Posterior cervical thoracic counterstrain

Question 1

SEVEN STEPS FOR COUNTERSTRAIN

Answer 1

1. Find tenderpoint. 2. Establish tenderness scale. 3 Monitor throughout 4. SLOWLY Put patient in position of ease. 5. Hold 90 seconds. 6. SLOWLY return to neutral. 7. Recheck tenderness

Question 2

PC1 Inion

Answer 2

Put finger on the tenderpoint, F, St, Ra. Do these motions with your hand

Question 3

PC1 PC2 Occiput

Answer 3

E, Sa, Ra . Do the extension by pulling the headrest downwards.

Question 4

PC2, PC4-8

Answer 4

E, Sa, Ra. Do the extension by pulling the headrest downwards

Question 5

PC3

Answer 5

F, Sa, Ra. Using hand to flex and do movement.

Question 6

PT1-12 Spinous process

Answer 6

Extension at level of tenderpoint. Use the table hinge at the point required with then prone. Midline on the inferior aspect of the spinous process.

Question 7

PT 1-3 Transverse process Right or left

Answer 7

E Sa Ra. T1-3 can do this with them supine at end of table cradling their head into extension. Medial to articulation with associated rib.

Question 8

PT 4-9 Transverse process Right or left

Answer 8

E Sa Rt. T4-9 they prone, sidebend their further side away from the point, and then grab the shoulder closest to the point and rotate it towards and use to extend . Medial to articulation with associated rib.

Question 9

PT 10-12 Transverse process

Answer 9

E Sa Ra Pelvis, Rt Torso. Basically stand on affected side, put hand on the transverse process, other hand grab their opposite asis and pullup.

Question 10

Posterior lumbar tender points (If midline)

Answer 10

They prone, extend the table up with the tender point right at crook of table.

Question 11

PL 1-5 spinous process on inferolateral aspect (E RT pelvis Ra Torso

Answer 11

They prone, stand on opposite side of tender point, grab leg and extend and adduct and externally rotate (rotating hip towards)

Question 12

PL 1-3 Transverse process E Sa Rt (Pelvis) RA (torso)

Answer 12

They prone, get opposite of tenderpoint, pull pelvis up

Question 13

UPL5 Upper pole l5

Answer 13

E adduct with er You on opposite side tender point, pull leg up and external rotate

Question 14

LPL5 Lower pole l5

Answer 14

F IR adduct. They prone, you same side as point, bring leg down off table and rest foot on your thigh, then internally rotate and adduct.

Question 15

High Ilium Sacroiliac

Answer 15

2-3 cm lateral to PSIS pressing medially towar PSIS. They prone then E ABD ER.

Question 16

PL3 PL4 Gluteus

Answer 16

E Abd Er. They prone, you lift leg on same side.