Course Overview

The thoracic spine and rib cage often house the most elusive clinical presentations in chiropractic practice. Drawing on 39 years of "trench-tested" experience, Dr. Monte Horne presents Part I of this advanced series. This 1-hour Board & PACE approved session moves beyond basic biomechanics to explore the complex interface between thoracic segmental dysfunction, rib cage kinetics, and visceral referral patterns.

Clinical Outcomes: Monday Morning Value

The Thoracic Clinical Audit (CAP)

For thoracic patients, respiratory excursion and segmental motion are the keys to demonstrating value. Learn to use **Rib Springing** and **Chest Expansion Measures** as objective Clinical Audits to show the patient the immediate "opening" of the kinetic chain following your adjustment.

The Thorax II Part I Pearls

Rib vs. Disc Differentiation

Master the clinical sequencing to differentiate an acute rib subluxation from a rare thoracic disc protrusion. Learn the specific palpation markers that define your adjusting vector and patient positioning.

Visceral Red Flags

Identifying thoracic pain that is non-mechanical. Refine your screening for cardiac, gallbladder, and pulmonary referral patterns that can mimic mid-back musculoskeletal dysfunction.