Positional release / Strain-Counter
Strain (SCS)   

Positional release / Strain-Counter Strain (SCS)

‘Positional release’ is a manual therapy technique which is used to treat pain and muscle spasm, especially with acute injuries such as whiplash. SCS is also beneficial for chronic pain, which has developed over time. By positioning the body and affected tissues in a the most comfortable position, the neurological system can be targeted, through interrupt the pain/spasm cycle. Alleviating muscle spasm improves the resting tone of the tissue and restores mobility, which improves function.

The technique of SCS is the opposite to that of stretching, whereby the tissues are pushed together, twisted and compressed in the position of most comfort, to take the stretch/tension off the neurological system. The physiotherapist will locate tender points in the problematic area and feel which point is most uncomfortable for you. A pressure is applied to the area of dysfunctions and the joint is placed in the most comfortable position. The level of pain and sensitivity is then retested to determine the effect of the treatment. Using this technique, allows the body to self-correct in the shortened position, without causing discomfort and pain during the treatment session. In conjunction with using SCS, which would help alleviate pain, utilising a rehabilitation exercise plan would allow the tissues to become stronger whilst ensuring the area around problem would benefit from increased stability.

For injuries which are acute, such as whiplash or those recovering from surgery, where post -surgical pain can cause pain and discomfort, SCS can be beneficial to help reduce these symptoms. Compared to most manual therapy techniques, SCS is a passive and pain free method of treatment, which, when utilised in the correct moment, can result in significant benefit to the patient. As with most other treatments, SCS is beneficial and effective but there are general contraindications when SCS cannot be used. These contraindications include systemic malignancy, abdominal or thoracic aneurysms, open wounds, sutures, fractures, haematoma and infection.