Stop Recurring Pain with Smarter Recovery Strategies

Top Reasons Your Pain Comes Back after Treatment

If pain keeps coming back, your recovery plan may be missing something. Learn how to prevent recurring pain and strengthen key problem areas.
Read Time: 6 minutes
Feb 21, 2025

Many people go through physical therapy, feel better for a while, and then find their pain returning months later. If this sounds familiar, you may be missing a crucial part of your recovery plan. Proper healing isn’t just about treating symptoms—it’s about addressing the root cause of the pain. Without identifying and correcting the underlying issue, relief is often temporary, and discomfort eventually returns. Working with a specialist in orthopedic physical therapy can help uncover movement imbalances and weaknesses that may be contributing to your pain.

Are You Treating the Pain or the Cause?

Many treatment plans focus on short-term relief rather than long-term correction. While pain management techniques such as stretching, heat therapy, or massage can offer temporary relief, they don’t always solve the underlying issue. If muscle imbalances, improper movement patterns, or weak stabilizing muscles aren’t addressed, your body will eventually revert to the same pain-inducing habits. This is especially true for common problem areas like the lower back, hips, and shoulders, which often require ongoing strengthening and mobility work to prevent flare-ups.

Key Factors That Contribute to Recurring Pain

  • Poor Posture: Sitting or standing with improper posture can strain muscles and joints, leading to chronic pain.
  • Muscle Weakness: Weak or underused muscles force other areas of the body to compensate, increasing the risk of discomfort.
  • Lack of Mobility Work: Stiff joints and tight muscles limit movement efficiency, which can lead to stress and irritation over time.
Grid of photos showing muscle-related Physical Therapy

Body Parts Most Affected by Recurring Pain

Recurring pain often happens in the same key areas of the body, especially when old injuries or weaknesses aren’t fully addressed. Whether you experience discomfort in your lower back, shoulders, or hips, each area has unique causes and solutions. Understanding the specific nature of your pain can help guide your recovery process and prevent setbacks.

  • Lower Back Pain: Many people struggle with low back pain due to weak core muscles and prolonged sitting.
  • Foot Pain: Issues like plantar fasciitis and arch instability can cause foot pain to keep coming back without proper support and strengthening.
  • Hip Pain: Muscle imbalances, tight hip flexors, or previous injuries can result in chronic hip pain if not addressed with targeted therapy.
  • Muscle Strains: Recurrent muscle strains often happen when weak muscles are pushed too hard or aren’t given time to recover fully.
  • Shoulder Pain: Poor posture, repetitive movements, or past injuries can lead to ongoing shoulder pain, especially in athletes and desk workers.
Inside of PT Effect office showing equipment for strength training

The Role of Strength and Mobility in Recovery

Weak or underused muscles can lead to improper movement mechanics, placing stress on joints and tissues. Strength training and mobility work are key to long-term pain relief, as they help retrain the body to move efficiently and without compensation. Without improving mobility and stability, the same pain patterns will continue to resurface, even after initial therapy sessions. Incorporating strength exercises tailored to your specific condition can be the missing piece in breaking the cycle of recurring pain.

Why Strength Training Matters

Building strength ensures that your body can support movement without strain. Many physical therapy programs incorporate functional strength exercises, but ongoing training is necessary to maintain results. Exercises that target core stability, joint strength, and muscle endurance can drastically reduce the likelihood of pain returning.

Take Control of Your Recovery

If your pain keeps coming back, it may be time to reassess your treatment approach. Addressing only the symptoms won’t create lasting relief—you need a comprehensive plan that focuses on strengthening, mobility, and long-term movement efficiency. Our team is here to help you find the missing piece in your recovery journey.

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For informational purposes only.

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Mark Shulman

Dr. Mark Shulman

Doctor of Physical Therapy (DPT), FAAOMPT, COMT, CSCS

Founder

Fellow of the American Academy of Orthopaedic Manual Physical Therapists.


Mark Shulman

Dr. Allison McKay

Doctor of Physical Therapy (DPT), PRPC

Co-Founder


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info@pteffect.com

Fax: (619) 544-1056

The Physical Therapy Effect

1601 Kettner Blvd Suite 11
San Diego, CA 92101

The Physical Therapy Effect

1 Creekside Dr. Unit 100
San Marcos, CA 92078