Hey guys A week ago, I dived deep into mindbody work with "Unlearn your pain" and "psychophysiological disorders". I felt an improvement in my symptoms after 1-2 days. My symptoms are pain in scrotal / perinium area for 8 months. So... I reviewed my daily journey and realized that the last time I had 4-5 days of pain free days, Alan Gordon had responded to a question I had on FB. In included what Alan wrote below. But, there were other days when I was pain free after a TrP session. Anyway after Alan's post, the day after... I was pain free. I'm not sure if it was coincidence, but I was also doing exercise / TrP work during this time so I don't know if it was Alan's words or the physical work that improved my condition. A week ago I went all in on MBS work.. but... After being pain free for 3-4 days, I noticed some pain start to come back. I left it alone for 1-2 days, but the pulsating got worse... So... I did some internal TrP and external TrP work and this time, I did it with the mental frame that "if there are some tightness I'll work on it but just because there's tightness it doesn't mean there should be pain. I'm not doing this to get out of pain, I'm just light attending to any TrPs I may have for good health" However, when I hit some of my lower ab and intrapelvic muscles, I did sense referral pain. That is, press in one area produced pain somewhere else near where my scrotum is (original location when pain started) This got me thinking that, although I am 100% in now with MBS work, there must be some component of this that is physical. What are your thoughts? Thanks Alan's response on FB: "When I had really bad back pain, certain physical interventions helped too. Both a cortisone injection and Rolfing brought me temporary relief. But just because something brings us relief, it doesn’t mean that it’s addressing the cause of our pain. If the brain thinks that something is working, then it can change our interpretation of the sensation. And switch it from dangerous to safe. This is how the placebo effect works. Now, I know when something works for us, it’s really frustrating for someone to say “it was a placebo.” I’ve been on both sides of that conversation. But I will say that there is no evidence in the medical literature that trigger point therapy can reduce or eliminate chronic pain. So two things about muscle tension. 1. If there’s chronic muscle tension, it’s not because there’s anything wrong with the muscles that need to be fixed, it’s because the brain is generating musculoskeletal tension (which happens when we’re in a fight or flight state). So even if we were to manually relax the muscles, in a matter of minutes or hours, they would return to their default state. 2. Even if someone does have chronic muscle tension, studies have found that there’s no correlation between muscle tension and pain. In fact, many people who overcome neuroplastic pain have just as much musculoskeletal tension as they did before. So to answer your question, a combination of mindbody work and trigger point work is kind of counterintuitive. Trigger point work reinforces that there’s a problem with our bodies which needs to be fixed. And this undermines the very premise of mindbody work - that our bodies are healthy and our brains are simply misinterpretating signals as dangerous."