Functional disorders of the small joints of the thoracic spine are characterized by sudden onset of back pain. Generally, before the pain, the patient can hear a slight clicking sound in the back, and after the sound, the back pain will appear, and the back pain will affect the turning side, breathing or walking. In the treatment of functional disorders of the small joints of the thoracic spine, with massage techniques are generally divided into two steps: 1, relaxation techniques, so that the patient lies prone on the treatment bed, in the chest a soft pillow, so that the back can be better convex, conducive to the use of manipulation. Through rolling, pressing, kneading and other techniques to relax the local tension and spasm of the muscles. At the same time, stimulate the local acupoints, mainly stimulate the bladder meridian points on both sides, as well as the two sides of the pinch point. As well as the local pain points of the A Yes point, so that the local muscles to achieve the effect of full relaxation; 2, in the muscle relaxation on the basis of manipulation to adjust the small joints of the thoracic vertebrae, the restoration of the small joints of the thoracic vertebrae generally available in the sitting position of the method of lifting and shaking, but also can be used in the prone position of the method of compression, the small joints of the disorders of the adjustments. In the process of adjustment, the clicking sound of the small joints will be heard, and after hearing the clicking sound, the patient will feel obvious pain improvement and achieve the therapeutic purpose with better effect.