Counterstrain point is typically held for about how long?

• A. 60 seconds
• B. 30 seconds
• C. 120 seconds
• D. 90 seconds

Answer: (D)

Counterstrain relies on stopping the muscle in a position of ease and maintaining it long enough for a reflex relaxation to occur. The hold allows the proprioceptive system—especially muscle spindle and Golgi tendon organ feedback—to reset, reducing tone and tenderness and enabling the tissue to relax. About 90 seconds gives enough time for this neuromuscular relaxation without risking fatigue or discomfort. Shorter holds (like 30–60 seconds) may not fully release the dysfunction, while longer holds (around 120 seconds) can fatigue the muscle or irritate the tender point when returning to neutral. After the hold, you gently return to a neutral position and reassess motion to confirm improved ROM and freedom from restriction.