
Pain Release Phenomenon (PRP) Techniques in Mineola, NY
MULLIGAN CONCEPT
Pain Release Phenomenon (PRP) Techniques
In Mulligan care, PRP stands for Pain Release Phenomenon. It is not platelet rich plasma, and there are no needles or injections. Dr. Kurian applies a sustained compression, muscle contraction or stretch that brings on your familiar pain, then holds it for about 15 to 20 seconds until the pain fades. It is used only for pain that has lasted more than six weeks.

Certified Mulligan Practitioner Over 10 Years of Experience
Our clinics director is a Certified Mulligan Practitioner (CMP) with over a decade
of experience using this evidence-based approach. Each treatment is customized to
your specific diagnosis and movement limitations to achieve optimal outcomes.
How it works
- We confirm your pain has lasted at least six weeks and is not from an acute injury.
- We find the compression, contraction or stretch that brings on your familiar pain.
- We hold it gently until the pain fades, usually within 15 to 20 seconds.
- If the pain does not fade, we stop and use another approach.
- We repeat a few times and recheck how the area moves and feels.
What it feels like
At first you feel your familiar pain, then it should ease and fade while the position is held. If it builds instead, we stop.
Conditions we use it for
- Chronic Shoulder Pain
- Tennis Elbow
- Golfer's Elbow
- Hamstring Problems
- Front Thigh (Rectus Femoris) Problems
- Kneecap Pain (Patellofemoral)
- Achilles Tendon Pain
- Heel Pain
- Big Toe Extensor Tendonitis
What the research says
Small randomized trials have studied Pain Release Phenomenon in kneecap pain and tennis elbow, mostly in lower-tier journals. The evidence is early, so we use PRP as one option within a plan built around exercise.
Safety
- Not for pain under six weeks old or new injuries.
- Not used over suspected fractures, infection or inflammation.
- If pain does not fade during the hold, we stop.
Frequently asked questions
Is PRP the same as platelet rich plasma?
No. In Mulligan care, PRP means Pain Release Phenomenon, a hands-on technique with no needles.
Does PRP hurt?
You feel your familiar pain briefly, and it should fade within about 20 seconds. If not, we stop.
What conditions is PRP used for?
Persistent tendon and joint pain, such as tennis elbow, kneecap pain and some heel and hip tendon pain.
Why only after six weeks?
Recent injuries need protection and healing. PRP is for pain that has lingered.
Related pages
Written and clinically reviewed by Jacob Kurian, PT, MSPT, CMP, DPT, Certified Mulligan Practitioner, Enhanced Physical Therapy, Mineola NY. Last updated October 14, 2026.