Thrusting techniques thoracic spine

This chapter describes high-velocity, low-amplitude thrusting techniques for treating somatic dysfunctions of the thoracic spine by region-upper, middle, and lower spine. For most of the techniques, the patient is supine a variation is iiiustrated in which the patient is seated. 

FIG. 43-5 Alternative thrusting technique for thoracic spine somatic dysfunction, patient supine. 

Note As with high-velocity, low-amplitude thrusting techniques of the thoracic spine, flexion of the spine down to the segment of dysfunction may be necessary for rib dysfunctions lower in the thorax. Flexion is achieved by the physician grasping and cradling the patient behind the shoulders with his nonlocalizing hand and then flexing the patient to create localization down to the necessary point. 

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