I'm not an expert, but my rough impression is that we don't know embarrassingly little about pain and how it works. And some of those factors are our own expectations. Even within a certain individual, their experiences vary tremendously from context to context in ways that just aren't tracking the organic as well. So what's probably happening is that different contexts are activating different expectations of pain or disability. Without the standard organic cause change in any way, that's making a difference to how you feel and what you can do.

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