Top Secrets In Practice: Cervico-Thoracic Junction Extension
As I was going through school I just thought I could set every patient up in a Gonstead chair and crush their upper thoracic spine and they would stand up and say, "Holy shit! You are amazing!" The first couple of months I practice taught me that just isn't the case. I remember vividly the first medicare patient I treated. He had a thoracic spine that would rival any oak tree. I set him up in the chair and hammered his CT junction. He looked back at me and said, "Is that it?" It was at that moment I knew I needed multiple ways of getting movement in the spine and that doesn't always mean adjustments. Sometimes that means mobilizing for the first few visits before getting that magical cavitation.
The Cervico-Thoracic Junction is an essential junctional area for all of our patients! In this special edition of 'Top Secrets in Practice' we dive into why it is important and some of our favorite ways to create extension in this area (Hint: It may be a little different than you think). As sexy as a seated CT junction adjustment is, our patients aren't always ready for that much motion and that much movement. A great example of this is in an acute cervical disc derangement. In the video section, Brett shows his favorite ways of creating extension in these patients.
As always, let us know how we are doing and if you are enjoying the podcast, give us a 5-star rating!
-Taylor Premer, D.C.
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