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in this video were going to discuss and demonstrate tissue texture assessment for somatic dysfunction now we can perform tissue texture assessment on any part of the body but today were going to demonstrate it on the thoracic and lumbar spine tissue texture assessment is best performed directly in the skin so we have our patient today without his shirt im going to be pushing on a couple areas in your back and rubbing a little bit to determine if theres any areas that become a little red or that have any issues is that okay okay all right so if you could turn around and face the wall for me okay so now were gonna begin our assessment with inspection so were gonna be observing for any obvious deformity any obviously symmetry any masses swelling edema any areas of erythema any skin lesions and any changes in hair patterns so initially im seeing that theres a little bit of redness in this right upper thoracic region and also in this left middle to lower thoracic region as well mov