vital Role of the Gut in Optimal Brain Function – Court Vreeland D.C., D.A.C.B.N.
  • Autoimmunity and the Gut: A detailed examination of various triggers to immune system dysfunction and the development of autoimmunity – Jill Carnahan M.D
  • Physiology of the Gut Associated Lymphoid Tissue, Enteric Nervous System and Mucosal Barrier – Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N, MS
  • Advanced FDM Testing — Interpretation and Treatment: Stool analysis – Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N, MS
  • Advanced FDM Testing — Interpretation and Treatment: Stool pathogens – Bacteria, Parasites and Yeast – Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N, MS
  • Advanced FDM Testing — Interpretation and Treatment of the Intestinal Permeability Test – Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N, MS
  • Advanced FDM Testing — Interpretation and Treatment of the GI Portion of the Organic Acid Test – Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N, MS
  • Advanced FDM Testing — Interpretation and Treatment Intestinal Barrier Function Test – Ronald Grisanti D.C., D.A.B.C.O., D.A.C.B.N, MS
  • Clostridia Species as a Major Factor in Mental and Gastrointestinal Health – William Shaw PhD
  • Small Intestine Bacterial Overgrowth (SIBO) – Steven Sandberg-Lewis, ND, DHANP; Allison Siebecker, ND, MSOM, LAc
  • The Causes and Diverse Clinical Presentations of Gluten Related Disorders – Tom Alexander M.D.
  • Gluten Certification – Dr. Peter Osborne
  • Functional Approach to GERD Diagnosis and Treatment – Steven Sandberg-Lewis, ND, DHANP