Cervicothoracic (CT) Manipulations in Prone Position. 1. PA Thrust Manipulation at C7–T1 (Prone Position) Patient Position: Prone on a firm surface Arms resting comfortably by the side or overhead Head in neutral or supported Therapist Hand Placement: Stand at the side of the patient Place pisiform contact (hypothenar eminence) of the mobilizing hand over the spinous process of T1 or just lateral to it (over the transverse process or facet joint) Reinforce this hand with the other hand (either s
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A gentle, controlled prone CTJ manipulation demonstrated by Osteopath and OMT Instructor Ewen McDonald. This is one of the many techniques we teach step-by-step on our face-to-face OMT courses and through our global online learning platform. Our 2026 course dates are now live — fully accredited, OMT UK certificated, and designed for clinicians who want clear, safe, modern MSK techniques they can use immediately in practice. Train with us in the classroom, or learn online from anywhere in the wor
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