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Home › Online Course Categories › Case Studies & Clinical Pearls › 210-A: The Thorax II Part I
Case Studies & Clinical Pearls 210-A — at a Glance
| Course: | The Thorax II, Part I — Rib Cage, Disc & Visceral Red Flags · 1 CE hour · $20 |
| Faculty: | Monte Horne, DC · founder of CCEDseminars, 39+ years in practice, expert witness and peer reviewer |
| Format: | On-demand online video with case walk-throughs and assessment · downloadable handouts · 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
The thoracic spine and rib cage house the most elusive presentations in chiropractic practice — and Case Studies & Clinical Pearls 210-A is the hour that makes them legible. Drawing on 39 years of trench-tested experience, Dr. Monte Horne moves past basic biomechanics into the interface where thoracic segmental dysfunction, rib cage kinetics, and visceral referral patterns meet — the territory where a mechanical answer can be confidently right, or quietly wrong.
For thoracic patients, respiratory excursion and segmental motion are what demonstrate value, so rib springing and chest expansion measures become the Clinical Audit — the immediate opening of the kinetic chain, shown to the patient rather than described. Two pearls anchor the hour: the clinical sequencing that separates an acute rib subluxation from a rare thoracic disc protrusion, with the palpation markers that set your adjusting vector and patient positioning; and the visceral red flag screen for cardiac, gallbladder, and pulmonary referral patterns that mimic mid-back musculoskeletal dysfunction. This 1-hour online course pairs with 210-B, and every completion generates an instant certificate for your renewal file.
Choose Your Case Study Path — Three Lanes, One Curriculum
The catalog is organized as a curriculum, not a pile of hours — 23 courses and 42 CE hours covering every region head-to-foot across two series, plus specialist case files. Start in the lane that matches your patient mix; the full catalog lives on the Case Studies & Clinical Pearls category page.
1 · The Regional Series — First Pass (201–206)
A complete head-to-foot tour of case-based diagnosis — the foundation lane.
201: Headache Diagnosis & Clinical Pearls
202: The Cervical Spine
203: Upper Extremities
204: Thorax Conditions & Clinical Pearls
205: Lumbar Spine Diagnosis
206: Lower Extremity Conditions & Clinical Pearls
2 · The Regional Series — Second Pass (207–212)
The same regions revisited with new cases and deeper differentials — the lane that turns pattern recognition into judgment. You are here: Case Studies & Clinical Pearls 210-A.
207: The Head II
208: The Cervical Spine II
209-A / 209-B: The Upper Extremities II, Parts I & II
210-A / 210-B: The Thorax II, Parts I & II
211: Lumbar Spine Conditions II
212: Lower Extremity Conditions II
3 · Specialist Case Files (213–221)
Board-credentialed faculty open their own files — condition-specific cases from orthopedic, sports, extremity, and nutrition practice.
213: Headache Management & Diagnosis
214: From Anatomy to Diagnoses
215: Case Studies Related to the TMJ
216: Disc Herniation
217: Spondylolisthesis Treatment
218: Carpal Tunnel Syndrome Treatment
219: TMD
220: Soft Tissue Injuries
221: Headache Management & Treatment
New case files are added to these lanes as faculty release them.
What You'll Learn in Case Studies & Clinical Pearls 210-A
• Read the interface between thoracic segmental dysfunction, rib cage kinetics, and visceral referral — the three-way differential that makes mid-back pain elusive.
• Use rib springing and chest expansion measures as objective Clinical Audit measures — respiratory excursion and segmental motion that show the patient the kinetic chain opening after the adjustment.
• Differentiate an acute rib subluxation from a rare thoracic disc protrusion using the specific palpation markers that define your adjusting vector and patient positioning.
• Screen thoracic pain for the visceral red flags — cardiac, gallbladder, and pulmonary referral patterns that mimic mid-back musculoskeletal dysfunction — and document the reasoning in courtroom-defensible form.
Your Case Studies & Clinical Pearls Faculty
Monte Horne, DC — instructor of this course — authors the fourteen-course regional core (201–212), drawing on 39+ years of practice, service as a former Designated Doctor for the Texas Department of Insurance, and ongoing work as an expert witness and peer reviewer. Founder of CCEDseminars and postgraduate faculty for Texas Chiropractic College, Dr. Horne teaches clinical reasoning, orthopedics, documentation, and medicolegal standards; his cases teach decision-making the way case review demands it — reasoning a second reader can follow.
Steven Yeomans, DC, FACO brings orthopedic board credentials to the three highest-stakes structural files — disc herniation, spondylolisthesis, and carpal tunnel syndrome (216–218) — the same conditions at the center of his documentation and personal injury teaching.
Heather Wright, DC, CCEP teaches headache management and diagnosis, the anatomy-to-diagnosis bridge, and TMJ case studies (213–215) with an extremity-certified chiropractor's structural precision.
Howard Benedikt, DC, DCBCN — board-certified in clinical nutrition — works the TMD and headache management files (219, 221) where structure, physiology, and nutrition intersect.
Dennis O'Hara, DC, DACBSP opens the soft tissue injury file (220) with a sports diplomate's tissue-healing timeline.
Full bios and the complete instructor roster: CCEDseminars faculty page.
Where Case Study Hours Count — State Rules Worth Knowing
Case study coursework is clinical subject matter — assessment, diagnosis, and case management — which is exactly what several state boards ask for. In Iowa, these hours serve the 36-hour clinical case-management minimum (this category is case management, by name and by content); in Rhode Island, they address the 50-of-60 clinical requirement; and in Vermont — where practice-building coursework earns nothing — patient-care education like this counts fully under the clinical-focus rule.
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 Case Study Block
This is one of the four Series II split-courses — 1 hour at $20, where most courses in the series run 2 hours at $40 — so the automatic discounts do the bundling for you: 6–9 hours in one order earns 10% off, and 10 or more earns 20% off — the full second-pass series, or all 42 hours at roughly $672 instead of $840, with no promo codes. The natural pairing is 210-B The Thorax II, Part II, which carries this region into adjustive vectors in a second hour; 204 Thorax Conditions & Clinical Pearls is the first-pass companion to this course. Browse Case Studies & Clinical Pearls Courses
Case Studies & Clinical Pearls 210-A — Frequently Asked Questions
What does Case Studies & Clinical Pearls 210-A cover?
Part I of the thoracic second pass: the interface between thoracic segmental dysfunction, rib cage kinetics, and visceral referral patterns; rib springing and chest expansion measures as Clinical Audit measures of respiratory excursion and segmental motion; the clinical sequencing that differentiates an acute rib subluxation from a rare thoracic disc protrusion, with the palpation markers that define adjusting vector and patient positioning; and the visceral red flag screen for cardiac, gallbladder, and pulmonary referral that mimics mid-back musculoskeletal dysfunction. Also known as rib subluxation CE, costovertebral joint dysfunction, T4 syndrome, thoracic differential diagnosis for chiropractors, and rib pain with breathing.
How many CE hours is Case Studies & Clinical Pearls 210-A, and what is the format?
1 CE hour, fully online and self-paced — this is Part I of a two-part course, and 210-B carries the second hour. Course video with case walk-throughs plus downloadable handouts, followed by an assessment. Your certificate is available in your account immediately upon completion, and enrollment includes one year of access.
How do I know when mid-back pain is not mechanical?
That is one of the two pearls this hour is built around. The course refines your screening for the visceral referral patterns that imitate mid-back musculoskeletal dysfunction — cardiac, gallbladder, and pulmonary — so non-mechanical thoracic pain is identified rather than adjusted. The companion pearl runs the mechanical side: the sequencing and palpation markers that separate an acute rib subluxation from a rare thoracic disc protrusion, which is what sets your adjusting vector and patient positioning. No prerequisites; the series may be taken in any order.
Is this course accepted for my state's chiropractic license renewal?
Case Studies & Clinical Pearls 210-A 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 Case Studies & Clinical Pearls 210-A?
1 CE hour · $20 · online & self-paced · instant certificate. Add it to your cart, or pair it with 210-B for the complete thoracic second pass.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 3, 2026 (CT)