I do believe that our ability to mask pain is a direct result of the time we’ve spent learning to ignore pain. It becomes a coping mechanism of sorts. I can completely ignore pain /pretend it’s not there up until it hits about a 5 or 6. If someone I need to be honest with asks me how I’m doing I have to stop and think about it really hard before I answer. I have to take a moment and really listen to my body and what’s it’s saying (what I’ve been ignoring). Even so, under a 5 and I’m still “ok”, “not bad”, “could be worse” and probably saying it honestly & with a real smile on my face. It’s only when they think to ask my pain # that they find out what that really means.