GUEST COLUMN: Pain Management Update - DR.GERRY CATAPANG

PHYSICAL CAUSE OF PAIN: Pain due to trauma, injury, or as a consequence of physical dysfunction will cause the muscles’ guard to protect itself from the pain. Muscle guarding creates muscle tightness. When the muscles become tight, the covering of the muscles, called “fascia” or soft tissue, also becomes tight, making the muscles even tighter. When that occurs, the joint(s) in the spine or extremity also become tight and restricted. Then the levels above and/or below the joint restriction(s) in the spine (the surrounding structures to the extremity) will pull and stretch every time a movement is initiated. The pulling and stretching always leads to pain. Muscle tightening increases and the cycle continues. Therefore, when movement restrictions in the spine are not examined, discovered, and identified, the pain will always be there. As long as movement restrictions are present in the spine and extremities, there will always be compensation. Hence, there will always be PAIN.

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