Prone Regional Thoracic (Direct or Indirect)

1. The patient lies prone on the treatment table.
2. The physician stands beside the patient slightly cephalad to the iliac crest.
3. The physician places both hands, palms down, with the fingers slightly spread apart immediately paraspinal on each side.
4. The physician imparts a ventral force into the patient’s thoracic tissues with only enough force to control the skin and underlying fascia so as not to slide across the patient’s skin.  
5. The physician monitors inferior and superior, left and right, circumferential rotation, and torsional (twisting) motion availability for ease-bind clockwise-and counterclockwise relations.
6. After determining the presence of an ease-bind asymmetry, the physician will either indirectly or directly meet the ease-bind barrier in all 3 planes, stacking the motions.
7. The force is applied in a very gentle to moderate manner.
8. Force is held for 20-60 seconds or until a release is palpated.  The physician may continue this and follow any additional release (creep) until it does not recur.  Deep inhalation or other release-enhancing mechanisms can be helpful.
9. Slowly, “Unstack” the motions in reverse order from which you stacked 3 planes of motion in step #6

Video Tutorial: