This is one of the best techniques I know for helping clients with pain around the T10 to L1 area. This can be a very difficult area for chiropractors to adjust as it is a transitional area, where the angle of the facet joints abruptly change. The other transitional area is the C7, T1 junction.
This technique is a stretch, not an adjustment, but it can have the effect of relieving pain in this area.
You may recognize the warm up for this technique as being two previous techniques, the side lift and side lift variation, both from the Swedish Massage DVD.
Hand over hand work from iliac crest to shoulder, lifting your client on the side opposite you.
Side Lift Variation:
Do a side lift working hand over hand, lifting the client with a hand over hand motion. Then gently press shoulder down with one hand while lifting the client’s side with the other hand.
Cradle Stretch Technique:
After doing the warm up techniques, lift your client's opposite shoulder and put your arm behind their back, so that your elbow is next to their neck and your fingers are on either side of their spine. Place your other hand on their ASIS to hold the hip down to the table.
Body mechanics are crucial for this technique. Make sure your client is laying on the side of the table closest to you, so that you do not have to lean over. Have your foot that is closest to your client's head be close to the table, while your other foot can be back from the table.
When you are ready to do the lift have your client inhale deeply, then on the exhale pull your client's shoulder up and towards you while maintaining pressure on the ASIS to keep their hip on the table. Hood the stretch for a few seconds then gently bring the client back to the table without dropping them.
This stretch can be done with a lift up and to the side, just to the side, ar any angle in between.
Do not do this with exceptionally large clients as it can be difficult for your own body mechanics.
Do not do this with clients with suspected lumbar disk problems, as this technique opens the disk space in a lateral and posterior direction.
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