Satya Sardonicus, DC, CACCP discusses her course Management of Common Conditions 270 – Diagnosis and Management of Cerebellar Tonsillar Ectopia: What Nobody Told You About Headache & Head Injury – Part 2
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Could your adjustments be making things worse for some patients?
It’s a bold question – but when it comes to Cerebellar Tonsillar Ectopia (CTE), most chiropractors don’t realize how common this condition is… or how easily it gets missed.
💡 1 in 4 patients with neck pain and a history of whiplash may have CTE.
💡 Traditional adjustments can trigger flares if the nervous system isn’t ready for change.
💡 Chiropractors are uniquely positioned to help – but only with the right tools.
In Part 2 of Dr. Satya’s continuing education series, she shares:
✅ How to use specialized palpation and muscle testing to avoid nervous system overload.
✅ How to modify care to reduce adverse mechanical tension and restore change receptivity.
✅ How to support your patients for lasting, sustainable results.
Because when CTE is missed, patients suffer needlessly. And when it’s recognized, your care can change their life.
🎓 This course is live now on ChiroCredit.com – let’s elevate the standard of care together.
Hour 1
- Describe the relevance of clinical history as it relates to chronic stress and trauma.
- Recognize signs and symptoms of sympatheticotonia.
- Recognize signs and symptoms of possible CTE.
- Determine appropriate individualized examination procedures based on history answers.
Hour 2
- Refer for diagnosis and advanced testing for CTE.
- Describe layered components of restrictions including updated osseous, muscular, and fascial relational anatomy.
- Describe how to palpate muscle tension versus fascial adhesion versus fascial tension lines.
- Differentiate between osseous restriction, muscular tension, and fascial restriction as they relate to spinal motion restriction.
- Use palpatory findings to select technique application for adjustments that last longer by addressing mechanical root cause and encourage parasympathetic dominance at rest.
Hour 3
- Describe the difference between static misalignments and dynamic spinal restrictions (joints incapable of full range of motion).
- Differentiate with palpation both static and dynamic spinal restrictions.
- Describe neurological information gathered from palpation
- Palpate the patient with chronic pain, trauma history, and/or sympatheticotonia without triggering sympathetic bracing.
Hour 4
- Describe the Oxford Grading Scale for manual muscle testing.
- Describe interpretation of manual muscle testing findings, including differentials for clinical significance of findings other than normal.
- Demonstrate manual muscle testing of major postural muscles.
- Apply manual muscle testing as pre- and post-clinical intervention measures during adjustment visits and to track change during review examination.
