In adjusting small infants in the dorsal and lumbar regions the side of the thumb may be used for nail point. In getting the contact one should palpate in the usual manner, find the vertebra that is to be adjusted, remove all fingers except the pointer finger, turn the hand so the finger is parallel with the child’s spine, then instead of placing the pisiform bone of the nail hand, place the side of the thumb in exactly the same manner as if it was nail point one. This being done, remove the pointer finger. Then instead of placing the hammer hand on the nail hand as in using the pisiform bone for nail point, grasp the thumb that is being used for nail point between the thumb and finger of the hammer hand and press the tissues tightly to make the side of the nail thumb firm. The thrust is given with a recoil just the same as in the usual manner. It is best not to use too much force until it is determined just the amount required to move the vertebra. One will be surprised, however, at the amount of force required to move the vertebrae of a very small infant. It should be remembered that the vertebrae must move if we expect to get results. It must also be remembered that the child is small and that it is necessary to adapt the amount of force used to the size of the patient. It is not possible to injure a child with a chiropractic adjustment, but it is possible to apply an awkward force, supposed to be a corrective force, in such a way that subluxations may be produced. This method will be used only with the smallest infants. When the child is a few months old the pisiform bone may be used in exactly the same manner as with the adult. The only difference is that the amount of force will be suited to the size of the patient. In case a straight posterior subluxation and a double transverse adjustment is given on a single vertebra the adjuster may use his two fingers, the first and second, to get contact on the transverse processes. The nail hand is then placed across the two fingers and the adjustment is given with the recoil. It will require very little force to move a vertebra of an infant on the transverse processes. Care must be exercised that the neck is properly supported when an adjustment in the cervical region is given. It is best to place the child on an infant’s adjusting table whenever possible. When this is impracticable the child may be placed on the lap of an adult the same as for an adjustment in the other regions of the spine. If the head is allowed to remain unsupported as is so often the case when larger babies are adjusted in this manner, there is danger of moving something that should not be moved when the adjustment is made. Therefore that part of the neck directly beneath the vertebra to be adjusted must be placed solidly on the mother’s knee. The same technique is used with older patients in that the face is turned in the direction of the laterality of the subluxation to be adjusted.