11/08/2025
Should I push through the pain?
I get asked this a lot, usually in relation to physical activity/exercise, but it can apply to any trigger. My answer is that you want to try and find the sweet spot between pushing too hard, and not challenging yourself at all.
Pain is a warning signal. So when you get pain around exercise there is a part of you that perceives exercise as dangerous to you in some way. This danger may be due to a physical injury. But in the case of chronic pain, there is no injury. So the symptoms are more likely to be due to one of two things (or a combination of the two)
Neuroplastic pain – conditioned pain because the brain has come to associate exercise with symptoms, kept going by fear of movement which becomes self-fulfilling.
And/or
A part in your system that is creating pain for protection. For example, the symptoms may be your body saying NO in response to a shaming critic that forces you to exercise hard, and has caused burnout in the past - if this is the case, you will need to do some emotional work around this issue alongside graded exposure to reduce your fear of exercise
If you push through intense pain, you’re likely to just make yourself feel even more fearful, and any part creating pain is only going to try harder to stop you from exercising. This is more likely to cause you a setback than help you make progress.
But if you always let any pain stop you from doing things that expand your comfort zone, then you will stay stuck. Your brain needs to learn that the sensations in your body are safe, and it won’t learn this unless you let yourself do things that bring on those sensations.
So, what you want is gradual exposure. Start small, give yourself lots of reassurance that the pain isn’t due to an injury – it’s just being created by your brain.