Below are several techniques that are less commonly taught at osteopathic schools and / or rarely tested on the COMLEX® exams. These lists are not fully inclusive but are meant to highlight some of the most common or useful applications of each technique.

Example: T2 F S_RR_R

1. With the patient supine, sit at the head of the table
2. Place your palms under C2 or C3 and your fingertips bilaterally at the transverse process of T2 and T3
3. Gently lift the T3 transverse processes to find a point of disengagement between flexion and extension
4. Gently side bend and rotate T3 to the left while adding minimal rotation of T2 to the right, until a point of balanced tension is palpated
5. Hold this position until a release is palpated

Example: T8 N S_LR_R

1. Stand behind the seated patient
2. Place your left thumb at the transverse process of T8, and your right thumb at the transverse process of T9
3. While monitoring the transverse processes, instruct the patient to lean forward and then backward until a balanced point between flexion and extension is palpated
4. Instruct the patient to gently side bend to the left and rotate to the right until a balanced point between side bending and rotation is palpated
5. You may instruct the patient to take several deep breaths or to hold their breath for 10–20 seconds to help facilitate tissue release