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Home › Online Course Categories › Adjusting & Manual Therapy › 204: Lower Extremity Techniques
Adjusting & Manual Therapy 204 — at a Glance
| Course: | Lower Extremity Techniques · 2 CE hours · $40 |
| Faculty: | Donald Ozello, DC, CCN, CCSM · sports-medicine chiropractor and extremity care specialist |
| Format: | On-demand online video with technique demonstrations and assessment · downloadable notes · instant certificate |
| Pricing: | $20/hr · automatic 10% off at 6–9 hrs, 20% off at 10+ hrs in one order · no promo codes |
| Approval: | PACE Provider #34015544 · co-sponsored by Texas Chiropractic College · acceptance varies by state |
Board-approved · PACE Provider #34015544 · CE Broker auto-reporting for states served · Instant certificate
Adjusting & Manual Therapy 204 teaches the evaluation and chiropractic correction of the lower leg, ankle, and foot — the joints where the spine meets the ground, and where a quiet restriction reshapes gait, loads the knee and hip, and destabilizes the lumbar spine above. Dr. Donald Ozello pairs the anatomy and kinetic-chain mechanics with step-by-step technique demonstrations: high-velocity, low-amplitude adjusting for the ankle and foot complex, joint mobilization, ligament pressure-point therapy, posterior lower-leg muscle work, and post-isometric relaxation stretching with defined dosage.
The lower extremity is the most under-served region in many chiropractic practices — and one of the most rewarding to treat, because ankle and foot mechanics express themselves everywhere up the chain. This 2-hour online course is built for the doctor who wants technique that can be applied the next morning, whether the presentation is an athlete's chronic ankle restriction, a runner's plantar complaint, or an aging patient's deteriorating gait. Every completion generates an instant certificate for your renewal file.
Choose Your Adjusting & Manual Therapy CE Path — Three Lanes, One Curriculum
The catalog is organized as a curriculum, not a pile of hours — eleven 2-hour courses covering the whole kinetic chain from TMJ to toe. Start in the lane that matches your patient mix; the full catalog lives on the Adjusting & Manual Therapy category page.
1 · Spine, Ribs & TMJ
The axial skeleton and its cage — cervical through pelvis, the costals, and the table-assisted delivery that serves all of them.
202: Adjusting the Costals
207: Thoracic Spine & Rib Cage
208: Cervical Spine & TMJ
209: Lumbar & Pelvic Techniques
210: Drop Table Technique
2 · Extremities
Shoulder to hand and hip to foot — the appendicular territory most catalogs leave thin. You are here: Adjusting & Manual Therapy 204.
203: Shoulder Treatment Techniques
204: Lower Extremity Techniques
205: Upper Extremity Techniques
206: Hip, Thigh & Knee
3 · Soft Tissue & Assisted Methods
The work around the adjustment — myofascial reasoning and partner-assisted stretching that make joint corrections last.
201: Myofascial Dysfunction
211: Partner Assisted Stretching
New technique courses are added to these lanes as faculty release them.
What You'll Learn in Adjusting & Manual Therapy 204
• Evaluate the lower leg, ankle, and foot — the anatomy and kinetic-chain mechanics that let a restriction below express as compensation at the knee, hip, and lumbar spine.
• Execute high-velocity, low-amplitude adjusting and mobilization techniques for the ankle and foot complex — patient position, contacts, line of drive, and stabilization for each.
• Apply ligament pressure-point therapy and posterior lower-leg muscle work that support the adjustment and address the soft-tissue drivers of recurrence.
• Deliver post-isometric relaxation (PIR) stretching with defined hold, repetition, and frequency parameters to restore range of motion and stabilize the kinetic chain.
Your Adjusting & Manual Therapy Faculty
Donald Ozello, DC, CCN, CCSM — instructor of this course — leads nine of the eleven courses in the series (203–211), shoulder through foot, spine, drop table, and partner-assisted stretching. A 1995 graduate of the Los Angeles College of Chiropractic, Navy veteran, and founder of Championship Chiropractic, Dr. Ozello is certified in sports medicine and clinical nutrition and serves as faculty for CCEDseminars and Texas Chiropractic College. He also authors the CCEDseminars Athletic Injuries series, and his clinical philosophy — injury prevention, functional recovery, and long-term performance from elite athletes to aging adults — runs through every technique module he teaches.
Michael Hall, DC, FIACN teaches costal adjusting (202) with a chiropractic neurologist's perspective — rib mechanics, respiratory linkage, and the neurological reasoning behind thoracic cage work. A Fellow of the International Academy of Chiropractic Neurology, Dr. Hall also leads the CCEDseminars Neurology series.
Howard Benedikt, DC, DCBCN opens the series with myofascial dysfunction (201), framing soft-tissue evaluation within whole-patient physiology from his board certification in clinical nutrition.
Full bios and the complete instructor roster: CCEDseminars faculty page.
Where Adjusting & Manual Therapy Hours Count — State Rules Worth Knowing
Technique is core clinical subject matter, which is exactly what several state boards ask for. In Iowa, technique hours feed the 36-hour clinical case-management minimum; in Rhode Island, they serve the 50-of-60 clinical requirement; in Vermont — where practice-management and philosophy coursework earns no credit at all — technique sits squarely inside the clinical-focus rule; and in Montana, where philosophy is capped at 2 of 12 hours, technique fills the clinical balance cleanly.
Online-format allowances still vary by state — some accept every hour online, others cap distance learning or require in-person blocks. Check your state's guide in the full state directory before building your renewal plan.
Build Your Technique Block
Every course in the series is 2 hours at $40, so the automatic discounts do the bundling for you: any three courses (6 hours) earns 10% off, and five or more (10+ hours) in a single order earns 20% off — the full 22-hour series lands at roughly $352 instead of $440, with no promo codes. The natural pairing for this course is the rest of the Extremities lane: 206 Hip, Thigh & Knee completes the lower kinetic chain, and 203 and 205 cover shoulder to hand. Browse Adjusting & Manual Therapy Courses
Adjusting & Manual Therapy 204 — Frequently Asked Questions
What does Adjusting & Manual Therapy 204 cover?
The lower leg, ankle, and foot: regional anatomy and kinetic-chain mechanics, functional assessment, high-velocity low-amplitude adjusting and joint mobilization for the ankle and foot complex, ligament pressure-point therapy, posterior lower-leg muscle work, and post-isometric relaxation stretching with dosage parameters. Also known as lower extremity adjusting, ankle and foot manipulation, extremity adjusting technique, foot mobilization, and lower-limb manual therapy for chiropractors.
How many CE hours is Adjusting & Manual Therapy 204, and what is the format?
2 CE hours, fully online and self-paced — course video with step-by-step technique demonstrations plus downloadable notes, followed by an assessment. Your certificate is available in your account immediately upon completion, and enrollment includes one year of access.
Is this course accepted for my state's chiropractic license renewal?
Adjusting & Manual Therapy 204 is a PACE Provider #34015544 program co-sponsored by Texas Chiropractic College and is accepted in most U.S. states plus the District of Columbia and Puerto Rico, six Canadian provinces, and more than 50 international jurisdictions. The complete approval list appears at the bottom of this page, and your state's online-hour rules are summarized in its CE guidelines page.
Do I need to take the series in order, or are there prerequisites?
No prerequisites and no required order. The course is designed for licensed Doctors of Chiropractic and stands on its own; 206 Hip, Thigh & Knee is the natural companion for the rest of the lower kinetic chain, and the series may be taken in any sequence.
How do discounts and certificates work?
Courses are $20 per credit hour, and discounts apply automatically in a single order — 10% off at 6–9 hours, 20% off at 10 or more. No promo codes. Each completion generates an instant certificate with a permanent copy in your account dashboard, and CE Broker reporting is handled automatically for states served.
State Approval and Licensing Reminder
Continuing education requirements — including online-hour caps and clinical-hour minimums — vary by jurisdiction. Review the online chiropractic CE guidelines page and contact CCEDseminars with questions about your specific licensing requirements before registering.
Ready to Enroll in Adjusting & Manual Therapy 204?
2 CE hours · $40 · online & self-paced · instant certificate. Add it to your cart, or pair it with 206 for the full lower kinetic chain.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated August 24, 2026 (CT)