Certified Chiropractic Extremity Practitioner
chiropractors take additional training in order to better serve their
For example, a certified chiropractic extremity practitioner (CCEP) has specialized
training to correct problems with the extremities (TMJ, ribs, shoulder, elbow, wrist,
fingers, hip, knee, ankle, foot and toes). Dr Nicol completed this six-month 84.5-hour
post-doctoral course in 1998 to become one of four CCEP doctors in the Houston area.
Extremity adjustment or
manipulation is used to correct joint fixations anywhere in
the body other than the spine. When any joint does not move properly, it stretches
the attached ligaments, triggering sensory receptors to signal the brain. The result
is pain in the affected joint. The brain sends a signal back to the adjacent muscles,
reducing their strength in order to protect them from injury.
Manipulation of the fixed extremity
by a properly trained chiropractor restores the
stretched ligament to its normal length. The brain then allows full strength to return
to the adjacent muscles. Pain also decreases immediately.
Sometimes lax or overstretched
ligaments and tendons make a joint unstable and
let it move too much. In this case, adjusting the joint alone is not enough to correct
the problem. Strengthening exercises and perhaps taping must be used to permit
the ligament to tighten and restore stability to the joint.
Extremity manipulation provides excellent results for many patients and often helps
them avoid having surgery.
Dr. Nicol is a Certified Chiropractic Extremity Practitioner (CCEP) and specializes
in treating the following conditions: