The Functional Unit

This presentation highlights the concept of biotensegrity—the interconnected nature of muscles, ligaments, fascia, and joints—and its role in chronic pain management. Dr. George Chien emphasizes that pain often arises from multiple structures, not a single pathology, requiring a shift from isolated treatments to a comprehensive approach targeting the entire functional unit. Using examples like spine degeneration, SI joint dysfunction, and knee or shoulder injuries, he advocates for precision techniques such as ultrasound-guided injections, regenerative therapies (PRP, BMAC), and fascial considerations. The key message: pain management should address the system holistically, acknowledging the structural and biomechanical relationships that contribute to persistent pain.