This is how I treat tension type headaches with OMT. To clarify counterstain, you should find the tender point, and the let the pressure off the tender point. Continue to monitor that point when you approximate the origin and insertion of the muscle. Apply pressure with your monitoring hand to see if the tenderness has subsided. If you cannot illicit pain then hold in that position for 90 seconds. When talking about the levator scapulae tender point I stated to let off the pressure. That is the monitoring hand, and not the pressure you apply with the treatment hand.
