Pain – Spasm – Pain

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Much has been written in manual therapy texts about loss of flexibility and range of motion due to fascial contractures, trigger points, ligament fibrosis, spasmodic muscles and the like, with less emphasis placed on the neurology that may be initiating these soft tissue changes. This article offers some thoughts on how spinal soft tissues such as joint capsules, facet joints, ligaments, and deep intrinsic (groove) muscles decompensate causing altered movement patterns and pain-generating cycles.

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