Counterstrain treatment for round ligament discomfort uses which segment and technique?

• A. L3/4 - FSART
• B. L2/3 - FSART
• C. L5 - FSARA
• D. T12 - FSART

Answer: (A)

Counterstrain treats a tender point by moving the body to a position of maximal ease for that point, thereby reducing abnormal muscle and ligament tension. For round ligament discomfort, the tender point is addressed at the L3–4 level, using the FSART technique. FSART means a flexion-based position combined with side bending and rotation tailored to the point, placing the tissues in a favorable, relaxed alignment. This specific segment and movement pattern best matches the pelvic/round ligament region and the way the pain refers there, helping to relieve strain on the ligament. Other segments or technique variations wouldn’t target the same tender point, so the L3–4 with FSART pairing is the correct approach.