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Pain patterns28 June 2026

Why the sore spot is not always the source

Pain often draws attention to the area that is irritated, but the pattern feeding it can sit elsewhere in how the body is loading and compensating.

Education note: This article is general education, not a diagnosis or treatment plan. If symptoms are severe, worsening, unusual, or medically concerning, seek appropriate medical care. For persistent or recurring problems, an assessment is needed to understand what is relevant in your case.
At Functional Therapy Adelaide, Eddie uses this kind of reasoning to guide assessment and treatment decisions in the room. The article can explain the lens; it cannot assess your body online.

When something hurts, it is natural to focus on the sore area.

That instinct makes sense. Pain is loud. It points your attention to the part that feels tight, sharp, restricted, or irritated. The problem is that the sore spot is not always the whole story.

In some cases, the painful area is the part carrying the load, not the original driver of the problem.

The signal is not always the source

A painful area can be a signal that the system is under stress. It may be doing more work than it should because another part of the body is not contributing well, moving well, or tolerating load well.

That can happen through:

  • restricted movement elsewhere in the chain
  • protective guarding after previous irritation
  • repeated work, sport, or training loads
  • compensation that shifts stress into a more vulnerable area
  • nervous system sensitivity that keeps the area on alert

None of that means the sore area is irrelevant. It still needs to be assessed. But treating only the sore spot can miss the reason it keeps becoming sore.

Why chasing symptoms can feel frustrating

If the same spot keeps flaring up, settling, and then returning, it may be because the broader pattern has not changed.

You might feel better after rest, massage, medication, stretching, or a quieter week. That can be useful. But if the same loading strategy is still there, the body can drift back into the same problem when life gets busy again.

This is where the question changes from “where does it hurt?” to “what keeps asking this area to work this way?”

What assessment looks for

A Functional Therapy assessment does not ignore the painful area. It looks at the sore region and the surrounding movement chain.

That may include how the body loads through the hips, spine, ribs, shoulders, feet, or pelvis. It may also include how the area behaves under movement, how symptoms change with position or load, and whether protection or compensation is part of the picture.

The aim is not to find a clever-sounding explanation. The aim is to identify what is relevant enough to guide treatment and give you clearer direction.

What to do next

If a sore spot appears once and settles normally, it may not need much attention. If it keeps returning, spreads, worsens, or behaves in a way that does not make sense, it is worth getting assessed.

The point is not to chase pain around the body forever. The point is to understand the pattern well enough to work on what is actually feeding it.

Next step

If the same problem keeps returning, get it assessed.

The article can help with the language. An appointment is where your movement, history, loading, and symptoms are assessed together.