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This strange brain reaction to pain is called ‘muscle guarding’ 05/16/2025

Muscle guarding is not well known or understood
Although patients often struggle with muscle guarding, physicians, particularly surgeons, aren’t quick to broach the topic, some experts said. “When I mention muscle guarding to clinical practitioners, there’s a little bit of a glimmer of recognition: ‘Oh, I remember learning about that, in class, for maybe 15 minutes,’” Truitt, the neuroscientist, said.

Nick DiNubile, a Philadelphia-area orthopedic surgeon and chief medical adviser of the American Council on Exercise, acknowledged that not taking a proactive approach to rehabilitation is common in surgical medicine. “A lot of doctors take the position: Scar looks good, stitches are out, everything’s okay,” DiNubile said. “They abdicate the role of ensuring that strength and conditioning are restored.”

Williams, the University College London professor said, “Doctors don’t always think about what subconscious messages the patient’s brain is sending to the body. Muscle guarding isn’t under conscious control.”

This strange brain reaction to pain is called ‘muscle guarding’ In muscle guarding, the brain seeks to protect an injured area by subconsciously directing the surrounding muscles to not function, or to lock.

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