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In this episode of the Prime Health Podcast, Dr. Derek Barron interviews Dr. Dmitry Shestakovsky, DPT, co-founder of Midtown East Physical Therapy in New York City. With over 25 years of physical therapy experience, Dr. Shestakovsky discusses the revolutionary paradigm shift transforming modern rehabilitation: Fascial Counterstrain. Moving beyond traditional exercise-heavy protocols or localized symptom management, Dr. Shestakovsky explains how treating fascial reflexes across the vascular, visceral, and nervous systems releases protective muscle spasms, drains inflammatory cytokines, and resolves chronic, complex pain conditions.
Key Takeaways:
- The Evolution of Fascia Science: Modern research shows fascia is far more than an inert structural wrapping. Richly innervated with nociceptors, fascial strains surrounding organs, nerves, and blood vessels trigger reflexive muscle spasms and postural compensations throughout the body.
- Treating Beyond the Site of Pain: Chronic pain often stems from distant anatomical structures. For example, persistent shoulder or neck pain may be driven by fascial strain in the lateral pleura of the lung or spasmed spinal medullary veins pulling the first rib out of alignment.
- Fascial Counterstrain vs. Traditional PT: Unlike conventional physical therapy models that rely primarily on local massage, stretching, heat, and exercise, Fascial Counterstrain utilizes precision cranial scanning to identify the specific system causing dysfunction, delivering gentle, indirect releases.
- Systemic Relief Across Conditions: Releasing fascial strain around the sympathetic nervous system and vasculature improves blood flow, drains stagnant inflammatory fluid, and helps alleviate conditions ranging from frozen shoulder and migraines to sinus congestion and anxiety.
- Be an Empowered Patient: Patients should look beyond traditional referral patterns and evaluate whether their current care produces tangible progress. If localized treatment fails to yield lasting results, investigating global fascial systems offers a powerful path to recovery.
Connect with our Guest
- Website: https://midtowneastphysicaltherapy.com
- Personal LinkedIn: https://www.linkedin.com/in/dmitry-shestakovsky-aa0954148/
- Company LinkedIn: https://www.linkedin.com/company/midtown-east-physical-therapy/
- Facebook Page: https://www.facebook.com/MidtownEastPhysicalTherapy
- Instagram: https://www.instagram.com/midtowneastphysicaltherapy/
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