Principles and practice of spinal adjustment; for the use of students and practitioners . he spinous processes. Palpationof the transverse processes is sometimes difficult in subjectswho are very muscular or adipose, but after some experiencein palpation this difficulty is overcome, and palpation of thetransverse processes is readily performed. Method of Palpation of the Spinous Processes.—In pal-pating the tips of the spinous processes one may commenceeither in the lumbar region and pass upward, or begin withthe first thoracic vertebra and pass downward. Some preferthe former method, while ot
Principles and practice of spinal adjustment; for the use of students and practitioners . he spinous processes. Palpationof the transverse processes is sometimes difficult in subjectswho are very muscular or adipose, but after some experiencein palpation this difficulty is overcome, and palpation of thetransverse processes is readily performed. Method of Palpation of the Spinous Processes.—In pal-pating the tips of the spinous processes one may commenceeither in the lumbar region and pass upward, or begin withthe first thoracic vertebra and pass downward. Some preferthe former method, while others follow the latter is no apparent advantage in either method, and it islargely a question of habit. Some find it easier to keep inmind the exact vertebra palpated by counting from below up-ward, while others find the downward palpation and countingmore easy. In palpating the spinous processes each one should befelt and the exact point of position of its tip marked on theskin overlying it. The spine as a whole is then inspected with a view to 286 SPINAL ADJUSTMENT. Fig. of Transvejse Processes. SPINAL ANALYSIS 287 determining the correctness of the findings on palpation, sinceinspection of the tips of the spines is often a more certain andaccurate method than is palpation. Method of Palpation of the Transverse Processes.—Asmentioned above, excessive adiposity or great muscular de-velopment sometimes prevent the satisfactory palpation ofthe transverse processes. In such an event we must relyupon the palpation of the spinous processes and the finding ofcontracted ligaments on one side of the affected segment, andalso tenderness of the nerve on that side. In palpating the transverse processes some authors ad-vise the use of the tips of the first three fingers of each hand;one finger being placed on a transverse process in such a man-ner as to enable the palpator to make comparison betweenthree vertebrae. This method has its advantages in that th
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