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um so musculoskeletal conditions are extraordinarily important when we look at medical education um we learn more about the skeleton then we learn about the soft tissues and when you when you take into account the global burden of uh musculoskeletal pain and pain in general myofascial pain plays very strongly and accounts for a great deal of of pathology and of disability its also not well recognized again because it isnt well taught and so if people dont have it on their radar to look for it then they will miss it and they will attribute pain around in and around joints they will simply call that arthritis they will name things as tendonitis or bursitis without really understanding that very often tendinitis and bursitis most often its actually secondary its secondary to a problem with muscle and fascia and the good news about myofascial pain is that it is readily treatable if you know how to diagnose it if you know where to if you know where the bodies are buried uh you can find