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Home › Online Course Categories › Adjusting & Manual Therapy › 207: Thoracic Spine & Rib Cage
Adjusting & Manual Therapy 207 — at a Glance
| Course: | Thoracic Spine & Rib Cage · 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 207 is a clinically focused program for the mid-back and chest wall — the thoracic spine and the rib cage that moves with it on every breath, and the region most often skipped when a patient presents with neck pain, low back pain, or shoulder girdle complaints that will not resolve. Dr. Donald Ozello pairs segmental thoracic biomechanics with step-by-step technique demonstrations: precision adjusting for the costovertebral and costotransverse joints, manual therapy that releases intercostal tension and restores thoracic cage expansion, and passive stretching that turns a good thrust into a lasting correction.
Restricted breathing patterns, thoracic outlet symptoms, costochondritis, rib subluxations, and the kyphotic posture of a desk-bound or aging patient all route through this region — and all respond to a doctor who can evaluate segment by segment, adjust the joint that is actually fixed, and treat the soft tissue holding it there. This 2-hour online course is built for exactly that, with protocols that apply the next morning to athletic and geriatric populations alike. 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. You are here: Adjusting & Manual Therapy 207.
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.
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 207
• Analyze the segmental motion of the thoracic spine and the interdependent mechanics of the rib cage — where each rib articulates, how the cage expands, and what a fixed segment does to the levels above and below.
• Execute step-by-step chiropractic adjustments for the thoracic segments and the costovertebral and costotransverse joints — patient position, contacts, line of drive, and stabilization for each.
• Implement manual therapy protocols that release intercostal tension, improve thoracic cage expansion, and address costochondritis, rib subluxation, and restricted respiration.
• Develop comprehensive strategies that merge high-velocity thrusts with passive stretching to optimize nerve flow and correct kyphotic postural imbalances in athletic and geriatric populations.
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 202 Adjusting the Costals, which approaches the same rib cage from a chiropractic neurologist's perspective, and the rest of the Spine, Ribs & TMJ lane — 208, 209, and 210 — completes the axial skeleton from TMJ to pelvis. Browse Adjusting & Manual Therapy Courses
Adjusting & Manual Therapy 207 — Frequently Asked Questions
What does Adjusting & Manual Therapy 207 cover?
The thoracic spine and rib cage: segmental evaluation and precision adjusting for mid-back dysfunction, step-by-step adjustments for the costovertebral and costotransverse joints, manual therapy for intercostal tension and thoracic cage expansion, and passive stretching merged with high-velocity thrusts for immediate functional improvement. Also known as thoracic adjusting, rib adjusting, mid-back manipulation, rib cage mobilization, costovertebral manipulation, and thoracic manual therapy for chiropractors.
How many CE hours is Adjusting & Manual Therapy 207, and what is the format?
2 CE hours, fully online and self-paced — high-definition video modules with step-by-step technique demonstrations, followed by an assessment. Your certificate is available in your account immediately upon completion, and enrollment includes one year of access.
Does this course address thoracic outlet syndrome and posture?
Yes. Thoracic outlet symptoms, restrictive breathing patterns, costochondritis, rib subluxations, and kyphotic postural imbalance are the named clinical targets: the course teaches the segmental and costal adjustments, the intercostal release work, and the stretching that go into a conservative treatment plan for each, alongside the evaluation that tells you which segment or rib is actually driving the presentation.
Is this course accepted for my state's chiropractic license renewal?
Adjusting & Manual Therapy 207 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.
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 207?
2 CE hours · $40 · online & self-paced · instant certificate. Add it to your cart, or pair it with 202 for the full rib cage picture.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated August 24, 2026 (CT)