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    When Pain Won’t Go Away, A Clear Guide and a Next Step

    Published by The Doctors at Sentinel

    Pain is your body’s alarm system. In a perfect world, the alarm turns on when you’re hurt and turns off when you heal. When it doesn’t work that way, life starts to become difficult. You move less to avoid flare-ups, you don’t sleep as well, stress builds, and simple tasks feel harder. If this sounds like you, we may be able to help the pain with chiropractic care. With the right plan, you can calm your body and begin to feel like you again, without the pain.

    Why Pain Sticks Around

    Pain usually indicates that tissues are irritated from something like a sprain, a tight muscle, or an inflamed joint. Over time, your nervous system can become extra protective of this, reacting to small signals as if they’re big threats. Examples of this could be:

    • A small bend to tie your shoes. Read as: “Last time we bent, the back hurt, danger ahead.” → sharp back twinge, muscle guarding. (When one area of the body is sore, stiff, or weak, your brain shifts the work to other muscles or joints so you can still move. It’s a short-term workaround to protect you.)
    • Sitting 10–20 minutes. Read as: “Pressure on the spine is risky.” → stiff, achy back that feels “stuck” when you stand.
    • A gentle hamstring stretch. Read as: “Tissue might tear.” → sudden tightness or pain that makes you stop.
    • Normal nerve movement with the arm overhead (reaching a shelf). Read as: “Nerve is being pinched.” → zing, tingling, or burning down the arm.

    The signal (touch, stretch, pressure, temperature, emotion, poor sleep) is small, but the meaning your brain gives it is big. That meaning is shaped by past injury, worry, and how well-rested you are. When the system predicts danger, it turns up pain to make you protect the area—even if you aren’t causing new damage.

    Stress and nights when you don’t sleep as well can make this worse. That’s why a stretch that once helped you feel better can suddenly set you off. So, our plan must do two things at once. We help the alarm settle, and we rebuild your body’s capacity. We start with easy movement, then add strength, then add stamina. As your system learns “this is safe,” the alarm can quiet. We move at a pace you can trust.

    What We See Most Often

    In the clinic, we see many cases of long-lasting pain that follow overlapping patterns. Knowing the lead pattern helps us pick the right starting point for you.

    1. Tissue-driven pain. Muscles, ligaments, or joints get irritated after “too much, too soon.” The area feels achy or stiff, and you can usually point to it. As motion improves and we slowly add load, the pain eases up.
    1. Nerve-related pain. An irritated nerve can cause sharp, burning, or tingling feelings that travel down an arm or a leg. We find positions that calm the nerve, use gentle nerve-motion work/spinal adjustments so you can move without a flare.
    1. Sensitivity-driven pain. The original injury is not as disruptive to your day, but the body’s systems stay jumpy. Symptoms can increase or decrease with stress or poor sleep. Short, regular movement, calm breathing, and steady sleep routines help turn the volume down over time.

    Most people have a mix of these pains, and your treatment plan should match your mix.

    Applied Kinesiology

    Applied Kinesiology lets us see these patterns in real time, showing us how the nervous system and muscles are working together. During an exam, your practitioner places an arm or leg in a set position and asks you to “hold” while gentle pressure is applied for a few seconds. 

    A strong and steady hold suggests good control for that motion; a “give” can suggest guarding, fatigue, or poor recruitment. These quick checks can highlight patterns, including what’s overworking, what’s underworking, and where nearby areas are linked (for example, hip control affecting low-back comfort).

    A Gentle Self Assessment

    Use short check-ins to notice patterns. If you see yourself in one or more, it’s a sign that a professional assessment could move you forward! For the full questionnaire, visit our companion post, “Should You See a Chiropractor? A Self-Assessment Guide.”

    Why Pain Flare Ups Happen

    During a flare, your pain threshold briefly drops. The nerves that sense danger (pain-sensing nerves) get extra jumpy, and nearby tissues release “alarm” chemicals. Inside the spinal cord and brain, the volume dial turns up, and your natural pain brakes don’t press as hard—especially when you add in stress or poor sleep. When the body feels safer and sleep improves, those brakes kick back in, and pain sensitivity drifts back toward your normal baseline.

    How To Care For Stubborn Pain

    Good care targets two things at once: the tissues that feel overloaded and the alarm that is reading danger too easily. Hands-on work can lower muscle guarding/compensation and improve joint motion for a time, which gives calmer input to the spinal cord. Movement in your appointment also gives the brain safe, repeated proof that a position or task is okay. Education ties these pieces together so the system predicts safety more often and the alarm does not need to shout.

    Ready to book an appointment?

    Your first appointment is straightforward. We listen to your story and explain what seems to be driving your pain in clear terms. You’ll leave knowing what we found and the next steps we recommend. If you’re ready to take that step, book an appointment or call us at 678-400-4299. We’re here for you.

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