👉Posterior to anterior or PA spinal mobilizations are one of my favorite techniques for treating patients with unilateral or one-sided back pain.

🔎When performing this technique, I start at the bottom of the lumbar spine (L5-S1) and work up one segment at a time until I reach the bottom of the thoracic spine (T12).

🧠This is done first as an assessment to determine if the patient’s symptoms can be reproduced with the mobilization pressure/movement. In many cases, familiar pain is reproduced at one or two spinal levels and then those levels are mobilized further.

✅When mobilizing (checkout the Thumb Saver tool to protect your thumbs) a painful level, small oscillations are delivered to the painful area at an intensity that is perceived to be therapeutic by the patient. I will usually perform the mobilization for 1-2 minutes and perform 3-5 sets of the technique.