Post-isometric relaxation (PIR) is a manual therapy technique used to reduce muscle tension and increase range of motion.

In which cases can PIR therapy be used:

  • Certain musculoskeletal complaints
  • pain in the neck, shoulders, upper limbs
  • Back pain
  • Hip joint and temporomandibular joint pain
  • Headache resulting from degenerative changes of the cervical spine

How does it work?

The essence of the method is isometric muscle tension followed by stretching. The muscle is first placed in a gently stretched position, while the patient briefly performs an isometric contraction for 5–10 seconds, after which the muscle relaxes. During this refractory phase, the muscle does not respond to mobilization. This allows safe stretching and maximal relaxation of the muscle, which improves joint mobility. The treatment is effective for relieving muscle tension, in cases of neck, shoulder, and lower back pain, and for improving restricted range of motion.

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