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I very much relate to this. I have various off-and-on soft tissue injuries. They mostly seem to come and go for no apparent reason. I've seen doctors for a particularly bothersome one, got an MRI and blood test, only to be told basically, :shrug: I have no idea what's going on, there's nothing to be done. I don't think conventional medicine has much of anything to help with these sort of issues.
At least for me, usually working through it as much as I can is a lot more helpful than any form of treatment. I've had this with certain movements in my knees, one big toe (yeah, I know, weird, but it kind of makes walking tricky), one wrist, and I don't think anything else for a while. The usual pattern is that it starts hurting when I put force on it in some particular way. Trying to avoid putting any force on that joint, and most other typical treatments, doesn't seem to help much. It seems to help a lot more to try to use the joint as much as I can anyways, avoiding whatever specific movement makes it hurt the worst. Usually after keeping on it for a while, the painful motion just stops being painful.
It feels like this is getting a bit rambly, but I basically agree that we don't seem to have any real idea how tendons etc work, and that unconventional things like the use pattern I described seem to help more than anything with as little overall inconvenience as possible.
I have some similar weird ones... Like some tendon under my left knee (only the left!) randomly starts hurting like hell when just walking. No strain, no exercise, nothing. And then if I work it a bit and put some light weight on it, some squats, etc. - the pain disappears. If I just rest it, it also comes away in a while, but takes much longer, like hours or even a day. And it could be gone for weeks and then return randomly again. I mentioned it to several specialists and they're mostly "huh, yeah, it's weird :shrug:".
Yeah that's pretty similar to what mine is like
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Yours sounds like it behaves more like an actual injury. Mine tends to feel better when I'm using it, and tends to flare up when I'm not using it.
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