Position

The patient is standing with the body bent forward and supported on a lounge or bedstead. The operator stands behind and performs:

1. Stroking with both hands from the spine outward, downward. (See Fig. 16.)

2. Friction with the hand; one side at a time.

3. Beating in circles, one side at a time.

If the patient is suffering severe pain from standing the manipulations may be performed while he is in bed, with a couple of pillows placed underneath his abdomen and thighs.