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Home › Radiology CE Courses › Radiology 203: Joint Degeneration of the Spine and Extremities
Radiology 203: Joint Degeneration of the Spine and Extremities — At a Glance
| Course | Radiology 203 · 2 CE hours · $40 |
| Faculty | Wesley Duval, DC, DACBR · Diplomate, American Chiropractic Board of Radiology |
| Format | Online, on-demand — start immediately |
| Pricing | $40 for 2 CE hours — $20 per hour; multi-course discounts apply automatically in the cart |
| Approval | PACE Provider #34015544 · TCC co-sponsored |
PACE Provider #34015544 · Co-sponsored by Texas Chiropractic College · Completions reported to CE Broker
Degeneration is the most common finding on the films a chiropractor orders — and the one most often over-read. Radiology 203 is the category’s first pathology course: a two-hour tour of degenerative joint and disc disease from the cervical spine through the pelvis and into the upper and lower extremities, taught by Wesley Duval, DC, DACBR, a Diplomate of the American Chiropractic Board of Radiology.
The course builds the radiographic signs of degenerative joint disease into a working differential — distinguishing degeneration from the conditions that mimic it on film — and keeps one fact in front of you throughout: what the radiograph shows correlates poorly with what the patient feels.
Where This Course Fits — Three Radiology Lanes
You are here: Lane 2, Radiology 203 — the first degenerative course, bridging the normal-variants sequence to the pathology lane. Seventeen courses organize into three working lanes: learn normal first, then trauma and degeneration, then the pathologies that change management.
1. Normal Variants — Read Normal First
The foundation of interpretation: knowing the variant that mimics pathology, and the pathology that hides as a variant.
201: Cervical Spine Variants · 202: Thoracic Spine Variants · 204: Lumbar Spine Variants · 207: Introduction to Degenerative Disorders
2. Trauma & Degenerative Disease ◀ You are here
The films your practice generates — acute trauma and the aging spine and extremities.
205: Cervical Trauma · 206: Thoracic & Lumbar Trauma · 203: Joint Degeneration of the Spine & Extremities · 208: Degenerative Conditions of the Pelvis & Leg · 209: Degenerative Conditions of the Upper Extremity
3. Arthropathies, Tumors & the Case-Study Trilogy
The findings that change management, and three case-study courses that train the eye on real films.
211: Rheumatoid Arthritis · 213: Seronegative Spondyloarthropathies · 214: Crystal Deposition Diseases · 216: Primary Bone-Forming Tumors · 218: Pediatric Radiology · 210, 212, 217: Case Studies in Radiology I–III
What You'll Learn
- Understand the fundamentals of joint degeneration in the spine and extremities
- Apply knowledge of the degenerative process to the extremities
- Perform differential diagnoses from a radiographic perspective
- Review degenerative radiographic findings comprehensively
Course Outline
- Introduction to degenerative joint and disc diseases
- Detailed examination of spinal degeneration, including cervical, thoracic, and lumbar spine, as well as pelvic areas
- Exploration of extremity joint degeneration, covering both upper and lower extremities
Reference: StatPearls [Internet], NCBI Bookshelf, NBK448134. https://www.ncbi.nlm.nih.gov/books/NBK448134/
Your Faculty
Wesley Duval, DC, DACBR — Diplomate of the American Chiropractic Board of Radiology. He carries the category’s pathology lane — joint degeneration, rheumatoid arthritis, the seronegative spondyloarthropathies, crystal deposition diseases and primary bone-forming tumors — the findings that change management.
Also teaching in the category: Sandra Norton, DC, DACBR · Diplomate, American Chiropractic Board of Radiology · the normal-variants sequence, both trauma courses, the degenerative series, pediatric radiology and the three case-study courses.
Credit, Reporting & State Rules
Radiology 203 is a 2-hour on-demand course, PACE-recognized and co-sponsored by Texas Chiropractic College — the approval pathway most boards accept for online chiropractic CE. Its approval list renders at the bottom of this page, straight from the course record; that list is the one to trust.
Radiology coursework is clinical subject matter — imaging interpretation, diagnosis and referral decision-making — which serves the clinical-hour structures many states impose, such as Iowa’s 36-hour clinical case-management minimum, Rhode Island’s 50-of-60 clinical requirement and Vermont’s clinical-focus rule. Most boards also cap the share of a renewal that can be earned online; check how your board counts it before relying on these hours for a specific requirement.
Texas: licensees can verify provider status through the Texas Board of Chiropractic Examiners. For every other state and province, start at the CE guidelines directory.
Build Your Radiology Block — or Take the Credential
$40 for 2 CE hours — $20 per hour. Take it after the normal-variants sequence (201, 202, 204); it opens the degenerative series that continues in 207, 208 and 209.
Multi-course discounts apply automatically in the cart — 10% at 6–9 hours, 20% at 10 or more, no promo code. Pair it with 208 (Pelvis & Leg) and 209 (Upper Extremity) for a 6-hour degenerative block: $108 instead of $120.
Building toward the credential? Radiology 201–212 make up the 24-hour Chiropractic Radiology Certification (CRC) bundle — a single $480 checkout, taught by DACBR faculty.
Frequently Asked Questions
What does Radiology 203 cover?
A two-hour review of degenerative joint and disc disease for chiropractors: an introduction to the degenerative process, spinal degeneration through the cervical, thoracic and lumbar spine and the pelvis, degeneration of the upper- and lower-extremity joints, the radiographic signs of degenerative joint disease, and differential diagnosis from a radiographic perspective. Also known as DJD radiology CE, osteoarthritis x-ray interpretation CE, spondylosis radiology CE or chiropractic radiology CE.
Who teaches it, and is it for chiropractors?
Wesley Duval, DC, DACBR, a Diplomate of the American Chiropractic Board of Radiology — the profession’s own imaging specialty board. The course is written for practicing chiropractors who order and read their own spinal and extremity films, and it stays inside chiropractic scope: interpretation, differentiation and the referral decision. It is PACE-recognized and co-sponsored by Texas Chiropractic College.
My patient’s x-ray report says “degenerative changes” — does that explain their pain?
Often not, and that is one of the course’s central points: radiographic findings correlate poorly with a patient’s signs and symptoms. Degeneration on film is common, frequently asymptomatic, and easily over-read. Radiology 203 teaches you to recognize the true radiographic signs of degenerative joint disease, separate them from the conditions that look similar, and keep the clinical picture — not the film alone — driving the diagnosis.
How is the course delivered, and when do I get my certificate?
Recorded video you can watch on any device, with one year of access from purchase. Pass the short post-test and your certificate is available immediately. For states served by CE Broker, completion is reported automatically.
What should I take after Radiology 203?
Continue the degenerative series with 207 Introduction to Degenerative Disorders, 208 Degenerative Conditions of the Pelvis & Leg and 209 Degenerative & Miscellaneous Conditions of the Upper Extremity. For the arthropathies that must be separated from degeneration, Dr. Duval’s 211 Rheumatoid Arthritis, 213 Seronegative Spondyloarthropathies and 214 Crystal Deposition Diseases follow naturally. Radiology 201–212 make up the 24-hour CRC bundle.
State approval and licensing reminder. Approval status for this course is listed below. Online-hour caps, subject classification and scope rules vary by board; confirm your own state’s rules before relying on this course for a specific requirement.
Ready to read degeneration correctly?
Radiology 203 · 2 CE hours · $40 · instant certificate
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated November 5, 2026 (CT)