Costotransversal Manipulation (supine)

Position of the therapist:

  • Standing at the long edge of the treatment table

Position of the patient:

  • Supine lying position
  • Arms folded in front of chest

Hand placement:

  • Thenar eminence of contralateral hand against angulus costae; either parallel (targeted approach) or perpendicular (broader area)

Direction of the manipulation:

  • Dorsolateral