Steps for Treatment:

1. The patient is supine while the doctor stands side opposite the side to be treated.
2. Physician Hand Placement:
   • Caudad Hand: reach across pt, around the neck to touch with finger pads to pt’s cervical paravertebral musculature on the side opposite from where you are standing
   • Cephalad Hand: on pt’s forehead to stabilize the head
3. Keeping the caudad arm straight, the physician gently draws paravertebral muscles ventrally (up), producing minimal extension of C-spine; Cephalad hand stabilizes the head
   • Make sure you use proper body mechanics, lean away with body
4. Repeat in gentle, rhythmic/kneading fashion

Video Tutorial: