Why are doctors particularly poor in detecting the causes of musculo skeletal disorder?
The reason why doctors are particularly ignorant of this problem is that they do not use their hands to physically check various muscles for tightness. Not once did any doctor ever physically feel for tightness in various muscles, or even check for tightness in other ways.
At least since 1998 (without my knowing it) many of my muscles had practically become either like long and tight ropes or like hard golf balls. Once the myotherapist showed me these extremely tight muscles in my body it seemed that anyone with a bit of training could detect these tight muscles. Of course, after his two years of professional training and many years of experience, my myotherapist was able to detect tightness even in the deepest muscles, and hone on to the most painful spots, which he worked on extremely hard pressure (screaming with pain during this kind of hard treatment is a common occurrence).
It seems obvious now, in retrospect, that a person who fully understands a) anatomy and b) biomechanics, and c) has physically experienced the structure and texture of varieties of muscles in different states of tension, is the best person to understand a musculo-skeletal disorder. Doctors may specialise in different parts of the body, but do not understand muscles as one unit nor have any experience of physically distinguishing the characteristics of muscles in different conditions of stress and tension. No wonder they are so poor at fixing RSI type disorders.
From my experience I also find that physiotherapists generally do not understand muscles well, in particular bio-mechanics, though one of them detected tightness in my upper back, causing me to go down this path treatment on my own. They also tend to treat muscles like crystal glass, whereas muscles and related tendons can undergo enormous pressure without suffering any harm, indeed, that seems to be the only way to permanently break the enormous tightness that can occur in the muscles.
On the other side, myotherapy has its limitations. it is not enough to simply break down the tightness and tension in the muscles. Muscles seem to have an enormous memory and revert back to their preferred position, practically nullifying the work of myotherapy. To break this cycle of reversion to tightness, muscles need to be taught new positions with will lead to new memory. Without it there are constant ups and downs, with almost all pain coming back again.
Is this part – of retraining muscles, that clinical Pilates seems to do extremely well, though it has an underlying theory (core muscles) that may not be quite relevant. The fact that different exercises are performed under conditions that ensure that other muscles are relaxed seems to be the underlying principle behind retraining of the muscles. Core muscles may have something to do with it, though I don’t think my shoulder muscle exercises had much to do with core muscle strength.