Orthopedics

Orthopedics 214: Cauda Equina & Lumbar Radiculopathy CE Course | CCEDseminars

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A chiropractor performs a straight leg raise test on a supine patient to assess lumbar radiculopathy and lower extremity neurological signs in a chiropractic clinical setting.
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

Sagittal and axial lumbar spine MRI views on a clinical display in an imaging suite — Orthopedics 214: Cauda Equina & Lumbar Radiculopathy, a 2-hour chiropractic CE course

Orthopedics 214 At a Glance

CourseCauda Equina & Lumbar Radiculopathy · 2 CE Hours
FacultyMichael Hall, DC, FIACN
FormatOnline, on-demand — start immediately
Pricing$40 ($20/hr) · automatic bundle discounts
ApprovalPACE Provider #34015544 · TCC co-sponsored

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Texas Chiropractic College co-sponsor logo FCLB PACE Provider 34015544 approval logo CE Broker auto-reporting integration logo Board-approved · PACE Provider #34015544 · CE Broker auto-reporting · Instant certificate

Cauda Equina syndrome is one of the most consequential diagnoses a chiropractor will ever face — recognizing it, and acting swiftly, can mean the difference between recovery and permanent disability. Orthopedics 214 walks licensed chiropractors through the clinical anatomy and pathophysiology of the lumbosacral nerve roots, the red flags that demand action — saddle anesthesia, bilateral neurogenic sciatica, bladder and bowel dysfunction — and the emerging research on fatty infiltration and sympathetic ganglion (SG) sensitization that is reshaping how we understand these presentations. Taught by Michael Hall, DC, FIACN, this 2-hour on-demand course grounds every recommendation in the peer-reviewed literature, strengthening your triage, documentation, and referral practices where the stakes are highest.

Where This Course Fits — Three Lanes, One Curriculum

The CCED Orthopedics series — 26 courses, 52 CE hours — organizes into three working lanes. Trace the nerve, evaluate the joint, and catch the presentations that change management:

1 · Nerve Entrapment Syndromes

201: Upper Extremity Entrapments · 202: Trunk & Upper Extremity · 203: Pelvis & Lower Extremities · 221: Burner Syndrome

2 · Joint by Joint — Shoulder to Foot

204: Rotator Cuff Syndrome · 206: Frozen Shoulder · 212: The Neck & Shoulder · 215: Foot & Ankle Conditions · 216: Plica Syndrome · 217: Achilles Tendinitis · 218: The Floppy Ankle · 219: The Hip · 225: Stress Fracture

3 · Spine, Stability & Red Flags

205: Cervical Spine Instability · 207: Finger to Floor & Sit-n-Reach · 208: Managing Chronic Pain · 209: The Romberg Sign · 210: Inflammatory Disc Disease · 211: Cervical Position Sense · 213: Coronal Plane Movement & Neuroplasticity · You are here » 214: Cauda Equina & Lumbar Radiculopathy · 220: Cervicovagopathy · 222: Dropped Head Syndrome · 223: Inflammation & Relationships · 224: Breathe & Mouth Breathing · 226: Gait & the Lumbar Spine

All courses in Orthopedics 201–224 count toward the 48-hour Clinical Chiropractic Orthopedics Certification (CCO). Browse the full Orthopedics category.

What You'll Learn

  • Discuss and recognize the signs and symptoms of Cauda Equina syndrome.
  • Identify the red flags associated with the condition, including saddle anesthesia, bilateral neurogenic sciatica, and bladder or bowel dysfunction.
  • Understand new perspectives and developments, including research on fatty infiltration and sympathetic ganglion (SG) sensitization.
  • Summarize the current peer-reviewed literature and its implications for chiropractic practice in managing lumbosacral nerve root conditions.

Course Outline

  • Comprehensive overview of Cauda Equina syndrome: anatomy, pathophysiology, and clinical significance.
  • Identification of signs, symptoms, and red flags: saddle anesthesia, urinary retention, bilateral lower extremity deficits, and bowel dysfunction.
  • New perspectives: fatty infiltration of paraspinal musculature and sympathetic ganglion (SG) sensitization as contributors to the clinical picture.
  • Review of relevant peer-reviewed literature and its implications for chiropractic triage, documentation, and referral practices.
Your Instructor — Michael Hall, DC, FIACN
Michael Hall DC FIACN, chiropractic neurology CE instructor

Michael Hall, DC, FIACN is a Fellow of the International Academy of Chiropractic Neurology with over 30 years of clinical and academic expertise. A 1990 honors graduate of Parker College of Chiropractic and Diplomate of the American Board of Chiropractic Neurology (1993), Dr. Hall is the founder of BrainDC.org and a leading voice in functional neurology, concussion management, and global chiropractic education. He brings a rigorous evidence-based perspective to complex neurological and orthopedic presentations, and teaches 16 of the 26 courses in the CCED Orthopedics series.

Meet the full CCED faculty »

Will This Course Count in My State?

CCEDseminars is PACE Provider #34015544, recognized by the Federation of Chiropractic Licensing Boards (FCLB). Orthopedics coursework is clinical subject matter — examination, diagnosis, and case management — and Orthopedics 214 is accepted in 40+ U.S. states, Canadian provinces, and international jurisdictions. The complete approval list for this course appears at the bottom of this page, and completions auto-report to CE Broker for participating states.

Not sure what your board requires? Check your state's rules on the CE guidelines hub.

Stack Your Hours & Save Automatically

Online courses are $20 per credit hour. Buy 6–9 hours and 10% comes off automatically at checkout; 10+ hours takes 20% off. No promo codes — the discount calculates itself.

Pair Orthopedics 214 with 205: Cervical Spine Instability, 222: Dropped Head Syndrome, and 226: Gait & Lumbar Spine for a complete spine-and-red-flags block — or take the whole track: the CCO Certification Bundle delivers all 24 courses (Orthopedics 201–224, 48 hours) in one $960 purchase toward the Clinical Chiropractic Orthopedics certification.

References

  1. Todd NV. Cauda equina syndrome: the timing of surgery probably does influence outcome. British Journal of Neurosurgery. 2005;19(4):301–306. doi:10.1080/02688690500305324
  2. Korse NS, Pijpers JA, van Zwet E, Elzevier HW, Vleggeert-Lankamp CLA. Cauda Equina Syndrome: presentation, outcome, and predictors with focus on micturition, defecation, and sexual dysfunction. European Spine Journal. 2017;26(3):894–904. doi:10.1007/s00586-017-4943-8
  3. Domen PM, Hofman PA, van Santbrink H, Weber WE. Predictive value of clinical characteristics in patients with suspected cauda equina syndrome. European Journal of Neurology. 2009;16(3):416–419. doi:10.1111/j.1468-1331.2008.02510.x
  4. Ropper AH, Zafonte RD. Sciatica. New England Journal of Medicine. 2015;372(13):1240–1248. doi:10.1056/NEJMra1410151

Frequently Asked Questions

What does Orthopedics 214: Cauda Equina & Lumbar Radiculopathy cover?

Orthopedics 214 is a 2-hour online chiropractic CE course covering Cauda Equina syndrome anatomy and pathophysiology, red flag identification, new clinical perspectives including fatty infiltration and sympathetic ganglion (SG) sensitization, and peer-reviewed literature guiding chiropractic triage, documentation, and referral. It is also listed as "Cauda Equina, Lumbar Radiculopathy, and Clinical Considerations," and chiropractors may search for it as cauda equina CE, lumbar radiculopathy CE, or a low back red flags course.

Is Orthopedics 214 PACE-approved and accepted in my state?

Yes. CCEDseminars is PACE Provider #34015544, recognized by the Federation of Chiropractic Licensing Boards (FCLB), with courses accepted in 40+ U.S. states, Canadian provinces, and international jurisdictions. Completions auto-report to CE Broker for states served. The full approval list for this course appears at the bottom of the page.

What is saddle anesthesia and why is it a red flag?

Saddle anesthesia is numbness or altered sensation in the areas that would contact a saddle — the perineum, buttocks, and inner thighs. Combined with bilateral leg symptoms or bladder and bowel dysfunction, it is a classic red flag for Cauda Equina syndrome, a surgical emergency. Orthopedics 214 teaches chiropractors to recognize this presentation and act on it with urgent referral.

How many CE hours does Orthopedics 214 award, and how is the certificate issued?

Orthopedics 214 awards 2 chiropractic CE hours. Your certificate is issued electronically the moment you complete the course and quiz, and is available in your CCEDseminars account. Completions auto-report to CE Broker for participating states.

Which CCED orthopedics courses pair well with Orthopedics 214?

Doctors who take Orthopedics 214 often add Orthopedics 205: Cervical Spine Instability, 222: Dropped Head Syndrome, and 226: Gait & Lumbar Spine — the spine, stability, and red-flags lane. All Orthopedics 201–224 courses also count toward the 48-hour CCO certification.

Good to know: the course title in your account is your access link — no software installation, any modern browser, desktop or mobile. Pause and restart anytime from your account, and print your certificate the moment you finish.

Ready to Earn Your 2 CE Hours?

Online. On demand. PACE-approved. $40 — the red-flag recognition skills that protect patients and licenses.

Add to Cart »Browse All Orthopedics Courses

CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated September 23, 2026 (CT)

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, 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,