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The C7-T1 spinal segment, also referred to as the cervico-thoracic-junction (CT Junction), is located at the very bottom of the neck.
More specifically, this is where the neck (cervical spine) connects with the upper back (thoracic spine).
A CT Junction subluxation requires a distraction mobilization. First of all you should make sure to have released all myofascial structures which cause a CT Junction subluxation as I explained in my previous post about the intrinsic back muscles. Usually if you do a proper myofascial release treatment the CT Junction will correct itself but sometimes it can still stay subluxated. If so, it requires a high velocity low amplitude (HVLA) thrust💥technique to get the joint to the right position otherwise it can force thoracic, cervical or shoulder problems.
The patient is seated, almost the same hight then the therapist. The patient places his hands behind the neck and then the therapist wheels through the space in front of the shoulders and applies a distraction force!
![](https://i.ytimg.com/vi/IjD2A0Kjny0/maxresdefault.jpg)