Understanding Tissues & Pain Mechanisms in Rehab episode artwork

EPISODE · Mar 21, 2025 · 1H 12M

Understanding Tissues & Pain Mechanisms in Rehab

from Past Your Prime · host Craig Smith - Pain Expert; Alex Keicher - Athlete; Smith Performance Center

Check us out at Past Your Prime Website.SummaryEver finished a workout feeling fine, only to wake up the next day feeling like you got hit by a truck? You’re not alone. In this episode, we’re diving deep into the nine tissues that cause pain and the pain mechanisms behind them—so you can stop making the same mistakes in your rehab.Injury UpdatesBefore we get into the nitty-gritty, Craig and Alex share their latest injury reports:Alex’s wrist: Still nagging, still avoiding Craig’s attempts to mobilize it.Craig’s neck: Feels great! But a recent burpee challenge made his back question all life decisions.Alex’s mile run: Somehow a bigger deal than Craig’s 150 burpees.Main Topic: The Nine Tissues & How They Respond to LoadUnderstanding which tissue is injured changes everything in your recovery. We break down: ✔️ Signs of overload for each tissue (so you know when you’re pushing too far) ✔️ Realistic healing timelines (spoiler: they’re longer than you want) ✔️ How to modify training to stay active without making things worseThe Nine Tissues:Bone – Handles force, but if it starts aching, you’re in trouble.Joint – Don’t stretch an irritated joint. Just don’t.Disc – Your spine’s shock absorbers, but they don’t love being compressed all day.Ligament – Stabilizes joints but takes forever to heal if you blow one out.Muscle – Overloading? Watch for excessive soreness and trigger points.Tendon – Loves load, but overdo it and you’re in for a long, painful rehab.Tenosynovium – A fancy name for tendon sheaths. Mess with them, and you’ll regret it.Nerve – Sends electric shock signals when irritated. If that’s happening, back off.Fascia – The mysterious one. Some swear it causes all pain, but we’re still skeptical.Pain Mechanisms: Why Your Pain Might Not Be What You ThinkPain isn’t always tied to tissue damage. We break down the three pain mechanisms:Nociceptive Pain – The "normal" pain from damaged tissue.Neuropathic Pain – The shocking, burning, or tingling pain when nerves are irritated.Nociplastic Pain – The frustrating one, where the nervous system amplifies pain even after the injury should be gone.Key Takeaways🔹 Pain during a workout ≠ pain after a workout. Learn to recognize the difference. 🔹 Your tissue capacity matters more than how “hard” a workout feels. If you’re constantly sore or in pain, something’s off. 🔹 Rehab mistakes can prolong your recovery. Stretching a nerve? Bad idea. Ignoring a joint injury? Worse idea.🎤 Want us to dive into your pain? Drop a comment, and we’ll break it down in a future episode.🔹 Like, follow, share, and subscribe! Because nothing helps ease pain like knowing you're not alone.

Check us out at Past Your Prime Website.SummaryEver finished a workout feeling fine, only to wake up the next day feeling like you got hit by a truck? You’re not alone. In this episode, we’re diving deep into the nine tissues that cause pain and the pain mechanisms behind them—so you can stop making the same mistakes in your rehab.Injury UpdatesBefore we get into the nitty-gritty, Craig and Alex share their latest injury reports:Alex’s wrist: Still nagging, still avoiding Craig’s attempts to mobilize it.Craig’s neck: Feels great! But a recent burpee challenge made his back question all life decisions.Alex’s mile run: Somehow a bigger deal than Craig’s 150 burpees.Main Topic: The Nine Tissues & How They Respond to LoadUnderstanding which tissue is injured changes everything in your recovery. We break down: ✔️ Signs of overload for each tissue (so you know when you’re pushing too far) ✔️ Realistic healing timelines (spoiler: they’re longer than you want) ✔️ How to modify training to stay active without making things worseThe Nine Tissues:Bone – Handles force, but if it starts aching, you’re in trouble.Joint – Don’t stretch an irritated joint. Just don’t.Disc – Your spine’s shock absorbers, but they don’t love being compressed all day.Ligament – Stabilizes joints but takes forever to heal if you blow one out.Muscle – Overloading? Watch for excessive soreness and trigger points.Tendon – Loves load, but overdo it and you’re in for a long, painful rehab.Tenosynovium – A fancy name for tendon sheaths. Mess with them, and you’ll regret it.Nerve – Sends electric shock signals when irritated. If that’s happening, back off.Fascia – The mysterious one. Some swear it causes all pain, but we’re still skeptical.Pain Mechanisms: Why Your Pain Might Not Be What You ThinkPain isn’t always tied to tissue damage. We break down the three pain mechanisms:Nociceptive Pain – The "normal" pain from damaged tissue.Neuropathic Pain – The shocking, burning, or tingling pain when nerves are irritated.Nociplastic Pain – The frustrating one, where the nervous system amplifies pain even after the injury should be gone.Key Takeaways🔹 Pain during a workout ≠ pain after a workout. Learn to recognize the difference. 🔹 Your tissue capacity matters more than how “hard” a workout feels. If you’re constantly sore or in pain, something’s off. 🔹 Rehab mistakes can prolong your recovery. Stretching a nerve? Bad idea. Ignoring a joint injury? Worse idea.🎤 Want us to dive into your pain? Drop a comment, and we’ll break it down in a future episode.🔹 Like, follow, share, and subscribe! Because nothing helps ease pain like knowing you're not alone.

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Understanding Tissues & Pain Mechanisms in Rehab

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This episode is 1 hour and 12 minutes long.

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This episode was published on March 21, 2025.

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Check us out at Past Your Prime Website.SummaryEver finished a workout feeling fine, only to wake up the next day feeling like you got hit by a truck? You’re not alone. In this episode, we’re diving deep into the nine tissues that cause pain and the...

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