Neurology

Neurology 263: The Mystery of the Valleix Phenomenon

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Online Course Format:  Online
Course Tuition:   $40.00
Credit Hours ( CE ):  2
Instructor:  Michael Hall, DC, FIACN
CLICK HERE for a list of states, provinces and countries this course is accredited in.

Online Chiropractic CE Course Description & Course Details

HomeOnline Course CategoriesNeurologyThe Valleix Phenomenon

Abstract rendering of glowing blue nerve fibres branching across a dark background

Neurology 263 — at a Glance

Course:Neurology 263: The Mystery of the Valleix Phenomenon
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

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A nerve compressed in one place can be exquisitely tender in another, well away from the problem. That is the Valleix phenomenon, and it quietly undermines the assumption that where it hurts is where it is — which is the assumption most palpation is built on.

This two-hour course begins with compression physiology — the weight-of-a-dime principle, and crush and double crush syndrome, where compression occurs at more than one point along a nerve. It then covers the Valleix phenomenon itself: its discovery and clinical significance, the Valleix points, and how it presents. It closes on clinical relevance for chiropractic practice through case studies, a review of the current literature, and clinical insights.

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.

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. You are here: Neurology 263.

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 263

Explain compression physiology, including the weight-of-a-dime principle and crush and double crush syndrome

Describe the Valleix phenomenon, its Valleix points and its clinical manifestations

Interpret tenderness along a nerve’s course as a referred finding rather than a local diagnosis

Apply case-study reasoning and current literature to chiropractic assessment and treatment

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 263 — Frequently Asked Questions

What is the Valleix phenomenon?

Tenderness elicited at points along the course of a nerve, remote from the site of compression — so pressing the nerve well away from the entrapment reproduces the patient’s pain. The course covers its discovery, the Valleix points themselves, and how it presents clinically.

What is the “weight of a dime” principle?

That remarkably little pressure — on the order of the weight of a dime — is enough to disrupt neural function. It opens the course because it reframes what counts as compression: the threshold for interfering with a nerve is far below the threshold for anything visible on imaging.

What is double crush syndrome?

Compression occurring at more than one point along a single nerve’s pathway, where neither site alone would be symptomatic but together they are. The course covers crush and double crush together, and it is the concept that explains why treating one site sometimes only half works.

How does this change what I do clinically?

It widens where you palpate. If tenderness along a nerve’s course can be referred from a compression elsewhere, then a tender point is a starting question rather than a diagnosis. The course works this through case studies and a review of the current literature.

How does this relate to Neurology 250 on tunnel syndromes?

Directly — they are companions. 250 covers compression axonopathy as the general mechanism across upper and lower extremity entrapments. 263 takes one specific and under-recognised expression of it, the Valleix phenomenon, and works the points, the presentation and the case material. 250 for the mechanism, 263 for this particular sign.

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 263?

Where it hurts is not always where it is. This course covers compression physiology, the Valleix points and the case material.

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, 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, 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,