Osseous Palpation

Osseous palpation involves evaluating bony structures for pain, morphology, asymmetries, and alignment.  Individual cervical transverse processes and thoracolumbar and sacral spinous processes are palpated for a painful response to firm digital pressure.  Typical signs of discomfort include avoidance reactions such as rapid elevation of the head, extension of the back or withers away from the applied pressure, or localized secondary muscle spasms, indicative of local injury or possible impinged spinous processes.

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Bony Palpation