DCT is a radical departure from the mainstream approach of treating CPPS. Mainstream treatments focus on relaxing muscles. Manual therapy is often used to relax muscles. Static stretching is commonly prescribed to patients. This was the form of stretching David was advised to do and is the type found in many pelvic pain books. This is where patients are told to relax into a stretch and are often instructed to ‘let go’ as they move into the stretch.
When you start DCT you will not be relaxing muscles. You will be contracting them against resistance as they lengthen. DCT is a specific form of resistance stretching. Resistance stretching is new form of stretching and is not currently taught in any physical therapy degree course in the USA or the UK.
Resistance stretching requires the patient to abandon a certain belief around muscles and stretching. This is that in order for a muscle to lengthen you must relax it. This belief is false.
Muscles can lengthen while producing force (attempting to contract) with eccentric muscular contractions. While DCT uses all three different types of muscular contraction it is the eccentric contraction which draws tension out of the muscle.
After pursuing many treatments which focus on relaxing or letting go of muscles DCT can seem like a strange approach for pelvic pain patients when first attempting it. We believe that after performing DCT you will never want to relax into a stretch again as it just won’t feel right to you anymore. DCT is a form of stretching that can transform the body.
We are confident that you will continue to perform DCT even after you have recovered simply for the way DCT/ Resistance stretching makes you feel and the many health and fitness benefits that come from resistance stretching.
DCT treats both muscle and fascial tension with three different muscular contractions – concentric, isometric and eccentric contractions. It is the final contraction which draws tension out of the muscle.