Pain Isn’t Always the Source: Why We Don’t Chase Symptoms

Bob Tricomi
on
March 23, 2026

When something hurts, the natural instinct is to focus on that exact spot.

If your neck hurts, you rub your neck.
If your knee hurts, you stretch your knee.
If your low back hurts, you try to loosen the low back.

It makes sense.

But in bodywork, the place that hurts is not always the place that started the problem.

In fact, pain often shows up somewhere different from the place where the underlying tension began.

That’s why we don’t chase symptoms.

Instead, we look for the pattern behind the pain.

Pain Location Isn’t Always the Source

Athlete holding a painful knee illustrating how knee pain can develop from compensation patterns in the body.

Pain tells you where the body feels stress.

But it doesn’t always tell you where the stress started.

For example:

• Shoulder pain can come from restrictions through the rib cage.
• Knee pain can be influenced by tension in the hips.
• Low back discomfort can develop from limited movement in the legs.

The painful area is often the place that is working the hardest to compensate.

Over time, that area carries more load than it should.

Eventually, it starts to complain.

The Body Works as One System

The body is not a collection of isolated parts.

Everything is connected through fascia — the connective tissue network that surrounds and links muscles, joints, and organs.

Because of that connection, tension in one area can influence movement somewhere else.

If tissue stops sliding well in one place, the body adapts.

Other areas begin to work differently.

Those adaptations may not hurt at first.

But over time they can change how force moves through the body.

And eventually, the strain shows up somewhere.

Why Treating Only the Painful Spot Often Doesn’t Last

Man holding his shoulder showing how shoulder pain can result from strain elsewhere in the body

Many people have experienced this:

You get work done on the exact place that hurts.

It feels better for a short time.

Then the discomfort slowly returns.

This doesn’t mean the treatment was wrong.

Often it just means the underlying pattern wasn’t addressed.

If the body is still distributing force unevenly, the same area may continue getting overloaded.

That’s why focusing only on the painful spot sometimes gives temporary relief but not lasting change.

Daily Habits Often Play a Role

Sometimes the patterns behind recurring pain come from small things the body repeats every day.

Long hours sitting at a desk.
Leaning forward toward a computer screen.
Sleeping in positions that place the neck or back under strain.

Individually, these habits may not seem like a big deal.

But when the body repeats them day after day, they can slowly influence how tension moves through the system.

Over time, those patterns may begin showing up somewhere else in the body as pain.

These are often the kinds of daily patterns we look at during an assessment.

Looking for the Pattern

Manual therapist working on a client’s lower back demonstrating treatment focused on the painful area.

Instead of asking only: “Where does it hurt?”

We ask questions like:

• How does the body move as a whole?
• Where does motion stop?
• Where does tension build?
• Which areas are compensating?

Sometimes the place that needs attention is:

• the hips instead of the knee
• the rib cage instead of the shoulder
• the legs instead of the low back

When tension begins to redistribute through the body, the painful area often doesn’t have to work as hard anymore.

And the symptoms can settle down.

This Is Why Assessment Matters

Technique is important.

But technique alone is not enough.

The key is knowing where to apply it.

Two people can have the same symptom — like neck pain — and need completely different work.

One person may have restriction through the shoulders.

Another may have limited movement through the rib cage.

Another may have tension patterns starting in the hips.

Without careful assessment, it’s easy to treat the symptom instead of the cause.

What Fascia-Focused Bodywork Looks For

Fascia-focused bodywork pays attention to how tension moves through the whole body.

We look at things like:

• how weight shifts when you stand
• how the rib cage moves when you breathe
• where motion stops during simple movements
• which areas seem to brace or guard

These clues help reveal the larger pattern behind the pain.

Once those patterns begin to change, pressure often lifts from the painful area.

The Goal Isn’t Just Relief

Of course, reducing pain matters.

But the deeper goal is helping the body distribute force more evenly again.

When that happens:

Movement feels easier.
Strain decreases.
Pain often becomes less frequent or intense.

Not because the symptom was chased.

But because the pattern that created it changed.

The Bigger Picture

Active couple hiking comfortably on a forest trail representing easier movement after tension patterns improve.

Pain is real.

But the place you feel it is not always the place that needs the most attention.

When bodywork looks at the whole system instead of only the symptom, it often reveals connections that aren’t obvious at first.

And that’s where meaningful change can begin.

What If Your Pain Keeps Coming Back?

If your pain keeps returning to the same place, it may not be the true source of the problem.

Fascia-focused bodywork looks at how tension moves through the entire body so we can address the patterns behind the pain.

Book a fascia-focused bodywork session, and we can take a closer look at what your body might be trying to tell you.

Practitioners interested in learning this assessment approach can also explore our bodywork training program.

Bob Tricomi

Bob is the creator of the Tricomi Method®, a fascia-focused approach using heat and tools to release pain quickly and effectively. He works hands-on with clients and trains massage professionals through the Bodywork Masters Training Program.

Pain Isn’t Always the Source: Why We Don’t Chase Symptoms

Bodywork practitioner applying pressure to a client’s upper back while treating a localized area of pain.

When something hurts, the natural instinct is to focus on that exact spot.

If your neck hurts, you rub your neck.
If your knee hurts, you stretch your knee.
If your low back hurts, you try to loosen the low back.

It makes sense.

But in bodywork, the place that hurts is not always the place that started the problem.

In fact, pain often shows up somewhere different from the place where the underlying tension began.

That’s why we don’t chase symptoms.

Instead, we look for the pattern behind the pain.

Pain Location Isn’t Always the Source

Athlete holding a painful knee illustrating how knee pain can develop from compensation patterns in the body.

Pain tells you where the body feels stress.

But it doesn’t always tell you where the stress started.

For example:

• Shoulder pain can come from restrictions through the rib cage.
• Knee pain can be influenced by tension in the hips.
• Low back discomfort can develop from limited movement in the legs.

The painful area is often the place that is working the hardest to compensate.

Over time, that area carries more load than it should.

Eventually, it starts to complain.

The Body Works as One System

The body is not a collection of isolated parts.

Everything is connected through fascia — the connective tissue network that surrounds and links muscles, joints, and organs.

Because of that connection, tension in one area can influence movement somewhere else.

If tissue stops sliding well in one place, the body adapts.

Other areas begin to work differently.

Those adaptations may not hurt at first.

But over time they can change how force moves through the body.

And eventually, the strain shows up somewhere.

Why Treating Only the Painful Spot Often Doesn’t Last

Man holding his shoulder showing how shoulder pain can result from strain elsewhere in the body

Many people have experienced this:

You get work done on the exact place that hurts.

It feels better for a short time.

Then the discomfort slowly returns.

This doesn’t mean the treatment was wrong.

Often it just means the underlying pattern wasn’t addressed.

If the body is still distributing force unevenly, the same area may continue getting overloaded.

That’s why focusing only on the painful spot sometimes gives temporary relief but not lasting change.

Daily Habits Often Play a Role

Sometimes the patterns behind recurring pain come from small things the body repeats every day.

Long hours sitting at a desk.
Leaning forward toward a computer screen.
Sleeping in positions that place the neck or back under strain.

Individually, these habits may not seem like a big deal.

But when the body repeats them day after day, they can slowly influence how tension moves through the system.

Over time, those patterns may begin showing up somewhere else in the body as pain.

These are often the kinds of daily patterns we look at during an assessment.

Looking for the Pattern

Manual therapist working on a client’s lower back demonstrating treatment focused on the painful area.

Instead of asking only: “Where does it hurt?”

We ask questions like:

• How does the body move as a whole?
• Where does motion stop?
• Where does tension build?
• Which areas are compensating?

Sometimes the place that needs attention is:

• the hips instead of the knee
• the rib cage instead of the shoulder
• the legs instead of the low back

When tension begins to redistribute through the body, the painful area often doesn’t have to work as hard anymore.

And the symptoms can settle down.

This Is Why Assessment Matters

Technique is important.

But technique alone is not enough.

The key is knowing where to apply it.

Two people can have the same symptom — like neck pain — and need completely different work.

One person may have restriction through the shoulders.

Another may have limited movement through the rib cage.

Another may have tension patterns starting in the hips.

Without careful assessment, it’s easy to treat the symptom instead of the cause.

What Fascia-Focused Bodywork Looks For

Fascia-focused bodywork pays attention to how tension moves through the whole body.

We look at things like:

• how weight shifts when you stand
• how the rib cage moves when you breathe
• where motion stops during simple movements
• which areas seem to brace or guard

These clues help reveal the larger pattern behind the pain.

Once those patterns begin to change, pressure often lifts from the painful area.

The Goal Isn’t Just Relief

Of course, reducing pain matters.

But the deeper goal is helping the body distribute force more evenly again.

When that happens:

Movement feels easier.
Strain decreases.
Pain often becomes less frequent or intense.

Not because the symptom was chased.

But because the pattern that created it changed.

The Bigger Picture

Active couple hiking comfortably on a forest trail representing easier movement after tension patterns improve.

Pain is real.

But the place you feel it is not always the place that needs the most attention.

When bodywork looks at the whole system instead of only the symptom, it often reveals connections that aren’t obvious at first.

And that’s where meaningful change can begin.

What If Your Pain Keeps Coming Back?

If your pain keeps returning to the same place, it may not be the true source of the problem.

Fascia-focused bodywork looks at how tension moves through the entire body so we can address the patterns behind the pain.

Book a fascia-focused bodywork session, and we can take a closer look at what your body might be trying to tell you.

Practitioners interested in learning this assessment approach can also explore our bodywork training program.