Joint loosening is a highly targeted manipulation technique done by the therapist within the movable range of the patient’s joint activities. 2. Level II: The therapist loosens the joint in a wide range of rhythmic back and forth within the range of motion allowed by the patient’s joint, but does not touch the beginning and end of the joint motion; 3. Level III: The therapist loosens the joint in a wide range of rhythmic back and forth within the range of motion allowed by the patient’s joint, touching the end of the joint motion each time and feeling the tension in the soft tissues around the joint; 4. The joint is loosened, each time the end of the joint is touched, and the tension of the soft tissues around the joint can be felt. Note that the patient should be in a comfortable, relaxed, pain-free position prior to this procedure. In addition, patients with swollen joints, inflammation, tumors, and unhealed fractures should avoid this procedure.