Figure 5.

Upper thoracic spinal manipulation demonstration. With the patient prone, the chiropractor places the thumb of the thrusting hand (left) against the spino-laminar junction at the upper thoracic vertebra, and delivers a thrust oriented lateral to medial, with the non-thrusting (right) hand acting to stabilize the patient’s head and provide preload using slight ipsilateral lateral flexion. In the current case, this technique was performed at the levels T2 (left side) and T3 (right side).