Jones Institute

Developers of the technique Strain Counterstrain®

Strain Counterstrain I
For the Spine

Course Program
Developed &realized by Erik E. Gandino, MD, DO, JSCCI on the notions of Lawrence H. Jones DO, FAAO - Copyright 2009 -

Jones Institute Europe Property of JISCS.org - Via Luigi Chiala 40/D – Torino (Italy)

www.jiscs.eu [email protected]
 SCS-I for the Spine
Course in Manual Therapy for the correction of over 95 dysfunctions
with the American technique JONES STRAIN COUNTERSTRAIN
Coordinated by: Tutor:

ERIK E. GANDINO, MD DO, JSCCI

Medical Doctor & Surgeon, Doctor of Osteopathy. Expert in
rehabilitation medicine and neuromuscular problems. Dr.
Gandino "board president" of the Jones Institute Europe has
taught Strain Counterstrain in several European countries for
the past 16 years. He is the only European to have completed
his entire course of study at the Jones Institute in the USA.
Audience: Fully licensed Physiotherapists (PT), Medical Doctors (MD), Osteopathic Doctors
(D0) and Chiropractors (DC) (These two last therapists, after evaluation of their degree)

HISTORY
The Jones Institute, based in Carlsbad, California USA, is the originator of the method
STRAIN COUNTERSTRAIN (SCS). SCS is an indirect manipulative technique, which uses
gentle positioning of the interested body segments to treat somatic pain and dysfunctions
throughout the body in only 90 seconds. Its immediate effectiveness is widely documented in
numerous medical studies, books and trade journals. It is considered the most advanced
osteopathic technique by the American Osteopathic Association (AOA) due to its precise
diagnosis and rapid execution.

THEORETICAL AND PRACTICAL TRAINING PROGRAM

Lecture and extensive lab time are spent on:
• Review of neurophysiocology
• Neurologic basis for somatic dysfunction
• Ortho- and Parasympathetic relationships in the various pain syndromes
• Rationale for SCS
• General rules for SCS
• Cervical evaluation and treatment lab
• Thoracic evaluation and treatment lab
• Rib evaluation and treatment lab
• Lumbar evaluation and treatment lab
• Pelvis evaluation and treatment lab
• Demonstrate the relationships between the various areas of the spine and the extremities
• Design a home program using SCS philosophy

Emphasis is placed on teaching the participant how to:

• Develop and refine palpatory skills
• Diminish tension areas
• Regain strength in neurologically weak muscles
• Improve articular range of motion
• Reduce neuropathic pain
• Diminish or remove the pain in treated body segments

WHAT THE COURSE OFFERS

Strain Counterstrain I (SCSI) for the spine treats over 95 dysfunctions of the vertebral
Jones Institute Europe column from the cervical to the pelvis. It is the most important course in Counterstrain, and
Property of JISCS.org is the one that will be used the most for musculoskeletal dysfunction of the whole body. In
Via Luigi Chiala 40/D fact, if on the one hand it is the first module that is dealt with in the Jones training and then
10127 Torino (Italy) you’ll learn a completely new working method. On the other hand, clinical reasoning is also
learned, aimed at studying any patient in all musculoskeletal areas. Moreover, at the same
[email protected] time, besides the rachialgias of various kinds, it also allows to treat indirectly the problems of
www.jiscs.eu the appendicular skeleton; since being a complete neurological technique, and since the
various nerve plexuses directed at the 4 extremities, originating from the vertebral column, it
is very common that the priority dysfunction originates from the column its’ self, and not only
locally from the limbs. The same applies to the headaches of myo-tension origin, starting
from the cervical nerves. So, it is very common to get immediate benefits for: cervicobrachial
pain syndromes, lumbo-cruralgia and sciatica symptoms with this first and fundamental
course. We also remember that many visceral disturbances will disappear or improve
considerably thanks to the restoration of the normal function of the visceral-somatic arch
that the technique is going to restore.
 COURSE OBJECTIVES
The SCS technique taught by the Jones Institute instructors guarantees an advanced level of specialized formation in
manual medicine. With in-depth analysis of the concepts addressed during the course and our knowledge of the most
recent discoveries in neurophysiology, we are resolved to advance expert operators who participate and to provide
efficient and non-dispersive training for novice practitioners. Participants will be able to ‘scan’ all of the spinal and
pelvic areas, to set up a thorough, functional examination, and to arrange a quick and enduring therapeutic program,
even for future visits. They will also be capable of treating dysfunctions successfully where previously they faced
difficulty or failure. In addition, they will comprehend diverse clinical scenarios that require collaboration of other
health specialists, and thus avoid wasting time and possibly worsening the pathological aspects not related to manual
medicine.
Upon completion of this course participants will be able to:
• Develop and fully refine their palpatory skills relating to spine and pelvis dysfunctions
• Understand the neurophysiological basis of somatic dysfunctions
• Learn to ‘scan’ the entire spinal column and pelvis
• Execute a complete, functional evaluation, creating a rapid and enduring therapeutic program
• Treat more than 85 spinal and pelvis somatic dysfunctions
• Relax areas of muscular tension
• Revive strength in neurologically weakened muscles
• Improve articular range of motion
• Reprogram muscular chains
• Establish body symmetry
• Reduce nerve pain
• Reduce or eliminate pain in segments treated and pain in movement
• Reduce local edema
• Re-equilibrate facial tension
• Reprogram the Central Nervous System in a tangible, in-depth manner
• In a limited number of treatments, modify and resolve postural behaviors, including those brought on by age
• Obtain immediate and enduring results visible in patients from the first treatment
• Utilize a completely pain-free and non-traumatic manual technique
• Work a full day without fatigue due to this passive neurological approach
• For those who wish, integrate SCS into any work methodology already known by the operator
• Have the knowledge to create a neurological exercise maintenance program for the patient

FURTHER INFORMATION
The Strain Counterstrain method is based on the scientific demonstration that the majority of the musculoskeletal
complaints are caused by a false interpretation of the afferent message from the spinal nervous system. These induce
a reflex discharge on the correspondent motor neuron, leading to an altered state of tension and creating a vicious
“pain-tension-pain” cycle. Dr. Jones, American medical osteopath and developer of the technique, is credited with
finding the diagnostic points, defined by him as “Tender Points” (TP), which represent specific dysfunctions that guide
the operator during the entire execution of the treatment. Dr. Jones also discovered the TPs on the anterior surface of
the body, relating to specific dysfunctions on the posterior body. These have led the American Osteopathic Association
to consider SCS the most advanced and innovative osteopathic manual approach available. What distinguishes it from
the other medical manual methods lies precisely in its specific diagnosis and easy execution, in the immediate effect
on the patient and in its absolutely atraumatic procedure. Scientific analysis (JAOA • Vol 106 • No 9 • September 2006
• 537-545), numerous clinical studies, and multiple publications and books on the subject have allowed past manual
practices to transmute into a scientific method, based on very accurate clinical observation and founded on neuro-
anatomical and physio-pathological platforms while remaining an innovative manual approach that resolves somatic
dysfunction in only 90 seconds. The evolution of the technique based on studies carried out by the Jones Institute
have reduced the time of execution to only 15, 10, even 1 second, it’s a procedure taught in the advanced courses.

DIDACTIC METHODOLOGY
 Lectures: elements of anatomy, articular-physiology, biomechanics and pathology of the locomotor system.
 Principals of manual therapy: teaching of diagnosis and treatment with SCS, combining of SCS with other
methods and techniques, and specific therapeutic exercises we have developed.
 Manual practice integrated with images: slides in PWP, video projection, 3D anatomical models.
 Material for participants: syllabus with all the techniques given at the course, bi-laminated poster (28x26 cm) with
images, explanations of the technique and localization of the TPs.
 Ample time dedicated to manual practice.
 Treatment strategies outlined for the different areas focused on during the course.
 For every pathology described, a different treatment methodology will be proposed with practical examples.

 MAIN DYSFUNCTIONS TREATED WITH THIS COURSE

 Arnou syndrome, temporal migraine headaches, cervical vertigo, stiff neck, neck pain caused by dysfunctional
vertebrae, whip-lash pain, brachial plexus, thoracic outlet syndrome, elevated and depressed rib dysfunctions,
sternum pain, dyspnea, pericordial pain, pyrosis, dyspepsia, nausea, diarrhea, constipation, urinary problems,
cystitis, diffuse rachis pain, localized rachis pain, sciatica, myofascial pain syndrome, anterior and posterior sacro-
iliac articulation dysfunctions, unequal leg length, more than ten sacrococcygeal dysfunctions, perineal pain, and
many other complaints.
 OUR STRENGTHS
 The professionalism and experience of our teachers, along with their uniqueness. Consider that even after 20
years since the founding of the Institute, only 7 instructors in the entire world are authorized to teach this
method, which speaks to our resolve to provide excellent instruction.
 Solidity of an Institute which has been at the foundation of the methodology for over 2 decades, with continual
medical studies, updates and improvements in the technique, while maintaining its originality.
 Numerous clinical studies, scientific publications and bibliographies on the subject.
 The complete resolution of the somatic dysfunctions in only 90 seconds and through recent advances of the
technique, results obtained in only 15, 10 or 1 second of execution.
 Drastic reduction in the time of treatment and of the successive therapeutic protocol, in fact in only one or a few
sessions patients can completely recover from the problem.
 Great specificity in the diagnosis, easy execution, immediate results on the patient, no contraindications and a
completely non-traumatic execution of the technique.

Distinctiveness of the Technique

• Understand the real neurophysiologic issues at the origin of the somatic

dysfunction.
• Develop and fully-refine palpatory skills on muscular-skeletal dysfunctions.
• Have at disposition a highly-specific diagnosis and the possibility to scan
the entire body in less than 2 minutes. From the onset, clearly define the
areas of primary and secondary dysfunction, where to begin, how to
proceed, how the therapy is really going and how many visits will be
necessary to conclude the treatment plan.
• Carry out a functional clinical exam, creating a quick and enduring
therapeutic plan.
• Easily execute the technique on any dysfunction.
• Apply the technique immediately on the patient with any painful condition.
• Drastically reduce treatment time into one or very few visits.
• Obtain immediate, visible results on the patient, beginning with the first
visit.
• In just a few visits, modify and resolve habitual, symmetrical and postural
behaviors, including those brought on by age.
• Completely resolve a somatic dysfunction in only 90 seconds, and with the
latest developments of the technique, in only 15, 10, 3 or even 1 second of
execution.
• Work autonomously after each individual course.
• Utilize an absolutely pain-free and non-traumatic manual technique.
• Use a technique which has zero contraindications regardless of the type of
patient.
• Evaluate the precise state of the articular dysfunction through this unique
osteopathic system and the diagnostic points termed ‘Tender Points’ by Dr.
Jones.
• Use the unique code which identifies specific areas on the anterior surface
of the body that are related to dysfunctions and pain on the posterior side.
• Treat multiple systems with the only method in the world able to do so.
Extraordinary results have been seen on the muscular-skeletal apparatus,
the craniofacial apparatus, the visceral pleura, the peripheral nervous
system (PNS), the arterial and lymphatic systems and all of the contractile
innervated structures.
• Work without fatigue through this passive, neurological approach.
• Integrate this methodology with any other technique that you already
practice.
• Reprogram the central nervous system in a real, profound, tangible
manner.
• Have the knowledge to implement a maintenance program of neurological
exercises for the patient.
 DIDACTIC PROGRAM
DIDACTIC PROGRAM SPECIFICS: The course is divided into areas (e.g. anterior cervical spine, posterior cervical spine)
 Every area has an oral explanation of about 30 minutes which will discuss:
o Physiopathology and anatomy of the mentioned area,
o The localization, the palpatory sensation, and the most common TPs,
o The difference in pain between anterior and posterior TP, specific syntomathology for every TP and possible areas of pain referral,
o Evaluation of body positioning, especially posture engaged by the patient with specific TP, the activities that worsen or improve
the symptoms, antalgic behavior in the different positions (standing erect, sitting, lying down),
o Relevant treatment: how to approach each TP and how to sequence the treatment.
 Every area has a practical demonstration of about 20 minutes which will show:
o Practical display of where the different TPs are located in the area and how to identify them,
o Practical demonstration of how to treat every specific TP,
o Description of the palpatory sensation of the TP during the different phases of the treatment,
o Particular emphasis on the correct positioning of the operator for each technique,
o Particular attention on the usage of the operator’s body for the careful positioning of the patient.
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FIRST DAY (9.00-6.30 pm) • Continue practice part (other change partner)
09.00 Opening: 01.15 pm Lunch
• Presentation & Preparation 2:30 pm Lecture & practice on the following
• Video of Dr. Jones on the discovery of SCS somatic dysfunctions:
09.20 Lecture: • ANTERIOR THORACIC 1ST – 3rd VERTEBRA
• Definition and explanation of SCS technique • ANTERIOR THORACIC 4TH - 6TH VERTEBRA
• Definition and explanation of tender point (TP) • ANTERIOR THORACIC 7Th - 9th VERTEBRA
• Definition and explanation of mobile point • ANTERIOR THORACIC 10Th-12th
• Neurological explanation of SCS 3.30 pm Coffee Break
11.30 Coffee Break 3.45 pm Practice
11.45 Lecture: • Continue practice part (other change partner)
• Clarification of somatic dysfunctions 6.00 pm Questions & Answers
01.30 pm Lunch 6.15 pm Closure
2:30 pm Lecture 6.15-7.00 pm Explanation on future courses
• Rules for the use of Counterstrain
• How to evaluate a patient THIRD DAY (9:00-17:30)
3:00 pm Lecture & Practice on the following 08.00 Lecture & practice on the following somatic
somatic dysfunctions: dysfunctions:
• LATERAL 1ST CERVICAL • POTERIOR THORACIC 1-9
• ANTERIOR 1ST RARE CERVICAL • POTERIOR THORACIC 10-12
• ANTERIOR 1ST & 2nd CERVICAL • POTERIOR LUMBARS L1-L5
• ANTERIOR 3d CERVICAL • QUADRATUS LOMBORUM
• ANTERIOR 7TH CERVICAL • POSTERIOR LUMBAR ON ILIUM 3rd ,4th , 5th
• ANTERIOR 5TH,6TH ,7TH , (8)TH CERVICAL 9.45 Practice
4:30 pm Coffee Break • Continue practice part (other change partner)
4:45 pm Practice 11:30 Coffee Break
• Continue practical part (other change partner) 11.45 Lecture & practice on the following somatic
6.15 pm Questions & Answers dysfunctions:
6.30 pm Closure • QUADRATUS LOMBORUM
• POSTERIOR LUMBAR ON ILIUM 3rd ,4th , 5th
SECOND DAY (8.30-6.15 pm)
08.30 Opening: 12.30 pm Lecture & demonstration on
• Lecture on the changes happening in the 90'' of these following somatic dysfunctions:
SCS 01.45 pm Lunch
• Lecture on the adverse effects of Counterstrain • 1ST LUMBAR
• ANTERIOR LUMBAR 2d - 5th VERTEBRA
• ANTERIOR ABDOMINAL POINT (AAL2)
09.30 Lecture & practice on the following somatic 3.30 pm Coffee Break
dysfunctions: 3.45 pm Practice
• INION 1ST CERVICAL • Continue practice part (other change partner)
4.45 pm Lecture & demonstration
• POSTERIOR 1ST & 2nd CERVICAL • Home Program for patient
• POSTERIOR 3rd CERVICAL • Diagnosis of a full body scan
• POSTERIOR 4TH - 8TH CERVICAL • Practical exam of the course (if needed for
11.15 Coffee Break CME)
5.30 pm CLOSURE
11.30 Practice