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As someone who lifted heavy weights while under immense life stress and actually got a back injury, my take on this is that the injury is real and then my brain used it for years to distract me from my life’s stress.
these structures are actually prone to injury for sure BUT the key is that the human body heals, the human body is millions of years old healing machine, if it doesn’t heal it dies (ie aids).
So the problem here is what society started accepting as “Chronic pain” that is the TMS trick of modern age, imagine if our hunter gatherers ancestors lived in chronic pain whenever they got injured or ill, we would’ve never made it this far.
Take away, Acute injuries and illnesses are real and need care and healing, Chronic pain is not.