9.7 Ribs R4–10
Patient prone
Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to produce cavitation at the costotransverse joint of the sixth rib on the left (Fig. 9.45).
1 Contact points
Angle of left sixth rib (right applicator). Right transverse process of T6 (left applicator).
4 Operator stance
Stand at the left side of the patient, feet spread slightly and facing the patient. Stand as erect as possible and avoid crouching as this will limit the technique and restrict delivery of the thrust.
5 Palpation of contact points
There are many different ways to perform this technique. This is one approach. Locate the transverse processes of T6. Place the hypothenar eminence of your right hand against the angle of the patient’s left sixth rib and establish a firm contact (Fig. 9.46). Place the hypothenar eminence of your left hand against the right transverse process of T6 (Fig. 9.47). Ensure that you have good contact and will not slip across the skin or superficial musculature.
Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
