Though the source of pain can sometimes be obvious, it is often due to more subtle dysfunctions in the nervous system resulting in neuropathic pain which cannot be seen on x-rays or ultrasound scans. Oftentimes this neuropathic pain involves the nerve to muscle connection where affected muscles that have become shortened/ tightened or overstretched/ loosened, physically compounding pain due to reduced blood flow. A classic example is someone who suffers back pain after long periods of sitting: though their back muscles may of course be affected, often the muscles in their buttocks become overstretched and the muscles at the top of their thigh become overly tight (simply due to the body position while seated), and the muscles become inhibited or “switch off”, referring pain to the back. If these muscles aren’t addressed, the back pain may not resolve completely or may become recurring.
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