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Neurology 254 — at a Glance
| Course: | Neurology 254: Lower Back Pain & the Butcher’s Delight |
| 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
Episodic low back pain persists through every methodology we throw at it, and one reason is that we assess in the wrong plane. Flexion and extension are what get measured; lateral bending and rotation under load are what the patient actually does all day. This course is about the difference.
This two-hour course opens with an anatomical overview of the low back — joints, innervation and musculature — then works fatty infiltration, its physiology and Hilton’s Law. It covers the receptor physiology of the lumbar spine including the facets, muscle spindles and Golgi tendon organs, and the distinction between deafferentation and denervation. It closes on plane of movement, sagittal against coronal, and the loading pattern the course calls the butcher’s delight.
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
256: Receptors and Subluxation
258: Dizziness — Current Updates and Literature Review
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
260: Memory — The Good, the Bad and the Ugly
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. You are here: Neurology 254.
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
255: Posture and Slump
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.
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
251: CIDP — Chronic Inflammatory Demyelinating Polyradiculoneuropathy
252: Neck Pain, Eye Strain & the Optomotor Connection
257: Muscle Weakness — Lack of Use or Lack of Innervation?
259: Movement Disorders
263: The Mystery of the Valleix Phenomenon
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
261: Concussion — What’s New on This Complex Topic
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 254
Review an anatomical overview of the low back — joints, innervation and musculature
Summarise the receptor physiology of the lumbar spine, including facets, muscle spindles and Golgi tendon organs
Outline fatty infiltration, its physiology and its implications for what a muscle can do
Discuss movement strategies for clinical practice, and metrics for assessing progress in the coronal plane
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 254 — Frequently Asked Questions
What is the “butcher’s delight”?
The course’s name for the coronal-plane loading pattern that a working life imposes on the low back — repetitive lateral bending and rotation under load, the way a butcher works. It is the closing section, and it is the frame for why episodic back pain keeps returning in people whose sagittal-plane mechanics look fine.
Why does the course focus on the coronal plane?
Because most assessment and most exercise prescription lives in the sagittal plane — flexion and extension — while a great deal of real loading is lateral and rotational. The course covers sagittal and coronal together, and the practical claim is that movement strategies which ignore the coronal plane leave the provoking pattern untouched.
What is fatty infiltration of the lumbar musculature?
Replacement of muscle with fat, and the course gives it both a definition and a physiology section. It matters because it is measurable, often visible on imaging you already have, and it changes what the muscle can do before you prescribe anything — a deconditioned multifidus is a different starting point from a merely inhibited one.
What receptor physiology does the course cover?
The lumbar facets, muscle spindles and Golgi tendon organs, and the distinction between deafferentation and denervation. Hilton’s Law appears alongside fatty infiltration, tying the joint’s innervation to the muscles moving it and the skin over them.
How does this relate to Neurology 256?
256 works deafferentation and dysafferentation as general articular neurology across the spine. 254 applies the same receptor thinking specifically to the lumbar spine, alongside anatomy, fatty infiltration and plane of movement. 256 is the principle; 254 is the low back and what to do about it.
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 254?
Assessment lives in the sagittal plane; loading does not. This course covers the anatomy, the receptors and the coronal-plane strategy.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 3, 2026 (CT)