Many patients present to my clinic with pain of unknown onset. That is to say, people develop pain either spontaneously or over the course of days, without having a clear incident that can be held responsible.


It’s typical in these cases for people to either a) blame their bed, their desk, or an old incident from years before, or alternatively b) become distressed because there is no clear factor.


We know that immune system compromise can be the cause of such pains. We also know that many factors can influence immune system compromise. These are things that people don’t normally consider. So here are a few things that I will ask my patients in a time like this. Are any of these applicable to you?


  • Travel
  • Fatigue
  • Poor sleep
  • Increased stress
  • Increased anxiety
  • Loss of loved ones
  • Relationship woes
  • Colds or flus
  • Work changes
  • Exercise or training alterations


If we can identify such elements, we can formulate an appropriate plan to manage things. In these cases, I typically won’t treat patients with lots of hands on, we often just need to modify the trigger and things settle well. Keep in mind that distress about pain in itself can make things hang around. So, if we can remove distress, things often settle of their own accord.


In Clinic.