Technique Highlight: Getting Fancy with 1st Rib Non-Thrust Manipulation | Modern Manual Therapy Blog

Technique Highlight: Getting Fancy with 1st Rib Non-Thrust Manipulation

Suspect first rib dysfunction in most upper quarter dysfunctions. It can cause

  • referral to the subcranial area and produce HA (along with upper trap TrP)
  • limits in ipsilateral shoulder elevation
  • peripheral neuropathic pain syndrome
  • limited and painful cervical motion toward or away
Make sure to screen when the patient presents with
  • shoulder impingement
  • TOS or PNP like complaints
  • cervical derangement with radiating complaints
  • frozen shoulder
  • cervical/tension HA
The video shows the standard supine inferior glide, anterior and posterior glides to the anterior and posterior first rib, plus movement/functional based releases. Hope you find something new!



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