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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
Tom Myers is well known to have disseminated knowledge of human anatomy whilst attempting to tie into his Rolfing practice the felt experience of having a human body. Myers has been touted as the Father of Fascia, quoted by a Canadian Masseur come science writer as being ‘over it'(1).
The architecture of the cell is remarkable for many reasons, the one of importance here is that when a cell is under tension from its environment as opposed to tension within its inner environment a change in genetic expression occurs. Yes! The nucleus of a cell alters the expression of its available genes from external tension placed upon the cell. If my body to some degree is a collection of cells that exist within the medium of my connective tissue. Then differences in connective tissue tensions have a genetic difference in how my cells within my body express the 23,000 (ish) genes I possess.
Allowing for markedly different function(s) to occur in adjacent areas of the body. Undoubtedly in my mind having an effect upon the mechanics of the area and the felt sense of the area and of the inner experience of the area; not to mention a different physiology of the area. A different genetic expression may give rise to a strength, or a vulnerability, altering ones health.
Is the falling rate of male fertility in modern society a result of immune system dysfunction? eg leukocytospermia. The dysfunction of white blood cells has been linked to MMP signalling proteins which also interact with c fibres of the nervous system (a route to give a pain signal). To summarise genetic expression, immune function and pain levels are all linked by science to connective tissue tension (aka fascia).
Are the rising levels of immune dysfunction (demonstrated by an over reliance upon antibiotics), the rise in autoimmunity disease rates and the rise in medically unexplained symptoms all a function of a change in the tensions placed upon our body tissues, because we just do not move as much as we did?
Fascia is one view of the body and in itself is not representative of the entire conglomerate of the human body and tells us nothing of the human (interoceptive) experience of having a body. A professional body worker (dancer yogi Qi Gong instructor included) would be well advised to have an adaptable view of the human body and not become any one tissue centric about their approach. After all as a teacher, instructor, therapist, chiropractor, osteopath or physiotherapist the outcome of a patient is not a function of how right you are!
Keep going science you have a long way from which to ‘catch up’!
(1) Ingraham P Does Fascia Matter? A Science Review of Fascia
Chiropractic Care includes the interventions and advice given to you by your Chiropractor in your treatment session. I don’t really know why but some people save up a long list of things for their Chiropractor to ‘fix’ during a session. Perhaps it is value for money or not feeling as though you need much help until there are a lot of things to get fixed. You’ll have to decide for yourself…
When something for whatever reason goes wrong in your body, your body in another area will compensate or try to help and this process of help will continue until you die unless the original problem is ‘fixed’. Leaving it a longer time frame just means more compensations and more compensations make it harder to find the start of the chain of compensations (the real problem).
Getting the best from your Chiropractor would involve the 3 day rule (if you are not fixing your symptom within 72 hours then you are incorporating it into a new normal and not fixing it. This is why most niggles clear up in a few days. getting an appointment on day 4-10 is optimal.
To get value for your money have a check up / treatment 1-4 times a year and get an appointment for a new symptom between day 4 and 10 of when it first started as long as it lasts more than 3 days. If it went away in less than 72 hours there is no need to see your Chiropractor.
Two recent studies seem to have conjoined in my mind; one is from Zurich University Chiropractic department showing brain activity relative to lumbar spine pressure such as might happen in low back pain syndromes. The other is about training mice to ‘fear’ a smell across their generations controlling for nurture. Answering the long debate of nature versus nurture. Researchers showed that without nurture the cue for a fear response can still be passed on.
The first study carried out in Zurich; showed that back pain is linked to a part (nucleus) of the brain involved in social pain. What if we as humans could pass on in our genes information that affects the life experience of the next generation? You may find yourself as an individual with a back symptom from ‘nowhere’ due to an ancestral social cue. In generations passed going out of favour with the group could have had deadly consequences.
The second study was published in Nature Neuroscience (2014; 17, 89-96) demonstrating a transference of a fear response genetically; without nurture. The mice were shown to pass on a (protective) smell memory to their children and their grandchildren (F2).
If we as a species can have an ancestral cue for a social stress causing back pain passed on from family member to family member and social stress is not considered in your care plan. You could be forgiven for thinking that you have to ‘live’ with pain. Identifying potential cues from your environment ‘stressors’ to your behaviours, thoughts and/or feelings can be methodologically worked through. Whilst you figure out the cues to your stresses consider having body work to help you with accumulation. Accumulation in my opinion can make your condition worse.
I think when human body tissues are abnormally loaded the tissues do not undergo a training effect and instead are strained. Having a genetic fear response in social conditions where I reflexively squeeze my back muscles from an unidentified cue, providing pressure on my vertebrae, would be an abnormal load; like a repetitive strain scenario on the low back tissues of the body. Choose fascia first chiropractic it is more than a ‘quick click’.