About Fascial Counterstrain

Fascial Counterstrain is an innovative system of soft tissue manipulation developed by Brian Tuckey PT, OCS, JSCCI a student of the famous osteopathic physician, Lawrence Jones D.O.  Mr. Tuckey is one of only 4 physical therapists ever to be certified by Dr. Jones to teach his world renowned “Strain and Counterstrain” technique.  FCS as a treatment methodology, is an expanded and updated form of “Jones Counterstrain” that is designed to identify and correct dysfunction in all of the body’s systems including the vascular, visceral, nervous and musculoskeletal systems. The development of FCS expanded the number of treatments in the Counterstrain curriculum from approximately 200 to over 900 techniques. This multi-system, non-force, and pain free approach is unique in the world of manipulation.

Fascial Counterstrain or FCS for short, utilizes diagnostic tender points to identify reflexive muscle guarding in the body.  Reflex muscle contractions occur in skeletal muscle, smooth muscle or in the body’s deep fascia structures due to a variety of reasons including trauma, surgery, postural strain, repetitive motion, even in response to an inflammatory diet.  This form of reflex muscular tightness, once present, can contribute to a multitude of symptoms and conditions. Some examples include, but are not limited to: acute/chronic musculoskeletal pain in ALL regions of the body, chronic edema, weakness, digestive dysfunction, neuropathies, migraine/non migraine headaches, tachycardia, CRPS, peripheral arterial disease, balance disorders, seizures, tinnitus, post-concussion syndrome and even widespread conditions like fibromyalgia.

FCS alleviates chronic fascia and muscle tension from the body via a gentle, hands-on process, which patients frequently describe as “fascinating” or “magic.” FCS treatments are completely painless making it a viable option for even the most painful and or fragile cases.  It is believed that Counterstrain’s powerful, multi-system effects are due to the deactivation of the body’s deep fascial pain receptors which trap inflammation in the inter-cell or interstitial tissue space (1,2).  During treatments, there is a palpable, often visible reduction in localized tissue edema which helps alleviate the chemical component of chronic soft tissue dysfunction (3).  The combination of inflammation drainage and pain receptor “deactivation” gives FCS unparalleled effect and carry over.  Many patients report lasting relief of chronic conditions after only one or three treatment sessions.

FCS embraces the concepts of holistic and osteopathic medicine in that it addresses the body as a whole not just the surface musculoskeletal presentation. By normalizing muscular tension, vascular drainage, blood flow, and neural input, the technique maximizes the body’s intrinsic ability to heal.  Multi-system diagnosis and manipulation is the key to correcting chronic health conditions.  This treatment model allows practitioners to identify and correct source of the source of the condition and not just treat the surface symptoms.

Fascial Counterstrain (FCS) is currently being taught to a rapidly expanding audience of medical practitioners in the United States through the Jones Institute WWW.jicounterstrain.COM. , and internationally through the various partners.  You can read more about the technique on this website or on www.counterstrain.com Current course offerings include: Introduction to Fascial Counterstrain, Facial Counterstrain for the Viscera, Facial Counterstrain for the Venous/Lymphatic system, Facial Counterstrain for the Arterial system, Facial Counterstrain for the Nervous system, parts 1, 2 and Fascial Counterstrain for the Musculoskeletal System parts 1-3.


  1. Paolo Tozzi, MSc Ost, DO, PT, A unifying neuro-fasciagenic model of somatic dysfunction – Underlying mechanisms and treatment – Part I, JBWMT, April 2015, Volume 19, Issue 2, Pages 310–326
  2. Petros C. Benias1,2, Rebecca G. Wells3,4, Bridget Sackey-Aboagye3, Heather Klavan1, Jason Reidy5, Darren Buonocore5, Markus Miranda1, Susan Kornacki6, Michael Wayne7, David L. Carr-Locke. Structure and Distribution of an Unrecognized Interstitium in Human Tissues 1,8 & Neil D. Theise1,5,6
    Scientific Reports, March 2018
  3. Jay P Shah MD, E Gilliams, BA: Uncovering the Biochemical milieu of myofascial trigger points using in vivo microdialysis:  An application of muscle pain concepts to myofascial pain syndrome.  Journal of body work and movement therapies (2008) 12, 371-384

For Medical Professionals, read our cited article

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