Adjusting & Manual Therapy

Adjusting & Manual Therapy 208: Cervical Spine & TMJ | Chiropractic CE

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Dr. Donald Ozello demonstrating cervical spine adjustments and TMJ mobilization techniques for TMD, jaw pain, and cervicogenic headaches in Course 208.
Online Course Format:  Online
Course Tuition:   $40.00
Credit Hours ( CE ):  2
Instructor:  Donald Ozello, DC, CCN, CCSM
CLICK HERE for a list of states, provinces and countries this course is accredited in.

Online Chiropractic CE Course Description & Course Details

HomeOnline Course CategoriesAdjusting & Manual Therapy208: Cervical Spine & TMJ

Clinician cradling the head of a supine patient during an upper cervical spine assessment — Adjusting & Manual Therapy 208: Cervical Spine & TMJ online chiropractic CE course

Adjusting & Manual Therapy 208 — at a Glance

Course:Cervical Spine & TMJ · 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

Check your state's CE guidelines  |  Meet the faculty

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Texas Chiropractic College co-sponsorFCLB PACE recognized CE providerPropelus CE Broker auto-reporting provider

Board-approved · PACE Provider #34015544 · CE Broker auto-reporting for states served · Instant certificate

Adjusting & Manual Therapy 208 is a high-impact clinical exploration of the upper kinetic chain — the cervical spine and the temporomandibular joint that shares its nerves, its muscles, and very often its patient. Dr. Donald Ozello pairs upper-cervical and jaw biomechanics with step-by-step technique demonstrations: specific lines of drive for the upper and lower cervical spine, in-office evaluation and adjusting for the TMJ with a focus on disc displacement and functional TMD, and targeted muscle work for the masseters, pterygoids, and suboccipital group that makes the correction hold.

Cervicogenic headache, jaw clicking, lockjaw, referred facial pain, and the restrictive neck of a patient carrying years of cumulative stress or an old trauma all live in this territory — and the doctor who assesses the occiput-atlantal and axial complexes together with the jaw finds drivers the doctor who treats only the neck will miss. This 2-hour online course is built for exactly that, with protocols that apply the next morning. 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 208.

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 208

• Execute specific lines of drive for the upper and lower cervical spine — assessing the occiput-atlantal and axial complexes for restricted joint play — to restore segmental motion and optimize nerve flow.

• Master in-office evaluation and adjusting techniques for the temporomandibular joint, with a focus on disc displacement, functional TMD, jaw clicking, lockjaw, and referred facial pain.

• Implement targeted muscle work for the masseters, pterygoids, and suboccipital group, plus passive and assisted stretching for the upper-body kinetic chain, to support lasting clinical corrections.

• Develop evidence-based strategies to improve neck and jaw function in patients presenting with cervicogenic headache, cumulative stress, and trauma.

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 207 Thoracic Spine & Rib Cage, the next segment down the same chain, and the rest of the Spine, Ribs & TMJ lane — 202, 209, and 210 — completes the axial skeleton from TMJ to pelvis. Browse Adjusting & Manual Therapy Courses

Adjusting & Manual Therapy 208 — Frequently Asked Questions

What does Adjusting & Manual Therapy 208 cover?

The cervical spine and temporomandibular joint: assessment of the occiput-atlantal and axial complexes for restricted joint play, specific lines of drive for the upper and lower cervical spine, TMJ evaluation and adjusting for disc displacement and functional TMD, muscle work for the masseters, pterygoids, and suboccipitals, and passive and assisted stretching for the upper kinetic chain. Also known as cervical adjusting, neck manipulation, upper cervical technique, TMJ adjusting, jaw mobilization, and TMD manual therapy for chiropractors.

How many CE hours is Adjusting & Manual Therapy 208, 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 TMJ disorders and cervicogenic headaches?

Yes. Cervicogenic headache, jaw clicking, lockjaw, referred facial pain, and restrictive neck pain are the named clinical targets: the course teaches the cervical and TMJ adjustments, the soft-tissue work on the masseters, pterygoids, and suboccipital group, and the stretching that go into a conservative treatment plan for each, alongside the evaluation that tells you whether the driver is the upper cervical spine, the jaw, or both.

Is this course accepted for my state's chiropractic license renewal?

Adjusting & Manual Therapy 208 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 208?

2 CE hours · $40 · online & self-paced · instant certificate. Add it to your cart, or pair it with 207 to continue down the spine.

Add to Cart → Browse the Technique Series

CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated August 24, 2026 (CT)

This online chiropractic course is accredited in the following states:

Alaska, Colorado, Connecticut, Delaware, District Of Columbia, Florida, Idaho, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oregon, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wyoming,

This online chiropractic course is accredited in the following Canadian Provinces:

British Columbia, Manitoba, New Brunswick, Nova Scotia, Ontario, Yukon,

This online chiropractic course is accredited in the following regions outside the United States & Canada:

Argentina, Australia, Bahamas, Belgium, Bolivia, Cayman Islands, Chile, Colombia, Costa Rica, Cyprus, Denmark, Dominican Republic, Ecuador, Fiji, Finland, Greece, Guam, Hong Kong, Hungary, Iceland, Iran, Israel, Italy, Jamaica, Japan, Jordan, Korea, Lebanon, Libya, Liechtenstein, Malaysia, Mexico, Namibia, New Zealand, Northern Ireland, Norway, Panama, Peru, Philippines, Saint Kitts & Nevis, Saudi Arabia, Singapore, Spain, Sweden, Switzerland, Taiwan, Thailand, Trinidad & Tobago, United Arab Emirates, United Kingdom, Venezuela, Virgin Island, Zimbabwe,