Dr. White's background

Private Practice Owner, United Therapeutics Corp. 2001 - Present.

• In top 5% of clinics nationally based on excellent outcomes with patients compared across multiple domains.*
• Excellent word-of-mouth referrals via patients and physicians based on results with difficult patient problems. 
• Received intrastate referrals to our Oklahoma City based business for patients from Tulsa, Broken Arrow, Lawton, Woodward, Elk City, Hinton, Anadarko, Choctaw, Chickasha, Shawnee, Sulphur, Duncan, Noble, Moore, Norman, Midwest City, Del City, Yukon, Piedmont, Edmond, Mustang, etc. for complex cases seeking my expertise.
• Received cross-country specialty referrals for patients seeking my expertise from California, Colorado, Texas.
• Consulted on cases nationally and internationally from Texas, Arkansas, Louisiana, Kansas, Missouri, Mississippi, California, Hawaii, Germany, India.
• Established practical clinical biomechanics lab for measuring and quantifying common orthopedics-related forces associated with that which is generated by or imposed upon human movement and anatomy. This allows more precise dosing of interventions, tracking and monitoring progress, and determining patient readiness to change phases of rehabilitation, referral, or readiness for discharge. 
• Developed dynamically reactive balance training techniques, along with coordination and control drills, for functional retraining of patients with gait and balance deficits. This allows higher-level rehabilitation activities to be performed more quickly, and more safely, in this patient population. 
• Provided clinical instruction in outpatient orthopedics to PT students nationally and internationally.
• Recipient of National Small Business Leadership Award, 2003, 2004, 2005.
• Small Business Ambassador to US Congress, 2003-2005.
• Published author.
• Clinical research scientist. Areas of interest:
  • mechanobiology
  • enhanced fracture rehabilitation
  • chronic low back pain examination, treatment, and outcomes 
  • chronic cervical spine pain examination, treatment, and outcomes
  • osteoarthritis examination, treatment, and outcomes
  • tendinosis examination, treatment, and outcomes
  • neuromotor control and coordination of complex, multi-planar movements
  • psychometric quantification of musculoskeletal psychodynamics
  • measurement and quantification of foot and ankle dynamics and their relationship with common lower extremity orthopedic problems
  • postural alignment and implications for treatment 
  • biomechanics
• Expert witness.

Doctorate, Physical Therapy, MGH Institute of Health Professions, 2006.

• Final Clinical Case project adopted as teaching tool for use with future students. Noted for clarity of interactive presentation of complex systems ideas in context to innovative quantification, analysis, and treatment of chronic lumbar spine pain.
• Faculty recommended publication of my clinical study of normative data for axial skeletal alignment derived from measurements of 600 people.
• Received commendation for novel interactive teaching methods and analytics applied in a clinical context to orthopedic case studies. Dr. Cynthia Coffin Zadai, PT, DPT, CCS, FAPTA, Professor, MGH Institute, 2006.
• Received commendation for analysis and commentary on research design. Dr. Mary Watkins, DPT, MS, Associate Professor, MGH Institute, 2005.
• GPA 3.925

Board Certified Clinical Specialist, Orthopedics. First certified 2001, by American Board of Physical Therapy Specialties. Recertification required every 10 years.

• Recertified by portfolio review, 2011.
• Recertified by portfolio review, 2021.

Orthopedic residency training, Kelsey Institute, 2000-2001. 

• Developed and applied a successful treatment program for a complex comminuted fracture of a patient's acetabulum. Successful nonoperative treatment of this type of complex orthopedic problem had not been done before. Patient returned to full function and usual unrestricted activities. My work on this surgery avoidance case laid the foundation for precise mechanobiological intervention for fractured bone. 
• Developed and taught to fellow residents and instructors a manual therapy mobilization treatment technique and treatment program for plantar fasciitis. 
• Expanded objective quantification of changes resulting from treatments for musculoskeletal pathology. 
• Defined and organized decision rules for patient management from intake to differential diagnoses, selection of treatment category and methods, and outcomes assessment.

Chief Outpatient Orthopedics and Sports Medicine PT, University Hospital & Children's Hospital, OKC, 1995-1999.

• Consistently performed the work of 3 FTEs across 2-hospitals, 3 departments, and numerous specialty clinics, including outpatient orthopedics, inpatient post-surgical care, acute care, ICU, and wound care. Validated observation after discontinuing my employment to pursue independent research when a former supervisor revealed 3 PTs in succession were unable to perform my former job. Each either quit after a few weeks or months or returned to their former level of employment activities. Subsequently, 3 different FTEs were hired to do the job I did by myself. 
• Assisted teaching OU's Physician Assistants orthopedic exam lab, spring, 2000.
• Received letter of commendation for effectiveness, safety, and efficiency of work with orthopedically involved outpatients. Awarded by Dr. Ed Tyson, MD, Assistant Professor of Pediatrics, Section of Adolescent Medicine, OU Health Sciences Center. August, 1999.
• Assisted production of residency talk for Dr. E Budrich, MD, Internal Medicine & Pediatrics, OU Health Sciences Center, regarding Stevens-Johnson syndrome etiology and management.
• Developed treatment protocol and monitoring of exercise-stress-induced physiological changes in patients with severe eating disorders. Established cut-off for floor and ceiling values using in-clinic systolic and diastolic BP monitoring coupled with HR and RPE. This allowed recognition of potential impending medical crisis signaling the need for cardiology consultation and inpatient monitoring.   
• Facilitated successful JCAHO accreditation review of outpatient PT services for adult and pediatric patients. This contributed to saving 9 PT department jobs and the recommendation for creation of 5 new full-time positions.
• Assisted teaching internal medicine residents orthopedic examination of musculoskeletal problems, fall conference, 1999. 
• Developed chondral-surface recovery and regeneration program for talocrural joint OA and other osteochondral lesions of the ankle.
• Developed chondral-surface recovery and regeneration program for patellofemoral and knee joint OA and meniscal lesions.
• Invited lecture, by Dr. David Garrison, PhD, presented to PTs in the PhD program, University of Oklahoma Health Sciences Center. My presentation topic, "Clinical Research: Generating Evidence Through Clinical Practice." 1998.
• Developed denervation treatment protocol for severe peripheral neurological trauma.
• Began exploratory work examining methods to prevent paralysis due to spinal cord injuries. This work proposed utilizing immunological pathways to block protein formations which prevent healing transection injuries to the spinal cord.
• Received letter of commendation recognizing innovation, education, and post-neurosurgery protocol development work for patients with traumatic denervation injury. This changed existing practices and established new evidence-based care. Awarded by Dr. Norman S Levine, MD, Chairman and Professor, Section of Plastic Surgery, OU Health Sciences Center. August, 1995.

PT, University of Oklahoma Health Sciences Center, BS, 1995.

• Collaborated with instructors to provide a more precise understanding of, and better descriptions of, concepts related to topic areas they taught and researched for years, including:
  • Movement patterns associated with certain common physical impairments.
  • Differences in palpation findings associated with different degrees of muscular tonicity.
  • Electrophysiological energy density saturation effect equivalency achievable with TENS or IFC by modulating frequency or amplitude of pulse trains per unit area.
  • Alternative approaches to biomechanical analysis of forces.
  • Environmental context and conditions impact on optimization of changes associated with human developmental stages.
  • The potential blocking effects of caffeine on neuroreceptor sites utilized by TENS for pain control.
  • Clinical detection and treatment of patients presenting with complex neurology/reflex sympathetic dystrophy.
  • Forced neural adaptation via neuroplastic change induced by constraint-based movement re-training in patients post CVA.
• Pediatric developmental stages concepts paper adopted as teaching tool for use with future students. Noted for novelty, clarity of presentation of stage transitions and links to environmental context and conditions driving adaptive changes which are demonstrated to be conditionally affected with optimized stimuli. 
• CAPSTONE project in complex neurology, emphasis on Reflex Sympathetic Dystrophy (RSD)/Complex Regional Pain Syndrome. Recommended for publication.

BA, Professional Writing/Journalism, specialties in Science and Technical Writing, University of Central Oklahoma, 1989.

• Concentration areas:
  • String Theory
  • Grand Unified Theory
  • TOE
• Inducted Kappa Tau Alpha, National Journalism Honor Society, April 12, 1988.

Other:

• Primatology field research, Iquitos, Peru. Red Uakari monkey population survey, habitat range determination, food sample collection, and testing radio telemetry tracking collars and equipment for field use. In cooperation with researchers from Duke University, Dallas, and Detroit zoos, 1996.
• Rocket scientist, US Air Force JROTC, 1986.  
• Problem solver.

* We compared our clinical outcomes to outcomes information available in insurance databases, national databases for PT services, and data from outpatient PT clinics that published their information online. Some methodological differences among data sources limit resolving this number in greater detail.