Frequently Asked Questions

Why have I never heard of this technique before?
Strain and Counterstrain is a relatively new technique in the field of manual medicine. The first research article to study Counterstrain’s effect on the stretch Reflex was not published until 2006. [See: Stretch Reflex and Hoffman Reflex Response To Osteopathic manipulative Treatment in subjects with Achilles Tendonitis, JAOA, Vol. 106, Sept. 2006.]

Once a tissue has been released, is the effect permanent?
Yes, in general, the effect is permanent. However, some “spasms” with underlying conditions like fibromyalgia will require more extensive treatment.

How many treatments are generally needed to experience relief?
Most patients will experience significant relief within 1-6 sessions and be discharged to a home program within 10 sessions. If no change is noticed within the first 6 sessions, we typically advise that you contact your doctor for further evaluation.

Are all the therapists at Tuckey and Associates trained in this technique?
Yes. All staff members are trained in Counterstrain techniques and some have other areas of expertise such as Pilates.

Are “traditional” physical therapy techniques employed at Tuckey and Associates?
Yes, most patients in addition to hands-on treatment will require ergonomic instruction, and will be given condition specific therapeutic exercises that can be performed at home. Pain relieving modalities and “nautilus” type strengthening exercises are utilized with certain diagnoses (e.g. post surgical patients).

What can I expect on the first visit?
For your first visit, downloading and filling out the relevant forms will speed up your intake. See forms below. On your first visit, please wear comfortable clothing such as sweat pants or a T-shirt and avoid thick, rigid clothing like jeans.

Your attending therapist will perform a detailed assessment which may include: mobility testing, strength testing, neurological tests, spinal motion testing, palpation for neuromuscular tender points and similar tests. Following the exam, you will receive your first treatment. This will consist of manual therapy techniques to correct the restrictions we’ve identified in your body, ergonomic instructions and instructions for a home exercise program.  The initial visit typically takes 1 to 1 1/2 hours and follow-up visits typically last between 30 minutes and 1 hour (depending on diagnosis).

You may print and fill out the forms below before your visit. Alternatively, please arrive 15 minutes prior to your scheduled appointment time to fill out the necessary paper work. You will need your insurance card, a photo ID and a referral and/or prescription from your physician (as required by your insurance carrier).