Dylan Crake RMT & R.KIN

Draping and Positioning

• Side-lying on convex side
• Pillow under area of curve
  • Verbalize and physically check pillows are in place and secure
  • Ask client about comfort

Hydrotherapy

• Heat on concave side
• State 5 – 10 minutes, be sure to verbally, visual and touch area

Specific Treatment

• Muscles within “Cave” are short and high tone ( ex. Multfidi, Erectors)
• Muscles on convex side are long and weak ( ex. Multifidi, Erectors)
• Outside curve, on concave side are long and weak (ex. scalenes, QLs)
• Outside curve on convex side are short and high tone (ex. scalenes, QL, Psoas)

T-Spine (Short)

Be sure to do 2 neuromuscular techniques, negotiate trigger points, heat and stretch

T-Spine Curve (Long)

Perform 2 neuromuscular techniques, apply cold hydrotherapy, perform ice massage, strengthen that side

Joint Mobilization

• Rib springing on concave side
• Posterior- Anterior glide on convex side, state grade 1 or 2 oscillations
• Rotation towards convex side, when pushing spinous process

Communication

• Check in with draping and pillowing
• Check in with technique, joint mobilizations and hydrotherapy
• Explain reasoning to lengthen and shorten muscles