28/12/2025
Pain is one of the most misunderstood experiences in healthcare, not because it’s mysterious, but because it’s often oversimplified.
I don’t see pain as a direct readout of tissue state.
I see it as a protective response, shaped by tissue input and by context, learning, and uncertainty.
Tissues matter. Injuries matter. Healing matters.
But tissues exist within a nervous system that is constantly deciding how much protection is required.
Clinically, this explains why pain can:
• persist after healing
• fluctuate without new injury
• change with stress, sleep, or expectations
• improve before strength or flexibility return
Understanding pain helps reduce fear.
But experience, carefully guided, graded experience, is what actually changes sensitivity.
I have found that this way of thinking doesn’t minimise pain, it makes it more navigable.