Description of Recommended Physical Counterpressure Maneuvers

Description of Recommended Physical Counterpressure Maneuvers

Lower-body PCMs
Leg crossing with muscle tensing Leg crossing with tensing of the leg, abdominal, and buttock muscles while lying down or, if necessary, while standing leg crossing with muscle tensing illustration leg crossing with muscle tensing illustration
Squatting
Lowering the body into a squatting position. Adjunctive lower-body and abdomen muscle tensing can be done during the squat and then on standing once symptoms have resolved.
leg crossing with muscle tensing illustration  
Upper-body PCMs
Arm tensing
Gripping opposing hands with fingers and pulling with arms in opposing directions with maximum force.
leg crossing with muscle tensing illustration leg crossing with muscle tensing illustration
Isometric handgrip
Clenching fist at maximum contraction with or without an item in the hand
isometric handgrip illustration leg crossing with muscle tensing illustration
Neck flexion
Touching the chin to the chest and tightening the neck musculature.
leg crossing with muscle tensing illustration leg crossing with muscle tensing illustration