Thoracic Treatment Progressions

In this 16 min mini case, I review a treatment progression for the thoracic spine to improve overhead shoulder mobility
  • the day prior, his cervical spine was cleared using cervical retraction and SB to the involved side
  • this improved his overhead and shoulder IR mobility, but it was still painful to overpressure at end range
  • trunk rotation pattern was limited to the involved side
  • progressions
    • IASTM to thoracic paraspinals on the involved side
    • targeted isometrics to resisted shoulder overhead
    • PNF Agonist reversals to enhance new trunk mobility
    • banded overhead mobility with trunk rotation