06/03/2026
Why do some pains hurt more than others? 🤔
Have you ever noticed that two injuries can feel completely different even when one seems worse on paper?
Pain isn’t just about tissue damage. Our brain also weighs up context, emotions, and perceived threat.
Here’s a scenario...
Imagine someone out mountain biking on a trail. They misjudge a corner, slide out, and hit the deck fairly hard. Their knee and elbow get bashed, they feel a bit shaken, but after a moment they stand up, dust themselves off, and keep riding.
Did it hurt? A little.
Did they bruise? Probably.
Was there any serious injury? No.
Despite the fall, the moment feels more exciting and adrenaline-filled than painful.
Now consider a different situation...
Later that week, the same person accidentally stubs their big toe. It’s a very small injury and nothing broken, no real damage, but the pain is immediate and gnarly.
Why does it hurt so much?
Part of it is the surprise and perceived threat. There’s no adrenaline, no distraction, and the nervous system suddenly focuses all its attention on that toe. The brain turns the pain volume up, even though the injury itself is minor.
Two experiences.
One involved a bigger physical impact.
But the smaller injury hurt more.
This illustrates something important: pain isn’t purely physical.
Our nervous system also considers things like:
• Stress and anxiety
• Fear of injury
• Context and environment
• Past experiences
These factors can turn the volume of pain up or down.
This is why, as osteopaths, we look at the whole person, not just the sore body part.
Understanding the emotional and environmental context of pain can be just as important as treating the physical structures.
Pain is real, but it is also complex, protective, and influenced by our experiences.
And the good news? When we understand how pain works, we can start to manage it better and support recovery more effectively. 💡