This is a great mobilization for the lumbar spine. This is typically my first mobilization that I do. This pump opens the facet joints on the ipsilateral side and it generally feels good and puts the patient at ease for the rest of my treatment.

This is a great technique to pump and lubricate the facet joints.

The inferior iliolumbar ligament is responsible for many cases of low back pain. I pump and perform this transverse friction massage prior to any mobilization or manipulation of the pelvis or lumbar spine. l