The Pivotal Therapy System has been successfully used for 20 years to conservatively treat soft tissue issues related to the spine. The Pivotal Therapy System's purpose is to help reverse slumped posture and reduce the pain, fatigue and dysfunction associated with adaptive slumped posture utilizing gravity and progressive increments of time.

The Short Thoracic Pivot can be used for craniosacral self-treatment (CST), which involves the therapist working the key muscles of the spine and skull. It can also be used as a sacral wedge for mobilization, as a rib release tool, and for sternal and anterior rib mobilization.