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This illustration and the explanation below may help to show you how the answer can be "all of the above," and how injuries (even fatigue!) that may seem quite different in origin can cause similar patterns of woe.
The ones depicted above are extremely simple. The direction of the arrows may change, and the original cause of the cycle (strain, sprain, stress, trauma, infection, etc.) is not really the most important factor in this illustration. What is important is that the nature of the cycle is to reinforce and sustain itself unless something interrupts the cycle by driving a wedge somewhere in the arc. The wedges in the picture can be directed at any part of the cycles and can take on a variety of forms. In our care that usually includes manipulation, application of cold packs or hot showers, rest, trigger point pressure, as well as advice regarding stress, posture, exercises, and nutrition. Other forms the wedges can take include, but are not limited to, various medications, injections, surgery, physical therapy modalities, acupuncture, massage therapy, and Yoga. The types of wedges we apply work well in most cases. But we do not argue they are the only answer. Certainly there are many times when we refer to or act in concert with other specialties, and when these "cycle gangs" get broken up it is that they get interrupted that counts, not by whom or where. Gerard E. Sullivan, DC
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Did
I pull a muscle (or hurt a joint ...or "pinch" a nerve)?