PAIN SCIENCE FACT #3: We've already covered (in a very simplified way) the fact that pain is an output FROM the brain, not an input TO the brain. Pain doesn't exist in one's tissues to be sensed by the brain - it is instead a creation OF the brain to be sensed in one's tissues. But why and when does the brain choose to create pain?
We used to believe that all pain experienced in the body was the result of tissue damage somewhere inside of us - in other words, we thought pain was always the result of some structural problem. But we now understand that tissue damage is just *one input* that the brain considers when deciding whether to emit a pain signal. In addition to tissue damage, the brain considers inputs like past memories, emotions, expectations, beliefs, one's environment, things that health professionals say, and more when deciding whether to output a pain experience in any given moment. All of this information processing happens unconsciously, and in just a fraction of a second.
Now that you know this, think about someone who experiences a persistent pain in their low back (like 80% of us will at some point in our lifetimes). Here is a list of common reasons given when someone has back pain: your spine is out of alignment, you have a herniated disc in your spine, you have poor posture, you flex your lumbar spine too much, your SI joint is dysfunctional, you sit in a chair too much, you have SI joint instability, your core is weak, you have a vertebral subluxation, you lack core stability, your back muscles are tight, etc., etc.
This is a really long list of commonly-cited reasons for back pain, but the interesting thing is that they are ALL structural reasons - meaning that they all have to do with the physical structure of the body. But remember our new Fact #3 from today: the brain takes MANY inputs into consideration before deciding to output pain, and structural inputs are just ONE category of inputs. Combine Fact #3 with Fact #1 (the link between persistent pain and tissue damage is often quite weak), and your paradigm for how you think about someone's back pain might begin to shift and expand.