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Persistent pain can be frustrating, confusing, and — for many people — overwhelming. Whether it’s lower back pain that keeps returning, a nagging shoulder that won’t settle, knee pain limiting walking, or sciatica causing leg symptoms, one thing is clear from the research: understanding pain changes outcomes . That’s why education is a core part of modern, evidence-based physiotherapy. Pain Is Not Always Damage Decades of research show that pain does not always equal tissue d