Cristina Shupe, PT -- Physical Therapist and Fascial Counterstrain Provider in San Francisco: Specializing in the treatment of chronic pain, injuries and conditions

Fascial Counterstrain - Explained

Fascial Counterstrain - Explained

Fascial Counterstrain

A deeper dive for those of you that are interested…

Fascia, inflammation & InterstiTial Inflammatory stasis

FASCIA

Fascia, once defined as a fibrous support structure, is now understood as a dynamic, body-wide system (as much as a tissue) essential to health and function. This collagen-based network encompasses all soft connective tissues, linking muscles, tendons, ligaments, blood vessels, organs, and the nervous system to form an integrated matrix. More than just a structural component, fascia plays an active role in movement, shock absorption, and cellular communication. It maintains the extracellular matrix—a network that supports and connects all cells and tissues—while serving as a vital immune interface that influences inflammation, scar formation, and disease progression. Ultimately, fascia is recognized not only as a tissue but as a critical component of a dynamic system that supports overall health.

Fascia as a Proprioceptive Blanket:
It can be helpful to think of fascia acts as a protective or proprioceptive "blanket," enveloping and protecting organs, vessels, nerves, bones, and joints. while helping maintain posture and stability. It helps maintain proper alignment and balance in the body, especially during movement, by preventing excessive stretching.

However, if fascia is stretched too much, too quickly, or too often, it can become hypersensitive, triggering protective responses long after the initial threat has passed. This lingering dysfunction can manifest as unresolved injuries—such as a sprained ankle that never fully heals, restricted neck motion years after whiplash, or persistent GI issues following food poisoning. According to tensegrity and fluid dynamics principles, once dysfunction develops in one part of the system, tension redistributes throughout the entire network.

Learn more about fascia in this 2-minute YouTube video: “Fascia & The Living Body.”

For an even deeper dive, watch this 53-minute video: Fascia Documentary: The Network of the Body without Beginning or End.


inflammation

Inflammation is the body's natural response to physical injuries, infections, and emotional trauma (such as stress). This natural response sets the stage and is essential for healing and recovery as inflammation promotes healing by triggering an immune response to fight off infection or heal damaged tissue. This immune response is regulated by pro-inflammatory chemicals (cytokines) that promote the process and anti-inflammatory cytokines that help resolve it. Once the healing is complete, the inflammatory process ends. If healing happens in a timely, effective and efficient manner the inflammation will clear.


the interstitium

The interstitium is a fluid-filled space within the fascial system, with functions that vary by location but primarily facilitate nutrient and waste transport between cells, blood vessels, and the lymphatic system, directly impacting systemic health. Its fluid, composed of water, proteins, and electrolytes, serves as a medium for cellular exchange and immune signaling.

Lymphatic fluid originates in the interstitium, where it collects excess fluid, proteins, and waste. Tiny lymphatic capillaries absorb this fluid and transport it through larger vessels, passing through lymph nodes for filtration. It then drains into the venous system where it reenters circulation. Waste is subsequently processed by the liver, filtered by the kidneys, and cleared through the lungs, maintaining fluid balance and immune function.

Proper fascial function allows the interstitium to facilitate healing and resilience. However, restrictions, adhesions, or dysfunctions in the fascia can impair interstitial flow, contributing to chronic inflammation, fibrosis, and dysfunction across multiple physiological systems.


Interstitial Inflammatory Stasis (ISS)

Fascia research is now pointing to a direct link between chronic pain and fascial inflammation (1, 2).

When injured by trauma, overuse, disease, or stress, fascial structures can contract and trigger pain as a natural protective response. This reflex may cause muscle spasms or restrictions in vessels or organs. Our bodies are always trying to heal, but the natural healing process can be easily interrupted. Recent findings in science explain how restrictions in deep fascial networks can hinder recovery from illness, injury, and trauma (1).

• Nocifensive Reflex: A muscle spasm that the body uses to protect inflamed or damaged tissue
• Nociautonomic Reflex: An autonomic response that can result in nerve, artery, vein, respiratory, and digestive problems

Interstitial Inflammatory Stasis: “Interstitial inflammatory stasis occurs when the lymphatic and venous systems are impaired, causing inflammatory substances to build up in the interstitium. This can lead to ongoing pain and other issues.”(1) In simple terms, if an injury doesn’t heal quickly, lingering inflammation meant to aid healing can persist. This can cause deep fascial restrictions, chronic inflammation, pain, sensitivity, and tissue damage (diet and exercise also influence this).

Delayed healing can lead to various conditions, but these findings show that healing can restart once fascial restrictions are properly treated. (2).


Fascial Counterstrain (FCS)

Facial Counterstrain identifies and treats fascial dysfunction and inflammation that contribute to pain and dysfunction across all body systems. This holistic method sees the body as an interconnected whole, targeting the origins of symptoms by releasing deep fascial structures. Grounded in anatomy and natural reflexes, FCS gently unloads injured tissues, normalizing tension, enhancing blood flow and lymph drainage, and improving neural input to support the body’s natural healing process. Many patients report lasting relief after several sessions.

FCS employs cranial scans, motion testing, and tender points to locate and release fascial restrictions in various systems, including nervous, organ, musculoskeletal, vascular, and lymphatic. A gentle manual release technique combines specific positioning with either compression or slackening ("counterstrain") to deactivate deep fascial proprioceptors that contribute to persistent tension and pain. The effectiveness of FCS likely stems from deactivating pain receptors in the deep fascia, which, when activated, maintain inflammation between cells. (1, 2, 3).

Once these receptors are deactivated, the relaxation of tissues restores the mobility of the fascia, enhances lymphatic flow, and visibly decreases localized or systemic inflammation and swelling. By reducing inflammation and deactivating pain receptors, FCS offers long-lasting relief for chronic conditions. (3).

In short, FCS restores the lymphatic pump mechanism, allowing for the clearance of inflammation. Gentle and painless, the treatment can be especially valuable for treating chronic pain by addressing deep-seated neuromuscular issues, relaxing spasms, and reducing inflammation—many patients even find themselves falling asleep during sessions.


Fascial Counterstrain References