The Precision Method by Emerson M. F. Jou, M.D.
No Drugs! No Injections! No Surgery!

There is a misconception among healthcare providers and general public about back pain. In car accident, slip/fall, sprain/strain, sports, soft tissue injury (muscle/fascia strain) is the true cause of pain, not disc herniation (pinched nerve) or other conditions of the spine. Such injury can be diagnosed through manual examination of the involved muscle/fascia for tenderness, tightness, weakness, limited motion and postural changes. X-rays and MRI are not needed. Acute and chronic back pain can be treated successfully and cost-effectively within a short period of time focusing on soft tissue release with light touch (Touch-and-Hold & Stretch-and-Hold of The Precision Method) but not by surgery, injection, medication, exercise, acupuncture or manipulation. Without proper treatment, it may remain unresolved and disabling for years. A diagnosis with no regard to soft tissue injury is deemed to be a misdiagnosis; a treatment with no regard to soft tissue injury is deemed to be ineffective. The same approach can be applied to other parts of the body and many pain-related conditions as illustrated in the Table of Contents.


Dr. Jou is a board-certified specialist in Physical Medicine & Rehabilitation and has expertise with more than 40 years of experience in the diagnosis and treatment of soft tissue injury. He has treated thousands of patients and achieved 90-100% success rate. His unique The Precision Method has been proven to be so effective in resolving the true sources of pain that no one should ever have to learn to live with pain. Both its theory and practice are well written in his book.

免吃藥! 免打針! 免開刀!

復健專科醫師周明峰  首創精準療法

一般人(包括醫師)對腰酸背痛的病因多遭誤導。車禍、工作、跌倒、運動所造成的疼痛,係來自筋肉(肌肉、筋膜)扭傷,並非骨刺、坐骨神經痛、椎間盤突出、壓迫神經、關節炎等脊椎的問題。只要徒手檢查肌肉的緊硬與強弱、動作的障礙與姿勢的彎曲,不需X光或MRI,很容易便可準確診斷出疼痛的根源。若在傷處施用輕按候住輕拉候住精準療法(Touch-and-Hold & Stretch-and-Hold of The Precision Method)治之,必速效而癒。疼痛都是筋肉傷惹的禍不檢查筋肉便誤入歧途,不醫治筋肉就徒勞無功。市面上許多無益的檢驗及無效的療法,枉費金錢、時間和心力,又受苦受罪,終久不癒,因其抓不到癢處(沒找出確切的病因),未能對症下藥(治療的部位與方法不對)。但只要診斷準確、治療的部位及方法對、治療的次數及時日夠,不管新傷或舊疾,短期內即可痊癒。同樣的道理也可應用到身體其他的部位,以及諸種疑難雜症,如目次所列。

周醫師在復健醫學界歷史最悠久、規模最大的紐約大學醫學中心完成專科訓練,擁有台灣及美國復健專科執照、Hawaii大學醫學碩士,專精腰酸背痛及各種疼痛疑難雜症的診治,經驗逾四十年,首創精準療法,著書《NO MORE PAIN》All Pain Considered—A Breakthrough,以及《疼痛大突破》根治各種疼痛疑難雜症


Soft Tissue Injury—the Culprit!


As a specialist in Physical Medicine and Rehabilitation, I have seen thousands of patients suffering from back pain over the years.  During the first several years of my practice, I followed the current update from medical journals and seminars in addition to the previous textbooks and teachings of my professors for diagnosis and treatment.  Even with my best effort, I was unable to cure back pain, leaving me and my patients very frustrated.  This bothered me quite a bit.  I just could not accept the notion that back pain is incurable in this high-tech modern era.  So I took a step back, trying to figure out why back pain is such a tough problem.  I soon suspected that back pain must have come from muscles instead of spine or nerves.  I then redirected my focus and started treating muscle injury, consistently obtaining satisfactory results, even cure in some cases. 


Having many questions, yet little knowledge and no books or teachers for guidance regarding muscle injury, I had to search alone in the dark for answers without knowing where to go and what to look for.  Relying on common sense and keen observation, I learned a great deal from carefully examining and treating my patients.  I analyzed many medical writings with skepticism as well as verification.  I also experimented with nearly all the available treatments.  I began to see some light through the inner working of pain.  I was able to break the myths, one after another, and eventually come out of the maze.  After considerable experience, I was finally convinced that back pain is actually derived from soft tissue injury, not bone spur, disc herniation, pinched nerve, sciatica, arthritis or other spinal conditions as written in the medical books.  Therefore, I determined: Soft tissue injury is the culprit of back pain.  A diagnosis with no regard to soft tissue injury is deemed to be a misdiagnosis; a treatment with no regard to soft tissue injury is deemed to be ineffective. 


I unknowingly stumbled into a new field of “soft tissue injury”.  I was surprised and shocked to find how primitive and uncultivated the field is in modern medicine.  No wonder there are numerous errors in the diagnosis and treatment of back pain as well as other pain-related conditions.  In diagnosis, the cause of pain is often misleading, non-specific or unknown, not pointing to the real source.  In treatment, based on a misleading diagnosis, it is understandably out of focus, ineffective, and largely symptomatic relief at best, but no cure.  Thus, so many pain-related conditions remain unresolved for years despite all medical resources.  Patients have suffered so much for so long, still longing for a cure.  How unfortunate it is, but how wonderful it will be to have a cure!


So I set out to search for a cure, charging forward with determination and diligence.


In my early efforts, I treated only the injured muscle and managed to soften its tight nodule.  Before long, I realized that its attachments must also be treated and tried a slightly lighter technique to treat them.


Later, I understood the relationship between injury and muscle strength and that muscle strength is a key element in the diagnosis of pain.  Pain interferes with muscle exertion and limits the output of strength; thereby most of muscle weakness is actually muscle strength limited by pain.  Once pain is removed, strength returns to normal immediately.  Thus, muscle strength can be utilized as a reliable factor in the diagnosis as well as in the measurement of the efficacy of treatment. 


Then, I also learned that exercising an injured muscle often irritates and worsens its injury causing further weakness.  To restore muscle strength, injury must first be resolved but not with exercises.  I always treated the injury without any strengthening exercise.  Furthermore, most soft tissue injury actually comes from exercises; I realized that there is too much risk and little benefit in exercise.  I hereby advocate suitable activity instead by downplaying the importance of exercise while alerting the risk of its harm so as to reduce or even prevent the occurrence of soft tissue injury.           


In addition, I found that fascia plays an essential and utmost important role in pain.  This new concept was monumental!  It helps clarify various pain-related conditions.  I devised an effective way to treat fascia injury.


It has taken me quite some time, through trial and error, to find ways of identifying the precise source of pain and the optimal method of curing pain.  All these years, I have been sharpening my skills to master the simplest, most effective and efficient techniques to cure pain.  Initially, I applied vigorous massage trying to break down tight muscles, based on physics.  Although still somewhat effective, it hurt my patients and my hands.  There is also the limitation that massage cannot be done to certain small parts of the body.  I attempted various existing and creative methods searching for a better solution for years in vain.  My “eureka!” aha moment came one day (Easter Day 2005) when I tried light touch on a patient (my niece, Alice) who was horrified of pain and could not tolerate massage on the injured site.  I was surprised to feel the injured tissue immediately softening under my fingertips until no more pain or tightness.  By accident, I discovered a previously unknown and unutilized physiological phenomenon that light touch elicits body response for self-healing reversing the injured tissue to its normal state, and thus pain disappears.  Light touch works very well on the muscle and especially the fascia.  It can be applied to soft tissue injury of any site and size.  I have since replaced physics with physiology so that painful injury can be quickly resolved and there is little pain hurting my patients or my hands during treatment.  This simple, low-tech, highly efficient and truly effective method has become a terminator of pain and the very tool to cure injury. 


The same principles of diagnosis and treatment can be successfully applied to pain anywhere in the body, even extending to other pain-related conditions. 


Little by little, over a forty-year span, I have cumulatively established the theory and application of The Precision Method using Touch-and-Hold & Stretch-and-Hold techniques for soft tissue release.  With this method, injured sites are precisely identified and effectively treated toward a cure.  Any pain-related condition can definitely recover in a very short time without recurrence, regardless of new or old, mild or severe, tiny or large, body part or location.  There is no risk or side effect.  Costly tests, medications, injections, surgeries as well as tools, devices, machines are not needed, thus medical expenses can be greatly reduced.  I am excited about this breakthrough and eagerly reaching out to bring good tidings to those in need.  


This book is written entirely based on my personal understanding and clinical experience and for the first time to introduce “The Precision Method”.























筆者耗費時日四十年,一點一滴累積知識與經驗,終於開創出以輕按候住輕拉候住手法專治筋肉傷的精準療法(Touch-and-Hold & Stretch-and-Hold of The Precision Method),建立其理論與實際,完成體系。此法可精確找出傷處,疼痛不管新舊、輕重、大小、部位,短期內便能輕易根除,而且治癒之後,不虞復發。不必吃藥、打針、開刀,無需工具、儀器、器械,沒危險性、副作用,既省事、省時,也省大筆醫療花費。筆者慶幸有此重大的突破,爰立下心願,將之推廣,盼能帶給疼痛患者,根治的佳音。




 * 本書比照筆者的英文原著:《NO MORE PAIN》All Pain Considered—A Breakthrough 2020年最新增訂版而寫。


Table of Contents



    Soft Tissue Injury—the Culprit!


Breaking the Myth of Back Pain


  1. Introduction

  2. Myth and Maze

  3. Critique and Comment

  4. Source and Cause

  5. Principle

  6. Symptom and Sign

  7. Diagnosis

  8. Treatment

   * The Precision Method—Touch-and-Hold & Stretch-and-Hold

  9. Exercise

10. Self-Care 

11. Conclusion

12. Addendum


Other Pain


  1. Headache and Facial Pain

    * Scalp Numbness, Scalp Noise, Dizziness, Vertigo, Motion Sickness, Blurred Vision,

       Flu-like Sick Feeling, Stuffy Nose, Runny Nose, Post-Nasal Drip, Sneezing, Tinnitus,

       Baldness, Strabismus, Protruding Eye, Dry Eye, Dry Mouth, Watering Eye,

       Tear Spillage, Visual Dysfunction (Myopia, Hyperopia, Astigmatism, Presbyopia),

       Glaucoma, TMJ Dysfunction, Lockjaw, Dropped Jaw, Earache, Plugged Ear,

       Trigeminal Neuralgia, Bell’s Palsy, Slurred Speech, Stuttering, Drooping Eyelid,

       Ingrown Eyelashes, Incomplete Eyelid Closure, Drooling, Facial Numbness,

       Facial Apathy, Loss of Smell, Loss of Taste, Eye Blinking, Blepharospasm,

       Facial Tic, Restless Lips/Chin, Burning Mouth Syndrome

  2. Neck and Shoulder Pain                                           

    * Dropped Head Syndrome, Spasmodic Torticollis, Tilt Head, Restless Neck,

       Snoring, Throat Wheezing, Dry Cough, Dysphagia, Vocal Cords Dysfunction,

       Rotator Cuff Tear, Habitual Shoulder Dislocation

  3. Frozen Shoulder

  4. Tennis Elbow and Arm Pain

  5. Wrist and Hand Pain

    * Thoracic Outlet Syndrome, Complex Regional Pain Syndrome,

       Carpal Tunnel Syndrome, De Quervain’s Disease, Wrist Drop,

       Personage-Turner Syndrome, Trigger Finger, Focal Dystonia, Restless Hand,

       Dupuytren’s Contracture, Claw Hand, Cold Hand, Finger Numbness,

       Deformed Fingernail

  6. Chest and Rib Cage Pain

    * Costochondritis, Tietze’s Syndrome, Intercostal Neuritis, Dyspnea, Hiccups,

       Belching, Nausea, Breast Pain, Post-lumpectomy Breast Lump, Sagging Breast

  7. Hip and Thigh Pain

    * Coccygeal Pain, Sitting Pain, Trendelenberg Gait

  8. Knee and Leg Pain

    * Osgood-Schlatter Disease, Shin Splints, Stump Pain, Phantom Limb Pain

  9. Leg Cramps

    * Restless Leg Syndrome, Restless Elbow/Wrist/Hand/Finger

10. Ankle and Foot Pain

    * Plantar Fasciitis, Morton’s Neuroma, Tarsal Tunnel Syndrome,

       Achilles Tendon Tightness, Toe Walking, Pigeon Toe, Club Foot,

       Claw/Hammer/Mallet Toe, Ankle Lump, Heel Pain, Shuffling Gait, Bunion,

       Painful Corn, Ledderhose Disease, Cold Foot, Toe Numbness,

       Burning Foot Syndrome, Ingrown Toenail

Pain-Related Condition

  * Scar/Adhesion, Nodule

  * Concussion, Contusion, Burn, Wound, Soft Tissue Bulge, Knuckle Pad, Eye Bag,

     Facial Wrinkles, Neck Wrinkles, Deformed Eyelid/Ear/Lip/Tongue/Nipple /Labia

  * Arthritis, Arthritic Stiffness, Joint Pain

  * Fracture, Dislocation

  * Scoliosis, Kyphosis, Knock-knee, Legg-Calvé-Perthes Disease,

     Avascular Necrosis of the Femoral Head, Dowager’s Hump, Lateral Hump,

     Sway Back, Leg-length Discrepancy

  * Spinal Cord Injury

  * Post-polio Syndrome, Post-stroke

  * Shingles Pain, Post-herpetic Neuralgia

  * Diabetic Peripheral Neuropathy, Trophic Skin Change

  * Pre-menstrual Syndrome, Endometriosis, Hot Flash  

  * Pregnancy, Post-partum Pain, Stretch Marks

  * Chronic Fatigue Syndrome, Insomnia, Anxiety, Depression, ADHD, PTSD

  * Post-operative Non-surgical Pain

  * Essential Hypertension

  * Varicose Veins, Spider Veins, Hemorrhoids, Edema, Lymphedema

  * Sleep Apnea

  * Irritable Bowel Syndrome, Acid Reflux, Hiatal Hernia, Stomach Cramps,

     Abdominal Cramps, Stomach/Abdominal Pain, Bulging Belly,

     Bowel Dysfunction (Urgency, Frequency, Stress Incontinence), Constipation,

     Bowel Retention, Anal Pain, Prolapse of Anus/Hemorrhoids/Rectum             

  * Irritable Bladder, Urethral Hernia, Urinary Dysfunction (Urgency, Frequency,

     Hesitancy, Retention, Stress Incontinence, Post-void Dribbling)

  * Erectile Dysfunction, Priapism

  * Peyronie’s Disease

  * Sexual Pain, Vaginal Tightness/Cramps, Penis Captivus, Vaginal Laxity,

     Prolapse of Vagina/Uterus

  * Ehlers-Danlos Syndrome, Joint Hypermobility Syndrome

  * Fibromyalgia

  * Animal   







都是筋肉傷惹的禍  自序



  1. 前言

  2. 迷思

  3. 評析

  4. 病因

  5. 原理

  6. 症狀

  7. 診斷

  8. 治療                                                                           

   * 精準療法─輕按候住及輕拉候住                                                                 

  9. 運動

10. 保養

11. 結論

12. 附語



  1. 頭痛及顏面痛








  2. 頸肩痛



  3. 五十肩

  4. 網球肘及臂痛 

  5. 手腕痛

    *胸廓出口症候群、局部疼痛複合症候群、腕隧道症候群、de Quervain氏病、



  6. 胸肋痛



  7. 臀股痛


  8. 膝腿痛


  9. 小腿抽筋


10. 足踝痛




































Emerson M. F. Jou, M.D., M.P.H.

Solo Practice
The Rehab Clinic (since 1983)

Honolulu, Hawaii

NoMorePain Clinic (since 2003)

Orange County, California

Address:  321 North Kuakini Street, Suite 410

                   Honolulu, HI 96817

Phone:     1-808-523-2421   

Cell:          1-808-256-5591      



M.D.      Chung-Shan Medical College
              Taichung, Taiwan

M.P.H.   University of Hawaii School of Public Health
              Honolulu, Hawaii

Residency in Physical Medicine
and Rehabilitation

New York University Medical Center
Institute of Rehabilitaion Medicine
New York, New York


American Board of Physical Medicine and Rehabilitaion

Taiwanese Board of Physical Medicine and Rehabilitaion


American Academy of Physical Medicine and  Rehabilitation

Taiwanese Academy of Physical Medicine and Rehabilitation

American Association of Neuromuscular & Electrodiagnostic Medicine

American Academy of Pain Management

Career Path
Clinical Instructor

University of Minnesota School of Medicine &

Minneapolis VA Hospital,

Department of Physical Medicine and Rehabilitation
Minneapolis, Minnesota

Chief of Outpatient Services

Harmarville Rehabilitation Center
Pittsburgh, Pennsylvania

Associate Medical Director

Rehabilitation Hospital of the Pacific
Honolulu, Hawaii

U.S. Patent (pending)

Touch-and-Hold & Stretch-and-Hold of The Precision Method

周明峰 醫師


中山醫學院 醫科

台灣 台中

公共衛生學碩士 主修老人學

MPH (Master of Public Health) in Gerontology

University of Hawaii School of Public Health

Honolulu, Hawaii, USA

物理復健專科 住院醫師

Residency in Physical Medicine and Rehabilitation

New York University Medical Center

Institute of Rehabilitation Medicine

New York, New York, USA





American Academy of Physical Medicine and Rehabilitation


American Association of Neuromuscular & Electrodiagnostic Medicine 

American Academy of Pain Management


信望愛復健中心  (1983年迄今)

The Rehab Clinic

Honolulu, Hawaii, USA


疼痛特別門診  (2003年迄今)

NoMorePain Clinic    

Orange County, California, USA     

地址: 321 North Kuakini Street, Suite 410

          Honolulu, HI 96817 USA

電話: 1-808-523-2421

手機: 1-808-256-5591





University of Minnesota School of Medicine 

Minneapolis VA Hospital, Department of

Physical Medicine and Rehabilitation

Minneapolis, Minnesota, USA



Harmarville Rehabilitation Center

Pittsburgh, Pennsylvania, USA



Rehabilitation Hospital of the Pacific

Honolulu, Hawaii, USA



Touch-and-Hold & Stretch-and-Hold of The Precision Method

美國專利 (審理中)

其他著作1994 台灣簡史、1995 心在台灣、2001 台美情懷、2020 哈哇意亡國史—ALOHA哀歌、 
                2020 晚霞滿天—台美歲月。若有興趣,請留言。
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