Therapists

[leestewartxParticipant]

Hi all,

What is the best way to note take counterstrain?

Currently my notes are as follows:
SCS – +ve AL1,3,5 // nil TOP, +5 Lx Fl.

Any help is much appreciated. Cheers!

[Kieran DoyleModerator]

Hi there,

Thanks for reaching out and posting up.  Clinically when I am taking notes using Counterstrain.  I use a similar methodology to what you have outlined above.

If using classical Counterstrain techniques like the AL 1,3, 5 you mentioned above.

My objective ax would usually have a relevant “*” sign objective measure such has lumbar extension 40 cm to floor P1 VAS 5/10  or hip IR 20 deg.

Followed by relevant SCS +ve  SCS points  nominating what side they are on.  R AL5 & 3 ,  L AL4  or mentioning an entire chain i.e. Anterior Thoracic’s  if all were quite positive and I would just treat the “general” or worst points on that chain.

Treatment Rx:   For example would look like this

SCS R AL3, 5 L 4 // decr TOP, Lx ext 30 cm to floor VAS 2/10

SCS AT3,7 // lumbar extension 15 cm to floor no pain

I would usually always follow with  re assessing relevant objective signs after treating initial significant points especially when starting out with counterstain,  which will help for you to see and gauge it’s usefulness in treating your clients dysfunction and your reasoning process.

If treating using Fascial Counter strain, I would usually include in my objective assessment with my objective marker, include a general screen such as the cranial scan positives than I can got back to in the future.

I.E. Visceral Screen +ve inferior anterior quadrant  – R Obturator Membrane (OM-V) hip  IR 20 deg

Rx:  SCS R  OM- V //  IR  40 deg clear mastoid screen, Lx ext clear.

I hope that helps to clarify a few things and give you some useful input on how I utilise SCS in my treatment notes.

Overall it is helpful clinically to have good clinical notes with counterstain and re-ax to gauge your treatment effectiveness, reasoning and help with your systematic treatment planning for the client.

Cheers,

Kieran

 

 

 

[GuruParticipant]

Good question which Kieran has answered thoroughly. I save some time with note taking by only recording the points that I treat – not all that were positive as some positive points are eliminated when you treat other related points. For JCS (SCS) points I list them in regions ie PC5, AC1, AC7 or MAN, MCA, NAV and record the * sign outcome relevant to each region. For FCS points, I tend to list them by system and region ie -V (visceral) PDP, SIB, CP3 (post lung) or – LV (Lymphatic- Venous) SAPH, MSUR, DMPERF (medial knee/calf). Sometimes you might choose to list the points that you treated in the chain for that system. As previously mentioned, it’s really important to gauge you treatment outcomes after treating a region or systems points.

[leestewartxParticipantParticipant]

Thanks all for the support! Very helpful indeed

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