If It Hurts, Am I Doing Damage?

If something hurts when you move, it’s pretty natural to think: 

“I should probably stop. I must be making things worse.”

And honestly, that makes sense. Pain is uncomfortable and designed to get our attention. So it’s easy to assume that something painful must also be something harmful.

But pain and damage aren’t actually the same thing. 

Pain is a Protective System

You can think of pain as an alarm system that tries to protect you and keep you safe. If you sprain your ankle or break a bone, for example, pain can help you protect the area while it heals.

But pain isn’t a perfect damage detector. In other words, more pain doesn’t necessarily mean more damage.

And sometimes we can have quite a lot of pain without any new damage happening at all.

And just to be clear, this doesn’t mean your pain isn’t real or that it’s “all in your head.” Pain is a very real experience. Your nervous system is genuinely producing the pain you feel, even when there isn’t ongoing tissue damage.

This becomes especially important when pain has been around for a while. Sometimes the alarm system can become more sensitive, sounding the alarm when there isn’t any new damage happening. Things that were once comfortable can suddenly become painful, even though they aren’t causing damage.

So if something hurts, it doesn’t automatically mean:

“I’m making things worse.”

Sometimes it simply means:

“My nervous system is being a little more protective than it needs to be right now.”

So Should You Ignore Pain?

No! Pain is a signal and it’s worth paying attention to. But that doesn’t mean you need to stop everything that hurts, or push through pain no matter what, either. 

So next time something hurts, try reminding yourself:

“Hurt does not equal harm.”

For many people living with chronic pain, gradually returning to an activity can help your nervous system become more comfortable with movement again. Start with something you enjoy and that feels manageable. Give your body time to adjust, then slowly increase the amount you do.

Over time your alarm system may not sound the alarm so easily. And pain can have a little less control over what you can and can’t do.

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Real Life Examples: A Series on Pacing • Part 3