
You're driving down a highway at night, and suddenly your engine explodes without warning. No check engine light, no strange sounds, no indication whatsoever that catastrophe was imminent. You'd be shocked, confused, and probably furious that your car gave you no warning signs.
Yet this is exactly what happens with connective tissue injuries—and groundbreaking research is finally explaining why.
The revolutionary study by Schilder and colleagues (2018) unveiled a profound truth about pain that has been hiding in plain sight: the pain you feel from your muscles is fundamentally different from the pain in your fascia and other connective tissues.
This isn't just an academic distinction—it's the explanation for why you may have been blindsided by "sudden" injuries that seemed to come out of nowhere.
When your muscles are damaged, they scream immediately.
The pain is sharp, clear, and impossible to ignore—like a fire alarm blaring at the first hint of smoke. Your brain receives this urgent message and makes immediate adjustments to protect you. This is a beautifully effective warning system, evolved over millions of years to safeguard your survival.
But your fascia? It whispers. Sometimes, it doesn't speak at all.
Fascia uses a completely different language of pain—one that's subtle, gradual, and easily misinterpreted or completely missed.
In a nutshell, this is because regions of the locomotor system are innervated according to their role in the continuum, so different types of fascia prioritize different kinds of sensory stimuli.
This helps us understand that the fascia isn't failing us; rather, it has evolved to constrain its bandwidth. Much of fascia's innervation bandwidth is taken up with proprioception rather than pain. Check out this paper by Fede et al, Evidence of a new hidden neural network into deep fasciae, for more about how this works.
As Schilder's team discovered, fascial pain develops slowly, building beneath your conscious awareness like water gradually rising behind a dam. By the time you actually feel significant pain, the damage has often been accumulating for weeks, months, or even years.
The Terrifying "Silent Injury Period"
This is where Kondrup's research (2022) becomes particularly chilling.
What they've labeled the "silent injury period" is essentially a betrayal by your body's own warning systems. During this time, your connective tissues are being damaged with every repetitive movement, every overzealous stretch, every "one more rep" when your form begins to falter—but you feel nothing.
Nothing.
Until suddenly, everything falls apart.
That "out of nowhere" Achilles rupture during a casual jog? It wasn't sudden at all. The tissue had likely been progressively weakening for months.
That "mysterious" frozen shoulder that developed after just one slightly awkward reach? The fascial restrictions had been silently building for far longer than you realized.
What makes this especially devastating is the timing: by the time you finally feel significant pain, the damage is extensive, the inflammation is rampant, and the road to recovery is long. The pain that finally gets your attention isn't the beginning of the problem—it's often the culmination of a long, silent crisis.
The Emotional Weight of Invisible Damage
There's something profoundly unsettling about realizing your body can be damaged without your knowledge. We expect pain to be honest—to warn us promptly when something's wrong. Finding out that fascia doesn't play by these rules can shake your trust in your own body's feedback.
This also explains the psychological toll of connective tissue injuries. The person who tears their ACL "just walking" or develops debilitating plantar fasciitis "overnight" isn't imagining things or being dramatic—they're experiencing the sudden revelation of damage that has been silently building beneath their awareness.
And the frustration deepens when they seek help and hear: "Well, these things take time to develop." Yes, they do—but the crucial point is that our bodies often don't tell us until it's too late.
A New Relationship With Your Body's Signals
Understanding this research doesn't just explain injuries—it provides a pathway to preventing them. If you can't rely on pain to warn you early enough, you need to develop a more sophisticated relationship with your body's subtler signals:
-
That slight stiffness in your Achilles in the morning? Not normal, not "just aging"—it's your fascia whispering that something's wrong.
-
The barely perceptible change in how your shoulder moves during your yoga practice? It's speaking to you in the only way it can.
-
The weird "catching" sensation in your knee during certain movements? That's your connective tissue trying desperately to get your attention before catastrophe strikes.
The most powerful takeaway from this research is both sobering and empowering: you can't wait for pain to guide your training decisions when it comes to connective tissue.
By the time fascial pain becomes unmistakable, you're not at the beginning of a problem—you're deep in the middle of one.
This means that respecting the biological adaptation timelines of connective tissue isn't just about optimal performance—it's about protecting yourself from invisible damage that accumulates silently, relentlessly in the background of your active life.
The choice is stark but clear: learn to listen to the whispers of your fascia now, or learn to live with its groans later on.
Check out these related posts:
Spiral Motion Yoga and Metabolic Health (Part 7): Cosmic Spirality
Microtrauma vs. Conditioning: What We Think Is True
The Silent Betrayal: When Your Body's Warning System Fails You
References
Kondrup, F., Gaudreault, N., & Venne, G. (2022). The deep fascia and its role in chronic pain and pathological conditions: A review. Clinical Anatomy, 35, 649-659. https://doi.org/10.1002/ca.23882
Maffulli, N., Ewen, S., Waterston, S., Reaper, J., & Barrass, V. (2000). Tenocytes from ruptured and tendinopathic Achilles tendons produce greater quantities of type III collagen than tenocytes from normal Achilles tendons: An in vitro model of human tendon healing. The American Journal of Sports Medicine, 28(4), 499-505. https://doi.org/10.1177/03635465000280040901
Patterson-Kane, J., Wilson, A., Firth, E., Parry, D., & Goodship, A. (1997). Comparison of collagen fibril populations in the superficial digital flexor tendons of exercised and nonexercised thoroughbreds. Equine Veterinary Journal, 29(2), 121-125. https://doi.org/10.1111/j.2042-3306.1997.tb01653.x
Schilder, A., Magerl, W., Klein, T., & Treede, R. (2018). Assessment of pain quality reveals distinct differences between nociceptive innervation of low back fascia and muscle in humans. Pain Reports, 3. https://doi.org/10.1097/PR9.0000000000000662
Stay connected with news and updates!
Join my mailing list and receive the latest on spiral motion, metabolism, and more.
Don't worry, your information will not be shared.
Your data is respected.