Tender Points Release (Counterstrain Technique)

This intensive one-day training is designed to equip healthcare professionals with a comprehensive understanding and practical proficiency in the Counterstrain Technique—a gentle, non-invasive manual therapy approach used to identify and treat somatic dysfunction via tender point release.

Unlike traditional soft tissue techniques, Counterstrain requires no oil, undressing, or deep pressure, making it a highly adaptable and patient-comfort-focused intervention. This course emphasizes both the theoretical underpinnings and clinical application of Counterstrain across multiple anatomical regions.

Learning Objectives

Upon successful completion of the course, participants will be able to:

• Define and differentiate tender points from myofascial trigger points.

• Understand the neurophysiological mechanisms underlying the Counterstrain Technique.

• Perform safe and effective identification and treatment of clinically relevant tender points in the cervical, thoracic, lumbar, pelvic, and extremity regions.

• Integrate Counterstrain into clinical decision-making for musculoskeletal dysfunction.

• Provide patient education and apply treatment strategies with consideration of contraindications and safety guidelines.

Key Topics Covered

Theoretical Foundations

• Introduction to tender points: definition, pathophysiology, and historical context

• Mechanisms of action: proprioceptive and neurological basis of Counterstrain

• Distinctions between tender points and myofascial trigger points

• Clinical indications, contraindications, and precautions

• Step-by-step Counterstrain methodology: assessment, positioning, and release

Practical Application

• Session 1 (Morning): Hands-on treatment of tender points in the cervical spine, thoracic region, and upper extremities

• Session 2 (Afternoon): Hands-on treatment of tender points in the lumbar spine, pelvis, and lower extremities

• Clinical integration: identifying key lesions, sequencing treatment, and re-assessment