It is so hard when people try to normalize their own pain experience as though everyone else is the same, and ignore what we say because they are ignorant of how these things can vary.
Some of us are in pain all the time, but ALSO do not necessarily feel very hurt when we suffer an injury that others find extremely painful.
When I was young, mom says I would have ear infections that would have left my sister screaming in pain, but all the sign my mom would get from me is I'd twiddle my ears with my fingers. In high school I was sick with a sinus infection but doing tech for the Nutcracker ballet. I was busy. The next week I saw the doctor. "You recently pictured your eardrum," she told me," the scar tissue is fresh. You would have noticed. It would have been excruciatingly painful." All I could do was shrug.
The third time my dad had a pierced lung he didn't have a car on hand, so he asked an MD friend if it would damage him to walk to the ER. The answer was not really, so he walked across town and in to the ER, told them he had a punctured lung (again) and they told him he would not be walking and calm with a punctured lung, and sent him to the waiting room. An hour later they took scans. When they looked at the scans finally they ran out to the waiting room and urgently put him in a wheelchair and were, like, "you have a punctured lung!" As though he hadn't told them that in the first place.
When I tore my rotator cuff, I knew something was wrong right away. Told the person at the other end of the heavy loveseat we were carrying, "I just lost my arm. Hurry up and let's get this in the truck." Then I went on a business trip for the weekend. I couldn't pull anything with that arm, but it didn't hurt. Went to the doc (my GP) the following week. She observed no reported pain and full range of motion and sent me to physical therapy. One month of PT later, I had lost range of motion and she finally sent me to the orthopedic surgeon, who examined me for five minutes, had me move my arm with his thumb pressing on my shoulder, declared I had a huge bone spur on that shoulder that had to be removed, and scheduled me for surgery. After surgery I asked what I should and shouldn't do, and he was, like, "let pain be your guide." I was sure I was fucked on that count, but he also gave me a permanent lifting limit of 30 lbs for that arm so I go by that.
In the meantime, I also have chronic pain from many former injuries, surgical scars, and chronic conditions. I think these two experiences are connected, to be honest. When you are flooded with pain signals, how do you detect lesser ones? How do you tell which ones mean something's actually wrong? It's hard, but it also just makes sense, logically.
When I was in junior high and high school, I started having debilitating headaches. My math teacher taught me to mentally "move" the pain out of my head to elsewhere in my body with a visualization technique, which made it possible for me to take tests again. My mom took me to a neurologist, who had me stand on one foot and touch my nose with alternating fingers, etc, and declared me neurologically normal. He was useless.
Eventually I just didn't pay attention to my headache, though sometimes if someone asked how I was, I would notice it and suddenly be in pain. After college my sister and I went on a road trip on which an accident with the car left me experiencing shooting pain down one leg when I walked, having exacerbated an old back injury from running my bike into a moving car. After the trip I went to see a chiropractor for the first time. "Yeah, I can fix your back," he said,"but your worst misalignment is in your neck. Do you ever get headaches?" I still see a chiropractor every two weeks, and it helps.
Fast forward ten years and my whole family was in my kitchen - mom and dad, my sister, my husband - getting dinner ready. I was tired and not really paying attention to anyone for a minute, sitting at the kitchen table. My sister exclaimed something about the expression on my face, like I looked like I was in pain. My mom concurred, indicating I looked "like you're in pain and want someone to help you." I straightened up, wondering how they could not know this about me. "I'm always in pain," I reminded them, "I'm just tired right now, so it showed."
These days I do have high pain days and low pain days, but I'm still always in pain. Like my tinitus, sometimes it's louder or quieter, but it is always there. I don't get to experience silence anymore, and I probably never will. I can no longer quite recall what not feeling pain was like, though I do remember that sometimes, when I was very young, I didn't have it.
If you are similarly atypical, I hope people in your care team understand.