Strain-Counterstrain: Manual Technique Used in Physical Therapy Bloomington MN

Reeducation Therapy MNAdvaCare Clinics, located in Bloomington MN, offers a rehabilitation approach that focuses on helping patients understand the condition and treatment you are experiencing. Based on the needs of the patient, our physical therapists and chiropractors will work with other members of the rehabilitation team to create a retraining program tailored to your needs to restore maximum function and mobility to the body.

Neuromuscular Teeducation Therapies 

This therapy typically tends to have greater importance on body awareness than other standard physical therapies. Some forms are so strongly based on a sense of body awareness and strengthening of the mind-body connection that they may be called alternative medicine techniques. This is the thought that daily movements can become easier and require less effort if a person can reconnect and become comfortable with his or her body.

Neuromuscular Reeducation is a hands-on approach to the evaluation and functional treatment of soft tissue injuries. When an area is injured, whether it’s muscle, connective tissue, fascia, tendon or some collection of these elements, the body reacts by trying to fight it, causing inflammation. Adhesions happen wherever damage and inflammation have occurred and they limit both strength and range of motion.


This is a type of neuromuscular reeducation therapy, also known as manual therapy,  in which the focal point includes the alteration of abnormal neuromuscular reflexes that cause structural and postural issues that result in painful tender areas. The therapist finds the patient’s position of comfort by asking the patient at what point the tenderness is dull or goes away. The patient is held in this position of comfort for around 90 seconds, during which time asymptomatic strain is created through mild stretching, and then slowly brought out of this position, giving the body the ability to reset its muscles to a normal level of tension.

This normal tension in the muscles paves the way for healing to begin. This technique is gentle enough to be useful for back complications that are too acute or too delicate to treat with other procedures. Strain-counterstrain is tolerated very well, especially at the acute stage, because it positions the patient opposite of the restricted barrier and towards the position of greatest comfort.

Physical therapists and occupational therapists heal a wounded body by using neuromuscular reeducation in the form of numerous manual techniques . In the physical therapy world, manual therapy is utilizing skilled, hands-on techniques, including:

  • manipulation/mobilization
  • increase range of motion
  • decrease myofascial restrictions to help muscle length
  •  decrease swelling or inflammation
  •  assist the body in muscle or soft tissue repair
  • extensibility and/or stability
  • facilitate movement to improve function

Before starting manual therapy or any type of physical therapy program, the practitioner will perform a full assessment of the blood and nerve supply in the area, including a bone and muscle assessment, to pinpoint your current condition. Depending on the results of the assessments, including patient history, the healthcare provider might perform a combination of manual physical therapy techniques which includes soft tissue mobilization.

The physical therapist may use other holistic modalities including:

  • massage therapy
  • heat/ice therapy
  • ultrasound
  • electrical stimulation
  • Acupuncture
  • Nutrition planning
  • Laser Therapy
  • Manual adjustments
  • exercise
  • and many more…

As you heal and gets stronger, the therapy will focus more on being able to perform daily activities.  Call AdvaCare Clinics (952) 835-6653 today if you have any questions about  any of our therapies or to schedule a complimentary screening today. Our screenings have the ability to determine what treatments would be the most beneficial for you. We have many screenings that take about 5 to 10 minutes to assess if you need care and what combination of care would best work for you.



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