Certified Chiropractic Extremity Practitioner
Some chiropractors take additional training in order to better serve their patients. 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: