Cervical Counterstrain

Question 2

Answer 2

AC2-6

Anterolateral aspect of the TP of affected vertebra

Pt: supine, Dr: at head of table; F SARA

Question 3

Answer 3

Posterosuperior surface of proximal clavicle where sternocleidomastoid muscle inserts (lateral to the AC8 tenderpoint)

AC7

Pt: supine, Dr: at head of table; F STRA

Question 5

Answer 5

AT9 – AT12 Treatment Position:

Pt: supine,
Dr: same side of tenderpoint w/ foot on table Dr uses pt’s legs to

cause flexion (at waist) Pt’s hips & knees bent to 90° w/ fine tuning by adding rotation towards Dr. Flexion can be assisted w/ a pillow under pelvis or thorax

Question 7

1) Posterosuperior surface of proximal clavicle where sternocleidomastoid muscle inserts
2) On the medial end of the clavicle at the sternal attachment of the sternocleidomastoid muscle.

Answer 7

AC7: Pt: supine, Dr: at head of table; F STRA

AC8: On the medial end of the clavicle at the sternal attachment of the sternocleidomastoid muscle.

Question 8

About 1-2 cm inferior to external occipital protuberance, slightly lateral, on insertion of the semispinalis capitis

Answer 8

PC1 inion*

Question 9

about 3 cm below inion, and 1 cm medial to occipitomastoid suture; press anteromedially

Answer 9

PC1

Question 10

in main muscle mass below the occiput, 2-3 cm lateral to midline

Answer 10

PC2

Question 11

ESARA

Answer 11

PC1, PC2, PC4, PC5, PC6, PC7, PC8 (depending on position

Question 12

FSARA

Answer 12

PC3 and part of PC8

Question 14

flex to 45°, sidebend away, rotate away

May require you to sidebend toward and rotate away (STRA) instead

Answer 14

PC3 I

nferolateral aspects of C2 spinous process

Question 15

On inferolateral aspect of spinous processes (SP), named for spinal nerves which exit below vertebrae

Answer 15

PC4-7

ESARA – extend, sidebend away, rotate away

Question 16

Cradle head in monitoring hand. Place non-monitoring hand on patient’s forehead, and flex the patient’s neck (with fine tuning) to reach the position of comfort

Answer 16

PC1 inion*

Question 17

Answer 17

PC1 inion

Question 18

Answer 18

PC1: 3 cm below inion, and 1 cm medial to occipitomastoid suture; press anteromedially

PC2: immediately below occiput in main muscle mass, 2-3 cm lateral to midline

ESARA-Extend (fine tuning – sidebend away, rotate away)

Question 19

Answer 19

PC3 I

nferolateral aspects of C2 spinous process

FSARA – flex to 45°, sidebend away, rotate away

• May require you to sidebend toward and rotate away (STRA) instead

Question 21

Answer 21

PC4-7

On inferolateral aspect of spinous processes (SP), named for spinal nerves which exit below vertebrae (e.g., PC5 points are actually on C4 SP)

ESARA – extend, sidebend away, rotate away

Question 22

2

Answer 22

PC8

Same as PC4-7

FSARA or ESARA, depending on patient (try both and see which relieves pt’s pain)

AS ABOVE