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.