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What Creates Pain?

Last updated:
9 July 2026
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Written by
Kathryn Merrow
,
Neuromuscular Massage Therapist
This article was reviewed for accuracy by 
Linda Hayes
, BSc Microbiology and Laboratory Medicine.

In This Article

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Did you ever think that there may be a simple, logical reason for most of your pain?

I’m going to share a secret with you. This is not something most doctors learned in school. That is why they cannot share it with you.

The most common reason for pain is, are you ready, muscle imbalance.

Let’s say that I sit for eight hours a day at a desk. Maybe I walk around for ten minutes during the whole day. My muscles get used to being in that seated position. Some muscles are shortened in that position. Some muscles are being unused, so they shut off.

Or maybe I drive around all day in my pickup. I like to stick my left elbow out the window and keep my right hand down low, on the gear shift. Of course, I have my right foot on the accelerator.

By and by, when I get out of my truck, those muscles will stay where they have become used to being. My muscles now think that this new position is comfortable. Now when I sit on the couch, I assume the same posture, because now it is “comfortable.”

We are always most comfortable in our dysfunction. Whatever we get used to is what feels comfortable to us.

Is it best for us? Will it help us grow older strong and straight?

The answers are no.

What muscle imbalance does do is cause us pain. Sometimes current pain, always future pain.

When we lose that nice balance we used to have, when we were toddlers, we are setting ourselves up for future pain and dysfunction.

Headaches, migraines, neck and shoulder pain are all caused by muscles complaining. Upper and lower back pain, carpal tunnel pain, almost any pain you experience is caused by muscles. When muscles are unhappy, they complain. When muscles complain, you experience pain.

It is never too late to get back into balance, and start getting out of pain. It takes some work and dedication, but is well worth the payoff: Having straight posture with a strong back will take us into old age in a healthy, happy body.

If you are already doing an exercise program of some sort, be sure to incorporate exercises to strengthen the backside of your body from neck to knees. Squeeze your shoulder blades toward your spine. Do exercises to strengthen your shin muscles.

Get more information on how to strengthen your whole backside at SimpleStrengthening.com.

Be strong and be happy.

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A note from Kathryn: I am not a medical doctor. I am someone with a lot of experience and training in how bodies get pain and how they get rid of it. The information here is educational and based on my 40+ years as a neuromuscular therapist. If your pain continues, gets worse, or you are worried about it, please see your doctor or a specialist. Your body is worth it.
About the writer
Kathryn Merrow is a neuromuscular therapist with more than 40 years of experience helping people find the causes of their muscle pain and release it naturally. Known as The Pain Relief Coach, she teaches simple, logical ways to understand your body so you can get rid of pain instead of just managing it. Pain is a symptom. Kathryn helps you treat the cause.
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