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A commonly mis-assessed ' between-the-blade' pain generator is termed a dorsal dish. Inaccurate understanding of the biomechanics of this dysfunction frequently causes therapists to escalate the client's pain and sometimes cause injury. Visual observation and thoracic spine palpation reveal a flat spot (approximately T3 to T7) where there should be a convex curve. If you have access to a plastic spine, contour it until you've established normal lumbar, thoracic, and cervical curves.
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