The force is directed in a straight anterior direction, quickly and decisively, as if a spinous process were the lever used. Remember that contact must always be made with the posterior transverse. To drive this anterior is to rotate the vertebra around its vertical axis and to bring the spinous process toward the median line, while the opposite, and more anterior, transverse becomes more posterior, as it should be.
PISIFORM SINGLE TRANSVERSE No. 2
Uses
For rotated first or second Dorsals with which, for any reason, the “T. M.” fails. This move involves a use of the head as a lever, as does the “T. M.” No. 2. Inadvisable unless the posterior transverse of the rotated vertebra can be palpated—but often used in cheerful disregard of this detail by those sublimely capable adjusters who do not need to find a vertebra before moving it.
Palpation—Contact
Palpate as for No. 1 above. Very deep palpation will be necessary because the spinous process here is nearly horizontal to the body and the transverse is very deeply placed, overlaid with heavy muscles.
When process is found place pisiform bone of free hand upon it, pressing the muscles aside as much as possible to avoid bruising and resting a considerable amount of weight upon the contact hand. Fingers of contact hand may extend across the spine or downward and parallel with the spine. Or, the hands may be changed so that the palpating hand becomes the contact hand and is placed with the fingers gripped over the base of the neck toward the clavicle.
Head Leverage
The free hand is now placed upon the forehead and the head, which faces toward the contact hand, is flexed backward until the muscles seem taut.