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responsible for the sensation of pain, returning central sensitization to its normal state. This technique extends Strain-counterstrain, a technique inhibits the reflexes by putting the tissues in a position of ease directly opposite to that of the reflex. Strain-counterstrain is also known as the Jones technique, (correction spontaneous by position), and spontaneous release by position. Counterstrain was developed by
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to treat somatic dysfunction. It is a system of diagnosis and treatment that uses tender points, which are produced by trauma, inflammation, postural strain, or disease, to identify structures to manipulate. The manipulation uses light pressure to decompress the local nociceptors and mechanoreceptors
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areas on the body that elicit pain when palpated. Monitoring the tender point, the practitioner positions the patient such that the tenderness at the counterstrain point is minimized when pressed. The practitioner holds the patient in a maximally relaxed position for 90 seconds and then slowly
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The idea behind counterstrain states that tender points result from reflexive muscular spasm that correspond to dysfunctional motor segments, due to the compensation of an antagonist muscle responding to agonist muscle over-lengthening.
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Over 200 tender point locations have been identified to correspond to strain in different muscles and joints. The technique has developed to include variations of manipulations and methods to identify tender points.
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Wong, CK; Abraham, T; Karimi, P; Ow-Wing, C (Apr 2014). "Strain counterstrain technique to decrease tender point palpation pain compared to control conditions: a systematic review with meta-analysis".
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returns the passive patient to a neutral body position. Success of treatment is evaluated by reassessing both the tender point and any accompanying change in range of motion.
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Tuckey, Brian; Shah, Jay; Tandon, Hannah (2017). "A New
Rationale and Treatment Model for Neuromuscular Tender Points" (Document). Tuckey Continuing Education Services.
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In this technique, the practitioner identifies a point of musculoskeletal pain, called a tender point. Tender points are small, discrete,
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in 1955 and was originally called “Spontaneous
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DiGiovanna, Eileen; Stanley
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Fascial
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137:(Third ed.). Philadelphia, PA: Lippincott Williams & Wilkins. pp. 86–88.
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Wong, CK (2012). "Strain counterstrain: current concepts and clinical evidence".
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276:Foundations for Osteopathic Medicine
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624:Osteopathic manipulative medicine
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356:Articulatory technique
151:Chaitow, Leon (2014).
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401:Soft tissue technique
396:Paraspinal inhibition
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320:Osteopathic medicine
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348:Treatments
216:(1): 2–8.
95:(2): 165.
74:References
25:osteopathy
436:Licensing
410:Education
193:25 August
54:edematous
230:22030379
109:24725782
573:History
566:History
376:Cranial
326:General
269:Sources
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508:People
443:COMLEX
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187:(PDF)
180:(PDF)
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