Joint Replacement

Jessica Farrell, PT, DPT Counterstrain Portland
Portland, Oregon


If you have a joint that is severely damaged or degenerated you may be a candidate for a joint replacement. The most commonly replaced joints are knees and hips followed by shoulders. When these joints are replaced your old joint is removed and an artificial joint made of ceramic, metal or heavy duty plastic is put in its place. Indications for joint replacement include severe degeneration noted on x-ray as well as joint pain, stiffness and swelling that do not improve with treatment. Joint replacements often alleviate a lot of pain and increase your ability to function. However, the rehabilitation process can be very long and painful. Also, some patient’s find that even after completing their rehabilitation they still have pain in the affected joint. Fascial Counterstrain can help address both of these issues.

Fascial Counterstrain Treatment

Fascial Counterstrain (FCS) can be very helpful both before and after your joint replacement surgery to help reduce pain, stiffness and swelling. FCS treatment addresses dysfunction in your deep connective tissue or fascia. Fascia exists in many different tissues throughout all the different systems of your body including arterial, venous, nervous, musculoskeletal and visceral (heart, lungs, digestive organs etc.) systems. Restrictions in the fascia of any one of these systems can cause pain and movement limitations in your joints. During treatment your FCS practitioner will use a combination of gentle glides and comfortable positioning guided by a system of specific tender points to unload the your swollen and irritated tissues allowing swelling and inflammation to drain so the normal motion and function can be restored. The process is very gentle but the results are often dramatic with significant increases in range of motion (ROM) without painful stretching exercises and much faster decreases in swelling than traditional treatment methods including ice and elevation.