
One of the most frustrating parts of chronic back pain is what doctors sometimes don’t find.
The scan looks normal.
The tissue has healed.
The inflammation is gone.
And yet… the pain stays.
According to researchers at Johns Hopkins Medicine, this isn’t a mystery—it’s a neurological pattern called central sensitization. And it means the nervous system itself has become hypersensitive.
“Many people suffer chronic pain in the absence of any past injury or evidence of illness.”
— Johns Hopkins Medicine
Johns Hopkins explains that in some people, the nervous system becomes overprotective over time. The pain that once served a purpose now becomes a habit loop.
“The nerves that signal pain become hypersensitive, and changes occur in the receptors, neurotransmitters, and pathways that make up the central nervous system.”
This leads to:
The pain is not psychological. It’s not imagined. It’s a real, physical state of neural overload.
Pain is designed to protect us.
But when that protective system becomes overactive, it starts to fire at the wrong times. Like a smoke alarm going off when there’s no fire.
This is why many people with chronic back pain feel worse after stress, not movement.
It’s why the pain flares before a family visit, a major deadline, or a hard conversation—even when the body is doing nothing new.
And it’s why traditional physical treatments often fail to help.
Because the issue is no longer structural.
It’s neurological.
Johns Hopkins also offers a warning about over-medicalizing back pain:
“Surgery can correct structural abnormalities contributing to back pain, but it does not guarantee pain relief—and may even worsen the pain.”
Instead, they recommend conservative, nervous system–calming strategies:
The nervous system can be retrained, but it doesn’t happen through willpower, posture correction, or 27-step stretching routines.
It starts with understanding the real purpose of the pain.
At Makepeace, we help you explore what your brain may be trying to protect you from—and how to gently signal to your system that it’s safe to let go.
This isn’t ignoring the pain.
It’s listening to it—and answering back.
Sources:
https://www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-pain
https://www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-pain/fibromyalgia-in-children

If we had five quiet minutes together, here’s what I’d say: I know what you’re thinking. Another person claiming to have the answer. Another “method.” Another theory that probably only works if you already believe it will. You’re skeptical - and you should be. You’ve tried the stretches. The exercises. The foam rollers, the MRIs, the core work. Maybe even injections or surgery. And now here I am, telling you it might not be your spine. Not your posture. Not your mattress. Not your core. But something emotional? Yeah, I wouldn’t believe me either.

One of the most confusing aspects of chronic back pain is this: “If the injury is gone… why does the pain remain?” Many people struggle for years with back pain that makes no mechanical sense. Scans show nothing new. Treatments fail. The body should be healed - but the pain continues.
You’ve fought hard and tried it all, but the burden was never yours to carry forever. Your brain is ready to reset, your body to feel safe again. Pain is not who you are - it’s time to reclaim your life.