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Gentle manual therapy · Honolulu, Oʻahu, Hawaiʻi
Fascial CounterstrainCare for pain and tension.
Precise, gentle, hands-on treatment.
Individual care with David Fein, PT, DPT, CSC I.
Counterstrain certified · 10+ years of advanced manual therapy training
In-person Fascial Counterstrain in Honolulu, serving Oʻahu residents and visitors from Kauaʻi, Maui, Hawaiʻi Island, Molokaʻi, and Lānaʻi.
The treatment
What is
Fascial Counterstrain?
Fascial Counterstrain is a precise, gentle, hands-on method that uses tender points to identify protective tension in connective tissues. Comfortable positioning shortens or unloads the involved structure, helping the tissue relax.
Fascia supports muscles, joints, nerves, blood vessels, and organs. Counterstrain assesses these connected tissue systems and uses gentle positioning and tissue glides to ease reflexive guarding. Treatment is followed by reassessment of tenderness and movement.
Learn more at Counterstrain.com ↗Healthy motion
Moving comfortably.
Working together.
Healthy motion involves coordination across the body. The spine, rib cage, pelvis, and limbs work together as you reach, turn, walk, and breathe.
Breathing is movement, too. The diaphragm and muscles between the ribs help change the space inside the chest as you inhale and exhale.
In a Counterstrain session, we assess tenderness and movement, use gentle positioning to address protective tension, then reassess your response. The goal is more comfortable movement in everyday life.
How breathing works · NIH ↗
Connected anatomy
A closer look at the head and neck.
Conditions & concerns
Care for pain and restricted movement.
Common reasons to seek Counterstrain include neck and back pain, sciatica, headaches, jaw tension, sports injuries, and persistent muscle tension.
View all 53 conditions and applications listed by Counterstrain.com
The directory below reflects Counterstrain.com’s published applications. For complex medical conditions, treatment focuses on associated symptoms alongside your existing medical care. Your assessment determines whether this approach is appropriate.
- Frozen shoulder (adhesive capsulitis)
- Athletic injuries and post-event recovery
- Anxiety disorders
- Bell’s palsy
- Brain fog
- Breathing issues
- Bunions and recovery after bunion surgery
- Cerebral palsy
- Chronic fatigue syndrome
- Chronic neck, back and limb pain
- Tailbone pain (coccydynia)
- Degenerative disc disease
- Digestive disorders and IBS
- Disc bulges and herniations
- Pain associated with Ehlers-Danlos syndrome
- Fibromyalgia
- Migraine, tension and cluster headaches
- Idiopathic neuropathy
- IT band syndrome
- Joint replacements
- Lower back pain
- Lyme disease and tick-borne illness
- Meniscus tears and repairs
- Mixed motor disorders and dystonia
- Muscle strains and tears
- Myofascial pain syndrome
- Neck pain
- Peripheral neuropathy
- Occupational stress
- Osteoarthritis
- Post-concussion syndrome
- POTS (postural orthostatic tachycardia syndrome)
- Pelvic floor issues
- Parkinson’s disease
- Plantar fasciitis
- Rotator cuff tears and repairs
- Complex regional pain syndrome (RSD)
- Sciatica
- Seizures
- Shoulder bursitis
- Spinal instability
- Spondylolisthesis
- Sports performance
- Ligament sprains and tears
- Tendinitis
- Thoracic outlet syndrome
- TMJ dysfunction
- Torticollis in adults and infants
- Trigeminal neuralgia
- Trochanteric bursitis
- Vertigo
- Women’s health
- Whiplash
Book your session
Simple, individual care.
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Prepare for your visit
Wear clothing that allows easy movement. Bring your questions and what you would like to work on.
In-person treatment · Honolulu
1350 S King St, Suite 300Honolulu, HI 96814
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From Google reviews
“I can’t even remember the last time I had a migraine!!!”Nadia Grauman · Migraine relief
“tremendous relief and near elimination of my pain.”Primo Custodio · Neck, shoulder & back pain
“the pain has completely disappeared.”Jan Wong · Hip & back pain
Excerpts describing individual experiences with in-person care. Results vary.
Read Google reviews