Login
Home › Online Course Categories › Nutrition › Chronic Fatigue and Myofascial Pain Syndrome — an Integrative Approach
Nutrition 237 — at a Glance
| Course: | Chronic Fatigue and Myofascial Pain Syndrome — an Integrative Approach · 2 PACE-approved CE hours |
| Faculty: | Howard Benedikt, DC, DCBCN · Clinical Nutrition Faculty, CCEDseminars |
| Format: | On-demand online video with 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
Chronic fatigue and myofascial pain arrive together so often that the question is not which one to treat first, but whether they share a cause — and mitochondrial dysfunction is the leading candidate. Nutrition 237 sheds light on chronic fatigue and myofascial pain syndrome from an integrative perspective: what chronic fatigue is, the musculoskeletal and mitochondrial dysfunction beneath it, the management strategies for mitochondrial dysfunction, whether myofascial pain syndrome really exists as a distinct entity, and the role of chiropractic nutrition in patient care.
Dr. Howard Benedikt works through understanding chronic fatigue — its definitions, presentations and the patient history that identifies it — the musculoskeletal and mitochondrial dysfunction that links low energy to muscle pain, the therapies and nutritional management strategies for mitochondrial dysfunction, the validity debate around myofascial pain syndrome and the trigger-point findings that define it clinically, and the role diet plays in both conditions, so the integrative chiropractor can manage the whole patient instead of two separate complaints.
Choose Your Nutrition Path — Three Lanes, One Curriculum
The Nutrition library — sixty-eight courses by Howard Benedikt, DC, DCBCN — organizes into three working lanes: the gut, the brain, and the conditions you already treat. Nutrition 201–210 is the foundation block, 211–220 the second, 221–230 the third, 231–240 the fourth, 241–250 the fifth, and 201–224 together form the 48-hour Clinical Nutrition Certification (CNC). Two hours each.
1 · Gut, Microbiome, Digestion and Detoxification
Where nutrient status is decided and where systemic inflammation is won or lost — from the intro principles of micronutrients and absorption to the microbiome, the liver’s biotransformation pathways, the GI disease files, the gut/brain connection, functional GI testing, and digestive enzymes.
201: Introduction to Clinical Nutrition
205: Detoxification
207: Microbiota & the Musculoskeletal System
208: Detoxification II
213: Gastrointestinal Disease & Nutrition
214: An Integrative Approach to Gastrointestinal Disease II
221: The Gut/Brain Connection
225: Functional Medicine Testing for GI Disturbances
248: Maximizing Health Through Proper Digestion and Absorption
2 · Brain, Mood, Stress and the Nervous System
Nutritional neurology — the headache patient, the stress physiology your patients carry through the door, the brain-game files on how food drives cognition, the nutrition-and-mood pair, the fatigued patient, memory and dementia, nervous-system function, chronic fatigue with myofascial pain, the concussion protocol, the maladaptive stress response, and the fatigue work-up. You are here: Nutrition 237.
203: Nutritional Management of Headaches
204: Chiropractic Nutrition for Stress Management
211: The Brain Game — How Nutrition Impacts Brain Function
212: The Brain Game II — How Food Impacts Brain Function
218: Nutrition and Mood
219: Nutrition and Mood II
228: Dealing with Fatigue in Clinical Practice
233: Memory, Dementia, and Chiropractic Care
234: Optimal Nervous System Function & Nutrition
237: Chronic Fatigue and Myofascial Pain Syndrome — an Integrative Approach
240: Nutritional Management of Concussions in a Clinical Setting
242: Maladaptive Stress Response & Musculoskeletal Disease
244: Managing the Fatigued Patient
247: Optimizing Nervous System Function with Nutrition
3 · Musculoskeletal, Immune, Hormonal and Clinical Conditions
Nutritional management layered onto what you already treat — arthritic and autoimmune joints, neuropathy and neuropathic pain, immune resilience and the cold-and-flu season, lipids and cholesterol, antioxidants, endocrine disruptors, the thyroid and hormone-testing files, menopause and estrogen, vitamin D, sports injuries, diet and chronic disease, women’s musculoskeletal health, the pain files, the pediatric pair, osteoporosis, and the commonly seen conditions.
202: Nutritional Management of Arthritic Disease
206: Management of Neuropathy
209: Nutrition & the Immune System
210: The Fat Story & Cholesterol
215: Antioxidants in Health and Disease
216: Antioxidants in Health and Disease II
217: Endocrine Disruptors in Health & Disease
220: Management of Autoimmune Disorders — Rheumatoid Arthritis
222: Assessing Thyroid Health in Clinical Practice I
223: Assessing Hormones in Clinical Practice I
224: Assessing Hormones in Clinical Practice II
226: Women’s Health Issues — Focus on Menopause and Estrogen
227: Vitamin D & Musculoskeletal Health
229: Nutritional Management of Sports Injuries
230: A Primer on the Role of Diet and Chronic Disease
231: Women’s Health Issues and the Musculoskeletal System
232: An Integrative Approach to the Musculoskeletal System
235: Pediatric Nutrition & Chiropractic I
236: Pediatric Nutrition & Chiropractic II
238: Chiropractic and Osteoporosis
239: Treating Commonly Seen Conditions in Chiropractic Practice
241: Strengthen Your Immune and Musculoskeletal System through Nutrition and Chiropractic
243: Joint Pain & Inflammation
245: Natural Remedies for the Pain Patient
246: Keeping Healthy During Cold and Flu Season
249: New Strategies for Pain Management in the Chiropractic Setting
250: Neuropathic Pain Management
Every course in the series is 2 PACE-approved CE hours at $40, and the automatic bundle discounts apply across the whole lane. The full 68-course catalog continues on the Nutrition category page.
What You’ll Learn in Nutrition 237
Understand chronic fatigue — its definitions, presentations and the history that distinguishes it from ordinary tiredness.
Explain the musculoskeletal and mitochondrial dysfunction that links chronic fatigue to muscle pain.
Incorporate therapies and nutritional strategies for managing mitochondrial dysfunction.
Explore the validity of myofascial pain syndrome and the trigger-point findings that define it clinically.
Discuss the role diet plays in chronic fatigue and myofascial pain.
Build an integrative chiropractic-and-nutrition plan for the patient who presents with both.
Your Nutrition Faculty
Howard Benedikt, DC, DCBCN — instructor of this course. Board-certified chiropractic clinical nutritionist, Diplomate and President of the Chiropractic Board of Clinical Nutrition, with more than 30 years in clinical nutrition and functional medicine. He authors all 68 courses in the CCEDseminars Nutrition library and the Clinical Nutrition Certification (CNC) track at its core, and is known for translating complex nutritional biochemistry into practical, office-ready protocols — here, the mitochondrial link between chronic fatigue and myofascial pain.
Full bio and the complete instructor roster: CCEDseminars faculty page.
Where Nutrition CE Hours Count — State Rules Worth Knowing
Nutrition coursework is clinical subject matter — assessment, clinical reasoning and nutritional management of patient conditions — 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 Nutrition Block — or Take the Credential
Every course in the Nutrition 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 — any ten courses from the series is 20 hours, which clears the 20% tier at roughly $320 instead of $400, with no promo codes. Chronic Fatigue and Myofascial Pain pairs naturally with Nutrition 228 on fatigue in clinical practice and Nutrition 232 on musculoskeletal pain; the three together reach 6 hours and the 10% tier. Pursuing the credential? The Clinical Nutrition Certification (CNC) packages Nutrition 201–224 — 48 hours — in a single $960 checkout. Browse Nutrition Courses
Nutrition 237 — Frequently Asked Questions
What does Nutrition 237 cover?
Nutrition 237 covers chronic fatigue and myofascial pain syndrome from an integrative chiropractic perspective: understanding chronic fatigue, the musculoskeletal and mitochondrial dysfunction beneath it, management strategies for mitochondrial dysfunction, the validity and clinical presentation of myofascial pain syndrome, and the role of diet in both. Also known as chronic fatigue nutrition, myofascial pain nutrition, or the fatigue-and-muscle-pain course.
Does myofascial pain syndrome really exist?
That is one of the course’s central questions. Dr. Benedikt reviews the evidence for and against myofascial pain syndrome as a distinct diagnosis — the trigger-point findings, the referred-pain patterns and the overlap with fibromyalgia and central sensitization — and what the answer means for how you examine and treat the patient.
How does mitochondrial dysfunction connect fatigue and muscle pain?
Mitochondria produce the ATP that both energy and muscle contraction depend on. When cofactor depletion, oxidative stress or toxic burden impair them, the patient reports fatigue and the muscle reports pain, tightness and slow recovery. The course covers that shared mechanism and the nutritional management — CoQ10, carnitine, B vitamins, magnesium and antioxidant support — that addresses it.
How is this different from Nutrition 228, Dealing with Fatigue in Clinical Practice?
Nutrition 228 is the fatigue work-up — thyroid conversion, HPA axis, mitochondria, labs and protocols. Nutrition 237 takes the fatigued patient who also hurts: the chronic fatigue and myofascial pain overlap, mitochondrial dysfunction as the shared driver, and an integrative plan that treats both. They pair well in one order.
How many CE hours is it, and where does it sit in the Nutrition series?
It is 2 PACE-approved CE hours. Nutrition 237 sits in the brain, mood, stress and nervous-system lane of the Nutrition series with Dr. Howard Benedikt, alongside Nutrition 204 (Stress Management), 228 (Dealing with Fatigue), 232 (An Integrative Approach to the Musculoskeletal System) and 234 (Optimal Nervous System Function).
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 Nutrition 237?
The patient who is exhausted and hurts everywhere is not two patients. Two hours here give you the mitochondrial mechanism, the myofascial evidence and the integrative nutrition plan to treat them as one.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 2026 (CT)