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What Is Poor Condition?

If a joint or muscle is injured it can become sensitive and apprehensive. Reflexes and the brain can actively reduce local movement, and recruit other joints and muscles nearby, to protect the injured area.  This scenario is ideal in the short term while the tissues are mending.  It can also be an effective way avoiding pain by shifting movement and load to joints and tissues nearby.

Ideally, normal, confident, well distributed motion is restored as tissues mend in the weeks that follow injury.


The sub-conscious brain has an excellent memory for pain.  Sometimes normal motion is not restored, even if the person ‘feels’ no pain.  This lack of normal use can lead to muscle, ligament or disc weakness over time.  The parts of the brain and nervous system that control and protect the joint can also loose fitness.

Weaker and less coordinated joints are more vulnerable to re-injury (and persisting or increasing apprehension).  This model can explain why pain can recur later at the same site following seemingly trivial events like reaching or picking something up.

Another way that poor condition can get established is though lack of ‘full or varied use’ of a joint or muscle. If the minimum amount of use to keep a joint fit and strong is not met, the joint can become more vulnerable to injury.


An ideal frame (spine, hips & shoulders) is CONFIDENT, STRONG with EVENLY-DISTRIBUTED motion and forces.

At Sure Start Chiropractic we believe that good frame condition comes from a balance of the 5 elements shown below.