Thoracic Extension Overpressure Technique

Be sure to screen the shoulder and cervical spine prior to attempting this technique because some patients may experience discomfort with it. Have the patient seated at the edge of a chair with their arms in what I call the "genie position" and their forehead resting on their forearms. Standing in a lunge stance, interlace your hands through theirs as shown in the video. With two fingers of each hand on the transverse processes of a thoracic spinal segment, apply gentle pressure as you lean your body back. You don't necessarily need to pull up as much as you just need to lean back. This will drive their thoracic spine into an extended position and from there, you can apply gentle pressure at end-range. You'll be amazed at how easy it is for the clinician and how comfortable it is for the patient.