In counterstrain, what is the guiding principle for selecting a position of ease?

• A. Position the patient to maximize tissue tension at the tender point.
• B. Position the patient to avoid any relief and keep initial tension.
• C. Position the patient to maximize comfort and reduce tissue tension at the tender point.
• D. Position the patient at random.

Answer: (C)

In counterstrain, the key idea is to place the patient in a position of ease that minimizes tissue tension at the tender point. By moving into a position that the patient finds most comfortable, the muscle and surrounding tissues relax, reducing nociceptive input and reflex muscle activity. This relaxation allows the tender point to release and helps restore normal muscle tone and mobility. Choosing a position that maximizes comfort and reduces tension is preferred because it directly addresses the abnormal muscle spindle and fascia tension that sustain the tender point. Pushing into more tension, keeping initial tension, or random positioning would not promote this relaxation and healing.