State, Not Scar · claim explorer
Claims
24 featured claims with full treatment and a 89-claim unreviewed catalog below. Every claim shows its provenance — most of this case is AI-extracted and unreviewed, and the interface says so.
headline claims
Vascular smooth-muscle tension functions as a memory element that participates in mental life: predictions, held expectations, and the grasping that contemplative traditions call clinging (tanha) have a vascular implementation.
Muscle knots are maintained vascular-autonomic states — microvascular smooth muscle held in the latch-bridge state, producing chronic local ischemia and nociceptor sensitization, with secondary skeletal-muscle guarding — rather than damaged or scarred tissue.
Sustained pressure on a tender point combined with slow exhalation can produce a felt release of the point within seconds.
featured, by theme
The phenomenon at the fingertip9 ▸
Discrete, exquisitely tender points can be palpated in human muscle and fascia.
Such tender points occur commonly across the general population.
Sustained pressure on a tender point combined with slow exhalation can produce a felt release of the point within seconds.
Sustained pressure alone, without breath manipulation, does not release a knot. (True if pressure-only trials produce no felt or measured release where pressure-plus-slow-exhale trials at the same sites do; false if pressure alone suffices.)
Active trigger-point sites differ measurably from control tissue in local biochemistry, stiffness, and blood flow.
In patients with acute cervical pain, pulsatile arteries within 1–2 cm of active upper-trapezius trigger points show a higher Doppler pulsatility index than arteries near palpably normal sites in the same muscle.
Retrograde diastolic flow occurs in arteries near roughly a third (31%) of palpably normal upper-trapezius sites in patients who have trigger points elsewhere in the muscle.
On sonoelastography, active sites had larger trigger point areas (mean ± SD, 0.57 ± 0.20 cm²) than latent sites (0.36 ± 0.16 cm²).
Palpably normal sites had a mean trigger point area of 0.17 ± 0.22 cm² on sonoelastography.
The neural signature3 ▸
Trigger points exhibit sustained spontaneous needle-EMG activity at a millimeter-scale nidus, more prevalent there than at non-tender sites within the same endplate zone and absent at taut-band sites outside the endplate zone.
A purely cognitive stressor selectively increases electrical activity at trigger points while adjacent control sites in the same muscle remain quiet.
The site-selective rise in trigger-point activity under a cognitive stressor is a regional sympathetic vasoconstriction written to a skin territory, as in blushing or blanching. (True if a mental stressor produces a localized fall in skin perfusion over the tender point and not over control skin.)
Attention, breath, and the autonomic lever2 ▸
Slow breathing, particularly extended exhalation, reproducibly shifts autonomic balance toward parasympathetic dominance.
Voluntary attention directed toward an acutely inflamed body site, without change in sympathetic arousal, produces measurably smaller and faster-resolving inflammatory responses than attention directed away.
The latch-bridge3 ▸
Vascular smooth muscle can maintain contractile force for prolonged periods at a small fraction of normal energetic cost after activating signals subside — the latch-bridge state.
If a tender point objectively releases within seconds, the released entity is an actively maintained physiological state, not remodeled tissue structure.
Fascial densification is reversible with pressure, movement, and warmth. (True if hyaluronan viscosity or fascial gliding measures change reversibly under pressure, movement, or warmth.)
Blood and computation1 ▸
The vasocomputation synthesis4 ▸
Vascular smooth-muscle tension functions as a memory element that participates in mental life: predictions, held expectations, and the grasping that contemplative traditions call clinging (tanha) have a vascular implementation.
Muscle knots are maintained vascular-autonomic states — microvascular smooth muscle held in the latch-bridge state, producing chronic local ischemia and nociceptor sensitization, with secondary skeletal-muscle guarding — rather than damaged or scarred tissue.
What holds a knot, on the perforator picture, is a composite of three memory elements rather than one: the vessel's tone, the hyaluronan collar, and the sheet's tether.
In a breath-assisted release, local reperfusion precedes the mechanical stiffness change — blood first, stiffness second. (True if time-resolved Doppler and elastography show the perfusion rise leading the stiffness drop across events; false if stiffness leads or the two are simultaneous.)
The unreviewed catalog
89 claims in the ledger that the current edition does not feature — most extracted from the source literature and imported without individual human review. Each is one atomic statement with its anchor; none carries a judgment until an edition features it and its adopted assessment supplies the full treatment.
The phenomenon at the fingertip48 ▸
The Doppler resistivity index of arteries near upper-trapezius sites does not differ between active trigger-point, latent trigger-point and palpably normal sites.
The obstruction felt at a knot is a dull blockage or refusal to move, qualitatively distinct from the sharp end-range pain of a stretched muscle. (True if blinded subjects reliably classify the two sensations by quality.)
Shear-wave elastography and sensitive small-vessel Doppler can be acquired through the same ultrasound probe at knot depths at frame rates sufficient to observe a seconds-scale release. (True if a commercial or research system demonstrates co-registered stiffness and flow at ≥ several frames per second at 1–4 cm depth.)
Large releases cascade: one cluster letting go is followed by release of neighbouring holdings across a region. (True if a second probe at an adjacent or contralateral site records a release following a primary release more often than chance.)
Recently formed (fresh) knots yield within a single session of pressure-and-breath work. (True if newly formed knots, on consistent report, typically release within one session.)
Long-standing (ancient) knots take months of repeated work to release. (True if old knots, on consistent report, typically require months of repeated work before releasing.)
No published study reports palpable knot burden as a function of age (there is no graph of knot burden versus age). (True if a systematic search finds no such dataset; false if one exists.)
No knot census — no systematic count of palpable knots in a population — has ever been conducted, not even a small or poor-quality one. (True if a systematic search finds no such census; false if one exists.)
Conventional MRI has largely failed to image trigger points.
Trigger points are invisible on T1-weighted MRI.
Rheumatology's fibromyalgia-era 18-site tender-point exam has been applied to community samples.
In community samples examined with the 18-site tender-point exam, tender points are nearly universal.
In those community samples, the median tender-point count is about 6 in women.
In those community samples, the median tender-point count is about 3 in men.
In community samples, fibromyalgia-era 18-site tender-point counts track psychological distress.
In community samples, fibromyalgia-era 18-site tender-point counts track poor sleep.
In community samples, tender-point counts do not track tissue damage.
Elastography aging data show that bulk resting muscle stiffness can fall with age as muscle quality declines. (True if elastography aging studies report declining mean resting stiffness with age.)
Releasing an old, heavily loaded knot cluster can produce a wave of euphoria.
During such a release, warmth floods outward from the release site.
The passage states that if the sparks are hyperventilation, the perfusion changes are global rather than local to the knot.
The passage states that if the sparks are hyperventilation, the perfusion changes are equal at sham sites.
The passage states that if the sparks are hyperventilation, the perfusion changes track carbon dioxide rather than the button press marking the felt release.
Practitioners report a strict order: the sheet-separation phase cannot begin at a site until the knots there are gone. (True if practitioner diaries or a prospective series show separation events only at sites with prior knot clearance.)
Felt releases migrate upstream along a perforator tree toward its root. (True if the sequence of felt release sites in a session tracks the perforator tree's branching order toward its feeding trunk.)
Felt releases queue at the trunk's fascial entry, the root of the tree. (True if, after a session's releases converge, the site where releases accumulate and are replaced by others is the trunk perforator's fascial exit — on the posterior scalp, the occipital artery's entry at the superior nuchal line.)
Release runs upstream because a dilation that begins at a branch propagates along the arteriole wall toward the feeding vessel at millimeters to centimeters per second (conducted vasodilation). (True if a felt traveling release is accompanied by a perfusion wave ascending the tree at that speed.)
Release runs upstream because a downstream vessel cannot stay open while the trunk feeding it is shut, so cleared areas come back until something upstream is also cleared. (True if locally cleared knots recur until the upstream trunk perforator is released.)
Cleared knot areas recur until an upstream site is also cleared. (True if recurrence rate at cleared sites falls after clearance of the upstream trunk relative to before.)
The greater occipital nerve pierces the trapezius aponeurosis beside the occipital artery's emergence through the deep fascia at the superior nuchal line. (True if dissection or ultrasound shows the nerve and artery exiting together there.)
Prolonged manipulation can leave the skin's nerves hypoesthetic. (True if the passage states that prolonged manipulation can reduce sensation in the skin's nerves.)
When the skin's nerves are hypoesthetic, tenderness is not reported even where a perforator is still stuck. (True if the passage states that a damaged finder fails to report tenderness at still-stuck perforators.)
The two states — true knot-free and damaged finder — separate cleanly. (True if the passage states that these two states are cleanly distinguishable by the listed measures.)
A band of connective tissue (the myodural bridge) runs from the rectus capitis posterior minor through the atlanto-occipital interval to the dura mater. (True if dissection or MRI shows the connection.)
Recognized cutaneous nerve entrapment syndromes (anterior cutaneous nerve entrapment, cluneal entrapment, occipital neuralgia, meralgia paresthetica) are discrete tender points where a neurovascular bundle perforates a fascial layer. (True if the clinical descriptions place the tender point at the fascial perforation site.)
The human body carries on average 374 cutaneous perforators of half a millimeter or more (Taylor & Palmer 1987). (True if the primary angiosome mapping reports that mean.)
Inactivating a key trigger point inactivates its satellite trigger points without treating them (Hong & Simons 1993). (True if the primary clinical report shows satellite resolution after key-point treatment alone.)
Skin blood-flow response to nociceptive stimulation is attenuated over latent trigger points relative to control sites. (True if the primary study shows a smaller provoked cutaneous flow rise at latent points.)
Ischemic compression of an active trigger point produces a transient rise in local blood flow measured by an indwelling microdialysis catheter (Moraska et al. 2013). (True if the primary paper reports that flow change.)
A single dry-needling stimulus in the trapezius raised oxygen saturation at the needled site for fifteen minutes (Cagnie et al. 2012).
Sikdar et al. (2009) found trigger points in the upper trapezius to appear as discrete hypoechoic nodules on ultrasound.
Sikdar et al. (2009) found trigger points in the upper trapezius to be stiffer than the surrounding tissue.
Sikdar et al. (2009) found abnormal flow around trigger points in the upper trapezius.
The second family of reported phenomena does not respond to rolling at all. (True if practitioner event logs show no change in these phenomena time-locked to rolling sessions.)
In a community general-practice sample examined with the 18-site tender-point count, some subjects reporting no pain had eleven or more tender points. (True if the survey records subjects in the no-pain group with counts at or above eleven.)
Active trigger point sites were significantly larger than latent sites on vibration elastography (P < .01).
Active trigger point sites had significantly larger areas on vibration elastography than palpably normal sites (P < .01).
Latent trigger point sites had significantly larger areas on vibration elastography than palpably normal sites (P < .01).
The neural signature8 ▸
Endplate noise on needle EMG occurs at some endplate-zone sites that are outside any trigger point, at lower prevalence than at trigger-point sites.
Endplate noise on needle EMG does not occur at taut-band sites that lie outside the motor endplate zone.
The dull, diffuse ache of a knot is carried by unmyelinated interoceptive afferents rather than by the fast myelinated fibers that carry stretch pain. (True if selective nerve-fiber block abolishes knot ache while sparing stretch pain, or vice versa.)
In chronic pain the somatosensory cortical representation of the affected body region is degraded or blurred. (True if cortical mapping in chronic-pain patients shows reduced discrimination or displaced representation of the painful region relative to controls.)
Relaxation training lowers spontaneous needle-EMG activity at trigger points. (True if EMG amplitude at the nidus falls during or after a relaxation procedure relative to baseline, in a controlled recording.)
Local infusion of phentolamine, an alpha-adrenergic blocker, substantially reduces spontaneous electrical activity at a trigger point. (True if a controlled recording shows EMG amplitude at the nidus falling after phentolamine relative to vehicle.)
The 'star' or spark felt when a knot releases is reperfusion paresthesia in the skin territory of one perforator's cutaneous nerve. (True if the felt star maps onto a radial skin patch showing a time-locked perfusion flash; false if perfusion changes are global or absent.)
Needle EMG of equine trigger points records the same spontaneous electrical activity reported in human trigger points. (True if the primary veterinary EMG study reports spontaneous activity at trigger points and not at controls.)
Attention, breath, and the autonomic lever8 ▸
The fascia of the diaphragm is anatomically continuous with the psoas at T12–L1. (True if dissection or imaging shows continuous fascial connection at that level.)
No controlled study has shown cognition or a mental state regenerating an anatomical structure. (True if a systematic search finds none; false if one exists.)
A deep inspiration produces a reflex sympathetic constriction of skin arterioles within about two seconds. (True if laser-Doppler or plethysmographic skin flow falls within ~2 s of an inspiratory gasp in healthy subjects.)
A slow exhale lets constricted skin arterioles reopen. (True if skin perfusion at a fixed site rises during slow exhalation relative to inspiration, time-locked to the breath.)
Pressure applied during an inhale-and-hold fails to release a knot. (True if pressure trials during breath-hold after inspiration produce no felt or measured release where matched exhale trials do.)
Cutaneous microvascular function declines with age.
Resting sympathetic tone rises with age.
The age curves for knot burden and cutaneous microvascular decline have never been laid on top of each other.
The latch-bridge6 ▸
Smooth muscle in the latch state is histologically normal — latched tissue looks normal under a microscope. (True if microscopy of latched versus relaxed vascular smooth muscle shows no structural difference.)
Vascular smooth muscle exhibits hysteresis: two vessels under identical present inputs can be in different contractile states depending on their history over the preceding hour. (True if a preparation's force under a fixed stimulus depends on its prior stimulation sequence.)
The latch is remote-controlled by the autonomic nervous system.
The loose connective tissue around a perforator is rich in hyaluronan. (True if histology or biochemical assay shows elevated hyaluronan in perivascular loose tissue at fascial perforation sites.)
Skin vessels are history-dependent: cold-induced constriction outlasts the cold stimulus. (True if cutaneous flow remains reduced after rewarming for a period exceeding the stimulus.)
The cutaneous perforator bed does not need an economical hold (latch) to keep a knot held.
Blood and computation5 ▸
Dorsal root ganglia lie behind a permeable blood barrier and are directly exposed to vascular chemistry, unlike the brain. (True if tracer studies show substantially higher vascular permeability in DRG than across the blood–brain barrier.)
Peripheral sensory nerve endings are in many cases anatomically wrapped around the vessels whose diameter changes they would sense. (True if histology shows mechanosensory endings apposed to arteriolar walls in peripheral tissue.)
The superficial fascia is richly innervated (Fede et al. 2022).
About a third of the nerve fibers of the superficial fascia are autonomic (Fede et al. 2022).
The autonomic nerve fibers of the superficial fascia are concentrated around its vessels (Fede et al. 2022).
The vasocomputation synthesis3 ▸
The magnitude of euphoria at a release tracks the amplitude of the concurrent stiffness drop. (True if rated release intensity correlates with imaged stiffness change across events.)
The magnitude of euphoria at a release tracks the amplitude of the concurrent perfusion rise. (True if rated release intensity correlates with imaged flow change across events.)
Each of the three elements has hysteresis — each stays where it was put after the input that put it there has gone.
The contemplative maps11 ▸
The traditional contemplative maps place the important knots along the torso's midline and the limbs rather than in the head. (True if a blinded coding of rtsa mdud, granthi and ashi locations finds them concentrated on midline and limbs.)
The kundalini traditions describe granthi-piercing as waves of bliss and light.
Accounts of awakening across traditions and modern first-person reports often describe the decisive moment as a release at the base of the skull. (True if a coded corpus of awakening accounts locates the event there above other body sites.)
About eighty percent of classical acupoints coincide with sites where a neurovascular bundle perforates the superficial fascia (Heine 1988). (True if the primary dissection report gives approximately that figure.)
Langevin and Yandow (2002) found that eighty percent of acupuncture points lie on connective-tissue planes between and within muscles.
Langevin and Yandow (2002) found that half of the meridians lie on connective-tissue planes between and within muscles.
The defining feature of each sinew channel in the text is that it 'knots' (the character jie, to bind or tie) at specific places along its course.
The places where the sinew channels knot are bony prominences: the occiput, the mastoid, the cheekbone, the shoulder, the hip, the knee, the heel.
The Bladder sinew channel knots at the back of the head.
Propagated sensation along a channel is accompanied by a reported rise in skin temperature along the path.
In the largest study of meditation-related experiences, the most common somatic report was pressure or tension that built and then released (Lindahl et al. 2017). (True if the primary paper ranks that category first among somatic reports.)
rejected claims (17) — kept as tombstones so extraction re-runs don't re-propose them
Discrete, exquisitely tender, palpable points occur commonly in human muscle and fascia across the general population.
Refused at the answer's re-reading 2026-09-21 (2026-09-21-answer-vasocomputation-021449): not atomic (Without retrievable source text, quoteInContext, statementSupported and locatorSupported cannot be assessed and are reported false per instruction. The statement bundles two separable propositions—that discrete tender points occur, and that they are common across the general population—the latter of which the cited records (e.g. VASO-E015) explicitly say has never been measured, so it is not atomic. The proposition bears on the case's competing accounts of what muscle knots are, so it is relevant, and as a claim anchor independenceNoted is trivially true.); split into VASO-C190, VASO-C191
The area of reduced vibration amplitude on sonoelastography is larger at active trigger-point sites than at latent sites, and larger at latent sites than at palpably normal sites, in the upper trapezius.
Refused at the answer's re-reading 2026-09-20 (2026-09-20-answer-vasocomputation-172213): not atomic (The quoted text appears exactly in the Results paragraph on trigger point areas and is used in the same sense as the source (active > latent > normal in P<.01 comparisons), and the locator correctly points to that paragraph; the proposition also bears on the case's size/tissue-difference accounts. However, the statement bundles two distinct comparative findings (active-vs-latent and latent-vs-normal) into one sentence, so it is not a single atomic proposition and should be split into two separate claims each judged on its own comparison.); split into VASO-C182, VASO-C183, VASO-C184
Recently formed knots release within a single session of pressure-and-breath work, while long-standing knots require months of repeated work. (True if time-to-release, measured objectively or by consistent report, scales with the knot's age.)
Not atomic (AGENTS.md §3.2): the statement bundled more than one proposition. Split on 2026-09-09 by the atomicity pass (scripts/migrations/2026-09-09-split-compound.ts; reader claude-sonnet-5, splitter claude-fable-5-1) into VASO-C075, VASO-C076; this record stands as the tombstone.
Fascial densification — increased viscosity of the hyaluronan between fascial layers — is reversible by pressure, movement and warmth, and increases with age. (True if hyaluronan viscosity or fascial gliding measures change reversibly under those inputs and worsen with age.)
Not atomic (AGENTS.md §3.2): the statement bundled more than one proposition. Split on 2026-09-09 by the atomicity pass (scripts/migrations/2026-09-09-split-compound.ts; reader claude-sonnet-5, splitter claude-fable-5-1) into VASO-C077; this record stands as the tombstone.
Sympathetic stress chemistry promotes latch-bridge formation, and the nitric-oxide relaxation pathway promotes unlatching. (True if adrenergic agonists increase latch-state force maintenance and NO donors reverse it in vascular smooth-muscle preparations.)
Not atomic (AGENTS.md §3.2): the statement bundled more than one proposition. Split on 2026-09-09 by the atomicity pass (scripts/migrations/2026-09-09-split-compound.ts; reader claude-sonnet-5, splitter claude-fable-5-1) into VASO-C078; this record stands as the tombstone.
No published study reports palpable knot burden as a function of age or its distribution across the body. (True if a systematic search finds no such natural-history dataset; false if one exists.)
Not atomic (AGENTS.md §3.2): the statement bundled more than one proposition. Split on 2026-09-09 by the atomicity pass (scripts/migrations/2026-09-09-split-compound.ts; reader claude-sonnet-5, splitter claude-fable-5-1) into VASO-C079, VASO-C080; this record stands as the tombstone.
Conventional structural MRI largely fails to image trigger points: they are invisible on T1-weighted imaging, with only preliminary promise on T2 mapping. (True if published MRI studies report no reliable T1 correlate of palpated trigger points.)
Not atomic (AGENTS.md §3.2): the statement bundled more than one proposition. Split on 2026-09-09 by the atomicity pass (scripts/migrations/2026-09-09-split-compound.ts; reader claude-sonnet-5, splitter claude-fable-5-1) into VASO-C081, VASO-C082; this record stands as the tombstone.
In community samples examined with the 18-site fibromyalgia tender-point protocol, tender points are nearly universal, with median counts of about 6 in women and 3 in men. (True if a population survey reports those distributions.)
Not atomic (AGENTS.md §3.2): the statement bundled more than one proposition. Split on 2026-09-09 by the atomicity pass (scripts/migrations/2026-09-09-split-compound.ts; reader claude-sonnet-5, splitter claude-fable-5-1) into VASO-C083, VASO-C084, VASO-C085, VASO-C086; this record stands as the tombstone.
Tender-point counts in community samples track psychological distress and poor sleep rather than tissue damage. (True if counts correlate with distress and sleep measures and not with injury or structural-pathology markers.)
Not atomic (AGENTS.md §3.2): the statement bundled more than one proposition. Split on 2026-09-09 by the atomicity pass (scripts/migrations/2026-09-09-split-compound.ts; reader claude-sonnet-5, splitter claude-fable-5-1) into VASO-C087, VASO-C088, VASO-C089; this record stands as the tombstone.
Bulk resting muscle stiffness on elastography can fall with age as muscle quality declines while focal stiff spots accumulate. (True if aging elastography data show declining mean stiffness alongside rising spatial variance or focal-spot count.)
Not atomic (AGENTS.md §3.2): the statement bundled more than one proposition. Split on 2026-09-09 by the atomicity pass (scripts/migrations/2026-09-09-split-compound.ts; reader claude-sonnet-5, splitter claude-fable-5-1) into VASO-C090; this record stands as the tombstone.
Release of an old, heavily loaded knot cluster can produce a wave of euphoria with warmth radiating from the site and minutes of immobility. (True if such events are reported by multiple independent practitioners under standardized questioning and can be rated at the time.)
Not atomic (AGENTS.md §3.2): the statement bundled more than one proposition. Split on 2026-09-09 by the atomicity pass (scripts/migrations/2026-09-09-split-compound.ts; reader claude-sonnet-5, splitter claude-fable-5-1) into VASO-C091, VASO-C092; this record stands as the tombstone.
The magnitude of euphoria at a release tracks the amplitude of the concurrent stiffness drop and perfusion rise. (True if rated release intensity correlates with imaged stiffness and flow changes across events.)
Not atomic (AGENTS.md §3.2): the statement bundled more than one proposition. Split on 2026-09-09 by the atomicity pass (scripts/migrations/2026-09-09-split-compound.ts; reader claude-sonnet-5, splitter claude-fable-5-1) into VASO-C093, VASO-C094; this record stands as the tombstone.
Contemplative traditions describe the untying of bodily knots (rtsa mdud, granthis) as accompanied by bliss and, in deep states, bodily immobility. (True if primary texts of those traditions contain such descriptions.)
Not atomic (AGENTS.md §3.2): the statement bundled more than one proposition. Split on 2026-09-09 by the atomicity pass (scripts/migrations/2026-09-09-split-compound.ts; reader claude-sonnet-5, splitter claude-fable-5-1) into VASO-C095; this record stands as the tombstone.
Drugs that modulate the nitric-oxide pathway or sympathetic tone change how easily knots release. (True if a controlled pharmacological challenge alters release rate or threshold relative to placebo.)
Not atomic (AGENTS.md §3.2): the statement bundled more than one proposition. Split on 2026-09-09 by the atomicity pass (scripts/migrations/2026-09-09-split-compound.ts; reader claude-sonnet-5, splitter claude-fable-5-1) into no part the reader accepted on the same anchor; this record stands as the tombstone.
Active and latent trigger point sites had significantly larger areas on vibration elastography than palpably normal sites (0.17 ± 0.22 cm²; P < .01).
Refused at the answer's re-reading 2026-09-20 (2026-09-20-answer-vasocomputation-192504): not atomic (The quoted sentence appears in Results and is used faithfully, and the normal-site value cited matches the abstract's reported figure, so the anchor is contextually and locator-accurate. However, the statement bundles two separable comparisons—active-vs-normal and latent-vs-normal—into a single claim, even though the ROC/AUC data in the source show these are independently testable relationships (e.g., different AUCs for each pairing), so it is not atomic. The proposition, once split, does bear on the case's competing mechanistic accounts of trigger point structure.); split into VASO-C185, VASO-C186, VASO-C187; the split's parts were corrected by the operator on 2026-09-20 (session_01AiXD4y5Y91KC7iM3uBhWmu, operator-by-hand-v1): VASO-C185, a duplicate of VASO-C184, and VASO-C186, not a proposition of this claim, refused; the two propositions bundled here entered as VASO-C188 and VASO-C189, with VASO-C187 the normal-site value
Active sites had significantly larger trigger point areas than latent sites (P < .01).
Refused by the operator on 2026-09-20 (session_01AiXD4y5Y91KC7iM3uBhWmu, operator-by-hand-v1): a duplicate of VASO-C184 — the same proposition on the same anchor — entered by a split of VASO-C183 that drifted to propositions the compound did not bundle (the GPT-5.6 Sol seat's objection on #372 at cded154).
Trigger point areas assessed by vibration elastography showed trends similar to those of pain pressure threshold scores.
Refused by the operator on 2026-09-20 (session_01AiXD4y5Y91KC7iM3uBhWmu, operator-by-hand-v1): not a proposition VASO-C183 bundled — the anchor's neighbouring sentence on pain-pressure thresholds — entered by a split that drifted (the GPT-5.6 Sol seat's objection on #372 at cded154). The proposition may be proposed on its own with its own anchor.