Supine Thoracic Thrust Manipulation - most comfortable thoracic manipulation

This is a variation on the classic arms as leverage supine thoracic thrust manipulation. The key components are
- over-roll onto your hand/fulcrum
- your hand is flat, slight wrist extension; this is way more comfortable than a pistol grip or closed knuckles for you AND the patient
- sidebend the patient away
- take up arm slack with full shoulder extension
- thrust in superior and posterior direction - NOT pure posterior
Thoracic thrust manipulation can improve cervicogenic HA, cervical ROM, and shoulder ROM.
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[@jordanbike5243]

This is very useful, thank you

[@modernmanualtherapy]

No problem! Please share my channel and like my videos!

[@druidsongevergreens]

What is this teacher's name? There's very little info in the description.

[@F4Y541]

Erson Religioso III aye bro, this should be him, dude decided to reply to another comment :D Hopefully he has the ability to make videos like this his career.

[@nataliesuper5836]

The flat hand and fist, for me, does not reach the spot deep inside that needs adjustment. The only time that spot has been reached was with use of a plastic wedge the size of a large rounded fist. It is a bit uncomfortable for me at first, awkward, till the adjustment takes place. Then i have a response of relief! Undeniable relief because only with that technique and that smooth plastic wedge is the most troublesome spot reached. If not reached properly the problem spreads to my sternum. But the only chiropractor who did that for me was Klein in Hilo Hawaii. I'm back on mainland now and everyone uses fist or flat hand and I get nothing out of it. A few minor cracks that do nothing. And I am still on so much pain with the extreme tightness. I need to find someone to do this adjustment you are showing only with a round smooth plastic wedge.

[@Religiosofamily]

A wedge might help for the clinicians you have seen and their techniques, but I haven't used a wedge on anyone in more than 15 years. Not saying it didn't help you, but everyone and every clinician is different. What you really need are exercises and education to help you keep the relief. No one needs repeated manipulation/adjustment as the effects are as temporary as a massage. No treatment effect lasts more than hours to a day. You need to maintain it on your own.

[@scipio8866]

Erson Religioso III I generally agree. But with that said, I do think repeated adjustments do help in other ways such as improved blood flow to avascular joints and improved mobility etc. But many chiros DO get carried away with recommendations. And most chronic pain patients are not going to get their pain to go away completely. So repeated adjustments in this case within reason are certainly warranted as needed

[@F4Y541]

are you getting the patient to scooch their body towards you? I realise the over-extension from the practitioner mostly comes from where the patient is positioned.

[@ArnoldPranks]

Thanks now I can steal your wifi

[@Religiosofamily]

Lol I don't work there. I was just teaching there

[@baoluo1]

Practitioner really needs to protect their chest with padding otherwise you will damage your sternum over time as this fellow just experienced.

[@Religiosofamily]

Thanks for your concern, but I rarely perform thrust manipulations as I prefer active patient treatments vs passive. Even when I did this regularly, it was no real problem, just sore for a few seconds, far from “damage” to the sternum, we’re much more resilient than you give us credit for.

[@baoluo1]

@@Religiosofamily fair enough, but using a pillow between prac and patient makes it so much more comfortable for both. And it works.

[@summerspinecenter]

I gave myself a sternal contusion from doing this for years. Ended up having a cardiac workup done since the chest pain took a while to clear up. I gave up supine thoracic work for quite some time and havent' had any sternal pain. I occasionally still do it, but modified

[@scipio8866]

A chiro I practice with has been doing AP with direct chest to patient elbow contact for probably 2 decades with no problems. Mileage may vary I guess.

[@yakupcakr8660]

hilariouss thank you

[@modernmanualtherapy]

If you say so!

[@Ghiwaaswatama]

Loba ngomong

[@spineguy444]

Forget the wanna bees get the real thing see a Chiropractor

[@modernmanualtherapy]

If by real thing you mean someone who ignorantly thinks they're the only one who can do thrust manipulation, by all means, keep adjusting those imaginary subluxations.

[@spineguy444]

Every DC receives tons more training than you. You may try to copy DC but never will succeed. Stick to your US machine and keep rubbing those sore muscles. PT suck at manipulation

[@modernmanualtherapy]

@@spineguy444 if you think manipulation is a primary treatment instead of a passive temporary fix you're already doing your patients a huge disservice and your school of thought is outdated.

[@spineguy444]

@@modernmanualtherapy Well check out blood pressure reduction in the journal of hypertension P=.002 or Fonar's study on MS and upper cervical Chiropractic. PT has nothing on that. What you do is palliative not curative.

[@modernmanualtherapy]

@@spineguy444 several studies by PTs confirm similar findings. Read this. Everything you believe about manipulation is probably outdated www.ncbi.nlm.nih.gov/pmc/articles/PMC2775050/

[@marymagdalene3004]

This guy needs to shut the bleep up and just give this man an adjustment!!!!

[@Thor.Jorgensen]

No, no. That's not how it works. They have to tell you a bunch of make-believe before they do it otherwise the placebo won't take effect. It's like having a silent hypnotist. They do nothing.

[@remyboivin5837]

@@Thor.Jorgensen Not at all. The guy's teaching. You do not teach by doing it the way you know it. Teaching requires a lot of examples and explanations. This is the right way. You are simply stupid. That is the big difference.