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I’ve never heard them referred to as tightness but it’s whatever, essentially we agree on what’s happening here.Back tightness “refers” to a strain. Medical professionals won’t tell you that you have back tightness. They will say you strained or pulled something.
I said the same thing when this first was reported too. And I agree, it should be called accurately. But “tightness” is dumbed down version of what’s going on.