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Muscle Pain

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Lee Wickham DC FRCC

Lee Wickham DC FRCC

I'm a non spine-centric Chiropractor and a 'Neuroplasticity' advocate, who believes in variety of movement.

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Commonly muscular pain is talked about when a person considers their pain to be a non serious pain. However muscle pain can be intense, constant, long lasting, and out of proportion with the severity of actual tissue damage.

One component of muscular injury is hypo-perfusion of blood. Anything that can cause a reduction of blood to the muscle can give rise to pain. This could be a magnesium to calcium ratio imbalance, a short term increase in muscle use, normal regeneration of muscle tissue (we break down and build muscle every day), exercise induced break down and build up of muscular tissue (over done it or DOMS), poor posture, or disuse atrophy (yes doing nothing can give rise to a pain experience!).

Mechanisms of Myofascial Pain were further elaborated in a recent paper (1). In which trigger points were talked about. I have worked to understand trigger points for the last 20 years, including seeing a paper written by an Orthopeadic Surgeon in a prominent Journal that trigger points do not exist. If I find a prominent point that triggers pain then I’ll call it a trigger point, controversially, even when no twitch response exists. Trigger points are well established in their pain referral. A quick Google and you’ll see the images of where muscles can refer their pain.

When looking to resolve muscular pain approaches of paracetamol, ibuprofen, codeine, capsaicin amongst others are all products to help you cover up the experience of having pain. A Chiropractor may be able to offer a muscle a way of not only resolving the cause of muscular dysfunction and hypo perfusion but also to aid the rehabilitation of training your muscles to ‘centrate’ around your joints. AKA Muscular Balance. If you believe you have muscular pain and it has lasted more than 3 days then consulting with a Chiropractor may be just what your body ordered. Before you get used to it and your symptoms die away anyway. Leaving you thinking that you’ve gotten over the issue yet future re-occurrences will inform you that you did not.

The question to ask yourself is when my muscle pain symptoms ‘settle down’ have I gotten used to it or have I healed it? The phenomenon is called ‘accommodation’ in Neurology. Accommodation is what happens when you are in a bad smell- you get used to it, and it is, as if the bad smell had gone away…

 

(1) Saleet-Jafri, M (2014). Mechanisms of Myofascial Pain, A Review Article. doi: 10.1155/2014/523924


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