Costovertebral Joint Mobilization with Long Sitting Slump Stretch

Treatment for Regional Pain Syndrome involving the Right Leg (Adapted from Cleland and McRae, 2002).:

  • Patient is long sitting with a belt wrapped around the balls of the feet.
  • The patient attempts to straighten the knees as much as possible and pull the toes up using the belt.
  • The patient flexes forward as far as possible and drops the head down.
  • The therapist side bends and rotates the patient to the left and holds the patient in this position.
  • The therapist then applies a PA grade III or IV mobilization to ribs 8 through 12 to mobilize the costovertebral joints from T8-12 on the right side.
  • Patient reports on any relief or change in symptoms in the R leg.