An in-depth look at the problem of soft tissue pain: Finding the cause of pain at the moment Most chronic pain has trigger points in the muscles, which are caused by “strain” on the muscles. (Some experts and scholars believe that the muscles are not so easily strained, and the so-called easily “strained” are the fascial tissues.) It is not only chronic injuries, but also trauma or overuse of a particular muscle or group of muscles that can cause pain. The presence of an excitation point is always an indication of a problem with the area or its chain of soft tissues (in this case, if it is only the muscles, then it is not rigorous enough), which manifests itself in the form of tension or pain. The creation and presence of an excitation point also always verifies that the muscles in the area are contracted. (Note that the contraction here does not have to be centripetal.) (In the literature of foreign sources, there are experts and scholars who believe that the mechanism of production of the excitation point is the continuous accumulation of a number of metabolic products inside a part of damaged myogenic fibers, which are produced partly by the metabolism of the cells in the muscle. This part of the product stimulates the nerve endings, and from them an amplified signal is fed to the muscle shuttle. The stimulus feeds back into the peripheral nervous system through weakened or convenient nerve pathways, and the impulses transmitted along the nerve pathways produce pain in particular parts of the muscle.) This passage reminds me of a client (patient) of mine! The stress-tension-pain-cycle, a phenomenon that repeats itself. That is, the elimination of the excitation point or overall soft tissue technique is better not maintained. This getting better can be months, weeks, days, or even just hours, and it comes back and does not go away on its own and is prone to scar tissue or stiff bundles of muscle fiber tension. (Because it’s hard for us to change unconscious mistakes, habit change is a conscious battle to PK the unconscious.) Its stress point exists in the tension bundles of the muscle fibers, where the small knots indicate that the myofibers in this part of the muscle fiber have been sufficiently compressed. Toward some joint sprains, muscle strains, or trauma, there is a protective mechanism in the soft tissues, and the area of injury develops some scar tissue and stiff bundles of tension in the muscle fibers, which gradually form an excitation point. Some of them are not painful, but these nodules are stubborn. When the pain flares up at some point, this stubborn nodule becomes slow to resolve or takes a long time to resolve with manipulation or exercise (e.g., physiotherapy axes “foam axle” rolling). In this case, it is effective to destroy the scar tissue formed by the old injury to create a fresh injury and then to repeat the work. Some people have pain, but this nodule is not stubborn or even noticeable. However, their increased sympathetic activity causes increased muscle tension or pain. At this point the manipulative technique manipulation brings can make the pain unbearable (at this point IQ robbing will instead be a good cure), perhaps we should find a way to inhibit the sympathetic nerve activity, and then go back to its manipulation or exercise therapy. The activity of the excitation points produces uncomfortable sensations or pain in the muscles, which constantly raises the body’s stress level, and the increasing stress level leads to further tension, which in turn makes the pain worse. Over and over again, no one can deny that problems with fascia, muscles, etc. cannot be completely resolved. Even when it has relaxed and the pain goes away, just like small joint problems, you don’t know when it happens, and it always makes you happen when or where you think it shouldn’t. Therefore, it is a problem that haunts a lifetime. And the pain triggers are latent as early as childhood. There is not one way to treat this kind of involved pain, and not one way to be perfect. It is important to realize that there is centripetal tension being shortened and centrifugal tension being lengthened. It is weak for those body tissues that are stretched by centrifugal tension. What they simply need is relaxation. Therefore, blocking the nerve impulses and sympathetic excitation in the painful area, lowering the stress level of the body, and stretching centripetal tension and relaxing centrifugal tension with some strengthening are the best solutions. Of course, these applied techniques are fundamentally different, and the performance of the target is also different. How to inquire and choose is more important at this point. The evoked test is a very good means of evidence-based assessment. Of course, different parts of the use of different means way. For example: large and small rectus muscles, scapularis, rotator cuff muscles, pyriformis, small arm muscles, etc. …… A very important reference is the analysis of postural and motor control of daily life behavior. Here you will find that the depth (of a particular technique) is not as important as the fundamentals. Basic anatomy, biomechanics, kinesiology is the important conditions necessary for the later development of depth. Many practitioners will often say “your muscles are too tight” or “your muscles are too weak”. Tension does exist, and it manifests itself physiologically as prolonged muscle contraction, which can lead to a number of problems including pain, hyperexcitability, and functional atrophy. And the contractions, not all of them, point to cardiac contractions (being shortened). But are muscles really too weak? It’s really weak compared to athletes, and it’s probably really weak compared to you, but who are you to say that people’s muscles are too weak when their muscle strength is a normal level 5? Don’t always take the muscle strength is not as good as you, can complete the normal life exercise ability, and so on resistance to normal resistance, muscle strength level is no problem. The most embarrassing thing for practitioners is that there was once a good athlete to solve the problem of low back pain, the practitioner told him that his muscles are too weak. And this athlete humorously told this practitioner, “Tell me how to prove the muscles are weak, you give some movement tests, I’m going to go below you by a factor of two and not be able to complete them, and I’ll admit my muscles are too weak.” One muscle will be mentioned in “An In-depth Discussion of Soft Tissue Muscles in Search of Uncritical Claims (II)”: the erector spinae. Think about it, in everyday life, isn’t it true that we are always in forward or backward flexion (postural control of flexion before the midline of the spine and flexion after the midline of the spine) and rarely in backward extension (postural control of extension after the midline of the spine). Since it is flexed, is this muscle in a state of being lengthened, or shortened? So, just for this muscle, relaxation and tension is necessary, but not flexion and stretch. The heavier part of the latter must be to strengthen it. As for what kind of strengthening, (to be “soft tissue muscles in-depth discussion to find not rigorous statement (2)”) Since the tension, we have to carefully examine the connotation of tension, to see whether tension is a good thing or not. I don’t think that tension is a bad thing, it’s precisely this point that allows me to make a clearer inquiry assessment, to be able to find the most important problem that produces pain in a superimposed and co-existing type of manifestation, and to solve it. Whereas many people are still going on about other issues. In the last session, “An In-Depth Look at Soft Tissue Muscles in Search of Inscrutable Claims (I),” it was mentioned that stretching will make the scapular tibialis muscle feel better, but it won’t last very long, and instead it can aggravate or cause more serious problems. Why is this so? Because the mechanical effect produced by stretching can have some counteracting effect on the tense soft tissues, but it cannot be maintained, and will again face the new stress process produced, and the soft tissue tension and pain will still occur. This requires the practitioner to analyze the type of tension before operating. When the body is faced with a known danger, the sense of self-defense causes it to produce a certain amount of tension. This moderate low level of stress production is good, it increases the excitement of the sympathetic nervous system and et al. improves neuromuscular control, allowing for a higher speed of reactivity response and avoidance of certain dangers. Finding the inner workings of tension and digging out where the points of agitation are located is not a very complicated thing to do, but just as much misinformation exists, and maybe the spot you’re looking for will be painful, but not the point of agitation. Just like the superimposed co-existing issues that I talk about in my sports rehab vocational technical training, both may produce pain, but who is actually causing the pain at that point. Similarly, this phenomenon exists with agonizing points of pain, “superimposed concurrency.” That is, there may be several excitatory pain points in a muscle, and the pain may all be in one area. For those who have had them for a long time and have had pain problems for many years, they can be a real challenge to find. What is certain is that with muscle problems, there must be a problem with the fascia. Technology is constantly evolving and improving. There is no best, only better. Many domestic and foreign books, including the same there are some not rigorous, not rigorous is not terrible, terrible is that you can not go to the in-depth analysis. For the author, the fear is not rigorous, but no longer in-depth research and improvement. No one technique is perfect, only in the right time to choose the most suitable, complement each other to make up for each other, is really valuable. Or that, the foundation is more important than the depth, because I have seen too many practitioners take a technology to do a year also did not solve the problem. It’s not because the technique doesn’t work, it’s because it doesn’t work to just use one technique for everyone. In the next article, “An in-depth discussion of soft tissue pain problems to find the cause of pain generation at this moment (II)” and “An in-depth discussion of soft tissue fascia to find a more subdivided technique operation (I)”, we will come up with some typical cases to do the technique operation subdivided, and we want to clearly find out the specific cause of pain generation at this moment. You will see that a good athlete does not change long after being diagnosed with a lumbar strain, and is often delayed in training and competition by a back injury. But by a simple targeted approach lasted two weeks after the day never happened again due to low back pain that interfered with training and competition.