The Certified Chiropractic Extremity Practitioner (CCEP) is an expert in the art of extremity adjusting. The CCEP Doctor has successfully completed the most comprehensive extremity adjusting post-graduate curriculum in the field of Chiropractic Care. They have been certified and trained to treat multi-faceted extremity ailments, both on and off the field. In fact, some CCEPs have been appointed as team doctors on professional football, baseball, soccer, and basketball teams, Olympic teams, and NCAA college teams.

CCEPs are equipped with effective bio-mechanical applications. These useful skills can be applied to nearly every member of society plagued with pain and discomfort in their extremities.

What is Extremity Adjusting?

The Council on Extremity Adjusting recognizes that treatment of the whole body requires synchronicity between the nervous system and the mechanical system of the kinetic chain. Subluxations of any joint have both neurological and mechanical components.

Many patients suffer repetitive subluxations and nerve entrapments because the mechanical component is ignored, leaving root causes undiscovered and untreated. The goal of the Council is to provide doctors with the tools necessary to easily diagnose and treat these injuries, incorporating both neurological and mechanical treatments.

Mechanoreceptors are embedded in the tissues surrounding joints. When these tissues get stretched by a misalignment of the joint, this activates an inhibition, or weakening, of the adjacent muscle. Discovery of these weak muscles, and correction of the misaligned joint to restore normal strength, is the specialty of the CCEP Doctor.

Athletics and Extremity Adjusting

In athletics, the body is often exerted beyond the normal scope of intended biomechanical function. In many cases, great athletes push through pain just to win. It is in these moments of intense physical exertion, when the entire body becomes prone to injury. This is when joints in the body can be stressed and harmed, and then they are ignored due to the nature of the game. When an athlete does not acknowledge these injuries it impairs the proper function of the joint and may degrade the athletic performance.

Extremity adjusting restores the proper position of strained joints, relieving stress, and therefore enhances the overall athletic capabilities.

What problems does a CCEP Doctor treat?

Problems treated include, but not limited to, rotator cuff tears, sciatica, pulled muscles, ankle sprains, TMJ, tennis elbow, plantar fasciitis, carpal tunnel, knee injuries, hip pain, abnormal gait, rib pain, bicipital tendonitis, foot pronation, toeing out, and many others.

What is the CCEP Evaluation?

The CCEP Evaluation is a process that checks the patient for lower extremity imbalances who shows signs of chronic musculoskeletal conditions of the spine or lower extremities. This is typically done with a quick and easy screening procedure, such as a weightbearing examination. The following is a recommended series of observations to make while the patient is barefoot and standing:

a) Foot Flare – Toeing out while walking indicates hyperpronation. Weight falls on the medial longitudinal arch, leading to plastic deformation that weakens the foot’s supportive qualities.

b) Knee Rotation – Hyper-Pronation forces the patella to rotate medially, indicating excessive leg movement. The tibia and femur rotate medially, increasing the risk of abnormal hip rotation.

c) Bowed Achilles Tendon – The Achilles tendon bows in on the side of hyperpronation. The calcaneus tilts inward, bringing the talus with it. The stress can extend to the tibia and along the entire kinetic chain.

d) Low Medial Longitudinal Arches – With the patient in a normal, relaxed stance, insert two fingers beneath each medial longitudinal arch. Tight plantar fasciae, with possible pain or pressure, indicate foot imbalance. As the patient shifts weight outward, note tissue relaxation and absence of pain .

e) Shoe Wear – With hyperpronation, excessive heel wear on the outer edges occurs. Check also for lateral distortion in the counter and/or shoe vamp.