Muscle strains are among the most common soft-tissue injuries, yet they are often misunderstood. People frequently describe them as a pulled muscle, but the underlying issue is usually simpler: A muscle has been asked to do more than it is conditioned to handle. That mismatch can happen suddenly during lifting or reaching, or gradually through repeated stress. According to Mathew Kovalchick, DPT, OCS, a physical therapist in the UCLA Health System, these injuries are rarely as random as they seem.