Long COVID: Understanding and Managing Lingering Symptoms with Fascial Counterstrain Therapy (by Nad Perera)

Long Covid & Fascial Counterstrain

The COVID-19 pandemic has left an indelible mark on global health, with millions of people experiencing the immediate effects of the virus. However, for some, the battle with COVID-19 extends far beyond the initial infection. Known as long-COVID, this condition is characterized by a range of symptoms that persist for weeks, months, or even longer after the acute phase of the illness has passed. According to research, approximately 1 in 10 long-COVID patients will exhibit symptoms for 12 weeks or more, highlighting the need for effective and tailored rehabilitation strategies.

Understanding Long-COVID

Long-COVID can affect anyone, regardless of age or preexisting health conditions. The symptoms vary widely among individuals but often include:

  • Fatigue
  • Shortness of breath
  • Persistent cough
  • Joint and chest pain
  • Cognitive difficulties (memory, concentration, sleep problems)
  • Muscle pain and headaches
  • Heart palpitations
  • Loss of smell or taste
  • Psychological effects (depression, anxiety)
  • Dizziness upon standing
  • Exacerbation of symptoms after physical or mental exertion

The Role of Physiotherapy in Long-COVID Recovery

Physiotherapy plays a crucial role in managing and alleviating the symptoms of long-COVID. A comprehensive rehabilitation program can significantly improve a patient’s quality of life by addressing both physical and mental health issues. Physiotherapists use a combination of manual therapy and functional training to help patients regain their strength, manage pain, and improve respiratory function.

Fascial Counterstrain Therapy: A Promising Approach

Among the various physiotherapy techniques, Fascial Counterstrain Therapy (FCT) has shown promising results in treating long-COVID symptoms. FCT is a manual therapy approach that targets the body’s fascia—connective tissue that surrounds muscles, organs, and nerves. By releasing fascial restrictions, FCT can enhance mobility, reduce pain, and improve overall function.

How Fascial Counterstrain Therapy Works

FCT involves gentle, sustained pressure on specific points of the body to release tension and restore normal fascial function. This technique not only addresses musculoskeletal issues but also affects the internal organs and the nervous system. For long-COVID patients, FCT can provide relief from:

  • Chronic fatigue: By improving circulation and reducing fascial tension, FCT can help alleviate persistent tiredness and boost energy levels.
  • Respiratory issues: Releasing fascial restrictions around the chest and diaphragm can enhance lung function and ease breathing difficulties.
  • Muscle and joint pain: FCT can effectively reduce pain and stiffness, allowing for greater mobility and comfort.
  • Cognitive and psychological symptoms: By promoting overall relaxation and reducing physical discomfort, FCT can indirectly improve mental health symptoms like anxiety and depression.

Integrating Fascial Counterstrain Therapy into Long-COVID Rehabilitation

A successful long-COVID rehabilitation program requires a holistic and individualized approach. FCT can be integrated into a broader physiotherapy regimen that includes functional training, respiratory exercises, and psychological support. Here’s how a typical program might look:

  1. Initial Assessment: A thorough evaluation of the patient’s symptoms and medical history to tailor the treatment plan.
  2. Manual Therapy: Incorporating FCT to address fascial restrictions and improve overall bodily function.
  3. Functional Training: Gradual reintroduction of physical activities to rebuild strength and endurance.
  4. Respiratory Exercises: Techniques to enhance lung capacity and ease breathing difficulties.
  5. Psychological Support: Counseling or therapy to address mental health challenges and improve coping mechanisms.


The lingering effects of COVID-19 can be debilitating, but with the right rehabilitation approach, patients can regain their quality of life. Fascial Counterstrain Therapy offers a unique and effective method for addressing the complex symptoms of long-COVID. By focusing on the body’s fascial system, FCT can provide significant relief and support overall recovery. If you or a loved one are experiencing prolonged symptoms of COVID-19, consider incorporating FCT into your rehabilitation plan. Book an appointment with a qualified physiotherapist to explore how this therapy can help you on your journey to recovery.

Like this article?

Share on Facebook
Share on Linkdin