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The acute inflammatory response to soft tissue trauma creates the biochemical milieuof elevated substance P, cytokinesa andprostaglandinsn thatsensitizes nociceptors andpromotes trigger point persistence.ce Postural changes adopted to avoid pain β protective splinting, head-forward posture, asymmetric weight-bearing β create new mechanical stresses that spread trigger point activity beyond the original injury site The importance of early intervention: Research consistently demonstrates that early, comprehensive treatment of post-traumatic myofascial pain significantly reduces the risk of chronification β the conversion of acute musculoskeletal pain into chronic pain
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