Certified Extremity Practitioner

Dr. Pickman is a Certified Chiropractic Extremity Practitioner

PATIENTS: Why Your Chiropractor Should Be a CCEP

From The Council on Extremity Adjusting (CEA) website:

Question: What is a “CCEP”?


CCEP stands for “Certified Chiropractic Extremity Practitioner”, an advanced certification in extremity adjusting education offered by the Council on Extremity Adjusting (CEA). Any Doctor of Chiropractic (DC) who has successfully completed our 105 hour, seven course extremity certification program and passed their final exam is a Certified Chiropractic Extremities Practitioner (CCEP).

The concept that the neurological system (spine) must be in balance with the mechanical control system (extremities) is the key approach that sets the average chiropractor apart from the CCEP in results and stability for their patients.

Question: As a patient, why is this important to me?


The stability of the spine is dependent on the stability of the extremities, and vice versa. As a patient, you can have a perfectly aligned spine and still experience severe discomfort that may result from misalignment in your extremities. Misaligned extremities put additional pressure on the tissues around the joints, causing subluxations (dislocation of a joint). A spinal adjustment will not fix the root cause of the subluxation, which is a misaligned extremity.

Having a properly aligned spine AND extremities puts you on the path to optimum health.

Question: Shouldn’t my Chiropractor (or any for that matter) be able to fix my problems?


Doctors of Chiropractic are taught how to adjust the spine in chiropractic school, but very little time is spent learning how to adjust the extremities. Most licensed DC’s go into practice as spine-only doctors, then some add extremity adjusting to their list of services with time. Many of those who seek advanced education in extremity adjusting (like our CCEP program) end up working with high-performing athletes, while many DCs remain solely focused on treating the spine only.

If you are an active person, chances are you experience aches and pains in your joints and extremities from time to time. If that’s the case, it’s more than likely that a spinal adjustment alone won’t cure the root cause of the problem. You might experience some relief, but if you have extremities that are out of alignment, your spinal adjustment isn’t likely to hold for very long.

Remember, the stability of the spine is dependent on the stability of the extremities, and vice versa.

If you have ever sprained your ankle, the alignment of the bones of the foot and ankle will not be optimal, a detailed extremity analysis by a trained Chiropractic Extremity Practitioner is crucial to ensure proper healing.

Question: What types of ailments can a CCEP fix?


A CCEP is trained to assess, diagnose, and treat root causes to recurring pain in the spine AND extremities. He/she is equipped to successfully treat TMJ, Shoulder Girdle Syndromes, Tennis Elbow, Carpal Tunnel, Knee Subluxations, Baker’s Cysts, Sprained Ankles, Shin Splints, Foot and Gait mechanics, misaligned hips, and leg length issues.

Do you work on your feet all day? Sit at a desk all day? Lift heavy objects all day? A combination of all of the above? If so, chances are you have some extremity issues that need to be addressed. By not getting the proper extremity treatment, your body attempts to over- compensate, which could lead to more subluxations in other joints and your spine.

An extremity expert (CCEP) is equipped to help you gain relief from these abnormalities by properly aligning both the neurological system (spine) and the mechanical control system (extremities) of your body for optimum performance.

The Council on Extremity Adjusting (CEA) was founded by Dr. Kevin Hearon, internationally acclaimed expert on extremity adjusting, who has written several books on the subject. Dr. Hearon is also the President of the Council on Extremity Adjusting. The Council is governed by seven board members and several instructors dedicated to the advancement of knowledge regarding extremity adjusting in the chiropractic profession worldwide. There are currently over 1,200 CCEPs in practice around the globe.

Above: Assessment and corrective adjustment of a misaligned temporo-mandibular joint (jaw).
Tennis elbow? Commonly the radial head is involved in this condition, and the proper alignment of this joint is crucial for proper healing.
Adjustment of the shoulder

What you MUST know about the foot!!!

Whether you are suffering from a foot problem or you just want to be well informed about how the amazing human body works, this informative video about the foot is for you!


  • proper alignment of the foot
  • what the foot alignments can affect
  • what is an orthotic
  • the differences in orthotics