|
By Rachael Bird, Myotherapist Patellofemoral Pain Syndrome (PFPS), also known as runner's knee, is a common orthopedic condition characterised by pain in the front of the knee, typically around or behind the patella (kneecap). It is often associated with activities that involve repetitive knee motion, such as running, jumping, squatting, or prolonged sitting.  Here are some key aspects of Patellofemoral Pain Syndrome: Pain Location: The primary symptom of PFPS is pain around or behind the patella. The pain may worsen with activities like climbing stairs, kneeling, or sitting for extended periods. Causes and Risk Factors:
Symptoms:
Diagnosis:
Treatment:
Prevention:
It's important for individuals experiencing knee pain to consult with a healthcare professional for an accurate diagnosis and appropriate management plan tailored to their specific condition and needs. Looking for more helpful tips? Rachael is one of our dedicated myotherapists with a passion for addressing a range of issues, including headaches, back pain, and hip discomfort. She is committed to providing a safe and supportive space to guide you through recovery and help you take control of your pain. Book your first consultation with her today! By Dr Sarah Varmalis, Senior Osteopath Counterstrain is a gentle, hands-on therapy that helps the body release tension, restore mobility, and calm an overactive nervous system. It works by identifying very specific points of irritation — often where fascia (connective tissue), nerves, blood vessels, or organs have become irritated or inflamed — and then positioning the body in a way that allows those tissues to “let go” of their protective reflexes. This isn’t a technique that forces anything to change — it invites the body to reset itself. Counterstrain is based on the idea that pain and restriction often come from the body trying to protect itself. When something gets overstretched or irritated, the body can clamp down around it. That’s helpful in the short term — it stops you from injuring yourself further — but over time, it can create layers of compensation and dysfunction. Counterstrain gently unwinds that.  A Short, Winding History of Counterstrain Like many good stories in osteopathy, this one starts with curiosity. Back in the 1950s, Dr. Lawrence Jones, an osteopathic physician in Oregon, was treating a man with chronic back pain. The patient couldn’t stand upright, and nothing seemed to help — not adjustments, not stretches, not rest. So Dr. Jones tried something different: he propped the man up with pillows in a way that felt totally comfortable — no pulling, no pain. He let the patient rest like that, and when the man stood up… he was about 80% better. Not just temporarily, either — the results lasted. Jones was fascinated. He started experimenting with this approach and noticed that if he held the body in these pain-free positions for about 30 to 90 seconds (sometimes shorter, sometimes longer), the body would often relax, reset, and the pain would diminish. He called the sensitive areas he worked on “tender points,” and over time, he mapped out over 200 of them. This method became known as Strain-Counterstrain (SCS). Fast forward a few decades, and one of the few physical therapists trained directly by Dr. Jones — Brian Tuckey — took the work even deeper. He noticed that a lot of dysfunction didn’t seem to be coming from muscles alone. Instead, it was showing up in the fascia around nerves, blood vessels, even organs. These deeper systems had their own reflexes and protective patterns. Tuckey refined the technique to target these more complex areas, and Fascial Counterstrain (FCS) was born. Today, there are thousands of known tender points — and we’re still finding more. How Does It Work? Your body is wired to protect itself. When something hurts — whether it's a twist, strain, inflammation, or infection — your nervous system often responds by tightening up around it. That’s a smart move at first, but if it sticks around too long, it can become part of the problem. Counterstrain works by gently placing the body into positions that turn off these protective reflexes. When we find the right tender point, we guide the body into a posture that’s as comfortable as possible — which might mean curling around it, twisting slightly, or supporting the area. We hold that position for 30 to 90 seconds (or a little longer, if needed), allowing the tissue to reset. This process can reduce pain, improve movement, and calm the nervous system — all without needing to stretch, crack, or force anything. Using the Cranial Scan to Guide Treatment One of the key tools I use in Counterstrain is the cranial scan — a gentle, hands-on assessment that helps pinpoint exactly where the body’s restrictions and tender points lie. By lightly palpating specific points along the skull with minimal force, I can feel for subtle restrictions or tension patterns in the tissues. For example, if I detect a restriction along the superior temporal line, that clue helps me identify which system or region in the body needs attention. This scan guides me in locating the precise tender points to treat, whether they’re related to muscles, fascia, nerves, or other connective tissues. It’s a bit like tuning in to the body’s signals, allowing the treatment to be targeted, effective, and incredibly gentle. What Does It Feel Like? Most people describe it as relaxing, relieving, or strangely satisfying. You’ll be guided into a very specific, comfortable position — often using soft bolsters or the practitioner’s hands for support. You don’t need to stay fully clothed during the session — wearing appropriate undergarments or soft clothing that allows direct skin access is usually recommended, depending on the area being treated. While the position is being held, you might feel warmth, pulsing, or even a wave of tiredness. That’s a good sign — your nervous system is shifting gears. After the release, the practitioner will slowly bring you out of the position and recheck the area. Often, people notice improved range of motion, less tenderness, or an immediate lightness in the body. What Kinds of Issues Does Counterstrain Help With? Because it works with the body’s reflexes and connective tissues, Counterstrain can help with a surprisingly wide range of issues — even some that don’t seem “muscular” at all. Here are just a few things it may help with:
By Rachael Bird, Myotherapist Musculoskeletal pain during pregnancy is quite common due to the changes your body goes through. As your body adjusts to support your growing baby, shifts in posture, weight, and hormones can place added strain on muscles, joints, and ligaments. Here is a breakdown of typical musculoskeletal pains experienced during pregnancy, why they happen, how you can manage them effectively, and how myotherapy can help support your comfort and mobility.  Lower Back Pain: This is perhaps the most common musculoskeletal complaint during pregnancy. It's often due to the increased curvature of your spine as your centre of gravity shifts forward, putting more strain on your lower back muscles. Pelvic Girdle Pain (PGP): Formerly known as Symphysis Pubis Dysfunction (SPD), PGP causes pain around the pelvic area, especially at the front where the pubic bones meet. It can make activities like walking, climbing stairs, or even turning in bed uncomfortable. Round Ligament Pain: As your uterus expands, the ligaments supporting it (round ligaments) stretch, causing sharp or stabbing pains on the sides of your abdomen. These pains are usually brief but can be quite intense. Sciatica: Pressure on the sciatic nerve, often due to the expanding uterus or changes in posture, can cause shooting pain, numbness, or tingling down one or both legs. Rib Pain: As your baby grows, your rib cage may expand to accommodate the increased space needed for your lungs. This expansion can cause discomfort or pain in the rib area. Carpal Tunnel Syndrome: Some women experience tingling, numbness, or pain in the wrists and hands, especially during the later stages of pregnancy. This is due to swelling and compression of nerves in the wrist. Leg Pain:
Managing musculoskeletal pain during pregnancy involves a combination of strategies: Maintain good posture: Try to stand and sit straight to reduce strain on your back and pelvis. Use proper body mechanics: When lifting objects, bend at your knees and hips rather than your back. Stay active: Gentle exercises like walking, swimming, or prenatal yoga can help strengthen muscles and improve flexibility. Use supportive footwear: Wearing comfortable, supportive shoes can reduce strain on your feet and lower back. Apply heat or cold packs: Using a heating pad or cold pack on sore areas can provide relief. Practice relaxation techniques: Techniques like deep breathing, meditation, or prenatal massage can help alleviate stress and tension in muscles. Treatment: Myotherapy can be quite helpful for managing the pain and helping loosen some tight muscles, but also they will be mindful to not loosen too much so that mum still has the support for her and her baby. If you're experiencing discomfort during pregnancy, don't wait it out— book an appointment to keep you feeling great throughout your pregnancy. If the pain is severe or persistent, it's essential to consult your healthcare provider. They can evaluate your condition, provide guidance on pain management techniques, and recommend suitable exercises or treatments tailored to your needs. By Rachael Bird, Myotherapist Cupping therapy and dry needling are two distinct therapeutic techniques used in complementary and alternative medicine, each with its own benefits and applications.  Cupping Therapy Method: Cupping therapy involves placing cups, typically made of glass, silicone, or plastic, on the skin, creating a vacuum or suction effect. This can be achieved through methods such as heat (fire cupping), suction pumps, or manual suction. We, however, do not use the glass/fire cupping method. Purpose: The suction created by cupping is believed to increase blood flow to the area, promote healing, and reduce muscle tension. It is often used to relieve pain, improve circulation, and address conditions such as muscle knots, tightness, and inflammation. Techniques: There are different techniques of cupping, including stationary cupping (cups are left in place for a specific duration), moving cupping (cups are moved across the skin), and wet cupping (which involves slight incisions on the skin before cupping). Conditions Treated: Cupping therapy is commonly used for musculoskeletal issues such as back pain, neck pain, shoulder pain, and sports injuries. Dry Needling Method: Dry needling involves inserting thin needles (similar to acupuncture needles) directly into specific trigger points, tight bands of muscle (known as myofascial trigger points), or areas of pain and dysfunction. Purpose: The goal of dry needling is to stimulate these trigger points or areas of muscle tension, causing a local twitch response. This response can help release muscle knots, improve blood flow, reduce pain, and restore normal muscle function. Techniques: Dry needling techniques can vary, including superficial dry needling (targeting trigger points near the skin's surface) and deep dry needling (reaching deeper muscle layers). The depth and placement of needles depend on the individual's condition and the therapist's assessment. Conditions Treated: Dry needling is often used for musculoskeletal conditions such as muscle strains, tendonitis, sciatica, headaches (including tension headaches), and chronic pain syndromes. It is frequently integrated into physical therapy and rehabilitation programs. Key Differences Mechanism of Action: Cupping therapy primarily works through the creation of suction to increase blood flow and release muscle tension, while dry needling targets specific trigger points or tight muscles with needle stimulation. Tools Used: Cupping therapy uses cups to create suction, while dry needling utilizes thin needles for direct insertion into tissues. Application: Cupping therapy involves placing cups on the skin for a period of time, whereas dry needling involves the insertion and manipulation of needles into targeted areas. Both cupping therapy and dry needling can be effective in addressing musculoskeletal issues and promoting pain relief and healing. However, the choice between them may depend on factors such as the individual's condition and preferences of treatment. Ready to find the right treatment for your pain or muscle tension? Whether you're curious about cupping therapy or dry needling, our qualified myotherapists can help you choose the most effective option for your needs. Book your consultation today to take the first step toward better movement, less pain, and faster recovery. |
Meet Our Team
We have a team of great practitioners available 7 days a week at our Rowville clinic. Archives
January 2026
Categories
All
|
RSS Feed
Got a question about Myotherapy or Osteopathy?
Contact us by phone, email or Facebook
Simple Wellness Myotherapy & Osteopathy
Shop 12B/150 Kelletts Rd, Rowville VIC 3178 |
Phone us on
(03) 8204 0970 |
|