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Neurology 249 — at a Glance
| Course: | Neurology 249: Thoracic Outlet Syndrome from a Neurological Perspective |
| Faculty: | Michael Hall, DC, FIACN · Neurology Faculty, CCEDseminars |
| 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
Thoracic outlet syndrome borrows the presentation of nearly everything around it. Cervical radiculopathy, a peripheral entrapment, a cranky shoulder — the arm complains in a way that fits several stories, and the anatomy of the outlet is what lets you tell which one you are in.
This two-hour course takes TOS from a neurological perspective. It covers the anatomy of the outlet and inlet, epidemiology, and clinical signs and presentation, then works through the orthopedic tests and the neurologic signs and tests as distinct evaluations. The functional neurologic considerations ask how the presentation developed and which came first — and the management discussion runs from chiropractic adjustments through to first rib resection, with clinical pearls throughout.
Choose Your Neurology Path — Three Lanes, One Curriculum
The Neurology series runs from what you can measure at the bedside, through the brain systems that explain the findings, to the structures a chiropractor treats, the developing nervous system, and the risks worth screening for. Courses 201–230 are built out here, within a larger clinical-neurology curriculum; each is two hours.
1 · Examination, Testing and Clinical Reasoning
What you measure and what it means — oximetry, vital signs, reflexes, sensory testing, outcome measures and the differential behind a collapse.
203: Pulse Oximetry in Chiropractic
208: Vital Signs for Chiropractors
210: Chiropractic Clinical Case Studies
211: Reflex Assessment in Chiropractic
213: Neurology Tests for Chiropractors
222: Somatosensory Examination Review
224: Outcome Assessments: Neurologic Perspective
235: Syncope
236: Accurate Sensory Testing & the Clinical Examination
2 · Brain Systems, Cognition and Mood
The cortical, cerebellar and limbic files — pain and the CNS, the pyramidal system, frontal lobes and cerebellum, memory, mood, smell and what the brain is popularly believed to do.
202: Pain & the Central Nervous System
204: Clinical Aspects of the Pyramidal Man
205: Functional Neurology & Frontal Lobes
206: Functional Neurology & the Cerebellum
223: Myths of the Brain
228: The Neurophysiology of Happiness
229: Clinical Perspectives Surrounding Memory
233: Anxiety in America
237: The Nose Knows
238: The Science of Happiness
3 · Spine, Posture and Craniocervical
Where neurology meets the structures a chiropractor treats — the cord, the vestibular system, the craniocervical junction, the cervical curve, sleep posture and the mechanics of the ribcage.
201: Chiropractic Myelopathy Management
207: Exploring the Vestibular System
209: Guzay’s Theorem & Craniocervical Neurology
225: Current Perspectives of Sleep Posture
231: Ribs and Breathing
234: The Cervical Lordosis
245: Arnold Chiari, Forward Head Posture & Low Spinal Tone
246: The Amazing Trapezius
248: NMS Implications of Low Axial Tone
4 · Pediatric and Developmental Neurology
The developing nervous system from birth through adolescence — early plasticity, developmental milestones, and concussion in children and teens.
212: Pediatric Concussion Management
217: The Concussed Teen and Return to Learn
221: Brain Rules for Babies
226: Pediatric Pearls (Ages 0–3)
227: The Vital Child (Ages 5–12)
241: Educating Boys and Girls
242: Think, Learn, Succeed
243: Pediatric Pearls from the Kids Summit
5 · Motor Control, Tone and Peripheral Nerve
The motor system from cortex to muscle — upper motor neuron anatomy and signs, tone and spasticity, movement disorders and peripheral nerve involvement. You are here: Neurology 249.
215: Dopamine, Parkinson’s & Chiropractic
218: Chiropractic Perspectives on Tone
240: The Upper Motor Neuron
244: Can Weakness in My Eyes Affect My Neck and Back?
247: Time to Get a Grip
249: Thoracic Outlet Syndrome
250: Fun with Tunnel Syndromes
6 · Autonomic, Vascular and Brain-Health Risk
The autonomic and vascular side of practice — sympathetic and vagal regulation, blood pressure, digestion, stroke risk, and the lifestyle factors that move long-term brain health.
214: Depression and Exercise
216: Is Fitness Important to Health?
219: Cervicogenic Hypertension
220: Chiropractic Stroke Risk Assessment
230: Low Stomach Acid & the Burp Test
232: The IML — Structure, Function & Relevance
239: Dysautonomia
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 Neurology 249
Review the anatomy of the thoracic outlet and inlet, and place the epidemiology against the differential
Analyze the orthopedic tests used in thoracic outlet evaluation
Discuss the neurologic signs and tests, and how they differ from the orthopedic picture
Apply the functional neurologic considerations — how the presentation developed and which came first — to care management, from adjustment to surgical referral
Your Neurology Faculty
Michael Hall, DC, FIACN,instructor of this course and of the entire Neurology curriculum. A chiropractic neurology specialist, founder of BrainDC.org and Neurology Faculty at CCEDseminars, with more than 30 years of clinical and academic experience. He teaches functional neurology, neurological assessment and clinical neuroscience with an emphasis on case-based, evidence-informed application — translating complex neurological concepts into clinical reasoning a general practice can use.
Monte Horne, DC,reviewer of this course. 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 Neurology CE Hours Count — State Rules Worth Knowing
Clinical neurology 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; 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 Neurology Block
Every course in the Neurology 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 — courses 201–210 together are 20 hours, well past the 20% tier at roughly $320 instead of $400. The full Chiropractic Clinical Neurology (CCN) 201–224 bundle runs 48 hours if you are working toward the certification. 2 CE hours,$40 Browse Neurology Courses
Neurology 249 — Frequently Asked Questions
What is thoracic outlet syndrome, exactly?
Compression of the neurovascular bundle as it passes from the neck into the arm — through the interscalene triangle, under the clavicle, and beneath the pectoralis minor. The course opens on the anatomy of the outlet and inlet and the epidemiology, because TOS is both over-diagnosed and missed, and the anatomy is what separates the two.
How is it diagnosed?
By pattern rather than a single test. The course covers clinical signs and presentation, and works through both the orthopedic tests and the neurologic signs and tests as separate objectives — the distinction matters because vascular, neurogenic and disputed presentations do not behave alike.
What is the functional neurologic angle?
It is the part that separates this course from a standard orthopedic treatment. The outline asks “How did we get here?” and “Which came first?” — whether the compression created the postural pattern or the postural pattern created the compression. That answer changes the treatment order.
Does treatment mean surgery?
Not usually, and the course covers the full range — from chiropractic adjustments through to first rib resection — alongside management considerations and clinical pearls. Knowing where the surgical threshold sits is part of managing the much larger group who are nowhere near it.
Why does TOS get missed so often?
Because it borrows the presentation of everything around it — cervical radiculopathy, a peripheral entrapment, a shoulder problem. The epidemiology section exists for that reason: knowing how common each alternative is, is what stops the diagnosis being made on enthusiasm.
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 Neurology 249?
An arm complaint that fits several stories. This course gives you the anatomy, the tests and the reasoning to pick one.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 3, 2026 (CT)