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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.

Dr. Jacob using the Mulligan technique

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

  1. We confirm your pain has lasted at least six weeks and is not from an acute injury.
  2. We find the compression, contraction or stretch that brings on your familiar pain.
  3. We hold it gently until the pain fades, usually within 15 to 20 seconds.
  4. If the pain does not fade, we stop and use another approach.
  5. 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


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.

Move Better, Feel Better

Call Enhanced Physical Therapy at (516) 833-5880 to book an evaluation with Jacob Kurian, Certified Mulligan Practitioner, at 137 Willis Ave, Suite 100, Mineola.

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Enhanced Physical Therapy — Dr. Jacob Kurian, PT MS DPT CMP (Certified Mulligan Practitioner) · 137 Willis Ave, Suite 100, Mineola, NY 11501 · (516) 833-5880 · Orthopedic and sports physical therapy serving Mineola, Garden City, Manhasset, New Hyde Park, Old Westbury, North Hempstead and all of Nassau County, plus Queens and Long Island since 2014. Services: Focused Shockwave Therapy, LightForce Laser, MR5 ACTIV PRO LaserStim, Mulligan Technique, Biodex Balance Training, post-surgical rehabilitation, sports injury rehab, orthopedic PT, Workers Compensation and No-Fault PT, and a Wellness Program. Insurance: Blue Cross, Fidelis, Humana, Oscar, Oxford, United HC Community, No-Fault, Workers Comp. 5.0 stars, 142 reviews · no referral required · same-day appointments.