You have an RPI at T1.  What is the doctor's contact hand for a Single Hand Pisiform Spinous Push?

The doctor's contact hand for a Single Hand Pisiform Spinous Push when you have a Right Posterior Inferior (RPI) at T1 would be the left hand. Here are the steps:

1. Identify the patient's position: The patient should be prone (lying face down) on the adjustment table.

2. Doctor's position: The doctor should stand on the side opposite to the misalignment. In this case, since it's a Right Posterior Inferior (RPI) at T1, the doctor should stand on the patient's left side.

3. Contact point: The doctor's left pisiform (the small, pea-shaped bone in the wrist) is used to contact the right transverse process of T1.

4. Line of Drive (LOD): The line of drive should be P-A (posterior-anterior), slightly I-S (inferior-superior), and slightly M-L (medial-lateral).

5. Thrust: The doctor then applies a high-velocity, low-amplitude (HVLA) thrust along the line of drive.

Remember, the exact hand, body positioning, and line of drive can vary based on the doctor's technique and the specific patient's needs. Always ensure the technique is performed correctly to avoid injury.