"Counterstrain" sounds like it could be "straining" - is it safe?

The originator of the technique, Dr. Lawrence Jones, DO, FAAO, named his method of treatment "Strain-Counterstrain" based on the concept that the body suffered a "strain" that caused the dysfunction(s), and he was applying a "Counterstrain" to his patient to correct the dysfunction(s).  The actual treatment process is very gentle since it involves decompressing or "slackening" specific areas of tissue.  It does not involve forceful or rapid manipulative techniques.

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Why have I never heard of this technique before?
Fascial Counterstrain is a relatively new technique in the field of manual medicine. The  understanding that fascia is able to actively tighten or contract was not published until 2007.  It was then not until 2021 that the role of the lymphatic system and inflammation in chronic contraction of the fascia was understood and published. 

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Once a tissue has been released, is the effect permanent?
Yes, in general, the effect is permanent for the specific tissue treated. In other words, the treatment should not have to be repeated on the same tissue (assuming there is no new injury/strain). However, in most cases, an injury or strain causes dysfunction in multiple  areas of the fascia at the same time, so multiple regions of the fascia typically need to be treated. In cases of widespread pain, numerous areas of dysfunction are often identified. 

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​​​​​How many treatments are generally needed to experience relief? 

Most patients will experience some noticable change after the first 1-2 sessions. Significant relief is expected within 1-6 sessions. If no change is noticed within the first 6 sessions, we typically advise that you contact your doctor for further evaluation.

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Are “traditional” physical therapy techniques employed as well? 
Yes, in addition to hands-on treatment, ergonomic and/or home exercise instruction is often provided.  
 

What should I wear?

Please wear flexible, comfortable clothing such as sweat pants or a T-shirt and avoid thick, rigid clothing like jeans or clothing with extra material like a hooded sweatshirt. The treatment is almost always able to be performed throught clothing if these guidelines are followed. 

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What happens during the first treatment? 

Your therapist will perform a detailed assessment which may include: mobility testing, strength testing, neurological tests, spinal motion testing, palpation for tender points and similar tests. Following the exam, you will receive your first treatment with the remaining time (usually at least 30 minutes). This will consist of manual therapy techniques to correct the restrictions we’ve identified in your body, ergonomic instructions and/or instructions for a home exercise program.  The initial visit typically takes approximately 70 minutes. ​

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