This topic contains 3 replies, has 3 voices, and was last updated by 
Andrew Wengert May 20, 2020 at 10:45 am.
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Andrew Wengert
I know everything in the ID system is in the system the way it is for a reason.
Is there a reason the lower thoracic erectors cannot be treated on the lumbar flexion table?
Is there a reason all thoracic erectors cannot be treated on the lumbar flexion table?
I miss you all and hope you guys are doing well.
I can’t wait to get back to training with all of you.
Adam Holen D.C.
The QLF table would ‘maybe’ be able to effectively treat T11-T12. Even that is a reach with how much a patient would be required to arch/flex their L/S. Since we treat the lumbar erectors and thoracic erectors differently, with internal & external slide respectively, it would be very difficult to generate enough tension on the QLF table for T/S erectors.
I generally treat T1-T3/4 in CTF position. If dropping the head doesn’t create enough tension, I have them round their shoulders a bit. Anything T4-T12 related, I treat in the seated position with external slide. I’ve found that making sure their hips extend first generates more tension from pulling the erectors tight earlier.
I’m sure Dr. Brady has a more concise answer, but I believe it’s mainly for tension production reasons.
William Brady, DC
Adam is spot on here. Just to repeat, if you can get tension on the lower thoracic erectors on the lumbar table then do it. It depends on the patient size, range of motion and most importantly the location of adhesion. It’s rare to have adhesion in the lower thoracic erectors, but when you see it go ahead and try the lumbar table. Anything higher up needs the seated methods.
As your skill improves I do want you guys experimenting. Try variations and feel if/when tension develops. “Playing Jazz” so-to-speak is a great way to improve your thinking, palpation and testing options game. That being said start with the protocols as trained for your primary reference.
Great question and answer. Thanks for posting.
Andrew Wengert
Thank you guys for the help with this. I had a large patient with huge erectors and was having difficulty getting depth seated, but felt like I was able to get to and maintain depth much easier and as a result develop more tension on the adhesion in the lower T-spine when using the table.
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