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Why This Work Matters to Me ​ ​Chronic pain rarely arrives all at once. More often, it gradually begins occupying a larger part of a person’s life. A painful knee changes how someone walks. A guarded shoulder changes how the neck and upper back move. Poor sleep lowers pain tolerance. Fear of another flare-up leads to less movement, less exercise and less confidence. Eventually, decisions about work, travel, family responsibilities and even ordinary daily activities begin to r