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Why Your Pain Might Not Mean What You Think

17/08/2025

If you're reading this while dealing with persistent aches, chronic discomfort, or that nagging pain that just won't seem to go away despite "doing everything right," this message is especially for you. What if we told you that understanding pain differently could be the first step toward feeling better?

In our practice, we work with many clients who've been told their pain "doesn't match" their scans, or who feel frustrated because treatments that should work sometimes don't. If this sounds familiar, you're not alone – and more importantly, you're not imagining things.

The Pain Puzzle: It's More Complex Than We Thought

For years, we understood pain simply: injury equals pain, more damage equals more pain. But groundbreaking research by neuroscientists like Dr. Lorimer Moseley has revealed something remarkable – pain is far more sophisticated than a basic damage report from your body.

In this compelling TEDxAdelaide talk, neuroscientist Dr. Lorimer Moseley explains how pain is actually a complex protective response created by your brain, rather than simply reflecting tissue damage. Through personal stories (including his famous snake bite experience) and scientific evidence, Dr. Moseley demonstrates how our brains constantly evaluate information to decide whether we should feel pain. This groundbreaking perspective on pain science has transformed how we understand and treat persistent pain conditions.

 

Think of your brain as an incredibly advanced security system, constantly analyzing thousands of pieces of information every second to answer one crucial question: "Am I safe right now?" Your experience of pain is actually your brain's best guess about whether you need protection, based on all available evidence – not just what's happening in your tissues.
This isn't about pain being "all in your head" or not real. Your pain is absolutely real and valid. But understanding how your brilliant brain creates the experience of pain can be incredibly empowering.

Your Brain: The Ultimate Detective

Dr. Moseley shares a fascinating personal story that illustrates this perfectly. While hiking, he was bitten by what he thought was a deadly snake. Remarkably, he felt no pain initially – his brain was too focused on survival to create pain signals. Hours later, when he scratched his leg on a twig, he experienced excruciating pain because his brain now associated any sensation in that area with extreme danger.
Same person, similar stimulus, completely different pain experience. The difference? Context.
Your brain takes information from multiple sources:

  • Signals from your body (but not just damage signals!)
  • Your past experiences and memories
  • Your current stress levels and emotions
  • What you've been told about your condition
  • Your environment and sense of safety
  • Your expectations and beliefs about pain

All of this gets processed faster than conscious thought to determine your pain experience.

Why This Matters for Your Recovery Journey

Understanding pain as your brain's protective response rather than just tissue damage opens up new possibilities for healing. This explains several things our clients often experience:

Why pain can persist after tissues have healed: Your brain's alarm system might still be on high alert, even when the original threat is gone.

Why pain can vary dramatically day to day: The same injury might hurt more when you're stressed, tired, or worried, and less when you're relaxed and confident.

Why some treatments work sometimes but not others: Anything that helps your brain feel safer – whether physical therapy, exercise, stress reduction, or even understanding your condition better – can influence your pain experience.

Why "perfect" scans don't always mean no pain: Your brain considers many factors beyond tissue condition when creating pain.

The Power of Understanding

Simply learning about pain can be therapeutic. Studies show that people who understand how pain works often experience improvements in their symptoms. This isn't surprising – when your brain receives the message "I understand what's happening, and I'm not in actual danger," it can begin to turn down the alarm system.

This doesn't mean your pain will disappear overnight, but it might mean:

  • Less fear about your condition
  • More confidence in movement and activity
  • Better sleep (crucial for pain management)
  • Reduced anxiety about your symptoms
  • More effective treatment responses

Moving Forward with New Understanding

If you're dealing with persistent pain, consider these gentle shifts in perspective:

Your pain is real and valid – understanding the brain's role doesn't diminish your experience.
Your body is designed to heal – most tissues recover well given appropriate time and conditions.
Movement is medicine – even gentle, graduated activity can help retrain your pain system.
Stress matters – managing life stress isn't just good for mental health; it's essential for pain recovery.
Knowledge is powerful – understanding your condition reduces fear and can improve outcomes.

Professional Support for Complex Pain

While understanding pain is empowering, managing complex or chronic pain often requires professional guidance. Our Exercise Physiologists are trained in modern pain science and can help you:

  • Develop movement strategies that work with your pain system, not against it
  • Create graduated exercise programs that build confidence alongside strength
  • Address movement fears and pain-related anxiety
  • Coordinate with other healthcare providers for comprehensive care

For Current Members: Discuss with your Exercise Physiologist how pain science principles can enhance your current program. Understanding your unique pain story can accelerate your progress.
For Past Clients: If pain has been a barrier to returning to exercise, let's address this together. A consultation focused on pain science and movement confidence could be game-changing.
New to Our Practice: Book a consultation to discover how understanding your pain differently, combined with targeted exercise therapy, can help you reclaim the active, comfortable life you deserve.

Your Pain Story Can Change

Remember, if your brain learned to create your current pain experience, it can also learn to create a different one. This learning happens through safe, positive experiences – exactly what well-designed exercise therapy provides.

Your pain has been trying to protect you, but perhaps it's time to teach your brain that you're safer than it thinks. With understanding, patience, and the right support, your pain story can have a different ending.

This journey takes courage, but you don't have to walk it alone. Let's help you understand your pain, respect your body's wisdom, and guide you toward the comfort and confidence you deserve.