Manipulation & MET of the 1st Rib

In this video, John demonstrates how to use an MET and also how to manipulate an elevated first rib. This could be a form of thoracic outlet syndrome (TOS) through the shortness of the scalenes attaching the first rib and irritating the brachial plexus.

Osteopath, lecturer and author John Gibbons offers an accessible introduction to the Vital Cervical Spine Online Masterclass and is a comprehensive, must-have roadmap from firstly understanding all of the related functional anatomy, through to assessing and subsequently treating the region of the cervical spine. The course text is enriched with anatomical drawings throughout, with detailed explanations which accompany the lessons. The literature is complimented by the associated videos which further explain and expand upon topics such as neurological testing using the patella hammer, common neuropathies, pathologies, and differential diagnoses for pain arising to the cervical spine. It is an indispensable resource for physical therapists and bodyworkers.

Alongside real-life case studies and guidelines for hands-on work with clients and patients, The Vital Cervical Spine Online Masterclass demystifies and succinctly presents everything you need to know to be confident and competent in this area; from how to diagnose specific nerve conditions as a result of disc pathology to understanding how to differentiate motion from C1 & C2 (AA Joint) as compared to the rest of the cervical spine.

Gibbons provides critical insights into the structure and function of the unique anatomical region of the cervical spine, as well as the body’s response to referred patterns of pain and the different types of pain as perceived by the patient.

The Vital Cervical Spine Masterclass will enable you to:

- Assess the cervical spine nervous system using a patella (reflex) hammer, myotome (muscle) testing and dermatome (sensory) testing

- Determine whether pain in the shoulder, arm or hand is in fact a referral pattern originating from the cervical spine

- Utilise active and passive range of motion tests to determine if the pathology is a muscular or a joint issue

- Decide at what level a cervical disc may have herniated

- Know what to do with the findings of your neurological assessment and the circumstances under which to refer patients for more specialist care

Key areas covered in this course:

Functional Anatomy of the Cervical Spine

Posture & Position of the Cervical Spine

Anatomy and Function of the Cervical & Brachial Plexuses

Radial, Median, Ulnar, Musculocutaneous & Axillary Nerve Testing

Assessment of the Cervical Spine

Deep Tendon Reflexes (DTRs)

Sensory Testing - Dermatomes & Cutaneous Nerves

Motor Testing - Myotomes

Cervical Disc Anatomy & Pathology

Common Medical Conditions associated with the Cervical Spine

Muscle Length Testing & Treatment for the Cervical Spine

Myofascial Soft Tissue Techniques

Kinesiology & Athletic Taping Techniques

Upper Limb Tension Tests (ULTT) - Median, Radial & Ulnar Nerve tests

Phalens & Tinel Neurological tests

The Bodymaster Method® is accredited by the Sports Therapy Organisation (STO). On completion of the course you will receive a certificate worth 21 CPD points.

John also hosts Certified & accredited online courses and these are accessible from your own home. Click the link below for further information and use BMM10 at checkout for a discount!

John now offers Advanced Training in all aspects of Sports Medicine to already qualified therapists (athletic trainers, sports massage therapists, osteopaths, chiropractors, physiotherapists, physical therapists, personal trainers, pilates teaches etc) in manual therapy to 'Diploma' Level.

1. Spinal Manipulation & Mobilisation
2. Advanced Spinal Manipulation
3. Kinesiology Taping
4. Muscle Energy Techniques
5. The Vital Shoulder Complex
6. The Vital Cervical spine
7. The Vital hip & groin
8. The Vital Knee
9. Advanced Soft Tissue techniques
10. The Vital Neurological system
11. Pelvis, SIJ & Lumbar spine
12. The Vital Glutes & Psoas
13. Acupuncture & Dry needling

[MarkQB-zvsw]

Improved My Massage Qualification With This Positioning Technique,
Much Appreciated.

[roserosario]

Yeah you definitely need to teach all those other chiropractors your technique because you are gentle and do the same job with extra care.
I enjoy watching your videos.

[TalonOfDragon]

I really enjoy watching this man, how he explains on exactly what he is doing. I need to find me a new chiro soon.

[EduardoLázaroRamónLeiva]

EXCELLENT MANIPULATION DOCTOR👌🏻👌🏻👌🏻THANKS YOU SO MUCH🙏🏻🙏🏻🙏🏻

[edouardsabourdy]

I am a chiro and I approve :) post isometric relaxation, didn’t think to do it for the first rib adjustment, really good idea, thanks 👍

[boundariessetinstone]

I need my first rib adjusted like this most aren’t deep enough this looks like it would get all of it.

[TexasTags]

I just wish I could let my body turn into jello & let you readjust my skeleton back to where it should be - you are water my friend, people you help are getting blessed

[NikuzeSolange-nyey]

I love your help and how can you help I have back pain

[Raphanoh]

Where does the right hand make contact on the first rib? Costal angle?

[skrzydlatesowa]

vertebral hernia - can the vertebrae be adjusted, moved by a chiropractor?

[memati]

Would this fix a 23 years old dislocated right first rib that has been causing me a great deal of pain, agony and literally crippled my life for the past 23 years!! Or do i need a surgery to fixate it?!
PS: i was diagnosed with a dislocated rib 48 hours ago⚠️.
Thank you!

[mikeschultz]

You have a video from a few years ago on 1st rib MET where you have knee supporting opposite side arm. Does it makes a difference as long as you're side shifting away from treatment side?

[Bilal-jfsq]

Doctor, what does this technique treat?

[chrismanning]

1st rib adjustments are a tricky one, and I usually do them supine.
Do you find that you need to move the upper trap out of the way a lot?
We were always taught to go A to P on the trap to push it out of the way.

I love the lateral flexion of the head to inhibit the contra muscles above the rib your adjusting. Brilliant!

[lourdes]

Nesesito un medico asi en Mexico en donde lo encuentro😢

[eyerasta]

What kind of doctor are you? I know it’s a stupid question but I went to a chiropractor and they didn’t get anywhere near any of the places I told him where I had pain 😢 so how do I get help for all my discomfort so the ringing in my ears will stop

[tomphillips]

What is one to do after watching this video?

[Ducky]

I have a question. I have a brachial plexus injury and had my first rib resected but I’m still have issues with my sternum. A lot of pain and swelling from the sternal notch to the xiphoid process. My xiphoid process actually ‘clicks’. If I apply light pressure it ‘clicks’. Sometimes it helps the pain and sometimes it makes it worse. All imaging has been normal for me, meaning the changes from my brachial plexus surgeries and procedures. There isn’t any signs of arthritic changes.

[madslouispetersen]

Hey John
Does it matter what side your leg is supporting under the shoulder, because in another video on this subject, your leg was on the other side, where you was treating the 1 rib.

[Fiona_Interrupted]

I couldn’t trust a chiropractor with a crooked picture on his wall. No way.