Trigger points – highly irritable points that may refer pain to a different area of the body.

Nerve entrapment or compression – when a nerve gets pressed or compressed by surrounding muscule or tissue, it can cause chronic pain.

Postural distortion – If muscles are underdeveloped on one side due to self-splinting to avoid pain, those underdeveloped muscles can weaken causing your posture to alter.

Nutrition – Muscles require adequate nutrition to build and to heal. If a muscle lacks blood blow, it also lacks nutrition.

Ischemia – An injured muscle may get very little blood flow resulting in low amounts of oxygen and nutrients reaching the muscle which will greatly delay healing.

Stress – Stress plays havoc with how our nervous system and musculoskeletal systems work together.