Patient presents in office with thoraco-lumbar back pain that he has had for months. He also states that he cannot get down on the floor on his knees without extreme pain in his calfs.  Postural analysis revealed a high left shoulder. Range of motion is limited in trunk flexion and extension is limited with pain.  Knee flexion was 120 degrees. The patient has a weak left latissimus dorsi and right PMC.  IRT was performed to existing scars and previously broken bones and the left iliolumbar ligament. LQM technique was used for the thoraco-lumbar pain.  The patient was rechecked for ROM.  His flexion and extension were full without pain. The left lat and right PMC were strong. The most significant change was the patient’s bilateral knee flexion. He was able to sit on the floor atop his legs with his knees fully bent without pain.