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    <loc>https://www.stablebodykinections.com/blog/why-your-ribs-keep-going-out-and-what-to-actually-do-about-it-costovertebral-and-costotransverse-joint-dysfunction-in-hypermobility</loc>
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      <image:title>Blog - Why Your Ribs Keep "Going Out" — And What to Actually Do About It: Costovertebral and Costotransverse Joint Dysfunction in Hypermobility - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Blog - Why Your Ribs Keep "Going Out" — And What to Actually Do About It: Costovertebral and Costotransverse Joint Dysfunction in Hypermobility - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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      <image:title>Blog - Why Your Ribs Keep "Going Out" — And What to Actually Do About It: Costovertebral and Costotransverse Joint Dysfunction in Hypermobility - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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    <image:image>
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      <image:title>Blog - Why Your Ribs Keep "Going Out" — And What to Actually Do About It: Costovertebral and Costotransverse Joint Dysfunction in Hypermobility - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/6972f24bab5dc85c17156c6b/1783050991740-6F63GNKRWNY9ZI14CGPH/unsplash-image-Ho92K4aCULY.jpg</image:loc>
      <image:title>Blog - Why Your Ribs Keep "Going Out" — And What to Actually Do About It: Costovertebral and Costotransverse Joint Dysfunction in Hypermobility - Musculoskeletal ultrasound — performed by a trained operator, in both sagittal and transverse planes, comparing adjacent joints — is the recommended first-line imaging tool, and can directly visualize effusion, posterior costotransverse ligament thickening, and vascular changes in chronic cases [1].</image:title>
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      <image:title>Blog - Why Your Ribs Keep "Going Out" — And What to Actually Do About It: Costovertebral and Costotransverse Joint Dysfunction in Hypermobility - Clinically, the most reliable diagnostic approach is hands-on: palpation of the rib head and costotransverse joint, spring testing of rib mobility, and directional movement assessment to determine which joint has shifted and in what direction. This is something I perform as part of every thoracic intake evaluation.</image:title>
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