In counterstrain technique, how long is a typical tender point held in the position of ease?

• A. 30 seconds
• B. 60 seconds
• C. About 90 seconds
• D. 3 minutes

Answer: (C)

In counterstrain, you relax the muscle by placing the tender point in a position of ease and holding it long enough for the body's reflexes to reset. The typical duration is about 90 seconds. That interval gives time for the muscle spindle–mediated reflex to reduce hypertonicity and for the tissues to soften, so tenderness diminishes when you recheck.

Holding for only a short time, like around 30 or 60 seconds, may not provide enough of a reflex response to produce lasting relaxation. Much longer than necessary isn’t usually needed and can cause unnecessary discomfort. After roughly 90 seconds, you slowly return to a neutral position and reassess the point to confirm improvement in texture and motion.