Evidence Based Practice

Evidence-Based Practice 208: Lumbar Spine Management | CCEDseminars

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High-resolution anatomical model of the lumbar spine highlighting the L1-L5 vertebrae and intervertebral discs for clinical reasoning and evidence-based management analysis.
Online Course Format:  Online
Course Tuition:   $40.00
Credit Hours ( CE ):  2
Instructor:  Steve Yeomans, DC FACO
CLICK HERE for a list of states, provinces and countries this course is accredited in.

Online Chiropractic CE Course Description & Course Details

HomeOnline Course CategoriesEvidence-Based PracticeEvidence-Based Practice 208: Lumbar Spine Management

Clinician in medical scrubs touching a digital display showing a three-dimensional lumbar spine model with the lower vertebral segments highlighted in red

Evidence-Based Practice 208 — at a Glance

Course:Lumbar Spine Management · 2 PACE-approved CE hours
Faculty:Steve Yeomans, DC, FACO · Fellow, Academy of Chiropractic Orthopedists
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

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

Low back pain is the most common presentation in chiropractic practice and the one most often managed by pattern rather than by decision. Evidence-Based Practice 208 replaces the pattern with structure: the CRISP framework and the DBCDR algorithms, applied to the lumbar spine so that each step of the encounter — what is asked, what is examined, what is imaged, what is treated — follows from the finding before it rather than from habit.

The separation the course insists on is neurological versus non-neurological. Getting that wrong changes the imaging decision, the referral decision and the treatment plan all at once, so the differential is worked deliberately, with red flags and yellow flags treated as two distinct screens serving two distinct purposes. From there the course builds the rehabilitative and ergonomic side of the plan — the part that decides whether the case resolves or recurs.

Choose Your Evidence-Based Practice Path — Three Lanes, One Curriculum

The Evidence-Based Practice series is a method curriculum, not a regional one: it runs from how you evaluate a patient, through how you image and document, to how care is delivered and shared. Nine courses, two hours each.

1 · The Clinical Encounter (201–202)

The foundation the rest of the curriculum rests on: how a patient is evaluated, and how that evaluation is recorded so it holds up.

201: Patient Evaluation
202: Documenting Clinical Outcomes

2 · Imaging in Clinical Practice (203–204)

Modality selection, red-flag criteria, interpretation and the medicolegal and radiation-safety standards that govern ordering images in a chiropractic setting.

203: Imaging in Clinical Practice I
204: Imaging in Clinical Practice II

3 · Care Delivery and Collaboration (205–209)

Modes of care, collaborative management by region, and the two regional spine files — where evidence-based method becomes an actual treatment plan. You are here: Evidence-Based Practice 208.

205: Modes of Care
206: Collaborative Care for the Upper Extremities
207: Lower Extremity Collaborative Care
208: Lumbar Spine Management
209: Cervical Spine Management

Every course in the series is 2 PACE-approved CE hours at $40, and the automatic bundle discounts apply across the whole lane.

What You'll Learn in Evidence-Based Practice 208

Apply the CRISP framework to a lumbar presentation so that history, examination, imaging and treatment decisions follow one documented line of reasoning.

Work the DBCDR algorithms to separate neurological from non-neurological low back presentations, including suspected lumbar radiculopathy.

Screen red flags for pathology and yellow flags for psychosocial risk as two separate assessments, and act on each appropriately.

Build rehabilitative and ergonomic strategies into the plan so the case is managed toward durable function rather than symptom relief alone.

Your Evidence-Based Practice Faculty

Steve Yeomans, DC, FACO,instructor of this course — closes the Evidence-Based Practice series with the two regional management files, lumbar and cervical spine (208–209). A Fellow of the Academy of Chiropractic Orthopedists and author of several authoritative texts on clinical outcomes and orthopedic assessment, he teaches spinal case management as a set of decision algorithms rather than a protocol to memorize.

Monte Horne, DC,reviewer of this course, leads the Evidence-Based Practice curriculum through evaluation, documentation, imaging, modes of care and collaborative management (201–207). Founder and CE Program Director of CCEDseminars, a Designated Doctor for the Texas Department of Insurance and a peer reviewer and expert witness.

Full bios and the complete instructor roster: CCEDseminars faculty page.

Where Evidence-Based Practice Hours Count — State Rules Worth Knowing

Evidence-based practice coursework is clinical subject matter — evaluation, documentation, imaging, modes of care and collaborative management — which is exactly what several state boards ask for. In Iowa, these hours serve the 36-hour clinical case-management minimum; 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 Evidence-Based Practice Block

Every course in the Evidence-Based Practice series runs 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 nine-course series is 18 hours at roughly $288 instead of $360, with no promo codes. This course and 209 Cervical Spine Management are the two regional files that close the series, and they use the same CRISP and DBCDR structure; 207 Lower Extremity Collaborative Care and 206 Collaborative Care for the Upper Extremities supply the referral framework the spine files hand cases into. Browse Evidence-Based Practice Courses

Evidence-Based Practice 208 — Frequently Asked Questions

What does Evidence-Based Practice 208 cover?

Structured management of the lumbar spine: the CRISP framework and DBCDR algorithms applied to low back presentations, the neurological versus non-neurological differential including suspected lumbar radiculopathy, red-flag screening for pathology and yellow-flag screening for psychosocial risk, and the rehabilitative and ergonomic strategies that carry the case toward durable function.

How many CE hours is this course, and what does it cost?

2 PACE-approved CE hours for $40, or $20 per hour. Ordering 6–9 hours at once takes 10% off automatically and 10 or more takes 20% off — no promo codes.

What is the difference between red flags and yellow flags in low back pain?

Red flags screen for serious underlying pathology — the findings that change the case from musculoskeletal management to referral or imaging. Yellow flags screen for psychosocial risk factors that predict a case will become persistent or disabling even when the tissue findings are unremarkable. They are separate assessments answering separate questions, and the course treats them that way.

Does this course cover lumbar radiculopathy?

Yes. Separating neurological from non-neurological presentations is the central differential in the course, and radicular findings drive the imaging, referral and treatment decisions that follow.

Will this course count toward my state CE requirement?

In most states, yes — this is clinical patient-care subject matter, and it is PACE-approved and co-sponsored by Texas Chiropractic College. Online-format allowances and clinical-hour minimums vary, so check your state guide in the full state directory before you build your renewal plan.

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 Evidence-Based Practice 208?

2 CE hours · $40 · online & self-paced · instant certificate. Add it to your cart, or take it with 209 Cervical Spine Management to complete both regional spine files.

Add to Cart → View the Full Series

CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 3, 2026 (CT)

This online chiropractic course is accredited in the following states:

Alaska, Colorado, Connecticut, Delaware, District Of Columbia, Florida, Hawaii, 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, Germany, Greece, Guam, Hong Kong, Hungary, Iceland, Iran, Israel, Italy, Jamaica, Japan, Jordan, Korea, Lebanon, Libya, Liechtenstein, Malaysia, Mexico, Namibia, Netherlands, New Zealand, Northern Ireland, Norway, Panama, Peru, Philippines, Saint Kitts & Nevis, Saudi Arabia, Singapore, South Africa, Spain, Sweden, Switzerland, Taiwan, Thailand, Trinidad & Tobago, United Arab Emirates, United Kingdom, Venezuela, Virgin Island, Zimbabwe,

This online chiropractic course is accredited in the following states:

Alaska, Colorado, Connecticut, Delaware, District Of Columbia, 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, Germany, Greece, Guam, Hong Kong, Hungary, Iceland, Iran, Israel, Italy, Jamaica, Japan, Jordan, Korea, Lebanon, Libya, Liechtenstein, Malaysia, Mexico, Namibia, Netherlands, New Zealand, Northern Ireland, Norway, Panama, Peru, Philippines, Saint Kitts & Nevis, Saudi Arabia, Singapore, South Africa, Spain, Sweden, Switzerland, Taiwan, Thailand, Trinidad & Tobago, United Arab Emirates, United Kingdom, Venezuela, Virgin Island, Zimbabwe,