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 Physical counterpressure maneuver Physical counterpressure maneuver
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.
Physical counterpressure maneuver
Upper-body PCMs
Arm tensing
Gripping opposing hands with fingers and pulling with arms in opposing directions with maximum force.
Physical counterpressure maneuver Physical counterpressure maneuver
Isometric handgrip
Clenching fist at maximum contraction with or without an item in the hand
Physical counterpressure maneuver Physical counterpressure maneuver
Neck flexion
Touching the chin to the chest and tightening the neck musculature.
Physical counterpressure maneuver Physical counterpressure maneuver